C09993796 / invoice 10000
Species:CANINE
Breed:Cocker Spaniel
Age (years):2
Diagnosis or signs:See notes
Consult notes
Needs a check on the ears Signs - Scratching / pawing ears+++ Head shaking ++ Tilting of head none Whimpering / sensitive+++ Ear Canal very inflammed and sore DIET EDDU V/D Previous instances Other allergies Ear swabs Discharge - LEFT - gunky RIGHT Cytology LEFT EAR YEAST nil COCCCI +++ RODS nil RIGHT EAR YEAST lone yeast nonbudding COCCCI + RODS nil LNs TREATMENT 1. Ear Cleaning - Instil - 1 ml in each ear, massage and wipe clean after 3-5 minutes repeat every 4 days for 2 weeks and then once a week 2. Instil drops â ml down each ear two times daily, massage well. Repeat for 2 weeks 3. Pred 5 mg x 20 tapering doses 4. Wipe clean any water in ears 5. Recheck after 15 days Verified: NO HISTORY Presenting for: Patient presented for bilateral ear infection requiring ongoing treatment and medication management. EXAM Ears: Bilateral ear infection present requiring topical medication and regular cleaning ASSESSMENT Bilateral otitis externa - ongoing treatment required PLAN New Meds/Tx: - Topical ear medication BID for 2 wks to left ear - Topical ear paste to right ear Additional Discussion: - Ear cleaning every 3 days as part of treatment protocol
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 09:15:00
Needs a check on the ears Signs - Scratching / pawing ears+++ Head shaking ++ Tilting of head none Whimpering / sensitive+++ Ear Canal very inflammed and sore DIET EDDU V/D Previous instances Other allergies Ear swabs Discharge - LEFT - gunky RIGHT Cytology LEFT EAR YEAST nil COCCCI +++ RODS nil RIGHT EAR YEAST lone yeast nonbudding COCCCI + RODS nil LNs TREATMENT 1. Ear Cleaning - Instil - 1 ml in each ear, massage and wipe clean after 3-5 minutes repeat every 4 days for 2 weeks and then once a week 2. Instil drops â ml down each ear two times daily, massage well. Repeat for 2 weeks 3. Pred 5 mg x 20 tapering doses 4. Wipe clean any water in ears 5. Recheck after 15 days Verified: NO HISTORY Presenting for: Patient presented for bilateral ear infection requiring ongoing treatment and medication management. EXAM Ears: Bilateral ear infection present requiring topical medication and regular cleaning ASSESSMENT Bilateral otitis externa - ongoing treatment required PLAN New Meds/Tx: - Topical ear medication BID for 2 wks to left ear - Topical ear paste to right ear Additional Discussion: - Ear cleaning every 3 days as part of treatment protocol
Previous claim history (5)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2025-09-30 | C9293680 | VOMITION & DIARRHOEA |
| 2025-06-14 | C8841876 | INFECTION |
| 2025-05-15 | C8712981 | VOMITION & DIARRHOEA |
| 2025-01-20 | C8221322 | DIARRHOEA - PRESUMED SELF-LIMITING |
| 2024-11-14 | C7955253 | VACCINATIONS OR HEALTH CHECKS |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 90.00 | 2026-03-06 | — |
| 20000 | tstarc_diagnostic_test_-_cytology | 48.40 | 2026-03-06 | — |
| 30000 | tstarc_corticosteroids | 13.00 | 2026-03-06 | — |
| 40000 | tstarc_ear_cleaner | 30.00 | 2026-03-06 | — |
| 50000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 56.00 | 2026-03-06 | — |
UPM+
- DG01185OTITIS EXTERNADSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.930
Threshold: 0.07
Above: ✓
Correct?