C10022020 / invoice 20000

Reviewer

Species:FELINE

Breed:Domestic Short Hair

Age (years):11

Diagnosis or signs:lameness work up

Consult notes

12/03/2026 Hx :
lameness not resolved
still noticeable limp RHL 
laceration healing well 
otherwise ok 
EDDU well 
no straining to toilet 
BAR 

CE :
difficult to examine- wriggling 
pain over R hip? R limb not tuned out, HL extension even 
HR / RR wnl 
mm pink 
rest of exam limited 
laceration almost healed 
small focal patch of fur loss RHL- known overgrooming
managed with apoquel 

plan 
continued rest or radiograph to rule out F# v dislocation v other 

o opted rads. 
transfer to newcomb 
estimate on file 


12/03/2026 80 Convenia inj - IY @ 2:44 pm

12/03/2026 Food - Wet food r/c GI

12/03/2026 See prev Hx:

Preop TPR NSF

Sedated with 0.3mg/kg methadone + 20mcg/kg medetomidine IM, titrated with 0.5ml alfaxan IV

Exam under sedation: full ROM all joints HL left and right. No joint laxity appreciable. Mild soft tissue swelling around R stifle. Moderate enlargement of R popliteal LN relative to left

Radiographs: Orthogonal projections bilaterally of tarsus, stifles. neutral VD hips

All joints congruent, no fractures of long bones, joint space in tarsus normal.

Mild increase soft tissue opacity around R stifle. popliteal visible RHL.

coxofemoral joints congruent, no fractures

Assessment: No skeletal injury. Possible cellulitis causing popliteal lymphadenomegaly

Spoke to owner. Opt to trial convenia injection, additional week of meloxicam + cage rest. seek second opinion if not resolved.

Previous claim history (27)

Date	Claim #	Diagnosis
2026-03-06	C09996069	CAT FIGHT
2026-01-29	C09822225	HYPERSENSITIVITY DISORDER (ALLERGY)
2023-10-30	C6472064	ALLERGY
2023-05-09	C5871252	DERMATITIS - ATOPIC
2023-02-07	C5561312	FLEA/TICK/WORM CONTROL
2023-02-07	C5561312	HEARTWORM CONTROL
2023-01-16	C5561312	ALLERGY
2022-12-07	C5361383	ALLERGY
2022-03-15	C4583437	DERMATITIS - ATOPIC
2021-07-12	C3894510	DENTAL ILLNESS TREATMENT
2021-07-12	C3894510	HEARTWORM TEST OR BLOOD SCREEN
2021-07-12	C3894510	FLEA/TICK/WORM CONTROL
2021-06-15	C3824941	VACCINATIONS OR HEALTH CHECKS
2021-05-25	C3771125	ALLERGY
2021-05-05	C3720954	DERMATITIS - ATOPIC
2021-03-23	C3660083	BLOOD IN FAECES
2021-03-02	C3660083	DERMATITIS - ATOPIC
2021-03-02	C3660083	PRESCRIPTION DIETS
2021-02-22	C3539989	DERMATITIS - ATOPIC
2020-12-08	C3354983	ALLERGY
2020-11-05	C3282289	ALLERGY
2020-11-05	C3282289	BEHAVIOURAL THERAPY
2020-10-13	C3224600	FLEA/TICK/WORM CONTROL
2020-10-13	C3224600	MISCELLANEOUS CONDITIONS
2020-10-13	C3302804	PYODERMA - SUPERFICIAL
2020-09-03	C3138655	GASTROINTESTINAL PROBLEMS
2020-09-03	C3138655	PRESCRIPTION DIETS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_sedation_for_procedure	97.90	2026-03-12	—
20000	tstarc_procedure_fee_-_radiology	695.00	2026-03-12	—
30000	tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid	59.60	2026-03-12	—
40000	tstarc_meloxicam	35.09	2026-03-12	—

UPM+

DG01845TRAUMATIC INJURYDSTP_traumatic_injury

Variant (sleepy_king)

BITE INJURY - DOG BITE

DSTP_fight_or_bite_wound

Conf: 0.880

Threshold: 0.64

Above: ✓

Correct?

Yes No

Reason (correct)