C09983621 / invoice 10000

Species:CANINE
Breed:British Bulldog
Age (years):11
Diagnosis or signs:Consultation
Consult notes
04/03/2026 Nurse Entry
In with - Julie
Parasite control - 
Diet - Vets all natural + some proteins are added

Subjective: He has a coughing/chocking sound that has been going on. This has gotten worse in the last two weeks. This is noticed after he has eaten. 

His bottom looks like it is protruding slightly.
No weight loss over time.

He hasn't gone away and he hasn't gone to boarding facilities. Julie has a video and it sounds a bit like a dry harsh hacking cough and he ends up licking his lips. 



Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - nad
heart - normal systolic rhythm, rate -
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - 
dental -
Integument -
Temp - 

A small growth on the upper aspect of the rectum about 12,00 position inside the rectum
Emptied with AG  no concerns.


Assessment:

Plan:

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 11:17:31
Nurse Entry
In with - Julie
Parasite control - 
Diet - Vets all natural + some proteins are added

Subjective: He has a coughing/chocking sound that has been going on. This has gotten worse in the last two weeks. This is noticed after he has eaten. 

His bottom looks like it is protruding slightly.
No weight loss over time.

He hasn't gone away and he hasn't gone to boarding facilities. Julie has a video and it sounds a bit like a dry harsh hacking cough and he ends up licking his lips. 



Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - nad
heart - normal systolic rhythm, rate -
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - 
dental -
Integument -
Temp - 

A small growth on the upper aspect of the rectum about 12,00 position inside the rectum
Emptied with AG  no concerns.


Assessment:

Plan:
2026-02-13T00:00:00Z 16:20:41
Edger doing well
SC pentosan and beransa inj given 
Nails trimmed
2026-01-14T00:00:00Z 10:30:54
In today for Pentosan and Beransa Booster. 

Beransa 15mg and Pentosan 0.75ml given s/c in treatment area. 

Good boy. 

Previous claim history (13)

DateClaim #Diagnosis
2025-12-12C09615717OSTEOARTHRITIS
2025-12-12C09615761OSTEOARTHRITIS
2016-06-15C0860169ENTROPION
2016-06-06C0860169ENTROPION
2016-06-06C0860169PRESCRIPTION DIETS
2015-12-17C0787279LAMENESS
2015-10-19C0653543OTITIS EXTERNA
2015-10-19C0653543PRESCRIPTION DIETS
2015-10-16C0653543PATELLA LUXATION
2015-09-03C0614452PATELLA LUXATION
2015-09-03C0614452BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS)
2015-06-26C0555317PATELLA LUXATION
2015-06-26C0555317HIP DYSPLASIA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_anticonvulsant_medication_-_gabapentin63.002026-03-04
20000tstarc_consultation109.002026-03-04

UPM+

  • DG01126OSTEOARTHRITIS (OSTEOARTHROSIS, DEGENERATIVE JOINT DISEASE (DJD))DSTP_osteoarthritis
  • DG01981COUGHING - PRESENTING COMPLAINTDSTP_clinical_signs_-_coughing

Variant (sleepy_king)

ARTHRITIS
DSTP_osteoarthritis
Conf: 0.690
Threshold: 0.17
Above:
Correct?