C10010566 / invoice 10000

Species:CANINE
Breed:German Shepherd
Age (years):7
Diagnosis or signs:Check Skin
Consult notes
10/03/2026 Reason: Incisional Biospy

Physical Exam: See attached "Flowsheet Report"

Laboratory Results: Declined/See attached

Patient Assessment:

Patient Treatments:

Medications - See attached "Flowsheet Report"

IV Fluid Therapy - See attached "Flowsheet Report" 

Anaesthetic Record  -See attached "Smartflow Anaesthetic Sheet"

Surgical Record / Procedure Notes
  
Plan:
Medication to go home with:

Discharging Nurse/Vet:'

10/03/2026 OR still leaking & licking constantly
No improvement with pred

On gaba & traz for exam today
Perianal region inflammed, no obvious fistula but leaking blood tinged discharge


Adv next steps
- different ab
- swab for C&S
- or do biopsy

ddx - ongoing inflammation 2ndry to infection or allergies v anal furunculosis

O wants biopsy done today - adv we havent really got capacity but O insisted so managed to squeeze in

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 11:10:54
OR still leaking & licking constantly
No improvement with pred

On gaba & traz for exam today
Perianal region inflammed, no obvious fistula but leaking blood tinged discharge


Adv next steps
- different ab
- swab for C&S
- or do biopsy

ddx - ongoing inflammation 2ndry to infection or allergies v anal furunculosis

O wants biopsy done today - adv we havent really got capacity but O insisted so managed to squeeze in
2026-03-10T00:00:00Z 11:10:37
Reason: Incisional Biospy

Physical Exam: See attached "Flowsheet Report"

Laboratory Results: Declined/See attached

Patient Assessment:

Patient Treatments:

Medications - See attached "Flowsheet Report"

IV Fluid Therapy - See attached "Flowsheet Report" 

Anaesthetic Record  -See attached "Smartflow Anaesthetic Sheet"

Surgical Record / Procedure Notes
  
Plan:
Medication to go home with:

Discharging Nurse/Vet:'

Previous claim history (12)

DateClaim #Diagnosis
2026-03-06C09997399PRURITUS - PRESENTING COMPLAINT
2026-03-03C09978799ANAL SACCULITIS
2026-02-22C09940204ANAL SACCULITIS
2026-01-24C09866700PANNUS - BILATERAL
2026-01-23C09802738VACCINATIONS OR HEALTH CHECKS
2025-12-19C09654542PANNUS - BILATERAL
2021-03-02C3561253VACCINATIONS OR HEALTH CHECKS
2021-03-02C3561253OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2020-07-14C3029376EAR INFECTION
2020-07-14C3073817EAR INFECTION
2020-06-16C2968041ABSCESS
2020-05-22C2978909ABSCESS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit91.002026-03-10
20000tstarc_surgery_fee690.002026-03-10
30000tstarc_diagnostic_test_-_histopathology397.042026-03-10
40000tstarc_anticonvulsant_medication_-_gabapentin64.902026-03-10
50000tstarc_antibiotics_-_clindamycin231.202026-03-10
60000tstarc_diagnostic_test_-_culture_and_sensitivity254.762026-03-10
70000tstarc_trazodone39.822026-03-10

UPM+

  • DG02109PRURITUS - PRESENTING COMPLAINTDSTP_clinical_signs_-_pruritus

Variant (sleepy_king)

ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.510
Threshold: 0.54
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description