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)

DateClaim #Diagnosis
2014-07-20C0342647VACCINATIONS OR HEALTH CHECKS
2014-07-20C0342647HEARTWORM CONTROL
2014-07-20C0342647FRACTURE OF THORACIC LIMB - ULNA
2014-03-15C0254833LUMP
2014-02-14C0254852SKIN LESIONS
2014-02-14C0254852PRESCRIPTION DIETS
2013-07-13C0120634VOMITION & DIARRHOEA
2013-07-10C0120641VACCINATIONS OR HEALTH CHECKS
2013-07-10C0120641HEARTWORM CONTROL
2013-07-10C0120641OTITIS EXTERNA
2013-07-10C0120641FLEA/TICK/WORM CONTROL
2012-08-242542012064SKIN CONDITIONS
2012-07-312542012064SKIN CONDITIONS
2012-07-212542012064SKIN CONDITIONS
2012-06-281912012263AROUTINE
2012-06-141912012263EAR (AURAL) INFECTION

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

LinetstarcAmountDateUpstream diagnosis
10000tstarc_skin_medication_-_tacrolimus160.462026-02-24

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)