C09979104 / invoice 10000
Species:CANINE
Breed:Maltese Cross
Age (years):9
Diagnosis or signs:Checkup
Consult notes
03/03/2026 HISTORY Presenting for: Rosie presented for potential anal gland issues. Has otherwise been well her whole life EDUF all normal Not on any medications, has never had a reaction to any medications before EXAM Wt: 12 kg Behavioural: Very good and brave during examination BCS 5.5/9 CVS: NAD Resp: NAD Abdo: Soft and comfortable MM's: Pink and moist Dental: G2, worst on canines, no sig gingivitis, moderate halitosis, no obvious extractions Rectal: Bilateral anal sac impaction noted. Right anal sac had ruptured externally (5mm defect). Both anal sacs were blocked and expressed during examination. Right anal sac contents purulent (only coming out of defect, not out of natural duct), and some granular grey material. Left anal sac expressed through duct with some effort, contents dark brown, approx 3ml, granular. Some irritation noted around the bottom area. ASSESSMENT Bilateral anal sac impaction with external rupture of right anal sac - Likely due to blocked ducts possibly secondary to soft faeces, allergic inflammation causing swollen tissue, or accumulation of debris in the sacs. G2 dental disease PLAN New Meds/Tx: - Antibiotics dispensed - 125mg clav BID - Anti-inflammatory medication: 12 kg dose today, then once daily at 6kg dose starting tomorrow - impressed dosing frequency several times Additional Discussion: - Anal sac expression performed today for both sides - Advised that some anal sac ruptures may require anaesthetic for thorough flushing if conservative treatment fails - Blood test offered to check liver and kidneys before anti-inflammatory use - owner declined today Client Comms: - Recheck appointment scheduled for Friday to assess if swelling has reduced and duct can be naturally expressed, can then recheck again next Tues if going well. - If accumulating more material and not expressing naturally, may need flushing procedure next week - If progressing well, follow-up appointment scheduled for next Tuesday - Owner advised anal sacs are difficult to treat due to their capsule structure - Clean twice daily with diltute betadine
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 11:45:07
HISTORY Presenting for: Rosie presented for potential anal gland issues. Has otherwise been well her whole life EDUF all normal Not on any medications, has never had a reaction to any medications before EXAM Wt: 12 kg Behavioural: Very good and brave during examination BCS 5.5/9 CVS: NAD Resp: NAD Abdo: Soft and comfortable MM's: Pink and moist Dental: G2, worst on canines, no sig gingivitis, moderate halitosis, no obvious extractions Rectal: Bilateral anal sac impaction noted. Right anal sac had ruptured externally (5mm defect). Both anal sacs were blocked and expressed during examination. Right anal sac contents purulent (only coming out of defect, not out of natural duct), and some granular grey material. Left anal sac expressed through duct with some effort, contents dark brown, approx 3ml, granular. Some irritation noted around the bottom area. ASSESSMENT Bilateral anal sac impaction with external rupture of right anal sac - Likely due to blocked ducts possibly secondary to soft faeces, allergic inflammation causing swollen tissue, or accumulation of debris in the sacs. G2 dental disease PLAN New Meds/Tx: - Antibiotics dispensed - 125mg clav BID - Anti-inflammatory medication: 12 kg dose today, then once daily at 6kg dose starting tomorrow - impressed dosing frequency several times Additional Discussion: - Anal sac expression performed today for both sides - Advised that some anal sac ruptures may require anaesthetic for thorough flushing if conservative treatment fails - Blood test offered to check liver and kidneys before anti-inflammatory use - owner declined today Client Comms: - Recheck appointment scheduled for Friday to assess if swelling has reduced and duct can be naturally expressed, can then recheck again next Tues if going well. - If accumulating more material and not expressing naturally, may need flushing procedure next week - If progressing well, follow-up appointment scheduled for next Tuesday - Owner advised anal sacs are difficult to treat due to their capsule structure - Clean twice daily with diltute betadine
2025-05-27T00:00:00Z 11:08:54
Nobivac Bb/Pi and Proheart inj. Will need a dental prophy before year's end. Otherwise nadpe.
2024-10-11T00:00:00Z 10:10:11
3rd Clav inj. No vomiting. Nothing passed. Improving clearly.
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2020-05-06 | C2891787 | VOMITION & DIARRHOEA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 111.15 | 2026-03-03 | — |
| 20000 | tstarc_meloxicam | 62.98 | 2026-03-03 | — |
| 30000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 51.20 | 2026-03-03 | — |
UPM+
- DG00182ANAL SAC DISORDERDSTP_anal_sac_disorder
Variant (sleepy_king)
ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.970
Threshold: 0.54
Above: ✓
Correct?