C10028047 / invoice 10000

Reason: Recheck Eyes Appointment Notes: Overdue reminders    Vital Signs    

Reason: Recheck Eye InfectionAppointment Notes: Kc*Eligible for free senior health check*Reason:Bev present Recheck left eye - seen for corneal ulcer 9 days ago. Owner has been giving tricin BID but owner has difficulty giving eye oinment due to temperment (o puts eye ointment on finger and sneak into eye while she eats her meal) and thinks the eye is getting worse as was shutting eye close at times PE: Distance exam only due to temperamentAlocain drop into left eye  Left eye - Blepharitis, conjunctivitis, scleritis. Flu stain uptake positive on medial ventral aspect of the cornea, approx 5mm. Superficial. Left eye lower eyelid entropian Bilateral pupil sizes normal Assessment; Superficial left eye ulcer, indolent ulcer not ruled out but eye not healing could also be compliance Treatment: Stop tricin, switch to ocufluox 4 times daily MetacamDoxycycline Trazadone Plan:Offered Ecollar today owner declinedCotton bud debridement on friday with trazadone on boardRecheck eye in 3 days, will need frequent visits until eye ulcer healsRecheck for lower eyelid entropian (left eye) once ulcer heals - could be blephririts or entropian Did pre-empt owner that if ulcer is not improving will need referral given breed    Vital Signs