C10010678 / invoice 10000

Species:CANINE
Breed:Boxer Cross
Age (years):9
Diagnosis or signs:Sedation + Nail Trim + Check Ears and In between legs
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div>Hx:</div>
<div>
<div>
<p>Brought in for sedation and nail trim and check up acc to o she has been licking ventral abdo area/near vulva</p>
</div>
</div>
<div>
<div>
<p>Sedation: <br>butorphanol 0.30ml IV<br>Medetomidine 0.30ml IV <br>Good sedation achieved. <br><br>Trimmed all nails. <br>dental score 0/4 mm pink pigmented <br>vulva wnl non erythematous <br>Peripheral LNs wnl<br>Ears checked and cleaned<br>both TPMs intact, ears non erythemtous but has buildup of ceruminous d/c - worse in right ear <br>ventral abdo/inguinal areas wnl, no fur growth noted on ventral abdo area and area is non erythematous <br>collected urine sample<br>dipstick wnl<br>USG  1.040<br>urine seems wnl <br><br>1 x pigmented, dark circular cutaneous lesion approx 4mm across located on ventral abdo area, proximal to vulva, off to the left. skin surrounding area is non erythematous<br><br>Tx: TGH PMP into both ears <br><br>Reversed with 0.3ml atipamezole <br>Recovery unremarkable. </p>
</div>
</div></html>

Animal clinical history (3 most recent)

2025-12-13T00:00:00Z 12:16:00
Doing well- EDUF normal
2025-12-12T00:00:00Z 09:40:00
  Prev Hx of eating popsicle stick by accident. Still doing odd gulping when eatingTx:TGH  carflexin 50mg po bid5 days with food TGH ampcyxlav 500mg PO BID with food Consider CT Scan INI
2025-12-12T00:00:00Z 09:39:00
  All vitals WNL. O declined PreGA bloods.Methadone 0.75ml s/cInduction: Ket/Diaz: 1.3ml each ivET 9.5Maint: IsofluraneSurgical iv fluid throughout the procedurePeformed dental scale and polish, Moderate tartar on teeth. No extractions requiredGood recoveryRecommended starting on Oxyfresh 

Previous claim history (12)

DateClaim #Diagnosis
2025-12-12C09617427INGEST FOREIGN OBJECT
2025-07-11C8952852OTITIS EXTERNA
2025-07-04C8952839OTITIS EXTERNA
2025-03-24C8952949MASS LESION - SKIN (CUTANEOUS)
2025-03-24C8952949SCOOTING
2024-12-16C8952959DENTAL (TOOTH) DISORDER
2024-12-16C8952959Grooming
2024-10-25C8952962HEARTWORM CONTROL
2024-10-25C8952962VACCINATIONS OR HEALTH CHECKS
2024-07-30C8952970COUGHING - PRESENTING COMPLAINT
2023-12-15C8953126DENTAL (TOOTH) DISORDER
2023-12-15C8953126TEETH CLEANING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_sedation_for_procedure200.002026-03-10—
20000tstarc_grooming30.002026-03-10
upstreamDSTP_general_exclusion
30000tstarc_consultation90.002026-03-10—
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal56.772026-03-10—

UPM+

  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
  • DG01607SKIN (CUTANEOUS) DISORDERDSTP_skin_-_dermatitis

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.780
Threshold: 0.07
Above: ✓
Correct?