C10007594 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):8
Diagnosis or signs:Inflammation of lower right eyelid
Consult notes
Mild swelling of the lower right eyelid. There is an inflamed area centrally along the lid margin. 
Sclera and remaining conjunctiva are normal. Treated with antinflammatory and antibiotic. 

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 12:00:00
WEIGHT: 37.40
HISTORY: Reason:
right eye swollen 

H:
Swollen lower r eyelid since yesterday 
No new food, or environment 
Has had an allergic rx previously 
Not bothered by eye
No discharge

E:
Mild swelling of the lower right eyelid. There is an inflamed area centrally along the lid margin. 
Sclera and remaining conjunctiva are normal
No swelling over cheek area and teeth on this side are not as bad 
neg stain uptake 
There is additional black/brown pigment to iris - check again at next visit. Could not get a good picture today 

A:
Rx/bite
meibomitis?

P:
Trial dex inj and ointment 
Amoxyclav 
Calendular tea
warm compress

o said she has amoxyclav at home h\from his previous sx so declined taking
2025-08-18T00:00:00Z 12:00:00
HISTORY: Claim for 12/8 emailed to insurer ajs
2025-08-12T00:00:00Z 12:00:00
HISTORY: Reason: Annual Health Check & Vaccination 

O concerns: Nil
O is closely monitoring for regrowth of mass on RFL 
Surgical resection Nov 2024- Grade 1 sarcoma
current parasite prevention: Bravecto and 3monthly oral worming

lumps/bumps: mobile mass cranial sternum
O reports no change in size or shape
coughing: no
vomiting/diarrhoea: no
toileting normally: yes
appetite normal: yes
any weight changes: has gained 2kg since March 2025 
drinking or urinating more than usual: no

O has noticed mobile tooth on upper L side when using curasept gel on teeth
Loves to chew sticks
Currently on Antinol for mobility
O reports does still have occasional mild lameness in 

Examine
BCS   6/9
mm pink, moist. crt <2secs.
HR 100bpm. No audible murmur. FP strong and synchronous
RR panting/vocalising. Chest clear on auscultation
Abdomen comfortable on palpation. NAD
Temp not taken
Rectal not performed

Eyes: no abnormalities detected
Ears: no abnormalities detected
Oral: 
L side > R side plaque
108 has mobile slab fracture
Dental grade:   3/4

Skin: no abnormalities detected
LN: no enlargement palpable
M/S: no abnormalities detected in FL/HL manipulation and palpation
Reduced ROM in both carpi (same as last exam)
No obvious lameness in consult. 

Plan
Vaccination P2i & BB Oral
Checked microchip placement- 156 number (implanted in China!)
Number not recorded in patient file- added today
No records on any registry
Given O CARS new subscription form to fill out and lodge online

Email estimate for dental with 108 extraction
Strongly recommend procedure ASAP to prevent pain, worsening dental disease and TRA
WEIGHT: 38.00

Previous claim history (4)

DateClaim #Diagnosis
2024-08-31C7684497VACCINATIONS OR HEALTH CHECKS
2024-05-25C7272576MASS LESION - SKIN (CUTANEOUS)
2024-04-11C7106553MASS LESION - SKIN (CUTANEOUS)
2024-04-02C7061977MASS LESION - SUBCUTANEOUS TISSUE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation106.502026-03-10
20000tstarc_corticosteroid_injection42.002026-03-10
30000tstarc_eye_medication_-_antibiotics_and_anti-inflammatory63.002026-03-10

UPM+

  • DG02046MASS/SWELLING - EYE (OPHTHALMIC) - PRESENTING COMPLAINTDSTP_mass_lesion_-_eye

Variant (sleepy_king)

OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
DSTP_clinical_signs_-_eye_abnormality
Conf: 0.270
Threshold: 0.21
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description