C10012840 / invoice 10000

Species:CANINE
Breed:Australian Heeler
Age (years):7
Diagnosis or signs:consult, cytology and medication
Consult notes
06/03/2026 R/V ears 

o thought was going well then started up again a couple for weeks ago 
o cannot medicate ears 
otherwise seems ok 
sleeping well 
limited scratching / head shaking 

CE: 
muzzled for exam 
erythema of bilateral pinnae and yellow foul smelly waxy Dx 
bilateral OE , stenotic ear canals - could not examine with otoscope - reactive 
cytology: Left and right ear significant growth of cocci and rods! > 50 / hpf 
remainder of exam limited 

A/ un resolved OE - bacterial 

Plan :
rec GA / Ear flush + C &S --> sent estimate via email 
tgh with course of prednisolone to open up canals prior to flush - ideally GA / flush down towards end of steroid course 
cleaned in consult with otolfush 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 18:32:56
R/V ears 

o thought was going well then started up again a couple for weeks ago 
o cannot medicate ears 
otherwise seems ok 
sleeping well 
limited scratching / head shaking 

CE: 
muzzled for exam 
erythema of bilateral pinnae and yellow foul smelly waxy Dx 
bilateral OE , stenotic ear canals - could not examine with otoscope - reactive 
cytology: Left and right ear significant growth of cocci and rods! > 50 / hpf 
remainder of exam limited 

A/ un resolved OE - bacterial 

Plan :
rec GA / Ear flush + C &S --> sent estimate via email 
tgh with course of prednisolone to open up canals prior to flush - ideally GA / flush down towards end of steroid course 
cleaned in consult with otolfush 

Previous claim history (15)

DateClaim #Diagnosis
2026-02-06C09865492OTITIS EXTERNA
2026-02-06C09865492HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2026-02-03C09865504EAR INFECTION
2024-06-28C7403010EAR INFECTION
2024-03-28C7052642EAR INFECTION
2024-03-14C6993758EAR (AURAL) INFECTION
2023-08-30C6262016HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2023-08-11C6193457HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2022-03-30C4774176COUNCIL REGISTRATION FEES
2021-09-02C4040529COUNCIL REGISTRATION FEES
2020-08-22C3111622DESEXING
2020-07-16C3034366INTOXICATION (POISONING)/TOXIN EXPOSURE - PRESENTING COMPLAINT
2020-01-10C2663390VACCINATIONS OR HEALTH CHECKS
2019-10-07C2480221VACCINATIONS OR HEALTH CHECKS
2019-09-23C2480211FRACTURE OF THORACIC LIMB - HUMERUS, LATERAL CONDYLE

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_corticosteroids20.452026-03-06
20000tstarc_consultation-revisit114.002026-03-06
30000tstarc_diagnostic_test_-_cytology48.402026-03-06

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

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