C09985405 / invoice 10000
Species:CANINE
Breed:French Bulldog
Age (years):6
Diagnosis or signs:Hospital, General Health Check
Consult notes
04/03/2026 Reason: Patient recheck Presented by: Jeffrey History: Jojo had dentistry 2 weeks ago. ABs finished 5 days ago and dog started reverse sneezing, 3 days ago developed unilateral nasal discharge from right nostril. Previous BOAS surgery performed at around 1 year of age. Left incisors and back molars were removed during recent dental procedure. Medications: Recently completed 10 day course of antibiotics 4-5 days ago Diet: Owner's assessment: Patient has been fine since dental procedure until recent onset of reverse sneezing and nasal discharge. Owner reports patient felt warm last night. Examination: Demeanour: Good BCS: 4-5 TEMP: 38.5 CVS: NAD RESP: Slight difficulty breathing, unilateral nasal discharge from right nostril with some blood present LN: NAD GI: NAD INTEG: Benign mass present on lip causing irritation MSK: NAD OCULAR: NAD ORAL EXAM: Everything looks to have healed well Assessment: Post-dental complications with secondary infection vs foreign body. Unilateral nasal discharge likely related to healing complications from recent dental extractions. Benign lip mass requiring removal. Treatment: Antibiotics prescribed, Bromohexine (Bisolvon 8mg tablets, 0.5-1 tablet 3 times daily), Meloxicam for 2 days if available Plan: Nasal saline flush under GA scheduled for Friday morning with concurrent removal of paw mass. Continue antibiotics for 3 weeks. Monitor for improvement in nasal discharge and reverse sneezing. Plan: Start ABs now - Book in for GA and nasal flush with exam. - Also remove small wart like mass on RHPaw
Animal clinical history (3 most recent)
2026-03-04T00:00:00Z 10:14:24
Reason: Patient recheck Presented by: Jeffrey History: Jojo had dentistry 2 weeks ago. ABs finished 5 days ago and dog started reverse sneezing, 3 days ago developed unilateral nasal discharge from right nostril. Previous BOAS surgery performed at around 1 year of age. Left incisors and back molars were removed during recent dental procedure. Medications: Recently completed 10 day course of antibiotics 4-5 days ago Diet: Owner's assessment: Patient has been fine since dental procedure until recent onset of reverse sneezing and nasal discharge. Owner reports patient felt warm last night. Examination: Demeanour: Good BCS: 4-5 TEMP: 38.5 CVS: NAD RESP: Slight difficulty breathing, unilateral nasal discharge from right nostril with some blood present LN: NAD GI: NAD INTEG: Benign mass present on lip causing irritation MSK: NAD OCULAR: NAD ORAL EXAM: Everything looks to have healed well Assessment: Post-dental complications with secondary infection vs foreign body. Unilateral nasal discharge likely related to healing complications from recent dental extractions. Benign lip mass requiring removal. Treatment: Antibiotics prescribed, Bromohexine (Bisolvon 8mg tablets, 0.5-1 tablet 3 times daily), Meloxicam for 2 days if available Plan: Nasal saline flush under GA scheduled for Friday morning with concurrent removal of paw mass. Continue antibiotics for 3 weeks. Monitor for improvement in nasal discharge and reverse sneezing. Plan: Start ABs now - Book in for GA and nasal flush with exam. - Also remove small wart like mass on RHPaw
2026-02-25T00:00:00Z 16:53:03
Post op check
2026-02-25T00:00:00Z 16:51:37
Reason: Complimentary Post-Op Check Examination: Dental arcades are healing well. No major issues. O reports dog is very happy Assessment: Great outcome with teeth Treatment: Nil Plan: Discuss dental prophylaxis with brushing and chews
Previous claim history (15)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-18 | C09922970 | DENTAL (TOOTH) STRUCTURE INJURY |
| 2026-02-18 | C09922970 | OSTEOMYELITIS - MANDIBLE |
| 2025-12-04 | C09581259 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2022-06-07 | C4814450 | ALLERGY |
| 2022-06-07 | C4814450 | VOMITING - PRESUMED SELF-LIMITING |
| 2022-05-05 | C4722621 | NAIL BED INFECTION |
| 2022-03-02 | C4722503 | GASTROENTERITIS |
| 2022-03-02 | C4722503 | ANAL SAC ABSCESS |
| 2022-03-02 | C4722503 | ALLERGY |
| 2021-10-30 | C4290759 | SNEEZING - PRESENTING COMPLAINT |
| 2021-10-30 | C4290759 | ALLERGY |
| 2021-10-21 | C4290761 | ALLERGY |
| 2021-10-07 | C4142451 | BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS) |
| 2021-10-07 | C4142451 | OTITIS EXTERNA |
| 2021-10-07 | C4142451 | ALLERGY |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 66.00 | 2026-03-04 | — |
| 20000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 44.80 | 2026-03-04 | — |
UPM+
- DG01155OSTEOMYELITIS - MANDIBLEDSTP_osteomyelitis
Variant (sleepy_king)
REVERSE SNEEZING
DSTP_clinical_signs_-_reverse_sneezing
Conf: 0.530
Threshold: 0.90
Above: ✗
Correct?
Reason (correct)