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)

DateClaim #Diagnosis
2025-05-08C8687550ULCER
2025-01-15C8203962HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-15C8203962Preventative/Elective Procedure
2025-01-15C8203962FLEA/TICK/WORM CONTROL
2025-01-15C8203962VACCINATIONS
2025-01-15C8204014HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-08-29C7644006HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-07-19C7525481ATOPY
2024-07-16C7470523ATOPY
2022-01-20C4417319PYODERMA - SUPERFICIAL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation159.992026-01-23
20000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid81.912026-01-23

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