C09983462 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):8
Diagnosis or signs:Ears Recheck
Consult notes
04/03/2026 Ears recheck

H:
Only shakes when O puts the drops in. 
O did 2 doses of the cleaning solution (1 day in between). 
Aurizon into both ears once daily until yesterday morning.

E:
Both ears look MUCH cleaner - able to see TM bilaterally. But both ear canals VERY red/inflamed. CYTOLOGY: L ear NSF, R ear occasional yeast + 

A:
Otitis externa nearly resolved

P:
Macrolone 20mg - 1 tab sid for 3 days, then half sid for 3 days, then half eod
EKD poloxamer 3 ml into each ear

Recheck next week for ears + cartrophen

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 10:47:05
Ears recheck

H:
Only shakes when O puts the drops in. 
O did 2 doses of the cleaning solution (1 day in between). 
Aurizon into both ears once daily until yesterday morning.

E:
Both ears look MUCH cleaner - able to see TM bilaterally. But both ear canals VERY red/inflamed. CYTOLOGY: L ear NSF, R ear occasional yeast + 

A:
Otitis externa nearly resolved

P:
Macrolone 20mg - 1 tab sid for 3 days, then half sid for 3 days, then half eod
EKD poloxamer 3 ml into each ear

Recheck next week for ears + cartrophen

Previous claim history (14)

DateClaim #Diagnosis
2026-02-25C09951607OTITIS EXTERNA
2026-02-11C09886270ARTHRITIS
2026-02-11C09886270EAR (AURAL) DISEASE
2026-01-14C09754149ARTHRITIS
2025-12-16C09631703ARTHRITIS
2025-11-18C9504196ARTHRITIS
2025-10-21C9381629ARTHRITIS
2025-09-23C9260244ARTHRITIS
2025-08-27C9144839ARTHRITIS
2025-08-20C9114575SPONDYLOSIS - LUMBAR
2025-08-13C9085537SPONDYLOSIS - LUMBAR
2025-08-06C9058137GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2025-07-25C9009920GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2025-07-04C8923389GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_corticosteroids24.502026-03-04
20000tstarc_consultation-revisit87.002026-03-04
30000tstarc_diagnostic_test_-_cytology50.002026-03-04
40000tstarc_ear_medication_-_poloxamer_gel89.802026-03-04

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.990
Threshold: 0.07
Above:
Correct?