C09987010 / invoice 10000

Reviewer

Species:CANINE

Breed:Pug

Age (years):8

Diagnosis or signs:consultation

Consult notes

27/02/2026 Reason:  Sore on face. 
History: Has developed a sore on L cheek and is now scratching it.
Has multiple allergies (Chicken, Beef, tobacco, dust) Now doing much better after starting Lyka kangaroo food. 

Current medications:  No

What Preventative health cover is being used and do you need to purchase any today?
Vaccination:  due
Worming: DUE
Flea control: due
Heartworm Prevention: due

Examine: 
Mentation:  BAR
Body condition score:  4/5
MM: Pink               CRT:  <2sec
HR: 150                RR: panting
LN: NAF
Temperature: NT - getting agitated. 

Ocular: NAF
Oral/Dental stage: 3/4  Recommend COHAT. 
Ears: NAF
Cardiovascular: NAF
Respiratory: NAF
Gastrointestinal:  NAF
Integumentary & lumps (measurement, location): Deep pyoderma on L cheek. 
Musculoskeletal: Luxating patellas. Very straight stifles. 
Urogenital: NAF
Neurological: NAF

Problem List: Deep pyoderma. 

Assessment:  Some pus and slightly painful. 

Treatment:  Clavulox  and  apoquel

Plan:  Tx pyoderma and start cytopoint when under control. 

On-going medications required: Y/N (use prescription tab for further supply):  No

Followup:  2 weeks.

Animal clinical history (3 most recent)

2026-02-27T00:00:00Z 09:49:19

Reason:  Sore on face. 
History: Has developed a sore on L cheek and is now scratching it.
Has multiple allergies (Chicken, Beef, tobacco, dust) Now doing much better after starting Lyka kangaroo food. 

Current medications:  No

What Preventative health cover is being used and do you need to purchase any today?
Vaccination:  due
Worming: DUE
Flea control: due
Heartworm Prevention: due

Examine: 
Mentation:  BAR
Body condition score:  4/5
MM: Pink               CRT:  <2sec
HR: 150                RR: panting
LN: NAF
Temperature: NT - getting agitated. 

Ocular: NAF
Oral/Dental stage: 3/4  Recommend COHAT. 
Ears: NAF
Cardiovascular: NAF
Respiratory: NAF
Gastrointestinal:  NAF
Integumentary & lumps (measurement, location): Deep pyoderma on L cheek. 
Musculoskeletal: Luxating patellas. Very straight stifles. 
Urogenital: NAF
Neurological: NAF

Problem List: Deep pyoderma. 

Assessment:  Some pus and slightly painful. 

Treatment:  Clavulox  and  apoquel

Plan:  Tx pyoderma and start cytopoint when under control. 

On-going medications required: Y/N (use prescription tab for further supply):  No

Followup:  2 weeks.

Previous claim history

Date	Claim #	Diagnosis
No prior claims.

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	109.00	2026-02-27	—
20000	tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid	76.56	2026-02-27	—
30000	tstarc_skin_medication_-_apoquel	211.10	2026-02-27	—
40000	tstarc_diagnostic_test_-_cytology	68.00	2026-02-27	—

UPM+

DG02323HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER - ATOPIC DERMATITISDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.740

Threshold: 0.38

Above: ✓

Correct?

Yes No