C10001525 / invoice 10000

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Species:CANINE
Breed:West Highland White Terrier
Age (years):13
Diagnosis or signs:revisit cyst, discuss management otpions
Consult notes
Revisit cyst, discuss management optionsHx: Finished course of Abx, now markedly pruritic, owner hesitant to GANot really using cone EDUD nad, no c/d/v/sMeds - trazodone 1.5 todayPE: Minimal due to behaviourBAR, BCS 6/9HR 130, RR panting and barking, T not takenLesion - right side of tail base, 4.5cm circular donut shaped outer with adenomatous cauliflower shaped centre (1.5x2cm irregular) embedded in the middle, appears to have a draining tract on the right hand side releasing serosanguineous fluid Looks like a pink cauliflower wedged into the middle of a hairy donutLocal lnn elevatedAssessment: Pruritis on cyst - infection vs pain?Plan: Discuss options with JR, really big lump nowAmoxyclav 125mg BID PO Daily bathing with dilute betadineRV after 7 days of cone + abx to assess level of swelling + irritationIf still very large, consider FNA prior to GAOtherwise if back down to normal size can be removed with quick GA

Animal clinical history (3 most recent)

2026-03-07T00:00:00Z 11:31?am
Revisit cyst, discuss management optionsHx: Finished course of Abx, now markedly pruritic, owner hesitant to GANot really using cone EDUD nad, no c/d/v/sMeds - trazodone 1.5 todayPE: Minimal due to behaviourBAR, BCS 6/9HR 130, RR panting and barking, T not takenLesion - right side of tail base, 4.5cm circular donut shaped outer with adenomatous cauliflower shaped centre (1.5x2cm irregular) embedded in the middle, appears to have a draining tract on the right hand side releasing serosanguineous fluid Looks like a pink cauliflower wedged into the middle of a hairy donutLocal lnn elevatedAssessment: Pruritis on cyst - infection vs pain?Plan: Discuss options with JR, really big lump nowAmoxyclav 125mg BID PO Daily bathing with dilute betadineRV after 7 days of cone + abx to assess level of swelling + irritationIf still very large, consider FNA prior to GAOtherwise if back down to normal size can be removed with quick GA    Vital Signs

Previous claim history (36)

DateClaim #Diagnosis
2026-02-07C09915639HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-02-07C09915639URINARY INCONTINENCE
2025-10-28C09654212HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2022-01-07C4386113URINARY INCONTINENCE
2022-01-07C4386113ALLERGY
2022-01-07C4386113EAR INFECTION
2021-12-31C4360494CYST
2021-12-31C4360494URINARY INCONTINENCE
2021-11-29C4281527EAR INFECTION
2021-11-29C4281527VACCINATIONS OR HEALTH CHECKS
2021-09-11C4068150URINARY INCONTINENCE
2021-08-06C3972977ALLERGY
2021-06-05C3802041ALLERGY
2021-06-05C3802041PRESCRIPTION DIETS
2021-03-31C3637223ALLERGY
2021-03-06C3582872MASS/SWELLING - OTHER - PRESENTING COMPLAINT
2021-02-26C3564355ALLERGY
2020-10-30C3278296VACCINATIONS OR HEALTH CHECKS
2020-10-30C3278296EAR INFECTION
2020-09-21C3184277ALLERGY
2020-07-02C3022029ALLERGY
2020-07-02C3022029BEHAVIOURAL THERAPY
2020-03-25C2809923ALLERGY
2020-01-21C2707835EAR INFECTION
2020-01-21C2707835ALLERGY
2020-01-21C2707835BEHAVIOURAL THERAPY
2019-11-11C2557071ALLERGY
2019-09-28C2470571VACCINATIONS OR HEALTH CHECKS
2019-09-28C2470571ALLERGY
2019-05-18C2247210DERMATITIS
2019-05-18C2247210BEHAVIOURAL THERAPY
2018-01-16C1490639DERMATITIS
2018-01-16C1490639EAR INFECTION
2017-09-17C1348734EAR INFECTION
2017-06-16C1228993DERMATITIS
2014-01-15C0210443OTITIS EXTERNA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid44.502026-03-07—
20000tstarc_consultation98.002026-03-07—

UPM+

  • DG02720MASS LESION - SKIN (CUTANEOUS)DSTP_mass_lesion_-_unspecified

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.940
Threshold: 0.44
Above: ✓
Correct?