C10004398 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):13
Diagnosis or signs:Wound/s
Consult notes
09/03/2026 **Subjective:**
Wound noticed Saturday. Not on any medications. Not eating. Reduced energy. Mobility issues - struggles on floor. Booked in for CCL surgery next week

**Objective:**
Area shaved. Skin condition flared up - not a hot spot. Scabs removed. Lesion appears raw. Possible new lesions starting elsewhere. Skin flaring up. Not itchy currently. Not scratching. Allergy injection 21/02/2026.

Examination:
BAR
BCS 4-5
HR 100 
RR pant
abdomen : nad
Dorsal neck scabby erythematous lesion. 
Shaved and cleaned. 

**Assessment:**
Moist dermatitis Dorsal neck. 
Skin condition flare-up. Infection present.

**Plan:**
Neocort ointment topically twice daily.
Cephalexin 20 mg/kg BID for 10 days. 
 Bath with Malaseb or Mediderm shampoo.
 Wipes for lesion area. Avoid steroids if possible. Clear infection prior to surgery.

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 11:13:45
**Subjective:**
Wound noticed Saturday. Not on any medications. Not eating. Reduced energy. Mobility issues - struggles on floor. Booked in for CCL surgery next week

**Objective:**
Area shaved. Skin condition flared up - not a hot spot. Scabs removed. Lesion appears raw. Possible new lesions starting elsewhere. Skin flaring up. Not itchy currently. Not scratching. Allergy injection 21/02/2026.

Examination:
BAR
BCS 4-5
HR 100 
RR pant
abdomen : nad
Dorsal neck scabby erythematous lesion. 
Shaved and cleaned. 

**Assessment:**
Moist dermatitis Dorsal neck. 
Skin condition flare-up. Infection present.

**Plan:**
Neocort ointment topically twice daily.
Cephalexin 20 mg/kg BID for 10 days. 
 Bath with Malaseb or Mediderm shampoo.
 Wipes for lesion area. Avoid steroids if possible. Clear infection prior to surgery.

Previous claim history (26)

DateClaim #Diagnosis
2016-08-10C0910698WOUND
2016-07-11C0877781WOUND
2016-07-05C0868056HEARTWORM CONTROL
2016-07-05C0868056VACCINATIONS OR HEALTH CHECKS
2016-07-05C0868056FLEA/TICK/WORM CONTROL
2016-07-05C0868056OTITIS EXTERNA
2016-05-17C0825032DERMATITIS INTERDIGITAL
2015-12-11C0682006ALLERGY
2015-12-08C0682006PRESCRIPTION DIETS
2015-11-23C0665448OTITIS EXTERNA
2015-11-23C0665448SKIN (CUTANEOUS) DISORDER
2015-11-23C0682006OTITIS EXTERNA
2015-11-23C0682006ALLERGY
2015-10-08C0627348GASTROENTERITIS
2015-10-08C0627348PRESCRIPTION DIETS
2015-09-14C0610400PYODERMA
2015-06-05C0535107VACCINATIONS OR HEALTH CHECKS
2015-06-05C0535107HEARTWORM PREVENTATIVE MEDICATION
2015-06-05C0535107EAR CONDITIONS
2014-12-30C0430615PYODERMA
2014-06-28C0305619CONJUNCTIVITIS
2014-05-20C0281684VACCINATIONS OR HEALTH CHECKS
2014-05-20C0281684HEARTWORM CONTROL
2013-08-01C0129710HAEMATOMA - OTHER
2013-07-19C0122570DESEXING
2013-07-05C0129710COUNCIL REGISTRATION FEES

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation96.002026-03-09
20000tstarc_antibiotics_-_cephalexin83.802026-03-09
30000tstarc_procedure_fee_-_wound_treatment37.002026-03-09
40000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory40.372026-03-09
50000tstarc_medicated_shampoo27.402026-03-09

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.810
Threshold: 0.25
Above:
Correct?
Reason (correct)