C09991828 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):5
Diagnosis or signs:Skin
Consult notes
05/03/2026 Reason: hotspot

Skin beneath ear red for the last few days, yesterday looked swollen
Swollen this morning too, has since gone down this afternoon
Other dog at home keeps trying to lick the area.
No bathing or swimming, has been in the rain recently 

Exam:
Integument: beneath R ear large area of moist erythema, a bit puffy
Ears: bilaterally erythematous internal pinnae, dark brown waxy discharge, unable to visualise TM bilaterally due to discharge down canal.
CYTOLOGY: L yeast ++, R: nil bacteria/yeast

Assessment:
Acute moist dermatitis
Otitis externa, query bilateral

Plan:
O has neocort at home, to apply twice daily 
Macrolone 1.5 tab SD 6 days
Dermotic 1ml BD 5 days
RV if symptoms ongoing 


Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 16:23:13
Reason: hotspot

Skin beneath ear red for the last few days, yesterday looked swollen
Swollen this morning too, has since gone down this afternoon
Other dog at home keeps trying to lick the area.
No bathing or swimming, has been in the rain recently 

Exam:
Integument: beneath R ear large area of moist erythema, a bit puffy
Ears: bilaterally erythematous internal pinnae, dark brown waxy discharge, unable to visualise TM bilaterally due to discharge down canal.
CYTOLOGY: L yeast ++, R: nil bacteria/yeast

Assessment:
Acute moist dermatitis
Otitis externa, query bilateral

Plan:
O has neocort at home, to apply twice daily 
Macrolone 1.5 tab SD 6 days
Dermotic 1ml BD 5 days
RV if symptoms ongoing 


Previous claim history (12)

DateClaim #Diagnosis
2024-08-06C7551967MISCELLANEOUS CONDITIONS
2024-08-06C7557537LIP-FOLD DERMATITIS
2024-06-17C7358439BROKEN NAIL
2024-04-10C7097831TRAUMATIC EPISODE - PRESENTING COMPLAINT
2024-02-03C6834240MASS LESION - SKIN (CUTANEOUS)
2023-12-19C6665894GASTROINTESTINAL PROBLEMS
2023-07-12C6092626GASTROINTESTINAL PROBLEMS
2023-07-04C6068198GASTROINTESTINAL PROBLEMS
2022-10-11C5261348EAR INFECTION
2022-07-26C4957587DESEXING-COMPLICATIONS
2022-07-21C4957585DESEXING
2022-07-21C4957585VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation95.002026-03-05
20000tstarc_corticosteroids26.752026-03-05
30000tstarc_diagnostic_test_-_cytology50.002026-03-05
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal51.402026-03-05

UPM+

  • DG00601DERMATITIS - PYOTRAUMATIC (ACUTE MOIST)DSTP_skin_-_dermatitis
  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.340
Threshold: 0.07
Above:
Correct?