C09994564 / invoice 10000

Species:CANINE
Breed:Moodle
Age (years):4
Diagnosis or signs:Revisit
Consult notes
03/03/2026 Here for revisit and check ears

Has been somewhat confined over the past 3 weeks following recent cruciate dx.
still chases balls at times
explained options with surgery vs medical management moving forward (costs, aftercare and OA)
still on apoquel - has stopped for the last few days. noticed itching again on paws and scratching ears

BAR
DUDE
BCS 5/9
Hr 120 with no murmur or arrhythmia appreciated
chest sounds clear
MSK: lame on the left hind limb. skips around the room
eyes and nose clean
ears: mild amount of dark discharge

ear smear cytology:
Left: NAD
Right: yeast +++. cocci +

assessment:
right sided otitis externa
LH curciate injury

Plan:
continue with previcox for the next week (until finished) - can get more for another week if needed
able to get apoquel as needed for the next 6 months
dermotic in the right ear BID for 10 days
revisit after 14 days
sent email with OA handout 

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 17:34:42
Here for revisit and check ears

Has been somewhat confined over the past 3 weeks following recent cruciate dx.
still chases balls at times
explained options with surgery vs medical management moving forward (costs, aftercare and OA)
still on apoquel - has stopped for the last few days. noticed itching again on paws and scratching ears

BAR
DUDE
BCS 5/9
Hr 120 with no murmur or arrhythmia appreciated
chest sounds clear
MSK: lame on the left hind limb. skips around the room
eyes and nose clean
ears: mild amount of dark discharge

ear smear cytology:
Left: NAD
Right: yeast +++. cocci +

assessment:
right sided otitis externa
LH curciate injury

Plan:
continue with previcox for the next week (until finished) - can get more for another week if needed
able to get apoquel as needed for the next 6 months
dermotic in the right ear BID for 10 days
revisit after 14 days
sent email with OA handout 

Previous claim history (12)

DateClaim #Diagnosis
2026-02-09C09888781Cruciate Disease - Left Leg
2026-01-08C09729861EAR INFECTION
2025-09-15C9230161INSECT BITE(S)
2025-07-05C8936710PATELLA LUXATION
2024-12-14C8086335HYPERSENSITIVITY DISORDER (ALLERGY)
2024-09-04C7667995VACCINATIONS OR HEALTH CHECKS
2024-09-04C7667995HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-07-13C6109313VACCINATIONS OR HEALTH CHECKS
2022-10-05C5184487DESEXING
2022-06-16C5102154HEARTWORM CONTROL
2022-05-18C5102154VACCINATIONS OR HEALTH CHECKS
2022-05-13C5102154VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit82.002026-03-03
20000tstarc_diagnostic_test_-_cytology48.002026-03-03
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal59.722026-03-03

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.680
Threshold: 0.07
Above:
Correct?