C10020041 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):2
Diagnosis or signs:Consultation
Consult notes
11/03/2026 SUBJECTIVE:presented by Brenda
Has been going well, but started scratching at R ear again. 

OBJECTIVE:
BAR
Both ears - canals much more open, small amount dark waxy discharge remains. TM intact bilaterally. Occasional yeast on swab R ear, L ear nad. 

ASSESSMENT:
Mild otititis with secondary yeast 

PLAN: Otoflush applied to both ears in consult and trial elocon 0.5mL to each ear weekly - Brenda feels she will be able to do this - then review 2 weeks to assess response
If  no improvement may need to consider repeat osurnia. 

Animal clinical history (3 most recent)

2026-03-11T00:00:00Z 15:31:48
SUBJECTIVE:presented by Brenda
Has been going well, but started scratching at R ear again. 

OBJECTIVE:
BAR
Both ears - canals much more open, small amount dark waxy discharge remains. TM intact bilaterally. Occasional yeast on swab R ear, L ear nad. 

ASSESSMENT:
Mild otititis with secondary yeast 

PLAN: Otoflush applied to both ears in consult and trial elocon 0.5mL to each ear weekly - Brenda feels she will be able to do this - then review 2 weeks to assess response
If  no improvement may need to consider repeat osurnia. 
2026-02-26T00:00:00Z 10:55:09
PROCEDURE: 10:40am: JG
: PB O' Brenda for Osurnia Rx application to both ears

PLAN:
: Rx: Applied topical Osurnia Rx to L & R ears
: O' has an appointment scheduled for ears re-exam and review with Dr AC in 2ww on 11 March

Previous claim history (14)

DateClaim #Diagnosis
2026-02-18C09958303OTITIS EXTERNA
2026-02-17C09958306VACCINATIONS OR HEALTH CHECKS
2026-02-17C09958306TEETH CLEANING
2025-03-03C8414651OTITIS
2025-02-17C8354596EAR INFECTION
2025-02-17C8354596VACCINATIONS OR HEALTH CHECKS
2025-02-17C8354596FLEA/TICK/WORM CONTROL
2025-02-12C8331599DESEXING
2025-02-12C8331599EAR INFECTION
2024-06-25C7447545FLEA/TICK/WORM CONTROL
2024-06-25C7447545VOMITION
2024-02-19C6907303VACCINATIONS
2024-02-19C6907303FLEA/TICK/WORM CONTROL
2024-02-19C6907303HEARTWORM CONTROL

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation-revisit94.502026-03-11
20000tstarc_diagnostic_test_-_cytology38.902026-03-11
30000tstarc_skin_medication_-_topical_anti-inflammatory75.442026-03-11

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.980
Threshold: 0.07
Above:
Correct?