C10020022 / invoice 10000

Species:CANINE
Breed:Irish Wolfhound
Age (years):4
Diagnosis or signs:medication
Consult notes
11/03/2026 Rx: Cytopoint and pre-breeding health check 

Hx: 
- Here for cytopoint and pre-mating check 
- Generalized scratching, dry flaky skin esp over spine 
- No current medications - supplements (fish oil, glucosamine etc). 
- Mated 3 weeks ago - collected and performed TCI 

PE: 
- Nervous, panting/shaking 
- MM pink 
- Mouth: distance 1/4 
- Ears: mild pinnae erythema bilaterally, external canals appear clear. 
- Heart: no murmur, no arrhythmia 
- Lungs: NAD 
- Abdo: NAD 
- Skin: some dry flaky patches over dorsum around spine (one focal area of superficial pyoderma - advised spot-treat with malaseb). 
- Urogenital: Penis and testes NAD 

Tx: Cytopoint 2 x 40mg given. Batch 836645. Exp 02/2027. 

Px: Boost when itch returns again. Went higher dose today to see if more effective/longer lasting results. Prescription on file for next 6mo to be done with nurses. 

Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 17:26:02
Rx: Cytopoint and pre-breeding health check 

Hx: 
- Here for cytopoint and pre-mating check 
- Generalized scratching, dry flaky skin esp over spine 
- No current medications - supplements (fish oil, glucosamine etc). 
- Mated 3 weeks ago - collected and performed TCI 

PE: 
- Nervous, panting/shaking 
- MM pink 
- Mouth: distance 1/4 
- Ears: mild pinnae erythema bilaterally, external canals appear clear. 
- Heart: no murmur, no arrhythmia 
- Lungs: NAD 
- Abdo: NAD 
- Skin: some dry flaky patches over dorsum around spine (one focal area of superficial pyoderma - advised spot-treat with malaseb). 
- Urogenital: Penis and testes NAD 

Tx: Cytopoint 2 x 40mg given. Batch 836645. Exp 02/2027. 

Px: Boost when itch returns again. Went higher dose today to see if more effective/longer lasting results. Prescription on file for next 6mo to be done with nurses. 
2025-11-13T00:00:00Z 09:43:42
Buccal swab for Orivet DNA test (Shane supplied) - charged single cons under Shayde as quick procedure rw
2025-10-15T00:00:00Z 16:51:32
Hx:
Nurse triage, then I had a quick check - Cleary was bitten by one of the other dogs, possibly a couple of days ago, near the base of the left ear.

Ex:
7mm puncture wound near left ear base, some thickening around this. Cleaned with iodine and flushed with saline

A:
Puncture wound

P:
7 day antibiotic course, revisit if any concerns.

Previous claim history (21)

DateClaim #Diagnosis
2024-07-26C7510694TAIL INJURY
2024-07-15C7464562HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-06-03C7304045HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-05-01C7182889ATOPY
2024-04-02C7063453ATOPY
2024-03-01C6943223ATOPY
2024-02-06C6846314ATOPY
2023-12-02C6649819ATOPY
2023-11-17C6541812HISTIOCYTOMA
2023-10-04C6379525MASS LESION - NECK (CERVICAL)
2023-09-25C6351103ATOPY
2023-08-28C6251993ATOPY
2023-05-31C5949510ALLERGIC REACTION
2023-05-31C5949510MASS LESION - SKIN (CUTANEOUS)
2023-02-15C5591835GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2023-01-01C5439081BITE INJURY - DOG BITE
2022-12-29C5428844BITE INJURY - DOG BITE
2022-12-14C5384782SKIN LESIONS
2022-12-06C5356407RINGWORM
2022-11-28C5330783FRACTURE OF PELVIC LIMB - FEMUR
2022-11-24C5321236LAMENESS LH

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit82.002026-03-11
20000tstarc_skin_medication_-_cytopoint336.002026-03-11

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.850
Threshold: 0.38
Above:
Correct?