2024-035 Problems Notes Costs
Admission date2024-04-19
Final date -
Days in captivity20
SpeciesRTHA - Red-tailed hawk
AgeAdult
SexUNK
StatusReh
Band
Abscess - subcutaneous
Mass near vent
Ocular - Corneal Ulcer, OS
Ocular - Focal ventral retinal detachment, OS
Ocular - Trauma, OS
Ocular - uveitis, OS

Cause of injury: Unknown

Found in AL
NA county
Here is a summary of this patient's treatments and expenses:

Desc Qty Cost Subtotal
Examination175.0075.00
Daily rate2020.00400.00
Radiographs487.75351.00
Surgery, minor1200.00200.00
Complete blood count158.0058.00
Packed cell volume18.078.07
Blood chemistry145.3545.35
Lab tests1Variable40.00
Total  1177.42

Costs are estimates based on fees charged at a local avian specialist.
Radiographs and images

2024-04-24

2024-04-24

2024-04-24

2024-04-24

2024-04-30

2024-04-30

2024-04-30

2024-04-30

2024-04-30

2024-04-30

2024-04-30
2024-05-08 15:10 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OS -

2024-05-08 09:16 BT
Weight: 1053 grams
+14g (1%)

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OS -

Feces/urates/pellet present

2024-05-07 16:13 JB

Food: 43g M, PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OS -

2024-05-07 09:41 SAK

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OS -
Feces/urates/pellet present

2024-05-06 16:36 re

Food: 42g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OS -

2024-05-06 10:28 re

Food: 42g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OS -

BAR, one pellet, normal mutes

2024-05-06 09:46 re

======= TREATMENT PLAN =======
Food: 40g M, Ch, Q BID PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) BID PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) BID PO
Ketorolac - OS BID -
==============================
d/c neopolygram

2024-05-05 16:12 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-05-05 08:53 CG

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

BAR
ate well
left pellet

2024-05-04 15:26 CG

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-05-04 09:06 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-05-03 15:35 CG

Surgery Report
Procedure: Transpupillary barrier retinopexy
Began anesthesia at 12:10
Began procedure at 12:30
Ended Procedure at 1:30
Ended anesthesia at 1:40
Eyes were lubricated with optixcare eye lube.
035 was pre-medicated with midazolam at 1mg/kg and induced and maintained on isoflurane. A 3.0 ET tube was placed. Heart rate was monitored by doppler. ETCO2 was monitored by capnography.

Recovery from anesthesia was smooth and no complications were encountered.

2024-05-03 15:28 BT

Food: 81g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-05-03 09:03 CG

Right eye
Anterior chamber: Normal
Cornea: Faint axial fibrosis
Iris: normal
Lens: normal
Fundus: Linear ventral area of pigmentation dorsal to pecten (chorio-retinal scar)

Left eye:
Anterior chamber: Thin veil (suspect retinal detachment dorsally)
Cornea: focal pinpoint mineral opacities ventro nasal at paraxial 3:00
Iris: Normal
Lens: normal
Fundus: Focal large geographic retinal tear nasally

Dx/Recommendations: Dx--> uveitis OS - controlled, Focal/partial retinal tears OS
P- Ketorolac OS q12h, meloxicam, D/C NeoPolyGram
Barrier retinopexy scheduled for 5/3

Eye exam
Exam date - 2024-05-03
Examiner - CG
RIGHTLEFT
PLRMenacePLRMenace
++++
Stain Stain 
NEG NEG 
Right eye:
Palpebral reflex: + Photopic: FN Blepharospasm: - Discharge: - Conj. Hyperemia: - Chemosis: -
Left eye:
Palpebral reflex: + Photopic: FN Blepharospasm: - Discharge: - Conj. Hyperemia: - Chemosis: -
2024-05-02 15:52 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO

2024-05-02 10:36 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO

Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-05-01 15:26 CG

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

Feces/urine/urate normal
urate was tinged yellow

2024-05-01 09:48 CG

Mass excised during surgery submitted for histopathology

2024-05-01 09:25 CG
Weight: 1039 grams
Food: 40g M, Ch, Q Meds given PO
TMS: 0.98 ml (48 mg/ml) PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

BAR
Ate well
No pellet

10% weight increase

2024-04-30 16:54 CG

Surgery report
Procedure - Mass removal
Performed by - Sokoloff
Surgery time - 50 minutes

035 was induced and maintained on isoflurane. Heart rate was
monitored via doppler and respirations were monitored by movement
of the keel. Heat was provided to the patient by a heating pad
placed beneath a towel. Breaths were intermittently provided
during the procedure until the last 15 min. which then they were
given 20 times a minute. 
The skin was incised superficial to the mass in a circular shape
about 1.5cm in diameter. The mass was dissected from healthy
tissue. It was observed that the mass invaded the wall of the
cloaca and could not be dissected away from the cloacal wall.
The mass was excised from the cloacal wall. After excision, the
surgery site was lavaged, and the cloacal wall was closed by
a simple continuous suture pattern w/ 5-0 PDS. The tissue of
the cloacal wall was then inverted with a Cushing suture pattern
also with 5-0 PDS. A splash block of 1.9mg of 20% lidocaine diluted
with LRS was performed at the surgery site after closure of the
cloaca. The outer skin layer was then closed with simple interrupted
sutures and covered by a tegaderm pad. 0.38ml (0.1mg/ml) of flumazenil
was administered IM into the right pectoral muscle. Recovery
from anesthesia was smooth and no complications were encountered.
2024-04-30 16:46 re

======= TREATMENT PLAN =======
Food: 40g M, Ch, Q BID PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) BID PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.63 ml (1.5 mg/ml soln) BID PO
NeoPolyGram Drop - OS BID - Try without grabbing
Ketorolac - OS BID -
==============================
Added buprenorphine

2024-04-30 16:44 re

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Buprenorphine SR: 0.16 ml (1.8 mg/ml SR) SID SQ
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-04-30 10:38 re

======= TREATMENT PLAN =======
Food: 40g M, Ch, Q BID PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) BID PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) BID PO
NeoPolyGram Drop - OS BID - Try without grabbing
Ketorolac - OS BID -
==============================
Changed Neopolygram to BID

2024-04-30 08:59 CG

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

BAR
Ate well
No visual deficits observed
Anisocoria with the left smaller than the right

Fluoroscein stain was placed in the left eye and no uptake was observed.

2024-04-29 16:32 SAK

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-04-29 09:01 CG

Food: 42g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

BAR
One Pellet
Ate Well

2024-04-28 15:52 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -
monitored nares still no blood

2024-04-28 13:05 BT


NeoPolyGram Drop - OS -

2024-04-28 09:38 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -
monitores nares still no blood

2024-04-27 15:40 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS -
Ketorolac - OS -
Banged nares on cage wall there was some blood but it was not actively bleeding. Will continue to monitor

2024-04-27 11:34 BT


NeoPolyGram Drop - OS - Try without grabbing

2024-04-27 10:03 BT

Food: 41g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-04-26 16:21 BT

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
NeoPolyGram Drop - OS - Try without grabbing
Ketorolac - OS -

2024-04-26 11:44 CG

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OS -

2024-04-26 10:43 BT

======= TREATMENT PLAN =======
Food: 40g M, Ch, Q BID PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) BID PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) BID PO
NeoPolyGram Drop - OS TID - Try without grabbing
Ketorolac - OS BID -
==============================

2024-04-26 10:32 re

Sample
Collection date2024-04-23
Typechoanal/cloacal swab
Notes:
Results:
AI PCR : Not detected
2024-04-25 11:10 CG

Food: 40g M, Ch, Q PUT MEDS IN FOOD
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OU -

Submitted request for aerobic culture and sensitivity for purulent material aspirated from subcutaneous mass cranial to the cloaca to AUCVM bacteriology/mycology lab

2024-04-25 09:53 CG

Eye exam
Exam date - 2024-04-25
Examiner - CG
RIGHTLEFT
PLRMenacePLRMenace
+DNENEGDNE
Stain Stain 
NEG + 
Right eye:
Palpebral: + Menace: + Photopic: FN Fluoroscein: - Blepharospasm: - Discharge: - Conj. Hyperemia: - Chemosis: -
Left eye:
PLR: reduced (miotic) Palpebral: + Menace: + Photopic: FN Fluoroscein: + Blepharospasm: - Discharge: crusting Conj. Hyperemia: - Chemosis: -
2024-04-25 09:25 re

2024-04-24 16:53 CG

PCV/TP
Collection date2024-04-24 16:53:00
PCV35 %
TS3.5 g\dl
Serum
Blood lead
Collection date2024-04-24
Level0.00
2024-04-24 16:16 BT

Food: 41g M, Ch, Q
TMS: 0.98 ml (48 mg/ml) PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) PO
Ketorolac - OU -
LRS Fluids 46ml SQ (1/2 maintenance + dehydration dose)

2024-04-24 16:13 CG

Radiograph Report:
The coelomic cavity had gas opacities between the heart and liver indicative of a pneumocoelem. An object of soft tissue opacity and speckles of mineral opacities was observed in the caudo-ventral portion of the body, just cranial to the vent.

Ultrasound:
The mass cranial to the vent was the area of interest during ultrasound. There was anechoic substances within the mass indicating it had some fluid. The mass also displayed some shadowing, probably from more firm tissues within the mass. The doppler mode on the ultrasound machine revealed blood flow in the superficial layer of the mass.

Fine Needle Aspirate:
A cloudy yellowish fluid with a pungent odor was aspirated from the mass. When stained and viewed under a microscope, there was a copious amount of rod bacteria

2024-04-24 15:11 SAK

======= TREATMENT PLAN =======
Food: 40g M, Ch, Q BID
TMS: 0.98 ml (48 mg/ml) BID PO
Meloxicam: 0.63 ml (1.5 mg/ml soln) BID PO
Ketorolac - OU BID -
Waiting for consult: Ophtho - schedule once cleared for AI
==============================
Remove Assist feed, eating on own.

2024-04-24 13:12 re

EPH Interpretation
The beta globulins are increased and reflective of acute inflammation. Moderate
to marked increases in this fraction can be observed with nephritis, hepatitis,
dermatitis, and mycotic infection. Increases may also be observed with
sarcocystosis and chronic chlamydiosis as well as mycobacteriosis. Specific beta
globulin proteins are also increased in egg laying birds. Followup EPH may have
prognostic value in this case.

Serum chemistry
Collection date2024-04-24
AST1052 U/LPhos8.5 mg/dl
BA5 umol/LTP4.0 g/dl
CK4457 U/LAlb0.0 g/dl
UA2.0 mg/dlGlob0.0 g/dl
Glu288 mg/dlK+2.5 mmol/l
Ca9.1 mg/dlNa+155 mmol/l
  AMY176 U/L
Hem 0, Lip 0, Ict 0
CBC
Collection date2024-04-24
WBC count12200
Corrected count12200
Hets/Neut67% - 8174
  Bands0+
  Toxics0+
Lymphs16% - 1952
Eos5% - 610
Mono7% - 854
Baso5% - 610
Thrombocytes
PI1
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read byUMiami Avian & Wildlife Lab
The cell distribution was uneven on the provided smears. This may have affected the CBC results.
2024-04-24 09:45 BT

Updated medication doses based on a latest weight of 946 g

2024-04-24 08:37 CG
Weight: 946 grams
+47 g (5%)

Ketorolac - OU -
Waiting for consult: Ophtho - schedule once cleared for AI

BAR

2024-04-23 17:05 re

Food: 40g M, Ch, Q
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.60 ml (1.5 mg/ml soln) PO
Ketorolac - OU -
Waiting for consult: Ophtho - schedule once cleared for AI

2024-04-23 10:05 SAK

Food: 40g M, Ch, Q
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.60 ml (1.5 mg/ml soln) PO
Ketorolac - OU -

NO LEFTOVERS, EATING ON OWN!
Firm mass still palpable near vent.
Feces, urates, pellet present

2024-04-22 16:55 SAK

Food: 40g M (Assist fed few mice and LEFT 60g OVERNIGHT)
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.60 ml (1.5 mg/ml soln) PO
Ketorolac - OU -

2024-04-22 13:21 SAK

======= TREATMENT PLAN =======
Food: 40g M, Ch, Q BID
Assisted feed: BID , If not eating
TMS: 0.93 ml (48 mg/ml) BID PO
Meloxicam: 0.60 ml (1.5 mg/ml soln) BID PO
Ketorolac - OU BID -
Waiting for consult: Ophtho - schedule once cleared for AI
==============================

2024-04-22 13:10 SAK

Food: 40g M, Ch, Q (Gave all meds orally)
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.59 (1.5 mg/ml) PO
Ketorolac - OU -


Left 40g from 4-21-24

2024-04-21 16:23 MM

Food: 40g M, Ch, Q
Left food in cage to see what we do overnight
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.18 ml (5 mg/ml (Injectable)) SQ (change to PO once hydrated and eating)
Ketorolac - OU -

2024-04-21 10:43 MM

Food: 40g M
Assisted feed
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.18 ml (5 mg/ml (Injectable)) SQ (change to PO once hydrated and eating)
Ketorolac - OU -
BAR, left 41 g of food (mouse left over from yesterday morning), left pellet.

2024-04-20 15:39 MM

Food: 39g M
Assisted feed
SQ fluids: LRS 54ml until 2024-04-20
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.18 ml (5 mg/ml (Injectable)) SQ (change to PO once hydrated and eating)
Ketorolac - OU -
Waiting for consult: Ophtho - schedule once cleared for AI

2024-04-20 10:32 MM

Food: 44g M, Ch, Q
SQ fluids: LRS 54ml until 2024-04-20
TMS: 0.93 ml (48 mg/ml) PO
Meloxicam: 0.18 ml (5 mg/ml (Injectable)) SQ (change to PO once hydrated and eating)
Ketorolac - OU -
Waiting for consult: Ophtho - schedule once cleared for AI

BAR, left 76 g of food, no pellet. Cloacal mass still palpated.

2024-04-19 19:17 AMS

======= TREATMENT PLAN =======
Food: 40g M, Ch, Q BID
Assisted feed: BID , If not eating
SQ fluids: LRS 54ml BID until 2024-04-20
TMS: 0.93 ml (48 mg/ml) BID PO
Meloxicam: 0.18 ml (5 mg/ml (Injectable)) BID SQ (change to PO once hydrated and
eating)
Ketorolac - OU BID -
Waiting for consult: Ophtho - schedule once cleared for AI
==============================

2024-04-19 16:44 AN

Food: 30g M

2024-04-19 16:41 CG
Weight: 899 grams, BCS: 1.5

------------- PHYSICAL EXAM FINDINGS ----------------
Attending Veterinarian: Dr. Amberly Sokoloff
Observational examination
Mentation: BAR
Vital stats
Heart rate: 250
Respiratory rate: 25
Mucous membranes: pink moist
Dehydration: Euhydration, <5%, 5-10%
Comments: Delayed refill and decreased size of ulnar vein.
Oral cavity: Clear. No debris
Choana: Clear. no blood or debris
Glottis: Clear. no blood or debris
Beak: Normal
Cere/nares: Normal
Eyes: OS: pigment throughout vitreous, making it difficult to see pectin/fundus. Left PLR more active than right. OD: No ocular abnormalities
Ears: Normal
Crop: Empty
Feather quality: Clean. No damage observed
Wings: Normal
Wings - Range of motion: Normal
Wings - Patagium: Normal
Legs/Feet: Right foot: mild abrasions. Scale separation of caudo-lateral metatarsus Left: mild abrasion axially on digit II
Legs/Feet - Range of motion: Normal
Legs/Feet - Plantar surface: Normal
Legs/Feet- Talons: Normal
BCS: 1
Vent: Palpated ovoid-like mass. 2cm x 1.5cm
Droppings: Normal Urine/Urate observed
Problem list: Dehydrated 7%
Vitreal pigment OS
Palpable mass in vent
Anisocoria (right pupil larger than left)
BCS: 1.5/5
Right foot: abrasions. Scale separation on caudolateral metatarsus
Left foot: abrasion on medial aspect of digit ii

Differentials for cloacal mass:
-Ruptured/malformed eggs
-Neoplasia
-Foreign body

Assessment: 035 is a Adult Red Tail Hawk of unknown sex that presented to the Southeastern Raptor Center for a cloacal mass. On Physical exam 035 was observed to have a poor body condition (1.5/5), dehydrated, a cloacal mass and pigment of the vitreous of the left eye. The ocular abnormalities and body condition are likely a result of a traumatic event.

Plan: 53ml LRS SQ BID
Ketorolac OS BID
Meloxicam: 0.18ml (5mg/ml) IM BID
TMS: 0.94ml (48mg/ml) PO BID
Wait for HPAI test results to come back.

Version 3.1.7 - 3.18.63 Thu May 09 03:00:23 2024