C10000906 / invoice 10000

Species:CANINE
Breed:Golden Retriever
Age (years):4
Diagnosis or signs:sore ears
Consult notes
07/03/2026 swimming a lot lately
shaking head occaisonally
been using opti ear or some ear cleaner monthly - epiotic
used some this week and next day ear very red

mometasone ear cream not been doing lately

not had ear infection before

otherwise well

e/
BAR
L ear ~5 cocci and yeast/hpf
R ear ~20 mostly non-budding yeast/hpf

mouth nsf
rest of coat nsf

heart nsf


a/
OE both ears
suspect wetting rather than skin allergies

p/
Pred to settle irritation 2 days before start pmp
then PMP 7 days/
recommend r/v in ~11-12 days
continue epi-otic maintenance - BIW when swimming, otherwise SIW/EOW

Animal clinical history (3 most recent)

2024-05-18T00:00:00Z 11:46:50
Has been shaking head and ears slightly red
In with Otis who has a massive yeast infection unilaterally
Diff quick stain
Left ear:
0 Rods per high power field
0 Cocci per high power field
5 Yeast per high power field
Neutrophils not present
Right ear:
0 Rods per high power field
0 Cocci per high power field
5 Yeast per high power field
Neutrophils not present 

A: borderline otitis
P: manage with cleaning and topical mometasone weekly. Review in 4 weeks with Otis but maybe able to manage reducing to fortnightly after this
2024-02-23T00:00:00Z 11:22:05
Reason :Annual Health Check Team Consult
Nurse: jmac
Hx Concerns : 
Has white dots on the front of his muzzle - developed in the last week - O suspects Arnold has put his nose into a cactus at home - haven't changed in appearance since first noticed 
Recovered well from GA - back to normal activity and appetite the following day 

Worming product used and last given : utd 
Flea Treatment used and last given: frontline 
Heartworm Treatment used and last given : {__}
Current Diet given daily : Hills large breed dry
Current dental products used : odd bone
Any dental recommendations given : no
Dental Score :  1 /4
Body Condition Score:  3 /5

Vaccine given today - 
Batch number/exp - DHP 2334701 03-2025
Batch number/exp - KC    2313802 01-2026

Ex : 
1. Eyes : NAD 
2. Ears : NAD 
3. Mouth : pink, moist, CRT1.5s 
4. Heart : 120bpm, no murmur or arrhythmia 
5. Respiratory/Nasal : clear lung sounds and normal effort 
6: Abdomen : soft, comfortable 
7. Musculoskeletal : NAD 
8. Neuro : NAD 
9. Urogenital : castration site healed well 
10. Rectal/Anal glands: not examined  
11. Skin : NAD 
12. BT : not taken 
13: Behaviour issues: WNL
14: Lymph nodes: WNL

Assessment : 
Fit for vx today - C5 given 
2024-02-13T00:00:00Z 09:36:20
Post Op Follow Up Call
Eating :  Y
Drinking :  Y  
Defecating :  Y  
Urinating :  Y 
Pain level : Low 
Abnormalities ?{__}
Is the owner happy with progress ? : Y 
Is the owner able to medicate the patient as instructed?: Y / N
Is the patient being compliant with any dietary recommendations? Y / N
Has a revisit been booked? If not please make the booking today.
P : keep on existing plan  

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation130.002026-03-07
20000tstarc_corticosteroids15.532026-03-07
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal61.112026-03-07
40000tstarc_diagnostic_test_-_cytology70.402026-03-07

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.950
Threshold: 0.07
Above:
Correct?