C10028269 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel Cross
Age (years):2
Diagnosis or signs:consult+
Consult notes

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 15:56 PM
Reason: Ear Infection? Wants Second Opinion--- 13/03/2026 16:24:16 OF:The wild vet hx attachedVerified: NoHistory:Dog presented with multiple issues following grooming. Initially developed bloody, red eyes after grooming which was treated with steroid tablets and resolved. Concurrent ear infection was treated with 5-day course of ear drops which appeared to resolve initially. Owner reports ongoing ear redness and debris. New concern of white lesion noted on spine area after haircut. Other residents with dogs suggested possible skin condition.V, D, S or C - No specific mention of vomiting, diarrhoea, sneezing or coughing. Appetite good, no mention of drinking or urination changes. Energy levels appear normal.Parasite control: Recent 3-month worming and tick tablet (specific product unclear)Diet: Commercial meatball food with vegetables from Coles, alternating between kangaroo and beef. Occasional raw bones for dental health. Diet change resulted in improved stool consistency.Any medications? - Previous steroid tablets for eye inflammation (completed)- Previous 5-day ear drops (completed)Examine:BARMM pink/moist CRT 1-2sEyes - clearEars - Malassezia infection both earsDental grade - /4HR=PR= . No murmur/arrhythmiaAll lung fields sound clear. Normal REAbdomen soft and comfortableSkin - rough patches on ears and tail, some Malassezia noted on back/spine areaAll peripheral LNs normalAmbulatory - no lameness or ataxia, full ortho exam not performedTemp - Assessment:- Bilateral ear Malassezia infection- Skin Malassezia infection affecting spine areaTreatment:- Ears cleaned thoroughly- Ear ointment prescribed BID for 10 days- Medicated shampoo for spine area- Medicated conditioner- Short course steroid tablets for ear canal inflammationPlan:- Apply ear ointment twice daily for 10 days to both ears- Use medicated shampoo on spine area only, leave on for 10 minutes then rinse, follow with medicated conditioner- Avoid getting ears wet during bathing- All instructions provided on medication labels- Insurance claim to be processed through reception- Recheck appointment in 2 weeks to ensure infection clearance    Vital Signs    Weight: 12.31;       

Previous claim history (2)

DateClaim #Diagnosis
2026-01-30C09832558OTITIS EXTERNA
2026-01-30C09832798OTITIS EXTERNA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation122.012026-03-13
20000tstarc_diagnostic_test_-_sticky_tape_prep41.502026-03-13
30000tstarc_diagnostic_test_-_cytology51.502026-03-13
40000tstarc_medicated_shampoo32.002026-03-13
50000tstarc_medicated_shampoo20.502026-03-13
60000tstarc_ear_medication_-_antibacterial_and_anti-fungal47.002026-03-13
70000tstarc_corticosteroids25.992026-03-13

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa
  • DG00592DERMATITISDSTP_skin_-_dermatitis

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.530
Threshold: 0.07
Above:
Correct?