C10031149 / invoice 10000

Species:CANINE
Breed:Labrador Cross
Age (years):5
Diagnosis or signs:Ears
Consult notes
Sore ears - Bilaterial ATOPY

Hx:
Dog has been scratching and shaking ears a lot recently. Onwer has not been giving apoquel lately.

Cx:
BAR, mm pink crt 2secs nil on abdo palpation HR 100bpm RR panting T 38.5 eyes teeth l.nodes ok 
Coat generally good but dog has strong musty smell to her. 

Otoscopic exam - both tympanic membranes intact but ear canals hyperaemic with ++ black discharge noted. 

Smears - malassezia bilaterally. 

Clean both ears out with epi-otic flush. 
1ml dexapent sc 
Malaseb bath 

TGH:
Apoquel tabs bid for 4 weeks. 16mg chewables - 1 bid 
Malaseb baths twice weekly for 2 weeks 
Dermotic PMP - 1 squirt once daily each ear for 5 days 

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 12:30:00
Sore ears - Bilaterial ATOPY

Hx:
Dog has been scratching and shaking ears a lot recently. Onwer has not been giving apoquel lately.

Cx:
BAR, mm pink crt 2secs nil on abdo palpation HR 100bpm RR panting T 38.5 eyes teeth l.nodes ok 
Coat generally good but dog has strong musty smell to her. 

Otoscopic exam - both tympanic membranes intact but ear canals hyperaemic with ++ black discharge noted. 

Smears - malassezia bilaterally. 

Clean both ears out with epi-otic flush. 
1ml dexapent sc 
Malaseb bath 

TGH:
Apoquel tabs bid for 4 weeks. 16mg chewables - 1 bid 
Malaseb baths twice weekly for 2 weeks 
Dermotic PMP - 1 squirt once daily each ear for 5 days 

Previous claim history (9)

DateClaim #Diagnosis
2025-10-02C9310851SEIZURE DISORDER
2025-08-25C9135677ALLERGY
2025-08-25C9135834PAIN - OTHER - PRESENTING COMPLAINT
2023-12-27C6766196FOLLICULITIS AND FURUNCULOSIS - PYOTRAUMATIC
2023-12-19C6766196FOLLICULITIS AND FURUNCULOSIS - PYOTRAUMATIC
2023-12-14C6766196FOREIGN BODY, GRASS SEED
2023-12-14C6766196FOLLICULITIS AND FURUNCULOSIS - PYOTRAUMATIC
2023-12-14C6766196DERMATITIS - ATOPIC
2023-11-15C6766116DERMATITIS - ATOPIC

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation145.002026-03-03
20000tstarc_procedure_fee_-_ear_flush145.002026-03-03
30000tstarc_diagnostic_test_-_cytology99.002026-03-03
40000tstarc_corticosteroid_injection42.002026-03-03
50000tstarc_ear_medication_-_antibacterial_and_anti-fungal112.952026-03-03
60000tstarc_medicated_shampoo42.002026-03-03
70000tstarc_medicated_shampoo33.152026-03-03
80000tstarc_skin_medication_-_apoquel490.102026-03-03

UPM+

  • DG02323HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER - ATOPIC DERMATITISDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.490
Threshold: 0.38
Above:
Correct?