C10008155 / invoice 10000
Species:CANINE
Breed:Labradoodle
Age (years):5
Diagnosis or signs:GAP ONLY NE ear check and possible cytopoint injection
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><p>Hx:<br>Due Cytopoint inj. Ears have become smelly recently. <br>CE:<br>Bilateral OE.<br>L ear rods/cocci (clusters) <br>R ear yeast/rods/cocci (clusters)<br>Discuss risk of resitance with ongoing ab tx<br>Rx:<br>Mometamax Ultra both ears. 30mg Cytopoint. <br>PLAN:<br>Review in 4 weeks. If infection cleared start topical CCS ointment 2x weekly ongoing to try and reduce incidence of infections. If bacteria still present then will req C and S</p></html>
Animal clinical history (3 most recent)
2026-01-30T00:00:00Z 13:31:00
Hx:last seen early December- ears and skin were good then, no Cytopoint givenLast week or so o noticed ears sl redCE:V mild OE- sl crusting pinnae/EAMsRx:previously have been able to avoid topical ear tx with Cytopoint intervention so 30mg given SC todayPLAN:Monitor ears next 3-5d and if do not improve r/v and consider tx
2025-12-05T00:00:00Z 09:50:00
Hx:RIGHT ear has responded well to tx. Both ears look normal on exam.Allergies well controlled currently. No concerns. Due C5 and HW prevention. CE:Unremarkeable, no concerns. Has increased weight slightly- target 20-21kgRx:TriAC4 + oral BB + Afilaria admnistered PLAN:review @ next Cytopoint inj
2025-11-12T00:00:00Z 17:42:00
Primary Diagnosis/Suspected Diagnosis: allergic skin disease/otitis externa RIGHT earSuspect cause: env/food allergyAny other conditions being treated (if any): n/aKnown health concerns: n/aDate of first clinical signs (if known): 3 days prev to consult Rx Cytopoint 30mg + Mometamax ultra (cocci +++ R ear on cyto)Review at vacc in approx 2w
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-30 | C09829909 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2025-12-05 | C09583993 | VACCINATIONS OR HEALTH CHECKS |
| 2025-12-05 | C09583993 | HEARTWORM CONTROL |
| 2021-12-06 | C4351743 | ALLERGY |
| 2021-10-16 | C4351738 | GASTROENTERITIS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_cytology | 68.00 | 2026-03-10 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 192.98 | 2026-03-10 | — |
| 30000 | tstarc_skin_medication_-_cytopoint | 237.72 | 2026-03-10 | — |
| 40000 | tstarc_consultation-revisit | 77.00 | 2026-03-10 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.450
Threshold: 0.38
Above: ✓
Correct?
Reason (correct)