2024-098	Problems	Notes	Costs
Admission date 2024-07-21 Final date - Days in captivity 48 Species RTHA - Red-tailed hawk Age HY Sex UNK Status Reh Band Blue L 87	Ectoparasite - Hippoboscid flies Neurologic - Head trauma Soft tissue wound - carpus, L Soft tissue wound - carpus, R Cause of injury: Unknown	Found in Auburn,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 48 20.00 960.00 Radiographs 6 87.75 526.50 Complete blood count 3 58.00 174.00 Packed cell volume 1 8.07 8.07 Blood chemistry 2 45.35 90.70 Lab tests 1 Variable 40.00 Total     1874.27 DONATE Costs are estimates based on fees charged at a local avian specialist.

Radiographs and images
2024-07-29	2024-07-29	2024-07-29	2024-07-29	2024-07-29	2024-08-01	2024-08-01

2024-09-06 16:47 MR

Group entry: 9 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-09-06 16:27 BT

Group entry: 9 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-09-05 15:17 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-09-04 16:09 MR

Group entry: 10 animals 150g R, M, Ch, Q per bird

2024-09-03 15:29 re

Group entry: 10 animals 150g R, M, Ch, Q per bird

2024-09-02 12:35 re

Group entry: 10 animals 150g R, M, Ch, Q per bird

2024-09-01 10:52 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-31 16:32 CC

098's bloodwork was overall unremarkable. Haemoproteus species were noted in low levels. Serum chemistry Collection date 2024-08-28 AST 375 U/L Phos 1.8 mg/dl BA 5 umol/L TP 4.2 g/dl CK 3689 U/L Alb 0.0 g/dl UA 7.3 mg/dl Glob 0.0 g/dl Glu 415 mg/dl K+ 1.4 mmol/l Ca 10.3 mg/dl Na+ 147 mmol/l     AMY 229 U/L Hem 0, Lip 0, Ict 0 CBC Collection date 2024-08-28 WBC count 16600 Corrected count 16600 Hets/Neut 31% - 5146   Bands 0+   Toxics 0+ Lymphs 47% - 7802 Eos 4% - 664 Mono 14% - 2324 Baso 4% - 664 Thrombocytes adequate PI 1 Hemoproteus 1+ Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab Lymphocytes are small and well-differentiated. Consider these results with knowledge if the species has a higher predilection for a higher lymphocyte count, clinical impression, and other diagnostic findings.

2024-08-31 14:35 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-30 16:28 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-29 16:09 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-28 16:28 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-28 15:38 JHF

BCS: 4.0 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: BAR Posture: Normal Overall appearance: Normal Vital stats Heart rate: 220 Respiratory rate: 96 - normal effort Auscultation: WNL Mucous membranes: Pink and Moist Hydration: Euhydration Oral cavity: WNL Choana: WNL Glottis: WNL Beak: WNL Cere/nares: WNL Eyes: WNL Ears: WNL Crop: WNL Feather quality: Great Integument: WNL Wings: Normal Wings - Range of motion: WNL Wings - Patagium: WNL Legs/Feet: Normal Legs/Feet - Range of motion: WNL Legs/Feet - Plantar surface: WNL Legs/Feet- Talons: WNL Neurologic: Normal - no signs of ataxia Ceolom: Palpates normally BCS: 4 Vent: WNL Droppings: None seen Uropygial gland: WNL Diagnosis: Apparently Healthy Plan: Tx: None at this time Dx: University of Miami Bloodwork, drawn from R jugular - no complications Ok for release pending BW results Prognosis: Excellent JHF/AMS

2024-08-28 10:15 BT

Flight eval Exam date - 2024-08-28 Examiner - BT Flight Sound Notes: Feather Condition 3, Endurance 4, Symmetry 4, Maneverability 4, Lift 4, Landing 4 = Total 23 Ready for Release. Missing one tail feather--not sure if impable, but not totally necessary .

2024-08-27 16:26 re

Group entry: 10 animals 150g R, M, Ch, Q per bird

2024-08-26 15:55 MR

Group entry: 9 animals 150g R, M, Ch, Q per bird

2024-08-25 16:41 re

Group entry: 9 animals 150g R, M, Ch, Q per bird

2024-08-24 10:18 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-23 16:35 BT

Group entry: 10 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-22 15:47 BT

Group entry: 12 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-21 15:05 MR

Group entry: 12 animals 150g R, M, Ch, Q per bird

2024-08-20 15:49 SAK

Group entry: 12 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-19 16:39 MR

Group entry: 12 animals 150g R, M, Ch, Q per bird

2024-08-19 16:07 SAK

Group entry: 12 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-18 15:38 BT

Group entry: 12 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-17 17:07 re

Group entry: 12 animals 150g R, M, Ch, Q per bird

2024-08-16 15:44 re

Group entry: 13 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-15 16:02 BT

Group entry: 13 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-14 15:23 BT

Group entry: 12 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-13 16:23 SAK

Group entry: 12 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-12 15:54 MR

Group entry: 12 animals 150g R, M, Ch, Q per bird

2024-08-11 15:26 BT

Group entry: 11 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-10 14:43 BT

Group entry: 11 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-09 15:46 BT

Group entry: 12 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-08 16:02 BT

Group entry: 13 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-07 16:58 BT

Group entry: 13 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-07 14:11 mr

Group entry: 13 animals 150g R, M, Ch, Q per bird

2024-08-07 09:47 re

Band changed to: Blue L 87 Bird flying well in aviary

2024-08-07 09:24 BE

Weight: 1075 grams 7% increase in weight

2024-08-06 13:50 SAK

Group entry: 13 animals 150g R, M, Ch, Q per bird VitaHawk: Friday Only: Sprinkle 1/2 teaspoon per bird on food.

2024-08-05 16:12 AN

Group entry: 11 animals 150g R, M, Ch, Q per bird

2024-08-05 10:34 SAK

Weight: 1004 grams 1% decrease in BW

2024-08-05 10:34 SAK

Band changed to: Blue R 87 Moved to LFA1 Moving out to LAF1 to try a less stressful environment than CCW to see if 98 will eat. Carpal pads and tail guard were removed. When put out in LAF1, 98 flew steady, got significant lift, and flew up to the top of the aviary. D/C Meloxicam. Pull out on Wednesday to weigh.

2024-08-05 07:53 BE

BAR, pellet, normal mutes

2024-08-04 15:55 SET

Tweezer feed: 51g M, cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-08-04 09:37 SET

Tweezer feed: 52g M,cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, normal mutes, pellet, carpal pads still in place

2024-08-03 15:28 BE

Tweezer feed: 50g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-08-03 08:15 BE

Tweezer feed: 54g M cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, normal mutes, left a pellet, carpal pads still on

2024-08-02 15:13 BE

Tweezer feed: 103g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-08-02 14:52 BE

Took out to LAF1 to test ability to fly. 98 was steady while flying but unable to get significant lift. It was an improvement since last week's observations. Placed with the tPEMF (targeted pulsed electromagnetic field) loop for 15 minutes. Flight eval Exam date - 2024-08-02 Examiner - BE Flight Sound Notes: On flight evaluation today 98 was steady on flight with significantly less left sided wing drooping. 98 was unable to get significant lift. No ataxia was appreciated on exam.

2024-08-02 07:43 BE

Skipped feeding to test flight in aviary Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, left a pellet, normal mutes, carpal pads still on

2024-08-01 15:15 BE

Tweezer feed: 51g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-08-01 13:49 re

P had removed previous carpal bumpers. There is mild inflammation on the left carpus, worse on the right, with mild ulceration present. Cleaned carpal regions on both wings with dilute betadine, applied vetericyn wound gel and covered with tegaderm+telfa, foam tape, duct tape around edges, and interremigial tapes. AMS

2024-08-01 07:47 BE

Tweezer feed: 52g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, did not eat 6 mice pieces from yesterday(4g), normal mutes, pellet

2024-07-31 15:37 BE

Tweezer feed: 51g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-07-31 08:19 BE

Weight: 1019 grams Tweezer feed: 50g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, produced normal mutes, and left a pellet Carpal bumpers are off, will leave off until needing to handle 98 again Left 6 pieces of cut up mouse in the cage to see if he will eat it on own 2% weight increase

2024-07-30 16:48 BE

Tweezer feed: 51g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-07-30 07:51 BE

Tweezer/Assist fed: 51g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, left 236g of food, no pellet, normal mutes Carpal pads still intact

2024-07-29 16:06 BE

----- Sedation/Anesthesia ----- ASA status: 1 Induction: Iso Maintenance: Iso Monitoring: Stethoscope Complications: None Iso started at 2:02pm, ended at 2:30pm. Starting HR 280bpm, ending 230bpm. There were no complications during or waking from anesthesia. Replaced carpal bumpers with padded tegaderm and cleaned and replaced tail guard Imagery report Date 2024-07-29 Type Radiograph Performed by BE Positioning VD/Lateral Equipment Location Full body VD and R lateral, H view, L wing lateral, R lateral skull Anesthesia ISO via face mask Comments There were no signs of fractures or luxations. There was a mild increase in radiolucency within coelom. Overall very unremarkable radiographs.

2024-07-29 15:29 BE

Food: 236g M, Ch to see if 98 will eat on own Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-07-29 10:47 SAK

Replaced carpal bumpers with, padded tegaderm. Slight swelling of the left carpal joint. No open lesions on either of the carpal joints.

2024-07-29 10:28 BE

NPO Meloxicam: 0.68 ml (1.5 mg/ml soln) PO Radiograph to be taken in PM BAR, ate food from PM, left pellet

2024-07-28 15:59 re

======= TREATMENT PLAN ======= Tweezer feed: 50g M, Ch cut up BID Meloxicam: 0.68 ml (1.5 mg/ml soln) BID PO ============================== changed tx plan from assist feed to tweezer feed

2024-07-28 15:58 re

Tweezer feed: 50g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-07-28 09:22 SE

Tweezer feed: 49 g M cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, one pellet, normal mutes, no leftovers

2024-07-27 16:50 AN

Assisted feed: 51g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-07-27 08:28 SE

Assisted feed: 50g M cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, normal pellet and mutes, no leftovers

2024-07-26 15:37 SH

Tweezer fed: 51g M cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-07-26 10:00 SH

Flight eval Exam date - 2024-07-26 Examiner - SH Flight Sound Notes: On flight evaluation today there was a minimal wing droop on the left side when in flight and standing. No ataxia was appreciated on exam. Recommended to performed radiographs on the left wing on 7/29/2024. Can continue on current medications.

2024-07-26 08:00 SH

Tweezer fed: 50g M cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, 1 pellet, normal mutes, was on perch this AM.

2024-07-25 16:29 SAK

Assisted feed: 47g M, Ch cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO During feeding, this bird appeared to possibly be ataxic. Since he has been stressed in his cage it was opted to warp his tail feathers in a tail guard to prevent them from being damaged. He also received padding on both of his carpal joints to prevent any damage or wounds forming while he is in his cage. An observation of him outside will be needed to see if he is truly ataxic.-SH

2024-07-25 09:38 SH

Assisted feed: 49g M cut up Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, no pellets, normal mutes.

2024-07-25 08:40 SAK

======= TREATMENT PLAN ======= Assisted feed: 50g M, Ch cut up BID Meloxicam: 0.68 ml (1.5 mg/ml soln) BID PO ==============================

2024-07-25 00:00 SH

2024-07-24 16:59 SH

PCV/TP Collection date 2024-07-24 16:00:00 PCV 42 % TS 4.8 g\dl Serum

2024-07-24 16:48 SH

Weight: 996 grams Food: 49g M cut up Assist Fed Meloxicam: 0.68 ml (1.5 mg/ml soln) PO

2024-07-24 15:00 SH

Blood lead Collection date 2024-07-24 Level 0.00

2024-07-24 09:54 re

Electrophoresis Comments The albumin is decreased. This may reflect hydration, nephritis, hepatitis, or parasitism. Low albumin can also be observed in young animals. 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 date 2024-07-24 AST 734 U/L Phos 4.2 mg/dl BA 0 umol/L TP 4.0 g/dl CK 6832 U/L Alb 0.0 g/dl UA 3.9 mg/dl Glob 0.0 g/dl Glu 309 mg/dl K+ 0.0 mmol/l Ca 10.5 mg/dl Na+ 0 mmol/l     AMY 0 U/L Hem , Lip , Ict CBC Collection date 2024-07-24 WBC count 12700 Corrected count 12700 Hets/Neut 46% - 5842   Bands 0+   Toxics 0+ Lymphs 39% - 4953 Eos 8% - 1016 Mono 5% - 635 Baso 2% - 254 Thrombocytes PI 1 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab Increased heterophil and lymphocyte counts, this could be due to an inflammatory or infectious response.

2024-07-24 08:30 SH

Food: 50g M, Ch cut up and placed whole in cage to see if he eats on own with no assistance. Meloxicam: 0.68 ml (1.5 mg/ml soln) PO BAR, no pellets, normal mutes, was in the back of cage sitting this AM.

2024-07-23 17:03 re

Sample Collection date 2024-07-21 Type choanal/cloacal swab Notes: Results: AI PCR : Not detected

2024-07-23 16:00 SH

Assist Fed: 51g M, cut up SQ fluids: 25ml LRS Meloxicam: 0.68 ml (1.5 mg/ml soln) PO 6 pieces of food were left in cage to see if he was eating on his own.

2024-07-23 11:36 re

Food: 55g M, Ch cut up Assist feed SQ fluids: 25ml LRS until 2024-07-23 Meloxicam: 0.20 ml (5 mg/ml (Injectable)) SID SQ

2024-07-23 09:18 re

======= TREATMENT PLAN ======= Food: 50g M, Ch cut up BID Meloxicam: 0.68 ml (1.5 mg/ml soln) BID PO ==============================

2024-07-23 09:18 re

======= TREATMENT PLAN ======= Food: 50g M, Ch cut up BID SQ fluids: 25ml LRS BID until 2024-07-24 Meloxicam: 0.68 ml (1.5 mg/ml soln) BID PO ============================== changed meloxicam to PO, BID

2024-07-22 17:00 SH

CBC Collection date 2024-07-24 WBC count 12700 Corrected count 12700 Hets/Neut 46% - 5842   Bands 0+   Toxics 0+ Lymphs 39% - 4953 Eos 8% - 1016 Mono 5% - 635 Baso 2% - 254 Thrombocytes Adequate PI 1 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab Heterophil and lymphocyte counts are increased, this could be due to an inflammatory response or an infection.

2024-07-22 16:38 SE

Food: 50g M, Ch cut up

2024-07-22 16:22 AMS

------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: QAR Posture: standing, but with hocks lower than normal Vital stats Heart rate: 270 Respiratory rate: 26 Auscultation: no m/a heard Mucous membranes: pink, slightly tacky Dehydration: <5% Physical examination: Oral cavity: NSf Choana: clear Glottis: clear Beak: wnl Cere/nares: wnl Eyes: NSF Ears: wnl Crop: empty Feather quality: good Integument: no lesions found Wings: NSF Wings - Range of motion: wnl Wings - Patagium: wnl Legs/Feet: NSF Legs/Feet - Range of motion: wnl Legs/Feet - Plantar surface: wnl Legs/Feet- Talons: wnl Neurologic: when placed back in cage after exam p would not stand, would lay on keel with legs splayed caudally Ceolom: empty BCS: 3 Vent: mucosa slightly tacky Droppings: DNE Uropygial gland: wnl Problem list: -window strike - could have resulted in occult brain or spinal trauma -not standing normally Plan: -Tx- LRS 1/2 Maint BID x 2d Meloxicam 1mg/kg PO BID AIL applied topically Placed food in cage - p did not immediately show interest - tore mouse into three pieces, placed in p's mouth past the glottis and would swallow, left whole quail in cage -Dx- AI swab submitted further neuro workup dependent on clinical signs admit BW once cleared for AI Prognosis: Guarded AMS

2024-07-22 12:12 SAK

======= TREATMENT PLAN ======= Food: 50g M, Ch cut up BID SQ fluids: 25ml LRS BID until 2024-07-24 Meloxicam: 0.20 ml (5 mg/ml (Injectable)) SID SQ ==============================

2024-07-22 12:11 SAK

Food: 50g M, Ch Meloxicam: 0.20 ml (5 mg/ml (Injectable)) SQ 25ml LRS SQ

2024-07-22 08:06 SAK

======= TREATMENT PLAN ======= Food: 50g M, Ch, R, Q BID Meloxicam: 0.20 ml (5 mg/ml (Injectable)) SID SQ ==============================

2024-07-21 15:30 BT

Food: 50 g m, ch, q, r Meloxicam: 0.20 ml (5 mg/ml (Injectable)) SQ Patient standing. But lacked coordination after handling.

2024-07-21 14:13 BT

======= TREATMENT PLAN ======= Food: 50 g m, ch, q, r BID Meloxicam: 0.20 ml (5 mg/ml (Injectable)) SID SQ ============================== Just a first day plan, modify after complete intake exam.

2024-07-21 11:28 BT

Weight: 1020 grams Initial exam: BCS = 3 Hydration looks good. We know this was an accute trauma event this AM. No injuries detected Feather condition excellent BAR not standing on intake but was standing when captured topical treatment for hippoboscid flies applied. Swabbed for HPAI -- sample in treatement room fridge

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Sat Sep 07 03:00:31 2024