C10030725 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):4
Diagnosis or signs:recheck and impression smear
Consult notes
Person () 
Insurance ()
Reminders ()

Owner: Christine
Vet; RF

**HISTORY**

Owner reports: Paw licking and chewing has resolved. No licking since previous visit. Completed 2 weeks of medication for allergy and fungal infection. 

Otherwise eating drinking, urinating and defaecating normally. No known vomiting or diarrhoea.

Owner has no other concerns.

Recent medication: Zenrelia (allergy), antifungal medication.

PRIMARY PROBLEM: Paw yeast infection - recheck.

**EXAMINATION**

pododermatitis resolved

residual fur staining present but interdigital spaces non inflammed and look comfortable

Hydration normal, mm=pink, CRT=normal
Eyes: NAD
Ears: NAD
Nasal exam: NAD

Oral exam
- Dental grade: 1
Lung auscultation: NAD, no dyspnoea present
Cardiac auscultation: NAD, Heart rate appropriate and regular, no arrhythmia, HR=PR, femoral pulses strong and synchronous
Murmur auscultated: No murmur present
Abdominal palpation: relaxed and comfortable on cranial abdominal palpation, no pain response
Integument: Paws significantly improved, colour change noted
Ectoparasites: none seen, tick search negative
Musculoskeletal: orthopaedic exam nad, ambulating well
Neurological assessment: nad
Lymphatic system: all peripheral lnn palpate normally with regards to size
Urogenital system: NAD
Rectal palpation: none performed
Anal sac: not examined

Tape impression cytology: No yeast organisms identified.

**ASSESSMENT**:Pododermatitis resolved. Paw yeast infection resolved. Significant improvement following treatment.

**PLAN**: Complete remaining Zenrelia tablets (approximately 2 weeks supply remaining). Owner does not want con meds longterm unless definitely necessary,would like to stop and see if pododermatitis returns then if does will cont longterm.Discontinue medication after completion and monitor. Return if paw licking/chewing recurs for repeat cytology and reassessment to ensure no yeast overgrowth. May require long-term Zenrelia if symptoms recur upon withdrawal-O aware of this as most likley scenario

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 09:00:00
Person () 
Insurance ()
Reminders ()

Owner: Christine
Vet; RF

**HISTORY**

Owner reports: Paw licking and chewing has resolved. No licking since previous visit. Completed 2 weeks of medication for allergy and fungal infection. 

Otherwise eating drinking, urinating and defaecating normally. No known vomiting or diarrhoea.

Owner has no other concerns.

Recent medication: Zenrelia (allergy), antifungal medication.

PRIMARY PROBLEM: Paw yeast infection - recheck.

**EXAMINATION**

pododermatitis resolved

residual fur staining present but interdigital spaces non inflammed and look comfortable

Hydration normal, mm=pink, CRT=normal
Eyes: NAD
Ears: NAD
Nasal exam: NAD

Oral exam
- Dental grade: 1
Lung auscultation: NAD, no dyspnoea present
Cardiac auscultation: NAD, Heart rate appropriate and regular, no arrhythmia, HR=PR, femoral pulses strong and synchronous
Murmur auscultated: No murmur present
Abdominal palpation: relaxed and comfortable on cranial abdominal palpation, no pain response
Integument: Paws significantly improved, colour change noted
Ectoparasites: none seen, tick search negative
Musculoskeletal: orthopaedic exam nad, ambulating well
Neurological assessment: nad
Lymphatic system: all peripheral lnn palpate normally with regards to size
Urogenital system: NAD
Rectal palpation: none performed
Anal sac: not examined

Tape impression cytology: No yeast organisms identified.

**ASSESSMENT**:Pododermatitis resolved. Paw yeast infection resolved. Significant improvement following treatment.

**PLAN**: Complete remaining Zenrelia tablets (approximately 2 weeks supply remaining). Owner does not want con meds longterm unless definitely necessary,would like to stop and see if pododermatitis returns then if does will cont longterm.Discontinue medication after completion and monitor. Return if paw licking/chewing recurs for repeat cytology and reassessment to ensure no yeast overgrowth. May require long-term Zenrelia if symptoms recur upon withdrawal-O aware of this as most likley scenario

Previous claim history (23)

DateClaim #Diagnosis
2026-02-27C09963611HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-02-23C09963611VACCINATIONS OR HEALTH CHECKS
2026-02-23C10024753VACCINATIONS OR HEALTH CHECKS
2025-03-11C8434992PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2025-02-28C8395275FAECAL APPEARANCE ABNORMAL - DIARRHOEA - PRESENTING COMPLAINT
2025-02-28C8395275PRESCRIPTION DIETS
2025-02-18C8352091VACCINATIONS OR HEALTH CHECKS
2025-02-01C8298780GASTROINTESTINAL PROBLEMS
2024-04-30C7172979SKIN (CUTANEOUS) DISORDER
2024-03-18C7011887NECK PAIN
2024-01-30C6819067VACCINATIONS OR HEALTH CHECKS
2024-01-15C6755989TEETH CLEANING
2024-01-15C6755989FLEA/TICK/WORM CONTROL
2024-01-15C6755989HEARTWORM CONTROL
2023-09-12C6306797VOMITING - OTHER - PRESENTING COMPLAINT
2023-09-12C6306797SKIN (CUTANEOUS) DISORDER
2023-06-10C5983522DIARROHEA
2023-01-31C5538044VACCINATIONS OR HEALTH CHECKS
2022-10-23C5218518PAIN - SPINAL - PRESENTING COMPLAINT
2022-07-04C4997058DESEXING
2022-06-24C4868146MISCELLANEOUS CONDITIONS
2022-06-23C4874625BITE WOUNDS
2022-06-23C4874625SCLERAL HAEMORHAGE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit93.302026-03-13
20000tstarc_diagnostic_test_-_cytology79.202026-03-13

UPM+

  • DG01364PODODERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.590
Threshold: 0.38
Above:
Correct?
Reason (correct)