C10031534 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):3
Diagnosis or signs:Unspecified
Consult notes
14/03/2026 Presented for irritation around anus. 

HX: 
Went to the groomer on Wed. Since then has been licking around her back end and irritated. No V+ or D+. No lethargy or off food. No excessive lip licking. Seems more clingy since coming home from the groomer.
Otherwise well. Good energy levels.

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: no heart murmurs or arrhythmias auscultated. Lungs clear bilaterally. RR and RE normal
MM: pink, moist CRT < 2sec
Skin Tent: normal
Dental Score: G2
Abdomen: soft and comfortable. No lip licking.
Skin: 1cm in diameter area of erythema on skin 2cm laterally on RHS  from her vulva. A small matte of fur in this region.
Eyes: NAD
Ears: NAD
Temp: not taken
Lymph Nodes: all WNL
MSK/Neuro: NAD
Rectal: not performed

DIAGNOSTICS:
Sticky tape Skin cytology of skin on RHS of vulva: cocci ++ neuts+ malassezia +

ASSESSMENT: Superficial bacterial dermititis of the skin near vulva. Suspect may have been irritated after groom.

PLAN: 
Amoxycalv PO BID for 10d.
Topizole q2-3d. 10min. contact time for 2 weeks.
Recheck in 10 days.
O aware that she needs a dental, but can't go ahead with this at the moment due to costs.

LV

Animal clinical history (3 most recent)

2026-03-14T00:00:00Z 10:08:11
Presented for irritation around anus. 

HX: 
Went to the groomer on Wed. Since then has been licking around her back end and irritated. No V+ or D+. No lethargy or off food. No excessive lip licking. Seems more clingy since coming home from the groomer.
Otherwise well. Good energy levels.

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: no heart murmurs or arrhythmias auscultated. Lungs clear bilaterally. RR and RE normal
MM: pink, moist CRT < 2sec
Skin Tent: normal
Dental Score: G2
Abdomen: soft and comfortable. No lip licking.
Skin: 1cm in diameter area of erythema on skin 2cm laterally on RHS  from her vulva. A small matte of fur in this region.
Eyes: NAD
Ears: NAD
Temp: not taken
Lymph Nodes: all WNL
MSK/Neuro: NAD
Rectal: not performed

DIAGNOSTICS:
Sticky tape Skin cytology of skin on RHS of vulva: cocci ++ neuts+ malassezia +

ASSESSMENT: Superficial bacterial dermititis of the skin near vulva. Suspect may have been irritated after groom.

PLAN: 
Amoxycalv PO BID for 10d.
Topizole q2-3d. 10min. contact time for 2 weeks.
Recheck in 10 days.
O aware that she needs a dental, but can't go ahead with this at the moment due to costs.

LV

Previous claim history (11)

DateClaim #Diagnosis
2026-02-06C09863919PANCREATITIS
2023-07-20C6142853LETHARGY - PRESENTING COMPLAINT
2023-07-17C6114895LETHARGY - PRESENTING COMPLAINT
2023-07-16C6103058LETHARGY - PRESENTING COMPLAINT
2023-04-20C5811171CORNEAL ULCER
2023-04-13C5786329CORNEAL ULCER
2023-04-13C5786329VACCINATIONS
2023-04-01C5748861CORNEAL ULCER
2023-03-30C5741781EYE CONDITIONS
2023-03-16C5692109VACCINATIONS OR HEALTH CHECKS
2023-03-16C5692131VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation124.902026-03-14
20000tstarc_diagnostic_test_-_cytology99.502026-03-14
30000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid68.502026-03-14
40000tstarc_medicated_shampoo40.202026-03-14

UPM+

  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

DERMATITIS
DSTP_skin_-_dermatitis
Conf: 0.830
Threshold: 0.25
Above:
Correct?