C09995404 / invoice 30000

Species:CANINE
Breed:Border Collie Cross
Age (years):1
Diagnosis or signs:Eye Problem | Examination | Skin Problem
Consult notes
06/03/2026 BROUGHT IN BY: Hannah 

HISTORY: 
Presenting for suspected conjunctivitis
Yesterday his eyes started getting yellow discharge and look super red 
Occasionally squinting 
No vomiting/diarrhea
Was at his grandparents house the other week and returned with a slight limp - Hannah showed a video, looks like hes almost skipping on his RHL 
Otherwise no concerns 

PEx: 
EYES: Bilateral yellow discharge present in the fur surrounding eyes. Moderate inflammation of the TEL and sclera. Fluresce negative
No obvious FB beneat TEL 
EARS: NSF
NOSE: NSF
ORAL: Pi MM CRT <2
HR: 100 
RR: normal bv soudns
ABDO: comfortable on palpation 
INTEGUMENT: NSF
MSK: Comfortable on full hip flexion. Possible laxity of the stifles 
BCS: 4/9     

ASSESSMENT: 
Conjunctivitis bilaterally
Possible MPL of the HLs. 

PLAN: 
- amacin BID for 5-7d
- revisit in a week
- discussed examining MSK under GA when Austin is desexed. Recommended Pennhip for completeness. Hannah will consider

06/03/2026 PET INSURANCE E - CLAIM 

Invoice Dates Covered: 06/03 + 23/02

Vet approved:  AY

Date submitted & Initials:  ae 06/03 |  | 15/12/2025 BIB Louis

HISTORY
Presenting for: Licking at the perianal area and lump on ear.
Groomed 1 week ago. 
Noticed scab on in ear yesterday.
Licking bottom past 2 days. 
Diet: puppy dry food. 
Current Meds: Worming up to date.
Historical Conditions: Diarrhoea resolved from last visit 27/11/25 . Back to normal. 

EXAM
Mentation: BAR
Behavioural: Accepts treats during examination.
Ears: scab on inner pinna at base of ear. Also small raised nodule - likely benign, possible follicular cyst or adenoma 
Integumentary: Perianal area recently clipped during grooming. Mild erythema present but no significant wetness. No evidence of fur pulling/loss. 
Rectal: Anal glands expressed bilaterally. Contents normal and minimal. 

ASSESSMENT
Perianal irritation - possibly related to recent grooming with increased exposure of skin.

PLAN
Prednisolone 10mg PO in consult. 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 10:50:24
PET INSURANCE E - CLAIM 

Invoice Dates Covered: 06/03 + 23/02

Vet approved:  AY

Date submitted & Initials:  ae 06/03
2026-03-06T00:00:00Z 10:33:37
BROUGHT IN BY: Hannah 

HISTORY: 
Presenting for suspected conjunctivitis
Yesterday his eyes started getting yellow discharge and look super red 
Occasionally squinting 
No vomiting/diarrhea
Was at his grandparents house the other week and returned with a slight limp - Hannah showed a video, looks like hes almost skipping on his RHL 
Otherwise no concerns 

PEx: 
EYES: Bilateral yellow discharge present in the fur surrounding eyes. Moderate inflammation of the TEL and sclera. Fluresce negative
No obvious FB beneat TEL 
EARS: NSF
NOSE: NSF
ORAL: Pi MM CRT <2
HR: 100 
RR: normal bv soudns
ABDO: comfortable on palpation 
INTEGUMENT: NSF
MSK: Comfortable on full hip flexion. Possible laxity of the stifles 
BCS: 4/9     

ASSESSMENT: 
Conjunctivitis bilaterally
Possible MPL of the HLs. 

PLAN: 
- amacin BID for 5-7d
- revisit in a week
- discussed examining MSK under GA when Austin is desexed. Recommended Pennhip for completeness. Hannah will consider
2026-03-02T00:00:00Z 10:33:20
seems to be helping - hasn't completely resolved but isnt getting worse 

has been 1wk of application - advised can continue for the next few days and monitor for changes (O happy) 
if no sudden improvements are made, best for a revisit or further chat with Vet about other options 

O mentioned has been able to lick noecort applied to chest - seems to have soften feaces and reduce appetite slightly - advised to limit this as much as possible and monitor for further GIT upset or changes 

Previous claim history (2)

DateClaim #Diagnosis
2025-11-27C09855775GASTROENTERITIS
2025-09-03C9179634EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation100.002025-12-15
20000tstarc_corticosteroids30.502025-12-15

UPM+

  • DG02067NOT PRESENTED FOR A COMPLAINT - PRESENTING COMPLAINTDSTP_unknown_-_remove_from_training

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.280
Threshold: 0.44
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description