C09997586 / invoice 10000
Species:CANINE
Breed:Poodle - Toy
Age (years):8
Diagnosis or signs:Head shaking, recheck back
Consult notes
O going away from today for 6 days, BIB of elderly parents O feels spinal pain has improved, is very mobile and jumping on the hindlegsHas been unsettled at night on O's bed, shaking head/earsDid not eat all of breakfast yesterday as enthusiastically but ate dinner and breakfast this morning wellNo vomiting/diarrhoeaDoes not appear lethargicAssessment:L ear difficult to examine - moderate external ear pinna + vertical canal erythema, small volume odorous yellow discharge visible at entranceR ear mild - moderate horizontal canal erythema, small volume waxy discharge, TM visibleComfortable with pressure along TL junction and lumbar spineNo CP deficitsTemp: 39.0NSF with auscultation of the thorax Treatment:- Dermotic BID both ears 10 days, RV after course- Continue Loxicom SID PO 7 - 10 days- Strict rest 3 weeksPlan:Monitor - advised INI with ear irritation RVIf any deterioration with mobility etc RV
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 9:02?am
O going away from today for 6 days, BIB of elderly parents O feels spinal pain has improved, is very mobile and jumping on the hindlegsHas been unsettled at night on O's bed, shaking head/earsDid not eat all of breakfast yesterday as enthusiastically but ate dinner and breakfast this morning wellNo vomiting/diarrhoeaDoes not appear lethargicAssessment:L ear difficult to examine - moderate external ear pinna + vertical canal erythema, small volume odorous yellow discharge visible at entranceR ear mild - moderate horizontal canal erythema, small volume waxy discharge, TM visibleComfortable with pressure along TL junction and lumbar spineNo CP deficitsTemp: 39.0NSF with auscultation of the thorax Treatment:- Dermotic BID both ears 10 days, RV after course- Continue Loxicom SID PO 7 - 10 days- Strict rest 3 weeksPlan:Monitor - advised INI with ear irritation RVIf any deterioration with mobility etc RV Vital Signs
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-17 | C09645359 | GALLBLADDER MUCOCELE |
| 2025-12-17 | C09645359 | DENTAL (TOOTH) DISORDER |
| 2022-01-06 | C4427837 | GASTROINTESTINAL PROBLEMS |
| 2022-01-03 | C4432669 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2021-05-14 | C3790083 | ANAL SAC INFECTION |
| 2020-11-26 | C3365847 | ANAL SAC INFECTION |
| 2020-11-03 | C3306056 | ANAL SAC DISORDER |
| 2020-09-18 | C3217099 | PRURITUS - PRESENTING COMPLAINT |
| 2020-08-03 | C3106971 | PRURITUS - PRESENTING COMPLAINT |
| 2020-08-03 | C3106971 | ANAL SAC INFECTION |
| 2020-08-03 | C3106971 | POLYURIA - PRESENTING COMPLAINT |
| 2020-06-05 | C2970054 | ANAL SAC INFECTION |
| 2020-04-24 | C2883485 | LETHARGY - PRESENTING COMPLAINT |
| 2020-02-03 | C2711538 | ANAL SAC INFECTION |
| 2020-01-13 | C2710217 | ANAL SAC INFECTION |
| 2020-01-13 | C2828891 | ANAL SAC INFECTION |
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 | 54.20 | 2026-03-06 | — |
| 20000 | tstarc_consultation-revisit | 80.00 | 2026-03-06 | — |
UPM+
- DG01994DISCHARGE - AURAL (EAR) - PRESENTING COMPLAINTDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.860
Threshold: 0.07
Above: ✓
Correct?