C10017497 / invoice 10000

Reason: Hit In The Reye With The Tennis BallAppointment Notes: happened 3-4 hours ago getting worse JAMReason: History: Got hit with the tennis ball In the R eye with a lob 4 hours ago. Right eye is progressively looking worse.He did not yelp when hit and is acting normal. O report R eye slightly weepyExamination: Mentation: BAR, slightly anxious but friendly and compliant during physical examinationC/V: regularly regular, no murmurs presentResp: Snoring during inspirationGI: soft and comfortable upon palpationEars: Mouth: Ptosis on the R eye, mild conjunctivitis but no general swelling around the eyeL eye more weepy when examined at consultDischarge between the facial skin flaps. O reports cleaning discharge everyday.Assessment: Mild eye trauma, conjunctivitisTreatment: Consent has been given by the client to proceed with this treatment  -  Yes/No Plan:Monitor for further swelling, informed O the swelling and bruising may appear the next dayDiscussed about opthalmic exam, O consent to perform full opthalmic examAdminister NSAIDs    Vital Signs    Weight: 11.4;       HeartRate: 100;