C10024901 / invoice 10000
Species:CANINE
Breed:Boxer
Age (years):3
Diagnosis or signs:Torn dew claw
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>History:<br>Presenting for torn LFL dew claw. O reports this is the 4th time this has happened and really worried by the pain of the injury as well as the stress associated with having to bring her in and get her nail pulled each time. Otherwise well - EDDU normally. No CSVD.<br><br>Examine:<br>BAR<br>MM pink and moist, CRT <2s.<br>HR = 132, no murmur or arrhythmia.<br>Panting.<br>LFL dew claw split. Not actively bleeding. Ambulating normally, weight bearing all 4 limbs. <br><br>Treatment:<br>- LFL dew claw hanging component pulled. Stripped back until no more sections could be lifted up. <br><br>Plan:<br>1. Recommend dew claw removal if these injuries keep occurring given how frightened/stressed Bean becomes from the whole experience.<br>2. Return if appears infected or P irritated. May need full strip under GA. <br><br></p></html>
Animal clinical history (3 most recent)
2026-02-28T00:00:00Z 10:05:00
Hello, So just to clarify, we came home at about 11pm last night and noticed her left eyebrow was pretty swollen. Checked her eye and couldn't find anything in her eye, it didn't look red or irritated either. Gave her 10mg of cetirizine, which we had been told to give the last time she had something like this happen, and she seems completely fine. She looks very sad in the pictures but I promise she's running around with her toy currently. Thanks heapsRebecca Giles photos attachedAD 28/02
2026-02-28T00:00:00Z 09:56:00
O called saying they got home last night after being out for 4 hours to find P had a lump on her eyebrow that appears to be a bite of some sort. P has a doggy door with outside access, still her normal self otherwise & doesn't seem bothered by it, but can't fully open her eye.O is to send photos via reception email for vet to look at.AD 28/02
2025-08-02T00:00:00Z 09:04:00
hx: presented for GHC and vacc. EUDD normally no CSVD. UTD with deworming no other complaints.CE: BAREyes: clean and clear. NAD. Full ophthalmic exam not performedEars: clean externally. NAD on external pinnaeNose: NAD. No ulceration. No crusting. No nasal dischargeThroat: NAD No tracheal sensitivity noted.Cardiovascular: normal heart sounds rate and rhythm. No pulse deficit. MM PM, CRT 1sRespiratory: normal lung sounds in all 4 quadrants. No increase effort.Oral: NADAbdominal: NAD No aversion to palpation. Soft and comfyMSK: good muscle symmetry. Normal range of motion in all 4 limbs. No pain on palpation of long and flat bones. No obvious lamenessInteg: NAD. Skin and coat shiny and healthyUrogenital: NE.Rectal: NENeurological: minimal examination but normal mentationLymph nodes: NADassessment ok tovacc tx c4and HW SC oral KC can continue with elocon as needed
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2024-07-31 | C7527579 | DESEXING |
| 2024-03-01 | C7100756 | INSECT BITE(S) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-emergency/afterhours | 160.00 | 2026-03-13 | — |
| 20000 | tstarc_grooming | 32.50 | 2026-03-13 | upstreamDSTP_general_exclusion |
UPM+
- DG00478CLAW INJURY (TRAUMATIC)DSTP_claw_injury_-_traumatic
Variant (sleepy_king)
CLAW INJURY (TRAUMATIC)
DSTP_claw_injury_-_traumatic
Conf: 0.990
Threshold: 0.38
Above: ✓
Correct?