C10011486 / invoice 10000

Species:CANINE
Breed:Kelpie
Age (years):6
Diagnosis or signs:Health check
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>not as energetic as he usually is, lounging around a lot<br>other dog has bumped into him and doesn't stop crying for up to 30mins<br>was laying down next to O and let out a scream<br>seems to be walking well on his hip<br>EDUD normal<br>not on any meds - antinol and fish oil<br><br>E<br>limited exam - very nervous, O can hold held but he squirms and they lose hold<br>HR 100bpm no murmur<br>couldn't do rest of exam due to behaviour<br><br>A<br>possible pain vs anxiety<br><br>P<br>recommend we do a pain relief trial first and see if there is improvement in symptoms and tells us there is a pain component<br>metacam 30kg dose SID PO for 7d<br>disp trazadone 10mg/kg and gaba 30mg/kg BID for pre visit sedation for future visits to give night before and 3hrs before visit</p></html>

Animal clinical history (3 most recent)

2025-09-04T00:00:00Z 15:01:00
Nurse phone client back after surgery.Sedation for dental How is the recovery?He has been carrying on alot & very unsettled due to clipper rash on neck Dispensed a small vial of neocort - LW EDFU ok?O unsure as she hasn't been with him today & is at work Ok with giving medications (what are they)?No take home meds Revisit: No revisit required 
2025-09-03T00:00:00Z 08:11:00
Recheck- unable to examine awake- lunged and bite Rob while owner holding- muzzled and held by nurse - sedated - Domitor / Dolorex- - full bloods - in house to run - all normal - GA i/v alfaxan and isofllurane- examine mouth - all teeth good - no need for clean- trimmed nails as short as possible - ears good- small amount of wax and hair on R ear removedno infection present- feet examined - all look good - no evidence of any issues - all healed very well.P;  Zydax booster 0.9 mls given.
2025-08-06T00:00:00Z 17:00:00
Recheck - been doing ok - less irritated on the RHL  footO; cl B & A. unable to get tape test- but still inflammed and red inbetween the toes and top of the toes.A; skin ongoing flare up ongoing p; continue meds - r/c in a month for sedation - nails and examine of the foot while sedation- 

Previous claim history (2)

DateClaim #Diagnosis
2024-10-17C7841008Total Hip Replacement Surgery- Left Hip
2024-10-14C7816083BLOOD SCREEN

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation96.002026-03-10
20000tstarc_meloxicam68.242026-03-10
30000tstarc_trazodone57.702026-03-10
40000tstarc_anticonvulsant_medication_-_gabapentin32.802026-03-10

UPM+

  • DG02085PAIN - OTHER - PRESENTING COMPLAINTDSTP_clinical_signs_-_pain

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.220
Threshold: 0.37
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description