C10005838 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):6
Diagnosis or signs:ears
Consult notes
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<p>History: <br>- new groomer 2 weeks ago, usually tells groomers not to clean ears but didn't this time <br>- has been shaking/scratching head for the last week <br>- O noticed ear infection last few days and cleaned ears with epiotic <br>- otherwise well, no other concerns. <br><br>Physical exam: <br>ears: erythmatous, inflammed ear canals, mild amount of brown discharge in both ears, TM intact, L&gt;R grossly. <br>eyes, skin: NAD <br>abdo: comfortable, soft on palpation, no masses/FB palpated <br><br>cytology: <br>- swabs taken of both ears<br>- bilateral yeast 5 phpf and cocci minimal amounts <br><br>assessment: <br>bilateral mixed infection otitis externa<br>- ears cleaned with otoflush <br>- dermotic prescribed, first treatment applied to both ears, demonstrated to O <br><br>Plan: <br>- recheck in 2 weeks <br><br></p>
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Animal clinical history (3 most recent)

2025-09-02T00:00:00Z 08:23:00
PreGA checkQAR, nervousmm pink 2/4 DDHR 140bpmRR 30Temp 38.7PreGA bloods: WNLPremed:Medetomidine 5ug/kg = 0.03mlMethadone 3mg/kg = 0.18mlDental grade: 2IV catheter placed and started on IV hartmann's at 5 ml/kgInduction: Alfaxan 2.3mls slow IVETT: 6.5 ETTMaintained on Isoflurane with RebreathingAnaesthetic Comments:DentalMissing teeth: See vet check chartLoose teeth/furcations: Nillocal blocks applied NilExtractions: NilRadiographs taken: NoScale and polish remainderIntraop medication:NilRecovery: SmoothAnalgesia: Nilrechecks 3 and 10 daysPlan: Brush at home
2025-08-28T00:00:00Z 11:04:00
Young dog no major concernslicks around her vulvaEDDU all normalnexgard spectraPe; BAR, MM PM CRT <2grade 2 dental diseaseeyes, ears NADLN's within normal limitsThorax- NADAbdo- NADT WNLvulval dermatitis with balck/brown dischargeA; ok to vaccP: Discussed lepto- O declined.Nobivac C5 givenDispensed some chlorhex wash for vulva.

Previous claim history (22)

DateClaim #Diagnosis
2025-09-02C9170687TEETH CLEANING
2025-09-02C9170687BLOOD SCREEN
2024-08-12C7813976VACCINATIONS OR HEALTH CHECKS
2024-04-03C7813974EAR INFECTION
2023-09-27C6783862VAGINAL DISCHARGE
2023-05-23C5934022VACCINATIONS OR HEALTH CHECKS
2023-05-23C5934022HEARTWORM CONTROL
2022-11-11C5300826OTITIS EXTERNA : BIL
2022-08-10C5950594EAR INFECTION
2022-06-27C4870038OTITIS EXTERNA
2022-06-27C4933297OTITIS EXTERNA
2022-04-22C4870047VACCINATIONS OR HEALTH CHECKS
2022-04-22C4870047HEARTWORM CONTROL
2021-04-21C4870061VACCINATIONS OR HEALTH CHECKS
2021-04-21C4870061HEARTWORM CONTROL
2020-06-04C3100111DESEXING
2020-06-04C3100111HEARTWORM CONTROL
2020-03-23C3100123VACCINATIONS OR HEALTH CHECKS
2020-02-25C3100119VACCINATIONS OR HEALTH CHECKS
2020-02-25C3100119HEARTWORM CONTROL
2020-02-25C3100132VACCINATIONS OR HEALTH CHECKS
2020-02-25C3100132HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation110.002026-03-09
20000tstarc_diagnostic_test_-_cytology62.012026-03-09
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal64.222026-03-09

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.980
Threshold: 0.07
Above:
Correct?