C10028758 / invoice 10000
Species:CANINE
Breed:Border Collie
Age (years):0
Diagnosis or signs:Consultation review skin
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div><span style="font-family: Arial;"><span style="font-size: 12px;"><strong>H: Review puritic skin disease <br>finished the antibiotic tablets a few days ago. And then he started itching again <br>itching: under groin, under chin, ears, legs feet<br>diet: beef treats, prime 100 turkey, kibble black hawk etc. <br>gives zrytec occasionally <br><br>E:<br>TPR WNL <br>integ:<br>erythema present still under inguinal regions<br>red ears but swabs are clear. <br>tape prep of skin - occasonal extracellular cocci<br><br>A:<br>pruritic skin disease ddx. food allergy vs environmental allergy > parasitic <br><br>P:<br>pred 0.5mg/kg po 2-3 times a week to treat pruritis , given cytopoint only 2 weeks ago <br>chlorhex wipes to red areas every day <br>pyohex wash and conditioner every week <br>diet trial - 6-8 weeks hypoallergenic diet eg. kangaroo </strong></span></span></div> <div><span style="font-family: 'Times New Roman'; font-size: 12px;"> </span></div></html>
Animal clinical history (3 most recent)
2026-02-26T00:00:00Z 14:59:00
H: skin issuesPlan: Cytopoint 20mg; Sp. Cephalexin tablets; REcheck in 14 days
2026-01-15T00:00:00Z 15:23:00
rp spoke to shamani , she says blaize's poo the other day was formed but sloopy when picked up and he had a big vomit yesterday and was lethargic , O thinks he might be eating the padding foam outside.O says lump hasn't changed yetadvised monitor for signs of FB and review early next week to recheck lumpif lump not going away , then maybe there's something foreign eg a grass seed stuck there? may be worth surgically removing it
2026-01-12T00:00:00Z 16:16:00
Nurse/Reception Notes/Handover:1.5x worming given orallydew claws clipped on front paws1x deciduous canine fell outO noticed lump on lower left jaw 3 weeks ago, firm, not painful upon touchEXAM:tpr wnlfirm lump on lower left jaw, subcutnaeous, about 1cm in diameter. FNA shows degenerate neutrophils ++, occasional monocyte, and extracellular cocciinteg"covered in burrs around back end , about 20, tried to remove someA:lump on lower left jaw ddx. inflammatory vs infectious (eg follicular cyst) vs FB reaction vs otherP:trial noroclav 16mg/kg po bid for 5 daysreview in 1 weekif getting bigger, not improving, causing distress, recco surgical removal and biopsy
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-26 | C09959217 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2026-01-12 | C09745284 | MASS LESION - SUBCUTANEOUS TISSUE |
| 2026-01-12 | C09745284 | FLEA/TICK/WORM CONTROL |
| 2025-12-22 | C09664037 | GASTROINTESTINAL PROBLEMS |
| 2025-12-22 | C09664037 | PRESCRIPTION DIETS |
| 2025-12-12 | C09616255 | VACCINATIONS OR HEALTH CHECKS |
| 2025-12-12 | C09616255 | FLEA/TICK/WORM CONTROL |
| 2025-11-29 | C9558849 | PRURITUS - PRESENTING COMPLAINT |
| 2025-11-26 | C9545237 | SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINT |
| 2025-11-18 | C9506699 | HEALTH CHECK |
| 2025-11-18 | C9506699 | FLEA/TICK/WORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 86.00 | 2026-03-13 | — |
| 20000 | tstarc_corticosteroids | 63.40 | 2026-03-13 | — |
| 30000 | tstarc_chlorhexidine | 30.00 | 2026-03-13 | — |
| 40000 | tstarc_medicated_shampoo | 65.63 | 2026-03-13 | — |
| 50000 | tstarc_food | 11.00 | 2026-03-13 | upstreamDSTP_general_exclusion |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.680
Threshold: 0.38
Above: ✓
Correct?