C10028249 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavalier King Charles Spaniel

Age (years):11

Diagnosis or signs:Checkup

Consult notes

13/03/2026 In today for check of eyes, jumped onto bed during the night and O reached out to pat her and poked her in the eyes, O unsure which eye.
Otherwise going OK.
Codeine helping keep cough at bay but still coughing.
EDUF normal.
Otherwise well.
O has not instilled eye meds to R eye (previous issue, see Hx) as didn't want to in case was one she poked.

PE:
Mentation: BAR
BCS: 5/9
EENT: R eye corneal graft and cyst, slight blepharospasm, L eye NAD grossly
LNs: all WNL
HR: 108, murmur unchanged
RR: panting, lungs clear
Abdomen: comfortable

Assessment:
Both eyes fluorosceine -ve.

Plan:
O OK to continue current eye meds.
Monitor, if seems uncomfortable then re-check.

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 12:08:35

In today for check of eyes, jumped onto bed during the night and O reached out to pat her and poked her in the eyes, O unsure which eye.
Otherwise going OK.
Codeine helping keep cough at bay but still coughing.
EDUF normal.
Otherwise well.
O has not instilled eye meds to R eye (previous issue, see Hx) as didn't want to in case was one she poked.

PE:
Mentation: BAR
BCS: 5/9
EENT: R eye corneal graft and cyst, slight blepharospasm, L eye NAD grossly
LNs: all WNL
HR: 108, murmur unchanged
RR: panting, lungs clear
Abdomen: comfortable

Assessment:
Both eyes fluorosceine -ve.

Plan:
O OK to continue current eye meds.
Monitor, if seems uncomfortable then re-check.

Previous claim history (26)

Date	Claim #	Diagnosis
2026-03-05	C09998945	COUGHING - PRESENTING COMPLAINT
2026-02-04	C09870526	HEART (CARDIAC) VALVE DISORDER
2026-01-08	C09730140	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-01-07	C09730140	COUGHING - PRESENTING COMPLAINT
2025-12-09	C09619367	HEART (CARDIAC) VALVE DISORDER
2025-07-29	C09868085	CORNEAL ULCER
2018-11-07	C1915286	CORNEAL ULCER
2018-11-07	C1915286	GASTROENTERITIS
2018-11-05	C1911165	CORNEAL ULCER
2018-09-27	C1873826	SCOOTING
2018-09-01	C1874016	SCOOTING
2018-03-15	C1579792	EAR CONDITIONS
2018-03-15	C1579792	ANAL SAC DISORDER
2017-12-30	C1538423	GASTROENTERITIS
2017-11-18	C1445106	VOMITION & DIARRHOEA
2017-08-16	C1396255	ANAL SAC IMPACTION
2017-05-23	C1268529	ANAL SAC IMPACTION
2017-02-19	C1102856	VOMITING - PRESUMED SELF-LIMITING
2016-11-02	C1011542	HEARTWORM CONTROL
2016-11-02	C1011542	FLEA/TICK/WORM CONTROL
2016-10-27	C1011542	ANAL SAC ABSCESS
2016-10-15	C0996515	ANAL SAC ABSCESS
2016-08-21	C0921756	ALLERGIC REACTION
2016-06-08	C0845952	VAGINITIS
2016-05-21	C0845952	URINARY TRACT INFECTION (UTI)
2015-12-14	C0694001	INSECT BITE/STING

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	140.00	2026-03-13	—

UPM+

DG02070OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINTDSTP_clinical_signs_-_eye_abnormality

Variant (sleepy_king)

COUGHING - PRESENTING COMPLAINT

DSTP_clinical_signs_-_coughing

Conf: 0.690

Threshold: 0.40

Above: ✓

Correct?

Yes No

Acceptable?

Acceptable?Not acceptable — misleading outcome to client but no financial impactNot acceptable — potential financial impact

Reason (not acceptable — misleading)

Diagnosis description