C10024202 / invoice 10000
Species:CANINE
Breed:German Shepherd
Age (years):5
Diagnosis or signs:Checkup
Consult notes
12/03/2026 lymph nodes have decreased in size but still mildly enlarged feet are improving with nilstat and malaseb but still licking lick granuloma on rhl has decreased in size but still present feet still mildly inflamed plan for feet continue malaseb and nilstat use barazone 1 pump on each foot weekly lick granuloma trial gabapentin to see if we can decrease the size further if no response consider surgical removal and histopath collect blood for cancer screen
Animal clinical history (3 most recent)
2026-03-12T00:00:00Z 18:10:27
lymph nodes have decreased in size but still mildly enlarged feet are improving with nilstat and malaseb but still licking lick granuloma on rhl has decreased in size but still present feet still mildly inflamed plan for feet continue malaseb and nilstat use barazone 1 pump on each foot weekly lick granuloma trial gabapentin to see if we can decrease the size further if no response consider surgical removal and histopath collect blood for cancer screen
2026-02-27T00:00:00Z 16:17:41
O called back to say Holly's tempreture is 38.1
2026-02-27T00:00:00Z 08:32:47
[VH] Spoke to O- very mild elevation in urea, monitor for now. Otherwise WNL. Temp not taken yesterday, O can do this at home. Advised to perform when Holly is rested, let us know if over 39.4 or so (warm day today so be cautious with interpretation). O can only feel popliteals confidently, advised this is okay for monitoring, about 2cm in size currently. To continue plan as given by RF at yesterday's consult
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_blood_test | 209.00 | 2026-03-12 | — |
| 20000 | tstarc_consultation-revisit | 87.00 | 2026-03-12 | — |
| 30000 | tstarc_medicated_shampoo | 111.65 | 2026-03-12 | — |
| 40000 | tstarc_anticonvulsant_medication_-_gabapentin | 55.00 | 2026-03-12 | — |
UPM+
- DG00062ACRAL LICK DERMATITIS (GRANULOMA)DSTP_acral_lick_dermatitis
Variant (sleepy_king)
ACRAL LICK DERMATITIS (GRANULOMA)
DSTP_acral_lick_dermatitis
Conf: 0.740
Threshold: 0.90
Above: ✗
Correct?