C09991123 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):2
Diagnosis or signs:Revisit post surgery
Consult notes
R/v post surgery

Site Of caudal L mammary gland removal - swelling has reduced in size over past week considerably.
Approx pullet egg size currently.
Appetite & general activity/demeanour normal.
Have stopped metacam Tx several days after previous visit

Check ears - concern 

Check site of surgery firm skin associated swelling that feels separate to underlying tissue.
U/s exam - moderate amount of fluid in area with some soft tissue.
Likely an organising seroma.

Give a copy of histopath report to owner.
Due to some uncertainty with path Dx - inflammatory or neoplasia - advise monitoring of area given incomplete excision of affected  tissue.

Both ears - moderate amount of dark brown exudate 
Swab: 2-3+ yeast in both ears

Start Otoflush & PMP

r/v 10-14d
Start lead walks.

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 14:45:00
R/v post surgery

Site Of caudal L mammary gland removal - swelling has reduced in size over past week considerably.
Approx pullet egg size currently.
Appetite & general activity/demeanour normal.
Have stopped metacam Tx several days after previous visit

Check ears - concern 

Check site of surgery firm skin associated swelling that feels separate to underlying tissue.
U/s exam - moderate amount of fluid in area with some soft tissue.
Likely an organising seroma.

Give a copy of histopath report to owner.
Due to some uncertainty with path Dx - inflammatory or neoplasia - advise monitoring of area given incomplete excision of affected  tissue.

Both ears - moderate amount of dark brown exudate 
Swab: 2-3+ yeast in both ears

Start Otoflush & PMP

r/v 10-14d
Start lead walks.

Previous claim history (3)

DateClaim #Diagnosis
2026-02-17C09916335MASS LESION - MAMMARY
2026-01-28C09820221DESEXING
2026-01-28C09820221MASS LESION - MAMMARY

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_cytology65.202026-03-05
20000tstarc_ear_medication_-_antibacterial67.402026-03-05
30000tstarc_ear_cleaner29.852026-03-05

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.810
Threshold: 0.07
Above:
Correct?