2025-177 Problems Notes Costs
Admission date2025-08-11
Final date -
Days in captivity5
SpeciesBLVU - Black vulture
AgeAHY
SexUNK
StatusReh
Band
Dehydration - >5%
Ectoparasite - Lice
Fracture - keel
Soft tissue wounds - left pectoral
Soft tissue wounds - right inguinal

Cause of injury: Illegal cause - Bow and arrow

Do NOT release where found

IE - AS

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

Desc Qty Cost Subtotal
Examination175.0075.00
Daily rate530.00150.00
Packed cell volume18.078.07
Blood chemistry145.3545.35
Advanced imagery - CT1472.70472.70
Total  751.12

Costs are estimates based on fees charged at a local avian specialist.
Radiographs and images
No images for this patient
2025-08-15 18:27 RE

Food: 160g clean meat
SQ fluids: LRS 50ml
Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM
Metronidazole: 1.7ml (10 mg/ml soln) PO until 2025-08-21 (50mg/kg PO, will need to recalcuate with weight change)
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ
Meloxicam: 1.12 ml (1.5 mg/ml soln) PO

2025-08-15 10:35 RE

NPO

BAR, no leftovers, one pellet, normal mutes

2025-08-14 18:52 RE

PCV/TP
Collection date2025-08-14 18:52:00
PCV34 %
TS4.0 g\dl
Serum
Serum chemistry
Collection date2025-08-14
AST59 U/LPhos3.8 mg/dl
BA0 umol/LTP4.4 g/dl
CK3107 U/LAlb0.6 g/dl
UA11.9 mg/dlGlob0.0 g/dl
Glu211 mg/dlK+4.4 mmol/l
Ca9.5 mg/dlNa+143 mmol/l
  AMY0 U/L
Hem 0, Lip 1, Ict 0
2025-08-14 17:48 KT

Food: 83g clean meat
SQ fluids: LRS 50ml
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ
Meloxicam: 1.12 ml (1.5 mg/ml soln) PO
Wound care/bandage change: flush - being careful not to get feathers wet, then apply SSD, cover with tegaderm+telfa. Use SSD

2025-08-14 12:06 SAK

======= TREATMENT PLAN =======
Food: 80g clean meat BID
SQ fluids: LRS 50ml SID
Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23
Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will
need to recalcuate with weight change)
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 1.12 ml (1.5 mg/ml soln) BID PO
Wound care/bandage change: flush - being careful not to get feathers wet, then apply
SSD, cover with tegaderm+telfa. Use SSD
==============================

2025-08-14 09:13 SAK

Food: 80g clean meat
Metronidazole: 1.7ml (10 mg/ml soln) PO until 2025-08-21 (50mg/kg PO, will need to recalcuate with weight change)
Meloxicam: 1.12 ml (1.5 mg/ml soln) PO

No leftovers
No pellet
Urates/Feces Present

2025-08-13 16:10 SAK

Food: 80g clean meat
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ
Meloxicam: 1.12 ml (1.5 mg/ml soln) PO

2025-08-13 11:10 RE

Food: 82g clean meat
SQ fluids: LRS 60ml
Metronidazole: 1.7ml (10 mg/ml soln) PO until 2025-08-21 (50mg/kg PO, will need to recalcuate with weight change)
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ
Meloxicam: 1.12 ml (1.5 mg/ml soln) PO

BAR, no pellet, normal mutes, no leftovers

2025-08-13 11:10 RE

======= TREATMENT PLAN =======
Food: 80g clean meat BID
SQ fluids: LRS 50ml SID
Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23
Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will
need to recalcuate with weight change)
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 1.12 ml (1.5 mg/ml soln) BID PO
Wound care/bandage change: flush - being careful not to get feathers wet, then apply
SSD, cover with tegaderm+telfa. Use SSD
==============================
changed fluids

2025-08-13 08:15 RE

======= TREATMENT PLAN =======
Food: 80g clean meat BID
Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23
Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will
need to recalcuate with weight change)
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 1.12 ml (1.5 mg/ml soln) BID PO
Wound care/bandage change: flush - being careful not to get feathers wet, then apply
SSD, cover with tegaderm+telfa. Use SSD
==============================
switched to oral meloxicam

2025-08-12 17:06 RE

Food: 80g clean meat
Meloxicam: 0.34 ml (5 mg/ml (Injectable)) SQ (switch to oral once eating)

2025-08-12 12:26 SAK

Food: 80g clean meat
SQ fluids: LRS 80ml until 2025-08-13
Metronidazole: 1.7ml (10 mg/ml soln) PO
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.34 ml (5 mg/ml (Injectable)) SQ (switch to oral once eating)

Wound care/bandage change: flushed wounds with LRS, then apply SSD, covered with tegaderm+telfa.

2025-08-11 18:58 SAK

Did not feed in PM. Will start food on 8/12 am.

2025-08-11 18:54 AMS

======= TREATMENT PLAN =======
Food: 80g clean meat BID
SQ fluids: LRS 80ml BID until 2025-08-13
Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM on 2025-08-15, 2025-08-19, 2025-08-23
Metronidazole: 1.7ml (10 mg/ml soln) SID PO until 2025-08-21 (50mg/kg PO SID, will
need to recalcuate with weight change)
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.34 ml (5 mg/ml (Injectable)) BID SQ (switch to oral once eating)
Wound care/bandage change: flush - being careful not to get feathers wet, then apply
SSD, cover with tegaderm+telfa. Use SSD
==============================

2025-08-11 18:24 AMS

Treatments given:

SQ fluids: LRS 50ml SQ L inguinal
Ceftiofur Excede Q 96 hr: 0.34 ml (100 mg/ml) IM
Ivermectin inj 1% : 0.03ml (10 mg/ml) SQ
Metronidazole: 1.7ml (10 mg/ml soln) PO
Buprenorphine SR: 0.29 ml (1.8 mg/ml SR) SQ
Wound care/bandage change: applied SSD, covered with tegaderm+telfa

AMS

2025-08-11 17:35 AMS

Surgery report
Procedure - Wound debridement
Performed by - AMS
Surgery time - 10 minutes

2025-08-11 17:29 AMS

Imagery report
Date2025-08-11
TypeCT
Performed byAMS
Positioningdorsal recumbency
Equipment
LocationAUCVM
Anesthesia
ISO via mask
Comments
All staff was wearing full PPE.  Imaging shows that the arrow is entering just cranial to the right stifle, the joint appears intact and undamaged.  The arrow then passes through the right pectoral muscle, through the sternum, passes just cranial to the heart, also barely missing the adjacent large vessels.  Cannot rule out damage to smaller mediastinal vessels, but there does not appear to be a large amount of hemorrhage.  The arrow then passes back through the keel, then out through the left pectoral muscles.  No other immediate injuries were noted on rapid assessment of imaging.  Awaiting full report.
2025-08-11 17:22 AMS
Weight: 1677 grams, BCS: 1.5

------------- PHYSICAL EXAM FINDINGS ----------------
Attending Veterinarian: Dr. Amberly Sokoloff
Observational examination
Mentation: QAR
Posture: standing
Comments: able to run away quickly, not able to fly - suspect because arrow was hindering wing movement
Vital stats
Heart rate: 200
Oral cavity: thickened saliva, mm pale
Choana: clear
Glottis: clear
Beak: wnl
Cere/nares: some dirt present in nares
Crop: empty
Feather quality: adequate
Integument: heavy louse infestation
Wings: small wound at medial R carpus from the arrowhead protruding from the chest
Wings - Range of motion: wnl
Wings - Patagium: wnl
Legs/Feet: arrow going through the soft tissues cranial to the R stifle and inguinal web
Legs/Feet - Range of motion: left wnl
Legs/Feet - Plantar surface: wnl
Legs/Feet- Talons: wnl
Neurologic: no obvious deficits
Ceolom: palpates wnl
Vent: wnl
Droppings: watery
Uropygial gland: DNE
Other observations: intact arrow with entrance just cranial to the right stifle, passing through the right pectoral muscles, the keel, and exiting the left pectoral muscles, taking a cranial trajectory

Problem list: shot by arrow - large contaminated wounds

Assessment: will need imaging to determine what structures are affected and whether treatment should be pursued, if so, we will likely progress directly to surgery

Plan: take directly for CT imaging; gave meloxicam 0.24ml SQ based on estimated weight ~1200g; AIL spray applied

Prognosis: Unknown

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