C10022205 / invoice 10000

Species:CANINE
Breed:Spoodle
Age (years):1
Diagnosis or signs:R eye gunky - conjunctivitis
Consult notes
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<p>REASOON: gunky eye 1 day<br><br>HX: discharge from RIGHT eye started last night or this morning, didnt see anything unusual yesterday afternoon<br>Staying with sister in law (she is the owner Abbey) but gets dog-sat by Despina (who is with her today)<br>Doesnt seem to be bothered, no rubbing, acting normally<br>was clipped on the weekend (4 - 5 days ago ) at dog groomer<br>Has recovered from her kennel cough episode<br>O says more anxious arond other dogs and oeople since been isolated for past few weeks - 'social anxity' as she put  it<br><br>EX: <br>RIGHTH eye affected only<br>growly as approached, nurse assist, took v slowly but extremely wary and touchy, scared<br>direct light source - no scleral injection, no swellings, third eyelid normal, cornea cleae. <br>Muco purulent greeny yellow medial canthus discharge<br>flourescein negativee 9a challenge to get drop i)<br><br>ASSESS: conjunctivitis<br>warn O may spread to other eye<br>can be contagious to other dogs<br><br>MEDS:<br>dexadresson 0.7 ml s/c<br>Optichlor 5 mm strip TID for 7 days<br>to bathe away any discharges with weak salty water (1/4 tsp salt in 1 cup warm water) and makeup remover pads<br>can use in other eye as well if similarly affected<br><br>O was aksing re weight as was told last visit had gained to much condition<br>seems normal to me BCS 5/9</p>
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Animal clinical history (3 most recent)

2026-02-11T00:00:00Z 15:50:00
hx:Gagging around 5am this morning and a lot todayLast dose of nexgard spectra was 22.01.26Bright and happy otherwiseWalking around ok Does not get bonesNo diarrhoeaGagging coughing and brought up a small amount of rice this atternoonGoes to a family members every tuesday and thursday and goes crazy - then very tired after thishas brought up some water as wellstays on lead the whole timeexamination:peripheral LNs - enlarged submandibular LNs, around pea sizetemp 38.92MM pink and moistoral cavity NADchest clearHR 100b/min no murmur or arrhythmiachest clearabdominal palpation comfortableassessmentinfectious upper resp tract infection/inflammation suspectedtreatmentmeloxicam s/chome on codeine 30mg BID as needed and meloxicam SID q 3-5 daysplanrecheck as needed
2026-02-11T00:00:00Z 11:49:00
O called 11.50amZiggy had a big day yesterday(very active and running with other dogs). Today she vomited 2 times a little bit of saliva and didn't eat her breakfast but still very energetic and happy. Adv to monitor her for this afternoon, if any more V+, D+ or gets lethargic to bring her in.
2025-12-22T00:00:00Z 15:59:00
Is on lyka and some dry foodEDDU all ok at homeon mixed parasite controleyes/ears normalMM pink and moistdentition - upper 8s have calculus and some plaque mild Grest of teeth greatlocal LNs normalheart/lungs NADabdominal palpation NADBCS 3/5Duramune C3 5262011 exp 19.02.27 Protech C2i 3291022 exp 09.07.26KC intranasal 2434515 exo 06.27Mariana held for thisrecommended t/d 5 pieces per day (emailed this ) -reduce normal foodemailed wsava brushingemailed VOHCrecheck teeth 4 months INI then COHAT

Previous claim history (2)

DateClaim #Diagnosis
2026-02-11C09888596RESPIRATORY TRACT INFECTION, UPPER (URTI)
2025-04-07C8556269VOMITING - OTHER - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation123.502026-03-12
20000tstarc_diagnostic_test_-_fluorescein_eye_stain27.702026-03-12
30000tstarc_corticosteroid_injection56.622026-03-12
40000tstarc_eye_medication_-_antibiotics_and_anti-inflammatory49.012026-03-12

UPM+

  • DG00512CONJUNCTIVITISDSTP_eyelid_-_conjunctivitis

Variant (sleepy_king)

CONJUNCTIVITIS
DSTP_eyelid_-_conjunctivitis
Conf: 0.820
Threshold: 0.25
Above:
Correct?