C10012181 / invoice 10000
Species:CANINE
Breed:American Akita
Age (years):5
Diagnosis or signs:Allergic dermatitis
Consult notes
Hx:- EDDUn. No V+, no D+. No pu/pd. Fussy eater. - Diet: RC Hypo-allergenic, tuna, chicken, meatballs.- UTD parasite prevention: - bilat testicular excoriation /hotspot noticed 3 days ago when bathed at AAA PET RESORT. Not bothered by it, but unsure if Smokey can actually bend that far to lick.Exam: BAR. Minimal exam as boisterous and wanting to lunge and play (doesnt know how big he is).Eyes: clear OU, no bleapharospasm, no discharge, bilat PLRs (direct and consensual).Ears: clear OU, no discharge or swelling.Nose: clear, no discharge.Oral: not fully assessed.Cardiovascular: no murmur, no arrythmia, strong/synchronous pulses.Respiratory: no dyspnoea, clear lung sounds all fields.Abdomen: not fully assessed. Rectal: impossible as bearly tolerated temp.Integument: WNL.PLN: WNL.Neuro: CNs intact, CP present and WNL x 4, mentation appropriate.Musculoskeletal: ambulatory x 4, no pain on palpation of back/neck, no pain on ROM of joints or neck.Urogenital: - bilat testicular erythema, alopcia and scabbing on dependent surfaces only; testicles palpate WNL and non-painful. See photos.A: Bilat testicular dependent surface dermatitis DDx trauma from hard surface, hotspots vs other.Tx:nilPlan:1. Clav [500mg x 1.5 BID 5 days] --> recheck INI.OK for saline and neocort.
Animal clinical history (3 most recent)
2026-01-23T00:00:00Z 4:55?pm
Hx:- EDDUn. No V+, no D+. No pu/pd. Fussy eater. - Diet: RC Hypo-allergenic, tuna, chicken, meatballs.- UTD parasite prevention: - bilat testicular excoriation /hotspot noticed 3 days ago when bathed at AAA PET RESORT. Not bothered by it, but unsure if Smokey can actually bend that far to lick.Exam: BAR. Minimal exam as boisterous and wanting to lunge and play (doesnt know how big he is).Eyes: clear OU, no bleapharospasm, no discharge, bilat PLRs (direct and consensual).Ears: clear OU, no discharge or swelling.Nose: clear, no discharge.Oral: not fully assessed.Cardiovascular: no murmur, no arrythmia, strong/synchronous pulses.Respiratory: no dyspnoea, clear lung sounds all fields.Abdomen: not fully assessed. Rectal: impossible as bearly tolerated temp.Integument: WNL.PLN: WNL.Neuro: CNs intact, CP present and WNL x 4, mentation appropriate.Musculoskeletal: ambulatory x 4, no pain on palpation of back/neck, no pain on ROM of joints or neck.Urogenital: - bilat testicular erythema, alopcia and scabbing on dependent surfaces only; testicles palpate WNL and non-painful. See photos.A: Bilat testicular dependent surface dermatitis DDx trauma from hard surface, hotspots vs other.Tx:nilPlan:1. Clav [500mg x 1.5 BID 5 days] --> recheck INI.OK for saline and neocort. Vital Signs Weight: 49; MMColour: Pink; Temperature: 38.5; BodyScore: 5;
2025-12-19T00:00:00Z 1:47?pm
Appointment Reason: Vaccination whilst boarding at AAA Pet Resort. Hx:- EDDUn. No V+, no D+. No pu/pd.- Diet: RC- UTD parasite prevention: NGS. Full C5 required, as last given by GX Helensvale Square on 15/01/2025 - aware will be early (see attached).Exam: BAR. CARE - BOISTEROUS AND HYPERACTIVE! Doesn't appear aggressive but very excitable and jumpy and he doesn't realise his large size :)Minimal exam as trying to knock me over - poss side-eye. Eyes: clear OU, no bleapharospasm, no discharge, bilat PLRs (direct and consensual).Ears: clear OU, no discharge or swelling.Nose: clear, no discharge.Oral: minimal exam, DS 1/4.Cardiovascular: difficult to examine as won't stand still. Respiratory: no dyspnoea, clear lung sounds all fields.Abdomen: no pain on palpation, no mass effect, no fluid wave, no abnormalities.Integument: WNL.PLN: WNL.Neuro: CNs intact, CP present and WNL x 4, mentation appropriate.Musculoskeletal: ambulatory x 4, jumping up well!Urogenital: NAD. 2 x testes appear WNL - not palpated as would not tolerate. A: Healthy dog.Tx: C5 [C3 DHP sc (batch #2507101), KC injectable (batch #2517601).Plan:1. C3 DHP due in 3 years, KC due in 1 year.Emailed vacc certificate to Ox and AAA PR once payment made by AAA PR on 06/01/26. Vital Signs Weight: 52.4; MMColour: Pink; HeartRate: 120; Demeanour: BAR; Hydration: Normal; Gingivitis: 1; Calculus: 1; Observation: Normal; BodyScore: 5; DentalGrade: 1;
Previous claim history (10)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-05-08 | C8687550 | ULCER |
| 2025-01-15 | C8203962 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-01-15 | C8203962 | Preventative/Elective Procedure |
| 2025-01-15 | C8203962 | FLEA/TICK/WORM CONTROL |
| 2025-01-15 | C8203962 | VACCINATIONS |
| 2025-01-15 | C8204014 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-08-29 | C7644006 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-07-19 | C7525481 | ATOPY |
| 2024-07-16 | C7470523 | ATOPY |
| 2022-01-20 | C4417319 | PYODERMA - SUPERFICIAL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 159.99 | 2026-01-23 | — |
| 20000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 81.91 | 2026-01-23 | — |
UPM+
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
Variant (sleepy_king)
DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.930
Threshold: 0.25
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description