C10014627 / invoice 10000

Species:CANINE
Breed:Golden Retriever Cross
Age (years):5
Diagnosis or signs:Itchy skin - Skin cytology -> bacteria and neutrophils ventral abdomne and axilla. Cytopoint inj, Cephacin tabs
Consult notes
REASON: Itchy skin 

HISTORY: History of skin problems, ear problems. Recently very itchy 

Flea control (yes)
Worming (yes)
Heartworm Prevention(yes)

EXAMINATION:  Heart Rate 120
              Resp Rate 24
              MM pink
              CRT 1s
Dermatitis affecting nventral abdomen, ventral chest and awillae. 
Mild interdigiital dermatitis .
Ear canals appear OK 

DIFFERENTIAL DIAGNOSIS

LAB Skin cytology -> bacteria and neutrophils  ventral abdomne and axilla   ; Superficial pyoderma 
Interdigital area -> low numbers bacteria 

TREATMENT Cytopoint inj 30mg monthly 
Cephacin 600mg bid x 21 days 
Pyohex shampoo weekly and apply Pyohex lotion daily also for 21 days to affected areas


PLAN

Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 10:30:00
REASON: Itchy skin 

HISTORY: History of skin problems, ear problems. Recently very itchy 

Flea control (yes)
Worming (yes)
Heartworm Prevention(yes)

EXAMINATION:  Heart Rate 120
              Resp Rate 24
              MM pink
              CRT 1s
Dermatitis affecting nventral abdomen, ventral chest and awillae. 
Mild interdigiital dermatitis .
Ear canals appear OK 

DIFFERENTIAL DIAGNOSIS

LAB Skin cytology -> bacteria and neutrophils  ventral abdomne and axilla   ; Superficial pyoderma 
Interdigital area -> low numbers bacteria 

TREATMENT Cytopoint inj 30mg monthly 
Cephacin 600mg bid x 21 days 
Pyohex shampoo weekly and apply Pyohex lotion daily also for 21 days to affected areas


PLAN

Previous claim history (14)

DateClaim #Diagnosis
2026-01-29C09826059DERMATITIS
2026-01-12C09745734EAR INFECTION
2025-12-19C09649648EAR INFECTION
2025-11-24C9533976OTITIS EXTERNA
2025-10-30C9425441OTITIS EXTERNA
2025-09-10C9204736CLAW INJURY (TRAUMATIC)
2025-05-21C8737587HYPERSENSITIVITY DISORDER (ALLERGY)
2025-03-14C8451047EAR INFECTION
2025-03-14C8451047HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-01-06C8158632EAR INFECTION
2024-10-24C7861418VACCINATIONS OR HEALTH CHECKS
2024-09-21C7732414EAR INFECTION
2024-05-28C7284365OPHTHALMIC (EYE) INJURY - PRESENTING COMPLAINT
2024-02-26C6923442HOT SPOT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation97.002026-03-11
20000tstarc_diagnostic_test_-_cytology52.402026-03-11
30000tstarc_antibiotics_-_cephalexin112.902026-03-11
40000tstarc_skin_medication_-_cytopoint185.752026-03-11
50000tstarc_medicated_shampoo46.252026-03-11

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.480
Threshold: 0.38
Above:
Correct?
Reason (correct)