C10004057 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavoodle

Age (years):8

Diagnosis or signs:Check Eyes

Consult notes

05/03/2026 Reason:  
History: 
- O reports his eye is sore and red and irritated. R eye

EDUD: All normal
V+/D+/Coughing: None
Pre-existing conditions: None
Current medications: None
Previous adverse reactions (vacc/meds): None
Prophylaxis: UTD

Examine: 
Mentation: BAR
Body condition score:  3.5/5
MM: P/M
CRT: <2s
HR: 100              
RR: WNL
LN: Submandibular, prescapular, and popliteal WNL
Temperature: NE
----------------
Ocular: 
- Eyeballs look normal
- Irritation around R eye (erythema, ulcerated, slightly swollen)
----------------
Problem List/Assessment:
- Irritation around R eye
A: Advised keeping clean with Johnson's no tears shampoo diluted and pred to reduce the inflammation. Discussed INI then need to revisit. O happy with this plan

Treatment: 
- E-collar
- Johnson's No Tears diluted in water to clean around eye
- Pred 10g SID for 3 days then taper

Plan/Follow-up: 
- RV INI

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 15:28:27

Reason:  
History: 
- O reports his eye is sore and red and irritated. R eye

EDUD: All normal
V+/D+/Coughing: None
Pre-existing conditions: None
Current medications: None
Previous adverse reactions (vacc/meds): None
Prophylaxis: UTD

Examine: 
Mentation: BAR
Body condition score:  3.5/5
MM: P/M
CRT: <2s
HR: 100              
RR: WNL
LN: Submandibular, prescapular, and popliteal WNL
Temperature: NE
----------------
Ocular: 
- Eyeballs look normal
- Irritation around R eye (erythema, ulcerated, slightly swollen)
----------------
Problem List/Assessment:
- Irritation around R eye
A: Advised keeping clean with Johnson's no tears shampoo diluted and pred to reduce the inflammation. Discussed INI then need to revisit. O happy with this plan

Treatment: 
- E-collar
- Johnson's No Tears diluted in water to clean around eye
- Pred 10g SID for 3 days then taper

Plan/Follow-up: 
- RV INI

Previous claim history (20)

Date	Claim #	Diagnosis
2023-10-16	C6424360	HYPERSENSITIVITY DISORDER (ALLERGY)
2023-10-02	C6371210	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-09-04	C6275981	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-06-09	C5982667	HYPERSENSITIVITY DISORDER (ALLERGY)
2023-05-12	C5984825	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-04-12	C5782435	HYPERSENSITIVITY DISORDER (ALLERGY)
2022-11-16	C5298908	ALLERGY
2022-10-19	C5209581	ALLERGY
2022-09-20	C5120968	ALLERGY
2022-04-22	C4681056	ALLERGY
2022-04-11	C4651335	ALLERGY
2022-03-11	C4563949	ALLERGY
2022-02-11	C4482243	ERYTHEMA
2021-05-18	C3753962	ERYTHEMA
2021-01-28	C3478238	EAR INFECTION
2020-07-10	C3022062	HAEMATURIA
2020-05-29	C2931899	ERYTHEMA
2020-03-18	C2792519	Conditions
2018-07-18	C1749595	OTITIS EXTERNA
2018-02-19	C1555104	PAIN - OTHER - PRESENTING COMPLAINT

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	109.00	2026-03-05	—
20000	tstarc_corticosteroids	35.38	2026-03-05	—

UPM+

DG02070OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINTDSTP_clinical_signs_-_eye_abnormality

Variant (sleepy_king)

OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT

DSTP_clinical_signs_-_eye_abnormality

Conf: 0.800

Threshold: 0.21

Above: ✓

Correct?

Yes No