C09977503 / invoice 10000
Species:CANINE
Breed:Australian Cobberdog
Age (years):6
Diagnosis or signs:HISTORY - Consult (Standard)
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>HISTORY<br>Presenting for: Lola presented for ear problems with soreness and difficulty managing at home<br>Historical Conditions: Previous emergency vet visit attempted ear examination but unable to complete due to patient stress and behaviour<br>Current Meds: Sedation tablets given 2 hours prior to appointment to calm patient<br>Other: Owner reports difficulty managing ear care at home due to reduced confidence and limited arm function. Patient exhibits chronic ear issues that are recurrent - episodes clear then return. Patient also requires nail clipping but is stressed during grooming procedures.</p> <p>EXAM<br>Behavioural: Very stressed and anxious during examination. Required sedation tablets 2 hours prior to visit. Accepted chicken treats during examination which helped with distraction. Required nursing assistance for restraint during ear sampling.<br>Ears: Bilateral otitis externa with significant erythema and discharge. Ears described as very bad. Patient exhibited pain and resistance during examination.<br>Diagnostics: Ear cytology performed bilaterally - results showed Malassezia yeast infection with no bacteria present</p> <p>ASSESSMENT<br>Bilateral otitis externa - Malassezia yeast infection confirmed on cytology. Chronic recurrent condition likely requiring ongoing management and prevention protocols.</p> <p>PLAN<br>New Meds/Tx:<br>- Long-acting ear drops administered in clinic today. Medication remains active for approximately 30 days. Recheck appointment scheduled in 2 weeks to assess treatment response.<br>- Additional sedation tablets dispensed for future use during grooming and stressful procedures. Administer 2 hours prior to procedures.</p> <p>Additional Discussion:<br>- Discussed long-acting ear medication as preferred option given difficulty with home administration<br>- Cost discussed - medication is expensive but more practical than daily home treatment<br>- Once current infection clears, discussed weekly preventative ear drops to reduce recurrence<br>- Advised sedation can be used for grooming appointments to reduce stress<br>- Recheck appointment in 2 weeks to monitor treatment progress</p></html>
Animal clinical history (3 most recent)
2024-07-12T00:00:00Z 12:17:06
Examination Text:Reason: Recheck Vulva + Collect TRazodone - STAppointment Notes: Overdue reminders
2024-07-12T00:00:00Z 12:17:06
AnalyteName | Result | Units | LowRange | HighRangeCollecFree CatchColorAmberClarVery CloudySG1.080pH7.0LEUnegPROnegGLUnegKET15mg/dLUBG1mg/dLBILnegBLD10Ery/LWBC1 /HPFRBC1 /HPFBACrNone detectedBACcNone detectedsqEPINone detectednsEPI1 /HPFHYANone detectednhCST1 /LPFCRYNone detectedCaOxDiNone detectedSTRNone detectedBIURATNone detectedBILINone detected
2024-07-12T00:00:00Z 12:17:06
AnalyteName | Result | Units | LowRange | HighRangeCollecFree CatchColorAmberClarVery CloudySG1.080pH7.0LEUnegPROnegGLUnegKET15mg/dLUBG1mg/dLBILnegBLD10Ery/LWBC1 /HPFRBC1 /HPFBACrNone detectedBACcNone detectedsqEPINone detectednsEPI1 /HPFHYANone detectednhCST1 /LPFCRYNone detectedCaOxDiNone detectedSTRNone detectedBIURATNone detectedBILINone detected
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-02 | C09843353 | ALLERGIC REACTION |
| 2023-06-27 | C6062194 | ALLERGY |
| 2023-06-20 | C6011338 | EAR INFECTION |
| 2023-06-12 | C5997732 | EAR INFECTION |
| 2022-04-14 | C4661247 | SKIN CONDITIONS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_cytology | 70.00 | 2026-03-03 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 213.58 | 2026-03-03 | — |
| 30000 | tstarc_consultation | 99.00 | 2026-03-03 | — |
| 40000 | tstarc_grooming | 30.00 | 2026-03-03 | upstreamDSTP_general_exclusion |
| 50000 | tstarc_trazodone | 34.32 | 2026-03-03 | — |
| 60000 | tstarc_anticonvulsant_medication_-_gabapentin | 32.84 | 2026-03-03 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.530
Threshold: 0.07
Above: ✓
Correct?