C10009162 / invoice 10000

Species:CANINE
Breed:German Shepherd
Age (years):7
Diagnosis or signs:check history
Consult notes
10/03/2026 Hx: Been well, EDUF normal, no v+ or d+. Arrived from QLD yesterday, just vacc before coming over
JHas had surgery on bottom and to reduce gum growths from meds
Gets perianal fistulas - on cyclosporin, tacrolimus cream (tub), ketoconazole
Also get ear issues, cleans ears out daily with Otoflush. When OE use Easotic
Had one seizure at nbeach, none since, O thinks from heat
Cx: HR BCS /9 C BAR. Gums pink, moist CRT<2sec. Grade 1 dental disease. Eyes + ears clear. No murmur, panting. LN NAD. ABdo
LF D3
Tx: Gaba 300mg 1bid
Plan: Paracetmaol 500mg 0.75bid

Artisan chemist
Tacrolimus topical 0.1% 50g cream bid (tub not tube)
Ketoconazole 300mg capsules sid (100 caps)
Cyclosporin 100mg/ml 1.1ml sid (100ml)

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 10:05:05
Hx: Been well, EDUF normal, no v+ or d+. Arrived from QLD yesterday, just vacc before coming over
JHas had surgery on bottom and to reduce gum growths from meds
Gets perianal fistulas - on cyclosporin, tacrolimus cream (tub), ketoconazole
Also get ear issues, cleans ears out daily with Otoflush. When OE use Easotic
Had one seizure at nbeach, none since, O thinks from heat
Cx: HR BCS /9 C BAR. Gums pink, moist CRT<2sec. Grade 1 dental disease. Eyes + ears clear. No murmur, panting. LN NAD. ABdo
LF D3
Tx: Gaba 300mg 1bid
Plan: Paracetmaol 500mg 0.75bid

Artisan chemist
Tacrolimus topical 0.1% 50g cream bid (tub not tube)
Ketoconazole 300mg capsules sid (100 caps)
Cyclosporin 100mg/ml 1.1ml sid (100ml)

Previous claim history (19)

DateClaim #Diagnosis
2026-02-26C09956658OTITIS EXTERNA
2026-02-26C09956658VACCINATIONS OR HEALTH CHECKS
2026-01-07C09724470OTITIS EXTERNA
2025-12-23C09666163EAR INFECTION
2025-12-23C09666163LAMENESS LH
2025-12-23C09667629ANAL FURUNCULOSIS
2022-01-10C4385192SEIZURES
2022-01-10C4385192OTITIS EXTERNA
2022-01-10C4385192DISCHARGE - VAGINAL - PRESENTING COMPLAINT
2021-09-24C4112585EAR INFECTION
2021-08-05C3961213MISCELLANEOUS CONDITIONS
2021-08-02C4051757PRURITUS - PRESENTING COMPLAINT
2021-02-07C3502899VOMITING - PRESUMED SELF-LIMITING
2020-09-11C3160536ALLERGY
2020-09-11C3160536EAR INFECTION
2020-09-01C3133850ALLERGY
2020-09-01C3133850EAR INFECTION
2020-01-06C2676739DESEXING
2020-01-06C2676739HERNIA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation109.002026-03-10
20000tstarc_anticonvulsant_medication_-_gabapentin50.002026-03-10
30000tstarc_diagnostic_test_-_cytology68.002026-03-10
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal227.202026-03-10
50000tstarc_ear_cleaner45.082026-03-10

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.630
Threshold: 0.07
Above:
Correct?