C10021882 / invoice 10000

Reviewer

Species:CANINE

Breed:Border Collie Cross

Age (years):11

Diagnosis or signs:Checkup

Consult notes

12/03/2026 In today for check of RFL paw.
O first noticed sensitive/occasional limp on Tuesday, has progressed over the last few days to NWB/completely lifting paw when standing.
Has been licking at paw a lot.
No current medications.
EDUF normal.
Otherwise his normal self.
O checked paws at home (hates people near feet) and thinks torn pad.
Always tends to lick paws, just worse at the moment.
No PU/PD.

PE:
Mentation: BAR, eating treats from hand.
BCS: 5/9
EENT: NAD
Teeth: OK on quick exam but not fan of oral exam
MM: pink, moist, CRT 1.5sec
LNs: all WNL
HR: 92
RR: panting
Abdomen: tense
MSK: lifting RFL paw off ground, when lifting able to see wound to lateral aspect of carpal pad

Assessment:
Looks to be torn/traumatised paw pad (sliding/sudden stoppage caused tear).
Suspect chronic allergies causing ongoing licking.
Informed O risk of metacam as no bloods, O happy to take.

Plan:
Amoxyclav as per label.
Metacam as per label.
Eliz-collar.
Re-check in 7 days.

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 10:39:59

In today for check of RFL paw.
O first noticed sensitive/occasional limp on Tuesday, has progressed over the last few days to NWB/completely lifting paw when standing.
Has been licking at paw a lot.
No current medications.
EDUF normal.
Otherwise his normal self.
O checked paws at home (hates people near feet) and thinks torn pad.
Always tends to lick paws, just worse at the moment.
No PU/PD.

PE:
Mentation: BAR, eating treats from hand.
BCS: 5/9
EENT: NAD
Teeth: OK on quick exam but not fan of oral exam
MM: pink, moist, CRT 1.5sec
LNs: all WNL
HR: 92
RR: panting
Abdomen: tense
MSK: lifting RFL paw off ground, when lifting able to see wound to lateral aspect of carpal pad

Assessment:
Looks to be torn/traumatised paw pad (sliding/sudden stoppage caused tear).
Suspect chronic allergies causing ongoing licking.
Informed O risk of metacam as no bloods, O happy to take.

Plan:
Amoxyclav as per label.
Metacam as per label.
Eliz-collar.
Re-check in 7 days.

Previous claim history (28)

Date	Claim #	Diagnosis
2025-06-16	C8848050	HYPERSENSITIVITY DISORDER (ALLERGY)
2025-06-09	C8816438	LAMENESS RF
2025-06-05	C8801939	VACCINATIONS OR HEALTH CHECKS
2025-04-24	C8646185	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-04-24	C8646185	HEARTWORM CONTROL
2025-04-24	C8646185	FLEA/TICK/WORM CONTROL
2024-06-17	C7356240	VACCINATIONS OR HEALTH CHECKS
2024-06-17	C7356240	HYPERSENSITIVITY DISORDER (ALLERGY)
2023-11-13	C6520621	PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINT
2023-11-07	C6503913	PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINT
2023-06-13	C6002238	VACCINATIONS OR HEALTH CHECKS
2022-06-02	C4803183	VACCINATIONS OR HEALTH CHECKS
2022-06-02	C4803183	SKIN (CUTANEOUS) ABNORMALITY - ERUPTIONS/HIVES/RASH - PRESENTING COMPLAINT
2020-11-11	C3293378	BITE WOUNDS
2016-09-22	C0939056	HISTIOCYTOMA (CUTANEOUS, SKIN)
2016-07-28	C0895973	HEARTWORM CONTROL
2016-07-28	C0895973	EAR INFECTION
2016-07-28	C0895973	VACCINATIONS OR HEALTH CHECKS
2016-07-28	C0895973	FLEA/TICK/WORM CONTROL
2016-07-28	C0921901	EAR INFECTION
2016-07-28	C0921901	VACCINATIONS OR HEALTH CHECKS
2016-07-28	C0921901	HEARTWORM CONTROL
2016-07-28	C0921901	FLEA/TICK/WORM CONTROL
2015-12-16	C0686223	DESEXING
2015-11-30	C0671186	MISCELLANEOUS CONDITIONS
2015-11-10	C0650614	LAMENESS LH
2015-07-17	C0571356	FLEA/TICK/WORM CONTROL
2015-07-17	C0571356	HEARTWORM CONTROL

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	140.00	2026-03-12	—
20000	tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid	56.30	2026-03-12	—
30000	tstarc_meloxicam	47.80	2026-03-12	—
40000	tstarc_elizabethan_(buster)_collar	38.35	2026-03-12	—

UPM+

DG01945WOUNDDSTP_wound_or_laceration

Variant (sleepy_king)

WOUND - LACERATION

DSTP_wound_or_laceration

Conf: 0.860

Threshold: 0.60

Above: ✓

Correct?

Yes No