C09972276 / invoice 10000

Species:CANINE
Breed:French Bulldog
Age (years):8
Diagnosis or signs:Ear Complaint
Consult notes
20/02/2026 otoflush -twice a week when no infection 

only noticed a couple of days ago. Owner thought it got better after last visit to bundoora 

examine: 
very stenotic ear canals. Unable to put otoscope down to assess tympanic membrane.
very smelly with lots of supportative gunk on swab of left ear
Right ears black discharge 
left eye mild neovascularisation no ulceration present 

assessment:

Cytological evalulation
Left ear - rods ++++
right ear - malassezia ++++
Chronic Otitis externa

Plan:
Cytopoint 20mg given SQ
Aurizon to be applied once a day 30 minutes after cleaning with otoflush. for 10 days. revisit to check if cleared. also told owner Couldnt confirm Tympanic membrane was in tact and advised her of middle ear signs and if she sees those then to stop aurizon immediately 

Animal clinical history (3 most recent)

2026-02-20T00:00:00Z 17:24:20
otoflush -twice a week when no infection 

only noticed a couple of days ago. Owner thought it got better after last visit to bundoora 

examine: 
very stenotic ear canals. Unable to put otoscope down to assess tympanic membrane.
very smelly with lots of supportative gunk on swab of left ear
Right ears black discharge 
left eye mild neovascularisation no ulceration present 

assessment:

Cytological evalulation
Left ear - rods ++++
right ear - malassezia ++++
Chronic Otitis externa

Plan:
Cytopoint 20mg given SQ
Aurizon to be applied once a day 30 minutes after cleaning with otoflush. for 10 days. revisit to check if cleared. also told owner Couldnt confirm Tympanic membrane was in tact and advised her of middle ear signs and if she sees those then to stop aurizon immediately 

Previous claim history (17)

DateClaim #Diagnosis
2026-01-08C09727008HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-08-10C7567314GLAUCOMA
2024-08-10C7567314HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-07-24C7504824GLAUCOMA
2024-07-23C7495240OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2024-07-23C7495240HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-01-25C6801296EAR (AURAL) INFECTION
2024-01-19C6779645HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-01-08C6731110EAR INFECTION
2023-11-17C6545994ALLERGY
2023-11-17C6545994ANAL SAC DISORDER
2023-09-01C6277767ATOPY
2023-09-01C6277767ANAL SAC DISORDER
2023-06-16C6011684ALLERGY
2023-01-31C5561596ALLERGY
2023-01-18C5493665ALLERGY
2023-01-06C5493665ALLERGY

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation98.002026-02-20
20000tstarc_ear_medication_-_antibacterial_and_anti-fungal125.942026-02-20
30000tstarc_skin_medication_-_cytopoint193.592026-02-20
40000tstarc_diagnostic_test_-_cytology36.002026-02-20

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.290
Threshold: 0.38
Above:
Correct?