C10023133 / invoice 10000

Species:CANINE
Breed:Staffordshire Bull Terrier
Age (years):2
Diagnosis or signs:Check Skin
Consult notes
12/03/2026 Reason: Itchy
has been itchy since Xmas time
pruritic score of 6/10

History: had an ear infection in Aug/Sept last year/ responded well to easotic 
EDUF: all wnl
V#/ D#/ Coughing? none

Current medications: petzpark skin&coat powder (omega 3 based supplement)

What Preventative health cover is being used and do you need to purchase any today? 
Worming: UTD
Flea control: none
Heartworm Prevention: UTD
(TWP discussed: No)

Examine: 
Mentation: BAR, very anxious
BCS (0-5):        3/5
MM: pink tachy                 CRT: 1sec
HR: wnl, no H murmurs or arrhythmias                RR: panting
Dental Stage: stage 0
Temperature: not taken
Gastrointestinal: tense in abdomen generally
Integumentary & lumps (measurement, location): dry and crusty mainly on paws/lower limbs, ventrum, axilla and head
Musculoskeletal: ambulatory x4

Any additional findings: ears - L ear minimal amount of d/c in ear canal, comfortable; R ear has mild erythema, stenosis at entrance of ear canal, moderate amount of d/c, could not see TM but no FB

Dx: cytology revealed 

Assessment: bilateral OE, R >> L, and atopy flare up

Treatment: bravecto
pred course

- - - admit for GA and ear flush - - -

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 09:06:46
Reason: Itchy
has been itchy since Xmas time
pruritic score of 6/10

History: had an ear infection in Aug/Sept last year/ responded well to easotic 
EDUF: all wnl
V#/ D#/ Coughing? none

Current medications: petzpark skin&coat powder (omega 3 based supplement)

What Preventative health cover is being used and do you need to purchase any today? 
Worming: UTD
Flea control: none
Heartworm Prevention: UTD
(TWP discussed: No)

Examine: 
Mentation: BAR, very anxious
BCS (0-5):        3/5
MM: pink tachy                 CRT: 1sec
HR: wnl, no H murmurs or arrhythmias                RR: panting
Dental Stage: stage 0
Temperature: not taken
Gastrointestinal: tense in abdomen generally
Integumentary & lumps (measurement, location): dry and crusty mainly on paws/lower limbs, ventrum, axilla and head
Musculoskeletal: ambulatory x4

Any additional findings: ears - L ear minimal amount of d/c in ear canal, comfortable; R ear has mild erythema, stenosis at entrance of ear canal, moderate amount of d/c, could not see TM but no FB

Dx: cytology revealed 

Assessment: bilateral OE, R >> L, and atopy flare up

Treatment: bravecto
pred course

- - - admit for GA and ear flush - - -
2025-09-26T00:00:00Z 11:38:11
Reason: Courtesy phone call 
Nurse: RW
History:
   TTPNALM

Previous claim history (6)

DateClaim #Diagnosis
2025-09-25C9271149INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
2025-09-23C9259394VACCINATIONS OR HEALTH CHECKS
2025-09-23C9259394HEARTWORM CONTROL
2025-09-23C9259394OTITIS EXTERNA
2025-03-25C8503541DESEXING
2024-10-07C8481082VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation109.002026-03-12
20000tstarc_diagnostic_test_-_cytology92.002026-03-12
30000tstarc_corticosteroids37.302026-03-12
40000tstarc_procedure_fee_-_ear_flush224.002026-03-12
50000tstarc_prescription_fee53.002026-03-12
60000tstarc_anaesthesia_-_inhalation_anaesthetic393.002026-03-12
70000tstarc_hospitalisation127.002026-03-12
80000tstarc_fluid_therapy115.002026-03-12

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.800
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description