C10010240 / invoice 10000
Species:CANINE
Breed:Boxer
Age (years):3
Diagnosis or signs:Revisit - AG review
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div><span style="font-weight: bold;"><strong>Clinical Notes checked:</strong> [Initial and Date]<br><br>History<br></span></div> <div> <p>- BIB mum Desmay <br>Initially seen TSK 1 week ago for R AG abscess <br>Seems to have improved in size but still present <br>Did struggle a couple of times giving medications but has figured out to give it with some yoghurt or chicken skin <br>Scooting the bum 3 days ago. <br>Last in heat in December 2025. <br><br>Diet - Raw diet + muesli. <br>Parasite control - Not discussed today<br>Current meds - Amoxycillin 400mg PO BID, last dose this morning. Has another day's dose left. <br><br><span style="font-weight: bold;">Exam</span>.<br>Demeanour: BAR<br>BCS - 5/9<br>Eyes NSF<br>Ears NSF<br>Oral exam: MM pink, moist <br>Dental grade: 1<br>Cardiac ausc: HR= 124, no murmurs, SSFP <br>Respiratory: RR= 40/panting, clear lung fields all quadrants. Eupnoeic. <br>Skin: NSF<br>L/N: Palpable popliteal LNs but not enlarged bilaterally. <br>Other findings: <br>- R AG still a fluid pocketing present externally on R side of anus but improved in size, around 3cm x 1cm. <br>- Painful during rectal exam - but abscess not prominent internally. L AG normal size not expressed. <br><br><span style="font-weight: bold;">Assessmen</span>t -<br>R AG Abscess - improving <br><br><span style="font-weight: bold;">Plan</span> -<br>Amoxycillin 400mg PO BID for another week. <br>Revisit in 7 days time - with TSK or RNV<br>Advised if still present, may recommend sedate + lance/flush out AGs. Mum receptive to this but hoping medications will help! <br><strong><br></strong><br>Revisit?<br>Follow up call?<br>Reminders programmed?</p> </div></html>
Animal clinical history (3 most recent)
2026-03-04T00:00:00Z 10:48:00
LMOM - AB called Desmey on 0425791516A littler more lively, eating a little more.
2026-03-03T00:00:00Z 11:32:00
Clinical Notes checked: [Initial and Date] TSKHistory - Last night Elle sat down and seemed uncomfortable on bottom. Would not let mum look for a while but after a bit saw there was swelling in the anal gland region and she was licking it. Normally feeds home cooked meals (meat, veg, bone meal) with added Lenny's kitchen and normally passes good consistency poo. No previous anal gland problems. - BIB {owner} MumExam.Demeanour: BARBCS - 5/9Eyes NSFEars NSFOral exam: mm pink, cRT<2sDental grade: 1Cardiac ausc: HR=112Respiratory: RR= 32Abdo: NSF on abdo palpationMSK: NSF on joint palpationSkin: NSFL/N: NSFOther findings: R anal gland - swollen approx 5cm wide. Left normal and expressed (approx 2cm). Small sinus on the R anal gland regionTests performed- R anal gland ruptureAssessment - R anal gland rupturePlan -1/ Metacam 2.5mg sid with food2/ amoxil 400mg bid orally3/ clean region with warm salty water4. Keep poos on the softer side (*higher water content food) until settled)5. Revisit in 7-10 days to make sure swelling reduced and make sure duct is patent (did discuss occ need to flush through anal gland)6. Can added psyllium husk to diet also (slowly build to 2 teapsoons/day)2026-01-21T00:00:00Z 12:08:00
SMS'd mum @ 12:10pm
Previous claim history (3)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-19 | C09817844 | HYMENOPTERA STINGS (BEE, WASP) |
| 2026-01-05 | C09707640 | INSECT BITE(S) |
| 2026-01-05 | C09707640 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_amoxicillin | 48.02 | 2026-03-10 | — |
| 20000 | tstarc_consultation-revisit | 105.37 | 2026-03-10 | — |
UPM+
- DG00182ANAL SAC DISORDERDSTP_anal_sac_disorder
Variant (sleepy_king)
ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.980
Threshold: 0.54
Above: ✓
Correct?