C10023200 / invoice 10000

Reviewer

Species:CANINE

Breed:Golden Retriever

Age (years):2

Diagnosis or signs:Checkup

Consult notes

12/03/2026 Reason: wound on leg

Noticed licking at dorsal aspect of LF carpus 
This has occurred same spot on alternate paw a while ago

Exam:
Small moist erythematous lesion dorsal aspect L carpus, wet around region from licking

Assessment:
Ddx. insect bite v FB v other

Plan:
E-collar placed at home
Macrolone 20mg SD 5 days for itch control
Neocort BD
RV if no improvement or worsening symptoms

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 17:59:59

Reason: wound on leg

Noticed licking at dorsal aspect of LF carpus 
This has occurred same spot on alternate paw a while ago

Exam:
Small moist erythematous lesion dorsal aspect L carpus, wet around region from licking

Assessment:
Ddx. insect bite v FB v other

Plan:
E-collar placed at home
Macrolone 20mg SD 5 days for itch control
Neocort BD
RV if no improvement or worsening symptoms

Previous claim history (18)

Date	Claim #	Diagnosis
2026-01-14	C09756739	CONJUNCTIVITIS
2025-10-28	C9417946	BEHAVIOURAL THERAPY
2025-10-09	C9329699	COUGHING - PRESENTING COMPLAINT
2025-08-15	C9099207	ACRAL LICK DERMATITIS (GRANULOMA)
2025-05-13	C8702878	HEARTWORM CONTROL
2025-04-09	C8565705	BITE INJURY - DOG BITE
2025-04-05	C8548305	BITE INJURY - DOG BITE
2025-04-02	C8534714	BITE INJURY - DOG BITE
2025-03-30	C8520835	BITE INJURY - DOG BITE
2025-03-04	C8406950	DESEXING-COMPLICATIONS
2025-02-27	C8390089	DESEXING-COMPLICATIONS
2025-02-16	C8385088	GASTROINTESTINAL PROBLEMS
2025-02-06	C8385088	STRAIN
2025-01-23	C8239434	DESEXING-COMPLICATIONS
2025-01-21	C8229168	DESEXING
2025-01-18	C8216439	HEALTH CHECK
2025-01-18	C8216439	BLOOD SCREEN
2024-11-07	C7917705	HEARTWORM CONTROL

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	95.00	2026-03-12	—
20000	tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory	43.60	2026-03-12	—
30000	tstarc_corticosteroids	23.75	2026-03-12	—

UPM+

DG02378INSECT BITE(S)DSTP_insect_bite/sting

Variant (sleepy_king)

INSECT BITE(S)

DSTP_insect_bite/sting

Conf: 0.340

Threshold: 0.22

Above: ✓

Correct?

Yes No