C09979012 / invoice 10000

Species:CANINE
Breed:Miniature Poodle
Age (years):6
Diagnosis or signs:sedation, ear infection and xrays
Consult notes
03/03/2026 Hx: sore ears since sunday with ataxia this week
CE: pain on palpation around R ear. Ear canal plugged with hair so hard to assess. no neck pain or on opening mouth. T37. MM pink CRT<3 HR 100
DDx: middel ear infection
vestibualr disease
Plan: GA clean and examine and xray
R ear marked hair plug with hemmorhage ear canal Tympanic membrane abscent grass seed removed
saline flush
Rx
Phone: advsie head tilt and ataxia may be transiently worse but should improve over the next 48 hours
RV with jon thur/Fri

Animal clinical history (3 most recent)

2025-10-24T00:00:00Z 10:43:44
cytopoint 10mg s/c  812603  12/26
Starting to itch. as 
2025-07-19T00:00:00Z 11:34:41
Cytopoint with nurse - Doing well O noticed just starting to chew feet. bc 
2025-07-11T00:00:00Z 00:00:00
HISTORY 
Gerry, a 5yr MN Miniature poodle weighing 8.6kg presented to PVC on the 11-07-2025 for a bandage change. 

Gerry initially presented on the 09-07-2025 for the assessment of a non healing laceration to his third digital pad on the RIGHT hindlimb which was bandaged using a combination of solosite/melonin, soffban, vet wrap. 

ASSESSMENT
Bandage removed. Granulation tissue evident, some contraction of wound edges present. 
Wound cleaned. Bandage of the same description reapplied. 

PLAN
Revisit on MON 14-07-2025 for bandage change. 

Previous claim history (4)

DateClaim #Diagnosis
2021-01-23C3512550TESTICULAR TORSION
2021-01-22C3512512GASTROINTESTINAL PROBLEMS
2021-01-18C3512405EAR INFECTION
2020-09-28C3200555CONJUNCTIVITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation106.002026-03-03
20000tstarc_sedation_for_procedure80.832026-03-03
30000tstarc_anaesthesia_-_propofol73.002026-03-03
40000tstarc_procedure_fee_-_radiology550.002026-03-03
50000tstarc_surgery_fee60.502026-03-03
60000tstarc_antibiotics_-_enrofloxacin40.922026-03-03
70000tstarc_antibiotics_-_enrofloxacin71.332026-03-03
80000tstarc_meloxicam61.072026-03-03
90000tstarc_corticosteroid_injection37.692026-03-03

UPM+

  • DG00867FOREIGN BODY, GRASS SEEDDSTP_foreign_body_-_grass_seed

Variant (sleepy_king)

WOUND - LACERATION
DSTP_wound_or_laceration
Conf: 0.920
Threshold: 0.60
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description