C09984696 / invoice 10000

Species:CANINE
Breed:Bull Terrier
Age (years):8
Diagnosis or signs:Check Up (General)
Consult notes
03/03/2026 - Presenting for: Marley, a dog, presenting for multiple pressure-induced ulcers that developed during a 5-week kennel stay and new focal swelling over a knuckle with recent bleeding from another lesion.
- Medical History:
    * Owner reports Marley stayed in a kennel for 5 weeks instead of the planned 3 weeks.
    * Owner observed multiple bulbous pressure-induced ulcers on elbows and both sides that were initially marble-sized and swollen; both sides burst and bled.
    * Owner has been applying antiseptic and a small amount of topical steroid cream to the sores; lesions have slowly reduced in size.
    * Owner noticed a new swollen bump over a knuckle that appeared yesterday; Marley is not scratching or shaking his head.
    * Owner suspects the sores developed from lying on concrete; unsure about bedding provided.
    * Owner notes Marley seemed emotionally subdued after the extended stay.
    * Owner is planning to travel again and arrange a dog sitter.

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 16:55:24
- Presenting for: Marley, a dog, presenting for multiple pressure-induced ulcers that developed during a 5-week kennel stay and new focal swelling over a knuckle with recent bleeding from another lesion.
- Medical History:
    * Owner reports Marley stayed in a kennel for 5 weeks instead of the planned 3 weeks.
    * Owner observed multiple bulbous pressure-induced ulcers on elbows and both sides that were initially marble-sized and swollen; both sides burst and bled.
    * Owner has been applying antiseptic and a small amount of topical steroid cream to the sores; lesions have slowly reduced in size.
    * Owner noticed a new swollen bump over a knuckle that appeared yesterday; Marley is not scratching or shaking his head.
    * Owner suspects the sores developed from lying on concrete; unsure about bedding provided.
    * Owner notes Marley seemed emotionally subdued after the extended stay.
    * Owner is planning to travel again and arrange a dog sitter.

Previous claim history (25)

DateClaim #Diagnosis
2025-12-15C09628671WOUND - PRESENTING COMPLAINT
2025-12-15C09628671CONJUNCTIVITIS
2025-11-28C09626851CONJUNCTIVITIS
2025-11-28C09626851WOUND
2025-11-28C09626851BEHAVIOUR DISORDER
2023-05-31C5948181MASS LESION - SKIN (CUTANEOUS)
2023-05-18C5905350MASS LESION - ABDOMINAL
2023-04-03C5751467MASS LESION - SKIN (CUTANEOUS)
2023-04-03C5751467ALLERGY
2022-07-21C4942461HEARTWORM CONTROL
2022-07-21C4942461VACCINATIONS OR HEALTH CHECKS
2022-05-19C4760457PAIN - OTHER - PRESENTING COMPLAINT
2022-02-08C4469409PYODERMA
2022-02-08C4469409OTITIS EXTERNA
2022-01-10C4383476OTITIS EXTERNA
2022-01-10C4383476PYODERMA
2021-08-30C4030775LIPOMA
2021-08-09C3973500LIPOMA
2021-07-08C3973497VACCINATIONS OR HEALTH CHECKS
2021-07-08C3973497HEARTWORM CONTROL
2020-07-27C3056637VACCINATIONS OR HEALTH CHECKS
2020-07-27C3056637HEARTWORM CONTROL
2020-06-15C2965154OTITIS EXTERNA
2020-06-15C2965154URINARY TRACT INFECTION (UTI)
2020-02-11C2719608MISCELLANEOUS CONDITIONS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit120.002026-03-03
20000tstarc_antibiotics_-_cephalexin42.502026-03-03
30000tstarc_corticosteroids26.002026-03-03
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal81.732026-03-03

UPM+

  • DG02124SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINTDSTP_skin_-_dermatitis

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.300
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description