C09984168 / invoice 10000

Reviewer

Species:CANINE

Breed:Cavoodle

Age (years):4

Diagnosis or signs:Unspecified

Consult notes

04/03/2026 Presented for head shaking

HISTORY: Has noticed in the last 24 hours head shaking and excessively rubbing ears on the carpet. Cleaned out ears with epiotic yesterday and last week. Symptoms a little better this morning, but reacted to both ears being swabbed. Tried biting with left ear being swabbed. No known ear infections in the past. Owner grooms herself and cleans out ears herself. Otherwise no other health concerns, EDDU. No coughing or sneezing. 

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: NAD 
MM: PM, CRT < 2
Skin Tent:  WNL
Dental Score: 0/4
Abdomen: Soft and palpable
Skin: NAD
Eyes: Normal
Ears: Left ear has waxy brown discharge that is moist, pinna into vertical canal has moderate erythema and pain response with vocalisation when lifting ears.
Temp: n/a
Lymph Nodes: WNL
MSK/Neuro: NAD
Rectal: n/a

DIAGNOSTICS:
Ear cytology: 
Left: ++ cocci, netted neutrophils and potential pus.
Right: Clear  

ASSESSMENT: Otitis externa in left ear otherwise normally

PLAN: Discussed package for ear exam and opted to pay for separately.
Easotic SID for 5 days and recheck in 1 week.

BT

BP/BT

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 11:47:35

Presented for head shaking

HISTORY: Has noticed in the last 24 hours head shaking and excessively rubbing ears on the carpet. Cleaned out ears with epiotic yesterday and last week. Symptoms a little better this morning, but reacted to both ears being swabbed. Tried biting with left ear being swabbed. No known ear infections in the past. Owner grooms herself and cleans out ears herself. Otherwise no other health concerns, EDDU. No coughing or sneezing. 

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: NAD 
MM: PM, CRT < 2
Skin Tent:  WNL
Dental Score: 0/4
Abdomen: Soft and palpable
Skin: NAD
Eyes: Normal
Ears: Left ear has waxy brown discharge that is moist, pinna into vertical canal has moderate erythema and pain response with vocalisation when lifting ears.
Temp: n/a
Lymph Nodes: WNL
MSK/Neuro: NAD
Rectal: n/a

DIAGNOSTICS:
Ear cytology: 
Left: ++ cocci, netted neutrophils and potential pus.
Right: Clear  

ASSESSMENT: Otitis externa in left ear otherwise normally

PLAN: Discussed package for ear exam and opted to pay for separately.
Easotic SID for 5 days and recheck in 1 week.

BT

BP/BT

Previous claim history (4)

Date	Claim #	Diagnosis
2025-09-03	C9177794	DESEXING
2025-09-03	C9177794	VACCINATIONS OR HEALTH CHECKS
2024-07-08	C7435013	VACCINATIONS OR HEALTH CHECKS
2023-02-01	C5547036	INSECT BITE(S)

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

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation	124.90	2026-03-04	—
20000	tstarc_diagnostic_test_-_cytology	99.50	2026-03-04	—
30000	tstarc_ear_medication_-_antibacterial_and_anti-fungal	128.90	2026-03-04	—

UPM+

DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA

DSTP_otitis_externa

Conf: 0.990

Threshold: 0.07

Above: ✓

Correct?

Yes No