C10007436 / invoice 10000
Species:CANINE
Breed:Labradoodle
Age (years):8
Diagnosis or signs:Check ears
Consult notes
10/03/2026 REASON- ears again HISTORY- Head shaking and sore in her ears, didn't come back for last recheck, unclear if been getting elocon lotion since last PMP course finished. Diet: hypo F/T/W/HW: UTD Medications: cytopoint 40mg due next week EXAM- Demeanour: BAR BCS 3/5 HR: 120bpm RR: pant T: not performed CRT: 1sec MM: pink & moist CHEST: NAD EYES: NAD EARS: L ear +++ red, sore, brown discharge, R ear not as bad but still sore NOSE: NAD ORAL EXAM: NAD SKIN: mild lick stains ventrum and between toes, nothing active ABDOMINAL PALPATION: NE MUSCULOSKELETAL SYSTEM: NE LAB: Cytology - L ear +++ neutrophils, + yeasts, + rods R ear + yeasts + rods + debris ASSESSMENT: OE - mixed infection underlying allergies Tx: 20mg pred PO SID reducing dose over 3 weeks ears cleaned otoflush Easotic 1ml both ears SID for 5d, do not clean for 2 weeks PLAN: Stressed importance of recheck in 2 weeks, can give cytopoint then too, and go back onto regular preventative ear medication.
Animal clinical history (3 most recent)
2026-03-10T00:00:00Z 09:47:27
REASON- ears again HISTORY- Head shaking and sore in her ears, didn't come back for last recheck, unclear if been getting elocon lotion since last PMP course finished. Diet: hypo F/T/W/HW: UTD Medications: cytopoint 40mg due next week EXAM- Demeanour: BAR BCS 3/5 HR: 120bpm RR: pant T: not performed CRT: 1sec MM: pink & moist CHEST: NAD EYES: NAD EARS: L ear +++ red, sore, brown discharge, R ear not as bad but still sore NOSE: NAD ORAL EXAM: NAD SKIN: mild lick stains ventrum and between toes, nothing active ABDOMINAL PALPATION: NE MUSCULOSKELETAL SYSTEM: NE LAB: Cytology - L ear +++ neutrophils, + yeasts, + rods R ear + yeasts + rods + debris ASSESSMENT: OE - mixed infection underlying allergies Tx: 20mg pred PO SID reducing dose over 3 weeks ears cleaned otoflush Easotic 1ml both ears SID for 5d, do not clean for 2 weeks PLAN: Stressed importance of recheck in 2 weeks, can give cytopoint then too, and go back onto regular preventative ear medication.
Previous claim history (12)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-19 | C09924473 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2026-01-06 | C09717088 | HYPERSENSITIVITY DISORDER (ALLERGY) |
| 2025-12-16 | C09633389 | DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINT |
| 2025-11-05 | C9448527 | SEIZURES |
| 2025-10-28 | C9530129 | GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT |
| 2025-10-28 | C9530129 | SEIZURE DISORDER |
| 2025-06-10 | C8817128 | OTITIS EXTERNA |
| 2025-05-16 | C8749787 | OTITIS EXTERNA |
| 2025-04-28 | C8653542 | INGEST FOREIGN OBJECT |
| 2024-10-04 | C8749784 | OTITIS EXTERNA |
| 2020-04-06 | C2884721 | VOMITION |
| 2018-04-15 | C1621829 | VOMITION & DIARRHOEA |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 98.00 | 2026-03-10 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 49.45 | 2026-03-10 | — |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 106.85 | 2026-03-10 | — |
| 40000 | tstarc_corticosteroids | 26.15 | 2026-03-10 | — |
UPM+
- DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.570
Threshold: 0.07
Above: ✓
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description