C09993280 / invoice 10000

Species:CANINE
Breed:Maltese Cross
Age (years):9
Diagnosis or signs:Checkup
Consult notes
05/03/2026 H: see prev. ongoing infection r.ear. o said improved on meds, but not resolved. also thinks may be growth? eduf all ok. 

S: BAr
O: t 38.2, hr 100, mms pink, crt 1-2 secs, pulses ok.
lungs clear.
eyes nad
ears: l.ear clear. 
r.ear inflamed, canal very stenotic, cannot assess tympanum. pussy discharge
near opening of canal prominent tissue, poss mass vs swollen tissue? 
lns nad
skin nad
abdo nad
ms nad
urogen nad externally. 

A; appears stable.
infection r.ear. consider poss pseudomonas? resistance? mass?

P: recc swab for c/s. o declined for now. commence enro dex/ear drops. commence oral amoxyclav, and pred course. otoflush eod. 
recheck 2 weeks. iNI then stop topical meds, and swab for c/s afer 3-5 days.  if going well, monitor tissue to see if lump of just swelling, if mass, then will require removal once infection reduced as is partly occluding ear canal. 

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 18:37:33
H: see prev. ongoing infection r.ear. o said improved on meds, but not resolved. also thinks may be growth? eduf all ok. 

S: BAr
O: t 38.2, hr 100, mms pink, crt 1-2 secs, pulses ok.
lungs clear.
eyes nad
ears: l.ear clear. 
r.ear inflamed, canal very stenotic, cannot assess tympanum. pussy discharge
near opening of canal prominent tissue, poss mass vs swollen tissue? 
lns nad
skin nad
abdo nad
ms nad
urogen nad externally. 

A; appears stable.
infection r.ear. consider poss pseudomonas? resistance? mass?

P: recc swab for c/s. o declined for now. commence enro dex/ear drops. commence oral amoxyclav, and pred course. otoflush eod. 
recheck 2 weeks. iNI then stop topical meds, and swab for c/s afer 3-5 days.  if going well, monitor tissue to see if lump of just swelling, if mass, then will require removal once infection reduced as is partly occluding ear canal. 

Previous claim history (13)

DateClaim #Diagnosis
2025-11-28C9556790OTITIS EXTERNA
2025-03-19C8474596EAR INFECTION
2024-09-24C7743909PRESENTED FOR INVESTIGATION OF ABNORMAL TEST RESULT - PRESENTING COMPLAINT
2024-01-16C6854591EAR INFECTION
2023-12-29C6697145EAR (AURAL) INFECTION
2023-03-01C5640962VACCINATIONS OR HEALTH CHECKS
2023-03-01C5640962HEARTWORM CONTROL
2022-04-12C4656515EAR INFECTION
2022-03-02C4535832LUMP
2022-03-02C4535832DENTAL ILLNESS TREATMENT
2022-02-24C4520945DERMATITIS
2022-02-22C4518920VACCINATIONS OR HEALTH CHECKS
2022-02-22C4518920HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation126.002026-03-05
20000tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid44.502026-03-05
30000tstarc_corticosteroids21.502026-03-05
40000tstarc_ear_cleaner48.502026-03-05
50000tstarc_antibiotics_-_enrofloxacin68.002026-03-05

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.160
Threshold: 0.07
Above:
Correct?