C10024456 / invoice 20000
Species:CANINE
Breed:English Springer Spaniel
Age (years):8
Diagnosis or signs:anal gland issues
Consult notes
Animal clinical history (3 most recent)
2026-03-13T00:00:00Z 00:00 AM
Reason: Revisit - Anal Glands Appointment Notes: Overdue reminders/ms - moved time from yesterday...lozAnal glands are empty of pus for the firt time. Suspect infection under control, but based of previous swab results and high risk of resistance, will continue abs for another 2 weeks. Before starting probiotics to re pop bacteria. Vital Signs Weight: 30.9;
2026-03-10T00:00:00Z 00:00 AM
Reason: C& S results back from labBoth anal glands have a NEW bacteria present Citrobacter Freundii - RESISTANT to amoxyclav, but senstive to Doxy.Entercoccus faecalis and proteus mirabilis still present as previous and sensitive to amoxyclavE.Coli resolved.Plan: Entend course of amoxyclav and add in doxycyclineRevisit thursday to reassess and check dogLyn says anus is looking red again and dog panting a lot and looking uncomfortable.Considering specialist if needed. Vital Signs
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-03-05 | C09988727 | ANAL SAC DISORDER |
| 2026-02-25 | C09953306 | ANAL SAC DISORDER |
| 2026-02-25 | C09953306 | VACCINATIONS OR HEALTH CHECKS |
| 2026-02-24 | C09947685 | ANAL SAC DISORDER |
| 2026-02-17 | C09916990 | ANAL SAC DISORDER |
| 2026-02-13 | C09916750 | ANAL SAC DISORDER |
| 2026-01-22 | C09796556 | ANAL SAC DISORDER |
| 2026-01-12 | C09742995 | ANAL SAC DISORDER |
| 2026-01-07 | C09722742 | ANAL SAC DISORDER |
| 2025-12-18 | C09644153 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-12-01 | C09713703 | DERMATITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_procedure_fee_-_anal_sac_expression | 6.15 | 2026-03-13 | — |
| 20000 | tstarc_procedure_fee_-_anal_sac_expression | 6.80 | 2026-03-13 | — |
| 30000 | tstarc_procedure_fee_-_anal_sac_expression | 1.60 | 2026-03-13 | — |
| 40000 | tstarc_procedure_fee_-_anal_sac_expression | 35.55 | 2026-03-13 | — |
| 50000 | tstarc_antibiotics_-_doxycycline | 64.30 | 2026-03-13 | — |
| 60000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 124.62 | 2026-03-13 | — |
UPM+
- DG00185ANAL SAC INFECTIONDSTP_anal_sac_disorder
Variant (sleepy_king)
ANAL SAC DISORDER
DSTP_anal_sac_disorder
Conf: 0.980
Threshold: 0.54
Above: ✓
Correct?