C09973901 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):12
Diagnosis or signs:Eye problem
Consult notes
Reason - Sore eyes, v quietHx - Came home and found Nugget in his bed. Didn't want to come out for treat which is abnormal. Then noticed that both eyes were partially shut. Rang regular vet - suggested a dose of amacin but didn't have any appt free. Came here. No hx of trauma, was in garden earlier. No vomiting or scratching at body etc. Exam - BAR; R eye - mod PLH but eye wide open. Flurocein negative both side - no scratch or ulcer present. No obv FB seen. R side very watery - wet around eye. No swelling of eyelids. L eye - mild blepharospasm but less inflamn. Less discharge. Both pupils equal. Anterior chamber clear of sediment or blood. Assessment - Acute conjuctibitis - ddx allergic (rubbed against something, insect bite, other) vs FB (grit/dust/plant material) vs other Plan - Since much improved on amacin already and no ulcers, elected to continue meds for 5 days .RV if cloudy, more painful,  more discharge etc. Also montior for behavioural changes - seems fine now - eating treats etc. Ok to give 1/2 zyrtec when gets home in case of allergy if seems itchy at all. 

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 3:22?pm
Reason - Sore eyes, v quietHx - Came home and found Nugget in his bed. Didn't want to come out for treat which is abnormal. Then noticed that both eyes were partially shut. Rang regular vet - suggested a dose of amacin but didn't have any appt free. Came here. No hx of trauma, was in garden earlier. No vomiting or scratching at body etc. Exam - BAR; R eye - mod PLH but eye wide open. Flurocein negative both side - no scratch or ulcer present. No obv FB seen. R side very watery - wet around eye. No swelling of eyelids. L eye - mild blepharospasm but less inflamn. Less discharge. Both pupils equal. Anterior chamber clear of sediment or blood. Assessment - Acute conjuctibitis - ddx allergic (rubbed against something, insect bite, other) vs FB (grit/dust/plant material) vs other Plan - Since much improved on amacin already and no ulcers, elected to continue meds for 5 days .RV if cloudy, more painful,  more discharge etc. Also montior for behavioural changes - seems fine now - eating treats etc. Ok to give 1/2 zyrtec when gets home in case of allergy if seems itchy at all.     Vital Signs    

Previous claim history (16)

DateClaim #Diagnosis
2026-02-14C09903617ARTHRITIS
2026-01-10C09737292ARTHRITIS
2026-01-01C09697768GALLBLADDER MUCOCELE
2025-12-13C09621284ARTHRITIS
2025-12-06C09589404ARTHRITIS
2020-11-21C3368445LAMENESS RH
2020-11-14C3300295LAMENESS RH
2020-06-27C2998928INFLAMMATORY BOWEL DISEASE (IBD)
2020-06-18C2976254PAIN - ABDOMINAL - PRESENTING COMPLAINT
2020-06-16C2969328PAIN - ABDOMINAL - PRESENTING COMPLAINT
2020-01-07C2650482PODODERMATITIS
2020-01-07C2650482PATELLA LUXATION - MEDIAL
2019-12-09C2596575PODODERMATITIS
2019-10-31C2530864LAMENESS RH
2019-09-24C2459664KENNEL COUGH
2019-05-10C2305044WOUND - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_fluorescein_eye_stain16.992026-03-02
20000tstarc_eye_medication_-_topical_antibiotics44.512026-03-02
30000tstarc_consultation102.002026-03-02

UPM+

  • DG00512CONJUNCTIVITISDSTP_eyelid_-_conjunctivitis

Variant (sleepy_king)

OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
DSTP_clinical_signs_-_eye_abnormality
Conf: 0.410
Threshold: 0.21
Above:
Correct?
Reason (correct)