C10005707 / invoice 10000

Reviewer

Species:CANINE

Breed:Golden Doodle (Groodle)

Age (years):5

Diagnosis or signs:consult

Consult notes

Licking Paws ca

Hx:-->
On fish protein only 
SPD salmon & other 100% fish based foods/treats 
On cortavance own ear canals once a week 
Generally well easr , skin adn GIT been well managed
Last week licking & chewing at hind feet ++++

Clin:-->
mm pink CRT < 2 sec 
Heart and lungs OK 
Both ear canals look good- no redness/discharge 

Front feet look OK 

Back feet inter digital pad area red & ulcerated on both feet - no sinus evident 

Rx/Plan-->
Apoquel E collar 
CLean feet with iodine 

Initially recommended ABs but given allergies and bad response to cephalexin 
Try & manage with topicals and apoquell only 

Will need to refund cephalexin 

Diff Dx:-->


Test results-->


GA log:-->

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 15:15:00

Licking Paws ca

Hx:-->
On fish protein only 
SPD salmon & other 100% fish based foods/treats 
On cortavance own ear canals once a week 
Generally well easr , skin adn GIT been well managed
Last week licking & chewing at hind feet ++++

Clin:-->
mm pink CRT < 2 sec 
Heart and lungs OK 
Both ear canals look good- no redness/discharge 

Front feet look OK 

Back feet inter digital pad area red & ulcerated on both feet - no sinus evident 

Rx/Plan-->
Apoquel E collar 
CLean feet with iodine 

Initially recommended ABs but given allergies and bad response to cephalexin 
Try & manage with topicals and apoquell only 

Will need to refund cephalexin 

Diff Dx:-->


Test results-->


GA log:-->

Previous claim history (23)

Date	Claim #	Diagnosis
2026-01-27	C09813891	FLEA/TICK/WORM CONTROL
2026-01-27	C09813891	HEARTWORM CONTROL
2026-01-27	C09813891	VACCINATIONS OR HEALTH CHECKS
2024-03-06	C6970084	EAR INFECTION
2023-12-14	C6657146	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-10-11	C6410190	INTERDIGITAL DERMATITIS
2023-09-14	C6312366	FLEA/TICK/WORM CONTROL
2023-08-08	C6184817	KENNEL COUGH
2023-03-15	C5692755	VACCINATIONS OR HEALTH CHECKS
2022-09-22	C5147817	VOMITION
2022-09-13	C5101946	WART
2022-05-07	C4730193	EAR INFECTION
2022-05-07	C4730193	EYE INFECTION
2022-04-04	C4638694	EAR INFECTION
2022-03-21	C4638685	EYE INFECTION
2022-03-21	C4638685	EAR INFECTION
2022-02-19	C4530503	DESEXING-COMPLICATIONS
2022-02-18	C4530503	DESEXING-COMPLICATIONS
2022-02-18	C4530503	BLOOD SCREEN
2022-02-08	C4496293	OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2021-12-29	C4382741	FLEA/TICK/WORM CONTROL
2021-12-13	C4344537	VACCINATIONS OR HEALTH CHECKS
2021-12-13	C4344537	Car Motion Sickness

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	107.65	2026-03-09	—
20000	tstarc_skin_medication_-_apoquel	138.90	2026-03-09	—
30000	tstarc_antibiotics_-_cephalexin	68.30	2026-03-09	—
40000	tstarc_unrelated_treatment	21.95	2026-03-09	upstreamDSTP_general_exclusion

UPM+

DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.650

Threshold: 0.38

Above: ✓

Correct?

Yes No