C09990752 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):6
Diagnosis or signs:Scratching Ears
Consult notes
27/02/2026 L ear flaring
known allergies but unsure atopy +/- food allergies
PE: L ear scoped TM intact ear canal mod discharge and erythema
cytology malassezia ~50-100/HPF, cocci bacteria 2+
R ear nad

A: OE L ear

PLAN
Home easotic sid for 7d
RC in 7-10d if clear reswab nad then have discussed if FO keen can trial dog on elocon lotion for ears as maintenance 
initially 0.2mLs both ears eod for 2 weeks then reduce to 2x/week ongoing maintence and weekly otoflush worth trying as OE recurs very often
FO has been very busy so has not had chance to take dog to dermatologist to manage allergies yet

Animal clinical history (3 most recent)

2026-02-27T00:00:00Z 17:14:00
L ear flaring
known allergies but unsure atopy +/- food allergies
PE: L ear scoped TM intact ear canal mod discharge and erythema
cytology malassezia ~50-100/HPF, cocci bacteria 2+
R ear nad

A: OE L ear

PLAN
Home easotic sid for 7d
RC in 7-10d if clear reswab nad then have discussed if FO keen can trial dog on elocon lotion for ears as maintenance 
initially 0.2mLs both ears eod for 2 weeks then reduce to 2x/week ongoing maintence and weekly otoflush worth trying as OE recurs very often
FO has been very busy so has not had chance to take dog to dermatologist to manage allergies yet
2026-01-09T00:00:00Z 14:38:26
Hx emailed to dermnurses@adcmg.com.
2026-01-09T00:00:00Z 14:32:00
online referral form done to Animal Dermatology Murdoch

Previous claim history (7)

DateClaim #Diagnosis
2026-01-03C09704804FAECAL APPEARANCE ABNORMAL - HAEMATOCHEZIA - PRESENTING COMPLAINT
2026-01-02C09702855HYPERSENSITIVITY DISORDER (ALLERGY)
2025-12-29C09683884VOMITING - OTHER - PRESENTING COMPLAINT
2025-11-11C9477624HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-12-02C8019318VACCINATIONS OR HEALTH CHECKS
2024-10-10C7807139HOT SPOT
2024-10-06C7797343HOT SPOT

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation110.202026-02-27
20000tstarc_diagnostic_test_-_cytology60.502026-02-27
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal105.502026-02-27

UPM+

  • DG02339HYPERSENSITIVITY DISORDER (ALLERGY)DSTP_skin_-_allergic_disorder

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.610
Threshold: 0.07
Above:
Correct?
Acceptable?
Reason (acceptable)
Diagnosis description