C09998262 / invoice 10000
Species:CANINE
Breed:German Shepherd
Age (years):4
Diagnosis or signs:Checkup
Consult notes
05/03/2026 Reason: skin condition, swollen hock joint History: on anti allergy vaccines for the past 12 months by sash, owner injected last vaccinate end of Jan 2026, on Apoquel 16mg sid. noted swollen around left hock joint, constant licking, bold patch right flank over the LHL, EDDU normally Vital Signs: WNL Dehydration assessment: Euhydrated MM moist no skin tent PHYSICAL EXAMINATION: Limited check due to aggression Appearance: BAR; BCS 3.5/5 Eyes: wnl Ears: not checked Nose: nsf Oral Cavity: from distance, appeared normal Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular Respiratory: RE normal , auscultation normal Abdomen: not performed Musculoskeletal: no lameness, no Neurological: no deficit Integument: see below Peripheral LNs:Normal size, symmetrical Urogenital: not performed Rectal exam: not performed Assessment/Problem List: inflamed skin lateral left hock , no joint inflammation, purulent discharge form the infected area on leg also alopecia with erythematous skin inner right thigh DDx: skin infection Treatment: metronidazole and amoxyclav and prednisolone po Plan: No apoquel or skin vaccine as long as on steroid
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 11:44:44
Reason: skin condition, swollen hock joint History: on anti allergy vaccines for the past 12 months by sash, owner injected last vaccinate end of Jan 2026, on Apoquel 16mg sid. noted swollen around left hock joint, constant licking, bold patch right flank over the LHL, EDDU normally Vital Signs: WNL Dehydration assessment: Euhydrated MM moist no skin tent PHYSICAL EXAMINATION: Limited check due to aggression Appearance: BAR; BCS 3.5/5 Eyes: wnl Ears: not checked Nose: nsf Oral Cavity: from distance, appeared normal Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular Respiratory: RE normal , auscultation normal Abdomen: not performed Musculoskeletal: no lameness, no Neurological: no deficit Integument: see below Peripheral LNs:Normal size, symmetrical Urogenital: not performed Rectal exam: not performed Assessment/Problem List: inflamed skin lateral left hock , no joint inflammation, purulent discharge form the infected area on leg also alopecia with erythematous skin inner right thigh DDx: skin infection Treatment: metronidazole and amoxyclav and prednisolone po Plan: No apoquel or skin vaccine as long as on steroid
Previous claim history (23)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-19 | C09926935 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-12-03 | C09576409 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2024-10-21 | C7849894 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-10-01 | C7771041 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-09-10 | C7689046 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-08-02 | C7543445 | ALLERGY |
| 2024-06-19 | C7368190 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-05-26 | C7283440 | DESEXING-COMPLICATIONS |
| 2024-05-22 | C7285511 | BLOOD SCREEN |
| 2024-05-22 | C7285511 | DESEXING |
| 2024-04-29 | C7170508 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-03-20 | C7015409 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-01-15 | C6755460 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-01-08 | C6725136 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2023-11-16 | C6536008 | PYODERMA |
| 2023-08-17 | C6216714 | VACCINATIONS OR HEALTH CHECKS |
| 2023-08-17 | C6216714 | HOT SPOT |
| 2023-08-03 | C6169191 | DERMATITIS |
| 2023-07-28 | C6149288 | DERMATITIS |
| 2023-03-06 | C5666740 | ALLERGY |
| 2023-03-06 | C5666740 | HEARTWORM CONTROL |
| 2023-03-06 | C5666740 | FLEA/TICK/WORM CONTROL |
| 2022-12-15 | C5389570 | LAMENESS LH |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_antibiotics_-_metronidazole | 51.60 | 2026-03-05 | — |
| 20000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 130.80 | 2026-03-05 | — |
| 30000 | tstarc_corticosteroids | 25.80 | 2026-03-05 | — |
| 40000 | tstarc_consultation | 98.00 | 2026-03-05 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.810
Threshold: 0.38
Above: ✓
Correct?