C10013801 / invoice 10000
Species:CANINE
Breed:Dalmatian
Age (years):0
Diagnosis or signs:Consult
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <p><br>REASON<br>Possible forelimb fracture/ injury<br><br>HISTORY<br>Injured leg this morning, non weight bearing and foot is floppy post injury, crying in pain. Also seemed to knuckle on affected foot.<br>O noted that he started weight bearing in car.<br><br>WELLNESS PLAN<br>not discussed<br><br>OBJECTIVE <br>Demeanor BAR. Growing in confidence, happy to be examined while O feeding treats.<br><br>Oral: Mucous membranes are moist, pink, CR < 2 sec. SM lymph nodes normal. No dental disease noted. <br>Eyes and ears are clear. <br>HR/ RR WNL<br>Musculoskeletal: grade 2/6 lameness R forelimb @ stand and walk, no other gaits observed in consult. No repeatable pain response on palpation of long bones/ joints. No swelling or crepitus, full rom all joints, no pain. <br>Neurological: normal head and neck position, placing R forelimb normally, normal proprioception.<br>Abdominal: abdomen soft and comfortable to palpate<br>Urinary: bladder small- no other abnormalities noted.<br>Rectal: not performed, faeces on thermometer normal. Temperature was not taken<br>Reproductive (incl ext genitalia): no abnormalities noted. <br>Integument: coat clean and dry- No fleas or ticks evident, otherwise no significant abnormalities.<br><br><br>DIAGNOSTIC TEST<br>Discussed xrays to rule out boney injury, liklihood of fracture lower due to no repeatable pain response on palpation<br><br>DIFFERENTIAL DIAGNOSTIC<br>Soft tissue/ bone injury<br><br>DIAGNOSIS<br>Open<br><br>TREATMENT<br>O opted for treatment trial with nsaids. 0.55ml meloxicam (1.5mg/ml) administered s/c, home with oral meloxicam @0.1mg/kg once daily starting tomorrow morning with food. Discontinue if vomitting or diarrrhoea occurs, use for 2-3d. Rest and monitor, RV for sedation/ xrays ini.</p> </div> </div></html>
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 08:38:00
REASONHot spot on top of head,HISTORYlast wash 6 days ago, noticed it 2 days ago was gunky, was planning on bathing but today noticed it being nastyWELLNESS PLANinsuredOBJECTIVE Demeanor BAR. beautifully behaved, happyIntegument: coat clean and dry. on dorsal head - raised infected area in L shape, dry and non painful. poss secondat=ry to trauma? did hear a yelp 2 days ago.DIFFERENTIAL DIAGNOSTIC - pyodermaTREATMENTamoxy 250 1 BID x 7
2026-02-26T00:00:00Z 08:16:00
ReasonVaccination last pup vacHistoryBARNo concerns. No polyuria, polydipsia. No vomiting or diarrhoea or change in appetite.Nervous with new people but happy if approached slowly and allowed to aclimatiseMicrochipped?- YEndo/ectoparasite controlUTD, NGS, repeat todayInsuranceMedibankPETCARE PLAN not interestedDietFed on- Royal Canin Puppy, O tried kangaroo had some diarrhoea so has transitioned back to dry food.ObjectiveBARC/S0 /3, G/S 0/3. Good deciduous dental health with no malocclusions, fracture or abnormalities detectedOral: mm's pink and moistCRF < 2 seceyes and ears clearCardiovascular: no murmur or arrhythmia detected. heart rate:100 /minRespiratory: clear bronchovesicular chest sounds bilaterally, resp rate;16 /minLymph nodes normalMusculoskeletal: no lameness or ataxia noted in consultationAbdominal: abdomen soft and comfortable to palpateRectal: not performed,Urinary: bladder small- no other abnormalities noted.Reproductive (incl ext genitalia): no abnormalities notedIntegument: coat clean and dry- No fleas or ticks evident and no significant abnormalities.temperature: 38.4Problem listNone Treatment givenVaccinate C5. Administer NGS
2026-01-28T00:00:00Z 12:55:00
ReasonVaccination, and nexgardHistoryNo concerns. No polyuria, polydipsia. No vomiting or diarrhoea or change in appetite.Microchipped - yes in systemchecked and scanning normally,details checked and correctEndo/ectoparasite controlNGS: due todayInsuranceMedibankPETCARE PLAN Not interestedDietFed onRoyal Canin dry food and wet foodObjectiveBARC/S0 /3, G/S0 /3. Good dental health with no malocclusions, fracture or abnormalities detectedOral: mm's pink and moistCRF < 2 seceyes and ears clearCardiovascular: no murmur or arrhythmia detected. heart rate: 100 /minRespiratory: clear bronchovesicular chest sounds bilaterally, resp rate;20 /minLymph nodes normalMusculoskeletal: no lameness or ataxia noted in consultationAbdominal: abdomen soft and comfortable to palpateRectal: not performed,Urinary: bladder small- no other abnormalities noted.Reproductive (incl ext genitalia): no abnormalities notedIntegument: coat clean and dry- No fleas or ticks evident and no significant abnormalities.Overall AssessmentHealthy in all aspects Problem listNone Treatment givenVaccinate C5Long discussion re desexing timing, advised optimum >12 months in large breed to allow full long bone growth, but flexible depending on behavioural issues/ O's preferences. Min age 6 months.
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09988421 | DERMATITIS |
| 2026-02-26 | C09956676 | VACCINATIONS OR HEALTH CHECKS |
| 2026-02-26 | C09956676 | FLEA/TICK/WORM CONTROL |
| 2026-02-26 | C09956676 | HEARTWORM CONTROL |
| 2026-01-28 | C09818779 | VACCINATIONS OR HEALTH CHECKS |
| 2026-01-28 | C09818779 | FLEA/TICK/WORM CONTROL |
| 2026-01-28 | C09818779 | HEARTWORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 88.00 | 2026-03-11 | — |
| 20000 | tstarc_meloxicam | 39.00 | 2026-03-11 | — |
| 30000 | tstarc_meloxicam | 50.21 | 2026-03-11 | — |
UPM+
- DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness
Variant (sleepy_king)
TRAUMATIC INJURY
DSTP_traumatic_injury
Conf: 0.630
Threshold: 0.66
Above: ✗
Correct?
Reason (correct)