C09999655 / invoice 10000
Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):1
Diagnosis or signs:Review ears
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>Ears are a bit red and have a fair amount of dark wax again <br><br>Clean in consult - he's very good now <br><br>Reapply the Neptra spectra to both - equal redness - left maybe a tad worse...<br><br>Review in 1 month and see if eLOCON WORTH TRYING TO REDUCE THE RELAPSES...</p> </div></html>
Animal clinical history (3 most recent)
2026-01-30T00:00:00Z 07:50:00
Bilateral otitis - pretty nasty - cannot scope awake - too sore - lots of dirty brown waxO has tried to cleanELECT GA TO DO proper clean, scope, flush and do sedivue and Tx accordinglyRest exam wnls - lns are up a bit7.55 ACP/METHAD SC8.20 kv iso ivtEars bilaterally symetrical dz - lots of dark wax - when cleaned out enough can see he has signif inflammation in lower ear canals and drums are quite tatty looking - but intactAll RLNs are upDo invue cytology - shows 3-4+ yeast - no bacteria - white cells - no mitesUSED EPIOTIC TO CLEAN - took at least half hour to get them cleaned - then:Tx c Neptra spectra both earsWhile under:localdesex - 3/0 tie off and close 2 x layers...metac sce collarrx 2mgs metac sid x 4 daysproheart today 1.45mls sc
2025-08-29T00:00:00Z 14:49:00
Hx:presented for possible ingestion part of coke can, chewed up can found under cough this morningknown FB eater, regularily eats socks and vomits them up. likely also eaten end of sock this mornig toono recent vomitingotherwise well, EDUF normalEx:BARBCS: 5/9MM: pink, moist CRT<2TEMP:CVS: HR 102,no murmur or arrythmia auscultated, SSFPRESP: RR 12, clear bronchovesicular lung sounds, normal effort/rate.OCULAR: nsfORAL: retained 504. mandibular lingoeversion (L>R), no palatal traumaEARS: nsfLN: nsfABDO: soft, comfortable.MSK: no lameness observed, comfortable on examNEURO: nsfUROGEN: nsfINTEG: nsfAx: possible FB ingestionretained 504 and base narrow canines2 view abdominal radiographs-
Previous claim history (2)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-30 | C09828308 | OTITIS EXTERNA |
| 2026-01-30 | C09828308 | DESEXING |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 92.00 | 2026-03-07 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 199.72 | 2026-03-07 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.990
Threshold: 0.07
Above: ✓
Correct?