C10027218 / invoice 10000
Species:CANINE
Breed:Miniature Dachshund
Age (years):4
Diagnosis or signs:ear infection
Consult notes
Animal clinical history (3 most recent)
2026-03-13T00:00:00Z 10:17 AM
Reason: Ear infection -SBAppointment Notes: Overdue remindersHistory:Presented for suspected ear infection. Shaking head a lotHas had ear infections previouslyNow has some lesions on abdomen - crusty scabs. Some alopecia as well.Swimming a lot - O tried to dry ears oftenNormal diet: poached chicken and advanced dry SIDWill change FTW to nexgard spectra todayDue for vaccination - may delay if infection foundExamine:BARPink mm CRT 1 secHR 120bpmRR 20bpmEars: thick brown waxy discharge bilaterally- cytology: budding yeast bilaterally - worse in the R than LSkin:- abdomen - alopecia noted. Coalescing crusty lesions over ventral abdomen. Pustules. Assessment:OE due to malasseziaBacterial dermatitisLikely underlying allergiesTreatment:Cleaned earsOsurnia #1 today into both earsAmoxyclav 125mg PO BID for 1 weekApoquel 3.6mg PO BID for 1 week then SID ongoingPlan:RV 1 week for second dose of osurnia and skin recheck2 weeks final cytology check Vaccination at final check Vital Signs
Previous claim history (4)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-07-29 | C9033791 | OTITIS EXTERNA |
| 2024-10-04 | C9033779 | EAR (AURAL) INFECTION |
| 2024-05-03 | C7187639 | BRONCHITIS |
| 2024-02-08 | C6858668 | COUGHING - PRESENTING COMPLAINT |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 130.00 | 2026-03-13 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 45.00 | 2026-03-13 | — |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 86.75 | 2026-03-13 | — |
| 40000 | tstarc_antibiotics_-_amoxicillin_and_clavulanic_acid | 35.55 | 2026-03-13 | — |
| 50000 | tstarc_skin_medication_-_apoquel | 108.70 | 2026-03-13 | — |
UPM+
- DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.290
Threshold: 0.38
Above: ✗
Correct?