C10003591 / invoice 10000

Reviewer

Species:CANINE

Breed:American Staffordshire Terrier Cross

Age (years):1

Diagnosis or signs:Skin recheck

Consult notes

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<p><span style="font-weight: 400;"><span style="color: #ff0000;">Have reminders been checked? Y -UTD </span><br><br><span style="color: #000000;"><strong>GapOnly claim Insurance Summary<br></strong></span></span></p>
<div><span style="color: #000000;"><strong>First Clinic Signs: 17/2/26.  revisit appt today</strong></span></div>
<div><span style="color: #000000;"><strong>Diagnosis/Suspected: Atopic dermatitis, poss. pyoderma, less likely parasitic </strong></span></div>
<div><span style="color: #000000;"><strong>Summary/Suspected Cause: Atopic dermatitis, poss. pyoderma, less likely parasitic</strong></span></div>
<div><span style="color: #000000;"><strong>Any other conditions being treated/known health concerns(if any): nil</strong></span></div>
<div><span style="color: #000000;"><strong>Treatment/Plan: fish oil/omega 3, 6, 9, medicated shampoo/conditioning; dietary management, possibly cytopoint in future. </strong></span></div>
<p><br>HX:<br><br>Reminders checked:<br><br>NCCs<br>Preventatives:<br>Diet:<br><br>Exam:<br><br>OMMs pink CRT 1 sec<br>Chest:<br>Abdomen:<br>MSN:<br>Skin/ears/eyes/coat:<br><br>LNs &amp;lt;1cm<br><br>Not pyrexic<br><br>Tx/Plan:<br><br><br></p>
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Animal clinical history (3 most recent)

2026-02-20T00:00:00Z 10:32:00

 Have reminders been checked? YHas the owner been advised of this?n/aGapOnly claim Insurance SummaryFirst Clinic Signs: 17/2/26Diagnosis/Suspected: Atopic dermatitis, poss. pyoderma, less likely parasitic Summary/Suspected Cause: Atopic dermatitis, poss. pyoderma, less likely parasiticAny other conditions being treated/known health concerns(if any): nilTreatment/Plan: antibiotics, steroids and amacinHX:Reminders checked: YScratching around head region mainlyO has e collar at home but had to take it off as bumping into o - apparently caused lesions on owners leg3 generations of dogs atm + pups - 2 other (adult) dogs showing similar symptoms (pruritis) but affecting other regions of their bodiesPreventatives: NGS UTDDiet: Dry food, no recent changesusing dermotic/pred 20s/amoxyclav dispensed by another vet for other dog -  female o says she has only given Purple 1 day of antibioticLast bathed yesterday in ..?Exam:OMMs pink CRT 1 secChest: no obvious murmurs/arrhythmias, lung fields clearAbdomen: no obvious abnsMSN: no obvious abnsSkin/ears/eyes/coat:- evidence of scratching ears - insides of pinnas moderately inflamed, dried scabs at opening of both canals but no obvious abns down ear canals- coat thinning/moth eaten appearance to hindlegs - lat aspect of both thighs (L>R side, with macules) - occasional macule on ventrum- moderate IDD- evidence of marked erythema on muzzle and around eyes (with hairloss and some scabbing) esp R eye - also has moderate chemosis this side + scleral inj.  Nil blepharospasmO consented to fluorscein and tape impressionSticky tape impression of skin lesions: cocci 1+, occasional inflammatory cellFluoroscein negative for bilateral corneal ulcerationddx:most likely atopy, poss pyoderma, less likely parasiticTx/Plan:dispensed Amoxcylav 250mg - 3/4 bid PO for another 6 daysPred 20mg - 1/2 SID PO 5 days then eod 10 daysamacin - showed o how to apply with cotton tip, on affected skin around eyes - 5-7 daysRec  e collar to 2-3 days to prevent further self traumaRec r/v 2 weeks to discuss ongoing management - reluctant to use steroids ongoing - rec cytopoint given age

2026-01-19T00:00:00Z 09:45:00

Healed nicelySome redness around suture site (no signs of infection) - O said mom dog was licking yesterdayAdvised O to watch mom for licking and hold off on bathing for about another 4 days to let skin calm downNothing concerning at this stage - O to call if anything changes

2026-01-09T00:00:00Z 09:51:00

-left vm, no ans -called back -eating and drinking -recovering well -no concerns

Previous claim history (3)

Date	Claim #	Diagnosis
2026-02-20	C09930875	HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-24	C09675796	VACCINATIONS OR HEALTH CHECKS
2025-12-24	C09675796	HYPERSENSITIVITY DISORDER (ALLERGY)

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	70.00	2026-03-09	—

UPM+

DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.960

Threshold: 0.38

Above: ✓

Correct?

Yes No