C09977867 / invoice 10000
Species:CANINE
Breed:Cocker Spaniel
Age (years):3
Diagnosis or signs:Check Ears
Consult notes
27/02/2026 Reason: ears History: has been having anal gland issues and itchy ears. Now ears flaring up again. Has had prednisolon in the past that worked well. Still has these tablets at home (20mg). Current medications: none Diet: RC biscuits Examine: Mentation: Bar Body condition score: 3.5/5 MM: pink moist CRT: <2sec HR: 80 RR: panting LN: not enlarged Temperature: not taken Ocular: clear Oral/Dental stage: 1/4 Ears: right erythema, painful and moderate amount of wax. Could only visualise part of the TM which was intact. Left ear no erythema, moderate amount of wax, no pain, could not visualise TM due to wax. Cardiovascular: nad Respiratory: clear Gastrointestinal: soft not painful Integumentary & lumps (measurement, location): coat ok Musculoskeletal: moving well Urogenital: AG's very very full bilaterally with pale brown discharge Neurological: not done Problem List: - allergies Cytology right ear: no yeast/no bacteria Assessment: allergies Treatment: Discussed pred tablets vs novasone topically. O will use pred tablets for now as has these at home from last time. Plan: - change diet to hypoallergenic biscuits RC, prime crocodile or Lyka goat for minimum of 8 weeks. Then introduce single protein at a time if going well. - pred tapering course for ears. On-going medications required: Y/N (use prescription tab for further supply): N Followup: as required by O
Animal clinical history (3 most recent)
2026-02-27T00:00:00Z 12:23:13
Reason: ears History: has been having anal gland issues and itchy ears. Now ears flaring up again. Has had prednisolon in the past that worked well. Still has these tablets at home (20mg). Current medications: none Diet: RC biscuits Examine: Mentation: Bar Body condition score: 3.5/5 MM: pink moist CRT: <2sec HR: 80 RR: panting LN: not enlarged Temperature: not taken Ocular: clear Oral/Dental stage: 1/4 Ears: right erythema, painful and moderate amount of wax. Could only visualise part of the TM which was intact. Left ear no erythema, moderate amount of wax, no pain, could not visualise TM due to wax. Cardiovascular: nad Respiratory: clear Gastrointestinal: soft not painful Integumentary & lumps (measurement, location): coat ok Musculoskeletal: moving well Urogenital: AG's very very full bilaterally with pale brown discharge Neurological: not done Problem List: - allergies Cytology right ear: no yeast/no bacteria Assessment: allergies Treatment: Discussed pred tablets vs novasone topically. O will use pred tablets for now as has these at home from last time. Plan: - change diet to hypoallergenic biscuits RC, prime crocodile or Lyka goat for minimum of 8 weeks. Then introduce single protein at a time if going well. - pred tapering course for ears. On-going medications required: Y/N (use prescription tab for further supply): N Followup: as required by O
Previous claim history (11)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-14 | C09770762 | ANAL SAC DISORDER |
| 2025-10-25 | C9403460 | ANAL SAC DISORDER |
| 2025-08-22 | C9130839 | SCOOTING |
| 2025-08-11 | C9079429 | ANAL SAC DISORDER |
| 2025-07-07 | C9079435 | VACCINATIONS OR HEALTH CHECKS |
| 2025-04-30 | C8649898 | ANAL SAC DISORDER |
| 2025-01-29 | C8262248 | ANAL SAC DISORDER |
| 2024-09-15 | C7742425 | VOMITING - OTHER - PRESENTING COMPLAINT |
| 2024-04-19 | C7137569 | EAR INFECTION |
| 2024-04-04 | C7137556 | EAR (AURAL) DISEASE |
| 2023-12-04 | C6627023 | CRYPTORCHIDISM - BILATERAL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 109.00 | 2026-02-27 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 68.00 | 2026-02-27 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.730
Threshold: 0.07
Above: ✓
Correct?