C09985397 / invoice 10000

Species:CANINE
Breed:French Bulldog Cross
Age (years):4
Diagnosis or signs:Ear Infection
Consult notes
18/02/2026 HISTORY: Ruby has been experiencing gritty ears for approximately 1.5 weeks, which have been cleaned daily by the owner using wipes, no head shaking or scratching observed. No changes in appetite or behaviour noted. No paw licking or rashes observed. Was at the groomer this morning who noticed that ears had discharge

CLINICAL EXAM:
Demeanor: BAR, nervous but nice
Ears: thickened crusty pinna
Eyes: NAD - clear
Nose: NAD - no discharge or changes
Oral cavity: mm- pink & moist, no abnormalities noted
Lymph Nodes: NAD
Cardio-respiratory: heart sounds regular, lungs clear
Abdomen: NAD - no pain or abnormalities on palpation
Skin: pododermatitis on underside of RH paw but O thinks is from when slipped down stairs a week or so ago NOT primary skin disease
Musculoskeletal: gait normal
BCS: 5/9

Ddx: Otitis externa with possible allergies

ASSESSMENTS: Ear cytology - presence of cocci +++ and occasional rod-shaped bacteria, mixed up ear smears so not sure which side had main infection

TREATMENTS OPTIONS:
- Daily ear cleaning with Otoflush Cleaner for rods
- Use of oral steroids to reduce inflammation
- Topical treatments BID a day to target cocci

PLAN:
- Initiate treatment with Otoflush daily to remove crusty material and alter pH in the ear canal.
- Administer PMP medicated ear drops targeting cocci predominately.
- Recheck and swab in 10 days to ensure resolution of the infection.
- Owner instructed on the use of an adapter for easier administration of ear drops and to ensure accurate dosing.

20/02/2026 STAFF MEMBER:Elf
REASON FOR CALL: scheduled callback

OWNERS UPDATE/HISTORY: Ruby doing well, owner administering ear meds as directed, Ruby not exactly happy about it but is letting owner  apply.

ADVICE GIVEN: continue as directed by Vet

ACTION: Non required

Animal clinical history (3 most recent)

2026-02-20T00:00:00Z 10:06:57
STAFF MEMBER:Elf
REASON FOR CALL: scheduled callback

OWNERS UPDATE/HISTORY: Ruby doing well, owner administering ear meds as directed, Ruby not exactly happy about it but is letting owner  apply.

ADVICE GIVEN: continue as directed by Vet

ACTION: Non required
2026-02-18T00:00:00Z 15:57:02
HISTORY: Ruby has been experiencing gritty ears for approximately 1.5 weeks, which have been cleaned daily by the owner using wipes, no head shaking or scratching observed. No changes in appetite or behaviour noted. No paw licking or rashes observed. Was at the groomer this morning who noticed that ears had discharge

CLINICAL EXAM:
Demeanor: BAR, nervous but nice
Ears: thickened crusty pinna
Eyes: NAD - clear
Nose: NAD - no discharge or changes
Oral cavity: mm- pink & moist, no abnormalities noted
Lymph Nodes: NAD
Cardio-respiratory: heart sounds regular, lungs clear
Abdomen: NAD - no pain or abnormalities on palpation
Skin: pododermatitis on underside of RH paw but O thinks is from when slipped down stairs a week or so ago NOT primary skin disease
Musculoskeletal: gait normal
BCS: 5/9

Ddx: Otitis externa with possible allergies

ASSESSMENTS: Ear cytology - presence of cocci +++ and occasional rod-shaped bacteria, mixed up ear smears so not sure which side had main infection

TREATMENTS OPTIONS:
- Daily ear cleaning with Otoflush Cleaner for rods
- Use of oral steroids to reduce inflammation
- Topical treatments BID a day to target cocci

PLAN:
- Initiate treatment with Otoflush daily to remove crusty material and alter pH in the ear canal.
- Administer PMP medicated ear drops targeting cocci predominately.
- Recheck and swab in 10 days to ensure resolution of the infection.
- Owner instructed on the use of an adapter for easier administration of ear drops and to ensure accurate dosing.
2025-04-16T00:00:00Z 09:18:43

HISTORY:Ruby is due for her yearly. Is on Nexgard Spectra. Intestinal worming is utd. EDDU all WNL. O has no other concerns.

CLINICAL EXAM:
Demeanor: BAR
Ears: NAD
Eyes: NAD
Nose: NAD
Oral cavity: mm- pink & moist. Teeth are good
Lymph Nodes: NAD
Cardio-respiratory: HR=120 BPM, no murmur, heart sounds regular, lungs clear
Abdomen: NAD - No palpable abnormalities or pain.
Skin: NAD
Musculoskeletal: normal gait
BCS: 5/9
Temp: 38.0

ASSESSMENT:
Fit to vax

Gave Nbv BB/pi inj sc in scruff
Batch: 2429206. Exp-6-2026

Next C5 due in 12 months


Previous claim history (5)

DateClaim #Diagnosis
2025-02-12C8321223EAR INFECTION
2025-02-07C8300300EAR INFECTION
2025-02-03C8279828EAR INFECTION
2025-01-28C8259492EAR INFECTION
2024-11-29C8259479EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation119.502026-02-18
20000tstarc_ear_cleaner46.202026-02-18
30000tstarc_diagnostic_test_-_cytology65.002026-02-18
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal63.132026-02-18

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.920
Threshold: 0.07
Above:
Correct?