C10007087 / invoice 10000

Species:CANINE
Breed:Labradoodle
Age (years):1
Diagnosis or signs:Check Up
Consult notes
10/03/2026 Nurse:

Consult Reason: ear re check

History: L ear OE 2 weeks ago- yeast ++
No problems with ear meds
EDDU normal, going well, no more scratching

PE:
Demeanour- BAR
HR- 120, regular, no murmur
RR- panting, lung fields clear bilaterally
Temp - 38.7
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums; deciduous 504 604 canines
Dental Score - 0/4
Eyes/Ears- Clear/NAD; no discharge or erythema present
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation 
Urogenitals- NAD
Skin/Coat- Healthy skin and coat
MSK - NAD

Ear cytology: L and R NSF- no evidence of yeast or bacteria

Assessment: OE resolved. O to get in touch if any further ear scratching

Treatment: nil today

Plan: O to get in touch if further concerns

Animal clinical history (3 most recent)

2026-02-24T00:00:00Z 09:32:37
Nurse:

Consult Reason: itchy ears

History: Has been scratching al L ear last few days and O says there is muck down there
Otherwise well, EDDU normal

PE:
Demeanour- BAR, excited
HR- 100, regular, no murmur
RR- 24, lung fields clear bilaterally
Temp - 38.8
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums but deciduous 504, 604 present + adult canines- advised to monitor
Dental Score - 0/4
Eyes/Ears- eyes Clear/NAD; L ear mild brown discharge, TM intact; R ear NSF
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation 
Urogenitals- NAD
Skin/Coat- Healthy skin and coat
MSK - NAD

L ear yeast ++, R ear NSF

Assessment: OE

Treatment: easotic 1 pump L ear 5 days
metacam 7kg dose SID 7 days

Plan: re check 7 days
2025-12-02T00:00:00Z 15:26:18
History:
Going well 
No issues or concerns 
BAR, EDUD as normal 

Diet: puppy kibble, eureka air dried treats

Parasite Prevention:
Up to date with worming? Yes
If so with what product and when? yesterday, milbemax
Up to date with flea/tick prevention? No
If so with what product and when?

Worming Action Plan Score: Low (<4) / Intermediate (4-6) / High ( >6)
Worming Management Plan: 5

PE:
Demeanour- BAR, excited
HR- 100, regular, no murmur
RR- panting, lung fields clear bilaterally
Temp - 38.6
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums
Eyes/Ears- Clear/NAD
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation 
Urogenitals- NAD
Skin/Coat- Healthy skin and coat
MSK - NAD

Assessment:
Good clinical health and fit for vaccination
Discussed parasite control and worming guidelines, offered available products for flea/tick prevention of 3 monthly chews vs yearly injection

Treatment: DHP 2513403 exp 4/27, bb/pi 25233706 exp 4/27

Plan: DHP, bb/pi 12 months
2025-10-31T00:00:00Z 08:56:35
History:
Going well 
No issues or concerns 
BAR, EDUD as normal 
Did throw up in the car

Diet:

Parasite Prevention:
Up to date with worming? Yes/No
If so with what product and when?
Up to date with flea/tick prevention? Yes/No
If so with what product and when?

Worming Action Plan Score: Low (<4) / Intermediate (4-6) / High ( >6)
Worming Management Plan: 

PE:
Demeanour- BAR
HR- 160, regular, no murmur
RR- lung fields clear bilaterally
Temp - xx
MM/CRT- Pink, moist, <2sec
Mouth/Teeth- Healthy teeth and gums
Eyes/Ears- Clear/NAD
Nose/Throat- Clear/NAD
Abdomen- Soft and comfortable on palpation, healing spay wound looking normal
Urogenitals- NAD
Skin/Coat- Healthy skin and coat
MSK - NAD
BCS: 4/9

Assessment:
Good clinical health and fit for vaccination
Discussed parasite control and worming guidelines, offered available products for flea/tick prevention of 3 monthly chews vs yearly injection

Treatment:
Nobivac FLEX DHP
Batch: 2513403 - 04/2027
Nobivac Bb/Pi
Batch: 2523706 - 04/2027

Plan:
Booster in 1 month. 
For car sickness take on short drives to get used to motion, also offered medication if required.

Previous claim history (2)

DateClaim #Diagnosis
2026-02-24C09946089OTITIS EXTERNA
2025-10-31C9432660VACCINATIONS OR HEALTH CHECKS

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit83.002026-03-10
20000tstarc_diagnostic_test_-_cytology77.502026-03-10

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

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