C09993634 / invoice 10000
Species:CANINE
Breed:Hungarian Vizsla
Age (years):5
Diagnosis or signs:Ear Recheck + Cytopoint
Consult notes
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 00:00 AM
Reason: Recheck Ears + Cytopoint SFAppointment Notes: O moved from 2pm to 4pm EWHistory: Neptra instilled 12 Feb into L ear30mg/ml cytopointA week after Rassie had come in, R ear flared up - stable but no improvement - has been using maintenance drops at home Examination: FOCUSED EXAML ear canal still reddened however cytology clearR ear - yeasts - 8-10 per hpf - canal reddned but tolerated scoping of this ear much better than L. Moderate wax build up.Treatment: Neptra instilled into R earCytopoint 30mg/ml given SQ BATCH 857278 EXP 05/2027Plan: Rediscussed neptra as maintenance drops. O still wanting to finish bottle at home.Continue with cleaning R ear with otoflush weekly and follow with maintenance dropsRecheck ears in 3 weeksO has leftover pred from SASH derm at home - 25mg - give 3/4 of a tablet orally ONCE daily for 7 days, then 3/4 of a tablet every SECOND day until finished. Do NOT stop suddenly. Vital Signs
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-12 | C09894465 | OTITIS EXTERNA |
| 2026-02-04 | C09851827 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2026-01-09 | C09732699 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-12-08 | C09597031 | OTITIS EXTERNA |
| 2025-12-04 | C09581145 | EAR INFECTION |
| 2025-12-04 | C09581145 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2023-03-30 | C5744585 | ATOPY |
| 2023-01-23 | C5590356 | ATOPY |
| 2022-11-26 | C5328049 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2022-11-24 | C5379955 | GASTROENTERITIS |
| 2022-10-11 | C5181430 | PRURITUS - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 2.02 | 2026-03-05 | — |
| 20000 | tstarc_consultation-revisit | 13.00 | 2026-03-05 | — |
| 30000 | tstarc_consultation-revisit | 67.50 | 2026-03-05 | — |
| 40000 | tstarc_diagnostic_test_-_cytology | 5.00 | 2026-03-05 | — |
| 50000 | tstarc_diagnostic_test_-_cytology | 5.00 | 2026-03-05 | — |
| 60000 | tstarc_diagnostic_test_-_cytology | 5.50 | 2026-03-05 | — |
| 70000 | tstarc_diagnostic_test_-_cytology | 45.00 | 2026-03-05 | — |
| 80000 | tstarc_skin_medication_-_cytopoint | 238.50 | 2026-03-05 | — |
| 90000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 123.78 | 2026-03-05 | — |
UPM+
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.320
Threshold: 0.38
Above: ✗
Correct?