C10018640 / invoice 10000
Species:CANINE
Breed:French Bulldog
Age (years):6
Diagnosis or signs:Checkup
Consult notes
04/03/2026 SUBJECTIVE Reason for visit/main concern: recheck potential IVDD flare- RHL kicking out, have done metacam and rest, O not sure how shes doing, still flicks leg a bit, maybe a bit less, have reduced activity, did a bit of fetch indoors yesterday and seemed ok EDUD normally, no CSV, normal level of energy. Current medication/supplements: finished metacam about a week ago, is on 4cyte Current preventatives: NGS Current diet: turkey mince, hypoallergenic OBJECTIVE BAR mm pink and moist, CRT <2sec Lymph nodes: normal submandibular, prescapular and popliteal Cardiac auscultation: NAD, no murmur, no arrhythmia, strong synchronous pulse HR: 120 Pulmonary auscultation: NAD, normal BV sounds, no resp effort RR: 40 Eyes: NAD Nose: NAD Ears: NAD Mouth: NAD Dental Grade: 1/4 Abdominal palpation: NAD, soft, comfortable Skin: NAD Neuro: potentially delayed proprioception RH- but very difficult to stand square, normal mentation Myo-arthro-skeletal: R stifle pat lux 1-2/4, ivdd and dips a bit T13/L1 Uro-genital: NE Temperature: not taken BCS: 5/9 ANALYSIS IVDD MLP grade 1-2 (appears more like grade 2 today) PLAN advised hx and exam leads more toward patella being the issue, O to send vids when able, but IVDD will always be ongoing issue to keep in back of minds/require controlled exercise ideally and risk is always going to be there for it to progress for patella- potentially surgical grade as is happening everytime she exercises, would rec rads and potential sx, for now monitoring, continue meds, advised isnt emergent but the longer it is left the more chance of arthritis developing Next point of contact (recall/rv/reminder): O to follow up with what meds she has from CARE that seemed to help a bit more, and send vids of lameness, then consider rads INI RV/after hours emergency centre
Animal clinical history (3 most recent)
2026-03-04T00:00:00Z 08:23:48
SUBJECTIVE Reason for visit/main concern: recheck potential IVDD flare- RHL kicking out, have done metacam and rest, O not sure how shes doing, still flicks leg a bit, maybe a bit less, have reduced activity, did a bit of fetch indoors yesterday and seemed ok EDUD normally, no CSV, normal level of energy. Current medication/supplements: finished metacam about a week ago, is on 4cyte Current preventatives: NGS Current diet: turkey mince, hypoallergenic OBJECTIVE BAR mm pink and moist, CRT <2sec Lymph nodes: normal submandibular, prescapular and popliteal Cardiac auscultation: NAD, no murmur, no arrhythmia, strong synchronous pulse HR: 120 Pulmonary auscultation: NAD, normal BV sounds, no resp effort RR: 40 Eyes: NAD Nose: NAD Ears: NAD Mouth: NAD Dental Grade: 1/4 Abdominal palpation: NAD, soft, comfortable Skin: NAD Neuro: potentially delayed proprioception RH- but very difficult to stand square, normal mentation Myo-arthro-skeletal: R stifle pat lux 1-2/4, ivdd and dips a bit T13/L1 Uro-genital: NE Temperature: not taken BCS: 5/9 ANALYSIS IVDD MLP grade 1-2 (appears more like grade 2 today) PLAN advised hx and exam leads more toward patella being the issue, O to send vids when able, but IVDD will always be ongoing issue to keep in back of minds/require controlled exercise ideally and risk is always going to be there for it to progress for patella- potentially surgical grade as is happening everytime she exercises, would rec rads and potential sx, for now monitoring, continue meds, advised isnt emergent but the longer it is left the more chance of arthritis developing Next point of contact (recall/rv/reminder): O to follow up with what meds she has from CARE that seemed to help a bit more, and send vids of lameness, then consider rads INI RV/after hours emergency centre
2026-02-17T00:00:00Z 11:19:48
O wanted to push out the recheck i did say that it was recommended by the vest to do 10-14 days but O feels it hasn't been a normal couple of weeks for her as they've been doing restricted walks due to the heat and haven't noticed a huge change yet on the medication so O wanted to give it a bit longer before coming back SP
Previous claim history (19)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-04 | C09918672 | VACCINATIONS OR HEALTH CHECKS |
| 2026-02-04 | C09918672 | FLEA/TICK/WORM CONTROL |
| 2026-02-04 | C09918672 | GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT |
| 2021-03-15 | C3592069 | EAR INFECTION |
| 2021-01-06 | C3423780 | BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS) |
| 2021-01-06 | C3423780 | DESEXING |
| 2020-12-24 | C3423780 | HEALTH CHECK |
| 2020-11-24 | C3321213 | Conditions |
| 2020-10-16 | C3237240 | VOMITION & DIARRHOEA |
| 2020-10-16 | C3237240 | PRESCRIPTION DIETS |
| 2020-10-02 | C3218697 | ADVERSE REACTION TO VACCINATION |
| 2020-10-02 | C3218697 | VACCINATIONS OR HEALTH CHECKS |
| 2020-10-02 | C3218697 | ADVERSE REACTION TO VACCINATION |
| 2020-09-04 | C3166915 | VACCINATIONS OR HEALTH CHECKS |
| 2020-09-04 | C3166915 | FLEA/TICK/WORM CONTROL |
| 2020-09-04 | C3166915 | HEARTWORM CONTROL |
| 2020-09-04 | C3224135 | FLEA/TICK/WORM CONTROL |
| 2020-08-17 | C3224135 | FLEA/TICK/WORM CONTROL |
| 2020-08-17 | C3224135 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 84.00 | 2026-03-04 | — |
UPM+
- DG02401INTERVERTEBRAL DISC DISORDERDSTP_spine_-_intervertebral_disc_disease
Variant (sleepy_king)
PATELLA LUXATION
DSTP_patella_luxation
Conf: 0.660
Threshold: 0.72
Above: ✗
Correct?
Reason (correct)