C09979192 / invoice 10000
Species:CANINE
Breed:American Staffordshire Terrier
Age (years):7
Diagnosis or signs:Ears
Consult notes
R ear HISTORY Presenting for: Mazey presented for ear issues and skin problems Historical Conditions: Cytopoint for allergic skin condition monthly. Skin: History of chronic allergic skin condition, currently on Cytopoint injections which work reasonably well but may not be controlling current flare adequately ears - right ear itchy, shaking head well otherwise Current Meds: Cytopoint monthly EXAM mm pink, crt<1s, HR 92 bpm lung sound snad Ears: Right ear - moderate redness in canal with moderate dark brown discharge . Left ear - mild erythema present Integumentary: perivulvar dermatitis, dermatitis caudal abdomen left mammary chain from mid abdomen caudal diffusely swollen - no discrete masses feels like oedema. ASSESSMENT R ear OE likely malassezia L mild OE periulvar dermatitis - Secondary to allergic skin condition and licking behaviour mammary swelling - trauma, inflammation? PLAN New Meds/Tx: R ear - 1.5 ml PMP daily 14 days Otoflush - ear wash for both ear daily for 5 days, then twice weekly Apoquel 16mg tablets bid 7 days cytopoint - when due Client Comms: - Recheck appointment scheduled in 10-14 days to assess treatment response and ear condition, cytopoint, recheck mammary chain - Monitor for any worsening of symptoms during treatment period
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 11:42:00
R ear HISTORY Presenting for: Mazey presented for ear issues and skin problems Historical Conditions: Cytopoint for allergic skin condition monthly. Skin: History of chronic allergic skin condition, currently on Cytopoint injections which work reasonably well but may not be controlling current flare adequately ears - right ear itchy, shaking head well otherwise Current Meds: Cytopoint monthly EXAM mm pink, crt<1s, HR 92 bpm lung sound snad Ears: Right ear - moderate redness in canal with moderate dark brown discharge . Left ear - mild erythema present Integumentary: perivulvar dermatitis, dermatitis caudal abdomen left mammary chain from mid abdomen caudal diffusely swollen - no discrete masses feels like oedema. ASSESSMENT R ear OE likely malassezia L mild OE periulvar dermatitis - Secondary to allergic skin condition and licking behaviour mammary swelling - trauma, inflammation? PLAN New Meds/Tx: R ear - 1.5 ml PMP daily 14 days Otoflush - ear wash for both ear daily for 5 days, then twice weekly Apoquel 16mg tablets bid 7 days cytopoint - when due Client Comms: - Recheck appointment scheduled in 10-14 days to assess treatment response and ear condition, cytopoint, recheck mammary chain - Monitor for any worsening of symptoms during treatment period
Previous claim history (17)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-17 | C09919840 | CONSTIPATION |
| 2026-01-17 | C09774146 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-12-20 | C09655047 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2023-05-05 | C5904046 | ATOPY |
| 2023-03-01 | C5642852 | CYST |
| 2023-03-01 | C5642852 | ALLERGY |
| 2022-11-10 | C5280215 | MISCELLANEOUS CONDITIONS |
| 2022-10-06 | C5173867 | ATOPY |
| 2022-07-29 | C4967545 | ATOPY |
| 2022-02-09 | C4497105 | DESEXING |
| 2022-02-09 | C4497105 | VACCINATIONS OR HEALTH CHECKS |
| 2022-02-09 | C4497105 | ATOPY |
| 2021-02-04 | C3571311 | ATOPY |
| 2021-02-04 | C3571311 | VACCINATIONS OR HEALTH CHECKS |
| 2021-01-29 | C3514850 | VOMITION & DIARRHOEA |
| 2021-01-29 | C3514857 | VOMITION & DIARRHOEA |
| 2020-11-05 | C3511491 | PYODERMA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 123.00 | 2026-03-03 | — |
| 20000 | tstarc_ear_medication_-_antibacterial | 67.40 | 2026-03-03 | — |
| 30000 | tstarc_ear_cleaner | 29.85 | 2026-03-03 | — |
| 40000 | tstarc_skin_medication_-_apoquel | 108.30 | 2026-03-03 | — |
| 50000 | tstarc_unrelated_treatment | 28.75 | 2026-03-03 | upstreamDSTP_general_exclusion |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.630
Threshold: 0.38
Above: ✓
Correct?