C10004854 / invoice 10000
Species:CANINE
Breed:American Staffordshire Terrier Cross
Age (years):10
Diagnosis or signs:Consult for reaccuring skin condition
Consult notes
skin irritation has come back Ran out of apoquell a week ago Has been dehydrating chicken for her - related? Malaseb washes regularly Beach and rinse out Neocort on R axilla Very reactive / scratching at ventrum with hind legs Also licking at paws Ongoing Gabapentin and carprofen S: BAR, loves treats and settled well in consult today O: R axilla sl hairless / pink Very pruritic on ventrum but no obvious lesion otherwise A: Contact allergy vs atopy (suspect the latter. Seasonal?) vs poss food allergy - chicken? P: Explained nature of dermal expression of allergies Also mechanism of cytopoint Aim is to get her comfortable with min drugs / side effects Dermatologist referral mentioned - id allergen(s) and eliminate or ASIT 1. Start with 40mg cytopoint SC today 2. Cont with malaseb and neocort as needed 3. Can restart apoquell if no better 4. Cover with NG Spectra monthly 5. May use dermosteroid spray but not oral, given on NSAID. 6. Early intervention in flares is essential
Animal clinical history (3 most recent)
2026-03-09T00:00:00Z 11:40:00
skin irritation has come back Ran out of apoquell a week ago Has been dehydrating chicken for her - related? Malaseb washes regularly Beach and rinse out Neocort on R axilla Very reactive / scratching at ventrum with hind legs Also licking at paws Ongoing Gabapentin and carprofen S: BAR, loves treats and settled well in consult today O: R axilla sl hairless / pink Very pruritic on ventrum but no obvious lesion otherwise A: Contact allergy vs atopy (suspect the latter. Seasonal?) vs poss food allergy - chicken? P: Explained nature of dermal expression of allergies Also mechanism of cytopoint Aim is to get her comfortable with min drugs / side effects Dermatologist referral mentioned - id allergen(s) and eliminate or ASIT 1. Start with 40mg cytopoint SC today 2. Cont with malaseb and neocort as needed 3. Can restart apoquell if no better 4. Cover with NG Spectra monthly 5. May use dermosteroid spray but not oral, given on NSAID. 6. Early intervention in flares is essential
Previous claim history (13)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-17 | C09915819 | OSTEOARTHRITIS |
| 2026-02-17 | C09915885 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-12-03 | C09575498 | OSTEOARTHRITIS |
| 2021-05-25 | C3773727 | CRUCIATE DISEASE |
| 2021-04-20 | C3688941 | CRUCIATE LIG RUPTURE |
| 2020-11-30 | C3338519 | SEBACEOUS CYST |
| 2020-11-30 | C3338519 | MASS LESION - FACIAL, LIP |
| 2020-11-17 | C3310553 | SEBACEOUS CYST |
| 2020-11-17 | C3310553 | CRUCIATE LIG RUPTURE |
| 2020-11-14 | C3310553 | SEBACEOUS CYST |
| 2020-11-14 | C3310553 | CRUCIATE LIG RUPTURE |
| 2017-10-17 | C1382176 | MASS LESION - SKIN (CUTANEOUS) |
| 2017-04-01 | C1210303 | CONJUNCTIVITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 68.00 | 2026-03-09 | — |
| 20000 | tstarc_skin_medication_-_cytopoint | 163.85 | 2026-03-09 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.980
Threshold: 0.38
Above: ✓
Correct?