C10024730 / invoice 10000

Species:CANINE
Breed:Labrador Retriever Cross
Age (years):5
Diagnosis or signs:Annual Vaccination + Ear Cleaner
Consult notes
13/03/2026 Hx: Present for vaccination and check of hot spot lesions
O has been treating with iodine
Also has had some  irritation associated with the ear

Subjective: BAR

Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - L ear a bit pink, but no significant discharge on otoscopic exam
heart - normal systolic rhythm
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - nad
dental - tartar build up caudal maxillary teeth
Integument - shaved spot on head - possible healed hot spot?
Temp - 

Assessment: Likely underlying allergy as cause of the lesions and aural irritation
Fit to vaccinate

Plan: Recc continue with topical therapy as O has been doing (iodine treatment of focal lesions and epitotic for the ears) as these seem to be working well

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 09:54:47
Hx: Present for vaccination and check of hot spot lesions
O has been treating with iodine
Also has had some  irritation associated with the ear

Subjective: BAR

Objective:
mm pink, moist, crt < 2 sec
eyes - nad
ears - L ear a bit pink, but no significant discharge on otoscopic exam
heart - normal systolic rhythm
lungs - nad
abdo palpation - no pain, no masses
musculoskeletal - nad
genitourinary - nad
dental - tartar build up caudal maxillary teeth
Integument - shaved spot on head - possible healed hot spot?
Temp - 

Assessment: Likely underlying allergy as cause of the lesions and aural irritation
Fit to vaccinate

Plan: Recc continue with topical therapy as O has been doing (iodine treatment of focal lesions and epitotic for the ears) as these seem to be working well

Previous claim history (1)

DateClaim #Diagnosis
2025-10-27C9406868DIETARY INDISCRETION - FOREIGN BODY INGESTION - PRESENTING COMPLAINT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_vaccination_(canine)149.002026-03-13
upstreamDSTP_routine_care_-_vaccinations_or_health_checks
20000tstarc_ear_cleaner45.082026-03-13

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.620
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description