C09983701 / invoice 10000

Species:CANINE
Breed:Rottweiler
Age (years):4
Diagnosis or signs:Consultation
Consult notes
04/03/2026 Had traz and gaba about 1.5 hours ago
Ears clear up and then Elvis goes swimming and it recurs again
scratching and shaking

LEFT ear this time
O also requested a check of the LEFT leg, sometimes stiff when he wakes up

CE:
- BAR
- eyes bright and clear
- mm pink and moist, crt < 2 seconds
- heart and lungs okay
- Left elbow, lick smacking on palpation and manipulation
- LEFT ear painful, red, ulcerated, stenotic, thick black waxy discharge
- RIGHT ear perfect
cyto: Right nad, left Malassezia +++

Treatment:
Flushed LEFT ear with otoflush
neptra applied

Plan:
recheck 1 weeks time, may need to add in pred
Needs to lose weight 
Offer radiographs of LEFT FORE
No swimming


Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 08:54:10
Had traz and gaba about 1.5 hours ago
Ears clear up and then Elvis goes swimming and it recurs again
scratching and shaking

LEFT ear this time
O also requested a check of the LEFT leg, sometimes stiff when he wakes up

CE:
- BAR
- eyes bright and clear
- mm pink and moist, crt < 2 seconds
- heart and lungs okay
- Left elbow, lick smacking on palpation and manipulation
- LEFT ear painful, red, ulcerated, stenotic, thick black waxy discharge
- RIGHT ear perfect
cyto: Right nad, left Malassezia +++

Treatment:
Flushed LEFT ear with otoflush
neptra applied

Plan:
recheck 1 weeks time, may need to add in pred
Needs to lose weight 
Offer radiographs of LEFT FORE
No swimming


Previous claim history (12)

DateClaim #Diagnosis
2025-12-23C09667799OTITIS EXTERNA
2025-12-23C09667799HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-05-07C8677827EAR INFECTION
2025-04-10C8572280BROKEN NAIL
2025-03-20C8477274OTITIS EXTERNA
2024-05-24C7268686OTITIS EXTERNA
2023-10-11C6409400OTITIS EXTERNA
2023-02-10C5577864BEHAVIOUR DISORDER
2023-02-09C5573205GASTROINTESTINAL PROBLEMS
2023-02-09C5577864GASTROENTERITIS
2023-02-09C5577864OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT
2023-01-30C5573192DENTAL (TOOTH) DISORDER

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation135.002026-03-04
20000tstarc_procedure_fee_-_ear_flush40.452026-03-04
30000tstarc_diagnostic_test_-_cytology97.002026-03-04
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal149.952026-03-04

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.960
Threshold: 0.07
Above:
Correct?