2024-029	Problems	Notes	Costs
Admission date 2024-04-12 Final date - Days in captivity 27 Species BDOW - Barred owl Age Adult Sex UNK Status Reh Band	Dehydration - <5% Neurologic - dull mentation Neurologic - Head tilt, left Ocular - cataract incipient, OD Ocular - uveitis, OD Ocular - uveitis, OS Cause of injury: Unknown	Found in Cusseta,AL Lee county	Here is a summary of this patient's treatments and expenses: Desc Qty Cost Subtotal Examination 1 75.00 75.00 Daily rate 27 20.00 540.00 Complete blood count 1 58.00 58.00 Packed cell volume 1 8.07 8.07 Blood chemistry 1 45.35 45.35 Lab tests 1 Variable 40.00 Total     766.42 DONATE Costs are estimates based on fees charged at a local avian specialist.

Radiographs and images

No images for this patient

2024-05-08 15:10 BT

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-08 09:15 BT

Weight: 670 grams +28g (4%) Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - Feces/urates/pellet present

2024-05-07 16:13 JB

Food: 29g M, PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-07 09:40 SAK

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - Feces/urates/pellet present

2024-05-06 16:36 re

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-06 10:27 re

Food: 31g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR, one pellet, normal mutes

2024-05-05 16:12 BT

Food: 35g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-05 08:53 CG

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR ate well left pellet

2024-05-04 15:26 CG

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-04 09:06 BT

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-03 15:27 BT

Food: 32g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-02 15:51 BT

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-02 08:36 CG

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR ate well left pellet

2024-05-01 15:25 CG

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-05-01 09:24 CG

Weight: 642 grams Food: 32g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR Ate well No pellet 11% weight increase

2024-04-30 16:44 re

Food: 35g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-30 08:59 CG

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR Ate well left pellet

2024-04-29 16:32 SAK

Food: 31g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-29 09:01 CG

Food: 31g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR Ate Well Left Pellet

2024-04-28 15:53 BT

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-28 09:38 BT

Food: 35g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-27 15:40 BT

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-27 10:02 BT

Food: 32g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-26 16:21 BT

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-26 11:43 CG

Food: 33g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-26 11:12 CG

Food: 33g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-25 16:53 CG

Interpretation: the only abnormality noted on the chemistry profile was the 3+ Lipemia. The lipemia was likely a result of post-prandial sampling. Serum chemistry Collection date 2024-04-25 AST 326 U/L Phos 6.9 mg/dl BA 0 umol/L TP 4.2 g/dl CK 765 U/L Alb 3.0 g/dl UA 19.2 mg/dl Glob 1.1 g/dl Glu 244 mg/dl K+ 3.3 mmol/l Ca 10.7 mg/dl Na+ 163 mmol/l     AMY 0 U/L Hem 2+, Lip 3+, Ict 0

2024-04-25 16:51 CG

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-25 11:11 CG

Food: 30g M, Ch PUT MEDS IN FOOD Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-24 16:16 BT

Food: 31g M, Ch Meloxicam: 0.39 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-24 09:45 BT

Updated medication doses based on a latest weight of 579 g

2024-04-24 09:02 CG

Weight: 579 grams Food: 32g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR Left pellet Ate well Weight gain 20% BW

2024-04-23 15:43 CG

Food: 31g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-23 10:07 CG

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR Ate well Left pellet No head tilt observed

2024-04-22 16:53 SAK

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-22 13:18 SAK

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-21 16:23 MM

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-21 10:49 MM

Food: 30g M Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR, ate well, left pellet

2024-04-20 15:37 MM

Food: 33g M Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-20 10:27 MM

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU - BAR, ate well, left pellet.

2024-04-19 16:50 MM

PCV/TP Collection date 2024-04-19 16:50:00 PCV 30 % TS 4.2 g\dl Serum Blood lead Collection date 2024-04-19 Level 0.00 CBC Collection date 2024-04-19 WBC count 8200 Corrected count 8200 Hets/Neut 39% - 3198   Bands 0+   Toxics 0+ Lymphs 36% - 2952 Eos 14% - 1148 Mono 8% - 656 Baso 3% - 246 Thrombocytes PI 1 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab A small clot is present in the blood tube. This may affect the CBC results.

2024-04-19 16:43 AN

Food: 29g M

2024-04-19 16:00 MM

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac - OU -

2024-04-19 11:22 SAK

======= TREATMENT PLAN ======= Food: 30g M, Ch BID Meloxicam: 0.32 ml (1.5 mg/ml soln) BID PO Ketorolac - OU BID - ============================== Add Ketorolac OU BID

2024-04-19 09:16 MM

Food: 28g M Meloxicam: 0.32 ml (1.5 mg/ml soln) PO Ketorolac OU BAR, ate well, left pellet.

2024-04-18 17:18 MM

Addition to eye exam Right eye Anterior chamber: Formed, 2+ flare Vitreous: 2+ vitreal degeneration Cornea: Normal Iris: Normal Lens: Pigment specks on ALC, incipient anterior subcapsular cataracts axially. Fundus: multifocal areas of hypo and hyperpigmentation at periphery. Left eye Anterior chamber: Formed, trace flare, focal tuft of vitreal presentation vs. fibrin in front of ALC. Vitreous: 2+ vitreal degeneration Cornea: Normal Iris: Normal Lens: Normal Fundus: multifocal areas of hypo and hyperpigmentation at periphery. Recheck in 3 weeks. Eye exam Exam date - 2024-04-18 Examiner - MM RIGHT LEFT PLR Menace PLR Menace ++ DNE ++ DNE Stain   Stain   NEG   NEG   Right eye: PLR (+), palpebral (+), Dazzle (+), photopic: FN, stain (-), blepharospasm (-), discharge (-), conj. hyperemia (-). Dx: Uveitis, incipient cataract Tx: Ketorolac OU q12h, meloxicam Recheck 3 weeks Left eye: PLR (+), palpebral (+), Dazzle (+), photopic: FN, stain (-), blepharospasm (-), discharge (-), conj. hyperemia (-). Dx: Uveitis Tx: Ketorolac OU q12h, meloxicam Recheck 3 weeks.

2024-04-18 16:41 SAK

Food: 29g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO

2024-04-18 12:14 re

Sample Collection date 2024-04-15 Type choanal/cloacal swab Notes: Results: AI PCR : Not detected

2024-04-18 10:01 BE

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO BAR, no tilt or squint, ate all food

2024-04-17 16:48 MM

Food: 31g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO QAR, no head tilt noted, no squinting.

2024-04-17 14:24 SAK

Food: 29g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO

2024-04-16 16:27 MM

Food: 30g M, Ch Meloxicam: 0.32 ml (1.5 mg/ml soln) PO QAR, no head tilt noted, no squinting noted.

2024-04-16 09:19 SAK

======= TREATMENT PLAN ======= Food: 30g M, Ch BID Meloxicam: 0.32 ml (1.5 mg/ml soln) BID PO note mentation, head tilt, squinting ============================== Switched to oral meloxi 1mg/kg

2024-04-16 09:10 MM

Food: 30g Meloxicam: 0.3ml (1.5mg/ml) PO No head tilt noted, no squinting noted. Looks more like patient is leaning its whole body slightly (~10 degree) to the left.

2024-04-15 16:44 MM

Food: 30g Meloxicam: 0.16 ml (1.5 mg/ml) PO BID Mentation: QAR No head tilt noted, no squinting noted.

2024-04-15 09:56 SAK

Submitted AI swab to State Lab

2024-04-15 09:30 MM

Food: 30g Meloxicam: 0.16 ml (1.5 mg/mL) PO BID Mentation: QAR No head tilt noted, no squinting noted.

2024-04-14 15:50 CG

Food: 30g Meloxicam: 0.05ml (5mg/ml) SQ

2024-04-14 09:55 CG

Food: 30g Buprenorphine: 0.02ml (1.8mg/ml) SQ Meloxicam: 0.02ml (5mg/ml) SQ BAR Left pellet Very mild head tilt to the left

2024-04-13 15:43 BE

Food: 30g M SQ fluids: LRS 12mL Meloxicam: 0.05 ml (5 mg/ml (Injectable)) SQ Eating well

2024-04-13 09:23 BE

Food: 27g M SQ fluids: LRS 24ml until 2024-04-13 Meloxicam: 0.05 ml (5 mg/ml (Injectable)) SQ Dull mentation, no head tilt, no squinting, ate last night

2024-04-12 17:47 AMS

======= TREATMENT PLAN ======= Food: 30g BID Assisted feed: BID , If not eating SQ fluids: LRS 24ml BID until 2024-04-13 Meloxicam: 0.05 ml (5 mg/ml (Injectable)) BID SQ (0.5mg/kg dose - manually recalculate if weight changes) note mentation, head tilt, squinting ==============================

2024-04-12 17:46 AMS

Weight: 481 grams

2024-04-12 17:41 Michelle

Weight: 481 grams, BCS: 2.0 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: Dull Posture: Erect Overall appearance: No obvious external injuries Vital stats Heart rate: 280 bpm Respiratory rate: 25 brpm Auscultation: Normal cardiac and breath sounds Mucous membranes: Pink and Moist Dehydration: <5% Oral cavity: Normal, no blood or abnormalities seen Choana: Normal, no blood or abnormalities seen Glottis: Normal, no blood or abnormalities seen Beak: small spot of blood on beak, no obvious injuries to beak, suspect from food Cere/nares: Normal, no obvious abbrasions Eyes: Clear OU, decreased PLR OD, blepharospasm OD Ears: Clear or debris and parasites Crop: Normal Feather quality: Free of debris and ectoparasites Wings: No obvious abnormalities or injuries Wings - Range of motion: Full ROM of both wings Wings - Patagium: intact Legs/Feet: Legs/Feet - Range of motion: Full ROM of both legs Legs/Feet - Plantar surface: No obvious injuries or abnormalities Legs/Feet- Talons: Palor around proximal talons on all digits Ceolom: Palpated normal BCS: 2 Vent: Normal Droppings: DNE Uropygial gland: Normal Problem list: -dull mentation -slight head tilt to the left -blepharospasm and reduced PLR OD -mild dehydration, delayed ulnar refill r/o - head trauma, Avian influenza, Newcastle disease, West Nile virus Plan: We will treat the dehyrdration by administering 24mL of LRS SQ and reassess the patient's hydration status in the morning. We have also administered 0.05 ml of meloxicam SQ to help with any pain the patient may be experiencing. PCV 33%, TP: 3.6 g/dL, lead low AI swab collected Continue to evaluate mentation Ophtho consult once cleared for AI MM/AMS

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