C10031108 / invoice 10000
Species:CANINE
Breed:Australian Cobberdog
Age (years):4
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:</strong> [Initial and Date]<br><br>History<br></span></div>
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<p>- BIB {male}<br><br>Diet - 50% RC kibble, 50% lykka ; no recent changes <br>Parasite control - NGS <br>Current meds - cytopiont prn<br><br>EDDU normal, no VDCS <br>Pruritis over the past 1-4 weeks noted, worse following visit to brothers house. Smelly tummy and paws. <br><br>Medical illnesses: <br>- pruritis - likely atopy, responsive to cytopoint inj, last inj in oct 25. Typically yearly however recently more frequent. <br><br><span style="font-weight: bold;">Exam</span>.<br>Demeanour: BAR, affectionate<br>Temp: not taken<br>BCS - 4.5/9<br>Eyes NSF<br>Ears NSF<br>Oral exam: mild calculus with base of canines and PMs <br>Dental grade: 1-2/4<br>Cardiac ausc: HR= 100, no murmur, no arrhythmias<br>Respiratory: RR= pant, clear, eupnoeic<br>Abdo: NSF on abdo palpation<br>MSK: NSF on joint palpation<br>Skin: no fleas or flea dirt, mild erythema of ventrum and interdigital skin; small papules on ventral abdomen. <br>L/N: NSF<br>Other findings:<br><br><span style="font-weight: bold;">Tests performed</span>-<br>Owner notes no known contact allergens recently encountered <br><br><span style="font-weight: bold;">Assessmen</span>t -<br>Atopy flareup. Mild ventral abdominal superficial skin infection. <br><br><strong>Treatments:<br>Cytopoint 30mg s/c<br>Neocort cream BID <br><br>Revisit +/- ab course INI or if deterioration with skin infection<br>owner to search envt to confirm no contact allergens at brothers or his home/walks. Gave owner a contact allergy brochure. <br></strong></p>
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Animal clinical history (3 most recent)
2025-10-24T00:00:00Z 11:28:00
Clinical Notes checked: [Initial and Date]History- BIB male partnerno diet changestarted mowing the lawnwas itching through the nightnow licking his stomach and pawshas had this beforecytopoint seems to work for a long timemaybe shaking his head?Diet - RC kibble, lyka for dinnerParasite control - nexgard spectra monthlyCurrent meds nilExam.Demeanour: BAR, lovely dog.Temp: DNTBCS - 5/9Eyes NSFEars : bilateral mild OE- + malassezia, TMs intact , does not like ear examOral exam:mm pink, crt1Dental grade:1- discussed brushing , oral careCardiac ausc: HR= 120 , normal rate / rythymRespiratory: RR= wnl, normal BV soundsAbdo: NSF on abdo palpationMSK: NSF on joint palpationSkin: , mild pododermatitis RH footL/N: NSFOther findings:Tests performed- cleaned ears in consultcytology , ototscopeshown how to clan / apply ear medication in consultAssessment -mild bilateral otitis L > R eargeneralsied pruritusPlan - aurocol BID 7 days 0.5ml , r/v if any Dx or redness to ears post Txinj 30mg cytopoint s/c base of neck 806984 10/26Treatments:Revisit?Follow up call?Reminders programmed?
2025-05-16T00:00:00Z 15:38:00
Clinical Notes checked: [Initial and Date]HistoryO noticed lump on RHL, has had for few months, not causing Buddy any bother currently. Also a lump in groin but O not able to find in consult today. Not shaking head or scratching at ears currently but is licking ++ at ventrum- ongoing atopy, usually responsive to cytopoint. On no current medication. EDUF. No v/d.- BIB {owner}Exam.Demeanour: BARBCS - 5/9Eyes NSFEars NSFOral exam:NSFDental grade:2Cardiac ausc: NSFRespiratory: NSFAbdo: NSF on abdo palpationMSK: NSF on joint palpationSkin: Erythema bilat ear pinnae mild, moderate erythema ventrum +. Mild interdigital erythema all four paws. Approx 5mm diameter very slightly raised subcutaneous lump, non inflamed and non ulcerated.L/N: NSFAssessmentPruritis- ongoing atopy. No evidence secondary infection currently. Usually responds very well to cytopoint- advised to repeat injection.Lump- likely sebaceous/follicular cyst. Advised to monitor and if growing consider fna. Adv likely benign.Rest of CE wnls.Plan Monitor lump and call back if any changes. Repeat cytopoint and see back when pruritis recurs.Treatments:Cytopoint 30mg SQ injection2024-11-29T00:00:00Z 10:19:00
LMOM asking how Buddy's going on cytopoint - has the itching settled?
Previous claim history (7)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2023-06-05 | C5964174 | TORN DEW CLAW |
| 2023-06-05 | C5964174 | EAR INFECTION |
| 2023-01-05 | C5450134 | DESEXING |
| 2023-01-05 | C5450134 | BLOOD SCREEN |
| 2023-01-05 | C5450134 | PRESCRIPTION DIETS |
| 2022-09-29 | C5180234 | EAR INFECTION |
| 2022-04-21 | C5180247 | EAR INFECTION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_skin_medication_-_cytopoint | 232.99 | 2026-03-14 | — |
| 20000 | tstarc_consultation | 136.00 | 2026-03-14 | — |
| 30000 | tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory | 53.05 | 2026-03-14 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.450
Threshold: 0.38
Above: ✓
Correct?