C10011759 / invoice 10000

Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):3
Diagnosis or signs:Recheck Ears
Consult notes
10/03/2026 Ears still bothering Winnie. 
Currently using dermotic and canesten/ cortavance solution daily. 

Both ears very moist, ++hair and d/b exudate in ears. 
Really don't think it is going to be able to clear up until remove hair and debris from canals. 
Admit to sedate, pluck hair, clean, rpt cytology. 
Likely treat with long-acting gel and oral rped to try and help canals dry out. 

Sedated with 0.2 mls dom , 0.2 mls torb IV
adequate sedation
sample taken from both ears
Yeasts +++++++++ 
large amount mattered hair in both ears 
Pucked the ears clumps of hair / wax

Otic examination tympanum intact bilaterally 
ears moderately inflamed

Flushed ears with saline until clean

Placed osurina bilaterally need to repeat in 7 days  already paid for 

Start pred reducing dose 10 mg oid 7 days 7 mg oid 7 days 5 mg ald 14 days 

Dog also has dermatitis around the mouth
The hair is long and actually getting into the oral cavity  

Clipped away excess hair

Recc groomer keeps short 

clipped nails 

Animal clinical history (3 most recent)

2026-03-10T00:00:00Z 15:38:14
Ears still bothering Winnie. 
Currently using dermotic and canesten/ cortavance solution daily. 

Both ears very moist, ++hair and d/b exudate in ears. 
Really don't think it is going to be able to clear up until remove hair and debris from canals. 
Admit to sedate, pluck hair, clean, rpt cytology. 
Likely treat with long-acting gel and oral rped to try and help canals dry out. 

Sedated with 0.2 mls dom , 0.2 mls torb IV
adequate sedation
sample taken from both ears
Yeasts +++++++++ 
large amount mattered hair in both ears 
Pucked the ears clumps of hair / wax

Otic examination tympanum intact bilaterally 
ears moderately inflamed

Flushed ears with saline until clean

Placed osurina bilaterally need to repeat in 7 days  already paid for 

Start pred reducing dose 10 mg oid 7 days 7 mg oid 7 days 5 mg ald 14 days 

Dog also has dermatitis around the mouth
The hair is long and actually getting into the oral cavity  

Clipped away excess hair

Recc groomer keeps short 

clipped nails 

Previous claim history (16)

DateClaim #Diagnosis
2026-02-13C09909472OTITIS EXTERNA
2025-08-28C9153071EAR INFECTION
2025-08-04C9048645EAR INFECTION
2025-07-17C8974417OTITIS EXTERNA
2025-06-30C8902443HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2025-06-30C8902443EAR INFECTION
2025-04-23C8618393EAR INFECTION
2025-04-10C8571679EAR INFECTION
2025-02-05C8289908OTITIS EXTERNA
2024-06-25C7392036ALLERGY
2024-06-25C7392036EAR INFECTION
2024-02-06C6847432EAR INFECTION
2023-07-25C6134739OTITIS EXTERNA
2023-07-25C6134739PODODERMATITIS
2023-07-11C6084474EAR INFECTION
2023-06-20C6061379EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_procedure_fee_-_ear_flush120.252026-03-10
20000tstarc_consultation-revisit90.002026-03-10
30000tstarc_diagnostic_test_-_cytology57.362026-03-10
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal221.482026-03-10
50000tstarc_sedation_for_procedure214.292026-03-10
60000tstarc_hospitalisation59.592026-03-10
70000tstarc_corticosteroids37.502026-03-10

UPM+

  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.930
Threshold: 0.07
Above:
Correct?