C10031671 / invoice 10000
Species:CANINE
Breed:Labrador Retriever
Age (years):9
Diagnosis or signs:ears
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <p>Went into kennels in Dec. Since then noticed ears a little irritated. worse recently<br>No other problems with allergies or itching<br>Unsure what flared up<br>doesn't swim. did play with water at kennels<br><br>Exam:<br>BAR<br>mm pk<br>Ears - both ears - moderate inflam around ear canal opening, as well as down ear canal. mild discharge in canal<br><br>Cytology - Right ear mild yeast infection ~2-3/hpf. Left ear moderate yeast infection ~5-7/hpf<br><br>Clean ears with PAW ear cleaner <br>PMP SID for 2 weeks<br>r/c in 2 weeks</p> </div></html>
Animal clinical history (3 most recent)
2025-07-28T00:00:00Z 09:07:00
Hx:Has been well. Recovered better from this surgery compared to last one. A little bit of head shaking now and tyhen. PE:Surgery sites have all healed perfectly. Very small amount of swelling to left inguinal region surgery sites, but no concern. Staples removed. Cleaned ears at owners request- left slightly dirtier. Plan:Ok to resume normal lifestyle now, wounds have healed. Monitor ears in case infection starting - needs consult if not improving.
2025-07-15T00:00:00Z 09:37:00
Going well, EDU normal, hasn't done a number 2 yetSeems comfortableBooked POC 's
2025-07-14T00:00:00Z 09:14:00
Presented for removal of s/c lumps - 4 initially. Found another 3 when under GA and elected to remove all of them.Preop bloods - CBC - Eos 1.87 H (<1.23)Otherwise WNLBioc all WNLPreop exam - BAR, H&L&abdo WNLLumps - see belowPremed 0.15ml acp/0.88ml meth ivinduced with alfaxan slow ivmaintained on gas isoflurane via cuffed ET tubemaintained on hartmann's IVFT periop.0.4ml methadone topup given periop IVAtropine given IV periop.Surgery Report - All lumps gross appearance of lipomas. Excised by vertical incision over lump, shelling lump out, closure with 1-2 layers of 2/0 polyglycolide simple continuous for s/c, staples for skin.1. Left ventral craniolateral chest - Largest one ~10x8cm2. Left cranial lateral chest ~2x2cm3. Left mid lateral chest ~2x2cm4. Left ventral caudallateral chest ~2x2cm5. Right lateral chest ~5x4cm6. Right ventrolateral chest ~2x2cm7. Right flank ~2x2cmPostop - meloxicam s/c 0.2mg/kgTGH 5d meloxicamroutine recoveryVaccination Duramune C4+Bronchishield Oral given on recoveryRecommend weight loss - aim for under 40kg
Previous claim history (13)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-07-14 | C8962840 | LIPOMA |
| 2025-06-20 | C8865801 | LIPOMA |
| 2024-07-05 | C7431750 | VACCINATIONS OR HEALTH CHECKS |
| 2024-07-02 | C7417570 | MASS LESION - SKIN (CUTANEOUS) |
| 2024-07-02 | C7417570 | EAR INFECTION |
| 2024-04-20 | C7138127 | MASS LESION - SKIN (CUTANEOUS) |
| 2023-03-09 | C5668385 | MASS LESION - SKIN (CUTANEOUS) |
| 2022-09-08 | C5110604 | OSTEOARTHRITIS |
| 2022-09-08 | C5110627 | OSTEOARTHRITIS |
| 2022-09-08 | C5229290 | OSTEOARTHRITIS |
| 2022-08-25 | C5046542 | LETHARGY - PRESENTING COMPLAINT |
| 2022-03-16 | C4577335 | VACCINATIONS OR HEALTH CHECKS |
| 2021-11-02 | C4201862 | GASTROINTESTINAL PROBLEMS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 97.00 | 2026-03-14 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 80.18 | 2026-03-14 | — |
| 30000 | tstarc_diagnostic_test_-_cytology | 68.00 | 2026-03-14 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.130
Threshold: 0.07
Above: ✓
Correct?