C10008336 / invoice 10000

Species:CANINE
Breed:German Shepherd
Age (years):6
Diagnosis or signs:GAP only
Consult notes
2 week recheck

perivulval area unchanged, still raw caudal left side and large black hyperpigmentated patches not improving, owner finiding it difficult to apply conditioner as she objects. and owner going away

start ketoconazole and change to clav bid

r/c 2wks

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 11:00:00
2 week recheck

perivulval area unchanged, still raw caudal left side and large black hyperpigmentated patches not improving, owner finiding it difficult to apply conditioner as she objects. and owner going away

start ketoconazole and change to clav bid

r/c 2wks
2026-02-24T00:00:00Z 15:00:00
Monthly Cartrophen

dog is having trouble with licking vulva very intensely. 3 lage patches of malasezzia and one area of purulent exudate and ulceration indicating staph. incontinance controlled well by weekly stilboestrol

use malaseb eod and pyohex conditioner daily.

rest of skin still good, cont apoquel for a few months before considering trying cytopoint again.

cephalexin bid 14days then r/c

dispensed stilboestrol and apoquel
2026-01-27T00:00:00Z 13:20:00
skin/ meds + cartrophen

hair regrowing and coming to the end of the tabs

continue the apoquel 16 mg x 30 x 1 sid

cartrophen 1.1 ml today

Previous claim history (15)

DateClaim #Diagnosis
2026-02-24C09948202HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-02-24C09948202URINARY INCONTINENCE
2026-02-24C09948202ARTHRITIS
2026-01-27C09812687ARTHRITIS
2026-01-27C09812687HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-30C09689684HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-30C09689684ARTHRITIS
2025-12-15C09629112HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-10C09608073HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-04-29C8642376HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-04-23C8619907URINARY INCONTINENCE
2025-04-23C8619907HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-04-08C8559201PRURITUS - PRESENTING COMPLAINT
2025-03-27C8506668URINARY INCONTINENCE
2025-03-27C8559373URINARY INCONTINENCE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid136.202026-03-10
20000tstarc_anti-fungal_medication75.002026-03-10
30000tstarc_consultation-revisit105.002026-03-10

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.860
Threshold: 0.38
Above:
Correct?