C10027156 / invoice 10000

Species:CANINE
Breed:Cavoodle
Age (years):6
Diagnosis or signs:See notes
Consult notes
History: 
Ear irritation, scratching, shaking head, gets yeast infections often so could be. O said usually an antibiotic drop in his ears O said ???

Examination:
R ear pinnae inflammed, moderate discharge
L ear OK
Otherwise PE OK

Cytology:
R ear yeast
L ear clear

Assessment: 
OE yeast R ear

Plan:
LENGTHY discussion re: short acting vs long acting ear medication
Os happy with dermotic after explaination , gave the dermotic 0.5mL into the R ear
Os then realised they don't want to do it daily at home because Louie doesn't let them touch the ears at home
Os then wanted mometomax ultra (over osurnia)
Mometomax ULTRA 0.8mL instilled into the R ear 
O to take dermotic home as opened

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 14:19:00
History: 
Ear irritation, scratching, shaking head, gets yeast infections often so could be. O said usually an antibiotic drop in his ears O said ???

Examination:
R ear pinnae inflammed, moderate discharge
L ear OK
Otherwise PE OK

Cytology:
R ear yeast
L ear clear

Assessment: 
OE yeast R ear

Plan:
LENGTHY discussion re: short acting vs long acting ear medication
Os happy with dermotic after explaination , gave the dermotic 0.5mL into the R ear
Os then realised they don't want to do it daily at home because Louie doesn't let them touch the ears at home
Os then wanted mometomax ultra (over osurnia)
Mometomax ULTRA 0.8mL instilled into the R ear 
O to take dermotic home as opened

Previous claim history (14)

DateClaim #Diagnosis
2026-02-20C09964379HYPERSENSITIVITY DISORDER (ALLERGY)
2024-10-19C7849746OTITIS EXTERNA
2024-06-11C7336509DENTAL (TOOTH) DISORDER
2024-06-11C7336509VACCINATIONS OR HEALTH CHECKS
2024-05-22C7333719HYPERSENSITIVITY (ALLERGIC) SKIN DISORDER
2024-05-22C7333719EAR INFECTION
2023-10-14C6471782EAR INFECTION
2023-10-14C6471795OTITIS EXTERNA
2023-04-12C5863539EAR INFECTION
2022-12-29C5545014EAR INFECTION
2022-09-12C5144724EAR INFECTION
2021-10-09C4254059PREPUTIAL DISCHARGE
2021-09-04C4043300MISCELLANEOUS CONDITIONS
2021-08-28C4043300EAR INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation129.002026-03-13
20000tstarc_diagnostic_test_-_cytology63.002026-03-13
30000tstarc_ear_medication_-_antibacterial_and_anti-fungal73.602026-03-13
40000tstarc_ear_medication_-_antibacterial_and_anti-fungal123.002026-03-13

UPM+

  • DG01185OTITIS EXTERNADSTP_otitis_externa

Variant (sleepy_king)

OTITIS EXTERNA
DSTP_otitis_externa
Conf: 0.780
Threshold: 0.07
Above:
Correct?