C10005096 / invoice 10000

Species:CANINE
Breed:American Bulldog
Age (years):2
Diagnosis or signs:Gaponly see notes
Consult notes
DH
discuss skin -- says cytopoint given 5/2 is not working

client said cytopoiunt didnt work at all 

sticky tape prep - marked yeast , cocci and few neutraphils 

changed from taste of the wild to salmon sardines mackeral and shark carlildge 

discussed cytopoint apoquel and sterooids 

owner to trial cream , cephalexin and malaseb wash at least weekly 
cytopoint 40 mg sc


hr 84 pulses ok mm pink dental grasde 1 

ears looks ok at the moment , not red , only shakes when getting out of the cage 

INI will start itraconazole 

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 15:00:00
DH
discuss skin -- says cytopoint given 5/2 is not working

client said cytopoiunt didnt work at all 

sticky tape prep - marked yeast , cocci and few neutraphils 

changed from taste of the wild to salmon sardines mackeral and shark carlildge 

discussed cytopoint apoquel and sterooids 

owner to trial cream , cephalexin and malaseb wash at least weekly 
cytopoint 40 mg sc


hr 84 pulses ok mm pink dental grasde 1 

ears looks ok at the moment , not red , only shakes when getting out of the cage 

INI will start itraconazole 

Previous claim history (7)

DateClaim #Diagnosis
2026-02-05C09859668HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-23C09668355OTITIS EXTERNA
2025-12-23C09755694EAR (AURAL) INFECTION - BACTERIAL
2025-09-24C9264136SKIN LESIONS
2025-09-24C9264136PATELLA LUXATION
2025-09-24C9264136Cruciate Disease - Left Leg
2025-09-16C9231026LAMENESS LH

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit58.302026-03-09
20000tstarc_skin_medication_-_cytopoint146.302026-03-09
30000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory83.602026-03-09
40000tstarc_antibiotics_-_cephalexin117.002026-03-09
50000tstarc_diagnostic_test_-_cytology57.602026-03-09

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.940
Threshold: 0.38
Above:
Correct?