C09979494 / invoice 10000

Species:CANINE
Breed:Bull Terrier
Age (years):2
Diagnosis or signs:Revisit
Consult notes
03/03/2026 Revisit 2 weeks after Easotic application for Bilateral OE. 
Has started grooming LFL cranial antebrachium region from time to time, no redness or broken skin present
Have started apoquel 16mg course, skin has improved, no more itching. 

TPR WNL 

In-house ear cytology 
No yeast or bacteria visualised in either ear

Assessment 
Resolved bilateral OE

Plan 
Resume routine ear cleaning at home. Return if itching of ears or other OE symptoms come back 
Continue apoquel ongoing, monitor for return of ventrum redness or progression of any skin lesions 

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 15:37:38
Revisit 2 weeks after Easotic application for Bilateral OE. 
Has started grooming LFL cranial antebrachium region from time to time, no redness or broken skin present
Have started apoquel 16mg course, skin has improved, no more itching. 

TPR WNL 

In-house ear cytology 
No yeast or bacteria visualised in either ear

Assessment 
Resolved bilateral OE

Plan 
Resume routine ear cleaning at home. Return if itching of ears or other OE symptoms come back 
Continue apoquel ongoing, monitor for return of ventrum redness or progression of any skin lesions 
2026-02-16T00:00:00Z 11:26:51
Hx from SAC

Last visit in Dec 2025 - Pruritis, R ear OE, PMP + Cytopoint 40mg Injection 
Hx of inflamed skin/rashes/ OE starting Feb 2025 - Superficial dermatitis + underlying allergies (atopy) - Cephalexin and tapering pred
Prev treated with Cytopoint 40mg, multi-week use of Prednisolone
RHL MPL Grade 2-3 in July 2025, flat trochlear groove + L stifle mod tibial crest avulsion on xray --> Surgical correction of both stifles (RHL = V wedge trochleaoplasty, LHL = Tibial crest pin + Figure 8 tension band wire) 

Desexed Oct 2025 + repeat xrays of HL - L stifle no concern. Apparatus breakdown in RHL - Pin broken, but left in situ for now - remove if problem in the future

Previous claim history (11)

DateClaim #Diagnosis
2026-02-13C09901204HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-29C09685949EAR (AURAL) DISEASE
2025-12-29C09685949HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-10-02C9300261DESEXING
2025-10-02C9300261PATELLA LUXATION
2025-07-08C8942868PATELLA LUXATION - MEDIAL
2025-04-23C8619981DERMATITIS
2025-02-14C8331352ATOPY
2024-12-02C8021833PYODERMA
2024-12-02C8022099PYODERMA
2024-11-13C7942273CARPAL FRACTURE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit77.002026-03-03
20000tstarc_diagnostic_test_-_cytology103.402026-03-03

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.520
Threshold: 0.38
Above:
Correct?
Reason (correct)