C10031465 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):6
Diagnosis or signs:Checkup
Consult notes
14/03/2026 S  OS   muco purulent   discharge No previous eye issues 

   Peri limbal hyperaemia 
 epiphora
 IOP  18  
Nve stain uptake 
   Nve FB 
 Rx amacin  q 8h 
  

Animal clinical history (3 most recent)

2026-03-14T00:00:00Z 12:33:26
S  OS   muco purulent   discharge No previous eye issues 

   Peri limbal hyperaemia 
 epiphora
 IOP  18  
Nve stain uptake 
   Nve FB 
 Rx amacin  q 8h 
  
2025-07-17T00:00:00Z 14:10:48
Hx emailed to CPH as requested, approved by JL: SM
2025-05-28T00:00:00Z 16:04:28
H:
Here for vacc, no health concerns. Won't let O brush teeth, also won't eat chicken necks, dental chews etc. Regular diet - pet shop small breed dry dog food, tried dental diet for <10kg but refused to eat this. UTD Nexguard Spectra and t/w tab.

O:
HR 144 bpm, RR pant, chest ausc NSF
MM p<2, moist
Teeth grade 1-2 already
Eyes/ears NSF, no recurrence of cyst
LN's WNL
NAD abdo
Hips/stifles NSF
BCS 3/5
SKin/coat NSF
Anxious but very well behaved
GOod O

T:
BB IO and Pi2 s/c
Adv trying bigger kibble, feeding dry only, try raw chicken necks again when isolated in laundry etc
If won't eat, adv dental within the next six mths to stay on top of dental diz and to try to minimise teeth loss

Previous claim history (16)

DateClaim #Diagnosis
2024-12-19C8099237DENTAL (TOOTH) DISORDER
2024-12-19C8099237ADENOMA
2024-12-16C8087283ADENOMA
2024-12-03C8031175ADENOMA
2024-06-08C7329754LETHARGY - PRESENTING COMPLAINT
2024-04-15C7117169VACCINATIONS OR HEALTH CHECKS
2023-12-15C6655319COUGHING - PRESENTING COMPLAINT
2023-06-15C6043086DENTAL (TOOTH) DISORDER
2022-10-19C5229630GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-10-18C5211831GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-10-17C5207888GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT
2022-09-29C5145800GASTROINTESTINAL PROBLEMS
2022-04-27C4693711ANAL SAC ABSCESS
2022-04-24C4685023ABSCESS - ANAL GLAND
2021-05-26C3795642DENTAL ILLNESS TREATMENT
2020-10-02C3209864GASTROENTERITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-emergency/afterhours131.002026-03-14
20000tstarc_eye/ear_medication_-_amacin49.332026-03-14

UPM+

  • DG02070OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINTDSTP_clinical_signs_-_eye_abnormality

Variant (sleepy_king)

CONJUNCTIVITIS
DSTP_eyelid_-_conjunctivitis
Conf: 0.440
Threshold: 0.25
Above:
Correct?
Reason (correct)