C09984761 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):4
Diagnosis or signs:Revisit
Consult notes
04/03/2026 
BIB: Debbie

HISTORY
- Presenting for: Revisit right mixed (yeast + cocci ) OE
- Last seen 17/02/26 (15 days ago)
- Owner concerns:
   - Stopped ear meds since Sunday (3 days)
   - Went to dad's house and he put drops in WRONG ear (left ear)
   - Shaking head a little still 
- BAR. EDDU normal
- No VDCS
- Current medications:
   - PMP Right ear BID
   - Prednisolone 20mg tapering
   - Gabapentin 300mg

PHYSICAL EXAM

- Left ear inner pinna multifocal erythematous spots, minimal discharge in ear canal and clear
- All four paws palmar/plantar surfaces mild-moderate erythema interdigital skin

Cytology:
- Left ear: NAD
- Right ear: NAD

ASSESSMENT

- Suspect allergic dermatitis underlying (eg atopy, contact allergy). Never had before but 4yo now
- OE resolved

PLAN

- Can stop PMP
- Elocon 0.7ml in both ears fortnightly
- Prednisolone tapering to give now and a bit extra in case of future flare up. If recurring issue recommend Cytopoint or Apoquel/Zenralia





04/03/2026 PET INSURANCE E - CLAIM 

Invoice Dates Covered:  4/3

Vet approved:LV

Date submitted & Initials:  4/3 ca 

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 12:30:43

BIB: Debbie

HISTORY
- Presenting for: Revisit right mixed (yeast + cocci ) OE
- Last seen 17/02/26 (15 days ago)
- Owner concerns:
   - Stopped ear meds since Sunday (3 days)
   - Went to dad's house and he put drops in WRONG ear (left ear)
   - Shaking head a little still 
- BAR. EDDU normal
- No VDCS
- Current medications:
   - PMP Right ear BID
   - Prednisolone 20mg tapering
   - Gabapentin 300mg

PHYSICAL EXAM

- Left ear inner pinna multifocal erythematous spots, minimal discharge in ear canal and clear
- All four paws palmar/plantar surfaces mild-moderate erythema interdigital skin

Cytology:
- Left ear: NAD
- Right ear: NAD

ASSESSMENT

- Suspect allergic dermatitis underlying (eg atopy, contact allergy). Never had before but 4yo now
- OE resolved

PLAN

- Can stop PMP
- Elocon 0.7ml in both ears fortnightly
- Prednisolone tapering to give now and a bit extra in case of future flare up. If recurring issue recommend Cytopoint or Apoquel/Zenralia



2026-02-17T00:00:00Z 15:39:03
PET INSURANCE E - CLAIM 

Invoice Dates Covered:  17.02

Vet approved: LV

Date submitted:  17/02

Initials:  llg

Previous claim history (10)

DateClaim #Diagnosis
2026-02-17C09916150OTITIS EXTERNA
2026-01-21C09791380OTITIS EXTERNA
2026-01-12C09749199OTITIS EXTERNA
2023-02-09C5582509GASTROINTESTINAL PROBLEMS
2022-09-06C5090221GASTROINTESTINAL PROBLEMS
2022-09-03C5139789GASTROINTESTINAL PROBLEMS
2022-09-01C5074298GASTROINTESTINAL PROBLEMS
2022-08-15C5034092INTOXICATION (POISONING), PLANT (UNSPECIFIED)
2022-03-05C4579141INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
2022-03-02C4532961INGEST FOREIGN OBJECT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit95.002026-03-04
20000tstarc_diagnostic_test_-_cytology44.002026-03-04
30000tstarc_skin_medication_-_topical_anti-inflammatory71.452026-03-04
40000tstarc_corticosteroids39.002026-03-04

UPM+

  • DG02319HYPERSENSITIVITY (ALLERGIC) SKIN DISORDERDSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.600
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description