C10026609 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):9
Diagnosis or signs:Examination
Consult notes
13/03/2026 Vader presented with a broken nail 
o came home last night to some blood on the floor and Vader was licking at the foot 
he is still in good form just trying to lick at wound
eating well but  o fasted this morning last meal at 8pm last night 
according to owner in general Vader has nails that grow in strange directions and are not very straight - has always been that way 

on exam the nail on front left leg is very long and at an angle - vader yelped when touching the nail - it is very loose on the digit but still adhered enough that removal without sedation would be unethical

sedated with 0.1ml of medetomidine (10umg/kg) and buprenorphine 0.7ml (.3mg/kg) 
topped up with a further (0.05ml) 5umg/kg after 15mins 
placed catheter and gave 0.8ml alfax iv 

the area was clipped and cleaned and the nail removed, we also clipped all other nails. cleaned the affected area 
metacam 0.43ml was injected subcut and reversal was given 
 

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 11:37:51
Vader presented with a broken nail 
o came home last night to some blood on the floor and Vader was licking at the foot 
he is still in good form just trying to lick at wound
eating well but  o fasted this morning last meal at 8pm last night 
according to owner in general Vader has nails that grow in strange directions and are not very straight - has always been that way 

on exam the nail on front left leg is very long and at an angle - vader yelped when touching the nail - it is very loose on the digit but still adhered enough that removal without sedation would be unethical

sedated with 0.1ml of medetomidine (10umg/kg) and buprenorphine 0.7ml (.3mg/kg) 
topped up with a further (0.05ml) 5umg/kg after 15mins 
placed catheter and gave 0.8ml alfax iv 

the area was clipped and cleaned and the nail removed, we also clipped all other nails. cleaned the affected area 
metacam 0.43ml was injected subcut and reversal was given 
 
2026-01-21T00:00:00Z 12:05:23
PET INSURANCE E - CLAIM 

Invoice Dates Covered:  21/1

Vet approved: LV

Date submitted:  21/1

Initials:  ca

Previous claim history (19)

DateClaim #Diagnosis
2026-01-21C09791350VOMITING - OTHER - PRESENTING COMPLAINT
2025-07-25C9013459LIPOMA
2024-12-05C8039343MASS LESION - SKIN (CUTANEOUS)
2023-12-02C6600223INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
2023-11-03C6497949ANAL SAC IMPACTION
2023-09-29C6366805CANINE HAEMORRHAGIC GASTROENTERITIS (HGE)
2023-07-26C6172624CLAW/NAIL DISORDER
2023-03-02C5643528ANAL SAC ABSCESS
2023-02-17C5600894ANAL SAC ABSCESS
2022-06-06C4816932ORAL (MOUTH) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-05-31C4799162ORAL (MOUTH) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-05-31C4799162EAR CONDITIONS
2022-01-07C4376017CLAW/NAIL DISORDER
2022-01-07C4379364FLEA/TICK/WORM CONTROL
2021-12-30C4375642CLAW INJURY (TRAUMATIC)
2021-04-20C3680742BACK PAIN
2021-01-27C3477938Assessment - Non Routine
2017-11-02C1676802DESEXING
2017-11-02C1676802VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_hospitalisation97.002026-03-13
20000tstarc_sedation_for_procedure85.002026-03-13
30000tstarc_meloxicam41.142026-03-13
40000tstarc_sedation_for_procedure155.002026-03-13
50000tstarc_opioids_-_buprenorphine56.712026-03-13
60000tstarc_consultation105.002026-03-13
70000tstarc_anaesthesia_-_alfaxan61.322026-03-13

UPM+

  • DG00478CLAW INJURY (TRAUMATIC)DSTP_claw_injury_-_traumatic

Variant (sleepy_king)

CLAW INJURY (TRAUMATIC)
DSTP_claw_injury_-_traumatic
Conf: 0.950
Threshold: 0.38
Above:
Correct?