C09987608 / invoice 10000

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Species:CANINE
Breed:Pug
Age (years):10
Diagnosis or signs:Consult, Cytology and Medications
Consult notes
04/03/2026 Reason:  
History: 
Ears flared up last week. Owner has been using otoflush daily and putting pawpaw/vaseline but now are very inflamed and hot. 
Both ears shaking and scratching, right seems worse than left. 

EDUF normal, no V+/D+
Not scratching anywhere else. Licks feet occasionally.

Current medications: apoquel 5.4mg half tab SID

What Preventative health cover is being used and do you need to purchase any today? 

Examine: 
Mentation: 
Body condition score: 
MM:                CRT: 
HR:                RR: 
LN: 
Temperature: 

Ocular: 
Oral/Dental stage:
Ears: 
Cardiovascular: 
Respiratory: 
Gastrointestinal: 
Integumentary & lumps (measurement, location):
Musculoskeletal: 
Urogenital: 
Neurological: 

Problem List:

Assessment: 

Treatment: 

Plan: 

On-going medications required: Y/N (use prescription tab for further supply):

Followup:

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 16:19:54
Reason:  
History: 
Ears flared up last week. Owner has been using otoflush daily and putting pawpaw/vaseline but now are very inflamed and hot. 
Both ears shaking and scratching, right seems worse than left. 

EDUF normal, no V+/D+
Not scratching anywhere else. Licks feet occasionally.

Current medications: apoquel 5.4mg half tab SID

What Preventative health cover is being used and do you need to purchase any today? 

Examine: 
Mentation: 
Body condition score: 
MM:                CRT: 
HR:                RR: 
LN: 
Temperature: 

Ocular: 
Oral/Dental stage:
Ears: 
Cardiovascular: 
Respiratory: 
Gastrointestinal: 
Integumentary & lumps (measurement, location):
Musculoskeletal: 
Urogenital: 
Neurological: 

Problem List:

Assessment: 

Treatment: 

Plan: 

On-going medications required: Y/N (use prescription tab for further supply):

Followup:

Previous claim history (27)

DateClaim #Diagnosis
2026-02-02C09887231HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-12C09617881HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-09C09617881PRESCRIPTION DIETS
2021-08-26C4018781TEETH CLEANING
2021-08-18C3997155ALLERGY
2021-06-11C3821003ALLERGY
2021-05-03C3715386DERMATITIS
2021-04-22C3690881DERMATITIS
2021-04-07C3690881DERMATITIS
2021-03-30C3634196PRESCRIPTION DIETS
2021-03-30C3634196DERMATITIS
2020-11-14C3298133ALLERGY
2020-11-14C3298133PRESCRIPTION DIETS
2020-09-08C3150193ALLERGY
2020-09-08C3150193VACCINATIONS OR HEALTH CHECKS
2020-09-08C3150193HEARTWORM CONTROL
2020-08-20C3108295OTITIS EXTERNA
2020-08-20C3108295ALLERGY
2020-08-19C3106674PRESCRIPTION DIETS
2020-01-16C2669930DENTAL ILLNESS TREATMENT
2020-01-16C2669930HEARTWORM TEST OR BLOOD SCREEN
2020-01-16C2669930TEETH CLEANING
2018-06-26C1717799VACCINATIONS OR HEALTH CHECKS
2018-06-26C1717799HEARTWORM CONTROL
2018-06-26C1717799OTITIS EXTERNA
2018-06-26C1717799ALOPECIA
2017-12-08C1442072ATAXIA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation109.002026-03-04—
20000tstarc_diagnostic_test_-_cytology68.002026-03-04—
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal64.542026-03-04—
40000tstarc_ear_cleaner45.082026-03-04—

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.570
Threshold: 0.07
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description