C09998954 / invoice 10000
Species:CANINE
Breed:Staffordshire Bull Terrier
Age (years):12
Diagnosis or signs:Recheck eye, medications
Consult notes
Presented for recheck of the left eye (neurogenic KCS)Has reduced Pilocarpine to 4 drops BID (became nauseous with 5 drops BID)Applying Ocuflox every 4 hours to the left eye + Viscotears BID and Chlorsig SID at night Continued blepharospasm Not scratching/rubbing at the eyeXeromycteria left rostral nasal plane has improved Assessment:L eye:Moderate blepharospasm Cornea appears dry and lacklustreMild dorsal scleral congestion Nil corneal odema/chemosisPLR intact Diagnostic:STT:L eye: 0mmR eye: 25mm Treatment:- Commence Cyclosporin BID L eye- Continue Pilocarpine 4 drops BID PO- Continue antibiotics drops (switch to Chlorsig) TID (spacing 1 hour between Cyclosporin)- Can continue Viscotears BID (spacing between other ocular drops)Plan:- Advised can take significant amount of time before improvement- RV late next week for repeat fluorescein stain, sooner if eye deteriorating- STT in 2 weeks- Advised INI referral
Animal clinical history (3 most recent)
2026-03-06T00:00:00Z 3:56?pm
Presented for recheck of the left eye (neurogenic KCS)Has reduced Pilocarpine to 4 drops BID (became nauseous with 5 drops BID)Applying Ocuflox every 4 hours to the left eye + Viscotears BID and Chlorsig SID at night Continued blepharospasm Not scratching/rubbing at the eyeXeromycteria left rostral nasal plane has improved Assessment:L eye:Moderate blepharospasm Cornea appears dry and lacklustreMild dorsal scleral congestion Nil corneal odema/chemosisPLR intact Diagnostic:STT:L eye: 0mmR eye: 25mm Treatment:- Commence Cyclosporin BID L eye- Continue Pilocarpine 4 drops BID PO- Continue antibiotics drops (switch to Chlorsig) TID (spacing 1 hour between Cyclosporin)- Can continue Viscotears BID (spacing between other ocular drops)Plan:- Advised can take significant amount of time before improvement- RV late next week for repeat fluorescein stain, sooner if eye deteriorating- STT in 2 weeks- Advised INI referral Vital Signs
Previous claim history (10)
| Date | Claim # | Diagnosis |
|---|---|---|
| 2026-02-19 | C09927335 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2026-02-17 | C09926841 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2026-02-12 | C09915240 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2026-02-04 | C09853119 | OSTEOARTHRITIS |
| 2026-02-04 | C09853119 | OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINT |
| 2017-04-27 | C1190965 | OSTEOARTHRITIS |
| 2017-01-11 | C1062988 | BEHAVIOURAL PROBLEM |
| 2016-06-09 | C0849965 | SKIN (CUTANEOUS) ABNORMALITY - ERUPTIONS/HIVES/RASH - PRESENTING COMPLAINT |
| 2016-06-03 | C0841952 | PYODERMA |
| 2016-06-02 | C0841952 | SNAKE BITE |
Line items(lines with upstream diagnosis are skipped by the model)
| Line | tstarc | Amount | Date | Upstream diagnosis |
|---|---|---|---|---|
| 10000 | tstarc_eye_medication_-_topical_antibiotics | 42.52 | 2026-03-06 | — |
| 20000 | tstarc_eye_medication_-_cyclosporin_(optimmune) | 210.35 | 2026-03-06 | — |
| 30000 | tstarc_food | 1.98 | 2026-03-06 | upstreamDSTP_general_exclusion |
| 40000 | tstarc_diagnostic_test_-_fluorescein_eye_stain | 33.60 | 2026-03-06 | — |
| 50000 | tstarc_diagnostic_test_-_schirmer_tear_test | 40.95 | 2026-03-06 | — |
| 60000 | tstarc_consultation-revisit | 55.00 | 2026-03-06 | — |
UPM+
- DG02070OPHTHALMIC (EYE) ABNORMALITY - PRESENTING COMPLAINTDSTP_clinical_signs_-_eye_abnormality
Variant (sleepy_king)
KERATOCONJUNCTIVITIS SICCA (KCS, DRY EYE)
DSTP_eye_-_dry_eye
Conf: 0.740
Threshold: 0.20
Above: ✓
Correct?
Reason (correct)