C09995653 / invoice 10000
Species:CANINE
Breed:Maltese Cross
Age (years):11
Diagnosis or signs:anal glands
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>analglands expressed<br><br>L side empty <br>R side small amount easy to express </p></html>
Animal clinical history (3 most recent)
2026-01-27T00:00:00Z 11:05:00
Right side was empty and Left side Full - Easily expressed
2026-01-07T00:00:00Z 16:40:00
Follow up - no chargeL gland getting full purulent material and R gland emptyRecheck 6 weeks
2025-12-29T00:00:00Z 10:15:00
Reason: Anal gland flushRM suggested starting Glandex and Ruth said stools have been much better since starting but deciided to go ahead with anal gland flush to day anywayGiven medetomidine 5ug/kg and methadone 0.3mg/kg IMPlaced IV and used alaxan 0.2mls each time to sedation - catheteried and flushed both anal glands with dilute iodine solution and instilled with flamazineChecked LHL paw pad large one and could not feel or see any glassPlan - owner to continue Glandex- owner to recheck anal glands in two weeks
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-27 | C09810870 | ANAL SAC DISORDER |
| 2025-12-29 | C09689676 | ANAL SAC DISORDER |
| 2025-12-03 | C09578126 | VACCINATIONS OR HEALTH CHECKS |
| 2025-12-03 | C09578126 | HEARTWORM CONTROL |
| 2023-03-07 | C5839121 | DENTAL (TOOTH) DISORDER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_procedure_fee_-_anal_sac_expression | 37.10 | 2026-03-06 | — |
UPM+
- DG00182ANAL SAC DISORDERDSTP_anal_sac_disorder
Variant (sleepy_king)
ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.980
Threshold: 0.54
Above: ✓
Correct?