C10028672 / invoice 10000

Species:CANINE
Breed:Shih Tzu Cross
Age (years):9
Diagnosis or signs:Checkup
Consult notes
13/03/2026 present: lame (second opinion)

lame LHL since late last year.
seen at another vet ddx arthritis
has been on meloxicam several months. improved initially, never fully resolved. has recently worsened

otherwise well in self - BAR
EDUD all normal
BCS 7/9, excellent coat condition
mm p&m
peripheral LN WNL
chest ausc NSF
abdo palp soft and relaxed

LHL muscle wastage
moderate hip ROM bilaterally
negative iliopsoa test. potential cranial draw? stable patellas
painful LS spinal palpation

ddx arthritis vs spinal dz vs cruciate
p - booked for rads
----
Last vaccination at previous clinic was 03/25
HH

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 17:00:28
present: lame (second opinion)

lame LHL since late last year.
seen at another vet ddx arthritis
has been on meloxicam several months. improved initially, never fully resolved. has recently worsened

otherwise well in self - BAR
EDUD all normal
BCS 7/9, excellent coat condition
mm p&m
peripheral LN WNL
chest ausc NSF
abdo palp soft and relaxed

LHL muscle wastage
moderate hip ROM bilaterally
negative iliopsoa test. potential cranial draw? stable patellas
painful LS spinal palpation

ddx arthritis vs spinal dz vs cruciate
p - booked for rads
----
Last vaccination at previous clinic was 03/25
HH

Previous claim history (25)

DateClaim #Diagnosis
2026-03-05C09999467INTERVERTEBRAL DISC DISORDER
2026-01-29C09831520INTERVERTEBRAL DISC DISORDER
2025-12-20C09662814INTERVERTEBRAL DISC DISEASE
2025-10-09C9346051INTERVERTEBRAL DISC DISEASE
2025-10-09C9346051DERMATITIS
2025-05-06C8678709DENTAL (TOOTH) DISORDER
2025-05-06C8678709BLOOD SCREEN
2025-05-06C8678709HEARTWORM CONTROL
2025-04-01C8538772CONDITION UNDER INVESTIGATION
2024-02-26C6928475PYODERMA
2023-01-06C5462783ALLERGY
2022-04-21C4681310PAIN - SPINAL - PRESENTING COMPLAINT
2022-02-16C4496863VACCINATIONS OR HEALTH CHECKS
2022-02-16C4496863HEARTWORM CONTROL
2022-02-16C4496863FLEA/TICK/WORM CONTROL
2022-02-10C4479960HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER - FLEA BITE HYPERSENSITIVITY
2021-11-18C4479964OTITIS EXTERNA : RIG
2021-03-25C3668236PAIN - SPINAL - PRESENTING COMPLAINT
2020-12-03C3441975EAR INFECTION
2020-08-06C3119364HAEMORRAGHIC ENTERITIS
2020-06-15C2996880HAEMORRAGHIC ENTERITIS
2019-09-24C2486996FLEA ALLERGY DERMATITIS
2019-08-09C2462537ABSCESS
2018-05-28C1710344VOMITING - PRESUMED SELF-LIMITING
2017-12-04C1443255AZOTAEMIA - PRE-RENAL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation85.002026-03-13

UPM+

  • DG02401INTERVERTEBRAL DISC DISORDERDSTP_spine_-_intervertebral_disc_disease

Variant (sleepy_king)

GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
DSTP_clinical_signs_-_lameness
Conf: 0.400
Threshold: 0.37
Above:
Correct?
Reason (correct)