C10029152 / invoice 10000

Reviewer

Species:CANINE

Breed:German Shepherd

Age (years):9

Diagnosis or signs:see notes

Consult notes

12/03/2026 REVISIT

REASON: Review of skin. 
PROGRESS: Zenrelia worked quickly to resolve the skin.  

EXAM:Coat thinned on the dorsal nose.  
Has started to get itchy again. 
nose has a little crust on the end where has been scratched.  
no nasal discharge. 

ASSESSMENT:Zenrelia has helped

PLAN: continue with zenrelia alone, and shampoos.  Can add in cytopoint if not doing enough. 
Recommend continue with elim diet.  Has been giving anallergenic and a small roo SPD to give tablets.  No other food.  Has only been for about 2-3 weeks so far. 

NEXT RECHECK NEEDED: OK to repeat zenrelia if working well. 
Review in 3m if doing well, sooner if not.

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 09:56:37

REVISIT

REASON: Review of skin. 
PROGRESS: Zenrelia worked quickly to resolve the skin.  

EXAM:Coat thinned on the dorsal nose.  
Has started to get itchy again. 
nose has a little crust on the end where has been scratched.  
no nasal discharge. 

ASSESSMENT:Zenrelia has helped

PLAN: continue with zenrelia alone, and shampoos.  Can add in cytopoint if not doing enough. 
Recommend continue with elim diet.  Has been giving anallergenic and a small roo SPD to give tablets.  No other food.  Has only been for about 2-3 weeks so far. 

NEXT RECHECK NEEDED: OK to repeat zenrelia if working well. 
Review in 3m if doing well, sooner if not.

2026-03-07T00:00:00Z 11:45:42

REPEAT SCRIPT
Drug: Setraline 100mg
Reason for Drug: anxiety
Ask Owner what dose and frequency: ensure correct. Y - 1 tablet SID

Subjective: been in last 6 mnths? Y
Is Patient well: EDUF fine? Y
No V#/D# last few days? no
Next visit required: 
Owner comments on patient progress: doing well
Condition stable/improved? yes
Vet:  RJ
Nurse: RL

Previous claim history (17)

Date	Claim #	Diagnosis
2026-02-18	C09921265	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-01-07	C09722226	HYPERSENSITIVITY DISORDER (ALLERGY)
2024-07-09	C7460145	VACCINATIONS OR HEALTH CHECKS
2024-07-08	C7460145	VACCINATIONS OR HEALTH CHECKS
2022-10-04	C5222061	OTITIS EXTERNA
2022-10-04	C5222061	BEHAVIOUR DISORDER
2021-02-13	C3538734	EAR INFECTION
2021-02-07	C3512009	EAR INFECTION
2021-01-21	C3483295	EAR INFECTION
2019-11-16	C2577957	EAR (AURAL) INFECTION
2018-02-08	C1547459	HEARTWORM TEST OR BLOOD SCREEN
2018-02-08	C1547459	DESEXING
2018-01-15	C1485730	VACCINATIONS OR HEALTH CHECKS
2018-01-15	C1485730	FLEA/TICK/WORM CONTROL
2017-03-17	C1234624	ABSCESS
2017-02-03	C1104885	HEARTWORM TEST OR BLOOD SCREEN
2017-02-03	C1104885	MASS LESION - PENILE

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	90.00	2026-03-12	—
20000	tstarc_zenrelia_tablets	411.70	2026-03-12	—

UPM+

DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.970

Threshold: 0.38

Above: ✓

Correct?

Yes No