C09997699 / invoice 10000

Species:CANINE
Breed:Soft Coated Wheaten Terrier
Age (years):4
Diagnosis or signs:Recheck eye
Consult notes
06/03/2026 Consultation nurse:
JW 

Reason for presentation: Post tx review and check eyes 

History for today:
Finished meds 
BAR 
EDDU well 
Gave telfast yesterday 
Rubbing / pawing at eyes
slight squinting of eyes 

Previous medical/surgical concerns:
14/02/26:  sedation for examination of feet and eyes 
4/2/26 right hind chewing hard to examine pododerm - malaseb and KC vax and clav  
03/2025: Behaviour chat - Trazodone 100mg for routine modification and with trainer. 
21/03/2025: Dental scale and polish. 
12/08/2024: Tick removed from snout. Bravecto TGH. 
05/01/2024: Bee sting on foot. Antihistamine given. 
24/10/2023: Interdigital dermatitis. 
17/05/2023: Eye recheck - lump on external R lower eyelid - Framixin H 5 days and monitor. 
04/05/2023: Ocular discharge and swelling - Framixin H 5 days. 
15/03/2023: Suspected mild atopy, went home with Surolan and Aerius. 
09/03/2023: Desexed.

Current medications:
Traz 100mg today
Malaseb 

Diet: NA 

Examination:
Demeanour- BAR but nervous 
Eyes & Ears- Pressure in R eye 19 and L eye 13 
Nose and Throat- 
Mouth/teeth/gums/dental grade- 
Resp rate-
Heart rate- 
Abdominal palpation- 
Urogenital- 
Musculoskeletal- 
BCS- 4.5/9
Coat/skin- NAD 
Palpate lymph nodes- 
Temp-

Assessment:
Conjunctivitis 
Red irritated eyes L worse 

Treatment:
Schirmer tear - Neg 
Fluroscein - Neg \
Eye pressure NAD in both eyes 
Framixin H 

Plan: 
Recheck 

Animal clinical history (3 most recent)

2026-02-14T00:00:00Z 08:39:49
Staff member making call : AC
Which family member spoken with: Renee LMTC

*called back and spoke to AC* 

Recall reason: sedation for examination of feet and eyes 

Patient Report:
Demeanour - QAR 
eating - y
drinking - y
urine - y
faeces - y

any problems with medicating? n
wound/s healing OK ? y - has been able to get at the wound but O keeping an eye on him 
appointment made for revisit ? y 

Previous claim history (14)

DateClaim #Diagnosis
2026-02-13C09899459PODODERMATITIS
2026-02-04C09850489VACCINATIONS OR HEALTH CHECKS
2026-02-04C09850489PODODERMATITIS
2025-01-21C8228594TEETH CLEANING
2024-11-22C7997514VACCINATIONS OR HEALTH CHECKS
2023-10-24C6468835VACCINATIONS OR HEALTH CHECKS
2023-10-24C6468835ATOPY
2023-05-04C5874982CONJUNCTIVITIS
2023-03-15C5697585ATOPY
2023-03-09C5671332DESEXING
2023-02-22C5622609HEALTH CHECK
2022-10-21C5226772ALLERGIC REACTION
2022-10-10C5226761VACCINATIONS OR HEALTH CHECKS
2022-09-12C5106406VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation120.002026-03-06
20000tstarc_diagnostic_test_-_fluorescein_eye_stain29.002026-03-06
30000tstarc_diagnostic_test_-_schirmer_tear_test29.002026-03-06
40000tstarc_diagnostic_test_-_tonometry45.002026-03-06
50000tstarc_eye_medication_-_topical_antibiotics48.502026-03-06

UPM+

  • DG00512CONJUNCTIVITISDSTP_eyelid_-_conjunctivitis

Variant (sleepy_king)

CONJUNCTIVITIS
DSTP_eyelid_-_conjunctivitis
Conf: 0.650
Threshold: 0.25
Above:
Correct?