C10016976 / invoice 10000

Species:CANINE
Breed:German Shepherd
Age (years):1
Diagnosis or signs:check paws.
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>hx licking front paws. EDUD well. overdue with flea and worming. but O bought simparica and cazitel worming tablet <br>nervous dog. <br>muzzled. <br>mm pk normalheart and chest sound abdomen soft and comfortable. <br>ears skin okay, <br>erythema in front 2 paws <br>ddx contact dermatitis. <br>tx pred 20mg 1.5 tablet sid for 3 days then 1 tablet sid for 3 days. 0.5tablet sid for 3 days then 0.5 tablet every 2nd day until finish<br>bacticorten lotion bid on the paws, <br>recommend castration.</p></html>

Animal clinical history (3 most recent)

2025-11-18T00:00:00Z 09:41:00
No prior history.Happened for past 3 days RF lameness on walk.Barks when sees you.Settles afterwards. MM Pink CRT<2 LNs okEyes ears okThoracic No heart murmur or abnormal rhythmsLung fields clearAbdo okMSK Right fore distal humerus has discomfort and pain with palpation. Does not like his elbow extension either.Temp 39.4CWeight bearing lameness. DDx Acute injury vs elbow dysplasia vs paneosteitis? vs green stick fractureOption of rads or NSAIDs. Quote 550-600 for rads. Sent handout on paneosteitis and Meloxicam.Will do Meloxicam 7.5mg Give 1/2 tablet sid with food x 6 tablets. 
2025-10-28T00:00:00Z 15:47:00
UTD with vaccinationBarks when sees other dogs. MM Pink CRT<2 LNs okEyes ears okThoracic ok Lung fields clearAbdo okMSK okCazitel 1 tablet every 3 months with Simparica Trio monthly (O does Simparica Trio at home)Is on Gaurav diet. Can give that but since large breed dog, would recommend at least 1 meal of puppy dry food with him.Recommend trainer for him at this stage. Given details for Zynergy.

Previous claim history (18)

DateClaim #Diagnosis
2025-11-18C9541300GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2025-10-28C9414497HEALTH CHECK
2025-10-28C9414497FLEA/TICK/WORM CONTROL
2025-10-28C9548519HEALTH CHECK
2025-10-28C9548519FLEA/TICK/WORM CONTROL
2025-07-24C9005730DIARROHEA
2025-07-24C9005730CONJUNCTIVITIS
2025-07-24C9005730HEARTWORM CONTROL
2025-07-22C9000791CONJUNCTIVITIS
2025-06-24C9000726VACCINATIONS OR HEALTH CHECKS
2025-06-24C9000726FLEA/TICK/WORM CONTROL
2025-06-24C9000726HEARTWORM CONTROL
2025-06-24C9000779VACCINATIONS OR HEALTH CHECKS
2025-06-24C9000779FLEA/TICK/WORM CONTROL
2025-06-24C9000779HEARTWORM CONTROL
2025-06-10C8820341DERMATITIS - CONTACT
2025-06-10C8820341FLEA/TICK/WORM CONTROL
2025-06-10C8820341HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation88.002026-03-11
20000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory53.752026-03-11
30000tstarc_corticosteroids24.002026-03-11

UPM+

  • DG00594DERMATITIS - CONTACT DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.770
Threshold: 0.25
Above:
Correct?