C10006097 / invoice 10000
Species:CANINE
Breed:Japanese Akita
Age (years):7
Diagnosis or signs:Left ear infection
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>History:<br>- Head shaking noted by owner<br>- Concern ear infection may lead to vestibular episode recurrence<br>- Previous vestibular episode over Christmas with gradual onset<br>- Previous ear infection November 2025, treated with Mometamax Ultra<br>- Vision loss secondary to retinal detachment<br>- Under specialist care at ARH for eyes<br>- Medications: three eye drops, mycophenolate 2 tablets daily, prednisone 15mg (3 x 5mg tablets) nightly<br><br>Examination:<br>- Nervous demeanour, left head tilt<br>- Eyes bilateral changes - blind<br>- Left ear: significant debris and wet discharge, right ear mild discharge<br>- No murmur or arrhythmias on cardiac auscultation<br>- Normal lung fields and breathing normal on auscultation<br>- Abdomen soft and comfortable on palpation<br>- Skin and fur normal<br><br>Diagnostics:<br>- Ear cytology: <br>RIGHT - NAD<br>LEFT - malessezia ++, inflammatory cells +++<br><br>Treatment:<br>- Ear swab collected bilaterally<br><br>Assessment:<br>- Otitis externa, left ear<br><br>Plan:<br>- Otoflush 30 mins prior to ear meds<br>- Dermotic 0.7mls into left ear BID for 10 days<br>- Continue current medications</p></html>
Animal clinical history (3 most recent)
2026-03-07T00:00:00Z 13:52:00
Pred 5mg 3 times a day dispensed (a months worth) LK to follow up with SASH regarding Jaz's future plan as unsure if ongoing or not. CCMP made a schedule for LK on Monday.
2026-02-28T00:00:00Z 15:22:00
EO spoke to MD happy to dispense under her name
2026-02-28T00:00:00Z 10:59:00
Dear North Richmond Veterinary Hospital,Please find attached the clinical summary for Jaz (O'Reilly)Co. Please treat this clinical summary as anAuthority to Dispenseany medications listed within.Sincerely,Dr Negar Hamzianpour BSc(Hons) BVSc PgCertSAOphthal DipECVO MRCVS, Specialist in Veterinary Ophthalmology, N11962
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-12-30 | C09691374 | VESTIBULAR DISEASE |
| 2025-12-29 | C09682125 | VESTIBULAR DISEASE |
| 2025-12-29 | C09684600 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2025-12-25 | C09680248 | VESTIBULAR DISEASE |
| 2025-12-18 | C09647312 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 79.00 | 2026-03-09 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 62.47 | 2026-03-09 | — |
| 30000 | tstarc_diagnostic_test_-_cytology | 59.00 | 2026-03-09 | — |
| 40000 | tstarc_ear_cleaner | 46.20 | 2026-03-09 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.950
Threshold: 0.07
Above: ✓
Correct?