C10007946 / invoice 10000

Reason: Swollen & Weepy Eye, Lethargic, Knows A/hsAppointment Notes: O said he understands it will likely be an after hours consult. Preferred a/h to monitoring overnight/coming in tomorrowjsyWas seen a week ago as left eye looked funny, was in a dog fight 2-3 weeks ago, but as grabbed around the neck on left side, not near face.Squinting and eye swollen todayDog very lethargic, not wanting to get out of bedExamination: BARLeft eye - swollen, and holding shut. Applied alcaine dropsScerla vessels not raised or engorgedNo stain uptakePupil responsive to lightLens looks abnormal in posterior chamber - cataract? Or luxating lens? Not moving through pupil to anterior chamberRight eye -comfortable and normal - no stain uptakeAssessment: DDX painful eye, luxating lens? Cataract?Plan: Meloxicam and choramphenicol over the weekendPanadol if needed tooDiscussed referal to eye specialist if no improvement,  - better magnification to examine back of the eye    Vital Signs    Weight: 8.1;       Temperature: 38.6;