C09978967 / invoice 10000

Species:CANINE
Breed:Havanese
Age (years):6
Diagnosis or signs:Unspecified
Consult notes
03/03/2026 HISTORY: Painful right ear at home, red and itchy. EDDU ok. A little subdued. 

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: grade 3 heart murmur, recently investigated 
MM: pink
Skin Tent: normal 
Dental Score: 2
Abdomen: nad
Skin: normal
Eyes: nad
Ears: right ear lichenified and red
Temp: not assessed
Lymph Nodes: normal
MSK/Neuro: 4x ambulatory
Rectal: not assessed

DIAGNOSTICS: cytology
R: Yeast +++, cocci +
L: clear

ASSESSMENT: otitis externa

PLAN: easotic + epiotic 5d, recheck in 10d. 

SE

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 14:22:47
HISTORY: Painful right ear at home, red and itchy. EDDU ok. A little subdued. 

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: grade 3 heart murmur, recently investigated 
MM: pink
Skin Tent: normal 
Dental Score: 2
Abdomen: nad
Skin: normal
Eyes: nad
Ears: right ear lichenified and red
Temp: not assessed
Lymph Nodes: normal
MSK/Neuro: 4x ambulatory
Rectal: not assessed

DIAGNOSTICS: cytology
R: Yeast +++, cocci +
L: clear

ASSESSMENT: otitis externa

PLAN: easotic + epiotic 5d, recheck in 10d. 

SE
2026-01-27T00:00:00Z 15:53:08
Presented for vacc lepto booster
HR: 100
Respiration: normal
Temp: // 
Vaccination Status:
   C3 Current
   Kennel Cough Current
Parasite Protection: Bravecto Q Given 15/1
   Flea control: {__}
   Tick control: {__}
   Heartworm prevention: Proheart given 15/1
   Worming: {__}
Skin: nad
Ears: nad
Eyes: nad
Heart & Lungs: g3 murmur
Muscles: nad
Bones & Joints: nad
Teeth & Gums: Grade 2 dental disease 
Intestinal and Urinary Health: nad
Body Condition Score: 3/5
Behavioural Issues: needle phobic
Recommendations: Dental After o comes back from italy
ID

Previous claim history (1)

DateClaim #Diagnosis
2026-01-15C09795716HEART CONDITION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_ear_medication_-_antibacterial_and_anti-fungal38.512026-03-03
20000tstarc_ear_cleaner28.972026-03-03
30000tstarc_diagnostic_test_-_cytology99.502026-03-03
40000tstarc_consultation62.472026-03-03

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.980
Threshold: 0.07
Above:
Correct?