C10000867 / invoice 10000
Species:CANINE
Breed:Australian Cobberdog
Age (years):6
Diagnosis or signs:Ear Infection
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>OR went to groomers yday and think someone diff groomed her as cut different. Groomers did not mention anything about her ears however since home from there she has been shaking head incessently and some blood produced. Otherwise fine in self and was not showing irritation prior to groom. <br>BAR head shaking <br>Ears - both same severity - moderate erythema outer and inner canals, some scalding?or skin irritation to outer canals also<br>assume hair has been plucked from ears as not hairy at entrance, moderate waxy dark discharge, TMs intact <br><br>cytology - mixed yeast +++ and cocci + and neutrophils ++ both ears<br>ddx - OE yeast and cocci both ears <br>acute irritation likely due to plucking and cleaning at groomers? <br>disp dermotic drops BID for 10 days with recheck 48hrs after stopping meds <br>steroid course to help with current discomfort <br>recheck sooner INI noted </p></html>
Animal clinical history (3 most recent)
2026-01-21T00:00:00Z 14:41:00
Reason: DentalHistory: Grade 1/4 dental diseaseExamine: Grade 1/4 dental diseaseNormal heart soundsTreatment: 0.3mg/kg Methadone 5ug/kg dom IM, alfaxan/ propofol to effect, CETT, iso O2, IVF@ 5ml/hr (dog) 3ml/hr (cat). HR, RR, BP, SpO2, ETCO2, T monitored continuous, charted every 5 minsRadiographs: not performedRoutine SnPExamine:Missing (#): 106, 206, 306, 308, 311, 406, 411Abnormalities (#): nilProcedure: ET tube leak tested and inflated if neccPhayrngeal tampon applied and attached to hemostatDental S&P, some enamel staining, no attachment lossPlan: TGH dental diet/care sheetRecommend yearly dentals
2025-11-14T00:00:00Z 20:09:00
given lepto sc batch A002A03 exp 06-2026
2025-10-17T00:00:00Z 16:58:00
Reason: VaccinationHistory: Good general healthEDDU all normalcurrent prev meds - Exam: BARBCS goodmm pink & moistrefill gooddental disease grade 1/4CVE NADrespiratory tract NADabd palp NADLnn NADMS exam NADdermis NADAssessment: Healthy and fine to vaccinateTreatment:Nobivac BBPi or Nobivac KC IN vaccineBatch # - 2512003Exp -10-2026Nobivac lepto vaccineBatch # - A002A03Exp -06-2026Plan: repeat 1 year4 week LEP boosterJan - oral health exam for 6 monthly dentalRecommend add in Plaque Off and continue dental kibble.
Previous claim history
| Date | Claim # | Diagnosis |
|---|---|---|
| No prior claims. | ||
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 | 114.00 | 2026-03-07 | — |
| 20000 | tstarc_corticosteroids | 55.40 | 2026-03-07 | — |
| 30000 | tstarc_consultation-emergency/afterhours | 139.00 | 2026-03-07 | — |
| 40000 | tstarc_diagnostic_test_-_cytology | 99.50 | 2026-03-07 | — |
| 50000 | tstarc_teeth_cleaning_products | 18.80 | 2026-03-07 | upstreamDSTP_routine_care_-_teeth_cleaning |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.640
Threshold: 0.07
Above: ✓
Correct?