C10012490 / invoice 10000
Species:CANINE
Breed:Labrador Retriever
Age (years):4
Diagnosis or signs:Consult for itchy skin and ears
Consult notes
still very itchy while being on apoquel Been ok on 16mg sid for awhile now About a week ago started itching around chest / axilla On NG Spectra Still goes to car wash dog wash with flea shampoo - advised against S: BAR, loves treats O: Sl red in axilla else NAD Reactive to touch around sides - itching Bilat ears dark wax TM intact A: OE Early / mild Allergy flare? P: Easotic sid 7d, recheck in 10d Increase apoq to bid 7d Call us if no better in 3d, can use cortavance +- cytopoint
Animal clinical history (3 most recent)
2026-03-10T00:00:00Z 17:00:00
still very itchy while being on apoquel Been ok on 16mg sid for awhile now About a week ago started itching around chest / axilla On NG Spectra Still goes to car wash dog wash with flea shampoo - advised against S: BAR, loves treats O: Sl red in axilla else NAD Reactive to touch around sides - itching Bilat ears dark wax TM intact A: OE Early / mild Allergy flare? P: Easotic sid 7d, recheck in 10d Increase apoq to bid 7d Call us if no better in 3d, can use cortavance +- cytopoint
Previous claim history (9)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-12 | C09922452 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-12-24 | C09680029 | INGEST FOREIGN OBJECT |
| 2025-03-05 | C8415034 | EAR INFECTION |
| 2024-12-12 | C8068799 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-12-12 | C8068799 | SEIZURE(S) - PRESENTING COMPLAINT |
| 2024-10-02 | C7855750 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-08-21 | C7616352 | OTITIS EXTERNA |
| 2024-08-21 | C7616472 | EAR INFECTION |
| 2023-01-24 | C5596262 | CRYPTORCHID |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 91.00 | 2026-03-10 | — |
| 20000 | tstarc_procedure_fee | 12.10 | 2026-03-10 | — |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 96.05 | 2026-03-10 | — |
UPM+
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.500
Threshold: 0.07
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description