C10008600 / invoice 10000

Species:CANINE
Breed:Cocker Spaniel
Age (years):1
Diagnosis or signs:Ear (aural) infection
Consult notes
20/02/2026 Presented for -  check ears
on and off minor ear issues for months
o uses an ear cleaner

Current medications:
Parasite control: 

Mentation: bright, alert
EDUF:  nad
Diet: lykka
MM:  pink
CRT:  imm
DS: 0/4 all adult teeth
Skin tent:  nad
LN:  nad
Ears:  bialteral mild otitis with intact TM.  Left > right
Eyes:  nad
Thyroid: 
HR:  120
Chest Auscultation:  nad
Abdo Palpation: soft, relaxed
BCS: 5/9
Temp:  not assessed
Rectal Exam:   anal glands full
Skin:  nad
Joints/Gait: nad
Urogenital:  left testicle in scrotum, right is very small and just palpable near inguinal canal
Vaccination status: current
 
Problem list: otitis
DDx: ?underlying allergy

Treatment in clinic:

Plan: 5 days easotic, then recheck 5 days later
will probably need elocon maintenance
will also try removing chicken from diet

Communication:

20/02/2026 AG: both sides very full, thick brown and a little difficult to express. JG and CM

06/03/2026 medicating easily
ears seem a bit better

both ears look great externally but still have moderate brownish discharge.  TM's intact

plan; change from easotic to weekly otoflush + twice weekly elocon lotion

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 17:55:35
medicating easily
ears seem a bit better

both ears look great externally but still have moderate brownish discharge.  TM's intact

plan; change from easotic to weekly otoflush + twice weekly elocon lotion
2026-02-20T00:00:00Z 18:24:37
AG: both sides very full, thick brown and a little difficult to express. JG and CM
2026-02-20T00:00:00Z 18:18:55
Presented for -  check ears
on and off minor ear issues for months
o uses an ear cleaner

Current medications:
Parasite control: 

Mentation: bright, alert
EDUF:  nad
Diet: lykka
MM:  pink
CRT:  imm
DS: 0/4 all adult teeth
Skin tent:  nad
LN:  nad
Ears:  bialteral mild otitis with intact TM.  Left > right
Eyes:  nad
Thyroid: 
HR:  120
Chest Auscultation:  nad
Abdo Palpation: soft, relaxed
BCS: 5/9
Temp:  not assessed
Rectal Exam:   anal glands full
Skin:  nad
Joints/Gait: nad
Urogenital:  left testicle in scrotum, right is very small and just palpable near inguinal canal
Vaccination status: current
 
Problem list: otitis
DDx: ?underlying allergy

Treatment in clinic:

Plan: 5 days easotic, then recheck 5 days later
will probably need elocon maintenance
will also try removing chicken from diet

Communication:

Previous claim history (2)

DateClaim #Diagnosis
2025-11-08C9476352VACCINATIONS OR HEALTH CHECKS
2025-11-08C9476352AURAL DEBRIS/EXUDATE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation108.002026-02-20
20000tstarc_ear_medication_-_antibacterial_and_anti-fungal84.872026-02-20

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.940
Threshold: 0.07
Above:
Correct?