C10003658 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):6
Diagnosis or signs:see notes
Consult notes
Reason: Itchy still on back

History:
Seen end of Jan for AD and secondary SBP cocci
Home with abx and zenrellia

Examination:
Multifocal areas of pigmented scabbing over the dorsum, none on the ventrum. Not painful. Not associated with erythema. When removing some of the scabs, skin looks healthy underneath
O notes that dog isn't able to itch at those scabs as she is too fat
O notes that some of these scabs came off when washing dog 2 days ago

Assessment:
AD and SBP resolving
Overweight, O aware

Plan:
Noted to Os that we don't know the underlying reason for the itch and secondary bacterial infection, but if it happens again, we can consider if we do something like skin supplementation,  Hills dermcomplete/ RC Skintopic... or ongoing zenellia 
O requested Neocort in case for the future if this happens again

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 13:30:00
Reason: Itchy still on back

History:
Seen end of Jan for AD and secondary SBP cocci
Home with abx and zenrellia

Examination:
Multifocal areas of pigmented scabbing over the dorsum, none on the ventrum. Not painful. Not associated with erythema. When removing some of the scabs, skin looks healthy underneath
O notes that dog isn't able to itch at those scabs as she is too fat
O notes that some of these scabs came off when washing dog 2 days ago

Assessment:
AD and SBP resolving
Overweight, O aware

Plan:
Noted to Os that we don't know the underlying reason for the itch and secondary bacterial infection, but if it happens again, we can consider if we do something like skin supplementation,  Hills dermcomplete/ RC Skintopic... or ongoing zenellia 
O requested Neocort in case for the future if this happens again

Previous claim history (9)

DateClaim #Diagnosis
2026-01-30C09829629HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-09-29C9286497GASTROENTERITIS
2025-07-07C8931477EAR INFECTION
2025-07-07C8931477VACCINATIONS OR HEALTH CHECKS
2025-07-07C8931477TEETH CLEANING
2025-02-10C8336793CONSTIPATION
2023-06-20C6045379VACCINATIONS OR HEALTH CHECKS
2023-06-20C6045379EAR INFECTION
2023-03-21C5751848DIARROHEA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit92.002026-03-05
20000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory55.002026-03-05

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.750
Threshold: 0.38
Above:
Correct?