C10019172 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):12
Diagnosis or signs:Checkup
Consult notes
12/03/2026 Reason: Recheck anal glands

History:
Was boarded at Mountains Vet for 4 nights
Last night was a bit relucent to eat but took meds and eventually finished food
Was scooting bum and acting painful
O wonders if she doesn't have regular BM when boarded
No v/d/s/c

Vital Signs: WNL

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 5/9
Rectal exam: AGE: R AG full of medication but still reactive to flushing; L AG full of thick purulent material

Assessment/Problem List:
Bilateral anal sacculitis, recurrent, L worse than R today

Treatment:
Flushed both AGs with saline 5ml each using 22G catheter tip 
Replaced PMP and infused 0.5ml in each AG

Plan:
Recheck in 1 week for another AGE +/- flush and infusion
O not going away for a few months so hopefully does not have issues with BM
- KM

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 09:59:50
Reason: Recheck anal glands

History:
Was boarded at Mountains Vet for 4 nights
Last night was a bit relucent to eat but took meds and eventually finished food
Was scooting bum and acting painful
O wonders if she doesn't have regular BM when boarded
No v/d/s/c

Vital Signs: WNL

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 5/9
Rectal exam: AGE: R AG full of medication but still reactive to flushing; L AG full of thick purulent material

Assessment/Problem List:
Bilateral anal sacculitis, recurrent, L worse than R today

Treatment:
Flushed both AGs with saline 5ml each using 22G catheter tip 
Replaced PMP and infused 0.5ml in each AG

Plan:
Recheck in 1 week for another AGE +/- flush and infusion
O not going away for a few months so hopefully does not have issues with BM
- KM

Previous claim history (15)

DateClaim #Diagnosis
2026-02-02C09838222ANAL SACCULITIS
2025-12-31C09693468ANAL SACCULITIS
2025-12-31C09693468HEART (CARDIAC) DISEASE
2025-12-24C09672773CONGESTIVE HEART FAILURE
2025-12-24C09672773ANAL SACCULITIS
2025-12-18C09645164ANAL SAC INFECTION
2025-12-02C09570990URINARY INCONTINENCE
2025-12-02C09570990CONGESTIVE HEART FAILURE
2016-09-13C0944522UROLITHIASIS - URINARY BLADDER
2016-09-07C0944522PATELLA LUXATION
2016-09-07C0944522CYSTITIS
2016-02-19C0751755SNEEZING - PRESENTING COMPLAINT
2016-02-16C0760104DYSPNOEA - WITHOUT COUGHING - PRESENTING COMPLAINT
2015-09-05C0614608KENNEL COUGH
2015-09-05C0620327RHINITIS, ALLERGIC

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit85.002026-03-12
20000tstarc_procedure_fee_-_anal_sac_expression32.002026-03-12

UPM+

  • DG00186ANAL SACCULITISDSTP_anal_sac_disorder

Variant (sleepy_king)

ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.990
Threshold: 0.54
Above:
Correct?