C10028471 / invoice 10000

Species:CANINE
Breed:Golden Doodle (Groodle)
Age (years):1
Diagnosis or signs:Otitis Externa (Bacterial)
Consult notes
13/03/2026 REASON: Check ears
HISTORY: Brace on at all times at home - still swollen. Shaking head and pawing at left ear + looking sore. Not a swimmer. Has been compliant with epiotic cleaner. grooming performed today 

EXAMINATION: 
Demenour - BAR
BCS- 5/9 
HR 130, RR 24, T 38.7 , CRT 1-2sec, MM Pink.
Cardiorespiratory- neg murmur, neg arrythmia 
Teeth- grade 1
Eyes/Ears/Nose- Left ear worse. Both inflammed errythema, otic exam- heavy hair hypertrichosis ++++, 
Skin- interdigital errythema
Musculoskeletal/Neuro- nad
Ln's-nad
Gastrointestinal-nad
Urinary/Repro- nad

CYTOLOGY: Ears - Cocci both ears heavy, occasional rod in string. 

ASSESSMENT: 
Otitis externa
Pododermatitis 
Consider underlying allergic dermatitis- atopy/food, vs perpetuating factors (hair) 

TREATMENT: 
Pred 20mg: 3/4 tab ONCE daily for 5 days, then 1/2 tab every 2nd day. 

PLAN: Sedation for ear pluck, clean and instill Mometomax - planned fasted for Thursday 19.03.2026

Animal clinical history (3 most recent)

2026-03-13T00:00:00Z 15:06:31
REASON: Check ears
HISTORY: Brace on at all times at home - still swollen. Shaking head and pawing at left ear + looking sore. Not a swimmer. Has been compliant with epiotic cleaner. grooming performed today 

EXAMINATION: 
Demenour - BAR
BCS- 5/9 
HR 130, RR 24, T 38.7 , CRT 1-2sec, MM Pink.
Cardiorespiratory- neg murmur, neg arrythmia 
Teeth- grade 1
Eyes/Ears/Nose- Left ear worse. Both inflammed errythema, otic exam- heavy hair hypertrichosis ++++, 
Skin- interdigital errythema
Musculoskeletal/Neuro- nad
Ln's-nad
Gastrointestinal-nad
Urinary/Repro- nad

CYTOLOGY: Ears - Cocci both ears heavy, occasional rod in string. 

ASSESSMENT: 
Otitis externa
Pododermatitis 
Consider underlying allergic dermatitis- atopy/food, vs perpetuating factors (hair) 

TREATMENT: 
Pred 20mg: 3/4 tab ONCE daily for 5 days, then 1/2 tab every 2nd day. 

PLAN: Sedation for ear pluck, clean and instill Mometomax - planned fasted for Thursday 19.03.2026

Previous claim history (12)

DateClaim #Diagnosis
2026-02-24C09947590HYGROMA
2025-12-12C09620485URINARY TRACT INFECTION (UTI)
2025-11-07C9458396VACCINATIONS OR HEALTH CHECKS
2025-10-29C9428561FRACTURE OF PELVIC LIMB - TIBIA
2025-10-29C9428585FRACTURE OF PELVIC LIMB - TIBIA
2025-10-22C9386285FRACTURE OF PELVIC LIMB - TIBIA
2025-10-15C9364847FRACTURE OF PELVIC LIMB - TIBIA
2025-10-10C9335345FRACTURE OF PELVIC LIMB
2025-10-09C9332418FRACTURE OF PELVIC LIMB - TIBIA
2025-10-07C9318859FRACTURE OF PELVIC LIMB - TIBIA
2025-10-07C9319152FRACTURE OF PELVIC LIMB - TIBIA
2025-10-06C9315332FRACTURE OF PELVIC LIMB - TIBIA

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation110.002026-03-13
20000tstarc_diagnostic_test_-_cytology57.002026-03-13
30000tstarc_corticosteroids30.342026-03-13

UPM+

  • DG00676EAR (AURAL) INFECTIONDSTP_otitis_externa

Variant (sleepy_king)

HYPERSENSITIVITY DISORDER (ALLERGY)
DSTP_skin_-_allergic_disorder
Conf: 0.350
Threshold: 0.38
Above:
Correct?
Reason (correct)