C09979543 / invoice 10000

Reason: RecheckHistory:Recheck for an eye. The owner reports the eye is still a bit cloudy but looks much better, with less of the previous fleshy, pinkish tissue. They are having difficulty administering the eye drops and are managing at least once daily instead of the prescribed twice daily. Rayne is drinking normally and is not pawing at or showing signs of irritation around the eye.Examination:Significant Findings:Significant reduction in inflammation and fleshy tissue in the affected eye.Neovascularisation still present on the cornea.Laboratory:Fluorescein stain: negativeIOP: 35mmHg bilaterally but still stressed with handling.Assessment:Problem list:1. Corneal inflammation.DDx:1. Resolving corneal trauma (e.g., scratch).Treatment: Consent has been given by the client to proceed with this treatment - YesContinue current treatment for another week.Plan:Recheck consultation scheduled in one week to monitor progress.Client Communication:Advised owner that this type of inflammatory response can take time to resolve. Advised to return sooner if the eye appears to be deteriorating, as eye conditions can decline rapidly.--- 03/03/2026 11:06:46 AM MNN:Examinations - Resolved - No recall required - was recheck with vet    Vital Signs    

Appointment Notes: Booked via Petbarn App: 22/02/2026 10:14:27 AMBooking Type: Skin, Ears, Eyes or LumpsBooking Notes: Rayne has a cloudy left eye, otherwise is well  ------- Sms reply: YHistory:Cloudy left eye. Started on sunday. Hasnt been rubbing the eye or squinting according to O. Lives with another cat (Loki) who plays roughOtherwise well EDDU normally no V+ no D+.Examination: Left eye corneal neovascularisation originating from the lateral side. Pinkish irregular corneal opacity over the middle area of the eye. Mild scleral injection and conjunctival hyperaemia.Otherwise clinically well. BAR, Eyes/ears/nose NAD, CRT<2s, OMM P+M, LN palpate normally, abdominal palp normal, thoracic ausc normal, gait/MSK NAD.Laboratory: Fluorescein stain: bilaterally negativeIntraocular pressure:- Left: 38mmHg- Right 41mmHGIncreased pressures - however fairly stressed and needing head restraint.Minimal sample acquired from corneal cytology with moistened swab - no obvious eosinophils but not a good sample (not tolerant by this point).Assessment: Previous scratch/ ulcer that is now bring healed? Vs feline eosinophilic keratitis vs otherTreatment: Metacam cat oral PO SID 3dOcuflox left eye BID 7 daysConsent has been given by the client to proceed with this treatment  -  Yes Plan:RV in a week. Return sooner if concerned. Consider pred forte drops INI? Ideally retest pressures.--- 25/02/2026 08:48:53 TAT:EDDU+ good, doing better today--- 25/02/2026 09:31:29 AM TAT:Examinations - Resolved -    Vital Signs    Weight: 4.66;       

Reason: Health CheckAppointment Notes: Booked Online: 04/09/2025 07:55:33 AM- NEW CLIENT -Booking Type: Health CheckBooking Notes: Health CheckHistory:Presenting for inappropriate urination and defecation for the last 3-4 months. Urinating and defecating next to or outside the litter tray, or elsewhere in the house. This is a change in behaviour. Faeces are normal consistency but small and dry. One episode of V+ recently, which is unusual for her. Eating and drinking well. No lethargy; described as very active. No coughing or sneezing. No significant medical history. Lives indoors with another cat. No recent changes to the home environment. Feliway diffuser has been tried near the litter tray without effect.Parasite Prevention: Not mentionedVaccination: Not mentionedExamination:Significant Findings: Bright, alert, and responsive. Mild dental tartar on back teeth. Physical examination is unremarkable.HR: 200RR: sniffTemp: 39.0°CEyes: clear, no discharges, no visible lesions or obvious abnormalities. Ears: externally clean, no discharges, lesions or erythema. Normal pinnae conformation.Nose: Symmetrical, no discharges or lesions.Mouth: mm pink, CRT <2s, no lesions observed.Teeth: Mild dental tartar on back teeth. no gingivitis, Grade 1PD estimated.CV: regularly regular rhythm, no obvious murmur.Resp: clear lung fields, no abnormal breathing pattern, no coughing or adventitious sounds.Abdomen: soft and non-painful on palpation. comfortable on palpation, no obvious masses palpable, anus normal in appearance. Rectal exam unnecessary in this case thus not performed.Urogenital: Normal in appearance, no discharge, no swellings or lesions.MSK: ambulation normal in consult room. BCS 6/9. Normal conformation and muscle tone. Full MSK exam not performed.Integument: No obvious alopecia, dermatitis, or parasites.LN: Submandibular, Prescapular, Inguinal and Popliteal LN WNLNeuro: BAR, Full neuro exam not performed.Laboratory:Screening blood panel offered to rule out underlying medical issues, owner declined.Assessment:Problem list: Inappropriate EliminationDDx: Behavioural cause, likely stress-related. Vs underlying diseaseTreatment: Consent has been given by the client to proceed with this treatment - YesBehavioural modification strategies discussed, including Zylkene capsules.Plan:Monitor behaviour. Re-evaluation if signs do not improve or worsen. A dental clean was noted as a future consideration.Client Communication:Discussed behavioural modification strategies.--- 05/09/2025 17:36:26 PM FC5:Examinations - Resolved -    Vital Signs    Weight: 4.85;