C09990337 / invoice 10000

Reviewer

Species:CANINE

Breed:Staghound

Age (years):9

Diagnosis or signs:revisit

Consult notes

05/03/2026 Hx: Here for medication review 
Diagnosed with unilateral pannus many years ago, has now developed in left eye as well
O reports no issues with medication. No changes to vision

Ex :   
Systems:
1. Eyes: lateral canthus bilateral pannus. Not progressed over the iris yet. 
2. Ears: NAD
3. Mouth: NAD
4. Heart: No murmur or arrhythmia
5. Respiratory/Nasal: normal lung sounds bilaterally 
6: Abdomen: NAD


Current Medications and Doses: tacrolimus 1drop both eyes twice daily 

Assessment :
Bilateral pannus 

Plan : 
Okay for more tacrolimus. Pannus now present in both eyes.

Animal clinical history (3 most recent)

2025-05-14T00:00:00Z 09:17:39

Reason :Annual Health Check Team Consult
Nurse: Laura
Hx Concerns : going well - no concerns

Worming product used and last given : UTD
Flea Treatment used and last given: UTD
Heartworm Treatment used and last given : UTD
Current Diet given daily : Chicken mince and dry 
Current dental products used : dentastix
Any dental recommendations given : greenies
Dental Score :  0 /4
Body Condition Score:  3.5/5 - a little overweight for breed 

Vaccine given today - KC Intranasal Bronchoshield III (Parainfluenza and Bordetella) Live Vacc
Batch number/exp - 2434514 exp 12/26

Ex : 
1. Eyes : NAD 
2. Ears : NAD 
3. Mouth : G1/4 - amazing teeth. 
4. Heart : HR 70bpm, no murmur or arrhythmia. 
5. Respiratory/Nasal : NAD 
6: Abdomen : NAD 
7. Musculoskeletal : NAD 
8. Neuro : NAD 
9. Urogenital : NAD 
10. Rectal/Anal glands: not examined  
11. Skin : NAD 
12. BT :
13: Behaviour issues: WNL
14: Lymph nodes: WNL

Assessment: fit for vacc 

Was a lovely girl for her intransal vacc. Appreciated the treats.

2025-04-11T00:00:00Z 14:48:53

sent email explaining new BOVA policy.

Please ensure each script has 6 months of repeats on it.

2025-04-09T00:00:00Z 08:34:41

Reason:POC 
History 
doing well. finished medications. was wearing a t shirt but took off about a week ago 
eduds all okay, no csvd

Exam
BAR beautiful girl 
TPR WNL
wounds looking good. dorsal incision looks good - removed sutures no problem. most ventral incision had sutured pulled out and mild inflammation present. removed remaining sutures 
remaining physical exam unremarkable 

Plan 
no further treatment required today 
due for vaccines in 5 weeks- o wants to make appointment at later date

Previous claim history (19)

Date	Claim #	Diagnosis
2024-03-26	C7040375	CORNEAL ULCER
2023-07-25	C6135371	CORNEAL ULCER
2023-07-11	C6088540	CORNEAL ULCER
2023-06-27	C6039685	CORNEAL ULCER
2023-06-20	C6012177	CORNEAL ULCER
2023-06-13	C5989841	CORNEAL ULCER
2023-06-13	C5989841	LIPOMA
2022-09-27	C5140140	WOUND - LACERATION
2020-11-03	C3275102	OTITIS EXTERNA
2020-10-24	C3250887	OTITIS EXTERNA
2020-09-04	C3142680	WOUND - LACERATION
2019-11-20	C2562543	WOUND - LACERATION
2019-11-15	C2554222	OTITIS EXTERNA
2019-11-15	C2554222	WOUND - LACERATION
2019-11-07	C2537898	OTITIS EXTERNA
2019-10-25	C2512215	OTITIS EXTERNA
2019-10-11	C2487714	EAR CONDITIONS
2019-10-04	C2477514	EAR INFECTION
2018-10-23	C1910362	PRURITUS - PRESENTING COMPLAINT

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	117.00	2026-03-05	—
20000	tstarc_prescription_fee	60.50	2026-03-05	—

UPM+

DG02523KERATITIS - CHRONIC SUPERFICIAL (PANNUS)DSTP_eye_-_pannus_or_keratitis

Variant (sleepy_king)

KERATITIS - CHRONIC SUPERFICIAL (PANNUS)

DSTP_eye_-_pannus_or_keratitis

Conf: 0.870

Threshold: 0.90

Above: ✗

Correct?

Yes No