C09986591 / invoice 10000

Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):4
Diagnosis or signs:Consultation
Consult notes
04/03/2026 Nurse Entry
In with - Nadia
Parasite control - 
Diet - At home she is on some veggies, chicken, salmon.

Subjective: Vet approved finger wipes are used to clean her ears. The other day some wax was noticed from the left ear. Then some moisture and smell was noticed.
Also has peri-vulval dermatitis - she goes onto Apoquel and this seems to work very well, but then they stop and the itching/licking comes back.
She gets very anxious and is given traozdone if owner is going out for a period of time.

Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - nad
heart - normal systolic rhythm, rate - 130
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - 
dental - 1/4 on many of the teeth - 2/4 or more on both upper carnassials
Integument - Peri-vulval dermatitis noted
Temp - 

Assessment: Bilateral OE

Plan: Start dermotic
Discussed apo long term side effects.

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 17:02:49
Nurse Entry
In with - Nadia
Parasite control - 
Diet - At home she is on some veggies, chicken, salmon.

Subjective: Vet approved finger wipes are used to clean her ears. The other day some wax was noticed from the left ear. Then some moisture and smell was noticed.
Also has peri-vulval dermatitis - she goes onto Apoquel and this seems to work very well, but then they stop and the itching/licking comes back.
She gets very anxious and is given traozdone if owner is going out for a period of time.

Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - nad
heart - normal systolic rhythm, rate - 130
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - 
dental - 1/4 on many of the teeth - 2/4 or more on both upper carnassials
Integument - Peri-vulval dermatitis noted
Temp - 

Assessment: Bilateral OE

Plan: Start dermotic
Discussed apo long term side effects.

Previous claim history (22)

DateClaim #Diagnosis
2026-01-30C09828440OTITIS EXTERNA
2025-12-12C09616621BEHAVIOUR DISORDER
2025-08-15C9097885OTITIS EXTERNA
2025-07-28C9019971EAR INFECTION
2025-07-22C8997546EAR INFECTION
2025-06-25C8884487OTITIS EXTERNA
2025-02-21C8362228BEHAVIOUR DISORDER
2025-02-21C8365913BEHAVIOUR DISORDER
2025-02-21C8379058GAIT ABNORMALITY - LAMENESS - PRESENTING COMPLAINT
2024-11-12C7940362PAIN - OTHER - PRESENTING COMPLAINT
2024-11-06C7912107EAR INFECTION
2024-11-06C7917197OTITIS EXTERNA
2024-07-25C7885978OTITIS EXTERNA
2023-12-21C7503211MISCELLANEOUS CONDITIONS
2023-12-21C7885964OTITIS EXTERNA
2023-12-21C7917227OTITIS EXTERNA
2023-11-17C7503218MISCELLANEOUS CONDITIONS
2023-05-24C5953555HAEMANGIOPERICYTOMA - CUTANEOUS (SKIN)
2023-05-22C5917120HAEMANGIOPERICYTOMA - CUTANEOUS (SKIN)
2023-03-16C5909458SKIN (CUTANEOUS) DISORDER, PIGMENTARY
2023-03-16C5909473SKIN (CUTANEOUS) DISORDER, PIGMENTARY
2023-02-22C5615914EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_ear_medication_-_antibacterial_and_anti-fungal59.542026-03-04
20000tstarc_consultation109.002026-03-04
30000tstarc_diagnostic_test_-_cytology51.002026-03-04

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.940
Threshold: 0.07
Above:
Correct?