C10000613 / invoice 10000

Species:CANINE
Breed:Bull Terrier
Age (years):4
Diagnosis or signs:see notes
Consult notes
07/03/2026 REVISIT

REASON: Skin starting to flare up. 
PROGRESS:Has lasted longer than usual, but has become itchy for past week. 
O feeding fish only diet. 
Using malaseb (feet) and oatmeal (body) shampoos. 

EXAM:Only mild erythema feet and perianal.  
Otherwise well. 
Chest sounds good. 
skin only mildly affected at present. 

ASSESSMENT: Doing well

PLAN: Vet visit in 6m. 
OK for nurse to give until then. 
May get less injections with the change of the seasons. 

Animal clinical history (3 most recent)

2025-12-13T00:00:00Z 09:39:49
CYTOPOINT INJECTION

MG-  40 SC -CM

DATE OF LAST INJECTION 27/9/25, going ok just 1 paw still irritated

NURSE RPT OK-   next 2 injections

NEXT VET VISIT- 2-6 mths
2025-12-13T00:00:00Z 09:35:53
CYTOPOINT INJECTION

40 -MG-   SC given by CM in Rx with Ox holding

DATE OF LAST INJECTION - 05/11/25

NURSE RPT OK-   for next 3 injections

NEXT VET VISIT- 3-6 months
2025-11-05T00:00:00Z 16:46:19
REVISIT

REASON: cytopoint

PROGRESS: History: - went well with last cytopoint. getting itchy again and really licking at LF paw
- o bathes paws with malaseb shampoo and when she really licks at an area/interdigital cyst o puts bepanthen on it and cleans with betadine solution. o reports this usually settles quickly
- o would like to try the 40mg dose of cytopoint this time

EXAM: ventrum good, paws flaring, palmar interdigial dermatitis mild/moderate, dorsal front paws moderate with large cyst on medial edge of toe 3 on LF - has early lick granuloma on it, some smaller interdigital cysts, dorsal interdigital spaces on hid paws has mild erythema

ASSESSMENT: allergy flare - need to do cytopoints regularly to avoid flares. monitor cyst on LF toe 3 - may need AB's

PLAN: cytopoint 40mg (batch 806985, exp 11/2026)

NEXT RECHECK NEEDED: 4-6 weeks for repeat cytopoint - 40mg dose. can be with nurse for next 4 injections as long as going well and within this time frame


Previous claim history (8)

DateClaim #Diagnosis
2025-11-05C9459181HYPERSENSITIVITY DISORDER (ALLERGY)
2025-09-27C9279122VACCINATIONS OR HEALTH CHECKS
2025-09-19C9247765VAGINITIS
2025-09-19C9247765HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-08-15C9160832ANAL SAC DISORDER
2025-03-24C9160832HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-30C8267999HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-30C8267999WEIGHT GAIN - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit90.002026-03-07
20000tstarc_skin_medication_-_cytopoint251.302026-03-07

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.930
Threshold: 0.38
Above:
Correct?