C09993761 / invoice 10000

Species:CANINE
Breed:Cocker Spaniel
Age (years):6
Diagnosis or signs:see notes
Consult notes
Itchy/smelly ears
History (hx of atopy, otitis externma, is on apoquel every day. ears iriitated, shaking)
EDDU ()
Diet ()
V+/D+ ()
Worming ()
Heartworm ()
Ectoparasites ()

Examine
Temperament  (anxious, use muzzle)
Mucous Mem   (pink)
TEETH>       (not examined) 
EYES>        NAD
EARS>        bilat inflammation, mild erhteha, mild discharge - o has been cleaning,  cytology - 1-2+ malasesia
Nares        (nad)
SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    (none)  
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD
ANAL SACS    L () R ()
MUS/SKEL>    NAD

Assessment: (mild bilat ot exteran, malasesai)
Laboratory: ()
Treatment: (dermoctic, rv 2-3 weeks, o travelling, so  rv before goes away, poss try elocon or new product for maintenance)

Plan: ()

 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 09:00:00
Itchy/smelly ears
History (hx of atopy, otitis externma, is on apoquel every day. ears iriitated, shaking)
EDDU ()
Diet ()
V+/D+ ()
Worming ()
Heartworm ()
Ectoparasites ()

Examine
Temperament  (anxious, use muzzle)
Mucous Mem   (pink)
TEETH>       (not examined) 
EYES>        NAD
EARS>        bilat inflammation, mild erhteha, mild discharge - o has been cleaning,  cytology - 1-2+ malasesia
Nares        (nad)
SKIN>        NAD
UROGENITAL>  NAD
LN>          NAD
H MURMUR?    (none)  
H RHYTHM>    Regular 
CHEST AUSC>  NAD
ABDO PALP>   NAD
ANAL SACS    L () R ()
MUS/SKEL>    NAD

Assessment: (mild bilat ot exteran, malasesai)
Laboratory: ()
Treatment: (dermoctic, rv 2-3 weeks, o travelling, so  rv before goes away, poss try elocon or new product for maintenance)

Plan: ()

 

Previous claim history (13)

DateClaim #Diagnosis
2023-09-21C6335405INFECTION
2023-09-13C6312414INFECTION
2023-09-04C6281218INFECTION
2023-08-24C6262614INFECTION
2023-08-17C6262614HIP DYSPLASIA
2023-08-17C6262614INFECTION
2021-10-30C4196081DENTAL (TOOTH) DISORDER
2021-10-30C4196081HEARTWORM CONTROL
2021-07-06C3880701GASTROINTESTINAL PROBLEMS
2021-03-10C3583174HIP DYSPLASIA
2021-02-27C3561884HIP DYSPLASIA
2020-10-02C3213480MISCELLANEOUS CONDITIONS
2020-10-02C3367117KENNEL COUGH

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_ear_medication_-_antibacterial_and_anti-fungal63.502026-03-06
20000tstarc_consultation125.002026-03-06
30000tstarc_trazodone63.102026-03-06

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.550
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description