C10009896 / invoice 10000
Species:CANINE
Breed:French Bulldog
Age (years):3
Diagnosis or signs:R eye - ulcer
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><strong>History - </strong><br><p>Went outside this moring and came inside with R eye red and a bit puffy. No previous issues with eyes. <br>Rest of skin looks fine. <br>EDUF ok. <br>Later in the morning did try to rub at R eye and caused it to weep ++. <br>Redness has reduced from this morning .<br><br><strong>Physical exam -</strong><br>R eye - <br>Mild hyperemic skin periorbitally. <br>Pupil slightly constricted compared to LHS. <br>No issues around the eyelid margin<br>Mild hyperemic sclera. <br>Stain uptake - Large superficial corneal ulcer in lower half of eye (see picture). <br>Alcaine applied - no obvious FB found under TEL. <br><br><strong>Assessment -</strong> Superficial corneal ulcer - likely traumatic R eye. <br><br><strong>Plan - </strong><br>Atropine BID until eye is atropinised - first drop applied. <br>Chlorsig QID - O feels better chance of getting drops in compared to ointment. <br>Metacam 15kg dose SID - monitoring very closely for any GIT upset - had diarrhoea after castration on previcox. <br>Doxycyline 75mg BID 14d<br>O has blow up E-collar at home - if able to rub face will pick up cone E-collar. <br><br>Recheck in 7 days or earlier if looking cloudy or O worried. <br>Discussed with O the difficulty of corneal ulcers with eyes that protrude more.</p></html>
Animal clinical history (3 most recent)
2026-02-25T00:00:00Z 13:02:00
Going well overall, ears have settled down, no flare upslicking paws a bit again and rubbing face on grounddue for bath on FridayCytopoint normally works well to take the itch awayno rashes or sores todayfeet mild lick staining, brown staining in facial foldsears calm and cleanTxCytopoint 20mg sc
2025-09-05T00:00:00Z 16:01:00
Hx:presented for annual vaccinationlicking at paws and shaking head/scratching at earsoral papillomas resolvedotherwise well, EDUF normalDiet:Parasite control: simparica trioMedications: cytopoint 20mgEx:BARBCS: 5/9MM: pink, moist CRT<2TEMP:CVS: HR 108,no murmur or arrythmia auscultated, SSFPRESP: RR panting, clear bronchovesicular lung sounds, normal effort/rate.OCULAR: nsfORAL: G1/4EARS: bilateral erythema and dark cerumen dischargeLN: nsfABDO: soft, comfortable.MSK: no lameness observed, comfortable on examNEURO: nsfUROGEN: nsfINTEG: mild interdigital erythemaAx: atopybilateral OETx:Nobivac Pi2/BB SC (B: Exp: )cytopoint 20mg SCdermotic 0.5ml BID 10delocon 1ml once weekly maintenance with ear cleaner
2025-03-22T00:00:00Z 11:35:00
Cytpoint 20mg given SQnoticed itchy in the last montho mentioned he has been scratching ears o will book in next week if this does not improve
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-25 | C09952580 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-09-05 | C9216869 | EAR INFECTION |
| 2025-09-05 | C9216869 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2024-12-17 | C8088413 | WART |
| 2024-11-14 | C7948516 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_eye_medication_-_topical_antibiotics | 46.24 | 2026-03-10 | — |
| 20000 | tstarc_eye_medication_-_atropine | 43.17 | 2026-03-10 | — |
| 30000 | tstarc_meloxicam | 59.88 | 2026-03-10 | — |
| 40000 | tstarc_antibiotics_-_doxycycline | 67.23 | 2026-03-10 | — |
| 50000 | tstarc_procedure_fee | 114.40 | 2026-03-10 | — |
UPM+
- DG03073Corneal Ulcer - TraumaticDSTP_corneal_ulcer_-_trauma
Variant (sleepy_king)
CORNEAL ULCER
DSTP_eye_-_corneal_ulcer
Conf: 0.780
Threshold: 0.26
Above: ✓
Correct?
Reason (correct)