C09992515 / invoice 10000

Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):1
Diagnosis or signs:gap only
Consult notes
Lump on neck

HX:
went away for the weekend 
staying with friends
pickied up tueday night 

hard thing under neck 
small crusty lesion 
can feel more this morning 
has been scratching a bit more than usual, not the area in particular 
otherwise well, 
possibly a bit less jumpy whem owner picked up but going for walks 
eddu normally

CE:
BAR, nervous
Eyes, ears, nares, oral 
MM pk, moist, CRT <2s
HR wnl, no murmur, normal rhythm
RR and effort wnl, no wheezes or crackles ausc 
Abdo palp soft and nonpainful
Derm: ventral neck and chin mildly erythematous with multifocal raised red papules. no broken skin or discharge. rest of derm clear incl ventrum and paws
rest of exam nsf

Clipped affected areas under neck and chin
tape impression cytology: squames ++, cocci 1+, no rods, no wbcs 

Assessment: 
DDX: atopic dermatitis, contact dermatitis > food allergy, other. No evidence secondary becterial or yeast infection 

Plan:
Neocort BID-TID x 7dayse

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 17:48:00
Lump on neck

HX:
went away for the weekend 
staying with friends
pickied up tueday night 

hard thing under neck 
small crusty lesion 
can feel more this morning 
has been scratching a bit more than usual, not the area in particular 
otherwise well, 
possibly a bit less jumpy whem owner picked up but going for walks 
eddu normally

CE:
BAR, nervous
Eyes, ears, nares, oral 
MM pk, moist, CRT <2s
HR wnl, no murmur, normal rhythm
RR and effort wnl, no wheezes or crackles ausc 
Abdo palp soft and nonpainful
Derm: ventral neck and chin mildly erythematous with multifocal raised red papules. no broken skin or discharge. rest of derm clear incl ventrum and paws
rest of exam nsf

Clipped affected areas under neck and chin
tape impression cytology: squames ++, cocci 1+, no rods, no wbcs 

Assessment: 
DDX: atopic dermatitis, contact dermatitis > food allergy, other. No evidence secondary becterial or yeast infection 

Plan:
Neocort BID-TID x 7dayse

Previous claim history (2)

DateClaim #Diagnosis
2026-02-05C09858013DESEXING
2026-02-04C09851356AORTIC STENOSIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation129.002026-03-05
20000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory55.002026-03-05
30000tstarc_diagnostic_test_-_cytology63.002026-03-05

UPM+

  • DG01607SKIN (CUTANEOUS) DISORDERDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.540
Threshold: 0.25
Above:
Correct?