C09979775 / invoice 10000

History:
Presenting owner:
- Normal EDDU, no V+ or D+.
- Current diet:
- Current medications

Hx: Sore eyes in Nov and also again in Dec. Then went to WICA, belconnen. Recheck 22/12/25.
Medications clear up, then comes back.
Before L eye and a little bit in R eye. Now both.

R eye now - yesteday pm - discharge +++. Yellow/ white/ creamy discharge.
This am - more watery discharge.
Bit squinty.
No sneezing.
O was wondering if it was hay fever as seasonal/ spring/ summer.
Been tx for this on and off in all his life. Appears to come on in Nov.
Tx for viral/ bacterial.

Also - alopecia on ventral abdomen and inguinal region. Skin is brown in ventral abdomen and inguinal region reasonably erythematous (mild).
O applies vinegar once per day  on brown patch in ventral abdomen. Also, malaseb weekly to every other week.

Indoors and outdoor - with large garden. Two cats.  Other cat fine - other cat has some eye discharge +.
Other cat - Devon Rex, same age, same father. IOther cat same skin lesions.

Went to Adelaide, Syd, Melb in Dec. Spot on treatment then - Revolution Plus.

Examine:
MM: pink, moist, CRT: 1sec
Teeth:
DS:
HR:      , cardioresp ausc: NAD.
RR:     
Temp:        Normothermic.
BCS:

Abdominal palpation: NAD. 
L.nodes NAD.


Assessment:

Client Communication:

Treatment:

Plan


Revisit appointment if any deterioration, lack of improvement or failure to resolve.

Reason for visit:  Recheck eye 
Presented by: Male and female O 

History:
- 2x course doxycycline- eye improves after antibiotics 
- 1 week after antibiotics, eye starts to squint 
- No sneezing or nasal discharge 
- EDUD normal, no V+/D+
- Parasite prevention: milbemax, doing bravecto 
- Current medications: nil 
- Current diet: Prescription hills diet, RC dental, ziwi peak vension, freeze dried quail necks 
- Indoor/outside cat 

Examination:
- BAR, very sweet
- BCS: 5/9
- MCS: well muscled 
- Eyes: clear and bright, no evidence of discharge or inflammation
- Ears: no discharge or inflammation
- Teeth: mild gingivitis 
- Dental score: 1/4
- Mucous membranes: pink, CRT <2s
- Heart: 200 bpm, NAD on auscultation
- Lungs: 28 brpm, NAD on auscultation
- Abdominal palpation: abdomen soft and comfortable, no palpable masses or fluid
- Gait and joints: normal gait and ROM/palpation
- Skin: WNL
- Superficial LNs: WNL

Fluorescein stain: Negative 

Assessment:
- Allergic conjunctivitis 

Treatment:
- Prednisolone 5mg PO SID q5 days. 2.5mg PO SID q5 days 

Plan:
- Prednisolone 5mg PO SID q5 days. 2.5mg PO SID q5 days- O has prednisolone at home, did not want any today, printed label 

Owner communication:
- Discussed plan as above
- If symptoms worsen, recheck immediately 
- Revisit if any concerns, or if signs do not resolve