2024-141	Problems	Notes	Costs
Admission date 2024-10-16 Final date - Days in captivity 56 Species BDOW - Barred owl Age Adult Sex UNK Status Reh Band Blue R 050	Dehydration - <5% Ectoparasite - Hippoboscid flies Neurologic - Leg paralysis, left Cause of injury: Unknown	Found in Montgomery,AL Montgomery county	Here is a summary of this patient's treatments and expenses: Desc Qty Cost Subtotal Examination 1 75.00 75.00 Daily rate 56 20.00 1120.00 Radiographs 2 87.75 175.50 Complete blood count 2 58.00 116.00 Packed cell volume 1 8.07 8.07 Blood chemistry 3 45.35 136.05 Lab tests 1 Variable 40.00 Total     1670.62 DONATE Costs are estimates based on fees charged at a local avian specialist.

Radiographs and images
2024-10-21	2024-10-21	2024-11-13	2024-11-13

2024-12-10 17:16 SAK

Group entry: 8 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-12-09 17:18 SAK

Group entry: 8 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-12-08 14:30 AN

Group entry: 8 animals 80g M, Ch, Q per bird

2024-12-07 15:58 AN

Group entry: 8 animals 80g M, Ch, Q per bird

2024-12-06 16:35 SAK

Group entry: 8 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-12-05 16:30 BT

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

2024-12-04 17:02 MR

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

2024-12-03 16:36 SAK

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

2024-12-02 16:51 AN

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

2024-12-02 13:40 re

Serum chemistry Collection date 2024-12-02 AST 193 U/L Phos 7.5 mg/dl BA 19 umol/L TP 3.6 g/dl CK 430 U/L Alb 0.0 g/dl UA 9.1 mg/dl Glob 0.0 g/dl Glu 313 mg/dl K+ 2.8 mmol/l Ca 10.1 mg/dl Na+ 150 mmol/l     AMY 293 U/L Hem 0, Lip 0, Ict 0 CBC Collection date 2024-12-02 WBC count 11600 Corrected count 11600 Hets/Neut 24% - 2784   Bands 0+   Toxics 0+ Lymphs 50% - 5800 Eos 6% - 696 Mono 15% - 1740 Baso 5% - 580 Thrombocytes Adequate PI 2 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab Blood parasites: haemoproteus sp. (moderate), leucocytozoon sp (few); reactive lymphocytes (few), granular lymphocytes (rare), reactive monocytes (few)

2024-12-02 11:23 SAK

Weight: 737 grams Weight gain 30% BW Checked both feet, no lesions, no flattening of scales, no pink skin. Look healthy. Drew 2 ml of blood from right jugular vein for pre-release labwork. Sent to UM.

2024-12-01 16:15 AN

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

2024-11-30 13:48 AN

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

2024-11-29 16:24 AN

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

2024-11-28 11:12 AN

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

2024-11-27 12:33 AN

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

2024-11-26 15:43 BT

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

2024-11-25 15:08 AN

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

2024-11-24 11:41 BT

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

2024-11-23 15:33 BT

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

2024-11-22 16:22 AN

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

2024-11-22 11:09 BT

Flight eval Exam date - 2024-11-22 Examiner - BT Flight Sound Notes: Feather Condition 4, Endurance 4, Symmetry 4, Maneverability 4, Lift 4, Landing 4 = Total 24 No sound Looks great

2024-11-21 17:52 re

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

2024-11-20 16:45 MR

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

2024-11-19 16:31 SAK

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

2024-11-18 16:31 AN

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

2024-11-17 11:12 BT

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

2024-11-16 10:32 BT

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

2024-11-15 17:14 MR

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

2024-11-14 16:46 SAK

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

2024-11-13 16:04 MR

Group entry: 6 animals 80g M, Ch per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-13 14:10 re

Checked both feet for any signs of flattening/ pododermatitis. Both look good.

2024-11-12 16:01 SAK

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-11 17:25 AN

Group entry: 6 animals 80g M, Ch, Q per bird

2024-11-10 10:48 AN

Group entry: 6 animals 80g M, Ch, Q per bird

2024-11-09 10:09 AN

Group entry: 6 animals 80g M, Ch, Q per bird

2024-11-08 16:10 MR

Group entry: 6 animals 80g M per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-07 16:54 re

Group entry: 5 animals 80g M, Ch, Q per bird

2024-11-06 15:50 SAK

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-05 16:54 SAK

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-05 14:35 AMS

Flight eval Exam date - 2024-11-05 Examiner - AMS Flight Sound Notes: Evaluating L leg while in aviary. P flies well, but upon landing will hold the left leg back and primarily come down on the right leg, then sets the left leg onto the perch. Flight eval Exam date - 2024-11-05 Examiner - AMS Flight Sound Notes: Feather Condition 4, Endurance 4, Symmetry 4, Maneverability 4, Lift 4, Landing 3 = Total 23 No sound

2024-11-04 09:59 BT

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-03 15:00 SAK

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-02 12:07 BT

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-11-01 16:16 BT

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-10-31 16:01 BT

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-10-30 16:37 MR

Group entry: 6 animals 80g M, Ch, Q per bird

2024-10-29 16:29 BT

Group entry: 6 animals 80g M, Ch, Q per bird VitaHawk Friday Only: Sprinkle 1/4 teaspoon per bird on food.

2024-10-28 15:41 KT

Group entry: 6 animals 80g M, Ch, Q

2024-10-28 13:34 AMS

Performed an abbreviated neurologic exam. No obvious cranial nerve deficits. Thoracic limbs appear wnl. P was not very cooperative for pelvic limb assessment. Is able to move and grip both feet. Did not participate in hopping or placing evaluations. Could not elicit patellar or gastroc reflexes bilaterally. Released p into aviary to further assess. Flies well. On initial landing on perch at opposite end of aviary, p did not land as strongly on the left leg, but on subsequent landings p was more even. Is able to grip onto the side slats of the aviary with both feet. Placed Blue 050 band on right leg.

2024-10-28 12:19 re

Band changed to: Blue R 050 Moved to FA4

2024-10-28 10:15 re

Food: 30g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO BAR, one pellet, no leftovers, normal mutes

2024-10-27 15:36 BT

Food: 31g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-27 10:10 BT

Food: 31g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO no leftovers, normal mutes, pellet

2024-10-26 15:15 BT

Food: 33g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-26 11:13 AN

Food: 29g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-25 16:36 SAK

Food: 30g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-25 09:08 BT

Food: 30g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO normal mutes, pellet, no leftovers

2024-10-24 16:51 re

Food: 30g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-24 10:00 AN

Food: 28g Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-24 09:46 SAK

No leftovers No pellet Urate/Feces present

2024-10-23 17:08 AN

Food: 31g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-23 11:06 SAK

Patient is perching this am on a short perch.

2024-10-23 10:34 re

Weight: 568 grams Food: 30g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO BAR, one pellet, no leftovers, normal mutes Weight gain 1%

2024-10-22 16:15 BT

Food: 27g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-22 10:52 re

Food: 32g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO BAR, normal mutes, one pellet, no leftovers

2024-10-21 17:00 AN

Food: 58g Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO Radiograph:

2024-10-21 13:18 re

No concerning abnormalities AMS Serum chemistry Collection date 2024-10-21 AST 502 U/L Phos 3.4 mg/dl BA 9 umol/L TP 4.6 g/dl CK 2922 U/L Alb 0.0 g/dl UA 5.5 mg/dl Glob 0.0 g/dl Glu 344 mg/dl K+ 2.2 mmol/l Ca 10.5 mg/dl Na+ 147 mmol/l     AMY 319 U/L Hem 0, Lip 0, Ict 2 CBC Collection date 2024-10-21 WBC count 12300 Corrected count 12300 Hets/Neut 48% - 5904   Bands 0+   Toxics 0+ Lymphs 34% - 4182 Eos 7% - 861 Mono 6% - 738 Baso 5% - 615 Thrombocytes Adequate PI 2 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab reactive lymphocytes - few; granular lymphocytes - rare

2024-10-21 13:02 SO

Patient taken to CTH for repeat neuro examination and radiographs. Patient had been observed to walk and stand over the weekend, but appeared to tire easily. During repeate neuro examination, weakness and muscle atrophy of the left leg were noted. Proprioception of the left foot had improved when compared to last Thursday's exam. Patient anesthestized with isoflurane via facemask and VD and L lateral views of the pelvic limbs were obtained. No osseous abnormalities were noted at this time. Muscle atrophy was observed over the left leg. Patient recovered uneventfully from anesthesia. Rec continuing meloxicam and cage rest and repeating a neuro exam every 2-3 days. Once leg has returned to normal function, meloxicam can be discontinued. If patient maintains function without medication, okay for patient to move to aviary to begin flight rehabilitation.

2024-10-21 09:24 re

NPO Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-20 15:29 BT

Food: 29g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-20 10:01 BT

Food: 30g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-19 15:41 BT

Food: 32g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO

2024-10-19 10:58 BT

Food: 30g M, Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO no leftovers, pellet, normal mutes

2024-10-18 16:13 JK

Food: 27g M

2024-10-18 10:26 JK

Food: 30g Ch Meloxicam: 0.38 ml (1.5 mg/ml soln) PO Drew blood for chemistry panel from left jugular vein. Unfortunately, chemistry machine had a mishap and we would need more blood for the blood panel. Staff recommended to not stress the bird further and recheck on Monday instead.

2024-10-18 08:59 SAK

======= TREATMENT PLAN ======= Food: 30g M, Ch BID Meloxicam: 0.38 ml (1.5 mg/ml soln) BID PO ============================== Schedule Rads for 10-21

2024-10-18 08:48 re

Sample Collection date 2024-10-15 Type choanal/cloacal swab Notes: Results: AI PCR : Not detected

2024-10-18 08:08 JK

BAR. 1 pellet, mutes WNL, no leftovers.

2024-10-17 16:50 BT

Food: 33g M, Ch cut up

2024-10-17 13:30 JK

Avian influenza testing returned negative. Performed neurologic exam not including cranial nerves. Left leg had positive withdrawal reflex, deep pain positive, proprioceptive defecits. Right leg appeared normal. Based on this, the lesion is suspected to be in the lumbar spinal cord. No fractures or obvious defects were palpable in the legs, thus we suspect a spinal or pelvic lesion. Dehydration has resolved. Plan to take radiographs and recheck chemistry panel tomorrow.

2024-10-17 10:28 JK

Food: 31g M cut up SQ fluids: 27ml LRS until 2024-10-17 Meloxicam: 0.38 ml (1.5 mg/ml soln) PO (Do not start until 10-18-24) Upon restraint and examination, patient has moderate subcutaneous emphysema on the dorsum near the sacrolumbar region. No bruising is evident. Palpated up and down both legs, no significant findings. Patient is euhydrated today, so did not administer SQ fluids. Meloxicam intended to start tomorrow 10/18. Upon release back into enclosure, patient would not grip perch with left leg, though appeared to kick out with it.

2024-10-17 10:26 JK

BAR, not standing upon entry to isolation room. 1 pellet, mutes WNL, no leftover food.

2024-10-16 16:40 JK

Weight: 564 grams, BCS: 2.5 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Seth Oster Observational examination Mentation: BAR Posture: Not standing Vital stats Heart rate: 290 bpm Respiratory rate: 50 brpm Auscultation: No apparent arrhythmias, murmurs auscultated. Lung sounds appropriate. Mucous membranes: Pink, moist Dehydration: 5-10% Comments: Est. 5% dehydrated due to stringy mucus Oral cavity: Stringy mucus; appears normal Wings: Within normal limits Legs/Feet: Left foot is not gripping well, but can kick. Decreased use. Right leg appears normal. Neurologic: Full neurologic exam not performed. BCS: 2 Problem list: 1. Decreased use of left leg 2. Not standing 3. Underweight 4. Dehydrated 5% Diagnosis: 1. Traumatic injury - presumptive 2. Underweight - possibly as result of traumatic injury vs. other 3. Dehydrated due to not eating Assessment: Left foot is not gripping but can kick, and bird is not standing. Must differentiate neurologic defect vs. traumatic injury (e.g. fracture, tendon injury). Slightly underweight, whether due to trauma vs. other; suggests a more chronic problem. Dehydrated, likely secondary to slightly underweight. Submitted avian influenza swab. Bloodwork performed showed evidence of muscular injury, suggesting trauma at some point fairly recently. Will plan to continue fluids, feed, pain medications (will start 10/17 due to overdose on 10/16) Plan: Tx: SQ Fluids 27 LRS q12h Meloxicam 0.38 mL PO q24h starting 10/17 Food Dx: Neuro exam once AI cleared AI swab Repeat bloodwork once out of isolation Prognosis: Unknown

2024-10-16 12:52 SAK

======= TREATMENT PLAN ======= Food: 30g M, Ch cut up BID SQ fluids: 27ml LRS BID until 2024-10-17 Meloxicam: 0.38 ml (1.5 mg/ml soln) SID PO (Do not start until 10-18-24) ==============================

2024-10-16 10:22 re

PCV/TP Collection date 2024-10-16 10:22:00 PCV 40 % TS 4.0 g\dl Serum Blood lead Collection date 2024-10-16 Level 0.00 Serum chemistry Collection date 2024-10-16 AST 414 U/L Phos 3.9 mg/dl BA 35 umol/L TP 3.7 g/dl CK 4193 U/L Alb 2.4 g/dl UA 4.8 mg/dl Glob 1.2 g/dl Glu 300 mg/dl K+ 4.5 mmol/l Ca 9.9 mg/dl Na+ 146 mmol/l     AMY 0 U/L Hem 0, Lip 0, Ict 0

2024-10-16 09:38 SAK

Weight: 564 grams

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Wed Dec 11 03:00:19 2024