C09976252 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):4
Diagnosis or signs:Checkup
Consult notes
03/03/2026 Reason: hot spot under on R neck

History:
started a few days ago, scratching with HL
prev to this had wound RH rump but has healed 
other cavoodle at home NO issues 

Vital Signs:
Temperature: DNT
Heart Rate: 140 bpm 
Pulse rate: 140
Pulse character: strong and synchronous. 
Respiration Rate: pant
MM: pink moist
CRT: 1 sec

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 3.25/5
Eyes: NAD
Ears: NAD
Nose: NAD
Oral Cavity: 1/4 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal, auscultation normal
Abdomen: comfortable, NAD
Musculoskeletal: NAD
Neurological: normal mentation
Integument: R vale superficial moist dermatitis 5 cm diameter 
Peripheral LNs: Normal size, symmetrical
Urogenital: NAD
Rectal exam: not performed

Plan:
rec dental S&P
Cephalexin 200 mg PO BID, 7 days 
rec loose cotton scarf (made of a baby singlet, adult cotton sleeve) etc 

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 08:20:36
Reason: hot spot under on R neck

History:
started a few days ago, scratching with HL
prev to this had wound RH rump but has healed 
other cavoodle at home NO issues 

Vital Signs:
Temperature: DNT
Heart Rate: 140 bpm 
Pulse rate: 140
Pulse character: strong and synchronous. 
Respiration Rate: pant
MM: pink moist
CRT: 1 sec

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 3.25/5
Eyes: NAD
Ears: NAD
Nose: NAD
Oral Cavity: 1/4 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal, auscultation normal
Abdomen: comfortable, NAD
Musculoskeletal: NAD
Neurological: normal mentation
Integument: R vale superficial moist dermatitis 5 cm diameter 
Peripheral LNs: Normal size, symmetrical
Urogenital: NAD
Rectal exam: not performed

Plan:
rec dental S&P
Cephalexin 200 mg PO BID, 7 days 
rec loose cotton scarf (made of a baby singlet, adult cotton sleeve) etc 
2025-10-17T00:00:00Z 08:52:41
Reason: C2i booster

History: EDDU normally, doing really well after dental sx. No other issues

Vital Signs:
All vitals wnl

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS 3/5
Eyes: NAD
Ears: NAD
Nose: NAD
Oral Cavity: not assessed 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal , auscultation normal
Abdomen: NAD
Musculoskeletal: normal gait 
Neurological: normal mentation
Integument: NAD
Peripheral LNs:Normal size, symmetrical
Urogenital: not assessed
Rectal exam: not performed

Assessment/Problem List: nil

DDx: OK for vacc

Treatment: inj. C2i SC

Plan: Annual vacc
2025-09-30T00:00:00Z 13:52:46
COMMS: Called O to check on Winston - Doing well, Demeanour & EDDU normal, no concerns re mouth. - RKW

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation95.002026-03-03
20000tstarc_antibiotics_-_cephalexin29.802026-03-03

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.970
Threshold: 0.25
Above:
Correct?