C09997694 / invoice 10000

Species:CANINE
Breed:Moodle
Age (years):5
Diagnosis or signs:Appointment
Consult notes
06/03/2026 HISTORY:
A couple of years ago was seen for allergies. O has been putting on antiseptic spray form amazon. Just one paw. 
It got better last time and hasn't had meds since. Started licking about a week ago.
Was small black colour then got bigger. Has put collar on him and sock. 
Otherwise well. 

EXAM:
BAck left

ASSESSMENT:

PLAN:

MEDICATION:

COMMUNICATION:

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 16:46:41
HISTORY:
A couple of years ago was seen for allergies. O has been putting on antiseptic spray form amazon. Just one paw. 
It got better last time and hasn't had meds since. Started licking about a week ago.
Was small black colour then got bigger. Has put collar on him and sock. 
Otherwise well. 

EXAM:
BAck left

ASSESSMENT:

PLAN:

MEDICATION:

COMMUNICATION:
2024-03-05T00:00:00Z 10:52:53
Apoquel 5.4mg 
2024-02-28T00:00:00Z 17:46:49
Recheck
Subjective: Licking paws excessively. Owner picked up apoquel on 12/1/24 and responded somewhat to the tablets. Reduced itch about 70% Has been off apoquel about 1 month. Picky eater. No vomiting/diarrhoea seen. Owner moved house Oct 23 and allergy problems started after that. 
Objective: Muzzle - tries to bite when examining paws. Heart fine. Weight ok. Ears and skin fine. Right front paw very raw between pads and also has area of alopecia/erythema on dorsal part of paw. Rest of paws quite good - only mildly irritated. Removed small grass seed from between middle toes right hind paw. Otherwise well.
Diagnosis: Interdigital dermatitis right front paw
Treatment:
Prednil 5mg 1 SID 5 days then 1 EOD X 10 tablets
Apoquel 5.4mg 1 BID 10 days then 1 SID X 50 tablets
25cm Eliz collar
Client communication: Can collect repeats of apoquel for 6 months as needed.

Previous claim history (12)

DateClaim #Diagnosis
2025-08-05C9065179VACCINATIONS OR HEALTH CHECKS
2024-08-07C7554446VACCINATIONS OR HEALTH CHECKS
2024-02-28C6934673PODODERMATITIS
2024-01-08C6956106INTERDIGITAL DERMATITIS
2024-01-02C6705872REVERSE SNEEZING
2024-01-02C6705872HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-08-04C6180461VACCINATIONS OR HEALTH CHECKS
2023-02-23C5630250TORN DEW CLAW
2023-02-07C5605726TORN DEW CLAW
2022-06-20C4929257RECUMBENCY/RELUCTANCE TO MOVE - PRESENTING COMPLAINT
2021-10-21C4170008COUGHING - PRESENTING COMPLAINT
2021-08-05C3972649VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation115.002026-03-06
20000tstarc_skin_medication_-_apoquel83.242026-03-06
30000tstarc_meloxicam58.232026-03-06
40000tstarc_antibiotics_-_cephalexin34.202026-03-06
50000tstarc_diagnostic_test_-_cytology40.002026-03-06

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.490
Threshold: 0.38
Above:
Correct?