C09973958 / invoice 10000

Reason: Eye InfectionAppointment Notes: MMCHISTORY:Bilateral conjunctivitis with purulent discharge noted yesterday morning in right eye, progressing to left eye by this morning. Owner reports redness around both eyes with some pus discharge. Pawing at face frequently. Mild squinting observed, more pronounced in right eye initially. Owner initiated saline cleaning as advised by online veterinary service.Regular Vet: Vaccination completed last week with no complications reported since.Current meds: noneVaccination: UTDParasite Prevention: UTD - Perfector chew (next due 25/03/2026)Pre-existing conditions: noneAccess to toxins eg. Rodenticide: noneEXAMINATION:Body Condition Score: 5/9Pain Scale (0-4): 0/4Hydration status (%): hydration clinically adequateCardiovascular: cardiac auscultation normal, normal rhythm, pulse pressures normal and synchronousRespiratory: thoracic auscultation clear sounds bilaterally, respiratory effort normal, no nasal dischargeNeurological: neurologically no significant findingsMusculoskeletal: ambulating normally, no palpable neck, spine, limb or joint painGastrointestinal:Oral: normal, no mouth pain, dental score (1-4): not gradedAbdominal: no detectable pain on abdominal palpationRectal: not performedUrinary: NSFReproductive: NSFIntegument/Ears: ears clean, NSFLymph Nodes: NSFEyes: bilateral scleral injection, chemosis present both eyes, conjunctival erythema, purulent green discharge medial canthi both eyesDemeanour/Behaviour: bright, alert, food motivatedPROBLEM LIST:Bilateral conjunctivitis with purulent dischargeScleral injection both eyesChemosis both eyesDIFFERENTIAL DIAGNOSIS/ DIAGNOSIS:Allergic conjunctivitisDIAGNOSTICS:Schirmer tear test: right eye adequate tear production, left eye adequate tear production (>10mm in 15 seconds)Fluorescein stain: negative for corneal ulceration both eyesASSESSMENT:Bilateral allergic conjunctivitis with no corneal ulceration. Adequate tear production confirmed. Likely environmental irritant causing inflammatory response.TREATMENT:amacin ointment applied to both eyes twice daily for seven daysFirst application administered in clinicAdvised use of lick mat with treats during application to facilitate handlingPLAN:Review appointment scheduled 06/03/2026 at 10:05 with Dr. SophiaMonitor response to treatmentContinue twice daily applications as prescribedCLIENT COMMUNICATION:Discussed allergic conjunctivitis diagnosis and treatment plan. Demonstrated ointment application technique. Advised fluorescein dye on fur will wash off with next bath. Explained importance of follow-up examination due to potential for rapid progression with ocular conditions. Treatment cost $250, follow-up appointment $80-88.    Vital Signs    Weight: 9.9;