C10019308 / invoice 10000
Species:FELINE
Breed:Domestic Short Hair
Age (years):10
Diagnosis or signs:Tail laceration
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <p>Verified: YES</p> </div> </div> </div> <div> <div> <div> <p>Client: Kate</p> </div> </div> </div> <div> <div> <div> <p>History: Tail injury - accident, mobile distal 10cm of tail, blood present at site of injury<br>Got jammed in a closed door this morning. <br>O brought straight down to clinic. <br>Ate this morning at 7. <br>No hx of seizures<br>On prenisalone and amoxyclav for dermatitis of face. <br>Otherwise well no EDDU. <br>No further concerns. </p> </div> </div> </div> <div> <div> <div> <p>Exam:<br>Mentation: BAR, good boy<br>Temp: 38.6C <br>Cardio: HR = PR = 188bpm, no murmur or arrythmia<br>Resp: RR = 20, normal BV sounds <br>Eyes: Clear<br>Ears: Clear<br>Teeth: Gde 2/4, <br>Other oral exam: Normal <br>MM/CRT: pink/moist, CRT<2s<br>Abdomen: soft and comfortable<br>Skin & Haircoat: Normal<br>Musculoskeletal: painful swollen area distal 3rd of tail with some bleeding, seems to be a bit more mobile, can't rule out fx<br>Lymph Nodes: Normal <br>Neurologic: Normal <br>Urogenital: Normal <br>Rectal: Did not perform rectal exam<br>Other problems found: Tail - mobility distal 10cm, blood present</p> </div> </div> </div> <div> <div> <div> <p>Assessment:<br>Tail injury - marked mobility distal 10cm, blood present<br>DDx: Tail fracture, wound, ST injury</p> </div> </div> </div> <div> <div> <div> <p>Plan:<br>Diagnostics: <br>- Radiographs of tail pending<br>Treatment: <br>- Methadone IM for analgesia<br><br>Recommendations & Client Comms: Pending radiograph results, if tail fracture confirmed will require tail amputation at level just above fracture site, patient has accident insurance coverage<br><br>Admitted with Kate<br>Estimate given and consent signed<br><br>Induced alfaxan SLOW IV<br>Flow by O2 oxygen supplied and monitored with spO2 monitor. <br>Lateral and DV radiographs taken. <br>No evidence of a fx nor a dislocation/ tail pull injury.<br>Tail clipped and 3cm full thickness wound found requiring sutures <br><br>Taken to sx<br>Maintained on alfaxan top ups<br>Lignocaine into wound edges. <br>2/0 Supramid used to close laceration with 3 simple interrupted sutures. <br>Uneventful recovery from anaesthesia. <br><br>On prednisolone so TGH with temvet mucosally in lieu of meloxicam. <br>Also extend AB course as bone was exposed. <br><br>Discharged to Kate<br>Went through X-rays and sx images. <br>Discussed GA aftercare<br>Booked for 3 and 14d POC.<br><br>10/03/26 NCB EE- called no answer </p> </div> </div> </div></html>
Animal clinical history (3 most recent)
2026-03-11T00:00:00Z 19:02:00
HughHistory:Doing well, has kept ecollar on. EDDU wnls no v/d/c/s. Indoor only.Meds: pred 0.2ml SID, amoxclav, amacin BID. O stopped atopica but BH adv to continue so will check with BH and contact O.Examination:BAR, mm p+m, crt<2s. HR 160 no hm reg rhythm. RR 20 resp ausc/effort nad. Abdo palp nad.Tail wound healing really well, minimally inflammed, sutures in place.Skin on face healing, still erythematous but dry, infection resolved.Plan:Cont pred 0.2ml SID, cont amoxyclav, keep ecollar on, cont topical amacin.Will call O tomorrow once discussed with BH.Final POC already booked 21st with KJG.
2026-03-02T00:00:00Z 09:38:00
Verified: YESClient: HughHistory: Leo has Atopic Dermatitis, been managed by KJG. Currently on Atopica 0.6mls SID and Pred 0.1 - 0.2mls SID ongoing long term. Recent flare up, very severe around his face. Otherwise well, DUDE. No v/d/c/s.Diet: Satiety/ Metabolic dietParasite Control: UTDExam:BAR lovely smoochy boyFace severe dermatitis around eyes and mouth, marked erythema and very sore. Oozing.HR 160bpm, regular no murmurLungs OKAbdo palp softBCS 5/5 - overweight.Plan:- Amoxyclav 125mg BID for 7 days- Increase pred to 0.3mls SID for 5 days (can go up to 0.6mls) then taper down- Continue same Atopica dose- Amacin cream BIDRecheck: With myself or KJG in 7-10 days, sooner if worsening.3/3/26 ncb, no answer lvm SS
2025-08-18T00:00:00Z 14:04:00
Dx - allergic dermatitisTx - prednisolone 2.5mg SID ongoingdispensed 30ml redipred liquid - give 0.1ml SID ongoingSMS sent.Med review november 2025.
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2018-04-17 | C2297596 | ALLERGY |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-emergency/afterhours | 176.37 | 2026-03-08 | — |
| 20000 | tstarc_hospitalisation | 127.97 | 2026-03-08 | — |
| 30000 | tstarc_anaesthesia_-_inhalation_anaesthetic | 428.90 | 2026-03-08 | — |
| 40000 | tstarc_procedure_fee_-_radiology | 384.00 | 2026-03-08 | — |
| 50000 | tstarc_surgery_fee | 248.65 | 2026-03-08 | — |
| 60000 | tstarc_disposables | 56.15 | 2026-03-08 | — |
| 70000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 48.29 | 2026-03-08 | — |
| 80000 | tstarc_opioids_-_buprenorphine | 100.46 | 2026-03-08 | — |
| 90000 | tstarc_elizabethan_(buster)_collar | 10.37 | 2026-03-08 | — |
| 100000 | tstarc_procedure_fee | 158.11 | 2026-03-08 | — |
UPM+
- DG01730TAIL INJURYDSTP_traumatic_injury
Variant (sleepy_king)
TRAUMATIC INJURY
DSTP_traumatic_injury
Conf: 0.790
Threshold: 0.66
Above: ✓
Correct?