C09997356 / invoice 10000

Reviewer

Species:CANINE

Breed:Rottweiler

Age (years):9

Diagnosis or signs:annual vaccine and cytopoint

Consult notes

Vaccination (3:2) + Cytopoint injection + Health check

History: 
- Has been well. EDDU normal. No V/D. No coughing/sneezing. UTD parasite tx.
- Coat itchy - due for cytopoint. Some thickened patches on coat and odour noted. Bathing with aloveen. 

Examination: 
- BAR, nervous, tolerant of exam/needles with owner holding head. BCS 7/9. Dental 2/4 - distance.
- HR WNL, no murmur. RR WNL, clear lungs. Abdo palp tense but NAD. Peripheral LNs WNL. 
- Ventodorsal chest region - Thickened thin with erythema/odour/alopecia. 
- Sticky tape cytology of above region - +++ yeast burden ++ cocci + neutrophils. 
- Caudal elbow and axillary region also thickened. 
- Rest of coat flaky/dry. 

Plan: 
- Vaccinate Pi2 + BB injectable SC (3:2). 
- Cytopoint 60mg SC (2 x 30mg mixed in 1 syringe). 
- TGH with cephalexin 22mg/kg BID for 14 days. 
- TGH with malaseb BIW for 3 weeks, 10 minute contact time - spot treat affected regions. 
- Revisit in 2-3 weeks to ensure infection resolving. 
- Rec weight loss.

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 16:15:00

Vaccination (3:2) + Cytopoint injection + Health check

History: 
- Has been well. EDDU normal. No V/D. No coughing/sneezing. UTD parasite tx.
- Coat itchy - due for cytopoint. Some thickened patches on coat and odour noted. Bathing with aloveen. 

Examination: 
- BAR, nervous, tolerant of exam/needles with owner holding head. BCS 7/9. Dental 2/4 - distance.
- HR WNL, no murmur. RR WNL, clear lungs. Abdo palp tense but NAD. Peripheral LNs WNL. 
- Ventodorsal chest region - Thickened thin with erythema/odour/alopecia. 
- Sticky tape cytology of above region - +++ yeast burden ++ cocci + neutrophils. 
- Caudal elbow and axillary region also thickened. 
- Rest of coat flaky/dry. 

Plan: 
- Vaccinate Pi2 + BB injectable SC (3:2). 
- Cytopoint 60mg SC (2 x 30mg mixed in 1 syringe). 
- TGH with cephalexin 22mg/kg BID for 14 days. 
- TGH with malaseb BIW for 3 weeks, 10 minute contact time - spot treat affected regions. 
- Revisit in 2-3 weeks to ensure infection resolving. 
- Rec weight loss.

Previous claim history (23)

Date	Claim #	Diagnosis
2026-01-05	C09710547	HYPERSENSITIVITY DISORDER (ALLERGY)
2025-10-09	C9331190	OTITIS EXTERNA
2025-10-09	C9331190	MASS LESION - SKIN (CUTANEOUS)
2025-08-26	C9149444	HYPERSENSITIVITY DISORDER (ALLERGY)
2025-06-18	C8856857	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-04-15	C8605104	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-02-13	C8335507	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-02-13	C8335507	EAR INFECTION
2024-11-28	C8007814	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-09-13	C7706264	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-06-07	C7323981	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-06-07	C7323986	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-06-07	C7359043	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER - ATOPIC DERMATITIS
2024-02-24	C6918951	EAR INFECTION
2023-11-15	C6540961	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-08-08	C6186981	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-05-04	C5881626	ALLERGY
2023-02-16	C5602068	ALLERGY
2022-12-12	C5382013	ALLERGY
2022-10-05	C5167021	ALLERGY
2022-09-08	C5091062	ALLERGY
2021-10-05	C4133074	MISCELLANEOUS CONDITIONS
2020-03-17	C2869468	MISCELLANEOUS CONDITIONS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_vaccination_(canine)	149.00	2026-03-06	upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000	tstarc_skin_medication_-_cytopoint	449.05	2026-03-06	—
30000	tstarc_diagnostic_test_-_cytology	49.20	2026-03-06	—
40000	tstarc_antibiotics_-_cephalexin	107.80	2026-03-06	—

UPM+

DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.900

Threshold: 0.38

Above: ✓

Correct?

Yes No