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)

DateClaim #Diagnosis
2025-12-17C09645359GALLBLADDER MUCOCELE
2025-12-17C09645359DENTAL (TOOTH) DISORDER
2022-01-06C4427837GASTROINTESTINAL PROBLEMS
2022-01-03C4432669VOMITING - OTHER - PRESENTING COMPLAINT
2021-05-14C3790083ANAL SAC INFECTION
2020-11-26C3365847ANAL SAC INFECTION
2020-11-03C3306056ANAL SAC DISORDER
2020-09-18C3217099PRURITUS - PRESENTING COMPLAINT
2020-08-03C3106971PRURITUS - PRESENTING COMPLAINT
2020-08-03C3106971ANAL SAC INFECTION
2020-08-03C3106971POLYURIA - PRESENTING COMPLAINT
2020-06-05C2970054ANAL SAC INFECTION
2020-04-24C2883485LETHARGY - PRESENTING COMPLAINT
2020-02-03C2711538ANAL SAC INFECTION
2020-01-13C2710217ANAL SAC INFECTION
2020-01-13C2828891ANAL SAC INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_ear_medication_-_antibacterial_and_anti-fungal54.202026-03-06
20000tstarc_consultation-revisit80.002026-03-06

UPM+

  • DG01994DISCHARGE - AURAL (EAR) - PRESENTING COMPLAINTDSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.860
Threshold: 0.07
Above:
Correct?