C10020800 / invoice 10000

Species:CANINE
Breed:Labrador
Age (years):10
Diagnosis or signs:Lump/s
Consult notes
11/03/2026 Reason:  check lump
History: 
O found lump on L ear 
Very small but has increased in size suddenly
Looked like lump on nose that was removed
Current medications: none


Examine: 
Mentation: BAR
Body condition score:5/9 
MM:   PM             CRT: <2S
HR:  108              RR: WNL
LN: WNL
Temperature:NE  

Ocular: nad
Oral/Dental stage:s1
Ears: nad
Cardiovascular: no murmur/arrythmia
Respiratory: nad
Gastrointestinal: comfortable
Integumentary & lumps (measurement, location): R ear base: 5mm wart , non traumatised 
Musculoskeletal: ambulatory on all 4limbs
Urogenital: nad
Neurological: nad

Problem List:
R ear lump

Assessment: 
Discussed FNA vs removal and histo vs monitoring. Very small for FNA
O would like to monitor. Recc recheck in 3 weeks time for growth. INI consider removal 
Treatment: 
nil
Plan: 
Recheck lump in 3-4 weeks
On-going medications required: Y/N (use prescription tab for further supply):

Followup: 

Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 16:47:17
Reason:  check lump
History: 
O found lump on L ear 
Very small but has increased in size suddenly
Looked like lump on nose that was removed
Current medications: none


Examine: 
Mentation: BAR
Body condition score:5/9 
MM:   PM             CRT: <2S
HR:  108              RR: WNL
LN: WNL
Temperature:NE  

Ocular: nad
Oral/Dental stage:s1
Ears: nad
Cardiovascular: no murmur/arrythmia
Respiratory: nad
Gastrointestinal: comfortable
Integumentary & lumps (measurement, location): R ear base: 5mm wart , non traumatised 
Musculoskeletal: ambulatory on all 4limbs
Urogenital: nad
Neurological: nad

Problem List:
R ear lump

Assessment: 
Discussed FNA vs removal and histo vs monitoring. Very small for FNA
O would like to monitor. Recc recheck in 3 weeks time for growth. INI consider removal 
Treatment: 
nil
Plan: 
Recheck lump in 3-4 weeks
On-going medications required: Y/N (use prescription tab for further supply):

Followup: 

Previous claim history (9)

DateClaim #Diagnosis
2017-07-12C1265745TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT
2017-07-12C1274273TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT
2017-05-24C1207509TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT
2017-05-21C1233864TREMORS/SHAKING/TREMBLING - PRESENTING COMPLAINT
2017-04-15C1207509SWELLING
2017-04-15C1207509EAR CONDITIONS
2016-01-15C1207498VACCINATIONS OR HEALTH CHECKS
2016-01-15C1207498FLEA/TICK/WORM CONTROL
2016-01-15C1207498HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation109.002026-03-11

UPM+

  • DG02661MASS LESION - EAR (AURAL)DSTP_mass_lesion_-_ear_(aural)

Variant (sleepy_king)

MASS LESION
DSTP_mass_lesion_-_unspecified
Conf: 0.670
Threshold: 0.44
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description