C10021629 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):2
Diagnosis or signs:consult, cytology and medication
Consult notes
12/03/2026 H 
 shaking head 
very unconfotable 
didnt want to eat today 

E
left ear normal
R ear  very inflamed , smelly  with purulent discharge
 small rash in perivalvar area
Diff quick stain
Left ear: normal 
Right ear:
no Cocci per high power field
no  Yeast per high poer field

A 
 allergic; atopy, food allergy
rod otitis R ear 
 third one in this year, past ones just yeast

P
Aurizon 1 sid 10 
pred 5 mg  1 sid 4 then 0.5 sid 4 then 0.5 eod

review 2 weeks consider elocon as maintenance for the ears
 cytopoint for skin 
 or referalto dermatologist 
have done food allergy and didnt work

Previous claim history (19)

DateClaim #Diagnosis
2026-01-19C09775384OTITIS EXTERNA
2026-01-09C09734779OTITIS EXTERNA
2026-01-02C09698023OTITIS EXTERNA
2025-12-23C09665425HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-05-27C8764757GASTROENTERITIS
2025-05-24C8752975HYPERSENSITIVITY DISORDER (ALLERGY)
2025-04-26C8629565OTITIS EXTERNA
2025-04-07C8551577HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-04-07C8551577MASS LESION - SKIN (CUTANEOUS)
2025-02-19C8353348PRURITUS - PRESENTING COMPLAINT
2025-01-30C8266612PRURITUS - PRESENTING COMPLAINT
2025-01-24C8250464PAIN - OTHER - PRESENTING COMPLAINT
2024-11-30C8016475CANINE HAEMORRHAGIC GASTROENTERITIS (HGE)
2024-11-29C8013361CANINE HAEMORRHAGIC GASTROENTERITIS (HGE)
2024-11-29C8013361OTITIS EXTERNA
2024-11-27C8002687VOMITION & DIARRHOEA
2024-10-11C7809423HERNIA - UMBILICAL
2024-10-11C7809423DEWCLAW REMOVAL
2024-09-24C7747713CONSTIPATION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_cytology70.402026-03-12
20000tstarc_consultation130.002026-03-12
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal73.722026-03-12
40000tstarc_corticosteroids17.802026-03-12

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.560
Threshold: 0.38
Above:
Correct?
Reason (correct)