C10004390 / invoice 10000

Species:CANINE
Breed:Spoodle
Age (years):3
Diagnosis or signs:Wellness Check | See BT
Consult notes
13/10/2025 Wellness Check

NURSE: efg

HISTORY: hotspots all good now, no concerns
EDUF all ok.  No v+/d+; no coughing.
Current medications: nil
Current diet: hypoallergenic food kibble- fish protein.
 
CLINICAL EXAM: 
Demeanour:  BAR very excited
BCS: 5 /9   Weight assessment: 2 runs a day at least 40 minutes each
Temp: 
HR: 100
No heart murmur detected
RR: panting
Chest sounds clear
MM: pink
CRT: 2sec

Coat: good
Skin: good
Lumps: NAD
Eyes: clear and bright
Ears: good

Dental grade: 2 /4 tartar on upper carnassial and canines. Has tried dental treats but he ends up burying them. Suggested he would need a dental soon and explained procedure. Dog too high energy for brushing.
 
Other findings: 
 
TREATMENT:
Parasite control: UTD, nexgard spectra
Nails: trimmed most of front nails until too stressed. back nails okay to leave. applied muzzle towards end for caution.
Anal glands: hasn't been scooting but both were very full.
 | 04/03/2026 REASON: Vaccination
 
HISTORY: Liz presented with Harley. EDUF all ok. No v+/d+; no coughing. Occ gets little hot spots but o has neocort and this settles them down without any further issues.
Current diet: hypoallergenic
Current medications: nil
 
CLINICAL EXAM: 
Demeanour:  BAR, anxious but good for PE
BCS:  5/9  Weight assessment: Good body condition.
HR: 120. No heart murmur detected
RR: Chest sounds clear
MM pink, crt<2secs.
Abdo palpation: NAD
LN: NAD 
Eyes: NAD 
Ears: NAD 
Dental grade: 2/4 (o going to add in dental treats but also consider s&p soon)

TREATMENT:
Vaccination: Protech Pi2 SC + BS oral (tolerated well)
Parasite control: NS monthly
Nails: Trimmed front nails. Getting too stressed / wriggly for back nails and these aren't as bad, so left these back nails today. O okay with this.
Anal glands: declined

04/03/2026 Vaccine: PROTECH PI2
Batch: 5264018
Expiry: 25-Feb-2027
Next Due: 03-Mar-2027

04/03/2026 Vaccine: BRONCHI-SHIELD ORAL
Batch: 5245047A
Expiry: 10-Feb-2027
Next Due: 03-Mar-2027

Animal clinical history (3 most recent)

2025-10-13T00:00:00Z 13:29:41
Wellness Check

NURSE: efg

HISTORY: hotspots all good now, no concerns
EDUF all ok.  No v+/d+; no coughing.
Current medications: nil
Current diet: hypoallergenic food kibble- fish protein.
 
CLINICAL EXAM: 
Demeanour:  BAR very excited
BCS: 5 /9   Weight assessment: 2 runs a day at least 40 minutes each
Temp: 
HR: 100
No heart murmur detected
RR: panting
Chest sounds clear
MM: pink
CRT: 2sec

Coat: good
Skin: good
Lumps: NAD
Eyes: clear and bright
Ears: good

Dental grade: 2 /4 tartar on upper carnassial and canines. Has tried dental treats but he ends up burying them. Suggested he would need a dental soon and explained procedure. Dog too high energy for brushing.
 
Other findings: 
 
TREATMENT:
Parasite control: UTD, nexgard spectra
Nails: trimmed most of front nails until too stressed. back nails okay to leave. applied muzzle towards end for caution.
Anal glands: hasn't been scooting but both were very full.

Previous claim history (11)

DateClaim #Diagnosis
2024-03-22C8703499HOT SPOT
2023-12-23C8703499Grooming
2023-08-22C6232373CONJUNCTIVITIS
2023-07-05C6070455EAR INFECTION
2023-07-05C6076371EAR INFECTION
2023-06-21C6018510DESEXING
2023-06-21C6018510HERNIA - UMBILICAL
2023-06-21C6076371DESEXING
2023-04-05C5768711VACCINATIONS OR HEALTH CHECKS
2023-03-08C5664166VACCINATIONS OR HEALTH CHECKS
2023-03-08C5664863VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation49.002025-10-13

UPM+

  • DG02932VACCINATIONS OR HEALTH CHECKSDSTP_routine_care_-_vaccinations_or_health_checks

Variant (sleepy_king)

ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.550
Threshold: 0.54
Above:
Correct?
Acceptable?
Reason (potential financial impact)
Diagnosis description