C10010038 / invoice 10000

Reason: Presents for Burr Keratotomy for SCCED ulcer OS. BAR  on exam MM pink, moistHEart and lungs NAD OS: significant blepharospasm notedLocal anaesthesic provided with AlcaineEye prepped with 1:50 pvidone-iodine washes Burr keratotomy performed with Algar Brush- removed almost complete ventral quadrant of superficial epithelium. Bandage contact lens placed  Treatment: 20.00 x Doxycycline 100mg tabDose 1 & 1/4 (ONE AND A QUARTER) tablets, ONCE daily with food 1.00 x Metacam Dog Oral 1.5mg/ml 32ml (Meloxicam)Fill the syringe to the 12kg mark. Give orally ONCE DAILY- with or after food.Give with food. Discontinue if any vomiting, diarrhoea or loss of appetite occurs.Keep out of direct sunlight.1.00 x Chlorsig Eye Drops 0.5% 10ml (Chloramphenicol)Place 1 drops into the affected eye(s) 4x daily for 7 days. Keep refrigerated.Consent has been given by the client to proceed with this treatment  -  YesPlan:Recheck in 1 week    Vital Signs    

Reason: Burr Appointment Notes: Overdue remindersReason: History: Examination: Laboratory: Assessment: Treatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    

Reason: Vaccines MC 2/3Appointment Notes: Overdue remindersReason: History: Concern of squnity left eye- has had problems in the past with this eye and ulcers that took a while to healNo other concerns currently EDDU well Needs vaccs Examination: BAR on examMM pink, moist Heart and lungs NAD  Ocular: Moderate blpeharospasm noted OS. Mild ocular discharge at medial canthus. Marked conjunctival hyperaemia OS. Observed a superfical defect on direct ophthalmoscopy 4oclock position Laboratory: Stain uptake at 4-oclock position - undermiding of the epithelium noted Debrided edge easily with cotton tip Assessment: SCCED ulcer OS - recommend Burr keratotomy- warned of decreased success rate in Frenchies- may need referral for keratectomy if Burr fails  Treatment: Advised Hylo-Forte eye drops from chemist warehouse leading up to surgery next week Tuesday C4+BB oral Consent has been given by the client to proceed with this treatment  -  Yes Plan:Booked for Burr Keratotomy next week    Vital Signs    Weight: 11.95;