C09973957 / invoice 10000

Species:CANINE
Breed:Border Collie
Age (years):10
Diagnosis or signs:vaccination & meloxicam
Consult notes
C5 vac and health check 
o requesting script for meloxicam

Hx:
C5 vac and health check 
o requesting meloxicam (nneds bottle today ) - script another day?
Check teeth for DENTAL Dz
Reassess PERIVAGINAL DERMATITIS
Reassess PERIANAL MASS
No other concerns (no V/D/coughing/PU/PD.  No noted lumps/rashes.  No concerns about moblity, vision or behaviour)
Using Nexgard + tapewormer for parasite control

PE:
DENTAL Dz
PERIVAGINAL DERMATITIS
PERIANAL MASS
 NAD on PE
(mm pink + CRT < 2 sec, eyes/ear/nose/mouth NAD, chest/heart OK, NAD on abdo palpation, skin/coat OK)



Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 15:00:00
C5 vac and health check 
o requesting script for meloxicam

Hx:
C5 vac and health check 
o requesting meloxicam (nneds bottle today ) - script another day?
Check teeth for DENTAL Dz
Reassess PERIVAGINAL DERMATITIS
Reassess PERIANAL MASS
No other concerns (no V/D/coughing/PU/PD.  No noted lumps/rashes.  No concerns about moblity, vision or behaviour)
Using Nexgard + tapewormer for parasite control

PE:
DENTAL Dz
PERIVAGINAL DERMATITIS
PERIANAL MASS
 NAD on PE
(mm pink + CRT < 2 sec, eyes/ear/nose/mouth NAD, chest/heart OK, NAD on abdo palpation, skin/coat OK)



2026-01-29T00:00:00Z 08:20:00
Sutures
Fasting just incase sedation required.

vulva stains came back as simple superficial pyoderma - try to emilinate underlying causes - do malaseb baths once to twice per week and follow with barrier cream like sudocrem or vaseline to protect skin

sutures removed and wounds look good
cone off in 1-2 days and can have bath on weekend
2026-01-23T00:00:00Z 16:10:00


called - informed mass is an adenoma - benign and not to worry unless gets in the way of defecation
still waiting on final special stains of vulva

Previous claim history (5)

DateClaim #Diagnosis
2021-09-23C4110656ALTERNATIVE THERAPIES
2021-08-23C4110656TENDON DISORDER
2021-08-23C4110656VULVA INFECTION
2021-08-16C4110656TENDON DISORDER
2019-07-13C2384077GASTRITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_meloxicam147.402026-03-02
20000tstarc_vaccination_(canine)47.002026-03-02
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
30000tstarc_vaccination_(canine)163.502026-03-02
upstreamDSTP_routine_care_-_vaccinations_or_health_checks

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis
  • DG02932VACCINATIONS OR HEALTH CHECKSDSTP_routine_care_-_vaccinations_or_health_checks

Variant (sleepy_king)

PAIN - OTHER - PRESENTING COMPLAINT
DSTP_clinical_signs_-_pain
Conf: 0.130
Threshold: 0.39
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description