C10016199 / invoice 10000

Reviewer

Species:CANINE

Breed:Labrador

Age (years):10

Diagnosis or signs:Limping

Consult notes

11/03/2026 Reason: rechk lameness

Hx:
FO says carprofen has made no difference to the lameness
Still EDUF normal

Exam:
Q&A (normal for P)
MM pink, CRT < 2 secs

lame LH (approx 3/10ths was walking very slowly into consult room so difficult to put a grade on it)
Marked firm, poss boney swelling of distal MT II, in foot (above amputation site)
Bonnie is repeatedly painful on palpation of the area
Hock and stifle WNL
Hip has pretty good ROM for a 9 year old Lab and she only reacts towards limit of extension

Assessment: Whilst there is some hip pain and would assume OA given age and breed, I am concerned about the boney swelling above amputation site.
Looking back on Hx  the digit was amputated at the MT/PI joint in Nov 25. It seemed there was postop wound break down but eventually healed well
The Dx from the incisional biopsies prior to amputation was of fibroadnexal dysplasia which was the same as from the FNA samples taken in Jan25 (Fibroadnexal hamartoma or sebaceous gland tumour).

We need imaging of LH foot and hip (would image the entire leg and any comparative images of RH as needed on the day). O keen

Tx: Stop carprofen (last dose was this AM). Start Paracetamol 665mg (Osteo)TID. Start Previcox after 4 day washout from carprofen

Plan: Booked in for GA Rads on Tuesday (O would like me to do )

Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 12:34:02

Reason: rechk lameness

Hx:
FO says carprofen has made no difference to the lameness
Still EDUF normal

Exam:
Q&A (normal for P)
MM pink, CRT < 2 secs

lame LH (approx 3/10ths was walking very slowly into consult room so difficult to put a grade on it)
Marked firm, poss boney swelling of distal MT II, in foot (above amputation site)
Bonnie is repeatedly painful on palpation of the area
Hock and stifle WNL
Hip has pretty good ROM for a 9 year old Lab and she only reacts towards limit of extension

Assessment: Whilst there is some hip pain and would assume OA given age and breed, I am concerned about the boney swelling above amputation site.
Looking back on Hx  the digit was amputated at the MT/PI joint in Nov 25. It seemed there was postop wound break down but eventually healed well
The Dx from the incisional biopsies prior to amputation was of fibroadnexal dysplasia which was the same as from the FNA samples taken in Jan25 (Fibroadnexal hamartoma or sebaceous gland tumour).

We need imaging of LH foot and hip (would image the entire leg and any comparative images of RH as needed on the day). O keen

Tx: Stop carprofen (last dose was this AM). Start Paracetamol 665mg (Osteo)TID. Start Previcox after 4 day washout from carprofen

Plan: Booked in for GA Rads on Tuesday (O would like me to do )

Previous claim history (9)

Date	Claim #	Diagnosis
2026-02-27	C09966759	GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2026-02-27	C09966759	EAR CONDITIONS
2024-02-01	C6829058	ABDOMINAL DISTENSION - PRESENTING COMPLAINT
2023-12-27	C6685489	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-12-06	C6613754	HYPERSENSITIVITY DISORDER (ALLERGY)
2021-04-05	C3641805	INTOXICATION (POISONING) - THEOBROMINE/CHOCOLATE
2020-10-23	C3294689	INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
2020-08-02	C3069984	VOMITING - OTHER - PRESENTING COMPLAINT
2017-10-25	C1389384	GASTRITIS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	91.00	2026-03-11	—
20000	tstarc_nsaid_-_previcox_(firocoxib)	91.54	2026-03-11	—

UPM+

DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT

DSTP_clinical_signs_-_lameness

Conf: 0.730

Threshold: 0.37

Above: ✓

Correct?

Yes No