C09992412 / invoice 10000

Species:CANINE
Breed:Miniature Dachshund- Long Haired
Age (years):2
Diagnosis or signs:Ears + POC
Consult notes
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<p dir="ltr"><span style="font-weight: 400;"><span style="color: #ff0000;">Have reminders been checked? Y Cytopoint - do today</span><br><span style="color: #ff0000;">Has the owner been advised of this? Y</span><br></span><br>Hx: <br>In the last 24 hours O have noticed ears looking red. Cleaned yesterday with epiotic and looking better today. Just starting to chew her paws again. EDDU well and no coughing, sneezing, vomiting or diarrhoea. </p>
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<p dir="ltr">Diet: RC Daschund + chicken <br>Prop: UTD <br>Meds: Cytopoint </p>
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<p dir="ltr">Exam:<br>Eyes: No discharge noted. Eyes clear.<br>Ears: Very minimal build up present in ears. No inflammation noted. <br>Oral: MM pink and moist. Build up starting to form on most teeth. <br>Cardioresp: No murmur or arrhythmia. Lung sounds clear.<br>Integ: Coat in good condition. Incision healed well. <br>MSK: Ambulating well, no pain on joint palpation, good range of motion.</p>
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<p dir="ltr">Cytology:<br>L ears:<br>R ears: <br><br>Plan: <br><br>Given cytopoint 10mg SC. Batch 840904 Exp 02/2027. Next due in 4 weeks or when itching returns. <br>Removed sutures </p>
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Animal clinical history (3 most recent)

2026-02-24T00:00:00Z 10:58:00
Message left-O called back re both dogs: SR -both eating well-has started sedatives -no concerns at this stage -back to their normal energy levels 
2026-02-23T00:00:00Z 08:10:00
Have reminders been checked? Y - Cytopoint - not itching yet Admitted for spey and shoulder xraysPre GA bloods: O declined 50mg trazodone on admit - very effective sedation for the dayPre-med:Medetomidine 0.01mg/kg (0.05mL) + Meth 0.3mg/kg (0.15mL) IM @ 10.40am - effective sedation, perfect for xraysLat and VD shoulder xrays - Left shoulder has inconrguity compared to the right, not severe- Marked chondrodysplastic limbs (normal for breed) - Examination under GA showed some laxity 22G catheter placed into the right cephalic veinInduced with alfax 0.5ml IVIntubated with a 6.5mm ET tube and maintained on isoflouraneHartmanns @ 32mL/hr IVFT Routine anaestheticMidline incisionRoutine ovarian hysterectomy Single ligation both ovarian arteries with Monosyn 3/0 Single ligation uterine stump with Monosyn 3/0 Closed Linea alba with Monosyn 3/0 simple continuos Closed SC with Monosyn 3/0 horizontal mattress Closed skin with Monosyn 3/0 cruciatesPlan:Home with post spey handoutMust keep ecollar on and strict confinementMeloxicam for 3 nights Re-check at 10 days post opWill discuss radiographs with JK and talk to O with plan 
2026-01-20T00:00:00Z 11:04:00
10mg given s/cBatch: 840904Exp:02/27O requested to trim pawsExtremely rigglyGot RF done but stressed too much and had to stop

Previous claim history (14)

DateClaim #Diagnosis
2026-02-23C09942436LAMENESS LF
2026-01-20C09783220HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-11-08C9463921HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-10-08C9321748HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-09-15C9322844LAMENESS LF
2025-08-23C9129783LAMENESS LF
2025-08-23C9129783HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-07-12C8954883HYPERSENSITIVITY DISORDER (ALLERGY)
2025-06-06C8807323HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-06-06C8807323GASTRITIS
2025-03-29C8521567HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-03-29C8521567EAR INFECTION
2025-01-28C8253224HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-21C8228604HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_cytology70.002026-03-05
20000tstarc_consultation97.002026-03-05
30000tstarc_skin_medication_-_cytopoint205.002026-03-05

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.680
Threshold: 0.38
Above:
Correct?