C10026214 / invoice 10000
Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):7
Diagnosis or signs:sedation and x-rays
Consult notes
Animal clinical history (3 most recent)
2026-03-13T00:00:00Z 12:00 AM
Reason: Sedate Thoracic And Forelimb Xrays ASHAppointment Notes: estimate $1100History: Still lame on left front leg. No more strange breathing episodes. Finished his doxycyline and has been ok since finishing. Eating and drinking normallyNo vomiting or diarrhoeaHad cardisure and meloxicam this morning. Sedation: Butorphanol 0.25ml IV- great effect needed more for extension of limbsAlfaxalone 0.5ml IV Lateral L elbow Lateral R elbowLateral R thoracic VLAS 2Lateral L thorax narrowed trachea. V/d throax Lateral cervical/ thoracic spine between T3+ 4 complete Spondylosis D/v cervical spine Plan: Second opinion of xrays by MR Narrowed tracheaSyringomyelia? Recommend CT/MRI, likely more concerning then cardiologist referral Continue on meloxicam SID Start on gabapentin Continue of cardisure BID Vital Signs
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-24 | C09946844 | OTITIS EXTERNA |
| 2026-02-18 | C09918910 | HEART MURMUR |
| 2026-01-29 | C09822366 | HEART MURMUR |
| 2021-09-08 | C5092389 | MISCELLANEOUS CONDITIONS |
| 2020-06-22 | C3017126 | MISCELLANEOUS CONDITIONS |
| 2020-06-22 | C3091812 | OTITIS EXTERNA |
| 2020-06-17 | C3091812 | MISCELLANEOUS CONDITIONS |
| 2020-06-17 | C3177502 | OTITIS EXTERNA |
| 2020-05-15 | C3015683 | MISCELLANEOUS CONDITIONS |
| 2020-05-15 | C3091809 | OTITIS EXTERNA |
| 2019-11-23 | C3091809 | CORNEAL ULCER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_procedure_fee_-_radiology | 675.00 | 2026-03-13 | — |
| 20000 | tstarc_hospitalisation | 54.00 | 2026-03-13 | — |
| 30000 | tstarc_sedation_for_procedure | 144.00 | 2026-03-13 | — |
| 40000 | tstarc_procedure_fee_-_radiology | 235.80 | 2026-03-13 | — |
| 50000 | tstarc_anticonvulsant_medication_-_gabapentin | 22.30 | 2026-03-13 | — |
UPM+
- DG02023GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINTDSTP_clinical_signs_-_lameness
Variant (sleepy_king)
SPONDYLOSIS
DSTP_spine_-_spondylosis
Conf: 0.640
Threshold: 0.90
Above: ✗
Correct?
Reason (correct)