C09974577 / invoice 10000

Reviewer

Species:CANINE

Breed:Cocker Spaniel

Age (years):7

Diagnosis or signs:Check ears

Consult notes

02/03/2026 REASON- check ears

HISTORY- Day after vaccination starting scratching and flapping ears. Ears haven't been a problem for a really long time, have stopped letting him swim in the ocean. 

EARS: bilatearl otitis externa, mild erythema and light brown discharge 

Cytology: L ear: yeast, cocci, rods, R ear: yeast and cocci 

PLAN: Start dermotic 0.5ml into BOTH ears for 14 days. 
Recheck in 14 days, if rods haven't resolved may need to switch to otomax or perform C&S

Animal clinical history (3 most recent)

2026-03-02T00:00:00Z 15:13:39

REASON- check ears

HISTORY- Day after vaccination starting scratching and flapping ears. Ears haven't been a problem for a really long time, have stopped letting him swim in the ocean. 

EARS: bilatearl otitis externa, mild erythema and light brown discharge 

Cytology: L ear: yeast, cocci, rods, R ear: yeast and cocci 

PLAN: Start dermotic 0.5ml into BOTH ears for 14 days. 
Recheck in 14 days, if rods haven't resolved may need to switch to otomax or perform C&S

Previous claim history (22)

Date	Claim #	Diagnosis
2026-02-23	C09943138	DIARROHEA
2025-12-22	C09663289	GASTROINTESTINAL PROBLEMS
2025-12-22	C09663289	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-12-12	C09619154	CONJUNCTIVITIS
2025-12-12	C09619154	DIARROHEA
2025-12-02	C09568189	CONJUNCTIVITIS
2024-10-19	C7841960	OTITIS EXTERNA
2024-10-04	C7785349	EAR INFECTION
2023-11-21	C6622012	DIARRHOEA - PRESUMED SELF-LIMITING
2023-02-18	C5604969	DIARROHEA
2023-02-18	C5604969	EAR CONDITIONS
2022-05-21	C4765398	DIARROHEA
2021-07-06	C3883722	HEARTWORM CONTROL
2021-07-06	C3883722	FLEA/TICK/WORM CONTROL
2021-03-26	C3624077	ENTROPION
2021-02-10	C3512424	ENTROPION
2021-02-10	C3512424	HEARTWORM CONTROL
2021-02-10	C3512424	FLEA/TICK/WORM CONTROL
2020-06-03	C3512421	SOFT TISSUE INJURY
2020-02-26	C3512417	FLEA/TICK/WORM CONTROL
2020-02-26	C3512417	ENTROPION
2020-02-26	C3512417	VACCINATIONS OR HEALTH CHECKS

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	66.00	2026-03-02	—
20000	tstarc_ear_medication_-_antibacterial_and_anti-fungal	81.44	2026-03-02	—
30000	tstarc_diagnostic_test_-_cytology	49.45	2026-03-02	—

UPM+

DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA

DSTP_otitis_externa

Conf: 0.950

Threshold: 0.07

Above: ✓

Correct?

Yes No