C10031825 / invoice 10000
Species:CANINE
Breed:German Shepherd Cross
Age (years):10
Diagnosis or signs:Consultation - cyst on paw
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>Consulting with Vet Nurse: Jordan</p> <p>PRESENTING COMPLAINT: <br>- Cyst on foot</p> <p>HISTORY:<br>- Owner noticed cyst this morning<br>- Dog pulls away when owner tries to touch the area, suggesting pain<br>- Cyst appears to be getting bigger quickly<br>- Normal activity yesterday, no specific trauma mentioned</p> <p>Weight: 31 kg<br>Dental grade: 2</p> <p>EXAMINATION: <br>Dental/Mouth: tartar buildup present, calcified tartar causing gum inflammation - generalised but esp upper arcade<br>Heart sounds fine no murmurs audible<br>- Large fluid-filled cyst on paw (L paw, digit 3) examined and drained<br>Temp WNLs</p> <p>PROBLEM LIST:<br>- Paw cyst/haematoma<br>- Dental tartar buildup<br>- Gum inflammation</p> <p>DDx:<br>- Fluid-filled cyst<br>- Haematoma<br>- Possible foreign body if recurrent</p> <p>ASSESSMENT: Likely fluid-filled cyst or haematoma on paw, successfully drained during consultation. Dental cleaning (stage 1 dental) recommended due to tartar buildup and gum inflammation. If cyst recurs, sedation and exploration for foreign body may be needed.</p> <p>TREATMENT in consult room/Meds dispensed:<br>- Cyst drainage performed<br>Clav 625mg BID x 7 days<br>Onsior 40mg x 5 days SID</p> <p>VET TECH actions:<br>Generate client summary in VetNotes <br>Discuss estimate: stage 1 dental procedure estimate discussed, possibility of combining with paw procedure if recurrence<br>Email handout: dental care information</p> <p>PLAN:<br>- Monitor paw cyst drainage, continue draining as needed<br>- Antibiotic course as prescribed<br>- Stage 1 dental recommended (scale, polish, charting, X-rays)<br>- Owner to check insurance coverage for dental procedures<br>- If paw cyst recurs, consider sedation and exploration for foreign body<br>- Discussed preventative dental care options</p> <p>Revisit recommended? Yes, if paw cyst does not improve or recurs<br>Call back scheduled? No?</p></html>
Animal clinical history (3 most recent)
2025-06-26T00:00:00Z 13:11:00
are the policy details on file Y/N: YIs this the clients first claim Y/N: Ne-claimWhich visits are we claiming?: 26/6/25Claim submitted (please initial and date): SJB 26/6/25
2025-06-26T00:00:00Z 12:58:00
PLEASE LEAVE IN AMAZING STAFF FOR INSURANCEConsulting with (VN):HISTORY:lump left elbow, soft, unchanged, wondering if it's okayParasite prevention used: bravecto chews and a worming tablet (can't remember brand)Current diet: forgot to discussChronic conditions: noneCurrent medications: noneeddu normalno vdcsOTHER CONCERNS:hx of injury to right leg as a puppy - no concerns with it presentlyfull blood work one year prior, no issuesEXAMINATION: BAR.Eyes: look fineEars: clean & NADMM pink and moist, CRT <2s. Teeth: condition is mild tartar generalised.HR = PR, heart sounds normal, femoral pulses normalchest sounds clearAbdo & peripheral LNs NADCoat & skin: condition is good, left elbow lump soft roughly 2x2cm, non-painfulMusculo-skeletal:not lame, poss slighlty reduced ROM hindlimbs - or nervousness, can't decipherASSESSMENT: healthy, fit for vaxFNA recc for lumpdental cleaning neededrecc glyde chews for joint supportDiscussed worming, heartworm & flea control. Pet is on: bravecto and worming (O unsure brand)TREATMENT in consult room/Meds dispensed:Protech C4Protech C2iProtech Bronchi-sheild oralProH BatchPLAN:health check & vax 1 yearContinue monitoring the lump, option to perform fine needle aspirate for $175 or send to pathologist for $207 - O will considerDiscuss surgical removal of the lump if necessary after aspirate results.Consider dental cleaning due to tartar buildup.Start senior blood work annually due to age.Recommend supplements for joint health: Glyde or Osteo Advance.
2024-07-10T00:00:00Z 19:00:00
Consulting with (VN): JLRPRESENTING COMPLAINT: c2i bootser and proHeartHISTORY:No V+Os brushing teethOs have had since he was 6monthsEXAMINATION:Eyes: Look fine, Ears: Clean & NADMM: Pink and moist, CRT: <2s.Heart sounds normal, femoral pulses normal,Chest sounds clearMusculoskeletal: Not lameAdbomen and Lymphnodes: NAD on palpationASSESSMENT: fit for vaccinationTREATMENT: c2i booster: 3291018. exp: 16.08.2025proheart: batch: 652639. exp: 10/2025PLAN:c2i and proheart in 1 year.emailed dental estimate (dental month price)Made a reminder for Annual Vaccination as we are now their regular vet
Previous claim history (9)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-06-26 | C8893201 | VACCINATIONS OR HEALTH CHECKS |
| 2025-06-26 | C8893201 | HEARTWORM CONTROL |
| 2024-04-06 | C7079770 | DIARRHOEA - PRESUMED SELF-LIMITING |
| 2024-03-26 | C7040503 | DIARRHOEA - PRESUMED SELF-LIMITING |
| 2024-03-11 | C7040498 | DIARROHEA |
| 2017-08-11 | C1409795 | WOUND - LACERATION |
| 2017-08-09 | C1291516 | WOUND - LACERATION |
| 2017-08-08 | C1291516 | WOUND - LACERATION |
| 2017-08-02 | C1291516 | BITE WOUNDS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 134.12 | 2026-03-14 | — |
| 20000 | tstarc_consultation-emergency/afterhours | 139.00 | 2026-03-14 | — |
| 30000 | tstarc_onsior_(robenacoxib) | 44.59 | 2026-03-14 | — |
UPM+
- DG02648MASS LESIONDSTP_mass_lesion_-_unspecified
Variant (sleepy_king)
MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.900
Threshold: 0.44
Above: ✓
Correct?