C09977847 / invoice 10000

← PrevNext →
Back to list ↩
Species:CANINE
Breed:Cavalier King Charles Spaniel Cross
Age (years):8
Diagnosis or signs:Checkup
Consult notes
03/03/2026 Reason:
Lefyt eye very small skin lump,
R side tooth 106

History: 
Generally is well.
Clinical based salient history: 
EDUF, no Vt or D 
No tenesmus
No PD or PU
Parasite prophylaxis utd 
current medications: none 

Examine:
Mentation:BAR
Body condition score: 5/9
Vitals/triage:
MM:pink moist,CRT: <2sec
HR:120 RR: ~40 Panting
Comp and T4
LN: WINL
Temperature: NE - defensive
Ocular: no discharge or erythema 
Oral/Dental: NSF dental~ stage:0/4
Ears: no discharge or erythema 
Nose: externally normal , no discharges
Cardiovascular:no murmur or arrhythmia, pulses normal 
Respiratory:no abnormal lung sounds 
Gastrointestinal: mild splinting during exam but comfortable on abdo palp, no abnormal mass palpable 
Integumentary: no lesions, no signs of scales. no fleas or flea dirt. Pruritis score-0/10

Musculoskeletal:no gait abnormalities.
Neurological:No MS deficits in any of limbs, normal posture. Full neuro exam not performed
Urogenital: no abnormal discharges, externally normal.

Problem List:

Assessment/Treatment plan:

Diagnostics discussed with O and treatment plan agreed to by owner:

Treatment given/dispensed:
Next visit: Pending results

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 09:17:03
Reason:
Lefyt eye very small skin lump,
R side tooth 106

History: 
Generally is well.
Clinical based salient history: 
EDUF, no Vt or D 
No tenesmus
No PD or PU
Parasite prophylaxis utd 
current medications: none 

Examine:
Mentation:BAR
Body condition score: 5/9
Vitals/triage:
MM:pink moist,CRT: <2sec
HR:120 RR: ~40 Panting
Comp and T4
LN: WINL
Temperature: NE - defensive
Ocular: no discharge or erythema 
Oral/Dental: NSF dental~ stage:0/4
Ears: no discharge or erythema 
Nose: externally normal , no discharges
Cardiovascular:no murmur or arrhythmia, pulses normal 
Respiratory:no abnormal lung sounds 
Gastrointestinal: mild splinting during exam but comfortable on abdo palp, no abnormal mass palpable 
Integumentary: no lesions, no signs of scales. no fleas or flea dirt. Pruritis score-0/10

Musculoskeletal:no gait abnormalities.
Neurological:No MS deficits in any of limbs, normal posture. Full neuro exam not performed
Urogenital: no abnormal discharges, externally normal.

Problem List:

Assessment/Treatment plan:

Diagnostics discussed with O and treatment plan agreed to by owner:

Treatment given/dispensed:
Next visit: Pending results

Previous claim history (27)

DateClaim #Diagnosis
2022-01-31C4443853EYE CONDITIONS
2021-10-15C4155236DERMATITIS
2021-05-21C3764200PAPILLOMA
2021-03-23C3613397VACCINATIONS OR HEALTH CHECKS
2021-03-23C3613397HEARTWORM CONTROL
2021-03-23C3613397DERMATITIS
2021-02-13C3519701DERMATITIS
2021-02-11C3515244MASS LESION - SKIN (CUTANEOUS)
2020-12-10C3364653DERMATITIS
2020-08-31C3130941DERMATITIS
2020-06-12C2960433DERMATITIS
2020-03-23C2800526INAPPETANCE
2020-03-09C2772865VACCINATIONS OR HEALTH CHECKS
2020-03-09C2772865HEARTWORM CONTROL
2020-03-09C2772865DERMATITIS
2019-11-22C2567434DERMATITIS
2019-08-21C2400484DERMATITIS
2019-05-22C2567435DERMATITIS
2019-03-27C2201396CONJUNCTIVITIS
2019-02-01C2201396ANAL SAC INFECTION
2019-01-13C2042106INGEST FOREIGN OBJECT
2018-10-15C1885261DERMATITIS INTERDIGITAL
2018-10-15C1885261VACCINATIONS OR HEALTH CHECKS
2018-09-26C1885261VACCINATIONS OR HEALTH CHECKS
2018-05-28C1696702INGEST FOREIGN OBJECT
2018-05-02C1649875FLEA/TICK/WORM CONTROL
2018-05-02C1649875VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation105.002026-03-03—

UPM+

  • DG02662MASS LESION - EYELIDDSTP_mass_lesion_-_eyelid

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.590
Threshold: 0.44
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description