C09983286 / invoice 10000

Species:CANINE
Breed:German Shepherd Cross
Age (years):2
Diagnosis or signs:Ear (aural) infection
Consult notes
04/03/2026 
NURSE RP

REASON Ear RV

HISTORY
- Ox thinks ears have improved 
- Tolerating Dermotic application well 
APPETITE: WNL 
ACTIVITY: Possibly more tired than usual 
TOILETING: WNL - no VCDS
CURRENT MEDICATIONS:
Dermotic BID 

CLINICAL EXAMINATION
Mentation:
MM:
CRT:
Oral Exam and Dental Score:
Eyes:
Ears:
BCS:
Lumps:
Abdominal palpation:
Lymph nodes:
Heart Rate:
Respiratory Rate:
Temperature:
Urogenital:
MSK:
Skin:

CYTOLOGY: 
L - Debris
R - Debris

**ASSESSMENT:**
- Ear debris/wax - now under control

DISCUSSION:
- Discussed ear cleaning frequency
- Otoflush q2-3 weeks recommended - too frequent can cause irritation
- Cleaning products can also cause irritation

TREATMENT:
- Nil today

PLAN:
- Then weekly with Elocon
- After 1 week of treatment, Otoflush q2-3 weeks
- Monitor for any concerns 

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 10:32:55

NURSE RP

REASON Ear RV

HISTORY
- Ox thinks ears have improved 
- Tolerating Dermotic application well 
APPETITE: WNL 
ACTIVITY: Possibly more tired than usual 
TOILETING: WNL - no VCDS
CURRENT MEDICATIONS:
Dermotic BID 

CLINICAL EXAMINATION
Mentation:
MM:
CRT:
Oral Exam and Dental Score:
Eyes:
Ears:
BCS:
Lumps:
Abdominal palpation:
Lymph nodes:
Heart Rate:
Respiratory Rate:
Temperature:
Urogenital:
MSK:
Skin:

CYTOLOGY: 
L - Debris
R - Debris

**ASSESSMENT:**
- Ear debris/wax - now under control

DISCUSSION:
- Discussed ear cleaning frequency
- Otoflush q2-3 weeks recommended - too frequent can cause irritation
- Cleaning products can also cause irritation

TREATMENT:
- Nil today

PLAN:
- Then weekly with Elocon
- After 1 week of treatment, Otoflush q2-3 weeks
- Monitor for any concerns 

Previous claim history (19)

DateClaim #Diagnosis
2026-02-13C09899079EAR INFECTION
2026-02-03C09846803VACCINATIONS OR HEALTH CHECKS
2026-02-03C09846803Preventative/Elective Procedure
2024-09-17C7716193Preventative/Elective Procedure
2024-09-17C7716193SKIN LESIONS
2024-09-17C7716193DESEXING
2024-09-17C7716193PRESCRIPTION DIETS
2024-09-16C7709567HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-09-10C7688088HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-09-06C7675799FLEA/TICK/WORM CONTROL
2024-09-05C7675799HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-09-04C7665240HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-08-17C7594005ALLERGY
2024-06-20C7371029SKIN (CUTANEOUS) DISORDER
2024-05-21C7257373SKIN (CUTANEOUS) DISORDER, BACTERIAL
2024-05-21C7257373FLEA/TICK/WORM CONTROL
2024-05-21C7257373HEARTWORM CONTROL
2024-03-08C6970972Hip Score
2024-03-08C6970972MICROCHIPPING

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_diagnostic_test_-_cytology142.002026-03-04

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.990
Threshold: 0.07
Above:
Correct?