C10026416 / invoice 10000
Species:CANINE
Breed:Labradoodle
Age (years):8
Diagnosis or signs:Ear Infection
Consult notes
13/03/2026 HISTORY: has been doing better, doesn't seem as irritated by the ears but is still shaking head. One side doesn't appear worse than the other CLINICAL EXAM: Demeanor: BAR, nervous Ears: Right ear no inflammation visible, minimal discharge, left ear moderate brown discharge and inflamation Eyes: NAD - clear Nose: NAD - no discharge or changes Lymph Nodes: NAD Skin: NAD Musculoskeletal: gait normal ASSESSMENTS: Ear cytology - Right ear improved with reduced Malassezia count ~9/hpf, left ear increased Malassezia count ~5/hpf TREATMENTS OPTIONS: 1. Continue Neptra in the right ear. 2. Option to treat left ear with Neptra or BID daily drops; chose Neptra for ease of administration. PLAN: Continue Neptra treatment in the right ear for an additional 2 weeks. Begin Neptra treatment in the left ear. Recheck in two weeks to assess progress and effectiveness of treatment.
Animal clinical history (3 most recent)
2026-03-13T00:00:00Z 12:12:53
HISTORY: has been doing better, doesn't seem as irritated by the ears but is still shaking head. One side doesn't appear worse than the other CLINICAL EXAM: Demeanor: BAR, nervous Ears: Right ear no inflammation visible, minimal discharge, left ear moderate brown discharge and inflamation Eyes: NAD - clear Nose: NAD - no discharge or changes Lymph Nodes: NAD Skin: NAD Musculoskeletal: gait normal ASSESSMENTS: Ear cytology - Right ear improved with reduced Malassezia count ~9/hpf, left ear increased Malassezia count ~5/hpf TREATMENTS OPTIONS: 1. Continue Neptra in the right ear. 2. Option to treat left ear with Neptra or BID daily drops; chose Neptra for ease of administration. PLAN: Continue Neptra treatment in the right ear for an additional 2 weeks. Begin Neptra treatment in the left ear. Recheck in two weeks to assess progress and effectiveness of treatment.
2026-03-02T00:00:00Z 12:31:40
STAFF MEMBER: LC REASON FOR CALL: Update after appointment OWNERS UPDATE/HISTORY: She is doing really well. Not shaking as much already. Seems happier. ADVICE GIVEN: Keep going with medication as directed by vet ACTION: Has booked a recheck appointment 13h march
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-27 | C09964554 | OTITIS EXTERNA |
| 2025-10-09 | C9326681 | VACCINATIONS OR HEALTH CHECKS |
| 2025-10-09 | C9326681 | ALLERGY |
| 2025-09-21 | C9251204 | LACERATION |
| 2024-11-18 | C7964109 | LAMENESS RH |
| 2024-10-16 | C7826773 | VACCINATIONS OR HEALTH CHECKS |
| 2024-10-16 | C7826773 | HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER |
| 2024-09-30 | C7762188 | VACCINATIONS OR HEALTH CHECKS |
| 2024-09-30 | C7762188 | EAR INFECTION |
| 2024-04-23 | C7148078 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2024-04-23 | C7148078 | ALLERGY |
| 2023-10-18 | C6427617 | EAR (AURAL) INFECTION - FUNGAL |
| 2023-10-04 | C6377361 | VACCINATIONS OR HEALTH CHECKS |
| 2023-10-04 | C6377361 | ALLERGY |
| 2023-10-04 | C6377361 | FLEA/TICK/WORM CONTROL |
| 2023-10-04 | C6377361 | HEARTWORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_diagnostic_test_-_cytology | 79.00 | 2026-03-13 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 131.95 | 2026-03-13 | — |
| 30000 | tstarc_consultation-revisit | 107.55 | 2026-03-13 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.980
Threshold: 0.07
Above: ✓
Correct?