C09994872 / invoice 10000

Species:CANINE
Breed:French Bulldog
Age (years):5
Diagnosis or signs:Checkup
Consult notes
06/03/2026 Reason:  wound on forehead 

History:  for the past 3-4 weeks, EDDU normally, skin ok 

Vital Signs:
Temperature:  C
Heart Rate:   bpm 
Pulse rate:  
Pulse character: strong and synchronous. 
Respiration Rate: . 
MM:
CRT:  sec

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS /5
Eyes: 
Ears:  both ear canals slightly inflamed with mild cerominous discharge 
Nose: 
Oral Cavity: 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal , auscultation normal
Abdomen: 
Musculoskeletal: 
Neurological: 
Integument:   inflamed and alopecic spot around 4 x 5 mm on forehead, 
Peripheral LNs:Normal size, symmetrical
Urogenital:
Rectal exam: 

Assessment/Problem List: bilateral OE, FNA: inflammatory cells, no other abnormal cells, 

DDx:   inflammation/superficial infection forehead, OE 

Treatment:  PM in both ears 0.4ml bid for 5 days then twice weekly
panapex on skin 

Plan:

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 11:35:25
Reason:  wound on forehead 

History:  for the past 3-4 weeks, EDDU normally, skin ok 

Vital Signs:
Temperature:  C
Heart Rate:   bpm 
Pulse rate:  
Pulse character: strong and synchronous. 
Respiration Rate: . 
MM:
CRT:  sec

Dehydration assessment: Euhydrated MM moist no skin tent

PHYSICAL EXAMINATION:
Appearance: BAR; BCS /5
Eyes: 
Ears:  both ear canals slightly inflamed with mild cerominous discharge 
Nose: 
Oral Cavity: 
Cardiovascular: Auscultation no murmur detected ,pulse quality normal ,rhythm regular
Respiratory: RE normal , auscultation normal
Abdomen: 
Musculoskeletal: 
Neurological: 
Integument:   inflamed and alopecic spot around 4 x 5 mm on forehead, 
Peripheral LNs:Normal size, symmetrical
Urogenital:
Rectal exam: 

Assessment/Problem List: bilateral OE, FNA: inflammatory cells, no other abnormal cells, 

DDx:   inflammation/superficial infection forehead, OE 

Treatment:  PM in both ears 0.4ml bid for 5 days then twice weekly
panapex on skin 

Plan:

Previous claim history (20)

DateClaim #Diagnosis
2024-05-17C7243696EAR (AURAL) INFECTION
2024-04-09C7089101OTITIS EXTERNA
2024-03-26C7041050OTITIS EXTERNA
2024-03-26C7041050VACCINATIONS
2023-10-21C6443872ANAL SAC DISORDER
2023-03-24C5723822VACCINATIONS OR HEALTH CHECKS
2023-02-10C5723822BLOOD SCREEN
2023-02-10C5723822DESEXING
2022-08-15C5012723COUGHING - PRESENTING COMPLAINT
2022-08-15C5012723DIARRHOEA - PRESUMED SELF-LIMITING
2022-08-15C5012723PRESCRIPTION DIETS
2022-08-09C4994764PYODERMA
2022-02-11C4481567ABSCESS - ORAL (MOUTH)
2021-12-03C4425632GASTROENTERITIS
2021-12-03C4425632PRESCRIPTION DIETS
2021-10-18C4425632ABSCESS
2021-09-28C4109182HEARTWORM TEST OR BLOOD SCREEN
2021-09-28C4109182BRACHYCEPHALIC AIRWAY OBSTRUCTION SYNDROME (BAOS)
2021-09-28C4109182ABSCESS - ORAL (MOUTH)
2021-03-25C3622037TEETH CLEANING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation98.002026-03-06
20000tstarc_skin_medication_-_topical_anti-inflammatory59.892026-03-06
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal60.392026-03-06
40000tstarc_diagnostic_test_-_cytology90.002026-03-06

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa
  • DG02124SKIN (CUTANEOUS) ABNORMALITY - OTHER - PRESENTING COMPLAINTDSTP_skin_-_dermatitis

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.890
Threshold: 0.07
Above:
Correct?