2025-085	Problems	Notes	Costs
Admission date 2025-04-22 Final date - Days in captivity 7 Species OSPR - Osprey Age AHY Sex UNK Status Reh Band	Soft tissue wounds - right wing Wing droop - right Cause of injury: Electrocution	Found in Florence,AL Lauderdale county	Here is a summary of this patient's treatments and expenses: Desc Qty Cost Subtotal Examination 1 75.00 75.00 Daily rate 7 30.00 210.00 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     436.42 DONATE Costs are estimates based on fees charged at a local avian specialist.

Radiographs and images

No images for this patient

2025-04-28 12:06 SAK

======= TREATMENT PLAN ======= Food: 1 Whole fish - At least 125g per day. SID Watch food intake carefully Meloxicam: 0.84 ml (1.5 mg/ml soln) SID PO (Inject into fish gills/mouth.) Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) SID PO (Inject into fish gills/mouth.) Thiamin-E Paste: (Vitamin Supplement for Piscivores) SID PO (Place a pea sized amount on the fish lips before feeding. ) ============================== Meloxi, pentox to PO SID, Add thiamin-e

2025-04-28 08:39 re

Food: 1 Whole fish - At least 125g per day. Watch food intake carefully Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) PO BAR, one pellet, 50g leftovers, normal mutes

2025-04-27 17:07 EH

Food: 1 Whole fish Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) PO Removed Telfa pad and cleaned wound with dilute betadine. Applied thin layer of triple antibiotic ointment and added another Telfa pad. --------LASER THERAPY------ Power (joules): 88 Time: 2:56 Location: R carpus to phalanges Notes: Conducted on both the dorsal and ventral aspects of the wing.

2025-04-27 09:57 AT

Food: 1 Whole fish Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) PO Normal mutes, no pellet, no leftovers. Carpal bumpers intact. Bandage change this PM.

2025-04-26 16:12 EH

Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) PO Patient ate the whole fish that was offered this morning. Removed Telfa pad and cleaned wound with dilute Betadine. Lasered 2 min 56 sec at 88j on dorsal and ventral aspects of right metatarsus. Applied thin layer of triple antibiotic ointment and added another Telfa pad. ------------- LASER THERAPY ---------------- Power (joules): 88 Time: 2:56 Location: R carpus to phalanges Notes: This protocol was conducted on both the dorsal and ventral aspects of the wing.

2025-04-26 09:55 EH

Food: 1 Whole fish - 122g Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) PO 1 whole fish leftover No pellet, normal mutes

2025-04-25 18:04 AT

Food: 1 Whole fish Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) PO Metacarpal wound was cleaned and dried. Wound still had serosanguinous drainage and swelling, but tissue was looking viable, so laser therapy was elected. Site was bandaged with Algicell + tegaderm. Plan to bandage change and laser site every day, and reapply carpal bumpers as needed. ------------- LASER THERAPY ---------------- Power (joules): 182.5 Time: 2:26 Location: Carpus to Phalanges Notes: This protocol was conducted on both the ventral and dorsal aspect of the wing.

2025-04-25 10:24 SAK

======= TREATMENT PLAN ======= Food: 1 Whole fish - At least 125g per day. SID Watch food intake carefully Meloxicam: 0.25 ml (5 mg/ml (Injectable)) BID SQ Pentoxifylline: 1.88 ml (20 mg/ml Oral Soln.) BID PO ==============================

2025-04-25 10:13 SAK

======= TREATMENT PLAN ======= Food: 1 Whole fish - At least 125g per day. SID Watch food intake carefully Meloxicam: 0.25 ml (5 mg/ml (Injectable)) BID SQ ==============================

2025-04-25 09:26 AT

NPO Normal mutes, no pellets, 119 g leftover. Plan to clean and reassess site today.

2025-04-24 18:14 AT

Chemistry: The sample was lipemic. The score reflects the degree of lipemia graded on a 0-4 scale where 4 is severe. Sample lipemia can artificially increase total protein values when performed by refractometer methodology. It may also interfere with GLDH quantitation. Other routine chemistry analytes are generally not affected. For this test, the sample exhibited reactivity greater than the dynamic range of the analyzer. Quantity was insufficient to further dilute this sample to obtain a result. Very low volume sent for testing. Please refer to the test manual for sample volume requirements for optimal test performance. A moderate hypocholesterolemia was noted. A decrease in cholesterol can indicate liver disease, metabolic disease, maldigestion/malabsorption, or starvation. Electrophoresis Comments: The beta globulins are increased and reflective of a cute 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 which often manifest as a monoclonal appearing peak in this fraction are also increased in egg laying birds. Another consideration should include lymphoproliferative diseases given the monoclonal appearance. Follow up EPH may have prognostic value in this case. Serum chemistry Collection date 2025-04-24 AST 47 U/L Phos 4.3 mg/dl BA 16 umol/L TP 3.2 g/dl CK 1600 U/L Alb 0.0 g/dl UA 10.5 mg/dl Glob 0.0 g/dl Glu 0 mg/dl K+ 0.0 mmol/l Ca 9.9 mg/dl Na+ 0 mmol/l     AMY 457 U/L Hem 0, Lip 1, Ict 0 CBC Collection date 2025-04-24 WBC count 12200 Corrected count 12200 Hets/Neut 78% - 9516   Bands 0+   Toxics 0+ Lymphs 9% - 1098 Eos 4% - 488 Mono 4% - 488 Baso 1% - 122 Thrombocytes Adequate PI 1 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab The cell distribution was uneven on the provided smears. This may have affected the CBC results.

2025-04-24 15:50 BT

SQ fluids: 62ml LRS SQ until 2025-04-24 Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ

2025-04-24 13:29 SAK

Swelling/edema distal at the right metacarpals, serosanguinous drainage and erythema. Site was cleaned with diluted betadine and a padded telfa was re-applied. Laser therapy to the distal wing daily.

2025-04-24 13:24 SAK

Drew 2ml from right jugular for intake labwork. PCV/TP Collection date 2025-04-24 13:24:00 PCV 40 % TS 3.0 g\dl Serum Blood lead Collection date 2025-04-24 Level 0.00

2025-04-24 09:30 AT

Food: 1 Whole fish SQ fluids: 62ml LRS SQ until 2025-04-24 Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Ate fish from yesterday, no pellet. Carpal bumpers still intact. Will change bandage and bloodwork today, radiographs tomorrow. Cleared for AI so moved to CCW.

2025-04-23 16:23 AT

Food: 1 Whole fish SQ fluids: 62ml LRS SQ until 2025-04-24 Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Carpal bumpers intact. Metacarpal bandage mostly dry, still intact. Decided to leave on overnight.

2025-04-23 10:48 AT

Food: 1 Whole fish - At least 125g per day. SQ fluids: 62ml LRS SQ until 2025-04-24 Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Whole fish leftover. Wound was dried and cleaned with dilute betadine. Silver sulfadiazine cream and tegaderm bandage was applied. Plan to recheck area in PM and rebandage if area is still wet. No new blood/discharge from the nares was noted.

2025-04-22 17:43 AT

Food: 1 Whole fish SQ fluids: 62ml LRS SQ until 2025-04-24 Meloxicam: 0.25 ml (5 mg/ml (Injectable)) SQ Wound on R metacarpals was wet. Area will be reassessed tomorrow for dry bandaging. Carpal bumpers applied using tegaderm + telfa and foam tape for protection while patient is inside. Ariel stated patient was more alert than this morning, and was shaky standing on R leg in cage.

2025-04-22 12:05 SAK

======= TREATMENT PLAN ======= Food: 1 Whole fish - At least 125g per day. SID Watch food intake carefully SQ fluids: 62ml LRS SQ BID until 2025-04-24 Meloxicam: 0.25 ml (5 mg/ml (Injectable)) BID SQ ==============================

2025-04-22 12:02 SAK

Weight: 1253 grams

2025-04-22 11:48 AT

Weight: 1253 grams, BCS: 1.5 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: BAR Posture: Standing Overall appearance: BAR Vital stats Heart rate: 160 Respiratory rate: 24 Auscultation: WNL Mucous membranes: WNL Hydration: 5-10% Oral cavity: WNL Choana: WNL Glottis: WNL Cere/nares: Dried blood bilaterally Eyes: Clear Ears: Clear Crop: WNL Integument: WNL Wings: Small wound, bruising on R metacarpal; R wing droop Wings - Range of motion: WNL Wings - Patagium: WNL Legs/Feet - Range of motion: WNL Legs/Feet - Plantar surface: Lesion on D4 of R foot Legs/Feet- Talons: WNL Ceolom: WNL BCS: 1.5 Vent: WNL Droppings: N/A Uropygial gland: DNE Problem list: Blood from both nares, wound and bruising on R phalanges, R wing droop, lesion on D4 R foot Diagnosis: Possible electrocution, possible R wing fracture/soft tissue damage Plan: Tx: Food: 1 Whole fish at least 125g per day. Watch food intake carefully. Meloxicam (5mg/mL (Injectable)) 0.25mL SQ BID 62mL LRS SQ BID until 4/24/25 Dx: AI swab collected - results pending Radiographs ASAP Watch nares/choana/glottis for discharge Watch R wing droop severity and let Dr. know if worsening Prognosis: Unknown

2025-04-22 10:36 SAK

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

2025-04-22 09:50 re

Sample Collection date 2025-04-22 Type choanal/cloacal swab Notes: Results: AI PCR : Not detected

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Tue Apr 29 03:00:21 2025