C10028322 / invoice 10000

Reviewer

Species:CANINE

Breed:Labradoodle

Age (years):6

Diagnosis or signs:Cytopoint Injection

Consult notes

13/03/2026 Reason:

History:

Current medication:Ear infection last month - O thinks all better
Just starting to get itchy at chin and paws again

Examination:
Mentation:BAR, loves treats
BCS (0-5):3
mm:pmg                CRT: <2s
HR:   100               RR:normal
Ln:NAD
Dental Grade:1
Ears scoped - mild erythema and hairy - no infection
Paws mild erythema


Assessment:ear infection resolved, allergies

Treatment:cytopoint 20mg SC 840616
Elocon to ears maintenance twice per week - script on file for next 12 months

Plan:CU for Cytopoint prn

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 13:42:19

Reason:

History:

Current medication:Ear infection last month - O thinks all better
Just starting to get itchy at chin and paws again

Examination:
Mentation:BAR, loves treats
BCS (0-5):3
mm:pmg                CRT: <2s
HR:   100               RR:normal
Ln:NAD
Dental Grade:1
Ears scoped - mild erythema and hairy - no infection
Paws mild erythema


Assessment:ear infection resolved, allergies

Treatment:cytopoint 20mg SC 840616
Elocon to ears maintenance twice per week - script on file for next 12 months

Plan:CU for Cytopoint prn

2026-02-05T00:00:00Z 11:34:13

pw 5/2 - O replied to SMS: Bonnie is good. I am managing to administer the medication ad required. Thanks for checking in. Tammy

Previous claim history (20)

Date	Claim #	Diagnosis
2026-02-02	C09839601	OTITIS EXTERNA
2023-10-23	C6447419	OTITIS EXTERNA : BIL
2023-03-20	C5707933	OTITIS EXTERNA
2022-09-30	C5152762	OTITIS EXTERNA
2022-09-20	C5121006	OTITIS EXTERNA
2022-06-07	C4815261	INFECTIOUS CANINE TRACHEOBRONCHITIS (KENNEL COUGH)
2022-05-18	C4759242	DENTAL (TOOTH) DISORDER
2022-05-18	C4815261	INFECTIOUS CANINE TRACHEOBRONCHITIS (KENNEL COUGH)
2021-12-17	C4815251	OTITIS EXTERNA
2021-12-07	C4299646	OTITIS EXTERNA
2021-11-25	C4267014	OTITIS EXTERNA
2021-06-02	C3795475	OTITIS EXTERNA : BIL
2021-06-02	C3795475	MALASSEZIA DERMATITIS
2021-06-02	C3795475	URINARY TRACT INFECTION (UTI)
2021-01-25	C3795475	OTITIS EXTERNA : BIL
2021-01-22	C3465774	OTITIS EXTERNA : BIL
2020-04-24	C3261957	OTITIS EXTERNA
2020-03-27	C3261957	VACCINATIONS OR HEALTH CHECKS
2020-03-27	C3261957	FLEA/TICK/WORM CONTROL
2020-03-27	C3261957	HEARTWORM CONTROL

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_skin_medication_-_topical_anti-inflammatory	64.44	2026-03-13	—
20000	tstarc_skin_medication_-_cytopoint	169.00	2026-03-13	—
30000	tstarc_consultation-revisit	52.20	2026-03-13	—

UPM+

DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.670

Threshold: 0.38

Above: ✓

Correct?

Yes No