C10008067 / invoice 10000

Species:CANINE
Breed:Labrador Retriever
Age (years):6
Diagnosis or signs:Ear Flush
Consult notes
06/03/2026 Sedated c 0.3ml domitor, 0.9ml butorphanol IM @ 1135 JC
IV catheter placed and topped up with 1ml alphaxalone during procedure.
LHS ear otoscopy: +++ dark waxy discharge all the way down to ear drum, no FB visible. Cleaned ear c otoflush and saline until clear.
RHS ear otoscopy: mild dark waxy discharge present. Cleaned ear c otoflush.
Reversed c 0.2ml atipamezole IM. 
Good recovery.
Home c dermotic BID in LHS ear x2wks and RHS ear x5d. Advise recheck ears in 2wks. 

**after discharge noted that patient was actually diagnosed with rod infctn yesterday. please bring back for recheck in 1wk - if no response to polymixin B then change to aurizon or EKT**

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 11:33:06
Sedated c 0.3ml domitor, 0.9ml butorphanol IM @ 1135 JC
IV catheter placed and topped up with 1ml alphaxalone during procedure.
LHS ear otoscopy: +++ dark waxy discharge all the way down to ear drum, no FB visible. Cleaned ear c otoflush and saline until clear.
RHS ear otoscopy: mild dark waxy discharge present. Cleaned ear c otoflush.
Reversed c 0.2ml atipamezole IM. 
Good recovery.
Home c dermotic BID in LHS ear x2wks and RHS ear x5d. Advise recheck ears in 2wks. 

**after discharge noted that patient was actually diagnosed with rod infctn yesterday. please bring back for recheck in 1wk - if no response to polymixin B then change to aurizon or EKT**

Previous claim history (13)

DateClaim #Diagnosis
2026-03-05C09990594EAR INFECTION
2026-01-06C09714600HOT SPOT
2024-12-03C8025880VACCINATIONS OR HEALTH CHECKS
2024-12-03C8025880HOT SPOT
2024-08-02C7553638HOT SPOT
2024-07-29C7524195SKIN (CUTANEOUS) ABNORMALITY - ERUPTIONS/HIVES/RASH - PRESENTING COMPLAINT
2022-10-28C5237813LAMENESS RF
2022-10-06C5183575INGEST FOREIGN OBJECT
2022-10-06C5183575PRESCRIPTION DIETS
2021-08-06C5183567INGEST FOREIGN OBJECT
2021-08-06C5183567PRESCRIPTION DIETS
2021-02-16C3525539DIARROHEA
2021-01-24C3466622COLITIS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_hospitalisation63.002026-03-06
20000tstarc_sedation_for_procedure175.002026-03-06
30000tstarc_procedure_fee180.002026-03-06
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal82.162026-03-06

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.970
Threshold: 0.07
Above:
Correct?