DAMNIT-V COMBINED EVIDENCE SNAPSHOT v1
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PATIENT
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Name: Odhin
Owner: Parker
Species: Dog
Breed: 
Sex: Male
Desexed Status: Entire
Life Stage: Adult
Activity Level: Moderate
Current Weight kg: 14.90
Ideal Weight kg: 14.90
BCS: 5.00

CASE
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Case Title: Red skin - paws
Primary Complaint: Skin redness
Status: Open
Date Opened: 07/06/2026

CLINICAL NARRATIVE
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Odhin has a red rash on his chest and red lumps under his arms and along his arm all on the same side of his body.  He has been licking and itching some fur missing.  Potentially heat rash.

Still has his baths every two weeks.

I been using this ointment you gave him at night time to dab on it - refer attached. 

I read that collagen drops is good for dogs with skin irritation, is this true?  Should I get him some.

His paws still flare up red, but you could never find the cause.  Doesn’t seem to bother him though.

INITIAL DIFFERENTIAL NOTES
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LOCAL / REGIONAL CLINICAL CONTEXT
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No matching active local/regional clinical context entries found for the recorded species and presenting signs.

CLINICAL INTAKE DOCUMENTS
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DOCUMENT: History- diet
Type: Clinical History
Source: 
Uploaded: 07/06/2026 20:24

BREKKY:
1x meat patty (½ of each flavour - Venison and Wild Boar  - Canine Country) & fruit
Ie. baby cucumber 3 or 4 [depending on the size] and; 
1/2 punnet blueberries/raspberries and;
1/2 big size apple
[fruit ends up being about 2 ½ cups in total] his bowl is ¾ full
PLUS 1/2 teaspoon of seaweed sprinkled over meat [vet can supply or buy online] Brand is NAS (Natural Animal Solutions)
Or any mix or fruit and veggies from list below depending on what he is eating as he gets fussy and goes off certain ones at times 
 
 DINNER:
1x meat patty (½ of each flavour - Venison and Wild Boar - Canine Country) & veggies
Ie. pumpkin and broccoli [about 2 cups each] his bowl is over full
Or any mix or fruit and veggies from list below depending on what he is eating as he gets fussy and goes off certain ones at times 
 
CAN EAT: Goat, venison, wild boar, [meat must have no fillers added - that's why Canine Country is best as raw food without fillers] blueberries, strawberries, raspberries, apples, bananas, mango, cucumber/gukes, broccoli/broccolini, cauliflower, pumpkin, peas, zucchini, beans, watermelon (all vegetables are cooked), he doesn’t like carrot or celery
 
REACTS TOO: Chicken, beef, lamb, roo, pork, cheese, eggs, yoghurt, kibble, wheat, peanut butter,
 
TREAT: Home made almond butter in Kong with apple

NUTRITION ASSESSMENTS
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Total nutrition assessments for this case: 1

LATEST NUTRITION ASSESSMENT
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Assessment ID: 72
Title: Nutrition Assessment
Date: 07/06/2026
Feeding Goal: Maintenance
Current Diet Type: Commercial complete
Body Weight kg: 14.90
Ideal Weight kg: 14.90
BCS: 5.00
Muscle Condition: Normal
Appetite: Normal
Owner Goals: 
Diet Concerns: 
Skin / Coat Notes: Red paws
Digestive Notes: Nil
Stool Quality: Normal
Owner-Reactive Foods: Chicken, beef, lamb, roo, pork, cheese, eggs, yoghurt, kibble, wheat, peanut butter,
Owner-Tolerated Foods: Goat, venison, wild boar, [meat must have no fillers added - that's why Canine Country is best as raw food without fillers] blueberries, strawberries, raspberries, apples, bananas, mango, cucumber/gukes, broccoli/broccolini, cauliflower, pumpkin, peas, zucchini, beans, watermelon (all vegetables are cooked), he doesn’t like carrot or celery

NUTRITION EVIDENCE SNAPSHOT
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Latest Assessment ID: 72
Assessment Date: 07/06/2026
Energy Intake: 592.3 kcal/day
Estimated Requirement: 720.47 kcal/day
Energy Percent: 82.2%
Energy Status: Broadly adequate
Protein: 61.31 g/day
Fat: 30.24 g/day
Carbohydrate: 31.8 g/day
Matched Diet Items: 11 / 28
Unmatched Diet Items: 17
Micronutrient Confidence: Partial / incomplete
Nutrition Confidence: Moderate / partial evidence

Owner-Reactive / Avoid Foods:
Chicken, beef, lamb, roo, pork, cheese, eggs, yoghurt, kibble, wheat, peanut butter,

Owner-Tolerated Foods:
Goat, venison, wild boar, [meat must have no fillers added - that's why Canine Country is best as raw food without fillers] blueberries, strawberries, raspberries, apples, bananas, mango, cucumber/gukes, broccoli/broccolini, cauliflower, pumpkin, peas, zucchini, beans, watermelon (all vegetables are cooked), he doesn’t like carrot or celery

Ingredient-Derived Reactive Groups:
animal_protein, cruciferous, fibre, fodmap, iodine_source, lectin, oxalate_possible, purine, salicylate_possible, sulphur

RAC-Reactive Foods:
Not yet connected. Future build will compare RAC-reactive foods against current diet, owner-reactive foods and tolerated foods.

EVIDENCE INCLUDED
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Clinical intake documents: 1
Nutrition assessments: 1
RAC / Audiomixer documents: 0
Pathology / laboratory reports: 0
Imaging reports: 0
HTMA reports: 0
Microbiome reports: 0
Supplement reviews: 0

EVIDENCE PENDING / NOT YET ADDED
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- Food entries, treat entries, supplement entries
- RAC / Audiomixer DOCX reports
- Pathology / laboratory reports
- Imaging reports
- HTMA report if requested
- Microbiome report if requested
- Supplement review

EVIDENCE STATUS
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Evidence Used In This Snapshot:
- Clinical Intake: Used
- Nutrition: Used

Additional Evidence Available If Clinically Indicated:
- RAC / Audiomixer screening: may help prioritise which physical tests or evidence domains should be pursued next.
- Pathology / laboratory testing: available if clinical signs, risk assessment, or response to treatment justify testing.
- Imaging: available if obstruction, foreign body, mass, trauma or structural disease remains a concern.
- HTMA: available if mineral/toxic element patterning is clinically relevant.
- Microbiome: available if chronic gastrointestinal, immune, dermatological or inflammatory patterns require deeper investigation.

Clinical Context:
A veterinary assessment is commonly made using the evidence that is clinically justified and practically available. This section records what was used and what could be added later, without implying that every possible test is required for every patient.

EVIDENCE WEIGHTING ENGINE v1
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Domain weights used in this snapshot:
- Imaging: 5
- Pathology / Laboratory: 5
- Clinical Examination: 4
- Clinical History / Intake: 4
- Nutrition: 3
- HTMA: 2
- Microbiome: 2
- RAC / Audiomixer: 1
- Supplement Review: 1

Current snapshot contains Clinical Intake and Nutrition evidence only. Imaging, pathology, HTMA, microbiome and RAC are pending.

DIFFERENTIAL PRIORITIES v2 - WEIGHTED
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1. Food reactivity / intolerance contribution
Weighted Evidence Score: 6
Weighted Confidence: Low-Moderate
Evidence:
- [Nutrition +3] Owner-reported reactive foods present.
- [Nutrition +3] Nutrition snapshot shows ingredient-derived reactive burden evidence.

AI DAMNIT-V EXPANSION v4.8

CATEGORY: D - Degenerative / Structural  
Processes  
- Foreign body  
- Mechanical obstruction  
- Partial obstruction  
- Gastric or intestinal ulceration  
- Gastric or intestinal perforation  
- Stricture formation  
- Torsion / volvulus  
- Impaction of gastrointestinal contents  
- Motility or gastric emptying disorders  
- Congenital or developmental anatomical abnormalities  
- Degenerative structural changes in tissues or organs  
- Compression syndromes or anatomical abnormalities causing dysfunction  

CATEGORY: A - Allergic / Reactive  
Processes  
- Food allergy reactions  
- Food intolerance mechanisms  
- Dietary component reactivity  
- Environmental allergen exposure  
- Hypersensitivity reactions (Type I-IV)  
- Histamine or mast-cell mediated reactivity  
- Anaphylactic events  
- Reactive enteropathies related to allergy  
- Eosinophilic gastrointestinal or dermal diseases  
- Contact hypersensitivity or chemical irritant reactions  
- Atopic dermatitis or allergic skin conditions  
- Insect bite or sting hypersensitivity  

CATEGORY: M - Metabolic / Nutritional  
Processes  
- Hypoadrenocorticism (Addison’s disease)  
- Renal or uraemic metabolic disturbances  
- Hepatic dysfunction or biliary disease  
- Electrolyte imbalances (Na, K, Ca, Mg, P)  
- Acid-base disorders (acidosis, alkalosis)  
- Dehydration or fluid balance derangements  
- Pancreatic exocrine insufficiency  
- Diabetes mellitus or glucose regulation abnormalities  
- Thyroid gland disorders (hypo- or hyperthyroidism)  
- Nutritional deficiencies (micronutrients, protein, energy)  
- Nutritional excesses or toxicities  
- Mineral or vitamin imbalances  
- Mitochondrial or cellular energy metabolism disorders  
- Malabsorption or maldigestion syndromes  

CATEGORY: N - Neoplastic  
Processes  
- Benign mass lesions or nodules  
- Malignant neoplasms of various cell origins  
- Gastric neoplasia (adenocarcinoma, lymphoma)  
- Intestinal neoplasia (adenoma, carcinoma, lymphoma)  
- Multicentric or alimentary lymphoma  
- Mast cell tumors with systemic or localized effects  
- Carcinomas of skin or internal organs  
- Soft tissue sarcomas  
- Melanoma or other pigment cell tumors  
- Gastrointestinal stromal tumors (GIST)  
- Haemangiosarcoma and vascular tumors  
- Paraneoplastic syndromes and associated biochemical effects  
- Mass effect causing mechanical obstruction or compression  
- Infiltrative tumor spread with organ dysfunction  
- Pre-neoplastic cellular or tissue changes  

CATEGORY: I - Infectious / Inflammatory / Immune  
Processes  
- Bacterial infections (cutaneous, systemic, enteric)  
- Viral infections affecting target organ systems  
- Fungal infections (dermatophytosis, systemic mycoses)  
- Protozoal infections or infestations  
- Parasitic diseases (ectoparasites, endoparasites)  
- Rickettsial or tick-borne infections  
- Regionally important infectious diseases  
- Gastroenteritis of infectious or inflammatory origin  
- Pancreatitis of infectious or autoimmune etiology  
- Hepatitis with infectious or immune basis  
- Nephritis or pyelonephritis  
- Enteritis or colitis  
- Granulomatous inflammatory diseases  
- Immune-mediated inflammatory diseases  
- Autoimmune disorders affecting skin or other tissues  
- Sepsis or localized abscess formation  

CATEGORY: T - Toxic / Traumatic  
Processes  
- Anticoagulant rodenticide toxicity  
- Adverse drug reactions or side effects  
- Chemical exposure or poisoning (household, environmental)  
- Heavy metal toxicities (lead, mercury, arsenic)  
- Plant or mycotoxin ingestion  
- Envenomation by arthropods or reptiles  
- Snake envenomation effects  
- Tick paralysis toxin effects  
- Mechanical trauma or blunt force injury  
- Sharp foreign body trauma (puncture, laceration)  
- Bite wounds or sting injuries  
- Thermal burns or injury (heat or cold)  
- Iatrogenic toxic or traumatic injury from medical intervention  

CATEGORY: V - Vascular / Neurological  
Processes  
- Vascular compromise or obstruction  
- Hypoperfusion states or shock syndromes  
- Systemic or local hypertension  
- Thromboembolism or embolic events  
- Tissue infarction or ischemia  
- Haemorrhage from traumatic or pathological causes  
- Coagulopathy-induced bleeding disorders  
- Vestibular system disease or dysfunction  
- Seizure disorders or central nervous system diseases  
- Peripheral neuropathies affecting limbs or organs  
- Autonomic nervous system dysfunction  
- Neurological dysmotility of gastrointestinal tract  
- Cerebrovascular disease (stroke, hemorrhage)  

CLINICAL USE NOTE  
-----------------  
- DAMNIT-V keeps all domains visible.  
- RAC screening and physical testing remain clinician-directed.

DIFFERENTIAL POSSIBILITY MAP v1
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Purpose: broaden the clinical thinking before final prioritisation. This is not a diagnosis list; it is a structured map of plausible branches that may be explored using RAC screening and, where justified, physical confirmation testing.

Dietary / Food Reactivity / Toxicity
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Possible branches to consider:
- Dietary indiscretion
- Food intolerance flare
- Reactive food exposure
- High fat exposure / pancreatitis risk
- Toxin or irritant ingestion
- Microbiome disruption
Suggested RAC screening targets:
- Reactive foods currently in diet
- Owner-reported reactive foods
- Histamine / sulphur / lectin / oxalate / purine burden
- Pancreas stress
- Liver detoxification burden
- Gut dysbiosis pattern
Possible physical confirmation if RAC/clinical evidence supports:
- Diet history review
- Elimination / bland diet trial if stable
- CBC / biochemistry if persistent or systemic signs
- cPL / pancreatitis testing if indicated
- Microbiome testing if chronic or recurrent

Systemic / Metabolic / Infectious
---------------------------------
Possible branches to consider:
- Systemic infection / inflammatory disease
- Renal or hepatic contribution
- Endocrine/metabolic stress
- Electrolyte disturbance
- Pain-driven nausea
Suggested RAC screening targets:
- Kidney stress
- Liver stress
- Systemic inflammation
- Electrolyte disturbance
- Pain focus
- Fever / infection pattern
Possible physical confirmation if RAC/clinical evidence supports:
- Temperature and physical exam
- CBC / biochemistry
- Urinalysis
- Electrolytes
- Further infectious disease testing if clinically indicated

DAMNIT-V Integrative Screening Branches
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Possible branches to consider:
- Degenerative / structural
- Allergic / autoimmune / reactive
- Metabolic / nutritional
- Neoplastic
- Infectious / inflammatory
- Toxic / traumatic
- Vascular / neurological
Suggested RAC screening targets:
- Run RAC screening across DAMNIT-V categories
- Identify strongest organ/system signals
- Identify strongest pathology-type signals
- Compare RAC positives with clinical history and nutrition evidence
Possible physical confirmation if RAC/clinical evidence supports:
- Select physical confirmation based on strongest RAC-supported branch
- Use pathology, imaging, HTMA, microbiome, or referral testing only where clinically justified

RAC-GUIDED NEXT EVIDENCE v1
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RAC is treated here as a screening and prioritisation layer. A positive RAC signal does not replace physical diagnosis, but it can increase the justification for targeted physical testing when cost, risk, or uncertainty make broad testing difficult.

Suggested workflow:
1. Generate broad differential possibility map.
2. Run RAC screening against the most plausible branches.
3. Compare RAC positives with clinical history, nutrition, examination and owner observations.
4. Increase priority for physical confirmation where RAC and clinical evidence converge.
5. Record later confirmation and outcome so RAC predictions can be validated longitudinally.

INTERPRETIVE CAUTION
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This evidence snapshot is not a final diagnosis. It represents the evidence currently available at the time of generation. Later laboratory, imaging, HTMA, microbiome, RAC, nutrition, or supplement evidence may change the interpretation.