C09977381 / invoice 10000
Species:CANINE
Breed:Labrador
Age (years):12
Diagnosis or signs:ears and check lumps
Consult notes
Reason - Check lumpsHx - Been generally well. MObility ok. Eating/drinking unchanged. Hard to keep track of lumps but new on in groin. One on R axilla not changed much. Feel hearing reduced - wonderintg if due to gunky ears - been cleaning out. Staying with son - also reduced food and has lost weight which is good thing. Exam - Lay down to look - L groin lipoma on top/ caudally 6mm dermal thickening/lump. FNA taken - minimal collection - tried twice - no bleeding or swelling. R axilla 5-6mm dermal thickening - FNA last time 2mths ago - non diagnostic and dont' feel changed much today. Heart good. Chest NAD; abdo NAD; mm pink;. Ears - didn't like deep exam. Externally v clean, minimal inflamn but deeper down there is few clumps of black gunk.Assessment - Try cleaner for ears for a week (every 2nd day) to dislodge the chunks, then 5d course of PMP to ensure inflamn/mild yeast if present are eliminated. LUmps - Non-diagnostic. So small that is hard to get needle to exfoliate the cells. Plan - monitor lumps. Tx ears. RV if concerned. Cont weigth loss - prob another 1kg.
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 10:53?am
Reason - Check lumpsHx - Been generally well. MObility ok. Eating/drinking unchanged. Hard to keep track of lumps but new on in groin. One on R axilla not changed much. Feel hearing reduced - wonderintg if due to gunky ears - been cleaning out. Staying with son - also reduced food and has lost weight which is good thing. Exam - Lay down to look - L groin lipoma on top/ caudally 6mm dermal thickening/lump. FNA taken - minimal collection - tried twice - no bleeding or swelling. R axilla 5-6mm dermal thickening - FNA last time 2mths ago - non diagnostic and dont' feel changed much today. Heart good. Chest NAD; abdo NAD; mm pink;. Ears - didn't like deep exam. Externally v clean, minimal inflamn but deeper down there is few clumps of black gunk.Assessment - Try cleaner for ears for a week (every 2nd day) to dislodge the chunks, then 5d course of PMP to ensure inflamn/mild yeast if present are eliminated. LUmps - Non-diagnostic. So small that is hard to get needle to exfoliate the cells. Plan - monitor lumps. Tx ears. RV if concerned. Cont weigth loss - prob another 1kg. Vital Signs
Previous claim history (22)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-23 | C09682541 | MASS LESION - SKIN (CUTANEOUS) |
| 2025-12-23 | C09682541 | OSTEOARTHRITIS, MULTIPLE SITES |
| 2019-07-31 | C2362866 | OTITIS EXTERNA |
| 2019-05-24 | C2247433 | WOUND - LACERATION |
| 2019-05-13 | C2227221 | SEIZURE(S) - PRESENTING COMPLAINT |
| 2019-05-13 | C2227221 | CRYSTALLURIA |
| 2019-02-28 | C2100116 | VACCINATIONS OR HEALTH CHECKS |
| 2018-07-03 | C1727355 | BROKEN NAIL |
| 2018-02-13 | C1527054 | VACCINATIONS OR HEALTH CHECKS |
| 2017-12-05 | C1431366 | CLAW INJURY (TRAUMATIC) |
| 2017-07-22 | C1280972 | CLAW INJURY (TRAUMATIC) |
| 2017-07-21 | C1280971 | CLAW INJURY (TRAUMATIC) |
| 2017-06-22 | C1231632 | MASS LESION - SKIN (CUTANEOUS) |
| 2017-04-12 | C1152064 | CLAW INJURY (TRAUMATIC) |
| 2017-02-14 | C1085463 | VACCINATIONS OR HEALTH CHECKS |
| 2016-09-15 | C0927936 | SWELLING |
| 2016-07-11 | C0927934 | CONJUNCTIVITIS |
| 2016-05-23 | C0927929 | TORN DEW CLAW |
| 2016-02-18 | C0927927 | VACCINATIONS OR HEALTH CHECKS |
| 2015-11-07 | C0652764 | TORN DEW CLAW |
| 2015-11-07 | C0672402 | TORN DEW CLAW |
| 2015-03-11 | C0478491 | TORN DEW CLAW |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 62.60 | 2026-03-03 | — |
| 20000 | tstarc_consultation | 102.00 | 2026-03-03 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.220
Threshold: 0.07
Above: ✓
Correct?