C10010623 / invoice 10000
Species:CANINE
Breed:German Shepherd
Age (years):6
Diagnosis or signs:Sedate examine L neck mass
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>Needs sedation to check around head - head shy<br><br>Bloods -Cre 131 (27-124) suspect pre renal - check USG<br><br>IV catheter placement<br>Sedation Medetomidine 0.01mg/kg (0.5ml) + Butorphanol 0.3mg/kg (1.3ml) IV<br>Alfaxalone top up - refer to GA chart. <br>Soft flocculent 9cm x 6cm mass L mandible. <br>Thick haemorrhagic salivary material aspirated - refer to photo. Placed in urine container, Gel swab + slide. <br>Drained 69ml 18g (1 spot)<br>Checked inside mouth no wounds etc noted. <br>Reversed atipamazole 0.5ml IM<br>Elbow hygroma <br>Good recovery. <br><br>Cytology: Possible bacteria, neutrophil and possible macrophage. <br><br><strong>IC spoke to Steven 0407 773 771 - 13.05</strong> - updated on findings <br>Explained is mostly cosmetic if not painful etc or can be surgically removed - will need to go specialist and remove both chains generally. <br>Is not sore, doesn't bother him etc. <br>Happy to culture just incase and also extend AB. <br><br>Hygroma sleeps on the cough or large rub. Will monitor for now. <br><br>Will conservative manage at this stage. <br>Vax with r/c in 14 days time with r/c. <br><br><strong>Plan</strong>:<br>1) r/c in 14 days time - after AB finishes - if ok then vax<br>2) Pending culture<br>3) Bring urine in for USG ONLY - PAID<br><br><strong>Treatment</strong><br>1) Amoxyclav 500mg 1.5 tab BID 14 days </p> </div></html>
Animal clinical history (3 most recent)
2026-02-20T00:00:00Z 15:15:00
BIB son Zac- noticed lump this am, v well o'wise/seems fine - EDUF all ok, v BAR- no vet visit since 2021 visit here, o'due vaccs/etc- L neck/submandibular LN area round swelling approx 9cm diam - LN related or salivary gland possibly? lower ventral R neck deep possible lump approx 5cm diam or part of normal, no facial swellings, MM pink/crt ok, chipped RU carnassial, swelling non-painful and discrete/round, not associated with overlying skin- doesn't chew sticks/FBs- heart auscult ok, abdo palp ok, weight increased to prev BCS 5/9- lymph node or salivary/sialocoele?/FB abscess, infection/inflammation, etc possibs- sedation req'd for FNA so to trial course abs and antiinflams and investigs under sedation if progression/not resolving- postpone vacc/HW for now- Amoxyclav 500mg - 1.25 tabs bid 8d- metacam 2.5mg - 2 sid 7d
2021-07-14T00:00:00Z 15:30:00
BIB StevenH:Past 2 days has been favouring right fore paw, O thinks may have sore toe. Very active and goes for long daily walks. E:BAR, very excited/vocalheart ausc no murmur normal rhythmmm pinkeyes/ears/nose clean NADreactive on palpation of 4th digit right fore paw, no inflammation/swelling, no crepitus, no wound or evidence of trauma, however is mouthing and turning head when applying pressure to digit. No gross lameness in consult. A:Sore toe ddx trauma/bruisingP:Duramune C3 Batch D274702A vacc SCProtech BS3 Batch D293126A vacc intranasalProheart 2.25ml SCDrontal worming tablets givenMeloxicam 5mg PO SID
Previous claim history (6)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2023-08-31 | C6304826 | ALLERGY |
| 2021-08-22 | C4130704 | ELBOW DYSPLASIA |
| 2021-07-14 | C3916870 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2021-07-14 | C3916870 | GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT |
| 2021-03-23 | C3623462 | PANOSTEITIS |
| 2020-07-19 | C3540112 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 175.00 | 2026-03-10 | — |
| 20000 | tstarc_diagnostic_test_-_culture_and_sensitivity | 251.45 | 2026-03-10 | — |
| 30000 | tstarc_diagnostic_test_-_urine_test | 25.00 | 2026-03-10 | — |
| 40000 | tstarc_sedation_for_procedure | 245.00 | 2026-03-10 | — |
| 50000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 160.20 | 2026-03-10 | — |
| 60000 | tstarc_diagnostic_test_-_cytology | 80.00 | 2026-03-10 | — |
| 70000 | tstarc_procedure_fee | 208.50 | 2026-03-10 | — |
UPM+
- DG02104PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINTDSTP_clinical_signs_-_abnormal_test_result
- DG02284HYGROMADSTP_skin_-_pressure_sore
Variant (sleepy_king)
MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.260
Threshold: 0.44
Above: ✗
Correct?
Reason (correct)