C10025681 / invoice 10000

Reviewer

Species:CANINE

Breed:English Springer Spaniel

Age (years):8

Diagnosis or signs:Checkup

Consult notes

12/03/2026 In today for re-check.
Has been at Animalius today, they are not overly worried by the WBC count, said would have only been worried if <0.5?
Bloods taken again today, awaiting results.
O not overly keen for ongoing palladia given how flat it made Monty, discussion about whether halving dose may still provide benefit but limit side effects. Plan to stage again in 2 months.
Going well with ears.
Not bothered by them, only occasional shakes but O feels is more anxiety based then irritation.

Exam:
R ear clean, + crusting from osurnia in canal, inflammation resolved.

Plan:
Ear cleaned with otoflush.
O to clean weekly at home if allows it.

Animal clinical history (3 most recent)

2026-03-12T00:00:00Z 18:10:04

In today for re-check.
Has been at Animalius today, they are not overly worried by the WBC count, said would have only been worried if <0.5?
Bloods taken again today, awaiting results.
O not overly keen for ongoing palladia given how flat it made Monty, discussion about whether halving dose may still provide benefit but limit side effects. Plan to stage again in 2 months.
Going well with ears.
Not bothered by them, only occasional shakes but O feels is more anxiety based then irritation.

Exam:
R ear clean, + crusting from osurnia in canal, inflammation resolved.

Plan:
Ear cleaned with otoflush.
O to clean weekly at home if allows it.

Previous claim history (8)

Date	Claim #	Diagnosis
2026-02-26	C09981873	OTITIS EXTERNA
2026-02-12	C09897684	EAR INFECTION
2026-02-12	C09897684	BEHAVIOUR DISORDER
2026-01-23	C09802672	ADENOCARCINOMA - ANAL SAC
2025-12-29	C09684884	ADENOCARCINOMA - ANAL SAC
2025-12-16	C09636343	ADENOCARCINOMA - ANAL SAC
2025-12-15	C09636499	ADENOCARCINOMA - ANAL SAC
2025-12-04	C09582719	ADENOCARCINOMA - ANAL SAC

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	107.00	2026-03-12	—

UPM+

DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA

DSTP_otitis_externa

Conf: 0.960

Threshold: 0.07

Above: ✓

Correct?

Yes No