2024-018	Problems	Notes	Costs
Admission date 2024-03-22 Final date - Days in captivity 49 Species BDOW - Barred owl Age Adult Sex UNK Status Reh Band Purple L 058	Anisocoria - OD>OS Fracture - Beak Neurologic - Head trauma Ocular - Chorioretinal Scars, OD Ocular - Chorioretinal Scars, OS Ocular - Retinal Degeneration, OD Ocular - Retinal Degeneration, OS Ocular - Retinal Edema, OD Ocular - Retinal Edema, OS Ocular - uveitis, OD Cause of injury: Unknown	Found in Madison,AL Limestone county	Here is a summary of this patient's treatments and expenses: Desc Qty Cost Subtotal Examination 1 75.00 75.00 Daily rate 49 20.00 980.00 Complete blood count 1 58.00 58.00 Packed cell volume 2 8.07 16.14 Blood chemistry 1 45.35 45.35 Lab tests 1 Variable 40.00 Total     1214.49 DONATE Costs are estimates based on fees charged at a local avian specialist.

Radiographs and images

No images for this patient

2024-05-09 15:06 BT

Group entry: 7 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-05-08 13:52 BT

Group entry: 7 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-05-07 16:22 AN

Group entry: 7 animals 80g M, Ch, Q per bird

2024-05-06 17:06 re

Group entry: 7 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-05-05 13:49 BT

Group entry: 7 animals 85g M, Ch, Q per bird (cut 1/2 of food in half for chicks) VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-05-04 10:30 BT

Group entry: 7 animals 85g M, Ch, Q per bird (cut 1/2 of food in half for chicks) VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-05-03 16:04 BT

Group entry: 7 animals 85g M, Ch, Q per bird (cut 1/2 of food in half for chicks) VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-05-02 11:13 BT

Group entry: 7 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food. ******************************************************* BDOW CHICKS: 300 g m, ch, cut up. Drip 1.75 ml Ca Glubonate on food. Chicks are out of nest box so spread food near chicks where perching. On ladders steps, etc. *******************************************************

2024-05-01 15:40 AN

Group entry: 8 animals 85g M, Ch, Q per bird ******************************************************* BDOW CHICKS: 300 g m, ch, cut up. Drip 1.75 ml Ca Glubonate on food. Chicks are out of nest box so spread food near chicks where perching. On ladders steps, etc. *******************************************************

2024-04-29 15:45 AN

Group entry: 8 animals 85g M, Ch, Q per bird ******************************************************* BDOW CHICKS: 300 g m, ch, cut up. Drip 1.75 ml Ca Glubonate on food. Chicks are out of nest box so spread food near chicks where perching. On ladders steps, etc. *******************************************************

2024-04-28 09:49 AN

Group entry: 8 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food. ******************************************************* BDOW CHICKS: 300 g m, ch, cut up. Drip 1.75 ml Ca Glubonate on food. Chicks are out of nest box so spread food near chicks where perching. On ladders steps, etc. *******************************************************

2024-04-27 10:54 BT

Group entry: 8 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food. ******************************************************* BDOW CHICKS: 300 g m, ch, cut up. Drip 1.75 ml Ca Glubonate on food. Chicks are out of nest box so spread food near chicks where perching. On ladders steps, etc. *******************************************************

2024-04-26 16:36 BT

Group entry: 8 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food. ******************************************************* BDOW CHICKS: 300 g m, ch, cut up. Drip 1.75 ml Ca Glubonate on food. Chicks are out of nest box so spread food near chicks where perching. On ladders steps, etc. *******************************************************

2024-04-25 16:00 JB

Group entry: 8 animals 85g M, Ch, Q per bird ******************************************************* BDOW CHICKS: 300 g m, ch, cut up. if out of nest box spread food near chicks. *******************************************************

2024-04-24 16:08 BT

Group entry: 5 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-04-23 16:56 JB

Group entry: 5 animals 85g M, Ch, Q per bird

2024-04-22 17:00 SAK

Group entry: 5 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-04-22 12:07 AN

Weight: 697 grams +17g (3%)

2024-04-21 10:22 BT

Group entry: 5 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-04-20 11:38 AN

Group entry: 5 animals 85g M, Ch, Q per bird

2024-04-19 16:45 AN

Group entry: 5 animals 85g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-04-19 12:00 BT

Band changed to: Purple L 058

2024-04-19 11:59 BT

Weight: 680 grams +23 g (4%) Banded and moved to FA-4

2024-04-19 11:06 SAK

======= TREATMENT PLAN ======= Food: 65g M, Ch SID Weigh: SID ==============================

2024-04-19 11:03 AMS

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 65g M, Ch SID ============================== d/c meloxicam

2024-04-19 08:58 JB

Leftovers - 20g

2024-04-18 17:29 MM

Addition to eye exam Right eye Anterior Chamber: clear and formed Vitreous: Normal Cornea: Faint linear areas of fibrosis axially Iris: Normal Lens: Normal Fundus: slightly blunted tip of pecten, focal areas of hypo and hyperpigmentation at periphery of pecten. Left eye Anterior Chamber: clear and formed, 1+ Vitreal degeneration. Vitreous: Normal Cornea: Faint epithelial erosion at paraxial 4:00 position. Iris: Normal Lens: Normal Fundus: Focal areas of hypo and hyperpigmentation at periphery of pecten. Eye exam Exam date - 2024-04-18 Examiner - MM RIGHT LEFT PLR Menace PLR Menace ++ DNE ++ DNE Stain   Stain   NEG   +   Right eye: PLR (+), Palpebral (+), Dazzle (+), Photopic (FN), Stain (-), Blepharospasm (-), Discharge (-), Conj. hyperemia (-). Dx: Chorioretinal scarring OU. Tx: D/C meloxicam Okay to release. Left eye: PLR (+), Palpebral (+), Dazzle (+), Photopic (FN), Stain (stippled uptake), Blepharospasm (-), Discharge (-), Conj. hyperemia (-). Dx: Epithelial erosion, vitreal degeneration, chorioretinal scarring OU. Tx: D/C meloxicam Okay to release.

2024-04-18 16:44 BT

Food: 68g M, Ch Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-18 08:05 BE

BAR, 15 degree head tilt, no droop -- left 5g of food

2024-04-17 16:54 SAK

Food: 66g M, Ch Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-17 08:44 re

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 65g M, Ch SID Meloxicam: 0.44 ml (1.5 mg/ml soln) SID PO ============================== changed food and meloxicam to SID

2024-04-17 08:06 BE

BAR, ate most of the food, flew straight to perch, 15 degree head tilt to right, no head droop

2024-04-16 15:32 BE

Placed in an aviary alone this afternoon. Did not notice a head droop once in the aviary. Noticed an improvement of the head tilt to the right (20 degrees). Once in the aviary, 18 flew around and was able to fly straight to a perch. Plan is to continue medications orally, make sure 18 is eating in the morning and to continue to check on the head tilt and droop.

2024-04-16 15:27 BE

ALL MEDS PO Food: 71g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-16 07:57 BE

ALL MEDS PO Food: 35g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO BAR, left pellet, left 19g of food, 45 degree hed tilt to right, 30 degree head droop forward

2024-04-15 16:21 BE

ALL MEDS PO Food: 37g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-15 12:01 BE

PT ROM/Massage on neck Tracked finger and would turn/tilt head to the left into the upright position, gently tilted neck back while massaging ------------- LASER THERAPY ---------------- Power (joules): 391.5 Time: 4.21 min Location: Neck Notes: No sedation or anesthesia. Continue to do PT/Laser/Massage biweekly on the neck because of 45 degree right head tilt and 30 degree forward head droop. Massage neck daily when moving to new kennel.

2024-04-15 07:50 BE

ALL MEDS PO Food: 34g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO BAR, left a pellet left 11g of food, 45 degree head tilt to right, 30 degree head droop forward Continue laser, massage and PT Mon/Thurs - Try to massage neck every morning when moving kennels

2024-04-14 15:54 CG

Food: 35g M, Ch cut up Meloxicam: 0.44ml (1.5mg/ml soln) PO

2024-04-14 09:50 CG

Food: 35g M, Ch cut up Meloxicam: 0.44ml (1.5mg/ml soln) BAR left pellet

2024-04-13 15:38 BE

ALL MEDS PO Food: 35g M cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-13 07:55 BE

ALL MEDS PO Food: 34g M cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO QAR, ate all food, left one pellet, 45 degree head tilt to right

2024-04-12 15:22 BE

ALL MEDS PO Food: 38g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-12 07:56 BE

ALL MEDS PO Food: 35g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO QAR, no pellet, Left 26g

2024-04-11 17:24 BE

------------- LASER THERAPY ---------------- Power (joules): 391.5 Time: 4.21 minutes Location: Back of neck Notes: No sedation/anesthesia. Last laser session since improving.

2024-04-11 16:32 BT

ALL MEDS PO Food: 35g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-11 10:21 BE

Food:36g M, Ch Meloxicam: 0.44 ml (1.5 mg/ml soln) PO QAR, left pellet, left 34g of food

2024-04-10 16:11 BE

Food: 34g M, Ch Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-10 09:39 BE

Weight: 657 grams Tweezer Fed: 36g M, Ch Meloxicam: 0.44 ml (1.5 mg/ml soln) PO QUR, left pellet, Left 20g of food from PM feeding 1% weight loss

2024-04-09 17:12 SAK

Tweezer Fed: 35g M, Ch Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-09 12:41 re

======= TREATMENT PLAN ======= Food: 35g M, Ch cut up BID Meloxicam: 0.44 ml (1.5 mg/ml soln) BID PO ============================== discontinued buprenorphine

2024-04-09 12:20 BE

Food: 35g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.44 ml (1.5 mg/ml soln) PO QAR, one pellet, did not eat food, got his bandage off overnight

2024-04-08 16:44 BE

------------- LASER THERAPY ---------------- Power (joules): 391.5 Time: 4.21 seconds Location: Back of neck Notes: No sedation/anesthesia.

2024-04-08 16:26 AN

Food: 35g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-08 10:25 SAK

Food: 37g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.44 ml (1.5 mg/ml soln) PO 10g leftover and pellet

2024-04-07 16:00 CR

Food: 35g M cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-07 10:22 CR

Food: 35g M, cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.44 ml (1.5 mg/ml soln) PO QAR, upright on perch, normal mutes, one pellet

2024-04-06 15:53 CR

Food: 37g M cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-06 10:58 CR

Food: 35g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.44 ml (1.5 mg/ml soln) PO QAR, upright on perch, normal mutes, 1 pellet, 27g left overs removed and thrown away.

2024-04-05 16:35 BT

Food: 35g M, Ch cut up Meloxicam: 0.44 ml (1.5 mg/ml soln) PO

2024-04-05 10:36 AMS

Drew blood from L ulnar vein. Struggled afterward and developed a hematoma. AMS

2024-04-05 10:36 SAK

======= TREATMENT PLAN ======= Food: 35g M, Ch cut up BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.44 ml (1.5 mg/ml soln) BID PO ============================== Discontinued Ketorolac

2024-04-05 10:34 SAK

PCV/TP Collection date 2024-04-05 10:34:00 PCV 42 % TS 5.2 g\dl Serum

2024-04-05 08:41 BT

Food: 35g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.44 ml (1.5 mg/ml soln) PO 32 g. leftovers, no pellet, normal mutes, QAR

2024-04-05 08:08 SAK

Updated medication doses based on a latest weight of 662 g

2024-04-04 16:58 Allison

------------- LASER THERAPY ---------------- Power (joules): 391.5 Time: 4.21 seconds Location: Back of neck Notes: No sedation/anesthesia.

2024-04-04 16:52 Allison

Food: 38g M cut up Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04

2024-04-04 10:01 Allison

Food: 35g M cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04 1 pellet Leftovers: 37 g

2024-04-03 17:01 Allison

Food: 38g M cut up Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04 1 pellet. Left food in cage with AM portion.

2024-04-03 10:01 Allison

Weight: 662 grams + 35 g (6%)

2024-04-03 09:55 Allison

Food: 38g M cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO (given orally) Ketorolac - OU - until 2024-04-04 Leftovers: 21 g (2 pieces)

2024-04-02 16:31 Allison

Food: 39g M cut up (AM food not eaten, added PM food and left in cage) Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04

2024-04-02 09:43 Allison

Food: 36g M cut up (left in cage) Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO (oral meds) Ketorolac - OU - until 2024-04-04 Leftovers: 26 g

2024-04-01 18:09 Allison

Food: 37g M, Ch cut up Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04

2024-04-01 10:33 Allison

Brief ophthalmic exam: normal PLR OU, anisocoria (R>L) Recheck blood for history of anemia: PCV: 26% (sample did not spin down properly, likely result is higher than reading; from R jugular vein) TS: 3.4

2024-04-01 10:32 Allison

Food: 35g M cut up (left in cage) Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO (given orally) Ketorolac - OU - until 2024-04-04

2024-03-31 15:59 Allison

Food: 35g M cut up Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04 Did not want to eat off tweezer in cage, had to feed in hand. Did not eat piece left in cage from AM, it was tweezer fed with PM feeding.

2024-03-31 09:59 Allison

Food: 34g M cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04 Was not interested in eating at first, tried again and ate all but 1 piece (left in cage) 1 pellet

2024-03-30 15:58 Allison

Food: 34g M cut up Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04

2024-03-30 10:27 Allison

Food: 36g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04 1 pellet. Tweezer fed this AM in cage (did well feeding from left side, off perch)

2024-03-29 16:21 BT

Food: 33g M, Ch cut up Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - until 2024-04-04

2024-03-29 11:09 SAK

======= TREATMENT PLAN ======= Food: 35g M, Ch cut up BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) BID PO Ketorolac - OU BID - until 2024-04-04 ============================== Updated Ketorolac ending date

2024-03-29 09:27 AN

Food: 38g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - Left pellet and feces

2024-03-28 22:34 Allison

CBC - RBC: Polychromasia 3+, 24 immature RBC per 100 mature RBC - suggests regenerative anemia WBC: Toxic change to WBC - suggests inflammation Chemistry - Increased hemolysis index (may artifactually increase K, P, CK, LDH, AST; may decrease UA, GGT, lipase if severe; can alter GLDH quantification). AST and CK obtained with large dilution so values likely not accurate, but do support that a high value of each is present in the sample. Hypocholesterolemia: DDX intestinal (malabsorptive/maldigestion) vs liver failure (plan: will need to monitor cholesterol) Decreased total protein: DDX hemorrhage vs intestinal loss vs renal loss vs decreased hepatic production vs immune suppression Hyponatremia: not likely clinically significant Elevated CK and AST: likely muscle damage but cannot RO liver component Serum chemistry Collection date 2024-03-25 AST 3401 U/L Phos 6.8 mg/dl BA 8 umol/L TP 2.4 g/dl CK 75970 U/L Alb 0.0 g/dl UA 6.7 mg/dl Glob 0.0 g/dl Glu 239 mg/dl K+ 3.2 mmol/l Ca 8.2 mg/dl Na+ 144 mmol/l     AMY 293 U/L Hem 2, Lip 0, Ict 0 CBC Collection date 2024-03-25 WBC count 12400 Corrected count 12400 Hets/Neut 30% - 3720   Bands 0+   Toxics 0+ Lymphs 49% - 6076 Eos 10% - 1240 Mono 11% - 1364 Baso 0% - 0 Thrombocytes Adequate PI 1 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab Low PCV (anemia)

2024-03-28 18:13 AGD

Assessment: Patient 018 received an ophthalmic exam due to visual concerns related to head/ocular trauma (anisocoria, horizontal nystagmus) recorded at intake 6 days ago. On today's exam, 018 is visual OU. Normal direct PLR, palpebral reflex, dazzle reflex OU. On fundic exam there were chorioretinal scars OU (circular, punctate) that could be active or improving (edema becoming scar tissue). Problem list: - Head trauma - Trace uveitis OD - Focal retinal degeneration OU - Suspected focal retinal edema OU Plan: - Ketorolac OU BID for one week then stop - Continue Meloxicam (1 mg/kg) and Buprenorphine (0.1 mg/kg) as needed - Recheck with ophthalmology as needed Eye exam Exam date - 2024-03-28 Examiner - x RIGHT LEFT PLR Menace PLR Menace + DNE + DNE Stain   Stain   NEG   NEG   Right eye: Palpebral reflex and dazzle reflex positive. Left eye: Palpebral reflex and dazzle reflex positive.

2024-03-28 16:11 AN

Food: 37g M, Ch cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - Broken blood feather found in PM

2024-03-28 14:39 SAK

======= TREATMENT PLAN ======= Food: 35g M, Ch cut up BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) BID PO Ketorolac - OU BID - ==============================

2024-03-28 10:38 BT

Tweezer feed: 35g Clean meat cut up --ate most, left 2 peices to see if consumed on own. Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-03-28 08:31 SAK

======= TREATMENT PLAN ======= Tweezer feed: 35g Clean meat cut up BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) BID PO Ketorolac - OU BID - ============================== Switched to tweezer feed.

2024-03-27 17:06 re

======= TREATMENT PLAN ======= Assisted feed: 35g Clean meat cut up BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) BID PO Ketorolac - OU BID - ============================== switched to oral meloxicam

2024-03-27 16:44 BT

Assisted feed: 33g Clean meat cut up Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ Ketorolac - OU - Fed in cage, 018 took it freely - assist feed not needed. Did not eat last 5 grams (original total 38 g)

2024-03-27 13:34 AMS

Updated medication doses based on a latest weight of 627 g

2024-03-27 11:01 SAK

Sent labwork off to UM for Advanced well bird

2024-03-27 09:52 BT

Assisted feed: 34g Clean meat cut up Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ Ketorolac - OU -

2024-03-27 09:26 BT

Weight: 627 grams +3 g

2024-03-27 08:38 SAK

======= TREATMENT PLAN ======= Assisted feed: 35g Clean meat cut up BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.12 ml (5 mg/ml (Injectable)) BID SQ Ketorolac - OU BID - ==============================

2024-03-26 16:53 SAK

Assisted feed: 45g Clean meat cut up SQ fluids: 15ml LRS Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ Ketorolac - OU -

2024-03-26 15:29 SAK

======= TREATMENT PLAN ======= Assisted feed: 35g Clean meat cut up BID SQ fluids: 15ml LRS BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.12 ml (5 mg/ml (Injectable)) BID SQ Ketorolac - OU BID - ============================== Changed food to clean meat BID Assist feed

2024-03-26 09:52 SAK

Food: NPO Possible radiographs SQ fluids: 15ml LRS Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ Ketorolac - OU - Was able to hold up head more today (better control) Feces/urates present no pellet

2024-03-25 17:39 Allison

Assist feed: 29g M (clean meat only) cut up SQ fluids: 15ml LRS Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ Ketorolac - OU - Was showing signs of being able to swallow on own by end of assist feed Did not eat food from AM

2024-03-25 15:42 AMS

======= TREATMENT PLAN ======= Food: 35g M, Ch cut up BID SQ fluids: 15ml LRS BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.12 ml (5 mg/ml (Injectable)) BID SQ Ketorolac - OU BID - ============================== updated LRS amount, changed melox to BID - AMS

2024-03-25 14:39 Allison

BCS: 1.5 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: QAR, drooping head Vital stats Mucous membranes: White Dehydration: <5% Comments: Concerned for anemia, took a blood sample from the right jugular. Delayed ulnar refill time on right and left wing. Physical examination: Neck pillowy, could be air sac rupture or hyperinflation of cervicocephalic air sac Beak: Linear fracture of keratin layer on outside of beak, no palpable instability. Normal occlusion. Cere/nares: WNL Eyes: Normal PLR and Dazzle in both eyes. Anisocoria (right pupil larger than left). OD there is a circular area of pallor dorsal to the pectin, possible dispersed fovea or area of retinal damage. Ears: WNL Crop: WNL Wings - Range of motion: Normal ROM in both wings with no structural abnormalities Legs/Feet: Left foot with small lesion on plantar surface of digit 2. Another small abrasion on dorsal side of digit 2. Ceolom: Empty and WNL Vent: Pale, moist mucosa QATS: TS - 2.0 g/dL, PCV - 22% Lead - low Problem list: 1. Head trauma: associated linear keratin fracture of beak, drooping head, anisocoria, possible retinal damage 2. Anemia: white MM, delayed ulnar vein refill bilaterally 3. Anorexia: not eating on own since in hospital Diagnosis: Neurological deficits and secondary effects of trauma Assessment: With the reported findings of 018, trauma is suspected to be the primary cause of the clinical signs: associated linear keratin fracture of beak, drooping head, anisocoria, possible retinal damage. A fractured upper portion of the beak can be associated with trauma and can be seen with sudden impact (crashing into car, window, etc.). Anisocoria and retinal detachment may be a result of increased blood pressure secondary to a traumatic event or direct tissue trauma. There was no evidence of nystagmus on physical exam, which is an improvement from intake. Dehydration has been managed with SQ fluids over the past 3 days. Today we were able to assist feed 29 g and some signs of being able to swallow were noted. Plan: 1. Meloxicam injection 0.12 ml (5 mg/ml soln) PO BID 2. Buprenorphine injection 0.04 ml (1.8mg/ml; 0.1 mg/kg) SQ SID 3. Ketorolac OU BID 4. LRS 15 mL SQ BID 5. Radiographs and ophtho consultation 6. Monitor for improvement of clinical signs Prognosis: Guarded AD/AMS PCV/TP Collection date 2024-03-25 14:39:00 PCV 22 % TS 2.0 g\dl Serum Blood lead Collection date 2024-03-25 Level 0.00 ug/dL

2024-03-25 14:37 AGD

Food: 36g M cut up SQ fluids: 15ml LRS Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - administered

2024-03-24 16:04 Marissa

Food: 35g M, Ch cut up SQ fluids: 15ml LRS Did not eat from this morning.

2024-03-24 10:13 Marissa

Food: 35g M, Ch cut up SQ fluids: 15ml LRS Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - BID Did not eat

2024-03-23 16:28 Bailynn Peeler

Food: 35g M, Ch cut up SQ fluids: 40ml LRS Ketorolac - OU - Did not eat AM food

2024-03-23 10:15 Bailynn Peeler

Food: 32g M, Ch cut up SQ fluids: 40ml LRS Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - Did not eat last night's food. Harsh breathing this morning

2024-03-22 16:49 Marissa

Food: 32g M, Ch cut up SQ fluids: 40ml LRS Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) PO Ketorolac - OU - BID

2024-03-22 16:09 SAK

======= TREATMENT PLAN ======= Food: 35g M, Ch cut up BID SQ fluids: 40ml LRS BID Buprenorphine SR Owl: 0.04 ml (1.8mg/ml) SID SQ Meloxicam: 0.42 ml (1.5 mg/ml soln) SID PO Ketorolac - OU BID - ==============================

2024-03-22 15:28 re

======= TREATMENT PLAN ======= Food: 35g M, Ch, Q cut up BID ==============================

2024-03-22 13:47 Marissa

Weight: 624 grams, BCS: 1.5 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Seth Oster Observational examination Mentation: Dull Posture: Drooping head, unable to stand unless placed in a donut. Overall appearance: Poor Comments: Vertical nystagmus Vital stats Heart rate: 350 Respiratory rate: 40 Auscultation: Air sac sounds on right side Dehydration: 5-10% Comments: 8% Oral cavity: stringy saliva Beak: Blood present, possible fractured upper portion of beak Cere/nares: Blood present Eyes: OD- 12 IOP, film. OS- 15 IOP, fibrin Legs/Feet: Abrasion on digit 2 BCS: 3 Uropygial gland: NE Problem list: 1. Possible fractured upper portion of beak 2. Horiztonal nystagmus (neurological) 3. Eyes- OD: film OS: fibrin 4. Dehydration Diagnosis: Neurological deficits and upper portion of beak Assessment: With the reported findings of 018, trauma is suspected to be the primary cause of the clinical signs; vertical nystagmus, fractured upper portion of beak with blood present on beak and nares, fibrin within the left eye, dehydration. and very dull mentation. Nystagmus is often seen with trauma due to neurological damage (acutely or chronic). A fractured upper portion of the beak can be associated with trauma and can happen with sudden impact (car, window, etc.).Fibrin see within eyes can indicate retinal issues which could also stem from trauma. In addition, the right eye had a film like appearence and was soft to the touch. Dehydration is a common clinical symptom when birds are flightless due to injury and cannot access water sources. Plan: 1. Meloxicam injection (1mg/kg)- 0.12 mL 2. Buprenorphine injection SQ (0.1mg/kg)- 0.03 mL 3. Ketorolac OU BID 4. Fluids 40 mL SQ 5. Radiographs and optho in future 6. Monitor for improvement of clinical signs Prognosis: Guarded

2024-03-22 13:06 BT

Additional data from online form ------------------------ Offered food or water: No Treatments given: No Carrier box to pickup: No Add to mailing list: Yes

2024-03-22 08:19 re

Sample Collection date 2024-03-22 Type choanal/cloacal swab Notes: Results: AI PCR : Not detected

Version 3.1.7 - 3.18.63

Fri May 10 03:00:22 2024