C10024645 / invoice 10000

Species:CANINE
Breed:Boxer
Age (years):5
Diagnosis or signs:Recheck paw- folliculitis/mass area
Consult notes
13/03/2026 REASON: Recheck L hind foot- folliculitis/mass swelling
HISTORY: See history for response to pred - was stopped. 

EXAMINATION: 
Demenour - BAR
BCS-
HR RR T CRT MM
Skin- pinnae mild errythema, Ventral L hind- swelling to digit 2 caudal paw pad has reduced significantly to caudal aspect persisting mild blister like region folliculitis region 4mm margin, and dry resolving lateral area. 
Ln's- Enlarged popliteal LN L Hind persist- but reduced to previous. 

ASSESSMENT: 
Persisting folliculitis responsive to antibiotics
Lymph node persisting enlargement

TREATMENT: 
Continue Cephalexin 600mg BID (has 3 days at home due to stop over last weekend)- extend a further week beyond that
Cortavance spray SID to affected area of footpad for 7 days then twice weekly, also use on pinnae ok
Maintain malaseb bathing twice weekly

PLAN: 
Revisit course end of antibiotics to review if lymph node and paw normal
Consider maintenance with topical steroids. 

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 09:33:00
REASON: Recheck L hind foot- folliculitis/mass swelling
HISTORY: See history for response to pred - was stopped. 

EXAMINATION: 
Demenour - BAR
BCS-
HR RR T CRT MM
Skin- pinnae mild errythema, Ventral L hind- swelling to digit 2 caudal paw pad has reduced significantly to caudal aspect persisting mild blister like region folliculitis region 4mm margin, and dry resolving lateral area. 
Ln's- Enlarged popliteal LN L Hind persist- but reduced to previous. 

ASSESSMENT: 
Persisting folliculitis responsive to antibiotics
Lymph node persisting enlargement

TREATMENT: 
Continue Cephalexin 600mg BID (has 3 days at home due to stop over last weekend)- extend a further week beyond that
Cortavance spray SID to affected area of footpad for 7 days then twice weekly, also use on pinnae ok
Maintain malaseb bathing twice weekly

PLAN: 
Revisit course end of antibiotics to review if lymph node and paw normal
Consider maintenance with topical steroids. 

Previous claim history (16)

DateClaim #Diagnosis
2026-03-05C09991690INTERDIGITAL CYST
2025-12-16C09634265HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-08-24C6241765OTITIS EXTERNA
2023-06-22C6022150ATOPY
2023-04-17C5796375HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-04-17C5797145HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-03-01C5639243DERMATITIS
2022-12-22C5430040ALLERGY
2022-12-12C5376758DESEXING
2022-11-03C5254559DERMATITIS - SCROTAL
2022-10-31C5250599GASTROINTESTINAL PROBLEMS
2022-07-20C5023252MISCELLANEOUS CONDITIONS
2022-02-09C4480766HEART MURMUR
2022-02-07C4465264DERMATITIS
2022-01-24C4465423EAR (AURAL) INFECTION
2022-01-24C4465423HEARTWORM TEST OR BLOOD SCREEN

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit90.002026-03-13
20000tstarc_skin_medication_-_cortavance60.882026-03-13
30000tstarc_antibiotics_-_cephalexin63.002026-03-13
40000tstarc_medicated_shampoo24.702026-03-13

UPM+

  • DG01607SKIN (CUTANEOUS) DISORDERDSTP_skin_-_dermatitis

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.580
Threshold: 0.44
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description