C09999017 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavoodle

Age (years):7

Diagnosis or signs:Consultation - itchy

Consult notes

<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div>
<div>
<div><span style="font-family: arial, helvetica, sans-serif;"><strong><span style="font-family: 'Arial Bold'; font-weight: bold;">Progressive Vet Care Glen Iris</span><br><br>Reminders checked: </strong>yes/no<strong><br><br>HISTORY</strong>:<br>Is an itchy dog, will get cytopoint as needed. <br>Gave a bath last week - used shampoo at dog wash. Itching began after the bath - going at her L elbow region and made it quite red - O clipped, applied neocort and cone. Settled. <br>Noticed 2d ago that was then going at her vulva quite badly - was raw, bleeding a bit and moist. Cone on, applying neocort BID. Is improving. <br>DUDE all ok otherwise<br>Super sensitive GIT and skin. Cannot use bones, dental chews, etc. <br>Lyka<br>O mentions in winter, if do not dry her feet off after a walk, next day will itch at her feet.<br><br><strong>EXAMINATION</strong>:<strong><br></strong>BAR, v excited girl<br>AUsc, abdo palp, lnn, e/e/n ok. <br>Mcuosa pink, moist, CRT&lt;2. Mod to severe tartar accum with some gingivitis - needs dental. No obvious extractions, but cannot be certain. <br>Clipped area cranial L elbow - resolving papular rash, not active inflamed. <br>Vulva - some bruising, resolving mild excoriation, but no erythema or swelling. Rel dry aside from cream. No discharge. <br>Gen mild itchy. <br>Feet ok. <br><br><strong>DIAGNOSIS</strong>:<strong><br></strong>Atopic dermatitis - flare post bath in new shampoo<br> <br><br><strong>TREATMENT</strong>: <strong><br></strong>Cytopoint 20mg SC<br><br><strong>PLAN</strong>: <br>O will use oatmeal shampoo going forward for home bathing.<br>Discuss can consider dilute malaeb foot bath at end of walks daily and see if reduces sensitivity to moisture if would like - gen ok if on cytopoint.  <br>O will contin cone use till cytopoint kicks in and contin managing vulvar dermatitis till clears.<br><br><strong>Reminders updated: </strong>yes</span></div>
</div>
</div></html>

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 12:10:00

Vet has checked all hx and Ok for nurse to send

2025-10-17T00:00:00Z 11:46:00

Due C2 vaccNo concerns at home, going well with mobility, skin has been good since cytopointEDDU normalExam: Tartar +++ but no gingivitisAll else NADGave C2 vaxDiscussed teethCould try giving a bone, she has had diarrhoea after bones previously, could try just letting her chew it for 10 mins or so then take it off her before she eats many bits of it. And make sure not to give a cut marrow bone. Otherwise will need dental again soon

2025-10-02T00:00:00Z 14:00:00

Has been well. 0.31ml pentosan inj given s/c. Was a very good girl.

Previous claim history (8)

Date	Claim #	Diagnosis
2020-08-26	C3120660	DERMATITIS
2020-07-14	C3120673	DERMATITIS
2020-04-24	C2862667	MISCELLANEOUS CONDITIONS
2020-04-24	C3037000	DIARRHOEA - PRESUMED SELF-LIMITING
2020-03-10	C2778881	MISCELLANEOUS CONDITIONS
2020-03-10	C2778906	MISCELLANEOUS CONDITIONS
2020-03-10	C3036895	EAR CONDITIONS
2020-03-10	C3036921	EAR CONDITIONS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	99.50	2026-03-06	—
20000	tstarc_skin_medication_-_cytopoint	172.92	2026-03-06	—

UPM+

DG02323HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER - ATOPIC DERMATITISDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.810

Threshold: 0.38

Above: ✓

Correct?

Yes No