C10013230 / invoice 10000

NOTES: Vet requested recall- 09 Mar 2026 09:22:21 am RKS Called and left voicemail and sms sent to see how Yoda is going and to book recheck for today or tomrrow.

WEIGHT: 15.90
HISTORY: Hx
Corneal ulcer ddx VMT Saturday. 2 ulcers (photo attached) OD.
Tx framixin TID-QID 3 days then recheck

Presents today for recheck

Exam:
Vitals WNLs
OD: Holding open but still moderate scleral injection, reduced from saturday but still present. Ulcer/scar visible over cornea. Fluoroscein nil uptake. Ophthalmoscope reveals mild amount of corneal oedema (blue tinge), nil aqueous flare appreciated, retina and anterior chamber unremarkable. Pupils bilaterally symmetrical and appropriate
OS: NSF

Assessment:
Day 3 of treatment. Nil signs of ongoing ulcer but slceral injection and corneal oedema raises concern for potential uveitis. Holding eye open, not rubbing, no discharge as per Os. Recc meloxicam 3d and recheck. Adv. continue ABxs another 3 days and can add lubracting eye drops for comfort hyloforte or viscotears recommended. 

Tx and Plan
Meloxicam 1mg 1.5 PO ONCE daily next 3d with food. Recheck booked Wednesday PM
Advised can always pursue referral to ophthalmology
WRMRQ: N
FLRQ: N

WEIGHT: 16.00
HISTORY: RFV:
Brought in by Os sister
Eye has been red and swollen has been rubbing it since Thursday/Friday morning. 
Was squinting Thursday and Friday but has been getting better today

No discharge. 

Energy: Normal
Appetite: Normal
Diet: R/C frenchie mix
Drinking: Normal
Urination: Normal
Defecation: Normal
Vomiting: None
Cough/Sneeze: None
Other Pets: None
Vaccs: None
FTW: Seresto not on a the moments
Other: 

Diagnosed Conditions: None BOAS, has had sx
Current Medication: None.

EXAM
BCS
Mentation:
Ears/nose: Clear, no discharge bilaterally.
Eyes:
OS: Moderate chemosis and scleral haemorrhage, holding eye open, no discharge. Nil aqueous flare, fluoroscein uptake x2 lesions (see photo). 
OD Unremarkable. 
Mouth: NAD, Dental grade 1/4.
LNs: WNLs
Cardiovascular: HR 100 no murmurs or arrhythmias, SSFPs, MMs p+m, CRT < 2
Respiratory: Chest auscultation NAD, RR pant
Abdominal: NAD, soft and comfortable
Urogenital: NAD, no significant findings
MSK: NAD, not fully examined
Neuro: Not fully examined
Integ: NSF
Temp: Not taken

DIAGNOSTICS
INH Fluoroscein reveals 2x corneal ulcers OS, NSF OD

TREATMENT
Framixin TID-QID at home next 3 days then recheck. 

PLAN
If eye is not improving or looks to be deteriorating, seek emergency care over weekend.
Recon Monday otherwise
WRMRQ: N
FLRQ: N