C09992259 / invoice 10000
Species:CANINE
Breed:Labrador
Age (years):4
Diagnosis or signs:Consult and treatment
Consult notes
Due for deworrming Eating pet shop grade fish flavoured kibble, apple, veggies, seasonal component to allergies Will start using Apoquel more long term in summer months History: other than itchy skin going great at home, EDDU all okay, Cleaning with antiseptic powder at home Discussed atopic dermatitis and management plan - apoquel vs zenrelia vs cytopoint as long trm plan Will touh base in two weeks to formulate plan
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 3:30?pm
Due for deworrming Eating pet shop grade fish flavoured kibble, apple, veggies, seasonal component to allergies Will start using Apoquel more long term in summer months History: other than itchy skin going great at home, EDDU all okay, Cleaning with antiseptic powder at home Discussed atopic dermatitis and management plan - apoquel vs zenrelia vs cytopoint as long trm plan Will touh base in two weeks to formulate plan Vital Signs
2025-12-23T00:00:00Z 11:37?am
HISTORYScratching head- sore on head notedAlso scratching ears.Current medication- Apoquel 16mg SID as neededEXAMVery excitedHot spot lesion- mid dorsal head area superficial pyoderma (approx 1.5cm diameter)Ears- right? ear- otitis externa. Cytology: rods ++, yeast ++ (sorry I can't remember which ear)TREATMENTApplied pyohex to hot spot on forehead- rinsedInstilled 1ml Poloxamer into affected ear.Amoxyclav 500mg PO BID for 5 daysRecommend restart Apoquel 16mg PO BID for 5 days then SIDrecommend recheck ear in 10-14 days Vital Signs
2025-11-07T00:00:00Z 10:54?am
Vital Signs
Previous claim history (10)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-23 | C09784288 | EAR INFECTION |
| 2025-12-23 | C09784288 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-05-05 | C8843236 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-03-10 | C8511407 | EAR INFECTION |
| 2025-03-10 | C8511407 | ATOPY |
| 2024-11-05 | C7994164 | SEIZURE(S) - PRESENTING COMPLAINT |
| 2024-02-08 | C6926688 | ANAL SAC DISORDER |
| 2024-02-08 | C6926688 | ATOPY |
| 2024-02-08 | C7700625 | ANAL SAC DISORDER |
| 2024-02-08 | C7700625 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 77.69 | 2026-03-05 | — |
| 20000 | tstarc_flea,_intestinal_worm_and_heartworm_control | 31.20 | 2026-03-05 | upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 131.30 | 2026-03-05 | — |
| 40000 | tstarc_consultation | 140.00 | 2026-03-05 | — |
| 50000 | tstarc_diagnostic_test_-_cytology | 55.00 | 2026-03-05 | — |
| 60000 | tstarc_vaccination_(canine) | 70.00 | 2026-03-05 | upstreamDSTP_routine_care_-_vaccinations_or_health_checks |
| 70000 | tstarc_corticosteroids | 48.91 | 2026-03-05 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.430
Threshold: 0.38
Above: ✓
Correct?