C09993833 / invoice 10000

Reviewer

Species:CANINE

Breed:Staffordshire Bull Terrier Cross

Age (years):11

Diagnosis or signs:Phone Conversation

Consult notes

05/03/2026 PHONE CONSULTATION

Medication review for ongoing cytopoint use at home.
OR duration of action ~4 weeks.  Itchy belly, feet & ears.  Ears are quite red and sore but no obvious discharge.  O does not want to pay for cytology as always receives dermotic.
Topical treatment = oatmeal based shampoo every 3 weeks.

Communication
Advised ok to continue cytopoint injections every 4 weeks.  Will need an in person consultation within 6 months.  If clinical signs of skin changes (infection) will need a consult sooner.
Ears - advised to see response to cytopoint.  If continued itch/pain then ok to dispense small bottle of dermotic.
Topical treatment - advised to trial pyohex shampoo instead of oatmeal + leave in pyohex conditioner weekly.  May prolonge interval between cytopoint injections.

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 10:17:45

PHONE CONSULTATION

Medication review for ongoing cytopoint use at home.
OR duration of action ~4 weeks.  Itchy belly, feet & ears.  Ears are quite red and sore but no obvious discharge.  O does not want to pay for cytology as always receives dermotic.
Topical treatment = oatmeal based shampoo every 3 weeks.

Communication
Advised ok to continue cytopoint injections every 4 weeks.  Will need an in person consultation within 6 months.  If clinical signs of skin changes (infection) will need a consult sooner.
Ears - advised to see response to cytopoint.  If continued itch/pain then ok to dispense small bottle of dermotic.
Topical treatment - advised to trial pyohex shampoo instead of oatmeal + leave in pyohex conditioner weekly.  May prolonge interval between cytopoint injections.

Previous claim history (25)

Date	Claim #	Diagnosis
2026-02-06	C09877164	HYPERSENSITIVITY DISORDER (ALLERGY)
2026-01-03	C09710255	HYPERSENSITIVITY DISORDER (ALLERGY)
2025-11-29	C09570807	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2021-02-11	C3525337	ATOPY
2020-10-16	C3243986	ATOPY
2020-09-07	C3147120	ATOPY
2020-05-25	C2928978	ATOPY
2020-04-07	C2828539	ATOPY
2020-02-19	C2747642	ATOPY
2019-12-30	C2650472	ATOPY
2019-12-30	C2650472	EAR (AURAL) INFECTION
2019-09-07	C2433433	HAEMATOCHEZIA
2019-09-03	C2432308	OTITIS EXTERNA
2019-09-03	C2432308	EYE INFECTION
2019-04-24	C2199017	OTITIS EXTERNA
2018-12-06	C2199012	DERMATITIS
2018-11-16	C2199006	DERMATITIS
2018-01-09	C1530809	OTITIS EXTERNA
2017-11-06	C1530816	SCOOTING
2017-11-06	C1530816	MASS LESION
2017-05-09	C1530813	VACCINATIONS OR HEALTH CHECKS
2017-03-14	C1158876	BROKEN NAIL
2017-03-14	C1158876	BROKEN NAIL
2016-12-08	C1023214	VOMITING - OTHER - PRESENTING COMPLAINT
2016-12-08	C1023214	EAR CONDITIONS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-phone/web	84.00	2026-03-05	—
20000	tstarc_skin_medication_-_cytopoint	211.08	2026-03-05	—

UPM+

DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 1.000

Threshold: 0.38

Above: ✓

Correct?

Yes No