C09988079 / invoice 10000

Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):10
Diagnosis or signs:Revisit
Consult notes
04/03/2026 REASON- Follow up ears

HISTORY-
Rescheduled from last week - last day or two been head shaking again but was fine before this. Today had a v+ and some D+ may have eaten something, ate and kept it down this afternoon. 
Diet: lyka, not a fan like she used to be, allergic to chicken
Medications: none

EXAM-
Demeanour: BAR
BCS  3/5
HR:  128bpm
RR:   pant
T:    38.3
CRT: 1sec    
MM: pink & moist
CHEST: NAD
EYES: NAD
EARS: clean, L ear pink, minimal discharge - CYTOLOGY: 1-4 yeasts per HPF both ears and scant neutrophils, better than they have been prev. 
NOSE: NAD
ORAL EXAM:  0/4 
SKIN:  NAD
ABDOMINAL PALPATION: NAD, non painful, slightly gurgly
MUSCULOSKELETAL SYSTEM: NE normal gait

ASSESSMENT:
Improvement with meds, ok to go onto elocon lotion

Tx:
Ears cleaned otoflush+ 1ml elocon once a week both ears - script on file for long term use

PLAN:
Recheck INB otherwise every 6mths for script update
Recheck sooner if ongoing V+ or D+

Animal clinical history (3 most recent)

2026-03-04T00:00:00Z 17:14:06
REASON- Follow up ears

HISTORY-
Rescheduled from last week - last day or two been head shaking again but was fine before this. Today had a v+ and some D+ may have eaten something, ate and kept it down this afternoon. 
Diet: lyka, not a fan like she used to be, allergic to chicken
Medications: none

EXAM-
Demeanour: BAR
BCS  3/5
HR:  128bpm
RR:   pant
T:    38.3
CRT: 1sec    
MM: pink & moist
CHEST: NAD
EYES: NAD
EARS: clean, L ear pink, minimal discharge - CYTOLOGY: 1-4 yeasts per HPF both ears and scant neutrophils, better than they have been prev. 
NOSE: NAD
ORAL EXAM:  0/4 
SKIN:  NAD
ABDOMINAL PALPATION: NAD, non painful, slightly gurgly
MUSCULOSKELETAL SYSTEM: NE normal gait

ASSESSMENT:
Improvement with meds, ok to go onto elocon lotion

Tx:
Ears cleaned otoflush+ 1ml elocon once a week both ears - script on file for long term use

PLAN:
Recheck INB otherwise every 6mths for script update
Recheck sooner if ongoing V+ or D+
2026-02-21T00:00:00Z 09:08:59
doing really well, bit wobbly and sleepy last night. edud normally. no concerns hk. 

Previous claim history (14)

DateClaim #Diagnosis
2026-02-20C09932884EAR INFECTION
2026-02-10C09881671OTITIS EXTERNA
2026-01-13C09751062OTITIS EXTERNA
2025-12-09C09604525EAR INFECTION
2017-12-18C1451686OTITIS EXTERNA
2017-12-18C1451686HEARTWORM TEST OR BLOOD SCREEN
2017-10-25C1380042ALLERGIC REACTION
2017-10-06C1356996ALLERGY
2017-08-18C1324509OTITIS EXTERNA
2016-11-21C0997672INGEST FOREIGN OBJECT
2016-07-22C0997744VOMITION
2016-06-21C0997732OTITIS EXTERNA
2016-06-07C0997739OTITIS EXTERNA : BIL
2016-04-11C0807559INGEST FOREIGN OBJECT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit66.002026-03-04
20000tstarc_diagnostic_test_-_cytology49.452026-03-04
30000tstarc_skin_medication_-_topical_anti-inflammatory59.742026-03-04
40000tstarc_ear_cleaner34.652026-03-04

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.930
Threshold: 0.07
Above:
Correct?