C09992468 / invoice 10000
Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):6
Diagnosis or signs:Ear Infection
Consult notes
05/03/2026 Subjective/ Reason: ears Objective: R looks a bit inflamed since start of the week Shaking head O does use flam/dex drops Doing well since TPLO 8 months ago, no limping EDDU normal No vomiting R ear nice and clear externally L ear mucky and mildly inflamed Cytology > R clear, L 5 yeast/hpf Grade 1 murmur auscultated (has been auscultated once in the past), difficult to hear over breathing/panting though RHL all good, stifle comfortable Assessment: Otitis externa L ear Plan/ Treatment: Surolan 0.5ml BID R ear for 2 wks then recheck Needs more flam/dex, dispensed and can do this in L ear for time being Discussed will need to change this in future to keto/dex with atara as flamazine discontinued
Animal clinical history (3 most recent)
2026-03-05T00:00:00Z 16:57:40
Subjective/ Reason: ears Objective: R looks a bit inflamed since start of the week Shaking head O does use flam/dex drops Doing well since TPLO 8 months ago, no limping EDDU normal No vomiting R ear nice and clear externally L ear mucky and mildly inflamed Cytology > R clear, L 5 yeast/hpf Grade 1 murmur auscultated (has been auscultated once in the past), difficult to hear over breathing/panting though RHL all good, stifle comfortable Assessment: Otitis externa L ear Plan/ Treatment: Surolan 0.5ml BID R ear for 2 wks then recheck Needs more flam/dex, dispensed and can do this in L ear for time being Discussed will need to change this in future to keto/dex with atara as flamazine discontinued
2025-09-10T00:00:00Z 09:36:52
Came in with possible tick UTD bravecto Has been slightly off today Tick like lump on RHS flank. Clipped around area to better visualise. Attempted removal with tick twisters but very attached to skin, very sore to twist around Can see skin attachment underneath bump >> likely skin tag Wiped with betadine and applied neocort O to monitor and let us know if any further concerns Did not want full consult today
2025-07-15T00:00:00Z 09:30:21
follow up: sedation and rads - sent text see comms "Hi Amy, thanks for checking in. He's going well - a little sleepy yesterday but we went for a short walk this morning and he was in good spirits. Thanks again!" AP
Previous claim history (18)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2024-05-22 | C7260556 | EAR INFECTION |
| 2024-04-20 | C7155875 | EAR INFECTION |
| 2024-04-20 | C7161630 | EAR INFECTION |
| 2024-02-12 | C6872167 | Cruciate Disease - Left Leg |
| 2024-02-09 | C6860164 | Cruciate Disease - Left Leg |
| 2023-03-27 | C5731682 | CYST |
| 2022-03-30 | C4619967 | ALLERGY |
| 2022-03-30 | C4619967 | EAR INFECTION |
| 2022-02-03 | C4466795 | EAR INFECTION |
| 2021-07-27 | C3937147 | EAR INFECTION |
| 2021-07-13 | C3898874 | EAR (AURAL) INFECTION |
| 2021-04-21 | C3685698 | ALLERGY |
| 2021-03-13 | C3589721 | ALLERGY |
| 2021-02-09 | C3508948 | OTITIS EXTERNA |
| 2020-12-12 | C3379650 | EYE CONDITIONS |
| 2020-08-17 | C3100033 | OTITIS EXTERNA |
| 2020-05-18 | C2911694 | HEALTH CHECK |
| 2020-05-18 | C2911694 | FLEA/TICK/WORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 115.00 | 2026-03-05 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 63.00 | 2026-03-05 | — |
| 30000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 64.64 | 2026-03-05 | — |
| 40000 | tstarc_skin_medication_-_topical_antibiotics | 94.00 | 2026-03-05 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.850
Threshold: 0.07
Above: ✓
Correct?