2025-170 Problems Notes Costs
Admission date2025-08-05
Final date -
Days in captivity11
SpeciesMIKI - Mississippi kite
AgeHY
SexUNK
StatusReh
Band
Air sacculitis
Dehydration - >5%
Emaciation

Cause of injury: Unknown

IE - AS

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

Desc Qty Cost Subtotal
Examination175.0075.00
Daily rate1110.00110.00
Radiographs287.75175.50
Complete blood count158.0058.00
Packed cell volume18.078.07
Blood chemistry145.3545.35
Lab tests1Variable40.00
Total  511.92

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

2025-08-08

2025-08-08
2025-08-15 18:30 RE

Tweezer feed: 15g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Enrofloxacin: 0.09 ml (22.7 mg/ml inj) SQ (Dilute into 3ml sterile NaCl)
Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

2025-08-15 11:41 AMS

======= TREATMENT PLAN =======
Tweezer feed: 15g Clean meat BID
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) BID PO until 2025-08-22 (Give Orally
NOT in food!)
Enrofloxacin: 0.09 ml (22.7 mg/ml inj) BID SQ (Dilute into 3ml sterile NaCl)
Cerenia (Maropitant): 0.02 ml (10 mg/ml Injectable) SID SQ
Voriconazole: 0.27 ml (10mg/ml suspension) BID PO (Ideally do not give with food
and separate from feeding by at least 1 hour)
Weigh: dates
Respiratory watch - notify Dr. if any labored breathing, tail bob, lethargy
==============================

2025-08-15 10:32 RE

Tweezer feed: 16g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Cerenia (Maropitant): 0.02 ml (10 mg/ml Injectable) SQ
Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

BAR, no leftovers, no pellet, normal mutes

2025-08-15 10:32 AMS

======= TREATMENT PLAN =======
Tweezer feed: 15g Clean meat BID
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) BID PO until 2025-08-22 (Give Orally
NOT in food!)
Cerenia (Maropitant): 0.02 ml (10 mg/ml Injectable) SID SQ
Voriconazole: 0.27 ml (10mg/ml suspension) BID PO (Ideally do not give with food
and separate from feeding by at least 1 hour)
Weigh: dates
Respiratory watch - notify Dr. if any labored breathing, tail bob, lethargy
==============================
added Cerenia


Staff reported decreased motivation for food and increased resistance to tweezer feeding. On auscultation there are now respiratory clicks, worse on the right side. P has normal resp rate and effort at this time. Added Cerenia to tx in case of nausea from the other medications. If no improvement in 24hr will consider adding additional antibiotic coverage. During feeding, p did not take food from tweezers, but did swallow readily when food was placed in its mouth. Also gave LRS 5ml SQ as skin turgor was mildly decreased.

AMS

2025-08-14 17:46 KT

Tweezer feed: 16g Clean meat (assist fed 5 pieces of food, left the rest overnight)
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)
(panting while feeding)

2025-08-14 09:08 SAK
Weight: 203 grams
Food: 15g Clean meat (tweezer feed as much as it would take)
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Voriconazole: 0.27 ml (10mg/ml suspension) PO Given 1 hour before other meds and food.

No leftovers
No pellet
Urates/Feces Present

Weight loss 1% BW

2025-08-13 16:08 SAK

Food: 15g Clean meat (Put with other MIKI chick to see if it will start to eat on its own)
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Voriconazole: 0.27 ml (10mg/ml suspension) PO Given orally 1 hour before food/other med

2025-08-13 09:52 RE

Tweezer feed: 15g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Respiratory watch - notify Dr. if any labored breathing, tail bob, lethargy

2025-08-13 07:49 SAK

Voriconazole: 0.27 ml (10mg/ml suspension) PO

2025-08-13 07:48 SAK

No regurg
No pellet
urates/feces present

Ausculted lungs and air sacs - no abnormal sounds heard at this time - AMS

2025-08-12 17:05 RE

Tweezer feed: 15g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)
Weigh: dates
Respiratory watch - notify Dr. if any labored breathing, tail bob, lethargy

2025-08-12 12:13 SAK

Tweezer feed: 15g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)
Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

2025-08-12 09:36 KT
Weight: 206 grams
Wt. gain +5g, 2% bw

2025-08-11 18:56 SAK

Tweezer feed: 15g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)

2025-08-11 17:00 SAK

Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

2025-08-11 10:34 SAK

Tweezer feed: 17g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)

2025-08-11 08:33 SAK
Weight: 201 grams
Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

Left 30g
feces/urates present
No pellet

Weight loss 7% BW

2025-08-10 15:52 SAK

Food: 15g Clean meat (did not tweezer feed to see if it will eat on own.)
Gave 3 mealworms and 3 beetles
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Give Orally NOT in food!)

2025-08-10 15:10 SAK

Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

2025-08-10 10:22 SAK

======= TREATMENT PLAN =======
Tweezer feed: 15g Clean meat BID
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) BID PO until 2025-08-22 (Give Orally
NOT in food!)
Voriconazole: 0.27 ml (10mg/ml suspension) BID PO (Ideally do not give with food
and separate from feeding by at least 1 hour)
Weigh: dates
Respiratory watch - notify Dr. if any labored breathing, tail bob, lethargy
==============================

2025-08-10 09:59 SAK

Food: 15g Clean meat (Did NOT TW this am to see if P will start to eat on own)
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22 (Gave orally not in food)

Removed heating pad as P is perching.

2025-08-10 09:58 SAK

No leftovers
No pellet
Urates/feces present

2025-08-10 08:15 SAK

Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)
No labored breathing noted.

2025-08-09 15:31 RE

Tweezer feed: 17g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22

2025-08-09 14:31 RE

Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

2025-08-09 11:03 RE

Tweezer feed: 17g Clean meat
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) PO until 2025-08-22
Respiratory watch - notify Dr. if any labored breathing, tail bob, lethargy

BAR, no leftovers, no pellet, normal mutes

2025-08-09 09:02 RE

Voriconazole: 0.27 ml (10mg/ml suspension) PO (Ideally do not give with food and separate from feeding by at least 1 hour)

2025-08-08 16:51 RE

PCV/TP
Collection date2025-08-08 16:51:00
PCV28 %
TS2.5 g\dl
Serum
Blood lead
Collection date2025-08-08
Level0.00
Serum chemistry
Collection date2025-08-08
AST612 U/LPhos4.7 mg/dl
BA0 umol/LTP2.4 g/dl
CK252 U/LAlb1.4 g/dl
UA8.9 mg/dlGlob1.0 g/dl
Glu293 mg/dlK+3.1 mmol/l
Ca8.3 mg/dlNa+145 mmol/l
  AMY0 U/L
Hem 0, Lip 1, Ict 0
CBC
Collection date2025-08-08
WBC count7651
Corrected count7651
Hets/Neut78% - 5967
  Bands0+
  Toxics0+
Lymphs14% - 1071
Eos2% - 153
Mono6% - 459
Baso0% - 0
Thrombocytesadequate
PI2
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read byMoichor
2025-08-08 16:15 AMS

======= TREATMENT PLAN =======
Tweezer feed: 15g Clean meat BID
Amoxi-clav: 0.22 ml (125 mg/ml Concentrated ) BID PO until 2025-08-22
Voriconazole: 0.27 ml (10mg/ml suspension) BID PO
Respiratory watch - notify Dr. if any labored breathing, tail bob, lethargy
==============================
added voriconazole, amoxi-clav, resp watch

2025-08-08 15:58 MP

Tweezer feed: 18g Organ meat

2025-08-08 13:28 RE

2025-08-08 09:21 KT

Tweezer feed: 15g Organ meat

BAR, normal mutes, no pellet

2025-08-07 16:53 RE

Tweezer feed: 16g Organ meat

2025-08-07 09:38 RE
Weight: 216 grams
Tweezer feed: 16g Organ meat

Weight gain 16% (+29g)

BAR, normal mutes, no pellet, did not eat organ meat from last night

2025-08-06 15:33 RE

Tweezer feed: 10g Organ meat, left 5g in cage

2025-08-06 09:33 RE

Tweezer feed: 10g Organ meat, left 5g in cage
SQ fluids: 10ml LRS until 2025-08-06

2025-08-06 08:50 RE

======= TREATMENT PLAN =======
Tweezer feed: 15g Organ meat BID
==============================

2025-08-05 16:14 MR

Tweezer feed: 10g Organ meat
SQ fluids: 10ml LRS until 2025-08-06

2025-08-05 12:23 RE

Sample
Collection date2025-08-05
Typechoanal/cloacal swab
Notes:
Results:
AI PCR : Not detected
2025-08-05 11:16 AMS

======= TREATMENT PLAN =======
Tweezer feed: Organ meat BID
SQ fluids: 10ml LRS BID until 2025-08-06
==============================

2025-08-05 10:53 SAK

======= TREATMENT PLAN =======
Tweezer feed: Organ meat BID
SQ fluids: 10ml LRS BID until 2025-08-07
==============================

2025-08-05 10:36 AMS
Weight: 187 grams, BCS: 1.5

------------- PHYSICAL EXAM FINDINGS ----------------
Attending Veterinarian: Dr. Amberly Sokoloff
Observational examination
Mentation: QAR
Posture: standing
Vital stats
Heart rate: 350
Respiratory rate: 40
Auscultation: no m/a, resp clear and quiet
Mucous membranes: pigmented
Dehydration: <5%
Comments: small ulnar vein with slightly delayed refill
Physical examination: .
Oral cavity: NSF
Choana: clear
Glottis: clear
Beak: wnl, normal occlusion
Cere/nares: clear
Eyes: NSF
Ears: NSF
Crop: empty
Feather quality: adequate, some small stress bars on rectrices
Integument: NSF
Wings: possible slight R wing droop when in hand, did not palpate any abnormalities, may be positional
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: no obvious deficits
Ceolom: wnl, empty
BCS: 1.5
Vent: wnl
Droppings: DNE
Uropygial gland: wnl

Problem list:
-dehydration
-not flying when approached
-recent fledge
-possible R wing droop

Assessment:
-unsuccessful fledge vs injury

Plan:
-Tx-
LRS 10ml SQ

-Dx-
AI swab collected
XR once cleared for AI

Prognosis: Fair

AMS

2025-08-05 09:23 SAK

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

Offered food or water: No
Treatments given: N/A
Carrier box to pickup: No
Add to mailing list: Yes

Version 4.0.4 - 4.1.13 Sat Aug 16 03:00:15 2025