C10031225 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):6
Diagnosis or signs:Hot spots
Consult notes
WEIGHT 36.90
HISTORY
Presented for: more hotspots across body, scratching at them incessantly. Original hotspot under neck healing well
EDUF: normal

Current meds: pred 10mg EOD PO (end of tapering course, has 3x 20mg tablets remaining)
CLIN_EXAM
SKIN
Ventral neck: hotspot healed
Dorsal midline: ~4cm hotspot. Clipped & cleaned with chlorhex
Tail base: mild alopecia but no current hot spot. Clipped only
TREATMENT
Neocort SID for up to 14d
Malaseb shampoo to affected areas for 2-3d initially
Cytopoint 40mg SC
Restart pred tapering course 30mg SID PO for 3d then 20mg SID PO for 3d then 20mg EOD for 3 doses
COMMENTS
Disc cytopoint only efficacious when inflammation reduced, need to be done early to prevent progression to hot spots. Rpt cytopoint once itch returns (4-8wks), can do ongoing as needed
FLRQ N WRMRQ N
DIAG
Hot spots

Previous claim history (9)

DateClaim #Diagnosis
2026-02-20C09933895EAR INFECTION
2026-02-20C09933895HOT SPOT
2025-07-04C8925201FISH HOOK INJURY
2025-07-04C8926225INGEST FOREIGN OBJECT
2024-03-01C6944101PAIN - OTHER - PRESENTING COMPLAINT
2024-01-05C6716454SEIZURES
2024-01-01C6701269PANTING - PRESENTING COMPLAINT
2023-10-24C6451792ALLERGY
2022-10-10C5181914TAIL TRAUMA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit85.002026-03-14
20000tstarc_skin_medication_-_cytopoint242.732026-03-14
30000tstarc_skin_medication_-_topical_antibiotics_and_anti-inflammatory54.372026-03-14
40000tstarc_corticosteroids41.602026-03-14
50000tstarc_elizabethan_(buster)_collar16.982026-03-14
60000tstarc_medicated_shampoo39.602026-03-14

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.800
Threshold: 0.25
Above:
Correct?