C09984649 / invoice 10000
Species:CANINE
Breed:Brittany Spaniel
Age (years):5
Diagnosis or signs:Ears
Consult notes
03/03/2026 HISTORY - Previous treatments for ear infections and skin allergies - Last Cytopoint injection was mid last year - Last dental check was in August - Last seen in November for vaccinations EXAM Ears: Left ear mucky and red, right ear has some redness but less muck. Cytology L ear ++++yeasts Teeth: Mild tartar but sig gingivitis, halitosis noted Skin: Pruritic, especially the feet; back feet more pink than front, abdomen looks good. Mild-mod inflammation caudal MC areas. Not scaly or thickened as per prev. Hair thinning but not total loss DIAGNOSIS - Otitis externa, predominantly in the left ear with Malassezia - Dental disease with gingivitis and tartar buildup - Dermatitis with pruritis PLAN 1. Start treatment with Dermotic for ears, previously used with good results 2. Apply Dermotic BID for 10 days, extend to 14 days if redness or smell persists 3. Recheck ears in 2 weeks 4. Consider dental cleaning under Grade 1 pricing, focus on cleaning under the gum line 5. Apply dental gel daily to gums; reassess in 6 months for potential cleaning 6. Cytopoint injection to manage skin allergies and pruritis 7. Recheck general condition in 2 weeks
Animal clinical history (3 most recent)
2026-03-03T00:00:00Z 18:22:17
HISTORY - Previous treatments for ear infections and skin allergies - Last Cytopoint injection was mid last year - Last dental check was in August - Last seen in November for vaccinations EXAM Ears: Left ear mucky and red, right ear has some redness but less muck. Cytology L ear ++++yeasts Teeth: Mild tartar but sig gingivitis, halitosis noted Skin: Pruritic, especially the feet; back feet more pink than front, abdomen looks good. Mild-mod inflammation caudal MC areas. Not scaly or thickened as per prev. Hair thinning but not total loss DIAGNOSIS - Otitis externa, predominantly in the left ear with Malassezia - Dental disease with gingivitis and tartar buildup - Dermatitis with pruritis PLAN 1. Start treatment with Dermotic for ears, previously used with good results 2. Apply Dermotic BID for 10 days, extend to 14 days if redness or smell persists 3. Recheck ears in 2 weeks 4. Consider dental cleaning under Grade 1 pricing, focus on cleaning under the gum line 5. Apply dental gel daily to gums; reassess in 6 months for potential cleaning 6. Cytopoint injection to manage skin allergies and pruritis 7. Recheck general condition in 2 weeks
Previous claim history (26)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-03-26 | C8503538 | KERATITIS LEFT |
| 2024-11-07 | C7917729 | VACCINATIONS OR HEALTH CHECKS |
| 2024-11-07 | C7917729 | HEARTWORM CONTROL |
| 2024-11-07 | C7917729 | ALLERGY |
| 2024-05-23 | C7269192 | ARRHYTHMIA |
| 2024-05-07 | C7202979 | TEETH CLEANING |
| 2024-05-07 | C7202979 | BLOOD SCREEN |
| 2024-04-30 | C7173378 | ALLERGY |
| 2024-04-30 | C7173378 | EAR INFECTION |
| 2023-11-16 | C6534285 | ALLERGY |
| 2023-11-16 | C6534285 | HEARTWORM CONTROL |
| 2023-11-16 | C6534285 | VACCINATIONS OR HEALTH CHECKS |
| 2023-11-16 | C6534285 | FLEA/TICK/WORM CONTROL |
| 2023-06-26 | C6031957 | CORNEAL ULCER |
| 2023-06-26 | C6032659 | FOREIGN BODY - INTRA-OCULAR |
| 2022-11-17 | C5311602 | ALLERGY |
| 2022-11-03 | C5255109 | FLEA/TICK/WORM CONTROL |
| 2022-11-03 | C5255109 | ALLERGY |
| 2022-11-03 | C5255109 | HEARTWORM CONTROL |
| 2022-11-03 | C5255109 | DENTAL ILLNESS TREATMENT |
| 2022-08-11 | C5004346 | DESEXING |
| 2022-04-23 | C4687918 | CORNEAL ULCER |
| 2022-04-23 | C4687918 | DIETARY INDISCRETION - OTHER - PRESENTING COMPLAINT |
| 2022-04-19 | C4669206 | CORNEAL ULCER |
| 2022-03-21 | C4588520 | INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT |
| 2022-01-10 | C4383148 | DISCHARGE - OCULAR (EYE) - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 88.66 | 2026-03-03 | — |
| 20000 | tstarc_consultation | 119.00 | 2026-03-03 | — |
| 30000 | tstarc_diagnostic_test_-_cytology | 57.36 | 2026-03-03 | — |
| 40000 | tstarc_skin_medication_-_cytopoint | 219.32 | 2026-03-03 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.460
Threshold: 0.38
Above: ✓
Correct?