C09978672 / invoice 10000

Reviewer

Species:CANINE

Breed:Labradoodle

Age (years):5

Diagnosis or signs:Consultation Standard

Consult notes

<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>HISTORY<br>Presenting for: Cupcake presented for a 2-day history of ocular discharge right eye. Owner noticed crusty, hard, dark discharge yesterday morning which progressed to purulent discharge by end of day. Today redness is visible around the affected eye.<br>Historical Conditions: Previous pancreatitis requiring hospitalization last year<br>Lifestyle Risk Factors: Regular dog park visits, recent contact with friend's dog approximately 2 weeks ago</p>
<p>EXAM<br>Mentation: BAR<br>Wt:27.3<br><br>Behavioural: Anxious and nervous during examination, exhibited self-control behaviors when stressed<br>Eyes: RIGHT eye with purulent discharge and conjunctival erythema. Right left eye normal. Retinal examination normal bilaterally. Corneas clear and shiny. Pupils equal, normal PLR.<br>Flu stain negative for scratch or ulcer.<br>ASSESSMENT<br>Bacterial conjunctivitis - likely infectious given purulent discharge and potential for spread to other eye and other dogs.</p>
<p>PLAN<br>New Meds/Tx:<br>- Topical antibiotic eye ointment applied to affected eye 3 times daily initially, then twice daily as condition improves. Continue until resolved plus one additional day (estimated 5-7 days total treatment)<br>- Saline solution for eye cleaning 2-3 times daily before ointment application</p>
<p>Additional Discussion:<br>- Condition may spread to contralateral eye<br>- Avoid contact with other dogs until resolved due to potential contagious nature<br>- Normal walks permitted<br>- Delay grooming until eye infection resolves to prevent irritation<br>- Recheck if no improvement within 48-72 hours or if condition worsens<br>- Monitor for increased rubbing, corneal cloudiness, or eye swelling - may require Elizabethan collar if excessive rubbing occurs<br>- Ensure hand hygiene after handling affected eye</p></html>

Animal clinical history (3 most recent)

2026-01-20T00:00:00Z 14:57:00

1ml of 30mg vial given s/c BARgoing really well with the cytopoint

2025-08-19T00:00:00Z 17:08:00

HISTORYPresenting for: Annual vaccination and parasite prevention, with concerns about anxiety during veterinary visits due to previous hospitalization for gastrointestinal illnessHistorical Conditions: Previous hospitalization for gastrointestinal illness with repeat presentation one week laterDiet: Chicken breast and digestive biscuits only since GI illnessCurrent Meds: Cytopoint as needed for paw licking, Bravecto for flea/tick preventionOther: Developed tablet aversion after previous illness, making oral medication administration challengingEXAMMentation: BAR Wt: 27.2 kg T: Not taken HR: Not taken R: Not taken MM: Not taken Hydration: Not taken Behavioural: Anxious during examination, history of previous hospitalization affecting behaviour Oral: Mild tartar accumulation on upper right molars Eyes: Not examined Ears: Not examined Nose: Not examined Throat: Not examined Cardiovascular: Not examined Respiratory: Not examined Abdominal: Not examined Lymph Nodes: Not examined Integumentary: Not examined Neurologic: Not examined Musculoskeletal: Not examined Urogenital: Not examined Rectal: Not examinedASSESSMENTDental tartar - Mild accumulation on upper right molarsAnxiety during veterinary visits - Related to previous hospitalization experienceOtherwise apparently healthyPLANVaccinations:- C3 (Parvovirus, Distemper, Adenovirus) not due until 2025- Annual Leptospirosis and Kennel Cough vaccines administered todayMedications/Treatments:- Bravecto Quantum injection administered (flea/tick prevention)- Heartworm prevention injection administered- Cytopoint injection administeredNew Meds/Tx:- Intestinal worming tablets administered in clinic (combination of tablets for 25-30kg weight range). To be given q 6 months. Additional Discussion:- Discussed dental care options including tooth brushing with flavored toothpaste and finger brush- Next intestinal worming due in 6 monthsClient Comms:- Total cost breakdown provided: vaccines ($219), worming tablets, heartworm injection ($106.30), Bravecto Quantum, and Cytopoint ($198)- Schedule recheck with nurses in 6 months for worming

2025-05-14T00:00:00Z 13:43:00

O called a little confused and wanted to discuss parasite control, we spoke for about 10-15 mins about which types their where benefits etc - spoke about quantum, O going to go ahead with this once she has finished Simparico Trio and will comes in September to align them altogether, will also start doing SR12.

Previous claim history (1)

Date	Claim #	Diagnosis
2025-03-19	C8482500	VOMITION & DIARRHOEA

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_eye_medication_-_antibiotics_and_anti-inflammatory	55.46	2026-03-02	—
20000	tstarc_diagnostic_test_-_fluorescein_eye_stain	18.70	2026-03-02	—
30000	tstarc_consultation	110.00	2026-03-02	—

UPM+

DG00512CONJUNCTIVITISDSTP_eyelid_-_conjunctivitis

Variant (sleepy_king)

CONJUNCTIVITIS

DSTP_eyelid_-_conjunctivitis

Conf: 0.850

Threshold: 0.25

Above: ✓

Correct?

Yes No