C10027809 / invoice 10000

Species:CANINE
Breed:Poodle - Toy
Age (years):2
Diagnosis or signs:HBC/R HL lameness
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div>
<div>
<div>
<div>
<div>
<p><strong>HISTORY: </strong><br>- Brought in by MOP - witnessed HBC <br>- O contacted, arrived at clinic. Consent to ~$1,000 for work-up <br><br><strong>PHYSICAL EXAMINATION: </strong><br>MM: pink/moist <br>Mentation: BAR <br>CARDIAC: NAD <br>RESP: NAD <br>ABD. PALP: NAD <br>**EYE: RIGHT eye blood spot ventrally nil blepharospasm <br>**MSK: RHL nwb lame and superficial wound on hock <br><br><strong>TREATMENT: </strong><br>Methadone 0.1ml IM EM <br><br><strong>DIAGNOSTICS: </strong><br><span style="text-decoration: underline;">1. CBC/Chem15/Lytes </span><br>Mild microcytic Non/Pre-regenerative anaemia (HCT 0.36) <br>Mod hypophosphataemia 0.6<br>Mild lymphopaenia + Monocytosis (likely stress leukogram?)<br><span style="text-decoration: underline;">2. HL &amp; Lumbar spine X-Rays </span><br>Medetomidine 0.05ml + Methadone 0.1ml IM <br>NSF nil evidence of fractures <br>Wound stapled <br>GB <br><br><strong>ASSESSMENT: </strong><br>EYE burst blood vessels secondary to trauma, likely benign nil tx. needed <br>MSK nil obvious fractures seen, Lameness likely secondary to wound <br>Anaemia transient ?? <br><br><strong>PLAN: </strong><br>- START Meloxicam 4.54kg dose PO SID 5d. Starting 13/3. <br>- START Codeine 5mg/mL liquid x 1ml PO BID 3 days <br>- E-collar at all times<br>- RC / staples out 10-14 days <br>- Consider RC CBC Anaemia in 2-4 weeks <br>JR <br><br></p>
</div>
</div>
</div>
</div>
</div></html>

Animal clinical history (3 most recent)

2026-01-28T00:00:00Z 08:55:00
 HISTORY EDDU normalon Nexgard spectrumworried about teeth - Prime 100 - salmonocc chews pawsEXAMall vitals NADcannot check mouth well- snarled - O held gums ip - minimal tartar back teeth. rest OKabdo palp NADHR 120=PR, pantingfeet OK - no obvious inflamASSESSMENT healthy for vaxTREATMENT vax with protech pi2 5264017, exp 1/27 and oral 5245047A, 2/27PLANTapeworm tab ev 3 monthsmalaseb soaks for feet if getting worsementioned atopy in this breedOWNER COMMUNICATION
2025-11-18T00:00:00Z 14:40:00
MM called- 1cm firm lump now- seems to be resolving. O to call in a few weeks if does not resolve completely from here. 
2025-11-07T00:00:00Z 13:11:00
No worse, no better. MM said give 2 weeks from 3/11 unless worsening. MM offfered to be more proactive if o preferred. O happy to give it more time. Call MM at any stager if concerned. Next step is to re-ultrasound and consider surgical exploration. 

Previous claim history (11)

DateClaim #Diagnosis
2026-01-28C09816439VACCINATIONS OR HEALTH CHECKS
2026-01-28C09816439FLEA/TICK/WORM CONTROL
2026-01-28C09816439TEETH CLEANING
2026-01-28C09816588VACCINATIONS OR HEALTH CHECKS
2026-01-28C09816588FLEA/TICK/WORM CONTROL
2026-01-28C09816588TEETH CLEANING
2025-11-02C9436127SEROMA
2025-07-14C8962953BROKEN NAIL
2025-04-14C8586637GASTROENTERITIS
2025-04-14C8587153GASTROINTESTINAL PROBLEMS
2025-01-22C8231314VACCINATIONS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation115.002026-03-13—
20000tstarc_hospitalisation90.302026-03-13—
30000tstarc_diagnostic_test_-_blood_test274.402026-03-13—
40000tstarc_sedation_for_procedure140.802026-03-13—
50000tstarc_procedure_fee_-_radiology388.192026-03-13—
60000tstarc_meloxicam59.102026-03-13—
70000tstarc_opioids_-_codeine32.662026-03-13—
80000tstarc_skin_stapler_use80.702026-03-13—

UPM+

  • DG01845TRAUMATIC INJURYDSTP_traumatic_injury

Variant (sleepy_king)

TRAUMATIC INJURY
DSTP_traumatic_injury
Conf: 0.540
Threshold: 0.66
Above: ✗
Correct?