C10026859 / invoice 10000
Species:CANINE
Breed:Border Collie
Age (years):3
Diagnosis or signs: GA to clean and check wound
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>Has missed meloxicam oral dose this AM and amoxyclav (due to fasting).<br>Doing well, no complaints from owner. <br>Acp<br>Propofol induction iso maintenance and fluids<br><br>Fractured metacarpal toe 2. R front paw.<br><br>The skin is healing well<br> Toe 3 is very swollen.<br>Reapplied a bandage and used some blue plastic splinting. Put it over the the complete foot but left the bottom open.<br><br>If stays on would like to change - check weekly.</p> </div></html>
Animal clinical history (3 most recent)
2026-03-11T00:00:00Z 14:52:00
fractured metacarpals - looked like metacarpal 2 to me but in report it is 4 and 5 and the right and left marker are mixed up on the xrays. right fore has the injuries. removed the bandaged. extensive skin wounds to the medial digits, very swollen and a lot of discharge on the melolin. bandage was damp from wet weather, had cling wrap over it - will give him a drip bag to put on it. reapplied RJ bandage with melolin, cotton wool. conforming bandage rip rap and elastoplastto come back on Friday for a GA and clean and check under GA - too painful to do it conscious. he is on meloxicam oral sid and amoxyclav 500 3/4 tablet bid.
2026-03-09T00:00:00Z 08:18:00
ASSESSMENT:Buddy presents for acute, non-weight bearing lameness of the right forelimb following atraumatic incident where he ran into a moving car. Examination reveals marked swellingdistal to the carpus and a pain score of 3/4 on palpation of this area. The primarysuspicion is for fractures of the right forelimb, though severe soft tissue injury (sprain)remains a differential. Radiographs demonstrated a fracture to the right metacarpal IV &V and stress fracture to MCIII. The paw was clipped and cleaned, and the deeppuncture wounds flushed with copious sterile saline. A Robert Jones bandage wasplaced under sedation. Bandage and splint care was discussed with the owner as wellas strict crate rest for 4-6 weeks to allow healing via second intention
2026-02-06T00:00:00Z 11:54:00
gave male o brochure to get 12kg bag from Pet PA
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-08 | C10002682 | FRACTURE OF THORACIC LIMB - METACARPAL(S) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_flea,_intestinal_worm_and_heartworm_control | 14.15 | 2026-03-13 | upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication |
| 20000 | tstarc_sedation_for_procedure | 240.00 | 2026-03-13 | — |
| 30000 | tstarc_bandages_and_dressings | 75.00 | 2026-03-13 | — |
| 40000 | tstarc_fluid_therapy | 105.00 | 2026-03-13 | — |
UPM+
- DG00911FRACTURE OF THORACIC LIMBDSTP_fracture_-_thoracic_limb
- DG02937FLEA/TICK/WORM CONTROLDSTP_routine_care_-_flea/tick/worm_preventative_medication
Variant (sleepy_king)
FRACTURE OF THORACIC LIMB
DSTP_fracture_-_thoracic_limb
Conf: 0.930
Threshold: 0.42
Above: ✓
Correct?