C10000757 / invoice 10000
Species:FELINE
Breed:Domestic Short Hair
Age (years):12
Diagnosis or signs:Recheck skin + T4
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> </div> <div> <p>Skin lesion seems worse - elocon cream cleared with R side skin lesion, but not the L<br>Is currently on elocon cream BID and her carbimazole tablets<br><br>Examination<br><br>Molly tolerant with handling today, but started to grumble after bloods<br>Bloods taken from R jugular for T4<br>Lesion on left side of face, starts up in front of ear, and extends down towards lip commissure. Appears as a hot spot type skin reaction. <br><br>Plan<br>Convenia given SC as is about to go into cattery<br>consider biopsy of skin (owner about to have surgery next week) - looks very similar to another case who recently was diagnosed with inflammatory skin change likely due to feline atopic dermatitis<br>Could consider apoquel trial (offlabel) as hasnt responded well to oral or topical steroids</p> </div></html>
Animal clinical history (3 most recent)
2026-02-12T00:00:00Z 15:46:00
Vet Summary of Path ResultsVet Notes;T4 110 (10-60)Vet to Speak To Client;ES spoke to owner - uncontrolled thyroid. Has been having daughter look after the cat in the last week so unsure whether she has been getting the medication consistently. Recommend not changing dose right now, but to dose her consistently and retest T4 (+/- full bloods) in 3-4 weeks time)
2026-02-11T00:00:00Z 11:34:00
Due for Bloods today for thyroid monitoringLesion on the side of the face, right side has healed but the left side is still a bit of an open woundWas on steroids and convenia, a small improvement but never fully healed. Owner has still been using neocort, but hasnt has it recentlyFairly itchy with the lesion on the side of the faceGabapentin 100mg BID - going well, seems to be helping with her anxietyCarbimazole tablet BIDExaminationVery firey today - swiping before gotten out of cageOwner got Molly out, towel wrappedTape prep for face - no pathogens notedBloods taken from R jugularUnable to do much other examPlanContinue gabapentin for anxietyBloods for T4 monitoringTo trial elocon cream on the wound, to try and avoid oral steroids.
2026-02-05T00:00:00Z 15:54:00
Drug name:gabaStrength (mg):100mg Dose frequency (how many tabs/caps/ml/kg and how many times a day?): 1SIDTotal quantity: a months worth if possible How is patient going on the medication (any side effects, improvements, worse, no change etc)?:going goodFH - ok to rpt
Previous claim history (1)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2014-11-28 | C0434826 | SKIN PROBLEMS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 79.00 | 2026-03-07 | — |
| 20000 | tstarc_antibiotics_-_other | 64.90 | 2026-03-07 | — |
| 30000 | tstarc_diagnostic_test_-_t4 | 49.72 | 2026-03-07 | — |
| 40000 | tstarc_hyperthyroidism_medication | 69.34 | 2026-03-07 | — |
UPM+
- DG02343HYPERTHYROIDISMDSTP_hyperthyroidism
Variant (sleepy_king)
HYPERTHYROIDISM
DSTP_hyperthyroidism
Conf: 0.500
Threshold: 0.24
Above: ✓
Correct?