C10014220 / invoice 10000

Species:CANINE
Breed:Whippet
Age (years):13
Diagnosis or signs:Examination + medications
Consult notes
06/03/2026 Consultation nurse: JW 

Reason for presentation: unsteady on feet recently 

History for today:
Past 1-2 days not herself, stiff, walking slowly
Struggling to jump, can't get into her sleeping pouch
EDUD as normal, some difficulty posturing
Normally very active still, runs with mum

Previous medical/surgical concerns:
04/12/25: Laceration on the right fore paw with an exposed tendon between lateral aspect of the 5th digit and paw pad.
Grade 2 heart murmur previously noted on examination.

Current medications: Nil 

Examination:
QAR - seems sad
BCS 5/9
Eyes clouding
Ears clean
Oral nad
MM pink/moist
Hydration good
DS gr 1-2
Cardio 136bpm, Gr 3-4 HM bilaterally
Resp nad
Abdo tense - suspect referred pain given no GI signs
MSK:
- hunched posture, stiff gait
- resistant to lateral flexion LHS
- discomfort through entire thoracic spine and cranial lumbar
Neuro nad, reflex/proprioception etc normal 
LN nad
Temp 


Demeanour- Dull - Nervous 
Eyes & Ears- NAD 
Nose and Throat- Clear 
Mouth/teeth/gums/dental grade- gums mm pink crt 1-2s 
Resp rate- NAD 
Heart rate- 136bpm G3 murmur 
Abdominal palpation- 
Urogenital- 
Musculoskeletal- Neck flexion NAD slightly reduced on L Neck flexion. tense through mid lumber spine 
BCS- 4.5/9
Coat/skin- NAD 
Palpate lymph nodes- NAD
Temp- 38.3

Assessment:
sore through mid lumber spine and left flexion of neck 

Treatment:
Gabapentin 
Meloxicam 

Next vaccination due: 
Vaccinate once better 

Plan: 
On lead and strict rest 
Suggested x-rays or CT for further diagnostics 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 14:03:17
Consultation nurse: JW 

Reason for presentation: unsteady on feet recently 

History for today:
Past 1-2 days not herself, stiff, walking slowly
Struggling to jump, can't get into her sleeping pouch
EDUD as normal, some difficulty posturing
Normally very active still, runs with mum

Previous medical/surgical concerns:
04/12/25: Laceration on the right fore paw with an exposed tendon between lateral aspect of the 5th digit and paw pad.
Grade 2 heart murmur previously noted on examination.

Current medications: Nil 

Examination:
QAR - seems sad
BCS 5/9
Eyes clouding
Ears clean
Oral nad
MM pink/moist
Hydration good
DS gr 1-2
Cardio 136bpm, Gr 3-4 HM bilaterally
Resp nad
Abdo tense - suspect referred pain given no GI signs
MSK:
- hunched posture, stiff gait
- resistant to lateral flexion LHS
- discomfort through entire thoracic spine and cranial lumbar
Neuro nad, reflex/proprioception etc normal 
LN nad
Temp 


Demeanour- Dull - Nervous 
Eyes & Ears- NAD 
Nose and Throat- Clear 
Mouth/teeth/gums/dental grade- gums mm pink crt 1-2s 
Resp rate- NAD 
Heart rate- 136bpm G3 murmur 
Abdominal palpation- 
Urogenital- 
Musculoskeletal- Neck flexion NAD slightly reduced on L Neck flexion. tense through mid lumber spine 
BCS- 4.5/9
Coat/skin- NAD 
Palpate lymph nodes- NAD
Temp- 38.3

Assessment:
sore through mid lumber spine and left flexion of neck 

Treatment:
Gabapentin 
Meloxicam 

Next vaccination due: 
Vaccinate once better 

Plan: 
On lead and strict rest 
Suggested x-rays or CT for further diagnostics 
2025-12-06T00:00:00Z 10:05:51
O called, said is healing really well LS

Previous claim history (10)

DateClaim #Diagnosis
2025-12-04C09582226WOUND - LACERATION
2017-03-31C1154639HEARTWORM TEST OR BLOOD SCREEN
2017-03-25C1154639DENTAL (TOOTH) ABNORMALITY - PRESENTING COMPLAINT
2017-03-25C1154639VACCINATIONS OR HEALTH CHECKS
2016-12-22C1031904DIARROHEA
2015-05-30C0542169ACROCHORDON (FIBROEPITHELIAL POLYP, SKIN TAG)
2015-02-13C0460663VACCINATIONS OR HEALTH CHECKS
2014-01-17C0212733DIARROHEA
2013-09-27C0166637LACERATION
2013-03-03C0071851DIARRHOEA - PRESUMED SELF-LIMITING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation120.002026-03-06
20000tstarc_meloxicam37.702026-03-06
30000tstarc_anticonvulsant_medication_-_gabapentin26.002026-03-06

UPM+

  • DG02086PAIN - SPINAL - PRESENTING COMPLAINTDSTP_clinical_signs_-_spinal_pain

Variant (sleepy_king)

PAIN - NECK (CERVICAL) - PRESENTING COMPLAINT
DSTP_clinical_signs_-_neck_pain
Conf: 0.500
Threshold: 0.90
Above:
Correct?
Reason (correct)