C10001125 / invoice 10000

Species:CANINE
Breed:Spoodle
Age (years):5
Diagnosis or signs:Consultation
Consult notes
05/03/2026 Ears
HISTORY:
Hasn't had ear infection in the past and allergies to chicken/beef. EDUD and no vomiting or diarrhoea present. BAR otherwise. No other concerns. 
EXAMINATION:
HR 120 mucous mem pink CRT < 2 seconds no murmurs
RR NAD clera lungs
Temp 38.3
abdo comforable
ears- RHS and LHS yeast infection and RHS worse than the LHS
ddown canals ok
cytology shows +++ yeast bialterally
rest of the exam NAD
ASSESSMENT:
bilateral otitis extrana
TREATMENT:
PMP BID
PLAN:
above and recheck in 1-2 weeks

Animal clinical history (3 most recent)

2026-03-05T00:00:00Z 18:19:57
Ears
HISTORY:
Hasn't had ear infection in the past and allergies to chicken/beef. EDUD and no vomiting or diarrhoea present. BAR otherwise. No other concerns. 
EXAMINATION:
HR 120 mucous mem pink CRT < 2 seconds no murmurs
RR NAD clera lungs
Temp 38.3
abdo comforable
ears- RHS and LHS yeast infection and RHS worse than the LHS
ddown canals ok
cytology shows +++ yeast bialterally
rest of the exam NAD
ASSESSMENT:
bilateral otitis extrana
TREATMENT:
PMP BID
PLAN:
above and recheck in 1-2 weeks
2025-11-25T00:00:00Z 10:51:32
LVM. cac
2025-11-24T00:00:00Z 11:57:38
Dental scale 

PAP WNL
Premed: 0.3ml methadone/0.1ml ACP SQ
GA:1:1 valium/ketamine iv induction, iso gas maintenance

dental scale, LHS lower Incisor 1 loose -extracted

spoke to O re: RHS upper PM4- heavy tartar and gingivitis but good on probing, will monitor for now
Smooth GA and recovery

rv 3-5d for post dental check

Previous claim history (6)

DateClaim #Diagnosis
2025-10-18C9377024VACCINATIONS OR HEALTH CHECKS
2025-07-03C8926121PRURITUS - PRESENTING COMPLAINT
2024-04-07C7083827OTITIS EXTERNA
2024-04-07C7083827ANAL IRRITATION - PRESENTING COMPLAINT
2023-11-04C6493032VACCINATIONS OR HEALTH CHECKS
2022-07-20C5660242OTITIS EXTERNA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit105.002026-03-05
20000tstarc_diagnostic_test_-_cytology55.402026-03-05
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal62.682026-03-05

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.950
Threshold: 0.07
Above:
Correct?