C10004712 / invoice 10000

Species:CANINE
Breed:Central Asian Ovtcharka
Age (years):4
Diagnosis or signs:Consult and Medication
Consult notes

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 8:45 AM
Reason: Kevin Only Coming KRAppointment Notes: Overdue remindersHistory:Kevin reported Chayce has had sore L paw 2-3 daysNon wt bearing on leg ydayLicking paw the days before Didn't drink a lot last night as O thought maybe it was too hard to get upEating fineRed between digitsUnsure if pus present or not but possibly something different colourUnsure if nail involved.Meds- apoquel, paracetamolExamination:Chayce not brought to clinic due to requiring sedation to examine.Examined photos- showed paw from front and side. Can possibly see some erythema. Cannot visualise between digits or ventral aspect. Assessment:Possible skin related issue with LF paw- cannot rule out infection but inflamm seems likely. Treatment:Have discussed with KR prior to visit-Ceph 2000mg BID 10dPred 30mg 3 days then tapering dosePlan:Kevin will keep KR updated with progressWill try and clean area with chlorhex after using meds for a couple of daysDiscussed e collar vs sock if needed.    Vital Signs    

Previous claim history (32)

DateClaim #Diagnosis
2026-02-23C09941413HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-04C09595198OTITIS EXTERNA
2023-09-29C6363849EAR INFECTION
2023-09-19C6328237EAR INFECTION
2023-07-27C6332008NAIL BED INFECTION
2023-07-13C6095357NAIL BED INFECTION
2023-06-30C6048418HIP DYSPLASIA
2023-06-30C6048418ATOPY
2023-06-29C6048418NAIL BED INFECTION
2023-06-26C6033837NAIL BED INFECTION
2023-06-19C6013323SWELLING
2023-06-02C5961539HIP DYSPLASIA
2023-04-20C5814331HIP DYSPLASIA
2023-04-11C5805439ALLERGY
2023-02-14C5602860ALLERGY
2023-02-11C5578484DIARROHEA
2023-01-27C5536200GASTROINTESTINAL PROBLEMS
2023-01-12C5498446HIP DYSPLASIA
2022-12-30C5435138GASTROINTESTINAL PROBLEMS
2022-12-28C5424597GASTROINTESTINAL PROBLEMS
2022-12-23C5455485BEHAVIOUR DISORDER
2022-12-22C5455485HIP DYSPLASIA
2022-12-16C5393841HIP DYSPLASIA
2022-12-16C5393841GASTROINTESTINAL PROBLEMS
2022-12-08C5387754BEHAVIOUR DISORDER
2022-11-11C5284289ALLERGY
2022-11-08C5270587OTITIS EXTERNA
2022-10-24C5227069OTITIS EXTERNA
2022-10-17C5202905OTITIS EXTERNA
2022-06-23C4861289CONJUNCTIVITIS
2022-05-21C4777593URINARY TRACT INFECTION (UTI)
2022-05-09C4727725ALLERGY

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_corticosteroids26.192026-03-09
20000tstarc_antibiotics_-_cephalexin136.312026-03-09

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.660
Threshold: 0.38
Above:
Correct?