C09995934 / invoice 10000
Species:CANINE
Breed:Shih Tzu
Age (years):1
Diagnosis or signs:check ear
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>mucky after groom, 5 days since staying with friend.<br><br>no previous ear infections. <br>no major diet change, small amount extras (kangaroo prime 100)<br><br>O: RIGHT ear a little mucky 3+ yeast, LEFT ear ok<br><br>P: PMP for now. <br>RV 2 weeks INI </p></html>
Animal clinical history (3 most recent)
2025-09-24T00:00:00Z 09:30:00
O called reporting vomiting stopped but now has diarrhoea. Suggest adding pro kolin. HS will dispense. CG to call and advise can pick up and continue with i/d / bland food.
2025-09-24T00:00:00Z 09:14:00
just giving an update since yesterdays appointment. Lola's vomiting has stopped but now has diarrhoea. Told the o i would check with a vet the next steps.
2025-09-23T00:00:00Z 18:23:00
Subjective:- Vomiting over the past few hours- Bringing up bile and froth- Mildly less active- Currently drinking- Not eaten today- No diarrhoeaObjective:- Mildly tacky mucous membranes- Heart and lungs within normal limits- Mild cranial abdominal discomfort- Temperature 38.0- No evidence of blood or mucus on thermometerAssessment & Plan:1. Vomiting- Likely gastroenteritis; foreign body cannot be ruled out- Discussed options: referral to emergency centre for further workup or antiemetic medication in hospital with reassessment tomorrow- Administered antiemetic medication (maropitant @ 1mg/kg SC)- Advised owner to seek emergency veterinary attention tonight if vomiting persists despite medication or if condition deteriorates further
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-09-24 | C9265205 | GASTROENTERITIS |
| 2025-09-23 | C9262232 | GASTROENTERITIS |
| 2025-06-16 | C8843686 | OTITIS EXTERNA |
| 2025-06-16 | C8843686 | VACCINATIONS OR HEALTH CHECKS |
| 2025-04-24 | C8623181 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 77.52 | 2026-03-06 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 85.00 | 2026-03-06 | — |
| 30000 | tstarc_consultation-revisit | 110.00 | 2026-03-06 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.960
Threshold: 0.07
Above: ✓
Correct?