C10007949 / invoice 10000

Species:CANINE
Breed:Cocker Spaniel
Age (years):2
Diagnosis or signs:see notes
Consult notes
10/03/2026 HISTORY:
Presented for: ear recheck 
Not scratching or shaking much 
EDDU normal
Diet: RC medium breed 
No VDCS 

EXAM
HR
RR
Temp
Abdomen
MM
ASSESSMENT
PLAN
COMMUNICATION

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 10:49:54
HISTORY:
Presented for: ear recheck 
Not scratching or shaking much 
EDDU normal
Diet: RC medium breed 
No VDCS 

EXAM
HR
RR
Temp
Abdomen
MM
ASSESSMENT
PLAN
COMMUNICATION
2026-03-02T00:00:00Z 10:21:06
SUBJECTIVE:scratching at R ear - ear infection late last year

DDUE all ok
o.s have had a small amount of difficulty getting medications in 
UTD with flea prevention , simparica trio
meds 

pred 10mg SID x 5dd then EOD - finished today
dermotic 1ml BID both ears, o.s have had a little bit of a struggle 

bathed a few days ago

OBJECTIVE:B+A

L ear - cytology +++yeast , very active budding yeast
R ear , + yeast- 

ASSESSMENT:Bilateral OE, yeast
shaking less but yeast otitis still very evident 

MEDICATION 
BNT bilaterally, repeat in 1 week after resmear

PLAN:
dermotic 1ml BID both ears
Recheck 7 days - discuss maintenance (apoquel? and ear cleaning after bathing)
2026-02-18T00:00:00Z 10:32:27
SUBJECTIVE:scratching at R ear - ear infection late last year

OBJECTIVE:B+A
L ear - + waxy d/c, mild erythema, cyotl ++ yeast
R ear ++ waxy d/c, moderate erythema, +++ yeast

ASSESSMENT:Bilateral OE, yeast

PLAN:pred 10mg SID x 5dd then EOD
dermotic 1ml BID both ears
Recheck 10 days - discuss maintenance

Previous claim history (8)

DateClaim #Diagnosis
2026-03-02C09971657OTITIS EXTERNA
2026-02-18C09918748FOREIGN BODY, GRASS SEED
2025-12-29C09682331FOREIGN BODY, GRASS SEED
2025-12-17C09639903OTITIS EXTERNA
2025-12-04C09640035OTITIS EXTERNA
2025-11-14C9488841OTITIS EXTERNA
2025-04-07C8877763DESEXING
2024-12-12C8067675INTOXICATION (POISONING), DRUG - ACCIDENTAL NON-THERAPEUTIC DRUG OVERDOSE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit90.002026-03-10
20000tstarc_diagnostic_test_-_cytology40.002026-03-10
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal48.922026-03-10

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.910
Threshold: 0.07
Above:
Correct?