C09991896 / invoice 10000
Species:CANINE
Breed:Boxer Cross
Age (years):9
Diagnosis or signs:Vaccination
Consult notes
28/02/2026 REASON - lepto vaccine booster and cytopoint inj, recheck skin HISTORY - Skin is definitely less red, haven't been consistent with applying cream/medicated shampoo Os haven't noticed licking as much - seems less itchy Were planning to book in surgery for lump removal and dental, want to check skin is healthy before booking in Due for lepto vaccine booster and cytopoint inj today EDUD normal and consistent, no recent v/d/c/s Parasite prevention - Nexgard Spectra monthly UTD Current medications: 4cyte daily EXAMINATION - BAR BCS 6/9 HR: 128bpm nil cardiac murmur/arrhythmia ausculted RR: panting nad CRT: 1 sec TEMP: not assessed MM: pink & moist EENT: mild erythema both inner pinnae, nil discharge or other abnormalities noted ORAL EXAM: attrition of all four canines and wear of incisors, grade 2-3/4 periodontal disease (moderate-marked gingivitis associated with caudal teeth) MUSCULOSKELETAL SYSTEM: not assessed, ambulation normal in consult SKIN: mass L flank ~1cm diameter, slightly crusty but skin surrounding mass looks grossly healthy. Focal patchy erythema and lichenification in L inguinal skin fold. Ventral abdomen and perineal skin otherwise has mild erythema only. Various small, raised, red lesions consistent with cutaneous haemangioma-type masses on inguinal skin and medial surfaces of both HLs ABDOMINAL PALPATION: not performed ASSESSMENT - Reported improvement in skin apperance and pruritus since last visit Mass L flank, history of MCT removed previously, multiple small actinic skin changes/haemangiomas warrant removal Periodontal disease and wear of dentition Rx: Nobivac leptospirosis vaccine given SC Batch A003A01 exp 10/2026 Cytopoint 40mg given SC Batch 836645 exp 02/2027 PLAN - Booked in for surgical removal of mass on L flank and as many of small haemangioma-type lesions as feasibly possible (advised Os that will likely develop more in future but can become malignant so want to remove as many as we can), dental simultaneously - estimate has already been provided for this Advised Os to use malaseb to bathe skin of ventral abdomen and HLs at least once (ideally twice) before surgery
Animal clinical history (3 most recent)
2026-02-28T00:00:00Z 09:17:27
REASON - lepto vaccine booster and cytopoint inj, recheck skin HISTORY - Skin is definitely less red, haven't been consistent with applying cream/medicated shampoo Os haven't noticed licking as much - seems less itchy Were planning to book in surgery for lump removal and dental, want to check skin is healthy before booking in Due for lepto vaccine booster and cytopoint inj today EDUD normal and consistent, no recent v/d/c/s Parasite prevention - Nexgard Spectra monthly UTD Current medications: 4cyte daily EXAMINATION - BAR BCS 6/9 HR: 128bpm nil cardiac murmur/arrhythmia ausculted RR: panting nad CRT: 1 sec TEMP: not assessed MM: pink & moist EENT: mild erythema both inner pinnae, nil discharge or other abnormalities noted ORAL EXAM: attrition of all four canines and wear of incisors, grade 2-3/4 periodontal disease (moderate-marked gingivitis associated with caudal teeth) MUSCULOSKELETAL SYSTEM: not assessed, ambulation normal in consult SKIN: mass L flank ~1cm diameter, slightly crusty but skin surrounding mass looks grossly healthy. Focal patchy erythema and lichenification in L inguinal skin fold. Ventral abdomen and perineal skin otherwise has mild erythema only. Various small, raised, red lesions consistent with cutaneous haemangioma-type masses on inguinal skin and medial surfaces of both HLs ABDOMINAL PALPATION: not performed ASSESSMENT - Reported improvement in skin apperance and pruritus since last visit Mass L flank, history of MCT removed previously, multiple small actinic skin changes/haemangiomas warrant removal Periodontal disease and wear of dentition Rx: Nobivac leptospirosis vaccine given SC Batch A003A01 exp 10/2026 Cytopoint 40mg given SC Batch 836645 exp 02/2027 PLAN - Booked in for surgical removal of mass on L flank and as many of small haemangioma-type lesions as feasibly possible (advised Os that will likely develop more in future but can become malignant so want to remove as many as we can), dental simultaneously - estimate has already been provided for this Advised Os to use malaseb to bathe skin of ventral abdomen and HLs at least once (ideally twice) before surgery
Previous claim history (17)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-24 | C09805216 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2026-01-24 | C09805216 | VACCINATIONS OR HEALTH CHECKS |
| 2021-09-03 | C4041335 | ALLERGY |
| 2021-04-10 | C3655149 | ALLERGY |
| 2021-03-09 | C3576834 | ALLERGY |
| 2020-12-22 | C3413571 | VACCINATIONS OR HEALTH CHECKS |
| 2020-05-27 | C3185526 | MASS LESION - LIMB, UPPER |
| 2020-01-18 | C3185526 | VACCINATIONS OR HEALTH CHECKS |
| 2019-11-07 | C2536729 | SOFT TISSUE INJURY |
| 2019-10-14 | C2504297 | CYST |
| 2019-07-25 | C2504272 | MASS LESION |
| 2019-05-18 | C2236617 | MASS LESION - LIMB, LOWER |
| 2019-04-26 | C2205269 | MASS LESION - LIMB, UPPER |
| 2019-03-09 | C2120219 | ANAL IRRITATION - PRESENTING COMPLAINT |
| 2019-03-09 | C2120219 | HEARTWORM TEST OR BLOOD SCREEN |
| 2019-03-09 | C2120226 | ANAL IRRITATION - PRESENTING COMPLAINT |
| 2019-03-09 | C2120226 | HEARTWORM TEST OR BLOOD SCREEN |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 78.00 | 2026-02-28 | — |
| 20000 | tstarc_skin_medication_-_cytopoint | 216.61 | 2026-02-28 | — |
| 30000 | tstarc_vaccination_(canine) | 60.50 | 2026-02-28 | upstreamDSTP_routine_care_-_vaccinations_or_health_checks |
UPM+
- DG02932VACCINATIONS OR HEALTH CHECKSDSTP_routine_care_-_vaccinations_or_health_checks
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.300
Threshold: 0.38
Above: ✗
Correct?