C09983663 / invoice 10000

Reason: Check Up - O Going AwaySubjective:Presenting for:ScootingRecent cataract surgery, recovering well. Vision impairment at 30-40cm distance noted.Microchip: Y/N - scanned - ok?Objective:Post-op cataract patient, stable with minor issuesMentation: BAR, hydration ok and body condition ok.EENT: Advanced cataract L eye, post-operative cataract R eye (stable), eyelid issue noted around L upper eyelid clean and discharge freeOral: Mild calculusLN: No Sig FindingsChest: Heart and lung sounds ok.Abdo: Soft, comfortable, non-tender No Sig FindingsMSK: No Sig FindingsSkin: Small cyst (~1-2mm) near L lip commissureUrogenital (including mammary glands): No Sig FindingsRectal: T 38.4Neuro: No Sig FindingsOther: Assessment: 1. Post-operative cataract surgery (R eye) - stable2. Full anal glands3. Small dermal cyst L lip commissure4. Mild dental calculus5. Advanced cataract L eye6. Vision impairment at close range (30-40cm)DDxScooting: Full anal glands (confirmed), possible anal sac disease, perianal irritationLip lesion: Benign cyst vs sebaceous adenoma vs small lipomaVision issues: Advanced cataract L eye, post-surgical changes R eyePlan:Anal gland expression performed. Continue post-operative cataract surgery medications (eye drops) as prescribed.Post-operative cataract surgery eye medicationsCommunication:Owner aware of ongoing post-operative eye medication requirements. Anal glands expressed today due to scooting behavior. Owner understands need to monitor cataract progression in L eye and continue current treatment protocol.The above clinical notes were created with the assistance of Astro Scribe under the supervision of the consulting Vet.    Vital Signs