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Lupa’s AI scribe listens to your exams and drafts the SOAP notes, drafts follow up emails, and automatically updates the patient record.
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Vaccines & Wellness Exam
Dr. Emma HartVetMorning, Sarah. So Luna's in for her annual vaccines today?
Yes, and she's been scratching at her left ear all week.
Dr. Emma HartVetTemp's 101.5, heart rate 96. Mucous membranes pink, CRT under two seconds.
Dr. Emma HartVetHeart and lungs clear on auscultation. She's 62.6 pounds, so BCS 6 out of 9.
Dr. Emma HartVetLeft ear canal is erythematous with a brown, waxy discharge. That's otitis externa.
Oh, poor girl. Is it anything serious?
Dr. Emma HartVetNot at all. I'll take a swab for cytology, then give her the DAPP and Lepto 4.
Clinical observations are automatically mapped
Vaccines & Wellness Exam
Subjective
History and Presentation: Presented for annual vaccines. Owner reports Luna has been scratching at her left ear for a week.
Objective
Physical Examination Findings:
- Weight: 62.6 lb (61.5 lb in April)
- Temperature: 101.5 °F
- Heart Rate: 96 bpm
- Mucous Membranes: Pink, CRT < 2 s
- Body Condition Score: 6/9
- Ears: Left canal erythematous with brown, waxy discharge
- Cardiovascular and Respiratory: Heart and lungs clear on auscultation
Assessment
Diagnosis: Otitis externa, left ear.
Differential Diagnosis: Bacterial or Malassezia otitis, pending cytology. History of atopic dermatitis.
Plan
Treatment: Left ear swab taken for cytology. DAPP and Lepto 4 vaccines given.
Follow-up: Confirm ear treatment once cytology results are back.
Add suggested medical diagnosis in one-click
Vaccines & Wellness Exam
Subjective
History and Presentation: Presented for annual vaccines. Owner reports Luna has been scratching at her left ear for a week.
Objective
Physical Examination Findings:
- Weight: 62.6 lb (61.5 lb in April)
- Temperature: 101.5 °F
- Heart Rate: 96 bpm
- Mucous Membranes: Pink, CRT < 2 s
- Body Condition Score: 6/9
- Ears: Left canal erythematous with brown, waxy discharge
- Cardiovascular and Respiratory: Heart and lungs clear on auscultation
Assessment
Diagnosis: Otitis externa, left ear.
Differential Diagnosis: Bacterial or Malassezia otitis, pending cytology. History of atopic dermatitis.
Plan
Treatment: Left ear swab taken for cytology. DAPP and Lepto 4 vaccines given.
Follow-up: Confirm ear treatment once cytology results are back.
And your AI Assistant drafts an email to send to the client
Review and send in one click.
Vaccines & Wellness Exam
Subjective
History and Presentation: Presented for annual vaccines. Owner reports Luna has been scratching at her left ear for a week.
Objective
Physical Examination Findings:
- Weight: 62.6 lb (61.5 lb in April)
- Temperature: 101.5 °F
- Heart Rate: 96 bpm
- Mucous Membranes: Pink, CRT < 2 s
- Body Condition Score: 6/9
- Ears: Left canal erythematous with brown, waxy discharge
- Cardiovascular and Respiratory: Heart and lungs clear on auscultation
Assessment
Diagnosis: Otitis externa, left ear.
Differential Diagnosis: Bacterial or Malassezia otitis, pending cytology. History of atopic dermatitis.
Plan
Treatment: Left ear swab taken for cytology. DAPP and Lepto 4 vaccines given.
Follow-up: Confirm ear treatment once cytology results are back.
AI AssistantOverview
6-year-old spayed female Golden Retriever. History of atopic dermatitis. Vaccinations up to date.
Recent visits
04/12/2026: tech weight check, 61.5 lb. 10/02/2025: vaccines and wellness exam, no concerns.
To keep an eye on
Gradual weight gain since 2024. Recurrent ear scratching with her atopy.
Hey! My name is Jerry, I am your personal AI assistant! 🚀
How can I help?
Draft a follow-up email to Sarah about today's visit
Here's a follow-up for Sarah Collins covering Luna's vaccines, her ear and what to watch for at home. Have a read, then open it in the email editor to send.
Hi Sarah, Thank you for bringing Luna in this morning. She was a superstar, as always. Her annual vaccines (DAPP and Lepto 4) are done, and the rest of her checkup was reassuring. Her temperature, heart and lungs were all normal. The scratching is coming from a mild infection in her left ear (otitis externa). I took a swab to look at under the microscope, so we can choose the right ear drops for her. I'll call you with the results and her treatment plan within 24 hours. Until then, please don't put anything in her ear. After her vaccines, Luna may be a little quiet or tender where she had the injections for a day or two. That's completely normal. Please call us if she seems unwell, goes off her food, or her ear becomes more painful, red or smelly. Her weight today was 62.6 lb, a little up since April. Nothing to worry about, and we're always happy to help with a simple weight plan if you'd like one. Her next vaccines are due in October 2027 and we'll send you a reminder. If you have any questions at all, just reply to this email or call us at (512) 555-0118. Warm wishes, Dr. Emma Hart Riverbank Pet Clinic
Jerry AI can make mistakes. Consider checking important information
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