C09972507 / invoice 10000

Species:CANINE
Breed:American Staffordshire Terrier Cross
Age (years):4
Diagnosis or signs:NQR
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>Seen Lola today o reports last few days been a bit quiet and lethargic maybe digging her bed a little has had a false pregnancy in the past. still DUDE as normal, o also noticed some mucousy discharge (clear on the photo) from her vulva. Last season in december. O keen to desex just hasnt gotten around to it. No chance that she is pregnant. <br><br>Exam BAR minimal exam due to temperment, vulva clear mucoid discharge swwabbed temp 38 <br><br>cytology <br>cocci present minimal neutrophils though so not sure if hugely relevant <br><br>Given risk of pyo decided to treat amoxyclav for a week and loxi for 3 days. <br><br>If not improving rv if all good in a week schedule desexing prior to next heat</p></html>

Animal clinical history (3 most recent)

2026-02-04T00:00:00Z 10:53:00
MeaganRevisit for Cytopointhas been working wellskin infections seen last time cleared up after cytopointhas had a recent heat - has developed mammary glands with some rash between the glandsrecc sudacrem between skin foldslimited exam - distance only due to behaviour but she was really god todayskin a little erythema under neck, axilla, between mammary glandsotherwise skin is goodotherwise healthy but putting on weight - cut back on feeding at homeGave 40mg cytopoint screpeat as needed, next time with nurserecommend to spey in 3 months timedeclined vaccinations today5/2 Routine cyctopoint no ncb today mc
2025-12-23T00:00:00Z 09:55:00
Verified: YesClient: MeaganHistory: Has been itching quite a lot and is currently on heat at the moment. Vulva quite large and swollen at the moment but should be coming off heat soon.Was initially weighed as 33kg but rechecked weight again and is in accordance with previous weight.O reports that she can be snappy when people touch her.Plan: - Administered cytopoint 40mg sc while O hugged Lola to body.- Took treats well after.Next cytopoint booked in 1mo with a vet.
2025-11-20T00:00:00Z 10:37:00
Verified: YesHISTORYPresenting for: cytopoint injeciton and skin revisitEXAMDiagnostics: Last Cytopoint injection was in June.ASSESSMENTApparently healthy - No concernsHas been itchy for a while and owner has been delaying cytopoint.worked well last timeSkin - Under ventrum is erythematous especially on left inguinal region and midlinesome papules and epidermal collarettes presentminimal hand on exam due to behaviourDiscussed cytopoin t again - may require topical antibiotics as looks like mild superficial skin infection as well probably staph given epidermal colalrettes.Owner declined topical creams currently as fearful she just licks them off.Plan40mg cytopoint sc todayOk to pick up antibiotic cream in 7 days if skin is not starting to improve. Recc thin layer and keep distracted/ hold head/pat for 10-15mins to prevent licking while it is absorbing into the skinrepeat cytopoint in 4 weeks with nurse21/11 - NCB: No answer, didn't leave VM - CH

Previous claim history (3)

DateClaim #Diagnosis
2026-02-04C09849981HYPERSENSITIVITY DISORDER (ALLERGY)
2025-04-09C8594636HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-11-28C8014075GASTROENTERITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation128.952026-03-02
20000tstarc_diagnostic_test_-_cytology120.952026-03-02
30000tstarc_meloxicam58.162026-03-02
40000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid90.432026-03-02

UPM+

  • DG01502PYOMETRADSTP_pyometra

Variant (sleepy_king)

DISCHARGE - VAGINAL - PRESENTING COMPLAINT
DSTP_clinical_signs_-_vaginal_discharge
Conf: 0.230
Threshold: 0.90
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description