C09974195 / invoice 10000

Species:CANINE
Breed:Coton De Tulear
Age (years):10
Diagnosis or signs:Consultation
Consult notes
02/03/2026 SUBJECTIVE:presented by michelle

had spinal surg in Jan. then 6 wks of cage rest
in td as feels ears are infected -has had paw licking previously and has had some ear probs but not recently
otherwise doing well 

OBJECTIVE:
bilateral otitis L worse than R. can't see to TM's minimal wax 
salivat staining of paws esp FL paws
rest of exam okay 
HL gait a bit uncoordinated

ASSESSMENT:  otitis L worse than R 


PLAN:ideally would give CSTs to open up canals but has been on meloxicam so avoid for now
pmp BID for 10 days.r echeck 2 wks unless concerns prior 

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 14:21:23
SUBJECTIVE:presented by michelle

had spinal surg in Jan. then 6 wks of cage rest
in td as feels ears are infected -has had paw licking previously and has had some ear probs but not recently
otherwise doing well 

OBJECTIVE:
bilateral otitis L worse than R. can't see to TM's minimal wax 
salivat staining of paws esp FL paws
rest of exam okay 
HL gait a bit uncoordinated

ASSESSMENT:  otitis L worse than R 


PLAN:ideally would give CSTs to open up canals but has been on meloxicam so avoid for now
pmp BID for 10 days.r echeck 2 wks unless concerns prior 
2026-01-19T00:00:00Z 08:52:18
Hospitalisation day 6 post T12-13 hemilaminectomy

Assessments
Neurologically improved, noted subtle voluntary motor function with the right pelvic limb.
Plans
Gabapentin 50mg po q 12
Meloxicam 0.1mg/kg po q 24
prom
bladder care if needed
2025-12-31T00:00:00Z 15:21:27
Insurance claim for 29/12/25 submitted - BP

Previous claim history (14)

DateClaim #Diagnosis
2026-02-11C09890276INTERVERTEBRAL DISC DISEASE
2026-01-23C09802136INTERVERTEBRAL DISC DISEASE
2026-01-19C09775322MYELOPATHY, DEGENERATIVE
2026-01-19C09781614MYELOPATHY, DEGENERATIVE
2026-01-16C09765523MYELOPATHY, DEGENERATIVE
2026-01-16C09771698MYELOPATHY, DEGENERATIVE
2026-01-15C09759602MYELOPATHY, DEGENERATIVE
2026-01-14C09754940MYELOPATHY, DEGENERATIVE
2026-01-12C09747331MYELOPATHY, DEGENERATIVE
2026-01-11C09742265INTERVERTEBRAL DISC EXTRUSION/HERNIATION/PROLAPSE - THORACIC
2025-12-29C09695597INTERVERTEBRAL DISC DISORDER
2019-10-14C2498683PAIN - SPINAL - PRESENTING COMPLAINT
2019-08-31C2498690ERYTHEMA
2019-08-01C2498686PAIN - SPINAL - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit105.002026-03-02
20000tstarc_diagnostic_test_-_cytology55.402026-03-02
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal62.682026-03-02

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.660
Threshold: 0.07
Above:
Correct?