C10026651 / invoice 10000

Species:CANINE
Breed:Miniature Dachshund
Age (years):4
Diagnosis or signs:Swollen foot
Consult notes
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<p>HX:<br>Noticed swelling on back right foot last 24hours.<br>Walked in dog park, lots of grass seeds.<br>Otherwise well.<br><br>EXAM:<br>BAR<br>FAS Orange but sweet.<br>BCS 4/9<br>MM pink. CRT&lt;2secs.<br>HS/LS clear<br>Eyes/ears nad.<br>LN nad.<br>teeth good.<br>Abdo nad.<br>Good coat.<br>swelling above main pad laterally on RHL with discharging sinus. <br><br>Advised O suspicious of grass seed consent to sedate and lance.<br><br>Waited until 1:45pm, so fasted.<br>Butorphanol 0.15ml + Medetomidine 0.07ml IM. Mild sedation achieved.<br>Numbed area.<br>Instilled 0.5ml lignocaine.<br>Lanced.<br>No FB identified. Explored pocket, nothing apparent. Flushed chlorhexidine diluted.<br>Closed tissue glue.<br>Atipam 0.07ml IM<br><br>ASS: potentially grass seed that is already out?<br><br>PLAN:<br>Home to monitor.<br>Paracetamol 125mg BID</p>
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Animal clinical history (3 most recent)

2026-01-07T00:00:00Z 16:57:00
Present for Nurse consult for anal gland expression. Has been holding tail between legs since Christmas and doing very offensive smelling farts. O worried anal glands impacted.TXAGS expressed, decent sized and quite hard, difficult to express.
2025-12-29T00:00:00Z 14:48:00
HX:Adventures over xmas, played fetch in big back yard boxing day. Since then rash on sternum. Tried antihistamine which didn't help. Licking at it constantly.Off pred now, restlessness settled on it.Swimming a lot.EXAM:BARBCS 4/9MM pink. CRT<2secs.Lowest point of sternum is alopecic and erythematous 5cm round area. photo attached.ASS: contact allergyPLAN:Neocort BIDrecheck INI
2025-12-19T00:00:00Z 10:07:00
HX:Sleepy yesterdayGave another 1/4 loratadine in eveningRetching 3am then agitated licking/chewing herself. Agitated since.Humphrey is the same.Bit panty.EXAM:Much the same as previous.Nothing on feet, no erythema.Temp 38.8ASS: Allergic reactionPLAN:Short pred courseHome to monitor.

Previous claim history (17)

DateClaim #Diagnosis
2026-01-07C09723692ANAL SAC DISORDER
2025-12-29C09684225HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-19C09649428HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-18C09643725HYPERSENSITIVITY DISORDER (ALLERGY)
2024-08-27C7632692DIARROHEA
2024-06-28C7634293VACCINATIONS OR HEALTH CHECKS
2024-03-04C6963210INTERDIGITAL DERMATITIS
2024-02-04C6846748PYODERMA
2023-11-03C6569884GASTROINTESTINAL PROBLEMS
2023-11-02C6569881GASTROINTESTINAL PROBLEMS
2023-01-28C5539830HYPERSENSITIVITY
2023-01-28C5541353ALLERGIC REACTION
2022-11-17C5382676URINARY TRACT INFECTION (UTI)
2022-10-05C5161926GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2022-10-04C5159730GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2022-10-02C5153920GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2022-09-26C5138649URINARY TRACT INFECTION (UTI)

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation110.002026-03-13
20000tstarc_sedation_for_procedure124.002026-03-13
30000tstarc_hospitalisation70.002026-03-13
40000tstarc_procedure_fee65.002026-03-13
50000tstarc_anaesthesia_-_local_anaesthesia25.102026-03-13
60000tstarc_paracetamol2.122026-03-13

UPM+

  • DG00867FOREIGN BODY, GRASS SEEDDSTP_foreign_body_-_grass_seed

Variant (sleepy_king)

FOREIGN BODY, GRASS SEED
DSTP_foreign_body_-_grass_seed
Conf: 0.860
Threshold: 0.65
Above:
Correct?