C10006204 / invoice 10000

Species:CANINE
Breed:American Bully
Age (years):4
Diagnosis or signs:Ongoing ear infections
Consult notes
ongoing - ear infections

good respose to initial infection with 2 does of atara meds

BUT is regaulry bathed by external groomer and Amara ears seem to flare post tx

suspect water getting down ears

swab today:
1. R ear low cocic, no yesat no rods
2. L ear low cocci, no rods no yeast

skin has not flared

suspect mild bilateral staph infection, with secondary atopic otitis
PLAN atara ceft, keto dex as owner cannot tx BID

may not nee dto come back in 1 week as iunfection under microcope so so mild

Animal clinical history (3 most recent)

2026-03-09T00:00:00Z 18:15:00
ongoing - ear infections

good respose to initial infection with 2 does of atara meds

BUT is regaulry bathed by external groomer and Amara ears seem to flare post tx

suspect water getting down ears

swab today:
1. R ear low cocic, no yesat no rods
2. L ear low cocci, no rods no yeast

skin has not flared

suspect mild bilateral staph infection, with secondary atopic otitis
PLAN atara ceft, keto dex as owner cannot tx BID

may not nee dto come back in 1 week as iunfection under microcope so so mild

Previous claim history (12)

DateClaim #Diagnosis
2026-02-05C09856494EAR INFECTION
2026-02-05C09856494ALTERNATIVE THERAPIES
2026-02-05C09856494Cruciate Disease - Left Leg
2026-01-07C09724414HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-04C09581269Cruciate Disease - Left Leg
2025-11-20C9518295URINARY TRACT INFECTION (UTI)
2025-11-20C9518295Cruciate Disease - Left Leg
2025-10-02C9302252LAMENESS LH
2025-09-20C9248704LAMENESS LH
2025-03-20C8477458DENTAL (TOOTH) DISORDER
2025-03-20C8477458LAMENESS LH
2025-02-27C8389080LAMENESS LH

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit82.002026-03-09
20000tstarc_diagnostic_test_-_cytology44.102026-03-09
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal126.702026-03-09

UPM+

  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.820
Threshold: 0.07
Above:
Correct?