C09996418 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):3
Diagnosis or signs:Unspecified
Consult notes
06/03/2026 Presented for ear recheck

HISTORY: Douglas well EDDU normal
Scratching ear again last night but hadn't for a few days
O seems to think Zenrelia is working but hates tableting Douglas
But generally doing better, not chewing feet, not scratching as much.
eddu all normal

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: nad
MM: pink and moist
Skin Tent: normal
Dental Score: 1-2
Abdomen: nad
Skin: no areas of irritation, scabbing/inflammation.
Eyes:nad
Ears: clear, not discharge
Temp: nt taken
Lymph Nodes:nad
MSK/Neuro:nad
Rectal: not performed

DIAGNOSTICS: Cytology - Left Ear: clear NAD
Right Ear: clear NAD

ASSESSMENT:  Going well on Zenrelia, but also did ok on cytpoint and hca combo, until just this episode.

PLAN: will continue with zenrelia, then trial off for a few days and see if still needs to continue.
Restart HCA in both ears.
Will have prescription for zenrelia on file, or cytopoint if o chooses.
Going to book in for dental, will need pvp and will organise when books.

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 14:35:57
Presented for ear recheck

HISTORY: Douglas well EDDU normal
Scratching ear again last night but hadn't for a few days
O seems to think Zenrelia is working but hates tableting Douglas
But generally doing better, not chewing feet, not scratching as much.
eddu all normal

PHYSICAL EXAM: 
Attitude: BAR
BCS: 3/5
Heart/lungs: nad
MM: pink and moist
Skin Tent: normal
Dental Score: 1-2
Abdomen: nad
Skin: no areas of irritation, scabbing/inflammation.
Eyes:nad
Ears: clear, not discharge
Temp: nt taken
Lymph Nodes:nad
MSK/Neuro:nad
Rectal: not performed

DIAGNOSTICS: Cytology - Left Ear: clear NAD
Right Ear: clear NAD

ASSESSMENT:  Going well on Zenrelia, but also did ok on cytpoint and hca combo, until just this episode.

PLAN: will continue with zenrelia, then trial off for a few days and see if still needs to continue.
Restart HCA in both ears.
Will have prescription for zenrelia on file, or cytopoint if o chooses.
Going to book in for dental, will need pvp and will organise when books.
2026-02-19T00:00:00Z 10:30:24
Called owner and dispensed the extra 16 tablets BP 19 February 2026 at 10:32:13 am AEDT

Previous claim history (21)

DateClaim #Diagnosis
2026-02-18C09923371OTITIS EXTERNA
2026-01-30C09828194HYPERSENSITIVITY DISORDER (ALLERGY)
2024-11-22C7980438HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-10-23C7856268EAR INFECTION
2024-10-08C7792712HYPERSENSITIVITY DISORDER (ALLERGY)
2024-10-08C7792712ANAL SAC DISORDER
2024-10-01C7769485HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-09-17C7713178HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-09-17C7713178ANAL IRRITATION - PRESENTING COMPLAINT
2024-09-03C7658474HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-06-08C7324729ANAL IRRITATION - PRESENTING COMPLAINT
2024-05-23C7264917EAR INFECTION
2024-05-10C7212805EAR INFECTION
2024-01-27C6805083OTITIS EXTERNA
2024-01-12C6746636OTITIS EXTERNA
2023-12-25C6682609INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
2023-07-28C6145229DESEXING
2023-07-27C6143292DESEXING
2023-07-14C6100072EAR INFECTION
2023-06-30C6050237EAR (AURAL) INFECTION - FUNGAL
2023-05-17C5901801VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit124.902026-03-06
20000tstarc_diagnostic_test_-_cytology99.502026-03-06
30000tstarc_food10.052026-03-06
upstreamDSTP_general_exclusion

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.890
Threshold: 0.07
Above:
Correct?