C09995953 / invoice 10000
Species:CANINE
Breed:Japanese Spitz
Age (years):10
Diagnosis or signs:Consult + skin medication
Consult notes
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 12:00 AM
Reason: GHC MS w MEAppointment Notes: Overdue remindersHistory:Continues to be pruritic. Nil improvement with pred courseEars ok, stools ok, otherwise seems wellThere has been some stress at home with miranda recently having a total knee replacementExamination:Mm pinkEars clear nil odour Integument ok but front paws have some staining, worse RFL. Nil evidence of pain Cvs soundAssessment:Irritation seems to be more consistent with pruritus but could be redirection for stress given minimal response to predTo trial zenrelia- hopefully if we can break the itch cycle, we will see improvementTreatment:Zenrelia to have sid at home Plan:INI happy for owner to call or come in to discuss possible fluoxetine trial +/- add in malaseb but nil evidence of infection Vital Signs
Previous claim history (8)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2024-11-25 | C7989104 | PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT |
| 2024-11-22 | C7982542 | PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT |
| 2023-06-06 | C5965832 | ACRAL LICK DERMATITIS (GRANULOMA) |
| 2022-12-19 | C5398274 | LUMP |
| 2022-12-19 | C5398274 | TEETH CLEANING |
| 2022-11-11 | C5279584 | TENESMUS |
| 2021-11-30 | C4278417 | LETHARGY - PRESENTING COMPLAINT |
| 2021-11-20 | C4254848 | VOMITING - OTHER - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-specialist | 104.00 | 2026-03-03 | — |
| 20000 | tstarc_zenrelia_tablets | 55.20 | 2026-03-03 | — |
UPM+
- DG01607SKIN (CUTANEOUS) DISORDERDSTP_skin_-_dermatitis
Variant (sleepy_king)
DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.600
Threshold: 0.25
Above: ✓
Correct?