C09984212 / invoice 30000
Species:CANINE
Breed:Lhasa Apso
Age (years):14
Diagnosis or signs:medication - eye drops
Consult notes
Appointment Notes: bit off. check eyes and back legs lmrHistorySquats down when she touches his back/tail base. Also wants to check eyes. STopped hyloforte and tacrolimus 1 month ago as got way better. Now is bad again. Also doing a cough every now again. Has been doing it for months. Has also been scratching all over recently Physical examBack end quite crusty and a bit red as well. Looks like very shallow hotspot. Clipped and cleaned with chlorhexBoth ears cytology negative. Both eyes obviously dry. Dont even need to do schirmer tear test to tell. PlanMicrolone course for inflammation/itching Chlorhex wash for back endRestart hyloforte and tacrolimus again. hyloforte prior to tacrolimus - Will call if needs more tacrolimusIf still coughing after then next step radiographs Appointment Notes: arthritis injection & check eyes CR ExaminationPigmentation in the right eye, mild inflammation in the right side.Need to continue with hyloforte and continue with the tacrolimus.Multiple collarettes around the body still, needs more antiseptic/antibiotics treatments. Will see how goes with some more pred and shampoo, happy to dispense some antibiotics if required.Stumbles on the front legs often when gets upNormal painfree ROM on both frontlegs, although does appear more agitated with the LFL.Will try a cartrophen booster for this, could complete a full course if no change, the pred should help as well.Order Tacro from BOVATACROLIMUS0.02% OPH SUSP 15MLInstil 1 Drop(s) Twice Daily into both eyes
Animal clinical history (3 most recent)
2026-02-24T00:00:00Z 7:10?pm
Order Tacro from BOVATACROLIMUS0.02% OPH SUSP 15MLInstil 1 Drop(s) Twice Daily into both eyes Vital Signs
2026-02-24T00:00:00Z 6:20?pm
Appointment Notes: arthritis injection & check eyes CR ExaminationPigmentation in the right eye, mild inflammation in the right side.Need to continue with hyloforte and continue with the tacrolimus.Multiple collarettes around the body still, needs more antiseptic/antibiotics treatments. Will see how goes with some more pred and shampoo, happy to dispense some antibiotics if required.Stumbles on the front legs often when gets upNormal painfree ROM on both frontlegs, although does appear more agitated with the LFL.Will try a cartrophen booster for this, could complete a full course if no change, the pred should help as well. Vital Signs Weight: 9.2; MMColour: Pink; BodyScore: 5; CRT: 1-2;
2026-01-06T00:00:00Z 3:00?pm
Appointment Notes: bit off. check eyes and back legs lmrHistorySquats down when she touches his back/tail base. Also wants to check eyes. STopped hyloforte and tacrolimus 1 month ago as got way better. Now is bad again. Also doing a cough every now again. Has been doing it for months. Has also been scratching all over recently Physical examBack end quite crusty and a bit red as well. Looks like very shallow hotspot. Clipped and cleaned with chlorhexBoth ears cytology negative. Both eyes obviously dry. Dont even need to do schirmer tear test to tell. PlanMicrolone course for inflammation/itching Chlorhex wash for back endRestart hyloforte and tacrolimus again. hyloforte prior to tacrolimus - Will call if needs more tacrolimusIf still coughing after then next step radiographs Vital Signs Weight: 9;
Previous claim history (16)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2014-07-20 | C0342647 | VACCINATIONS OR HEALTH CHECKS |
| 2014-07-20 | C0342647 | HEARTWORM CONTROL |
| 2014-07-20 | C0342647 | FRACTURE OF THORACIC LIMB - ULNA |
| 2014-03-15 | C0254833 | LUMP |
| 2014-02-14 | C0254852 | SKIN LESIONS |
| 2014-02-14 | C0254852 | PRESCRIPTION DIETS |
| 2013-07-13 | C0120634 | VOMITION & DIARRHOEA |
| 2013-07-10 | C0120641 | VACCINATIONS OR HEALTH CHECKS |
| 2013-07-10 | C0120641 | HEARTWORM CONTROL |
| 2013-07-10 | C0120641 | OTITIS EXTERNA |
| 2013-07-10 | C0120641 | FLEA/TICK/WORM CONTROL |
| 2012-08-24 | 2542012064 | SKIN CONDITIONS |
| 2012-07-31 | 2542012064 | SKIN CONDITIONS |
| 2012-07-21 | 2542012064 | SKIN CONDITIONS |
| 2012-06-28 | 1912012263A | ROUTINE |
| 2012-06-14 | 1912012263 | EAR (AURAL) INFECTION |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_skin_medication_-_tacrolimus | 160.46 | 2026-02-24 | — |
UPM+
- DG02522KERATITISDSTP_eye_-_pannus_or_keratitis
Variant (sleepy_king)
KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
DSTP_eye_-_dry_eye
Conf: 0.710
Threshold: 0.20
Above: ✓
Correct?
Reason (correct)