C10028979 / invoice 10000

Species:CANINE
Breed:Border Collie
Age (years):7
Diagnosis or signs:Check Up
Consult notes
13/03/2026 Nurse: ADE

Consult Reason: Small Lump on back of neck

History:
Owner was checking dog over for grass seeds
Found a small lump on back of the neck, possible skin tag
Otherwise well
EDDU normally

PE:
Demeanour- BAR
HR- 84, regular, no murmur
RR- WNL, lung fields clear bilaterally
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums
Eyes/Ears- Clear/NAD
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation 
Urogenitals- NAD
Skin/Coat- Healthy skin and coat. Small white 1x1mm perdunculated mass on mid back of neck, skin tag
MSK - NAD

Assessment:
Ddx skin tag
Advised to monitor - if it becomes an issue and is bleeding or getting knocked then we can remove but otherwise fine to leave
Also advised to monitor for any changes and inflammation then to represent for for FNA

Treatment:
No treatment required today

Animal clinical history (3 most recent)

2025-11-28T00:00:00Z 16:12:01
History:
Going well 
No issues or concerns 
BAR, EDUD as normal 

Diet: on anitone

Parasite Prevention:
Up to date with worming? Yes/No
If so with what product and when?
Up to date with flea/tick prevention? Yes/No
If so with what product and when?

Worming Action Plan Score: Low (<4) / Intermediate (4-6) / High ( >6)
Worming Management Plan: 

PE:
Demeanour- BAR, mildly nervous. generally moves away
HR- 90, regular, no murmur
RR- xx, lung fields clear bilaterally
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums. mild tartar, wear on canines.
Eyes/Ears- Clear/NAD
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation 
Urogenitals- NAD
Skin/Coat- Healthy skin and coat
MSK - NAD. Good ROM

Assessment:
Good clinical health and fit for vaccination
Discussed parasite control and worming guidelines, offered available products for flea/tick prevention of 3 monthly chews vs yearly injection

Treatment: nobivac KC bb/pi 2523706 exp: 04/27

Plan: DHP due Oct 2027

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit87.502026-03-13
20000tstarc_flea,_intestinal_worm_and_heartworm_control23.642026-03-13
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication

UPM+

  • DG02720MASS LESION - SKIN (CUTANEOUS)DSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.750
Threshold: 0.44
Above:
Correct?