C09995272 / invoice 10000

Species:CANINE
Breed:French Bulldog
Age (years):4
Diagnosis or signs:Consultation
Consult notes
05/03/2026 REASON: itchy skin 
Nurse: - 
Presented by: Belinda 
-------------------------------------------------------------------------------
HOME CARE AND PREVENTIONS
Vaccinations: utd 
Nutrition: roast beef and roast pumpkin, sardine, yoghurt with probiotics, treats
Worming: nexgard spectra
Hwp: ^
Flea Treatment: ^
CE: - 
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
had itchy paws before but resolved
itchining flares up again, only front paws, has it before sx
licking and nibbling front paws esp LF paw 
scratching the back 
scratching ears

scratching around 3 times a day 

EDDU well 

had TPLO sx 2 weeks ago 
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
nil
just finished meloxicam, amoxyclav, paracetamol 
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 6
DS (0-4): 0 

T: - 
P: 110 
R: n

APPEARANCE/DEMEANOUR: BAR
SKIN & COAT: erythematous LF interdigital area. no heat/ swelling/ wounds noted. no erythematous noted on other paws
cytology: no infectious agent noted
EARS: no redness/ scratch marks noted, n on external observation
RHL hair clipped due to recent TPLO
EYES: n
ORAL: n
MM: p, m, <2s
CVS: G1 HM? 
RESP: stertor
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
pruritic front paws
erythematous LF interdigital area

Ddxi:
allergic pododermatitis 
contact dermatitis 
parasite (less likely)
other issues 

Further Procedure & Diagnostic Needs [Client Response]:
cytology [x] 

Medication:
neocort 

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
rev one week 

Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 16:59:33
REASON: itchy skin 
Nurse: - 
Presented by: Belinda 
-------------------------------------------------------------------------------
HOME CARE AND PREVENTIONS
Vaccinations: utd 
Nutrition: roast beef and roast pumpkin, sardine, yoghurt with probiotics, treats
Worming: nexgard spectra
Hwp: ^
Flea Treatment: ^
CE: - 
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
had itchy paws before but resolved
itchining flares up again, only front paws, has it before sx
licking and nibbling front paws esp LF paw 
scratching the back 
scratching ears

scratching around 3 times a day 

EDDU well 

had TPLO sx 2 weeks ago 
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
nil
just finished meloxicam, amoxyclav, paracetamol 
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 6
DS (0-4): 0 

T: - 
P: 110 
R: n

APPEARANCE/DEMEANOUR: BAR
SKIN & COAT: erythematous LF interdigital area. no heat/ swelling/ wounds noted. no erythematous noted on other paws
cytology: no infectious agent noted
EARS: no redness/ scratch marks noted, n on external observation
RHL hair clipped due to recent TPLO
EYES: n
ORAL: n
MM: p, m, <2s
CVS: G1 HM? 
RESP: stertor
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
pruritic front paws
erythematous LF interdigital area

Ddxi:
allergic pododermatitis 
contact dermatitis 
parasite (less likely)
other issues 

Further Procedure & Diagnostic Needs [Client Response]:
cytology [x] 

Medication:
neocort 

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
rev one week 

Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder
2026-03-04T00:00:00Z 12:22:50
Receieved from SASH SA
Brie presented to the Small Animal Specialist Hospital on 04-03-2026 for evaluation of recovery after
recent TPLO
2026-02-17T00:00:00Z 14:02:39
From todays visit - presented for management of early left partial cruciate ligament rupture after previous MPL surgery

Previous claim history (7)

DateClaim #Diagnosis
2026-03-04C09983570ALTERNATIVE THERAPIES
2026-02-18C09919500ALTERNATIVE THERAPIES
2026-02-17C09919500Cruciate Disease - Left Leg
2026-01-23C09806158BACK PAIN
2026-01-23C09806158BEHAVIOURAL THERAPY
2026-01-21C09788289BACK PAIN
2025-12-10C09606093VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory23.792026-03-05
20000tstarc_consultation101.602026-03-05
30000tstarc_diagnostic_test_-_cytology75.672026-03-05

UPM+

  • DG01364PODODERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.730
Threshold: 0.25
Above:
Correct?