C10018052 / invoice 10000

Reviewer

Species:CANINE

Breed:Maltese Cross

Age (years):13

Diagnosis or signs:See notes

Consult notes

11/03/2026 On 4cyte liquid
Panting more, slow jumping up onto things
Multiple lumps
Is becomming needle phobic from monthly cytopoint injections

Examination;
Two lipomas and multiple sebaceous adenomas present
HR; 140gd
Has been licking around front of paws/ dewclaws, but think likely itchy feet and that she cannot itch underside anymore due to being older

Discussed options for management
Swap to Zenrelia
Stop cytopoint
Start cartrophen course

Difficulty with dose of Zenrelia.  0.8mg/kg is 6mg, so if using 6.4mg it would be a bit high.  owner is aware of this and may go for the higher dose is the lower dose is not efficaceous.

Previous claim history (36)

Date	Claim #	Diagnosis
2026-02-12	C09893250	HYPERSENSITIVITY DISORDER (ALLERGY)
2026-01-29	C09857702	HYPERSENSITIVITY DISORDER (ALLERGY)
2026-01-12	C09742711	HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-15	C09626310	HYPERSENSITIVITY DISORDER (ALLERGY)
2025-07-06	C09922429	HYPERADRENOCORTICISM ("CUSHING'S")
2020-01-04	C2644827	VACCINATIONS OR HEALTH CHECKS
2019-11-05	C2533926	VACCINATIONS OR HEALTH CHECKS
2019-06-24	C2308418	ALLERGY
2018-11-19	C1952546	ALLERGY
2018-10-08	C1875604	ALLERGY
2018-04-15	C1615733	ALLERGY
2018-03-16	C1581736	CONJUNCTIVITIS
2017-11-04	C1402830	VACCINATIONS OR HEALTH CHECKS
2017-10-12	C1367142	ALLERGY
2017-06-16	C1225928	ALLERGY
2017-05-30	C1205875	LAMENESS LF
2017-05-30	C1205875	ALLERGY
2017-05-17	C1197217	PARONYCHIA
2017-05-17	C1203667	PARONYCHIA
2017-03-15	C1119787	CONJUNCTIVITIS
2017-03-13	C1116880	CONJUNCTIVITIS
2016-12-15	C1019166	ALLERGY
2016-11-21	C1004426	VACCINATIONS OR HEALTH CHECKS
2016-11-21	C1004426	CONTACT ALLERGY
2016-02-06	C0747458	ALLERGY
2015-12-23	C0693831	VACCINATIONS OR HEALTH CHECKS
2015-10-29	C0714156	ALLERGY
2015-10-18	C0636090	PAD EXCORIATION
2015-01-11	C0429162	INSECT BITE/STING
2014-11-11	C0409463	VACCINATIONS OR HEALTH CHECKS
2014-11-11	C0409463	SKIN CONDITIONS
2014-02-13	C0228305	WOUND - PUNCTURE
2013-12-04	C0189419	VACCINATIONS OR HEALTH CHECKS
2013-03-30	C0094414	DESEXING-COMPLICATIONS
2013-03-22	C0074651	DESEXING
2013-03-22	C0074651	HEARTWORM TEST OR BLOOD SCREEN

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_arthritis_injection	40.64	2026-03-11	—
20000	tstarc_consultation	115.00	2026-03-11	—
30000	tstarc_zenrelia_tablets	97.00	2026-03-11	—

UPM+

DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
DG00205ARTHRITISDSTP_osteoarthritis

Variant (sleepy_king)

ARTHRITIS

DSTP_osteoarthritis

Conf: 0.710

Threshold: 0.17

Above: ✓

Correct?

Yes No