C09976992 / invoice 40000
Species:CANINE
Breed:Beagle
Age (years):14
Diagnosis or signs:check lump
Consult notes
Discussion with owner: trial piroxicam 3.3mg Q 48h and will increase if toleratingDiscussion with owner: Not working wellincrease to SID and add doxy Discussion with owner: left nostril has been sneezing for 1 week - yellowish discharge seems to be ok during the night minimal snoring - better than before Consider VSOS workupAppointment Notes: Recheck ears & discuss ongoing nose issue. eh History:Has been well since ear applicaitonsnoring stillExamine: 1. BAR2. Vitals: NAD3. Body condition: NAD4. Oral exam: NAD5. Eyes: NAD6. Skin / ears: - Yelloow waxy D/C R ear - Brown ceruminous D/C L ear7. Auscultation:8. Abd palpation: NAD9. Palpable lns: NAD10. Anal glands / perianal area: L Ag moderately enlarged and easy to express; R AG normal Cytology: - L ear: +++ malasezzia cpcci ++ - R ear: +++ rods ++ cocci + malasezzia Assessment:otitis unresolvedeven malasezzia remainsTreatment:mometamax ultra bilaterallyPlan:RC ears 14 days culture INI after second dose
Animal clinical history (3 most recent)
2026-03-02T00:00:00Z 7:01?pm
Appointment Notes: Recheck ears & discuss ongoing nose issue. eh History:Has been well since ear applicaitonsnoring stillExamine: 1. BAR2. Vitals: NAD3. Body condition: NAD4. Oral exam: NAD5. Eyes: NAD6. Skin / ears: - Yelloow waxy D/C R ear - Brown ceruminous D/C L ear7. Auscultation:8. Abd palpation: NAD9. Palpable lns: NAD10. Anal glands / perianal area: L Ag moderately enlarged and easy to express; R AG normal Cytology: - L ear: +++ malasezzia cpcci ++ - R ear: +++ rods ++ cocci + malasezzia Assessment:otitis unresolvedeven malasezzia remainsTreatment:mometamax ultra bilaterallyPlan:RC ears 14 days culture INI after second dose Vital Signs
2026-02-23T00:00:00Z 12:26?pm
Discussion with owner: left nostril has been sneezing for 1 week - yellowish discharge seems to be ok during the night minimal snoring - better than before Consider VSOS workup Vital Signs
2026-02-09T00:00:00Z 4:41?pm
History:Has been shaking head for the last few days Has also started to scratch under chin in recent weeks Typically, good response on cytopointEDDU: Good appetite, no D+, no V+, no PUPD Examine: 1. BAR2. Vitals: NAD3. Body condition: NAD4. Oral exam: NAD5. Eyes: NAD6. Skin / ears: - Yelloow waxy D/C R ear - Brown ceruminous D/C L ear- Mild erythema ventral chin 7. Auscultation:8. Abd palpation: NAD9. Palpable lns: NAD10. Anal glands / perianal area: L Ag moderately enlarged and easy to express; R AG normal Cytology: - L ear: +++ malasezzia - R ear: +++ rods ++ cocci + malasezzia - Chin - mild dermatitisAssessment:L ear MD OER ear mixed bacterial OE Mild muzzle dermatitis Treatment:Cytopoint 20mg s/c mometamax ultra bilaterallyPlan:RC ears 14 days Repeat cytopoint as needed Vital Signs
Previous claim history (13)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-09 | C09878347 | DERMATITIS |
| 2026-02-09 | C09878347 | OTITIS EXTERNA |
| 2026-01-28 | C09822629 | COLITIS |
| 2022-08-24 | C5041316 | LIPOMA |
| 2022-08-24 | C5041316 | TEETH CLEANING |
| 2021-03-24 | C3624186 | TEETH CLEANING |
| 2021-02-04 | C3495929 | POLYURIA/POLYDIPSIA - PRESENTING COMPLAINT |
| 2020-09-30 | C3212637 | Preventative/Elective Procedure |
| 2020-09-30 | C3212637 | VACCINATIONS |
| 2020-09-30 | C3212637 | HEARTWORM PREVENTATIVE MEDICATION |
| 2020-09-30 | C3212637 | HEALTH CHECK |
| 2019-06-11 | C2277138 | PAIN - NECK (CERVICAL) - PRESENTING COMPLAINT |
| 2018-12-18 | C2005619 | DERMATITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_cytology | 45.00 | 2026-03-02 | — |
| 20000 | tstarc_consultation-revisit | 80.00 | 2026-03-02 | — |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 183.39 | 2026-03-02 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.910
Threshold: 0.07
Above: ✓
Correct?