C10024445 / invoice 20000

Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):1
Diagnosis or signs:Checkup | Checkup
Consult notes
16/01/2026 admit for OVH today. 

Consent form signed
Estimate discussed

PRE-OP BLOODS- wnl

ANAESTHESIA
Premed: ACP 0.13ml + Methadone 0.22ml IM
Induction: Alfaxan 1.5ml IV
Maint. Isoflurane/O2
Endo tube: 7.0mm cuffed
IVF: LRS 35ml/hr 

PROCEDURES
Routine OVH 
Ventral midline lignocaine block 0.6ml SQ
one Simple and one modified millers knot on L pedicle, only one modified millers on R as very tight/not able to exteriorize well using 3-0 monoq
modified millers and transfixed ligatures on uterine body using 3-0 monoq
cruciate sutures on linea alba using 3-0 monoq
Simple continuous suture on SQ using 3-0 monoq
Intradermal suture using 3-0 monoq

POST-OP
GA Recovery:
Meloxicam 0..3ml SQ, and PO tgh
e.collar/body suit at all times
POC photo in 3-5 days | 02/03/2026 SUBJECTIVE
Reason for visit/main concern: Scratching at L ear. 
EDUD normally, no CSV, normal level of energy. 
Current medication/supplements:
Current preventatives: NGS, due tapeworm
Current diet:

OBJECTIVE
BAR
mm pink and moist, CRT <2sec
Lymph nodes: normal submandibular, prescapular and popliteal
Cardiac auscultation: NAD, no murmur, no arrhythmia, strong synchronous pulse HR: 
Pulmonary auscultation: NAD, normal BV sounds, no resp effort RR: 
Eyes: NAD
Nose: NAD
Ears: LEFT ear discharge++, cannot see TM, not much inflammation. RIGHT ear minimal discharge, TM intact, no inflammation. Cytology: LEFT ear yeast 4+, RIGHT ear yeast +
Mouth: NAD
Dental Grade: 0/4- all adult dentition, no deciduous teeth left
Abdominal palpation: NAD, soft, comfortable
Skin: NAD
Neuro: NE, normal mentation
Myo-arthro-skeletal: 
Uro-genital: NE
Temperature: 
BCS: 5/9 

ANALYSIS
Bilateral OE

PLAN
Dermotic in both ears for 10 days. Rv in 12-14 days for rpt cytology.
Script for cerenia tabs for motion sickness.
Dental care plan: 
Next point of contact (recall/rv/reminder):
INI RV/after hours emergency centre



02/03/2026 emailed script to YPPA CR

Animal clinical history (3 most recent)

2026-01-20T00:00:00Z 11:42:28
Good morning Jess and team. 

I’m just emailing an updated image of Stella’s wound. We are on day 5 and it’s looking like the healing is going well. 

I was asked to email a pic for assessment to see if Stella needs to come back in for a check up. If someone could take a look and let me know that would be much appreciated. 

Many thanks,

Breeze

Adv healing well, keep cone on + clean/dry until 10 day mark.
2026-01-17T00:00:00Z 09:23:43
post op call: doing well, EDDU. Taking meds well. Can take cone off so owner going to try different collar TA 
2026-01-16T00:00:00Z 10:25:24
admit for OVH today. 

Consent form signed
Estimate discussed

PRE-OP BLOODS- wnl

ANAESTHESIA
Premed: ACP 0.13ml + Methadone 0.22ml IM
Induction: Alfaxan 1.5ml IV
Maint. Isoflurane/O2
Endo tube: 7.0mm cuffed
IVF: LRS 35ml/hr 

PROCEDURES
Routine OVH 
Ventral midline lignocaine block 0.6ml SQ
one Simple and one modified millers knot on L pedicle, only one modified millers on R as very tight/not able to exteriorize well using 3-0 monoq
modified millers and transfixed ligatures on uterine body using 3-0 monoq
cruciate sutures on linea alba using 3-0 monoq
Simple continuous suture on SQ using 3-0 monoq
Intradermal suture using 3-0 monoq

POST-OP
GA Recovery:
Meloxicam 0..3ml SQ, and PO tgh
e.collar/body suit at all times
POC photo in 3-5 days

Previous claim history

DateClaim #Diagnosis
No prior claims.

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation104.002026-03-02
20000tstarc_diagnostic_test_-_cytology50.492026-03-02
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal70.772026-03-02
40000tstarc_intestinal_worm_control6.822026-03-02
upstreamDSTP_routine_care_-_flea/tick/worm_preventative_medication
50000tstarc_prescription_fee32.002026-03-02

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa
  • DG03219Car Motion SicknessDSTP_car_motion_sickness

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.460
Threshold: 0.07
Above:
Correct?