C09992920 / invoice 10000

Reviewer

Species:CANINE

Breed:Maltese Cross

Age (years):4

Diagnosis or signs:Itching

Consult notes

05/03/2026 History: scratching at himself randomly, sometimes the skin around his eye will be inflamed and he scratch at himself and owner put cone on him and it settle after a day or so. happens intermittently. 
also lick his paws 
 previously seen a vet and thick might have anxiety 
 diet - tired variety of food before, now on duck based diet for about 1 month now, still scratching himself 
worming - UTD with milbemax and bervecto 
 - not vaccinated since a puppy 

Examine:
Vitals:
- HR 120 
- RR
- Temp 
- MM  pm 
- CRT <2 
BCS (9):  5
- Eyes/ears: nad
- Teeth/mouth: underbite 
- Chest: nad 
- Abdomen:nad 
- Urogenital:nad 
- Digestive: nad 
- Lymph nodes: nad 
- Skin: mild alopecia around eyes 
- Locomotion: nad 
- Nervous System: nad
- Behaviour:  friendly 
Assessment:
 allergy and atopic dermatitis, food/ environment 

Plan:
 apoquel trial 
 rv for vax soon

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 18:39:38

History: scratching at himself randomly, sometimes the skin around his eye will be inflamed and he scratch at himself and owner put cone on him and it settle after a day or so. happens intermittently. 
also lick his paws 
 previously seen a vet and thick might have anxiety 
 diet - tired variety of food before, now on duck based diet for about 1 month now, still scratching himself 
worming - UTD with milbemax and bervecto 
 - not vaccinated since a puppy 

Examine:
Vitals:
- HR 120 
- RR
- Temp 
- MM  pm 
- CRT <2 
BCS (9):  5
- Eyes/ears: nad
- Teeth/mouth: underbite 
- Chest: nad 
- Abdomen:nad 
- Urogenital:nad 
- Digestive: nad 
- Lymph nodes: nad 
- Skin: mild alopecia around eyes 
- Locomotion: nad 
- Nervous System: nad
- Behaviour:  friendly 
Assessment:
 allergy and atopic dermatitis, food/ environment 

Plan:
 apoquel trial 
 rv for vax soon

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	110.00	2026-03-05	—
20000	tstarc_skin_medication_-_apoquel	114.24	2026-03-05	—

UPM+

DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.970

Threshold: 0.38

Above: ✓

Correct?

Yes No