C09984942 / invoice 10000

Reviewer

Species:CANINE

Breed:Dobermann Cross

Age (years):12

Diagnosis or signs:Ear problem

Consult notes

04/03/2026 Has been well O has started giving metacam daily and seems to be helping. Recently noticed flapping and scratching left ear also rubbing self not had cytopoint for over a month

MMpink Teeth grade 2 gingivitis gum hyperplasia and plaque. R ear good left ear +++brown wax ++++cocci. Heart and chest sounds normal abdo palp nad LNs normal

Tx ear infection with mneptra and cytopoint for allergy

Recheck 4 weeks also recommend dental with bloods and dental xrays

Previous claim history (17)

Date	Claim #	Diagnosis
2026-01-20	C09782209	DIARROHEA
2026-01-17	C09772957	FOREIGN BODY - GASTRIC (STOMACH)
2026-01-16	C09767825	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-01-16	C09782209	ARTHRITIS
2026-01-14	C09754286	OSTEOARTHRITIS
2025-12-12	C09617190	OSTEOARTHRITIS (OSTEOARTHROSIS, DEGENERATIVE JOINT DISEASE (DJD))
2025-12-05	C09584541	OSTEOARTHRITIS
2016-09-16	C0937905	LUMP
2016-09-12	C0931015	LUMP
2016-05-18	C0823573	INGEST FOREIGN OBJECT
2015-09-01	C0603718	ALLERGY
2015-08-02	C0603718	VOMITING - OTHER - PRESENTING COMPLAINT
2015-06-01	C0532070	EYE CONDITIONS
2015-05-18	C0520424	EYE CONDITIONS
2015-04-30	C0513515	EAR INFECTION
2015-04-20	C0513515	OTITIS EXTERNA
2015-04-20	C0513515	CONJUNCTIVITIS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	90.00	2026-03-04	—
20000	tstarc_ear_medication_-_antibacterial_and_anti-fungal	116.45	2026-03-04	—
30000	tstarc_skin_medication_-_cytopoint	185.00	2026-03-04	—

UPM+

DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)

DSTP_skin_-_allergic_disorder

Conf: 0.590

Threshold: 0.38

Above: ✓

Correct?

Yes No