C09974895 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavoodle

Age (years):4

Diagnosis or signs:C5 Vaccination & Proheart inj & AHC

Consult notes

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<div><span style="font-family: 'Arial Bold'; font-weight: bold;">Progressive VET Care Malvern East<br><br>Reminders checked: yes <br><br>HISTORY</span></div>
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<div><span style="font-family: 'Helvetica';">Came in with Jenny today<br>ear improved but not 100% Jenny thinks<br>no other concerns today</span></div>
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<div><span style="font-family: 'Helvetica';"> </span></div>
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<div><span style="font-family: 'Arial Bold'; font-weight: bold;">EXAMINATION abd palp OK<br>mm pink<br>chest ausc OK<br>Lns OK<br>R ear normal<br>feet normal between toes<br>skin ventral abdo normal<br>L ear no discharge now but mild redness pinna and ext ear canal- big improvement from last visit<br>has quite a bit of dental plaque and mild gingivitis for a 4 year old dog<br>Laboratory: ear cytology 1 yeast, no bacteria- almost resolved</span></div>
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<div><span style="font-family: Helvetica; font-weight: bold;">VACCINATION GIVEN</span></div>
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<div><span style="font-family: 'Helvetica';">:</span></div>
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<div><span style="font-family: 'Helvetica';"> C5 ( Nobivac Flex DHPPi and Intra oral BB given ) and Proheart inj given<br>2 x milbemax small given</span></div>
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<div><span style="font-family: 'Arial Bold'; font-weight: bold;"> </span></div>
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<div><span style="font-family: 'Helvetica'; font-weight: bold;">BOOSTER DUE</span></div>
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<div><span style="font-family: 'Helvetica';">: <br>C2 (Pi inj and oral BB) in 12 months and Proheart injection in 12 months<br><br></span></div>
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<div><span style="font-family: 'Arial Bold'; font-weight: bold;"><br>PLAN</span></div>
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<div><span style="font-family: 'Helvetica';">: Recommend raw bones 2-3 x weekly and free dental check 3 months<br>INI will need dental scale and polish or risks losing teeth<br><span style="font-family: 'Arial Bold'; font-weight: bold;">apply dermotic to the l ear for 3 dmore days then stop<br>Reminders updated: yes </span><br></span></div>
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Animal clinical history (3 most recent)

2026-02-16T00:00:00Z 14:52:00

Progressive VET Care Malvern EastReminders checked: yes/noHISTORY: had a R ear infection in Jan and now has sore l eardoes tend to bits ot his feet a lot as wellis a bit of an itchy dogEXAMINATION:  L ear marked redness pinna and ext ear canal and some discharge as wellR ear looks OKfeet look ok at the momentseems otherwise wellCytology: L ear 3+ malassezia and cocciDIAGNOSIS: L marked pinnal redness and ext ear canal infectionflare up atopic dermatitisTREATMENT: preds reducing dose as pinna very inflammed and painfuldermotic 1ml daily into the l ear canal and onto the pinnae and show owner how to do thisPLAN: r/c in 10 daysReminders updated: yes/no

2026-01-17T00:00:00Z 14:16:00

Vet has checked all hx and Ok for nurse to send

2026-01-17T00:00:00Z 13:57:00

Going well at homeNot inflamed, small amount of debris (leftover ear meds) down canal but mostly clearNothing on cytologyDoesn't need more meds

Previous claim history (11)

Date	Claim #	Diagnosis
2026-02-16	C09941588	OTITIS EXTERNA
2026-01-17	C09774466	OTITIS EXTERNA
2026-01-03	C09707045	OTITIS EXTERNA
2023-01-13	C5478442	HOT SPOT
2022-11-20	C5478435	SKIN (CUTANEOUS) ABNORMALITY - ERUPTIONS/HIVES/RASH - PRESENTING COMPLAINT
2022-11-05	C5478454	FLEA/TICK/WORM CONTROL
2022-11-05	C5478454	HEARTWORM CONTROL
2022-04-22	C5478326	DESEXING
2022-04-22	C5478326	HEARTWORM CONTROL
2022-04-22	C5478326	FLEA/TICK/WORM CONTROL
2022-01-14	C5478318	VACCINATIONS OR HEALTH CHECKS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_vaccination_(canine)	155.00	2026-03-02	upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000	tstarc_heartworm_control	95.00	2026-03-02	upstreamDSTP_routine_care_-_heartworm_control
30000	tstarc_diagnostic_test_-_cytology	28.60	2026-03-02	—
40000	tstarc_flea,_intestinal_worm_and_heartworm_control	15.30	2026-03-02	upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication

UPM+

DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA

DSTP_otitis_externa

Conf: 0.570

Threshold: 0.07

Above: ✓

Correct?

Yes No