C10022970 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):5
Diagnosis or signs:Consultation for sore paw
Consult notes
04/03/2026 REASON: Sore paw
Nurse: SP
Presented by: Tracey
-------------------------------------------------------------------------------
HOME CARE AND PREVENTIONS
Vaccinations: KC + C3 vx due now
Nutrition: Prime 100 Loaf + Veg
Worming: Nexgard Spectra
Hwp: Nexgard Spectra
Flea Treatment: Nexgard Spectra
CE: 
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
started limping a bit after running around the dog park
O couldnt see anything in her paw  
LH paw inflammed, wouldnt stop licking
no blood/ pus noted from paws
 
was fine yesterday, O think she may have done sth at the dog park 
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
nil 
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 6
DS (0-4): - 

T: -
P: 120
R: n

APPEARANCE/DEMEANOUR: BAR, lovely 
SKIN & COAT: erythematous all paw pads. LH paw worst.
no swelling/ heat/ discharge noted on palpation
no mass felt 

cytology of LH and RH paw: no infectious agent noted
few 

EARS: n
EYES: n
ORAL: - 
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
erythematous paw pad

Ddxi:
pododermatitis - allergies 
infection (unlikely)

Further Procedure & Diagnostic Needs [Client Response]:
cytology [x] 

Medication:
Pred 5mg 1/2 tablet SID (x)

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
Rev 1 week recheck skin +/- get vx UTD
Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 11:51:55
REASON: Sore paw
Nurse: SP
Presented by: Tracey
-------------------------------------------------------------------------------
HOME CARE AND PREVENTIONS
Vaccinations: KC + C3 vx due now
Nutrition: Prime 100 Loaf + Veg
Worming: Nexgard Spectra
Hwp: Nexgard Spectra
Flea Treatment: Nexgard Spectra
CE: 
-------------------------------------------------------------------------------
SUBJECTIVE / HISTORY: 
started limping a bit after running around the dog park
O couldnt see anything in her paw  
LH paw inflammed, wouldnt stop licking
no blood/ pus noted from paws
 
was fine yesterday, O think she may have done sth at the dog park 
-------------------------------------------------------------------------------
CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
nil 
-------------------------------------------------------------------------------
OBJECTIVE / EXAM:
ASA Status (1-5): 1
BCS (1-9): 6
DS (0-4): - 

T: -
P: 120
R: n

APPEARANCE/DEMEANOUR: BAR, lovely 
SKIN & COAT: erythematous all paw pads. LH paw worst.
no swelling/ heat/ discharge noted on palpation
no mass felt 

cytology of LH and RH paw: no infectious agent noted
few 

EARS: n
EYES: n
ORAL: - 
MM: Pink, moist
CVS: Normal rhythm
RESP: Lungs clear
ABDO/GIT: n
UROGEN: n
NEURO: n
MSK: n
LN: n
n : Normal     - : Not Examined
-------------------------------------------------------------------------------
ASSESSMENT: 
Problems:
erythematous paw pad

Ddxi:
pododermatitis - allergies 
infection (unlikely)

Further Procedure & Diagnostic Needs [Client Response]:
cytology [x] 

Medication:
Pred 5mg 1/2 tablet SID (x)

Ongoing medication prescriptions? Renewed prescriptions: - 
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
-------------------------------------------------------------------------------
PLAN / CE: 
Rev 1 week recheck skin +/- get vx UTD
Finalised by jf. 
Rec = Recall     Rev = Revisit     Rem = Reminder
2026-03-03T00:00:00Z 10:38:39
OVERDUE REMINDER PHONE CALL
LAM with O regarding their overdue reminder for C3 + hc 
2025-04-07T00:00:00Z 12:00:52
NURSE RECALL
Reason: Follow up on estimate for G1-2 Dental COHAT
Spoke to Tracey
OUTCOME / PLAN: 
O still doesn't have the funds to go ahead with dental, happy for us to check in with her next time she comes in with Penny for her vaccinations

Previous claim history (4)

DateClaim #Diagnosis
2026-03-12C10022840PODODERMATITIS
2023-03-28C5777274GASTROINTESTINAL PROBLEMS
2021-05-13C3750069VOMITION & DIARRHOEA
2021-05-09C3732172VOMITION & DIARRHOEA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation101.602026-03-04
20000tstarc_diagnostic_test_-_cytology75.672026-03-04
30000tstarc_corticosteroids31.192026-03-04

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.860
Threshold: 0.25
Above:
Correct?