C10030697 / invoice 10000

Reviewer

Species:CANINE

Breed:Great Dane

Age (years):8

Diagnosis or signs:Health Check

Consult notes

14/03/2026 History:
-Health concerns: Ear haematoma that appeared Thursday during the day and has grown in size since then
-EDDU: normal
-Vomiting or diarrhoea: none
-Sneezing or coughing: none
-Vaccination/worming/fleas: did not check
-Current medications: ear drops for yeast ear infection (one week remaining), mostly shaking ears after application of medication

Physical Examination
-Mentation: BAR
-Ears: Ear haematoma present on middle top half of left ear, approximately 4cm long

Assessment:
1) Aural haematoma (L.ear)
   - Ddx: secondary to head shaking from ear infection

Plan:
1) Drainage of haematoma performed - 23mL of fluid aspirated using 22Gneedle and 25mLsyringe
   - Owner to apply pressure to area to keep flat if possible
   - Ice pack application recommended
   - Monitor for refilling

2) Continue current ear medication for remaining week

3) Recheck appointment scheduled for the 11th April (as due for cartrophen then)
   - Return sooner if haematoma worsens or refills significantly or ear infection getting worse

4) Surgery for aural hematoma discussed as option if conservative management fails
   - Owner prefers to avoid surgery

Animal clinical history (3 most recent)

2026-03-14T00:00:00Z 09:48:08

History:
-Health concerns: Ear haematoma that appeared Thursday during the day and has grown in size since then
-EDDU: normal
-Vomiting or diarrhoea: none
-Sneezing or coughing: none
-Vaccination/worming/fleas: did not check
-Current medications: ear drops for yeast ear infection (one week remaining), mostly shaking ears after application of medication

Physical Examination
-Mentation: BAR
-Ears: Ear haematoma present on middle top half of left ear, approximately 4cm long

Assessment:
1) Aural haematoma (L.ear)
   - Ddx: secondary to head shaking from ear infection

Plan:
1) Drainage of haematoma performed - 23mL of fluid aspirated using 22Gneedle and 25mLsyringe
   - Owner to apply pressure to area to keep flat if possible
   - Ice pack application recommended
   - Monitor for refilling

2) Continue current ear medication for remaining week

3) Recheck appointment scheduled for the 11th April (as due for cartrophen then)
   - Return sooner if haematoma worsens or refills significantly or ear infection getting worse

4) Surgery for aural hematoma discussed as option if conservative management fails
   - Owner prefers to avoid surgery

Previous claim history (21)

Date	Claim #	Diagnosis
2026-03-06	C09994252	ARTHRITIS
2026-03-06	C09994252	EAR INFECTION
2026-03-06	C09994252	COUGHING - PRESENTING COMPLAINT
2026-02-07	C09869281	ARTHRITIS
2026-01-10	C09737506	ARTHRITIS
2025-12-13	C09621028	ARTHRITIS
2025-12-13	C09621028	COUGHING - PRESENTING COMPLAINT
2022-10-20	C5266171	EAR INFECTION
2022-10-10	C5266162	EAR INFECTION
2022-10-08	C5266153	Cruciate Disease - Right Leg
2022-10-08	C5266153	EAR INFECTION
2022-07-23	C4947141	Cruciate Disease - Right Leg
2022-04-30	C4702634	EAR INFECTION
2022-04-30	C4702634	Cruciate Disease - Right Leg
2022-03-29	C4615159	Cruciate Disease - Right Leg
2022-03-26	C4606092	MASS LESION - LIMB, LOWER
2022-02-05	C4460826	Cruciate Disease - Right Leg
2021-06-07	C3811667	CRUCIATE LIG RUPTURE
2021-05-14	C3801207	HEARTWORM TEST OR BLOOD SCREEN
2021-05-14	C3801207	CRUCIATE LIG RUPTURE
2019-03-07	C2120563	PREVENTATIVE MEDICATION

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	77.00	2026-03-14	—

UPM+

DG02174HAEMATOMA - OTHERDSTP_haematoma

Variant (sleepy_king)

OTITIS EXTERNA

DSTP_otitis_externa

Conf: 0.540

Threshold: 0.07

Above: ✓

Correct?

Yes No

Reason (correct)