C10015182 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):2
Diagnosis or signs:see consult notes
Consult notes
itching alot

Hx: has been actching frantically chest and neck 
In consult will scratch uder jaw - and squeal 
O stopped chicken as thought this was making Nala itchy but she has always eaten chicken and not had this recation 

Exam: 
Hr 120 , no murmur or arrythmias, MM pink moist CRT <2sec 
Abdo palp wnls 
Skin : Ventral neck : mild erythema, no alopecia  Tape prep - occasional yeast and cocci m epithelial cells +++
EEN nad , did not look down ears Oral : mild calculus across canines and upper carnasials 
No swelling around ventral neck and jaw 

Assessment: 
Dermatitis 
Discussed TRA vs jw pain can be other diferentilas but at this stage oral cavity does not look this severe t


Plan: 
Start malaseb wash 10 min contact time TIW for 3 weeks ventral nek 
Cytopoint 10mg SC for itch 

INI r/v 

Recc dental under GA - estimate printed for O 






Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 13:10:00
itching alot

Hx: has been actching frantically chest and neck 
In consult will scratch uder jaw - and squeal 
O stopped chicken as thought this was making Nala itchy but she has always eaten chicken and not had this recation 

Exam: 
Hr 120 , no murmur or arrythmias, MM pink moist CRT <2sec 
Abdo palp wnls 
Skin : Ventral neck : mild erythema, no alopecia  Tape prep - occasional yeast and cocci m epithelial cells +++
EEN nad , did not look down ears Oral : mild calculus across canines and upper carnasials 
No swelling around ventral neck and jaw 

Assessment: 
Dermatitis 
Discussed TRA vs jw pain can be other diferentilas but at this stage oral cavity does not look this severe t


Plan: 
Start malaseb wash 10 min contact time TIW for 3 weeks ventral nek 
Cytopoint 10mg SC for itch 

INI r/v 

Recc dental under GA - estimate printed for O 






Previous claim history (3)

DateClaim #Diagnosis
2026-01-03C09704120CLAW INJURY (TRAUMATIC)
2025-06-23C8874065CLAW INJURY (TRAUMATIC)
2024-08-22C7613821VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation109.002026-03-11
20000tstarc_skin_medication_-_cytopoint167.552026-03-11
30000tstarc_medicated_shampoo31.502026-03-11
40000tstarc_diagnostic_test_-_cytology84.002026-03-11

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.430
Threshold: 0.25
Above:
Correct?