C10008324 / invoice 10000
Species:CANINE
Breed:Beagle Cross
Age (years):7
Diagnosis or signs:Consultation
Consult notes
<html><meta http-equiv="Content-Type" content="text/html; charset=utf-8"><div> <div> <div> <div> <p><span style="font-weight: bold;">History</span>:<br>Had R sided OE in Jan - cleared up with Surolan and pred <br>O thought that he was never 100% back to normal happy self, seemed to have aged a bit, a little slower and not as bright <br>Still bright at the park, happy to go for a walk <br>Will try and avoid water, however, likes to collect rocks from bottom of the creek. <br><br>EDDU normal, no V+ or D+<br><br>Scratching R ear and head shaking slightly <br><br><span style="font-weight: bold;">Exam</span>:<br>BAR - lovely boy, loves treats<br>External ear canal looks brilliant, no erythema or discharge. <br>Otoscopic exam: Ear canal looks brilliant, very minor amount of discharge. Did not visualise TM, but just due to wiggly dog. No erythema or swelling<br>Cytology: R yeast ++, no cocci, no inflammatory cells. L ear: Nil, unremarkable <br><br><br><span style="font-weight: bold;">Diagnosis</span>:<br>R sided OE<br><br><br><span style="font-weight: bold;">Treatment</span>:<br>Surolan BID 0.5ml into Right ear<br><br></p> </div> </div> </div> </div></html>
Animal clinical history (3 most recent)
2026-01-27T00:00:00Z 08:59:00
History:Right sided OE diagnosed on 16/01 - treated with Surolan BID and a tapering course of prednisolone (0.5mg/kg SID for 1 week and then 0.25mg/kg SID for 1 week)Overall seems better but not 100% BAR most of the time, however, ear sitting a little lower momentarilyStill scratching his ear slightly EDDU normal - no concerns Exam:BAR - lovely boy, loves treatsExternal ear canal looks brilliant, no erythema or discharge. Otoscopic exam: Ear canal looks brilliant, very minor amount of discharge. Visualised TM. No erythema or swellingCytology: No yeast or cocci presentDiagnosis:Completely resolved R sided OE Treatment:Finish tapering pred course, down to 0.125mg/kg (1/2 a tablet) tomorrow and Thursday and then stop Plan:Monitor weight loss Advised needs approx 1000 - 1100 calories per day
2026-01-21T00:00:00Z 14:54:00
History:Right-sided otitis externa (yeast and cocci) diagnosed Friday 16/01 (5 days ago); Surolan initiated at that time. Over the weekend, patient appeared painful and quieter than normal. Owners administered approximately 15 mg/kg paracetamol, with mild improvement only. Prednisolone commenced Monday; minimal response initially, with noticeable improvement today (Wednesday). EDDU remains normal. Bright and active on walks, though slightly quieter than baseline.Exam:BAR! Loves treats External ear canal: Generally healthy appearance with mild erythema; small amount of debris present, likely dislodged from deeper canal.Otoscopic examination: Improved appearance of ear canal with reduced debris; tympanic membrane not visualised (due to wiggly nature of dog, did not see deep enough in ear canal to accurately assess) R ear Cytology: Yeast ++, No cocci observed.Diagnosis: Resolving right-sided otitis externa.Treatment:Continue Surolan and continue prednisolone course (Extended pred course to 1 week @0.5mg/kg then 1 week at 0.25mg/kg)Plan: Re-check Tuesday to ensure OE has cleared completely after finishing surolan
2026-01-19T00:00:00Z 12:40:00
Owner called and said that Buddy seems uncomfortable with 250mg of Paracetamol BID (=14mg/kg). Going well with ear meds. Dispensed a short tapering course of pred (0.5mg/kg SID for 4 days, then 0.25mg/kg SID for 4 days) then re-visit
Previous claim history (10)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-01-27 | C09809998 | OTITIS EXTERNA |
| 2026-01-21 | C09790649 | EAR INFECTION |
| 2026-01-21 | C09805809 | EAR INFECTION |
| 2026-01-16 | C09770074 | EAR INFECTION |
| 2026-01-16 | C09805799 | EAR INFECTION |
| 2025-12-29 | C09879064 | TRACHEITIS |
| 2024-12-17 | C09805792 | HEALTH CHECK |
| 2024-12-17 | C8084908 | EAR INFECTION |
| 2024-12-17 | C8084908 | FLEA/TICK/WORM CONTROL |
| 2024-12-17 | C8084908 | HEARTWORM CONTROL |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_consultation | 109.00 | 2026-03-10 | — |
| 20000 | tstarc_ear_medication_-_antibacterial_and_anti-fungal | 61.94 | 2026-03-10 | — |
UPM+
- DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa
Variant (sleepy_king)
OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.980
Threshold: 0.07
Above: ✓
Correct?