2025-108 Problems Notes Costs
Admission date2025-05-19
Final date -
Days in captivity18
SpeciesBDOW - Barred owl
AgeAHY
SexUNK
StatusReh
Band
Fracture - ulna, right
Osteoarthritis, right shoulder, chronic
Sx - ESF pins
Sx - IM pin

Cause of injury: Collision - Vehicle

Surgery 5/23 Recheck Rads 6/11

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

Desc Qty Cost Subtotal
Examination175.0075.00
Daily rate1820.00360.00
Radiographs1187.75965.25
Physical therapy134.2234.22
Surgery, major1500.00500.00
Complete blood count158.0058.00
Packed cell volume18.078.07
Blood chemistry145.3545.35
Eye exam125.0025.00
Lab tests1Variable40.00
Total  2110.89

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

2025-05-22

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2025-05-29

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2025-05-29
2025-06-05 18:54 AD

Food: 38g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-06-05 09:48 AD

Food: 35g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-06-05 07:49 AD

BAR, 2 pellet, normal mutes, 26g leftovers

2025-06-04 19:12 AD

------------- ACUPUNCTURE ----------------
Point: Right shoulder
Type: Electro-Acupuncture
Notes: Three pins placed. 2-20Hz; 15:00; Intensity= 1; Proximal to Ventral

2025-06-04 16:22 AD

Food: 34g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-06-04 13:38 DBT

Food: 35g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-06-04 08:20 AD
Weight: 742 grams
BAR, 0 pellets, normal mutes, 26g leftovers
Significant wing droop noted this morning without the wing-to-body wrap overnight
Weight: Weight gain +6% (+39g)

2025-06-03 16:51 AD

------------- LASER THERAPY ----------------
Power (joules): 765
Time: 8:30
Location: Right ulna, radius, and propatagium
Notes: Performed under general anesthesia at the same time as physical therapy. Laser therapy applied in a grid-like pattern beginning on the medial side of the right wing, and transitioning to the lateral side of the wing halfway through.

Bandage change: Wing-to-body wrap, vetwrap, foam padding, and cast padding removed. All pin tracts were dry without signs of erythema or swelling. Pin tracts were cleaned with dilute betadine in saline solution. The skin of the surrounding area was gently exfoliated to remove buildup of dead skin under the bandage. The external fixator was rewrapped with cast padding, a foam pad, and vetwrap. The wing-to-body wrap was not placed to see how the wing droop has improved and how the shoulder joint does overnight. Reassess in the morning to see if wing droop is still present, and possible reapplication of the wrap to support the shoulder if necessary.

Physical therapy
Limb/jointRight wing
TypePROM
 ElbowWrist
Before130135
After150180
Notes
Anesthetized physical therapy performed alternating between flexion and extension of the elbow and carpal joint, holding in extension for 10-15 seconds at a time. Massaged the propatagium throughout while performing laser therapy.
2025-06-03 16:39 AD

Food: 73g M
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-06-03 08:56 AD

NPO
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO
BAR, 2 pellets, normal mutes, 27g leftovers

2025-06-02 16:53 PM

Food: 35g M
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-06-02 08:34 SAK

======= TREATMENT PLAN =======
Food: 35g M, Ch BID
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SQ on 2025-06-03, 2025-06-06, 2025-06-10,
2025-06-13, 2025-06-17
Meloxicam: 0.47 ml (1.5 mg/ml soln) BID PO
==============================

2025-06-02 07:44 AD

Food: 34g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO
BAR, 1 pellet, normal mutes, no leftovers

2025-06-01 15:23 AD

Food: 35g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-06-01 09:23 AD

Food: 33g M, Ch
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO
BAR, 0 pellets, normal mutes, 42g L/O

2025-05-31 14:58 DBT

Food: 38g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-05-31 10:09 DBT

Food: 35g M, Ch
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-05-30 18:00 AD

Noted as very stable with no concerns.

Eye exam
Exam date - 2025-05-30
Examiner - AUVTH
RIGHTLEFT
PLRMenacePLRMenace
++++
Stain Stain 
NEG NEG 
Right eye:
palpebral: + dazzle: + photopic: fx blepharospasm: - discharge: - conjunctival hyperemia: - chemosis: - episcleral injection: - ocular potion: norm ocular mobility: norm few pigment cells in anterior chamber and mineral deposition in pupil
Left eye:
palpebral: + dazzle: + photopic: functional blepharospasm: - discharge: - conjunctival hyperemia: - chemosis: - episcleral injection: - ocular potion: normal ocular mobility: normal mineral deposition in pupil
2025-05-30 17:49 re

Food: 70g m
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-05-30 09:24 DBT

NPO
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO
BAR 1 pellet, Normal Mutes, NOLO

2025-05-29 16:10 DBT

Food: 34g M, Ch
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-05-29 14:09 AMS

Imagery report
Date2025-05-29
TypeRadiograph
Performed byAMS
Positioning
Equipment
LocationAUCVM
Anesthesia
ISO via mask
Comments
No abnormalities are noted in the thoracic girdle.  Could not obtain completely symmetrical imaging at the proximal humerus for comparison of R & L sides, but no obvious abnormalities seen.  There is a small osteophyte at the caudal aspect of the glenoid on the R scapula. No other abnormalities noted.

Clinical interpretation: Chronic OA at the R shoulder may be exacerbated by the fracture and increased weight of the wing from the ex-fix apparatus.  

No anesthetic complications
2025-05-29 11:26 re

NPO
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO
BAR, one pellet, normal mutes, no leftovers

Wing droop noted

2025-05-29 08:42 SAK

======= TREATMENT PLAN =======
Food: 35g M, Ch BID
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.47 ml (1.5 mg/ml soln) BID PO
==============================

2025-05-28 17:42 MR

Food: 31g M
Meloxicam: 0.47 ml (1.5 mg/ml soln) PO

2025-05-28 13:58 SAK

======= TREATMENT PLAN =======
Food: 35g M, Ch BID
Buprenorphine SR: 0.12 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.47 ml (1.5 mg/ml soln) BID PO
==============================

2025-05-28 13:34 SAK

Updated medication doses based on a latest weight of 703 g

2025-05-28 09:47 re
Weight: 703 grams
Food: 31g M, Ch
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

BAR, 1 pellet, normal mutes, no leftovers

Weight gain 17% (+100g)

2025-05-28 09:22 SAK

======= TREATMENT PLAN =======
Food: 30g M, Ch BID
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) BID PO
==============================

2025-05-27 17:53 re

Food: 29g M, Ch
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

2025-05-27 13:52 re

Food: 30g M, Ch
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

Bandage changed and wound site cleaned. Pin tracks look good and no discharge is noted. P had chewed at the distal end of the acrylic bar. Removed the chewed plastic tubing. Applied a small amount of new acrylic around the distal ESF pin to reinforce that area. Rewrapped with cast padding, pipe insulation, and vetrap.

2025-05-27 09:36 re

BAR, normal mutes, no leftovers, 1 pellet

2025-05-27 08:34 SAK

======= TREATMENT PLAN =======
Food: 30g M, Ch BID
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) BID PO
==============================
D/C clean meat

2025-05-26 15:25 Payton McCaleb

Food: 30g Clean meat, watch food intake carefully
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

2025-05-26 09:00 Payton McCaleb

Food: 30g Clean meat, watch food intake carefully
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO
BAR, 1 pellet, no LO

2025-05-25 15:29 Payton McCaleb

Food: 29g Clean meat, watch food intake carefully
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

2025-05-25 09:14 Payton McCaleb

Food: 35g Clean meat, watch food intake carefully
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO
BAR, no pellet, no leftover
reapplied bandage that had come off

2025-05-24 15:31 Payton McCaleb

Food: 30g Clean meat, watch food intake carefully
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

2025-05-24 09:16 Payton McCaleb

One day post-op bandage change:
The vet wrap had been shrugged off to where it was only covering the distal half of the external fixator. The cast padding had been pulled off and the external tubing had also been tampered with. The acrylic gel maintains its integrity around the pin sites. Skin around pin sites and under the external fixator is still moderately bruised, but no more so than it was previously. There was minimal leakage from the pin sites. The pin sites and area over the incision was cleaned with betadine and then triple antibiotic was applied. Tefla pads were placed over the pin exit sites. The external fixator bar was then wrapped in cast padding. Vet wrap was secured around the cast padding and the wing was placed in a wing to body wrap using silk tape.

2025-05-24 09:10 Payton McCaleb

Food: 37g Clean meat, watch food intake carefully
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO
BAR, 1 pellet, no LO

2025-05-23 16:28 Payton McCaleb

Electrophoresis Comments
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 which often manifest as a monoclonal appearing peak in this fraction
are also increased in egg laying birds. Followup EPH may have prognostic value in this case.

Serum chemistry
Collection date2025-05-23
AST389 U/LPhos4.8 mg/dl
BA25 umol/LTP3.5 g/dl
CK1372 U/LAlb0.0 g/dl
UA13.2 mg/dlGlob0.0 g/dl
Glu316 mg/dlK+1.3 mmol/l
Ca9.4 mg/dlNa+150 mmol/l
  AMY516 U/L
Hem 0, Lip 0, Ict 0
CBC
Collection date2025-05-23
WBC count29100
Corrected count29100
Hets/Neut66% - 19206
  Bands0+
  Toxics0+
Lymphs28% - 8148
Eos4% - 1164
Mono1% - 291
Baso1% - 291
Thrombocytesadequate
PI3
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read byUMiami Avian & Wildlife Lab
Frequent hemoparasites 9/100 RBCs, morphology suggests Hemoproteus but cant rule out Plasmodium. Many smudge cells on slides, it may have altered differential and WBC count. Lymphocytes are small and well differentiated.
2025-05-23 15:52 Payton McCaleb

Surgery report
Procedure - Fracture repair - ulna
Performed by - Dr. Sokoloff
Surgery time - 120 minutes

Right ulna fracture repair with IM pin and ESF tie in was performed
under inhalant anesthesia. The skin around the ulna was moderately
bruised and swollen. The area over the fracture site was dissected
down to the level of the fracture to place the pieces of the
ulna in apposition. A 2.4mm IM pin was inserted into the proximal
ulna and advanced distally in the medullary cavity. Radiographs
were taken to ensure we had advanced far enough through the bone.
Two 1.6mm ESF pins were placed, one distal and one proximal to
the IM pin. The skin around the fracture site was closed with
4-0 PDS and simple interrupted sutures. The skin on the distal
aspect of the ulna had openened during surgical prep so this
area was also closed with a single simple interrupted suture.
The IM pin was then bent to a 90 degree angle at the distal aspect
of the ulna. Tubing was placed over all three pins and filled
with an acrylic gel and left to harden. The pins were then cut
down to the level  of the tubing. Bandage wrap was applied over
the external fixator and this was then covered in vetwrap. The
patient recovered uneventfully.
2025-05-23 15:49 Payton McCaleb

Food: 60g, Clean Meat
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

2025-05-23 11:15 SAK

NPO - SX
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

2025-05-22 17:30 Payton McCaleb

Imagery report
Date2025-05-22
TypeRadiograph
Performed byPayton McCaleb
Positioningwhole body VD, right lateral ext
Equipment
Location
Anesthesia
ISO via mask
Comments
Fracture of the mid diaphysis of the right ulna. Lucency in the right carpus is believed to be artifact from the rotation of the fracture in the ulna. No fracture seen in the right carpus. Soft tissue swelling present in the carpus. Entire right wing seems swollen to some degree. 
2025-05-22 10:09 Payton McCaleb

NPO
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO
QAR, no pellet, no leftover

2025-05-21 15:44 JMH

Food: 30g Clean meat, watch food intake carefully
Meloxicam: 0.40 ml (1.5 mg/ml soln) PO

2025-05-21 15:38 DBT

======= TREATMENT PLAN =======
Food: 30g Clean meat, watch food intake carefully BID
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.40 ml (1.5 mg/ml soln) BID PO
==============================
Patient is eating. Switched to oral meloxicam

2025-05-21 14:00 re

======= TREATMENT PLAN =======
Food: 30g Clean meat, watch food intake carefully BID
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.12 ml (5 mg/ml (Injectable)) BID SQ
==============================

2025-05-21 10:30 Payton McCaleb

Drew 2.5ml from right jugular for intake labwork.

PCV/TP
Collection date2025-05-21 10:30:00
PCV38 %
TS3.7 g\dl
Serum
Blood lead
Collection date2025-05-21
Level0.00
2025-05-21 09:35 Payton McCaleb

Food: 30g Clean meat, watch food intake carefully
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ
BAR, no pellet, no L/O

2025-05-20 16:49 Payton McCaleb

Food: 31g Clean meat, watch food intake carefully
SQ fluids: 30ml LRS until 2025-05-20
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ

2025-05-20 10:39 Payton McCaleb

Food: 32g Clean meat, watch food intake carefully
SQ fluids: 30ml LRS until 2025-05-20
Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ
BAR, no leftovers, no pellet
Thick ropy saliva in mouth
Placed back in a wing to body wrap on the right side with tape

2025-05-19 17:16 AN

Food: 40g Clean meat, watch food intake carefully
SQ fluids: 30ml LRS until 2025-05-20
Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ

2025-05-19 16:38 Payton McCaleb
Weight: 603 grams, BCS: 2.0

------------- PHYSICAL EXAM FINDINGS ----------------
Attending Veterinarian: Dr. Amberly Sokoloff
Observational examination
Mentation: Bright and alert
Posture: normal
Overall appearance: Bright, no obvious deficits
Vital stats
Heart rate: 230
Respiratory rate: 20
Auscultation: no murmurs or abnormalities auscultated
Mucous membranes: pale pink, ropey/thick saliva
Dehydration: 5%
Oral cavity: thick and ropey saliva
Choana: normal
Glottis: normal
Beak: no fractures or abnormalities noted
Cere/nares: symmetrical and clear
Eyes: mild corneal speckling OD, overall normal OU
Ears: normal
Crop: n/a
Feather quality: intact and clean
Integument: intact; external parasites noted (hippoboscids)
Wings: Right mid to distal diaphyseal closed ulnar fracture with green bruising over the sites
Wings - Range of motion: appeared normal
Wings - Patagium: normal
Legs/Feet: normal-no lesions noted
Legs/Feet - Range of motion: no deficits
Legs/Feet - Plantar surface: normal-no lesions seen
Legs/Feet- Talons: normal- no cracks
Neurologic: apparently normal-bright and mentally appropriate
Ceolom: normal
BCS: 2
Vent: normal
Droppings: none appreciated
Uropygial gland: not examined

Problem list:
-Dehydrated (5%)
-Mid to distal diaphyseal closed fracture of right ulna
-hippoboscid flies

Diagnosis: fractured R ulna

Plan:
Tx:
wrapped wing to body with vetwrap
30ml LRS SQ BID
Meloxicam 1mg/kg SQ BID
Buprenorphine SR 0.2mg/kg SQ SID

Dx:
Sent off swab for AI testing

Prognosis: Fair to Good with fracture stabilization

PM/MS

2025-05-19 16:37 Payton McCaleb

Food: 40g Clean meat, watch food intake carefully
SQ fluids: 30ml LRS until 2025-05-20
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.12 ml (5 mg/ml (Injectable)) SQ

2025-05-19 16:20 re

Sample
Collection date2025-05-19
Typechoanal/cloacal swab
Notes:
Results:
AI PCR : Not detected
2025-05-19 16:00 AMS

======= TREATMENT PLAN =======
Food: 30g Clean meat, watch food intake carefully BID
SQ fluids: 30ml LRS BID until 2025-05-20
Buprenorphine SR: 0.10 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.12 ml (5 mg/ml (Injectable)) BID SQ
==============================

2025-05-19 15:04 AMS
Weight: 603 grams, BCS: 1.5

2025-05-19 09:36 AN

Additional data from online form
------------------------

Offered food or water: The owl was given a piece of chicken with skin on it and some feathers as per the raptor centers instructions along with some water.
Treatments given: None
Carrier box to pickup: No

Version 4.0.4 - 4.0.13 Fri Jun 6 03:00:35 2025