C10004883 / invoice 10000

Reason: Vacc. History: Georgia brought her in (2nd year old equine vet). On monthly parasite combo. Previously had Proheart inj but not needed.Still gets intermittent interdigital dermatitis in hindpaws and treats with neocort. Cytopoint also given semi-regularly.On Fluoxetine 30mg sid for her inter-dog behavioural issues. Had tried 20mg sid but was ineffective.Examine: Good body condition. Limited exam as she is nervous and Georgia keeps an eye on her and says she is fine. Plan: Duramune C4, c2i, oral BB vacc.Cytopoint 30mg SC.Written script for 12mths for fluoxetine. Rx Fluoxetine 20mg tabletsMitte 56 tabletsSig- Give one and a half tablets once dailyRepeats 9Supply neocort and ok for repeats for next 12mths.    Vital Signs    Weight: 18.9;