C10027380 / invoice 10000
Species:CANINE
Breed:German Short Haired Pointer
Age (years):1
Diagnosis or signs:GHC - skin
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div><span style="font-weight: bold;"><strong>Clinical Notes checked:CW 13-3-26</strong><br><br>History<br></span></div> <div> <p>Discharging lesion on back last 2-3 days<br>Also some pustules on ventrum<br>No swimming recently<br><br>Currently on prednsiolone 20mg BID for steroid responsive meningtitis (recently tapered down from 30mg BID)<br>Due for review with CARE medicine in 2 weeks time<br><br><span style="font-weight: bold;">Exam</span>.<br>Demeanour: BAR<br>Temp: <br>BCS - 5/9<br>Eyes NSF<br>Ears NSF<br>Oral exam: mm pink <1<br>Dental grade: 0<br>Cardiac ausc: HR= 96<br>Respiratory: RR= 32<br>Abdo: NSF on abdo palpation<br>MSK: NSF on joint palpation<br>Skin: approx 7cm diameter pyoderma lesion on lumbar region of back - large crust of dried discharge and hair on top - clipped away<br>Mild papules and pustulkes on ventrum<br>L/N: NSF<br>Other findings:<br><br><span style="font-weight: bold;">Tests performed</span>- <br>Swab pyoderma lesion 3+ WBC, 2+ cocci<br><br><span style="font-weight: bold;">Assessmen</span>t -<br>Pyoderma - unkown cause<br>SRM - currently stable and tapering prednisolone<br><br><span style="font-weight: bold;">Plan</span> -<br>Pyohex bath in consult today<br>O to clean SID with chlorhex C<br>Amoxyclav 500mg PO BID 10 days<br>Continue prednisolone at 20mg BID</p> </div></html>
Animal clinical history (3 most recent)
2026-03-12T00:00:00Z 17:23:00
Tim called at 5:22pm as Reggie has a lump on his back (appeared a few days ago) appears to be weepy.Wanted appt today (in next 30 mins). Explained we have already booked tonight's last appointment, offered a spot tomorrow - O declined.Advised sounds like requires a Vet Visit and gave details for AVC Kew.
2026-03-05T00:00:00Z 08:27:00
Reggie is improving with the current treatment and the ultrasound of the liver did not show any abnormal tubular structures.Treatment will continue with:prednisolone 20 mg am and 20 mg pmReggie should be re-examined in a month unless there are concerns in the interim
2026-02-18T00:00:00Z 17:11:00
Reggie is improving with the current treatment although it has not been possible to reduce the prednisolone dose as yet. The results of the CSF microbiology are negative.The CT showed an abnormality of the left side of the liver which will be further imaged using ultrasound at the next examination (Reggie had eaten this morning).Treatment will continue with:prednisolone 40 mg am and 30 mg pmGabapentin 200 mg q 12 hours has been dispensed should Reggie become painful between examinations.
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-06 | C09862537 | LETHARGY - PRESENTING COMPLAINT |
| 2026-02-06 | C09868157 | LETHARGY - PRESENTING COMPLAINT |
| 2026-02-05 | C09860213 | LETHARGY - PRESENTING COMPLAINT |
| 2026-02-04 | C09854583 | PYREXIA OF UNKNOWN ORIGIN (PUO) |
| 2026-02-04 | C09854583 | LAMENESS RF |
| 2026-02-04 | C09854583 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2026-02-04 | C09854583 | URINARY TRACT INFECTION (UTI) |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 140.00 | 2026-03-13 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 69.00 | 2026-03-13 | — |
| 30000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 111.90 | 2026-03-13 | — |
| 40000 | tstarc_chlorhexidine | 11.10 | 2026-03-13 | — |
| 50000 | tstarc_corticosteroids | 45.00 | 2026-03-13 | — |
UPM+
- DG01494PYODERMADSTP_skin_-_dermatitis
- DG02763MENINGITISDSTP_meningitis
Variant (sleepy_king)
DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.920
Threshold: 0.25
Above: ✓
Correct?