C09976562 / invoice 10000

Reviewer

Species:CANINE

Breed:Poodle - Toy

Age (years):8

Diagnosis or signs:see notes

Consult notes

Vetstoria Appointment
VETSTORIA - Indie (Dog) - Sherridan Tunks - 0484750761 - Consultation [Clinician : Dr Grima (Preferred Clinician)] - Ear infection. Head shakes and scratching + brown gunk and smelly ear. - N/A

HX:
EDDU normally, no v+, s+, c+ or d+.
UTD with flea, tick and worming.
Shaking head and scratching at ears, L side worse. Last few days.
No other issues.

PE:
EARS - bilateral mild cream discharge, minimal pinnal erythema.

ASSESS:
In house cytology:
- L ear - moderate Malassezia spp + scant cocci and moderate cellular and ceruminous debris.
- R ear - scant Malassezia spp and moderate cellular and ceruminous debris.

Problem list:
- Mild bilateral fungal otitis externa - advised empirical PMP for 7-10 days should be sufficient.

PLN:
1. PMP into both ears BID for 7-10 days.

Animal clinical history (3 most recent)

2026-03-03T00:00:00Z 09:26:00

Vetstoria Appointment
VETSTORIA - Indie (Dog) - Sherridan Tunks - 0484750761 - Consultation [Clinician : Dr Grima (Preferred Clinician)] - Ear infection. Head shakes and scratching + brown gunk and smelly ear. - N/A

HX:
EDDU normally, no v+, s+, c+ or d+.
UTD with flea, tick and worming.
Shaking head and scratching at ears, L side worse. Last few days.
No other issues.

PE:
EARS - bilateral mild cream discharge, minimal pinnal erythema.

ASSESS:
In house cytology:
- L ear - moderate Malassezia spp + scant cocci and moderate cellular and ceruminous debris.
- R ear - scant Malassezia spp and moderate cellular and ceruminous debris.

Problem list:
- Mild bilateral fungal otitis externa - advised empirical PMP for 7-10 days should be sufficient.

PLN:
1. PMP into both ears BID for 7-10 days.

Previous claim history (13)

Date	Claim #	Diagnosis
2026-02-12	C09894884	ALTERNATIVE THERAPIES
2026-02-04	C09853685	GASTROINTESTINAL PROBLEMS
2025-12-24	C09686774	HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-04-06	C5789278	HEPATOPATHY
2021-12-06	C4295695	VOMITING - PRESUMED SELF-LIMITING
2021-03-06	C3573434	Preventative/Elective Procedure
2021-03-06	C3573434	HEARTWORM CONTROL
2021-03-06	C3573434	FLEA/TICK/WORM CONTROL
2020-11-06	C3572617	VACCINATIONS OR HEALTH CHECKS
2020-03-28	C2810045	MISCELLANEOUS CONDITIONS
2020-03-28	C2810045	HEARTWORM CONTROL
2020-03-28	C2810045	FLEA/TICK/WORM CONTROL
2020-03-28	C2810045	ALTERNATIVE THERAPIES

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	96.50	2026-03-03	—
20000	tstarc_diagnostic_test_-_cytology	47.50	2026-03-03	—
30000	tstarc_ear_medication_-_antibacterial_and_anti-fungal	49.00	2026-03-03	—
40000	tstarc_food	25.50	2026-03-03	upstreamDSTP_general_exclusion

UPM+

DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA

DSTP_otitis_externa

Conf: 0.960

Threshold: 0.07

Above: ✓

Correct?

Yes No