C09998888 / invoice 10000
Species:CANINE
Breed:Maltese Cross
Age (years):9
Diagnosis or signs:Anal glands
Consult notes
06/03/2026 HISTORY Presenting for: Rosie presented for reassessment of anal gland infection, was seen 3 days ago Current Meds: Clavulox tablets - owner struggled to administer, managed approximately one dose only. Metacam given nightly with dinner. Other: Owner reports Rosie seems less bothered around her back end and generally seems better since previous visit. EXAM Behavioural: Cooperative during examination Oral: Grade 2 dental disease, worst on canines, no significant gingivitis, moderate halitosis, no obvious extractions anticipated Rectal: Neither sac expressing easily with firm pressure applied. Left side soft, not painful, no inflammation. Right side unable to express anything from duct, scab present on outside. ASSESSMENT Bilateral anal sac impaction with right anal sac rupture - ongoing infection despite previous treatment, likely due to poor medication compliance Grade 2 dental disease - moderate halitosis, worst on canines PLAN New Meds/Tx: Anal gland flush recommended under anaesthesia. Scale and polish to be performed concurrently. Client Comms: Owner is lovely and cooperative. Email address to be obtained at reception for estimate delivery. Flexible scheduling available for procedures.
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 17:13:17
HISTORY Presenting for: Rosie presented for reassessment of anal gland infection, was seen 3 days ago Current Meds: Clavulox tablets - owner struggled to administer, managed approximately one dose only. Metacam given nightly with dinner. Other: Owner reports Rosie seems less bothered around her back end and generally seems better since previous visit. EXAM Behavioural: Cooperative during examination Oral: Grade 2 dental disease, worst on canines, no significant gingivitis, moderate halitosis, no obvious extractions anticipated Rectal: Neither sac expressing easily with firm pressure applied. Left side soft, not painful, no inflammation. Right side unable to express anything from duct, scab present on outside. ASSESSMENT Bilateral anal sac impaction with right anal sac rupture - ongoing infection despite previous treatment, likely due to poor medication compliance Grade 2 dental disease - moderate halitosis, worst on canines PLAN New Meds/Tx: Anal gland flush recommended under anaesthesia. Scale and polish to be performed concurrently. Client Comms: Owner is lovely and cooperative. Email address to be obtained at reception for estimate delivery. Flexible scheduling available for procedures.
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-03 | C09979104 | ANAL SAC DISORDER |
| 2020-05-06 | C2891787 | VOMITION & DIARRHOEA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 99.75 | 2026-03-06 | — |
UPM+
- DG00182ANAL SAC DISORDERDSTP_anal_sac_disorder
Variant (sleepy_king)
ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.970
Threshold: 0.54
Above: ✓
Correct?