ALPHA
You have one TORToise, who NIPPS you twice, you need three COTTON WOOL to BLOT the bleeding (haemorrhages), before(be-four) the swelling starts (papilloedema)
S - silver wiring
A - AV nipping (when the high pressure retinal arteries compress the veins in the retina it looks like it is pinching it)
F - flames and blots
E - papilloEdema