C09977944 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):5
Diagnosis or signs:Consultation
Consult notes
02/03/2026 REASON: Hotspot on backside
Nurse: SP
Presented by: Julie
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
Itchy and over last 2 weeks aggressively scratching and biting bottom, redness and broken skin
Advantage Flea tx given 1 day ago
Dandruff in coat
Swims in shell pool at home once weekly
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
Lanolin 0.8ml to both ears once weekly
Zyrtec 1 tablet SID
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 6
DS (0-4): - 

T: -
P: 100
R: n

APPEARANCE/DEMEANOUR: BAR
SKIN & COAT: 5cm diameter alopecia area right side of lumbar spine, just dorsal to tail base. heat noted and dandruffs
Skin cytology - no infectious agents, no mites noted 
EARS: n
EYES: n
ORAL: - 
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
pruritus 
alopecia 
erythematous 
heat felt on the area 

Ddxi:
flea allergy dermatitis
allergies
secondary infection  

Further Procedure & Diagnostic Needs [Client Response]:
skin cytology [x] 

Medication:
Amoxyclav 500mg 1 tablet BID (x)
Neocort (x)
Apoquel 16mg 1 tablet BID (x)

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
Rev 1 week recheck skin 
Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 17:43:20
REASON: Hotspot on backside
Nurse: SP
Presented by: Julie
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
Itchy and over last 2 weeks aggressively scratching and biting bottom, redness and broken skin
Advantage Flea tx given 1 day ago
Dandruff in coat
Swims in shell pool at home once weekly
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
Lanolin 0.8ml to both ears once weekly
Zyrtec 1 tablet SID
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 6
DS (0-4): - 

T: -
P: 100
R: n

APPEARANCE/DEMEANOUR: BAR
SKIN & COAT: 5cm diameter alopecia area right side of lumbar spine, just dorsal to tail base. heat noted and dandruffs
Skin cytology - no infectious agents, no mites noted 
EARS: n
EYES: n
ORAL: - 
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
pruritus 
alopecia 
erythematous 
heat felt on the area 

Ddxi:
flea allergy dermatitis
allergies
secondary infection  

Further Procedure & Diagnostic Needs [Client Response]:
skin cytology [x] 

Medication:
Amoxyclav 500mg 1 tablet BID (x)
Neocort (x)
Apoquel 16mg 1 tablet BID (x)

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
Rev 1 week recheck skin 
Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder

Previous claim history (23)

DateClaim #Diagnosis
2025-12-15C09628770VACCINATIONS OR HEALTH CHECKS
2025-12-15C09628770EAR INFECTION
2025-12-15C09628770HEARTWORM CONTROL
2022-12-15C5398898VACCINATIONS OR HEALTH CHECKS
2022-04-08C4722171BLOOD SCREEN
2022-04-08C4722171DESEXING
2022-04-08C4722171ALTERNATIVE THERAPIES
2022-03-18C4589463EAR CONDITIONS
2022-03-11C4562009DISCHARGE - VAGINAL - PRESENTING COMPLAINT
2022-03-11C4562009ALLERGY
2022-03-03C4541838EAR INFECTION
2022-02-23C4516038BEHAVIOURAL THERAPY
2022-02-22C4516038EAR INFECTION
2021-12-24C4349193ALLERGY
2021-12-24C4349193PRESCRIPTION DIETS
2021-12-17C4332091EAR INFECTION
2021-12-17C4332091VACCINATIONS OR HEALTH CHECKS
2021-12-17C4332091BEHAVIOURAL THERAPY
2021-12-17C4332091PRESCRIPTION DIETS
2021-12-09C4306665EAR INFECTION
2021-11-29C4277090EAR INFECTION
2021-04-16C3678220PRURITUS - PRESENTING COMPLAINT
2020-12-31C3411598VAGINITIS, JUVENILE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation101.602026-03-02
20000tstarc_diagnostic_test_-_cytology75.672026-03-02
30000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid62.332026-03-02
40000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory23.792026-03-02
50000tstarc_skin_medication_-_apoquel73.622026-03-02

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.620
Threshold: 0.38
Above:
Correct?