C10013024 / invoice 10000

Species:CANINE
Breed:Miniature Dachshund - Smooth Haired
Age (years):4
Diagnosis or signs:Cytopoint
Consult notes
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<p>Hx -<br>-EDDU well, no V+ or D+<br>-Eases up in the winter, his allergy symptoms<br>-UTD with parasite control<br>-Starts to chew at feet and has skin irritation in both axilla regions<br>-On lyka diet purely at the moment, not helping allergies, but he enjoys this <br><br>CE:<br>- Eyes/ears/mouth: Eyes and ears NAD. Mouth mm pink, moist, CRT &lt;2s, gr1 dental dz<br>- CVS: NAD, 116bpm<br>- Abdo: Soft and comfortable <br>- Temp: NA<br>- M/S: NA<br>- Integument: Dry skin predominantly in both axilla regions and in the inguinal area<br>- Other: NA<br><br>A - Fit for cytopoint, allergies well controlled<br><br>Rx &amp; Plan - <br>-Gave cytopoint SC between shoulder blades 10mg<br>-Recommended keeping it to 3m but assessing whether we need to bring it forward or prolong depending on how the season changes affect Mervyn<br>-Recommended whimzee treats for dental health</p>
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Animal clinical history (3 most recent)

2025-11-25T00:00:00Z 16:23:00
History: Presents for cytopoint, has been itching and licking paws in past couple of days, has also been licking anus area as well, otherwise eddu normalParasite Control: up to date Exam:Mentation: BAR, little nervous but very good, CVS: HR =130 bpm,Treatment:10mg/ml cytopoint s/c between shoulder blades. batch 806981 ex 11/26 Tried to express anal glands in case this was the reason for licking at the bum however didn't need to be expressed. most likely caused by skin allergies. Plan:r/v when needed for cytopoint. 
2025-10-07T00:00:00Z 16:22:00
History: Presents for Lepto booster. All going well.Exam:Mentation: BARHR NADTreatment:Lepto NL2 given by sq injectionBatch A001A01 Exp 02/2026
2025-09-09T00:00:00Z 16:03:00
Hx - Going wellCurrent medications: Intermittent cytopoint injPrevious medical hx: Itchy skin, FB ingestionParasite control: CE:- e/e/m: Gr I-II dental dz.  Upper canines show moderate tartar accumulation.  Rest all fine- CVS: Heart NAD, HR = 150- Abdo: NAD- Integument: No erythematous patches and no broken skin, but itches when touching him.  - M/S: NAD- Other: NA- Temp: NARx: Cytopoint admin'd.  Suspect seasonal allergies starting to flare now that we're in springVacc booster incl lepto admin'd. 

Previous claim history (9)

DateClaim #Diagnosis
2025-09-09C9201852HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-06-11C8823850GASTRITIS
2025-04-15C8680914HYPERSENSITIVITY DISORDER (ALLERGY)
2025-03-12C8443345HYPERSENSITIVITY DISORDER (ALLERGY)
2025-02-26C8443345HYPERSENSITIVITY DISORDER (ALLERGY)
2024-11-19C7968705INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
2023-09-21C6336294ALLERGIC REACTION
2022-09-21C5124987ALLERGIC REACTION
2022-08-15C5034641GASTRITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation79.002026-03-10
20000tstarc_skin_medication_-_cytopoint160.342026-03-10
30000tstarc_treats6.002026-03-10
upstreamDSTP_general_exclusion

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.960
Threshold: 0.38
Above:
Correct?