C10008646 / invoice 10000
Species:FELINE
Breed:Domestic Short Hair
Age (years):6
Diagnosis or signs:Laceration check
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>Verified: YES</p> <p>Client: Joan,</p> <p>History: Recheck for cut on paw sustained Thursday (3/3/26), no known cause of injury. <br>Initially had 1 faeces immediately after returning home from first visit, then no faeces for >24h, followed by large faeces. Urinating infrequently - holding then passing large volumes, had large urination this morning.<br>Used to toileting outside so O feels in holding until unable to hold any longer. <br>Eating very little, presumed drinking. <br>No vomiting, no diarrhoea. <br>Stressed, cried frequently on Friday, less so Saturday <br>Spending most time sleeping in corner of room. <br>Confined indoors since injury. On meloxicam and antibiotic since Thursday.</p> <p>Exam:<br>Mentation: BAR<br>Temp: 38.5C <br>Cardio: HR = PR = 188 bpm, no murmur or arrythmia<br>Resp: RR = 20, normal BV sounds<br>Eyes: Clear<br>Ears: Clear<br>Teeth: Gde 1/4, <br>Other oral exam: Normal <br>MM/CRT: pink/moist, CRT<2s<br>Abdomen: soft and comfortable, some faeces palpable in colon but not hard<br>Skin & Haircoat: Normal <br>Musculoskeletal: Normal <br>Lymph Nodes: Normal <br>Neurologic: Normal <br>Urogenital: Normal <br>Rectal: Did not perform rectal exam<br>Other problems found: None</p> <p>Assessment:<br>Paw laceration - healing well, nearly healed</p> <p>Plan:<br>Advised O does not need bx and we can switch to e collar. <br>O not happy, would like redressed. <br>Padded bx replaced. </p> <p>Recommendations & Client Comms: Continue antibiotic.<br>Discontinue meloxicam - can restart if appears painful, however avoid long-term use due to potential gastric upset and renal effects particularly with reduced appetite. <br>Keep confined indoors. <br>E collar declined by O due to previous distress in other cat.</p> <p>Recheck: Yes, Thursday 11/3/26</p></html>
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 16:41:00
Client: Joanverified yesHistory: Lameness noted yesterday, Rt hind limb affected, still weight bearing, definite limp but still weight bearing, tentative gait. No recent falls observed. Indoor/outdoor cat. Maintains significantly lower body weight compared to sibling despite eating similar amounts including sibling's food. Lives with another cat (Tabitha), territorial issues present with hissing and near-fights but no actual fighting, this cat is assertive, sleeps on owner's bed while other cat sleeps outside in shed. Otherwise no concerns EDDU finePE:Mentation: BAR, vocal but tolerantCardiac ausc: normal R+R, no murmur noted, pulses synchronousResp ausc: normal lung sounds bilaterallyTemp: not assessedMM: PMCRT: <2sEyes: clearEars: cleanNose: NADTeeth: mild calculus accumulation bilaterallyLN: SM, PS, popliteal wnlAbdo palp: soft and comfortableIntegument: approx 4mm laceration medial toe pad plantar regionMSK: limp/mild short strided gait in RH at a walkUrogen: vulva NADAssessment:Rt hind foot laceration with mild swelling, Rt hind limb lamenessDDx: Traumatic laceration from stepping on glass or metalPlan:Diagnostics: n/aTreatment: - Bandage applied to Rt hind foot for protection and padding- Loxicom 4kg dose PO SID x 3 days- clavulox 1ml BID for 7dRecommendations & Client Comms: Keep cat indoors for next week minimum while wound heals. Monitor closely. Bandage provides padding and aids healing. Bandage to be changed every 3 days or if gets wet or dirty. If worsens present earlier.Recheck: Yes, Sunday 08/03/2026 for bandage change and wound assessment,6/3 NCB no answer mc
2025-10-10T00:00:00Z 15:08:00
JoanDoing well at home, occas shakes heads and dribbles which has been brought up before, otherwise no concernsEDUF normal, no v/d/c/sNot on any medsUTD parasite control, advocate monthlyIndoor outdoorPExBAR sweet catThoracic ausc nadMM pink moist crt 2LNs wnlEars nad, TMs visualised, nothing in canal, minimal dischargeMouth- mild dental disease, no obviouse cause for salivation and head shakingAbdo soft comfySkin nadMSK not assessed but moving comfortably in consult incl jumping up down tablesAssessment and planHealthy for vacc- F3 2425310 given s/c, due in 12 monthsTo monitor for further ear or mouth irritatiom, revisit if starts showing signs of discomfort or stops eating11/10 NCB sent routine text-SH
2024-10-11T00:00:00Z 14:38:00
S: going well, indoor/outdoor cat but no fightsChatty and more active than Tab.Does drool a little bit sometimes - when patted or sometimes randomlyO: BAR, lovely friendly catGood body wgt and coatScan chipHeart ausc wnl, abdo palp nsfTeeth good G0P: F3 boosterDrooling when patted is't unusual, usually just happy.12/10 NCB//MM sms sent
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09992054 | WOUND - LACERATION |
| 2021-09-08 | C4074166 | SALIVATION - INCREASED/DROOLING - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 139.31 | 2026-03-08 | — |
| 20000 | tstarc_bandages_and_dressings | 58.78 | 2026-03-08 | — |
| 30000 | tstarc_procedure_fee | 19.80 | 2026-03-08 | — |
UPM+
- DG01948WOUND - LACERATIONDSTP_wound_or_laceration
Variant (sleepy_king)
WOUND - LACERATION
DSTP_wound_or_laceration
Conf: 0.970
Threshold: 0.60
Above: ✓
Correct?