C09986968 / invoice 10000

Species:CANINE
Breed:Labradoodle
Age (years):5
Diagnosis or signs:Ears
Consult notes
04/03/2026 Reason: Ears 
Notes: Going home again tomorrow.
History: 
Examine: 
BAR on presentation.
Eyes/oral NSF.
Hr 100, Rr 34.
Abdo nad.
Left ear mild exudate & erythema on otoscopic exam.
Left ear cytology - Mal 3+
Right ear minor exudate on otoscopic exam.
Right ear cytology - Mal 2+.
Licking feet atm - has in past - mild i/d erythema - o has been advised has yeast & uses Malaseb.
No other evident symptoms of allergic skin disease.
Dog otherwise been well recently. Did have episode HGE (both dogs) last mo but have recovered well.
T 38.3.
Diagnosis: Bilat OE 
Treatment: Sp Auracol 7-10dys then advise r/c (Os advise will be back here for r/c so will book a revisit)
Plan: Ideally r/c 7-10. O thinks may have something for maintenance will bring to r/v.
Invoice Notes:
Recheck ears recommended in 7-10 days.
Please use your Malaseb on Rafferty's feet as discussed. 

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 14:52:43
Reason: Ears 
Notes: Going home again tomorrow.
History: 
Examine: 
BAR on presentation.
Eyes/oral NSF.
Hr 100, Rr 34.
Abdo nad.
Left ear mild exudate & erythema on otoscopic exam.
Left ear cytology - Mal 3+
Right ear minor exudate on otoscopic exam.
Right ear cytology - Mal 2+.
Licking feet atm - has in past - mild i/d erythema - o has been advised has yeast & uses Malaseb.
No other evident symptoms of allergic skin disease.
Dog otherwise been well recently. Did have episode HGE (both dogs) last mo but have recovered well.
T 38.3.
Diagnosis: Bilat OE 
Treatment: Sp Auracol 7-10dys then advise r/c (Os advise will be back here for r/c so will book a revisit)
Plan: Ideally r/c 7-10. O thinks may have something for maintenance will bring to r/v.
Invoice Notes:
Recheck ears recommended in 7-10 days.
Please use your Malaseb on Rafferty's feet as discussed. 

Previous claim history (17)

DateClaim #Diagnosis
2026-02-03C09846038GASTROENTERITIS
2026-02-02C09841994GASTROENTERITIS
2026-02-02C09841994PRESCRIPTION DIETS
2026-02-01C09869283GASTROENTERITIS
2024-07-02C7415440WEIGHT GAIN
2024-07-02C7415440HEARTWORM CONTROL
2024-07-02C7415440VACCINATIONS OR HEALTH CHECKS
2024-07-02C7415440FLEA/TICK/WORM CONTROL
2023-07-03C6055111HEARTWORM CONTROL
2023-07-03C6055111FLEA/TICK/WORM CONTROL
2022-07-19C4935437EAR INFECTION
2022-07-05C4935446OTITIS EXTERNA
2021-11-27C4270508CONJUNCTIVITIS
2021-11-20C4252499VOMITION & DIARRHOEA
2021-07-15C3904023VACCINATIONS OR HEALTH CHECKS
2021-07-15C3904023FLEA/TICK/WORM CONTROL
2021-07-15C3904023HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation95.002026-03-04
20000tstarc_diagnostic_test_-_cytology36.002026-03-04
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal64.282026-03-04
40000tstarc_medicated_shampoo36.072026-03-04

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.390
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description