C09989603 / invoice 10000
Species:CANINE
Breed:English Springer Spaniel
Age (years):9
Diagnosis or signs:Swollen bottom
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div>Hx: Itching skin for the last few days. Scratching back end and also groin region. O reports that skin around back end looks swollen. Has hx of anal gland impaction. Were expressed 3 weeks ago, not scooting at the moment. Thinks has been on and off food for the last few days. Hasn't been drinking as much. No V+, no D+. No change in diet. Has recently been travelling in Sydney. UTD with flea and worming . UTD with vacc. <br><br>PE<br>- Mentation: BAR<br>- HR: NAD<br>- RR: NAD<br>- CRT/MM:<2secs/ pink and moist<br>- Eyes: NAD<br>- Ears: NAD<br>- Dental: NAD<br>- Integument: inguinal region, moderate erythema, excoriation present ventral abdomen. Skin around bottom feels like fat?? moderate erythema <br>- Urogen: mild erythema vulval region, no discharge present<br>- Abd: NAD<br>- MSK: NAD<br>- Neuro: NAD<br><br>Assessment<br>1. Dermatitis?? <br><br>Plan<br>- Cephalexin 22mg/kg PO BID 7 days <br>- Meythl prednisolone acetate 1ml/20kg <br>- Neocort topical BID 7 days<br>- O to drop off urine sample for urinalysis <br>- Recheck 2 weeks or sooner if concerned </div></html>
Animal clinical history (3 most recent)
2024-07-18T00:00:00Z 09:45:00
History: licking bottom again. Was good for two weeks follwoing antibiotics. Has had infected anal sacExamination: NAD anal sacs quite empty and feel healthy. Squeezed what was in thereAssessment: fit for vacc.Plan: C5 givensuggest check anal sacs in 1 monthIf still causing issues, consider GA-->flush and instill surolan etc. +/-C&S
2024-06-25T00:00:00Z 09:00:00
Hx: Here for vacc. Just came back from pet sitters and they mentioned blood in urine so also concerned may have a UTI. Has been licking genital area a lot O thought was from UTI but noticed the anal gland smell again last night so wants checked. PE:Temperament: Very friendly but hates anal glands being squeezed, wriggles freeHeart: NADMM: pink and moist, CRT <2secsResp: NADMouth: NADAbdo: NADIntugument: NADMSK: NADEyes: NADEars: NADAnal glands: purulent bloody discharge expressed from RIGHT anal gland, foul smellingA:Anal gland infectionPlan:Discussed with O, elected to postpone C5 today as antibitoics will interfere with vacc. Meloxicam and clavulox and r/v in 16 days to check gland. O aware could burst or not heal and required flushing.
2024-06-08T00:00:00Z 09:15:00
Pip has been licking her bum for the last few days. Both anal glands full, expressed in consult. Content, liquid and easy to squish.
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-31 | C09833636 | ANAL SAC DISORDER |
| 2025-10-30 | C9424180 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-07-22 | C8997186 | VACCINATIONS OR HEALTH CHECKS |
| 2025-07-02 | C8912469 | MASS LESION - EYELID |
| 2025-06-18 | C8853547 | MASS LESION - EYELID |
| 2025-06-11 | C8825272 | SWELLING |
| 2025-06-11 | C8825272 | LIPOMA |
| 2024-10-11 | C7811624 | MASS LESION - EYELID |
| 2024-10-10 | C7807512 | MASS LESION - EYELID |
| 2024-10-07 | C7790555 | CORNEAL ULCER |
| 2024-08-28 | C7639136 | MASS LESION - SKIN (CUTANEOUS) |
| 2024-08-27 | C7633147 | ANAL SAC DISORDER |
| 2024-07-18 | C7476642 | VACCINATIONS OR HEALTH CHECKS |
| 2024-06-30 | C7407689 | VOMITION & DIARRHOEA |
| 2024-06-30 | C7407689 | ANAL SAC INFECTION |
| 2024-06-25 | C7389211 | ANAL SAC INFECTION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_cephalexin | 46.26 | 2026-03-05 | — |
| 20000 | tstarc_corticosteroid_injection | 32.85 | 2026-03-05 | — |
| 30000 | tstarc_consultation | 88.00 | 2026-03-05 | — |
| 40000 | tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory | 44.20 | 2026-03-05 | — |
UPM+
- DG00592DERMATITISDSTP_skin_-_dermatitis
Variant (sleepy_king)
ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.340
Threshold: 0.54
Above: ✗
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description