C09973873 / invoice 10000
Species:CANINE
Breed:Staffordshire Bull Terrier
Age (years):13
Diagnosis or signs:Check Eyes
Consult notes
01/03/2026 Reason: History: Left eye last night noticed looked different and sunken has had gaba and traz previously for anxiety Current medications: trilostane Examine: Mentation: BAR Body condition score: 3/5 MM: PM CRT: <2 HR: 110 RR: pant LN: NSF Temperature: NT Ocular: Horners, L globe sunken, miotic, third eyelid across. nil stain uptake L IOP 17, STT WNL R IOP 20, STT WNL Oral/Dental stage: 2 Ears: mild wax down both ears, difficult to assess TM Cardiovascular: 3/6 heart murmur Respiratory: NSF Gastrointestinal: NSF Integumentary & lumps (measurement, location): NSF Musculoskeletal: neck pain noted on all range of motion worse so on extension, general stiffness Urogenital: NSF Neurological: menace intact bilaterally, palpebral WNL Problem List: Horners DDx: ears vs eyes vs neck pain vs idiopathic Heart murmur Assessment: Discussed possible causes of horners suggested ear cytology - o declined, advised could be middle ear infection causing it.. unable to confirm integrity of TM recommended trial pain relief for neck pain to see if horners improved, recommended likely continuing on NSAID long term for DJD recommended GHP - o to come back for nurses to collect for send off bloods briefly touched on HM - need to revisit at next visit Treatment: 200mg gaba BID 113.5mg previcox SID Plan: O to come back next week for nurse blood draw recheck INI On-going medications required: Y/N (use prescription tab for further supply): Followup:
Animal clinical history (3 most recent)
2026-03-01T00:00:00Z 09:25:04
Reason: History: Left eye last night noticed looked different and sunken has had gaba and traz previously for anxiety Current medications: trilostane Examine: Mentation: BAR Body condition score: 3/5 MM: PM CRT: <2 HR: 110 RR: pant LN: NSF Temperature: NT Ocular: Horners, L globe sunken, miotic, third eyelid across. nil stain uptake L IOP 17, STT WNL R IOP 20, STT WNL Oral/Dental stage: 2 Ears: mild wax down both ears, difficult to assess TM Cardiovascular: 3/6 heart murmur Respiratory: NSF Gastrointestinal: NSF Integumentary & lumps (measurement, location): NSF Musculoskeletal: neck pain noted on all range of motion worse so on extension, general stiffness Urogenital: NSF Neurological: menace intact bilaterally, palpebral WNL Problem List: Horners DDx: ears vs eyes vs neck pain vs idiopathic Heart murmur Assessment: Discussed possible causes of horners suggested ear cytology - o declined, advised could be middle ear infection causing it.. unable to confirm integrity of TM recommended trial pain relief for neck pain to see if horners improved, recommended likely continuing on NSAID long term for DJD recommended GHP - o to come back for nurses to collect for send off bloods briefly touched on HM - need to revisit at next visit Treatment: 200mg gaba BID 113.5mg previcox SID Plan: O to come back next week for nurse blood draw recheck INI On-going medications required: Y/N (use prescription tab for further supply): Followup:
Previous claim history (24)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-16 | C09915165 | HYPERADRENOCORTICISM ("CUSHING'S") |
| 2026-01-28 | C09821531 | CUSHINGS DISEASE |
| 2026-01-20 | C09789809 | HYPERADRENOCORTICISM ("CUSHING'S") |
| 2025-12-19 | C09656841 | HYPERADRENOCORTICISM ("CUSHING'S") |
| 2025-12-09 | C09601704 | HYPERADRENOCORTICISM ("CUSHING'S") |
| 2017-08-08 | C1295581 | DERMATITIS |
| 2017-08-01 | C1295579 | VACCINATIONS OR HEALTH CHECKS |
| 2017-07-01 | C1243166 | DERMATITIS |
| 2017-05-16 | C1194534 | SKIN LESIONS |
| 2017-04-29 | C1172491 | DERMATITIS |
| 2017-03-25 | C1187581 | PYODERMA |
| 2017-01-10 | C1063516 | DERMATITIS - ATOPIC |
| 2016-12-27 | C1048017 | PRURITUS - PRESENTING COMPLAINT |
| 2015-03-05 | C0567483 | LAMENESS RF |
| 2015-02-16 | C0567483 | FLEA/TICK/WORM CONTROL |
| 2014-10-19 | C0467251 | SKIN CONDITIONS |
| 2014-08-26 | C0467252 | INTERDIGITAL CYST |
| 2014-07-19 | C0374174 | VACCINATIONS OR HEALTH CHECKS |
| 2014-07-19 | C0374174 | FLEA/TICK/WORM CONTROL |
| 2014-02-01 | C0246598 | SKIN (CUTANEOUS) DISORDER |
| 2013-12-28 | C0246598 | PRESCRIPTION DIETS |
| 2013-10-25 | C0169683 | DESEXING |
| 2013-08-01 | C0157273 | EPIPHORA |
| 2013-08-01 | C0163557 | EPIPHORA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 125.35 | 2026-03-01 | — |
| 20000 | tstarc_procedure_fee | 51.75 | 2026-03-01 | — |
| 30000 | tstarc_nsaid_-_previcox_(firocoxib) | 62.77 | 2026-03-01 | — |
| 40000 | tstarc_anticonvulsant_medication_-_gabapentin | 44.64 | 2026-03-01 | — |
UPM+
- DG02277HORNER'S SYNDROMEDSTP_horner's_syndrome
- DG01126OSTEOARTHRITIS (OSTEOARTHROSIS, DEGENERATIVE JOINT DISEASE (DJD))DSTP_osteoarthritis
Variant (sleepy_king)
PAIN - NECK (CERVICAL) - PRESENTING COMPLAINT
DSTP_clinical_signs_-_neck_pain
Conf: 0.440
Threshold: 0.90
Above: ✗
Correct?
Reason (correct)