C09970939 / invoice 20000
Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):3
Diagnosis or signs:Ear Rechecks
Consult notes
Animal clinical history (3 most recent)
2026-02-28T00:00:00Z 09:41 AM
Reason: Ear RecheckL ear persistent malassezia infection. R ear mild yeast presence - but more than normal flora. PLAN : Continue half a pred dailyChange from 4 drops to measured Dermotic treatment 0.7ml AU BIDRecheck next Friday or Saturday. If this has not made a difference, have GA and ear exam/clean - prebooked for the following Tuesday- exclude masses in ear, check tympanum, consider starting mometamax. If responded, start intermittent dexflam instillation and wean off pred Vital Signs
2026-02-21T00:00:00Z 09:32 AM
Reason: Recheck EarsPresented for ear re-check. O has cleaned tiwce during treatment. Barrier does tolerate ear drops but has been difficult to administerOtherwise well in herselfO thinks has been a improvement but did take some timeDo still have some steroid tablets left:Exam:Still moderate brown discharge bilateral earsCytology:+ malasseziaAssessment:Improved since last visit but unresolvedPlan:Ear cleaning every 2nd dayContinue drops for 1 week and re-checkPred 1/2 tab SIDIf no improvement or unresolved recommended sedation and ear flush Vital Signs
Previous claim history (6)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-06 | C09874243 | EAR INFECTION |
| 2025-03-19 | C8474969 | OTITIS EXTERNA |
| 2025-03-19 | C8474969 | FLEA/TICK/WORM CONTROL |
| 2024-08-16 | C7600444 | VACCINATIONS OR HEALTH CHECKS |
| 2024-08-16 | C7600444 | FLEA/TICK/WORM CONTROL |
| 2024-01-02 | C6706384 | SWELLING |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation-revisit | 92.05 | 2026-02-28 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 47.20 | 2026-02-28 | — |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 79.45 | 2026-02-28 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.990
Threshold: 0.07
Above: ✓
Correct?