C09994067 / invoice 10000

Species:CANINE
Breed:Cavalier King Charles Spaniel
Age (years):5
Diagnosis or signs:Ears Recheck
Consult notes
06/03/2026 Ears

H:
Trying to scratch and rub his head a lot. 

E: 
Both ears look good on external pinna. Clean, chunks of EKD poloxamer dried.
L ear: canal clean, TM intact, TM has blood vessels over the surface of it. CYTOLOGY: NSF 
R ear: clean, TM intact. CYTOLOGY: NSF 

A:
Otitis externa resolved microscopically 
inflammation still present 

P:
Offered options
1: specialist referral
2: trial elocon again 

Start elocon into both ears weekly
Reassess at consult next week. If not improving, consider specialist referral. 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 09:31:15
Ears

H:
Trying to scratch and rub his head a lot. 

E: 
Both ears look good on external pinna. Clean, chunks of EKD poloxamer dried.
L ear: canal clean, TM intact, TM has blood vessels over the surface of it. CYTOLOGY: NSF 
R ear: clean, TM intact. CYTOLOGY: NSF 

A:
Otitis externa resolved microscopically 
inflammation still present 

P:
Offered options
1: specialist referral
2: trial elocon again 

Start elocon into both ears weekly
Reassess at consult next week. If not improving, consider specialist referral. 
2026-02-27T00:00:00Z 09:44:41
EKD Poloxamer dosing

going well 
o thinks ears a looking a little better
quick peek down the ears- R ear good, TM intact, clean.  L ear TM has blood vessels over it, intact, canal slightly red, but clean.

EKD poloxamer 2.5ml into each ear
cytology next week

Previous claim history (25)

DateClaim #Diagnosis
2026-02-19C09924231OTITIS EXTERNA
2026-02-13C09896865Cruciate Disease - Left Leg
2026-02-13C09896865PATELLA LUXATION
2026-02-04C09849324OTITIS EXTERNA
2026-01-23C09799296EAR INFECTION
2026-01-23C09799296PATELLA LUXATION
2026-01-23C09799296Cruciate Disease - Left Leg
2026-01-02C09698086Cruciate Disease - Left Leg
2026-01-02C09698086PATELLA LUXATION
2025-12-12C09615454Cruciate Disease - Left Leg
2025-12-12C09615454PATELLA LUXATION
2024-08-19C7600462PATELLA LUXATION
2024-07-05C7433476PATELLA LUXATION
2024-06-27C7398616Cruciate Disease - Left Leg
2024-06-27C7398616PAIN - SPINAL - PRESENTING COMPLAINT
2024-06-14C7373336GAIT ABNORMALITY - OTHER - PRESENTING COMPLAINT
2024-03-18C7054643VACCINATIONS OR HEALTH CHECKS
2024-03-18C7054643HEARTWORM CONTROL
2024-03-18C7054643EAR INFECTION
2024-03-18C7054643PRESCRIPTION DIETS
2023-03-15C5690977VACCINATIONS OR HEALTH CHECKS
2023-03-15C5690977HEARTWORM CONTROL
2023-03-15C5690977EAR INFECTION
2022-12-21C5501423GASTROINTESTINAL PROBLEMS
2022-12-21C5501423PRESCRIPTION DIETS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit87.002026-03-06
20000tstarc_diagnostic_test_-_cytology50.002026-03-06

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.990
Threshold: 0.07
Above:
Correct?