C10007541 / invoice 10000

Species:CANINE
Breed:Border Collie
Age (years):2
Diagnosis or signs:Perivulvar dermatitis , treatment pmp suspension
Consult notes
REASON: Perivulvar dermatitis 

HISTORY: Marked inflammation of skin of back of the neck and inflammation of skin around the vulva 

Flea control (yes) Simparica Trio
Worming (yes)
Heartworm Prevention(yes)

EXAMINATION:  Heart Rate 102
              Resp Rate 24
              MM pink
              CRT 1s
Abdominal palpation normal 
Ear canals normal 
Interdigiital area normal 
Skin of back of neck some mild scale, otherwise now normal 
Perivulvar skin appears inflamed 

DIFFERENTIAL DIAGNOSIS

LAB

TREATMENT : PMP drops to apply to the affected area TWICE daily  for 14 days 


PLAN

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 08:30:00
REASON: Perivulvar dermatitis 

HISTORY: Marked inflammation of skin of back of the neck and inflammation of skin around the vulva 

Flea control (yes) Simparica Trio
Worming (yes)
Heartworm Prevention(yes)

EXAMINATION:  Heart Rate 102
              Resp Rate 24
              MM pink
              CRT 1s
Abdominal palpation normal 
Ear canals normal 
Interdigiital area normal 
Skin of back of neck some mild scale, otherwise now normal 
Perivulvar skin appears inflamed 

DIFFERENTIAL DIAGNOSIS

LAB

TREATMENT : PMP drops to apply to the affected area TWICE daily  for 14 days 


PLAN

Previous claim history (6)

DateClaim #Diagnosis
2026-01-17C09772848GASTROENTERITIS
2025-06-27C8894557DENTAL (TOOTH) DISORDER
2025-06-27C8894557TOOTH FRACTURE
2025-06-27C9059723VACCINATIONS OR HEALTH CHECKS
2025-06-27C9059723HEARTWORM CONTROL
2025-05-19C9059740TOOTH FRACTURE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation97.002026-03-10
20000tstarc_diagnostic_test_-_cytology52.402026-03-10
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal55.352026-03-10

UPM+

  • DG01942VULVAL DISORDERDSTP_vulval_and_vaginal_disorder

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.470
Threshold: 0.25
Above:
Correct?
Reason (correct)