C09970279 / invoice 10000

Reason: Cat scratch EyeTIME: 13:40VET: GNHISTORY:This morning chased the cat and was scratched on the left eyeSquinting Otherwise wellCurrent meds: NILProphylaxis: utdPre-existing conditions: NILAccess to toxins eg. Rodenticide: NILTRIAGE:HR: 120RR: sniffingTemp: n/tMm: pink moistCrt: 1-2Mentation: BAR, anxiousPain Scale (0-4): 1Hydration status (%): 0-5EXAMINATION:Body Condition Score: 5/9Cardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findings Musculoskeletal: ambulating normally Gastrointestinal:- Oral: normal - Abdominal: no detectable pain on abdominal palpation, normal gut sounds- Rectal: n/aUrinary: n/aReproductive (incl ext genitalia): n/aIntegument/Ears: n/aLymph Nodes: peripheral lymph nodes normalEyes: left eye mild blepharospasm. Cornea clear, no fluorescein uptake. Edge of NM has torn and only attached with a tiny slitherTREATMENT:Excised loose part of NMMeloxicam oralChloroptsone topicalPLAN:Revisit if not resolving    Vital Signs    Weight: 13;