C09984313 / invoice 10000

Species:CANINE
Breed:Labrador Retriever
Age (years):5
Diagnosis or signs:Hot spot
Consult notes
<p>H: few days has had itchy hotspot at base of tail dorsum<br/>O has already clipped surrounding fur and cleanign with salty water<br/>Using e-collar but poss too small as can still lick/chew spot with e-collar on<br/>Skin is less red now but area poss bit larger<br/>not irritated anywhere else, otherwise well<br/>has previous hx of hotspots<br/>utd bravecto<br/>E: BAR<br/>Integument<br/>Focal area approx 3-4cm diameter dorsal base of tail<br/>Dry scabby irritated skin<br/>clipped surrounding fur, cleaned with chlorhex<br/>A: hotspot<br/>P: Use larger e-collar<br/>Apex BID to hotspot<br/>O to continue cleaning with saline daily<br/>RV ini</p>

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 12:22:00
History:Last 5d - has had D+.Very often with the poops, around 3x today - from 3am itll now (12pm noon)Started off with yellow orange liquidyRecently has become more solid - with a lot of mucousTowards the end - couple of streaks of fresh blood in the mucousy bitsThis morning - V+ some foamOtherwise BAR, still wants to eat and drinkEDDU: Eating drink has been perfectly fine. Urination - less often than usual but still going fine.  Last solid poo ~5d ago.  Parasite control: Does 3 monthly Tx - esp wormingFeeding: Lyka, chicken, small amounts of salmon, egg. Diet hasn't changed - but might have picked up some stuff outsideTends to like possum poop, and if she's at the dog park will go for other doggies poopsUTD with vaxExamine:Behaviour: BAREyes: NADEars: NADNose: NADMouth: NAD  MM pink, CRT <2LN: NADHeart + lungs: Clear on auscultationSkin: NADAbdomen: Soft and comfortable on palpationMSK: NADAssessment:Dietary indescretion vs gastro Treatment:Metronidazole ~400mg 1.5 tab PO BID 7d+ pro-kolin paste 1hr after metroPlan:O was already on bland chicken and rice diet > swap to RC GI low fat OR Hills gastro biome for a few weeks, and then slowly change back to Lyka if she wantsNeeds dental - O is looking to book it in July when her vax is due and we can do both together, Ella is a bit scared of needles
2025-08-28T00:00:00Z 09:10:00
swollen red mucky eyes since ydaypawing at them this morningnot really squintingboth eyessimilar issue last yearmucoid dcchemosisalcaine appliedfluoro neg both eyesA: liekly allergic conjunctivitiisP: amacin bid both eyes
2025-07-18T00:00:00Z 09:29:00
H: been well, no concerns except for occ diarrhoea-  resolves on chicken and riceE: weight down 2kg - good weightteeth grade 1HR 80, panting, no murmur heardabdo palp okLN palpably normalears okno evidence of eye lump R eye anymoreA: vacc/HWP: C5 vacc given + 1.75ml afilaria inj sco is worming at home

Previous claim history (8)

DateClaim #Diagnosis
2026-03-04C09984301GASTROENTERITIS
2026-03-04C09984301PRESCRIPTION DIETS
2025-08-28C9149971CONJUNCTIVITIS
2024-08-06C7551117MASS/SWELLING - EYE (OPHTHALMIC) - PRESENTING COMPLAINT
2024-07-15C7465015VACCINATIONS
2024-07-15C7465015HEARTWORM CONTROL
2022-07-12C4915809MISCELLANEOUS CONDITIONS
2022-03-29C4915823MISCELLANEOUS CONDITIONS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation105.002024-06-11
20000tstarc_elizabethan_(buster)_collar46.592024-06-11
30000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory69.102024-06-11

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.840
Threshold: 0.25
Above:
Correct?