Patient list | RaptorMed.com | Glossary of terms Carolina Raptor Center
21919 Problems Notes Costs
Admission date2018-10-12
Final date2018-10-17
Days in captivity5
SpeciesBLVU - Black vulture
AgeAHY
SexF
StatusD
Band
Fracture - tarsometatarsus, left
Fracture- digit 3, right
Missing talon- digit 3, right

Cause of injury: Gunshot

Do NOT release where found

Sx - left TMT 2018-10-13

Found in Ansonville,NC
Anson county
Here is a summary of this patient's treatments and expenses:

DescQtyCostSubtotal
Examination1120.00120.00
Daily rate518.2091.00
Radiographs5300.001500.00
Surgery, major11250.001250.00
Complete blood count160.0060.00
Packed cell volume125.0025.00
Blood lead1180.00180.00
Total  3226.00

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

2018-10-12
2018-10-12
2018-10-12
2018-10-15
2018-10-17
2018-10-17
2018-10-18 14:31 des
Keel score: 3.0
Quick necropsy
Internal organs were pristine including lungs with the exception of one spider-web of adherent debris crossing from the body wall to serosa/pericardium on the right thoracic air sac.
Female with mature follicle and oviduct.
Good bit of intra-abdominal fat.
Liver slightly enlarged and mottled.
Spleen was very small (about 5 mm).

Cause of death is unknown.

2018-10-18 10:20 des

CBC
Collection date2018-10-12
WBC count40000
Corrected count27555
Hets/Neut94% - 25901
  Bands2+
  Toxics0+
Lymphs6% - 1653
Eos0% - 0
Mono0% - 0
Baso0% - 0
Thrombocytes
PI3
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read bydes
Very poor monolayer. Clumped with alot of smudges. Very hard to read. Blood was 3 days old before slide made. Lots of bizarre immature RBC forms

2018-10-17 18:00 rma

Found dead.

2018-10-17 14:00 ces

Standing. Quiet. All food LO(R).

2018-10-17 09:38 ces
Weight: 1917 grams
All food lo(R)

QAR. Anesthetized with iso via mask. Breathing labored so moved quickly. Pins clean and dry. Applied BNP and recovered with vet wrap. Did not replace shoe.

Food: 60 g FL c/u
Force feed: 25 g FL
Clindamycin: 1 1/2 cap (150 mg cap) PO
Enrofloxacin: 1 1/2 tab (22.7 mg tab) PO
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
Tramadol: 1.06 cc (40 mg/ml susp) PO
DMSA: 1/2 cap (120 mg cap) PO

2018-10-16 17:00 var
Leftovers: 67
Food: 88 g FL c/u
Clindamycin: 1 1/2 cap (150 mg cap) PO
Enrofloxacin: 1 1/2 tab (22.7 mg tab) PO
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
Tramadol: 1.06 cc (40 mg/ml susp) PO
DMSA: 1/2 cap (120 mg cap) PO

2018-10-16 08:15 ces/me

69 g lo(R)
BAR, laying down but then stood up. Bearing weight on both legs. Looks good.

Food: 81 g FL c/u
Clindamycin: 1 1/2 cap (150 mg cap) PO
Enrofloxacin: 1 1/2 tab (22.7 mg tab) PO
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
Tramadol: 1.06 cc (40 mg/ml susp) PO
DMSA: 1/2 cap (120 mg cap) PO

2018-10-15 17:00 mar
Leftovers: 54
Food: 89 g FL c/u
Clindamycin: 1 1/2 cap (150 mg cap) PO
Enrofloxacin: 1 1/2 tab (22.7 mg tab) PO
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
Tramadol: 1.06 cc (40 mg/ml susp) PO
DMSA: 1/2 cap (120 mg cap) PO

2018-10-15 15:35 lea

Note: this sample is 3 days old so may not be accurate.

PCV/TP
Collection date2018-10-12 00:00:00
PCV31 %
TS3.0 g\dl
Serumpale yellow

2018-10-15 13:33 ces

2018-10-15 11:45 ces

Added water. Standing well. Stressed.

2018-10-15 08:59 des

US FWS notified via email: illegal cause of injury.

2018-10-15 08:30 des

BAR. Sitting back on hocks but can stand pretty well.
All LO(R) - partially covered by towels.
Shoes intact but down feathers everywhere. Toes still somewhat swollen but seems better.
Fixation intact and clean. Did not remove/change vetwrap
Used tuning fork.


Tuning fork treatment
-------------------------
Frequency: 34 Hz
Location: 3X each along both distal legs

Food: 65 g FL c/u (+ vit + Ca) Watch food intake carefully
Force fed about 15-20 g FL with meds
SQ fluids: 60 cc
Clindamycin: 1.36 ml (150 mg/ml inj) SQ
Enrofloxacin: 1 1/2 tab (22.7 mg tab) PO
Butorphanol: 0.41 cc (10 mg/ml inj) IM
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
CaEDTA: 0.35 ml (200 mg/ml inj) IM

MOVED TO: R35B on thick towels.
Stood up well when dropped off.


----------- ORDER CHANGE -------------
Minimize handling. Switch to oral enro, clindamycin.
Stop torb. Start tramadol.
Switch to DMSA
Stop fluids

2018-10-14 19:02 jmw/mlm/pce
Leftovers: 73
BAR; Standing
73g LO(R)
Food: 89g FL c/u
SQ fluids: 45 cc
Clindamycin: 1.36 ml (150 mg/ml inj) SQ
Enrofloxacin: 1.36 cc (22.7 mg/ml inj) SQ
Butorphanol: 0.41 cc (10 mg/ml inj) IM
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
CaEDTA: 0.35 ml (200 mg/ml inj) IM

2018-10-14 09:15 lea/laf/rh
Weight: 2126 grams, Leftovers: 30
Standing earlier, now sitting back on hocks. Cage littered with downy feathers. Shoes are a bit worn but still mostly intact.

Will leave inside another day.

Food: 89 g FL c/u (+ vit + Ca) Watch food intake carefully
SQ fluids: 45 cc
Clindamycin: 1.36 ml (150 mg/ml inj) SQ
Enrofloxacin: 1.36 cc (22.7 mg/ml inj) SQ
Butorphanol: 0.41 cc (10 mg/ml inj) IM
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
CaEDTA: 0.35 ml (200 mg/ml inj) IM

2018-10-13 19:49 RMB/SMV/JR
Leftovers: 51
Food: 81 g FL c/u
SQ fluids: 45 cc
Clindamycin: 1.36 ml (150 mg/ml inj) SQ
Enrofloxacin: 1.36 cc (22.7 mg/ml inj) SQ
Butorphanol: 0.41 cc (10 mg/ml inj) IM
Meloxicam: 0.71 cc (1.5 mg/ml susp) PO
CaEDTA: 0.35 ml (200 mg/ml inj) IM

Standing in donut. Fought us throughout treatment.

2018-10-13 13:30 RMB/ME

Heard noise coming from KR2, Found BLVU lying on chest with legs stretched out behind him, digit 3 with missing talon was bent backward. Seemed unable to right self and was flailing around. Placed donut in kennel with BLVU on it and elevated food. Had thrown some food around, not sure if BLVU had eatten any.

2018-10-13 11:22 RMB

Food: 80 g FL c/u (+ vit + Ca)

Standing in back of cage, QAR

2018-10-13 10:00 des

Had to rush when examining RIGHT foot. Like the left, no obvious visible entry wounds so impossible to remove any pellets. TMT does appear to be fractured as well. More distally. Potentially surgical but don't want to rush into another ANE with this bird. Placed a padded splint and incorporated a foam shoe and metal sidebars. It looked very stable and compact when done. Bird stood on both legs when returned to kennel.

----------- ORDER CHANGE -------------
Start clindamycin - 20 ml LRS SQ + 1.3 ml clinda SQ post-op.

Will feed ASAP. Hopefully we can not grab this evening.

Surgery report
Procedure - Fracture repair - tarsometatarsus
Performed by - des
Surgery time - 15 minutes

Surgical prep. Multiple, scabby lesions around the fx but cannot
actually identify any of the pellets. They will be impossible
to remove without doing alot of damage. Placed 2 cross pins above
and 2 below. Bent and created sidebars with VTP. Applied BNP
to pins, covered fixation with vetwrap and placed foam shoe.
Bird did not do well under ANE. Was either bradycardic or apneic
alternately and HR got very low right at the end while just on
oxygen. Had to rush. Gave atropine 1.3 ml IM which seemed to
help.

2018-10-13 08:37 me/lrm

SQ fluids: 60 cc
Enrofloxacin: 1.36 cc (22.7 mg/ml inj) SQ in fluid pocket
Butorphanol: 0.41 cc (10 mg/ml inj) IM
CaEDTA: 0.35 ml (200 mg/ml inj) IM
31 g LO - rem
laying down earlier, no sitting up on hocks, alert
R foot fairly swollen, green bruising, R TMT seems to have a slight bend to it

2018-10-12 18:24 lea

Standing up! Right distal TMT seems to be at an odd angle? Bearing weight evenly.

Food: 53 g FL c/u

2018-10-12 17:16 lea/lvm
Weight: 2027 grams, Keel score: 3.0
Found unable to fly by wildlife officer in PW. Volunteer transported to CRC.


------------- PHYSICAL EXAM FINDINGS ----------------
Head
Behavior and Neuro: BAR
Body
Vent: clean
Wings
Left wing: WNL
Right wing: WNL
Legs
Left tarsometatarsus: closed fx, midshaft
Left foot, ankle, digits: ankle and toes all swollen
Right foot, ankle, digits: ankle and toes all swollen


Very BAR, standing in box. Both ankles and toes very swollen, 0.40 torb IM. Closed, midshaft tmt fx with small abrasion. Deep pain ++

Anesthetized with iso via mask at 2.5 % for rad. Rad reveals multiple MTB, especially in right foot. Right TMT seemed intact, consulted des..fragment missing in right tmt, right digit 3 is also fx. Amazingly enough no open wounds on right foot.

Cleaned and applied ssd, telfa, and tega on minor abrasion on L TMT. Applied cotton roll, vet wrap, foam shoe + stirrup splinted with two metal sidebars. Had to add additional noodle piece for middle toe. Added vet wrap and duct tape to R digit 3 for some stabilization.

Heart rate was stable under ANE but breath slowed significantly during recovery. Was about to administer dopram when bird finally awoke.

0.20 cc Meloxicam IM
1.30 cc Enro SQ
60 cc LRS SQ

Collected blood for lead, stored rest of sample in fridge.

Had already put bird up after lead results..will start CaEDTA in AM.

Blood lead
Collection date2018-10-12
Level24.90 ug/dL
Eye exam
Exam date - 2018-10-12
Examiner - lea/lvm
RIGHTLEFT
PLRMenacePLRMenace
+DNE+DNE
Stain Stain 
DNE DNE 
Right eye:
WNL
Left eye:
WNL

2018-10-12 10:54 lea

===== HEART SIZE MEASURMENTS =====
CW (mm): 41.09
TW (mm): 69.20
SW (mm): 43.58
Version 3.2.0 - 3.18.67 Fri Apr 26 22:19:36 2024