Patient list | RaptorMed.com | Glossary of terms Carolina Raptor Center
26047 Problems Notes Costs
Admission date2024-02-19
Final date -
Days in captivity70
SpeciesRTHA - Red-tailed hawk
AgeSY
SexUNK
StatusReh
Band18186
Bruised
Ectoparasite - lice
Emaciation
Fracture - humerus, left
Parasitic - Capillaria
Parasitic - Flukes
Parasitic - Porrocaecum
Soft tissue wounds - left wing

Cause of injury: Unknown

Finder present at release

Received pins 2/21 Pins removed 4/10

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

DescQtyCostSubtotal
Examination1120.00120.00
Daily rate7015.401078.00
Radiographs16300.004800.00
Physical therapy10110.001100.00
Surgery, major11250.001250.00
Fecal exam362.00186.00
Total  8534.00

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

2024-02-20

2024-02-20

2024-02-20

2024-02-20

2024-02-20

2024-02-20

2024-02-23

2024-02-23

2024-03-05

2024-03-08

2024-03-13

2024-03-13

2024-03-19

2024-03-20

2024-03-22

2024-03-22

2024-03-22

2024-03-22

2024-03-27

2024-04-10

2024-04-10
2024-04-28 17:01 cd

Checked on - drying off fine, very BAR and running along perch

2024-04-28 09:36 DG/CD
Leftovers: 0
Food: 101 g R
Exercise: 4-6x
Note L wing droop/usage

BAR, perched, looked wet, sent pictures to rehab phone, would not get off of perch, slight L wing droop, NOLO

2024-04-27 12:00 AH/CD
Leftovers: 0
99g m

NOLO. BARP. Obvious L wing droop, feathers below perch. Able to fly p2p without incident. 6 flights completed.

2024-04-26 11:28 MS/kjd
Leftovers: 0
Food:97g m (+ vit + Ca)
Exercise: 4-6x flew 4x, landings shaky
Note L wing droop/usage--L wing doesn't fold in as tightly as right, fine othe than that
runs back and forth on perch
NOLO

2024-04-25 09:45 mkf/me
Leftovers: 46
Food: 95 g m
Exercise: 4-6x
Note L wing droop/usage
46 g lo
Bar - perched, Left wing drooping
Flew 6 lengths unimpaired

2024-04-24 12:07 RTS/MS
Leftovers: 0
Food: 105 g m/ck (+ vit + Ca)
BAR, Exercised:6x, L wing drooped after 2X,Flying, Perching, NoLo

2024-04-23 09:42 AO
Leftovers: 0
Food: 96 g CK
Exercise: 4-6x
Note L wing droop/usage

BAR, Perched. Exercise went well and bird landed each time. Did not note significant wing droop. water was changed. NOLO.

2024-04-22 11:01 me/sec
Leftovers: 0
Food: 98g ck (+ vit + Ca) NOLO
Exercise: 6x- smooth flight and landings. As soon as he landed he would tuck his L wing in and it would slowly droop down to perch and past perch.
Note L wing droop/usage

2024-04-21 12:17 jn/cd
Leftovers: 34
Food: 98g m
34g l/o ck
BAR
Noted L wing droop, but able to move and use wing well
Exercise: 4-6x; flew well

2024-04-20 15:10 Dr G

Observed briefly in Mew. Patient flies readily but tires quickly. Holds L wing slightly out and down, but I did not obseve him drooping to level of perch. Lifts left wing less readily than right, but does eventually hold them evenly when posturing defensively. On this quick observation, I think that the difference in wing posture and function is mostly related to strength.
Continue same plan. I will check again 4/26. Dr Gardner

2024-04-20 11:00 AH/CD
Leftovers: 21
99g ck

21g m L/O. BARP. Obvious L wing droop, feathers below perch. Very devensive upon approach. Able to fly p2p accuratley without incident. 6 flights completed.

2024-04-19 11:22 ME/kjd
Leftovers: 44
Food: 102g m (+ vit + Ca)
Exercise: 4-6x--flew 5x, 2 landings on wall
Note L wing droop/usage--L wing droops
yes LO

2024-04-18 11:35 mgs/ms
Leftovers: 59
Food in cage: 98g m

BAR; perched on entry but immediately flew.
L wing still drooping

Exercise: 6x well with a little encouragement. Good landing and folding of wings.

2024-04-17 16:20 TR/MS
Weight: 1098 grams, Keel score: 3.5, Leftovers: 0
Food: 99 g m (+ vit + Ca)
Weighed
Keel check
Move to - Somewhere bigger - R6?
Note L wing droop/usage

Visual Veterinary Exam and Relocation to larger flight cage:

Patient was observed on perch before capturing. Patient has slight left wing droop but is able to pull the wing up to normal position and also can raise both wings up above head into normal position.

Patient is able to fly as well.

Patient was captured and weighed (1098 grams) and was moved to a larger flight cage.

Upon release in flight cage patient flew the length of the flight twice and also was able to fly from ground to perch.

Body condition, keel score was 3.5-4 good body condition.

Recommend rechecking radiography in 2 weeks.

Dr. Tracey Ritzman, DVM, Dipl. ABVP-Avian & Exotic Companion Mammals

MOVED TO: R6

----------- ORDER CHANGE -------------
start light exercise

2024-04-16 09:20 AO
Leftovers: 0
Food: 100 g m (+ vit + Ca)
Note L wing droop/usage

BAR, Perched. Bird was very active today and was hopping along the perch. Watched bird for any unusual behavior. Remained perch the whole time while eyeing food but was perch on L foot and resting hock at one point. only did once but would reccommend to keep an eye on it. Wing was slightly drooped but he was moving it around. NOLO.

2024-04-15 10:48 me/sec
Leftovers: 0
Food: 100 g m (+ vit + Ca) NOLO
Note L wing droop/usage- was on perch running back and forth and using wings
Left wing is still drooping past perch. He tucks it in, then it slowly droops.
BAR-P

2024-04-14 13:19 jn/cd
Leftovers: 30
Food: 100 g m
30g l/o m
BAR

2024-04-13 10:45 AH/BW
Leftovers: 19
99g m

19g m L/O revovered. BARP. Obvious L wing droop, feathers below perch. Flew across enclosure once. Became defensive.

2024-04-12 10:52 me/kjd
Leftovers: 0
Food:114g Ck (+ vit + Ca)
Note L wing droop/usage-- L wing drooping, on perch going baack and forth, BAR
NOLO

2024-04-11 10:55 mgs/me
Leftovers: 0
Food in cage: 100g m

BA; perched on entry. L wing drooping; when back and forth on perch spread both wings and tucked back in.

2024-04-10 12:06 AO/MS
Weight: 1084 grams, Leftovers: 0
Weight change: -68 g (6 %) WITHOUT PINS
Food: 98 g m/ck (+ vit + Ca)
Vet check: Remove external fixator
PT: PROM L wing, check fixator - under anesthesia
Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BAR, Perched. Bird ran along the perch before his procedure but flew around the enclosure twice after pins were removed. Still had a very slight droop. Nolo but had 2 chick heads on ground. Weight is WITHOUT pins.

Anesthetized under 3% iso and intubated. TR removed pins from humerus and cleaned IM pin site then glued shut. Recovery from anesthesia uneventful. Continue to monitor wing use in R7, move somewhere larger soon.

2024-04-09 12:20 ao
Leftovers: 0
Food: 104 g M
Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BAR, Perched. Wing was not drooped as much as usual. Rtha kept eyeing the food and moved towards the leaning branch but did not go down. No unusual behaviors. NOLO.

2024-04-08 12:10 me/sc/sec
Leftovers: 0
Food: 89 ck(+ vit + Ca)NOLO
Alert staff if L wing is drooped below perch. Check pins daily (visual check).
ALerted staff that wing is touching perch/ dropping below
BAR-P

2024-04-07 11:00 AH/ME
Leftovers: 0
108g ck

NOLO. BARP. Obvious L wing droop. Pins appear to be in place.

2024-04-06 17:34 Dr. G/MS
Weight: 1152 grams, Leftovers: 0
Weight change: +25 g (2 %)

BARP, very footy and flapping. NOLO, bird had already eaten meal given to him.

VET NOTES
Brought in for PT under anesthesia. During restraint patient was fractious and there was some mild bleeding around the exit site for the IM pin.
Did PT, decent ROM, although difficult to evaluate shoulder ROM due to fixator. Did not notice carpus being particularly stiff.
Cleaned all pin sites. Distal pin is loose, not seated in distal cortex. Due to interest of time, and because removal was already planned for Wednesday, left in but secured fixator w/ tape around wing to hopefully hold until Wednesday.
Check fixator and do PT in 2 days. Removal Wednesday. Dr Gardner

2024-04-06 10:30 AH/CD
Leftovers: 0
89g R

NOLO. BARP. Upon entry, bird was perched and alert to feeder presence. Obvious L wing droop. Bandage appeared to be picked at.

2024-04-05 11:54 me/kjd
Leftovers: 0
Food:87g ck (+ vit + Ca)
Alert staff if L wing is drooped below perch. Check pins daily (visual check).
NOLO

2024-04-04 11:22 MGS/MS
Leftovers: 0
Food in cage: 93g m

BAR. Perched - moving back and forth on perch
L wing still drooping to below perch.
Pins in place

2024-04-03 13:59 bw
Leftovers: 0
Food: 101g m(+ vit + Ca)

Grabbed for PT. Both wings held out but no flying attempted. Very alert and strong. nolo

PT performed under 3% ISO and oxygen via mask. Wrist felt very stiff and bird did react even under anesthesia when getting to full extension. Elbow was not stiff and was able to reach full extension pretty easily


Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before130140
After140180

2024-04-02 16:33 SK/BW
Leftovers: 0
Food: 102 g m

BARP walking along perch nolo (just ck heads and fluff), wing held low and to the side but only very tips of feathers were just barely below perch, bandage on

2024-04-01 12:19 sc/me/sec
Leftovers: 0
Food: 106 g ck (+ vit + Ca)NOLO
Alert staff if L wing is drooped below perch. Check pins daily (visual check).
Pins still in, L wing is dropping but not touching perch
BAR-P

2024-03-31 13:13 cd/jn

Food: 94g m
nolo; BAR

2024-03-30 14:37 MS


----------- ORDER CHANGE -------------
d/c terb

2024-03-30 10:00 cd

Food: 107g ck
Terbinafine: 0.64 cc (25 mg/ml susp) PO
PT: PROM L wing - under anesthesia

No flight noted, holding wings out on perch. Anaesthetized under 2.5% ISO and oxygen via mask for PT. Good rom. Pins were a little gunky, cleaned w betadine swab.

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before120180
After140180
Notes
Took a few reps, had to push for full ext

2024-03-29 12:02 kjd/me
Leftovers: 0
Food:108g ck (+ vit + Ca)
Terbinafine: 0.64 cc (25 mg/ml susp) PO
Alert staff if L wing is drooped below perch. Check pins daily (visual check).
Left wing always spread more than the R (but not drooped below perch)
NOLO

2024-03-28 11:15 mgs/me
Leftovers: 0
Food in cage: 93 g m; Terbinaine 0.64cc

BAR and perched on entry with spread wings.
L wing drooping to perch.
Pins showing

2024-03-27 12:58 tkr/sc
Leftovers: 0
Food: 97 g m/ck (+ vit + Ca)
Terbinafine: 0.64 cc (25 mg/ml susp) PO

Veterinary Recheck, Left Wing, Humeral Fracture with EF:
Patient placed under brief general Isoflurane anesthesia for radiography and exam.
Radiography today shows very good healing with large callous formation. Cerclage wires are intact and in place. IM pin and cross pins are stable and pin exit sites are healthy.

Cleaned pin exit sites with betadine solution. Outer wrap looks good and did not need replaced.

Today is 4 1/2 weeks out from surgery. Recommend keeping EF on for an additional 1-2 weeks and then can hopefully remove.

Both feet, digit #3 there is slight pododermatitis or most distal digital pad. Cleaned and applied SSD ointment to each. This may be related to perch size. May want to increase perch diameter in enclosure.

Plan: Next radiograph in 7-14 days.

Dr. Tracey Ritzman,DVM, Dipl ABVP-Avian & Exotic Companion Mammals

2024-03-26 15:50 LKM/BW
Leftovers: 0
Food: 59 g m
BID: Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BARP, pacing back and forth on perch, defensive, pins look good, L wing not drooping below perch, NOLO

2024-03-26 09:10 AO
Leftovers: 0
Food: 54 g m
Terbinafine: 0.64 cc (25 mg/ml susp) PO
BID: Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BAR, Perched. Ran along perch but did not fly. Got a little defensive went I approched him but he remained calm afterwards. Seemed to eyeing the food but did not eat while I was in there. I moved in front of him and he tried looking under me to see the food. His pins looked fine, chew tabs were not horrible and his wing was slighty drooping but it did not go below the perch. NOLO.

2024-03-25 16:37 sc/me/srm
Leftovers: 0
Food: 59 g m/ck (+ vit + Ca)

bar, perched defensive but allowed me into the enclosure.

2024-03-25 08:50 eb/me
Leftovers: 0
Food: 58 g ck (+ vit + Ca)
Terbinafine: 0.64 cc (25 mg/ml susp) PO
BID: Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BAR
perched in back
was flying around when I opened outer door
L wing was not drooping
pins appeared to be good

2024-03-24 16:56 bw/kl
Leftovers: 0
Food: 57 g m
Terbinafine: 0.64 cc (25 mg/ml susp) PO
PT: PROM L wing - under anesthesia
BID: Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BAR
perched
nolo
L wing had slight droop, not significant and didn't seem to droop below
the perch.

2024-03-24 09:40 ME/FM
Weight: 1127 grams, Leftovers: 0
Weight change: +59 g (6 %)
Food: 57 g m
Terbinafine: 0.64 cc (25 mg/ml susp) PO
NOLO
PT under anesthesia (3% maintenance): PROM L wing - under anesthesia; great extension immediately; cleaned pins with betadine - IM pin slightly goopy; applied Triple Abs
reinforced one duct tape chew tab

BID: No droop noted, raising wings equally

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before140180
After140180

2024-03-23 15:50 DG/MS
Leftovers: 0
Food: 55 g ck
Terbinafine: 0.64 cc (25 mg/ml susp) PO
BID: Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BAR, perched, stood on perch and spread wings, pins in place, NOLO

2024-03-23 09:50 bw/mlm/kmj
Leftovers: 0
Food: 56g m/ck medley
Terbinafine: 0.64 cc (25 mg/ml susp) PO
NOLO
BARP - left wind drooping about halfway to perch, bird did not move R wing at all but raised L wing out defensively, bandage looks good

2024-03-22 16:54 mb/BW/LT
Leftovers: 0
Food: 55 g m (+ vit + Ca)

NOLO, QARP- stepped back and forth on perch and stretched out wings

2024-03-22 10:42 MS
Leftovers: 0
Food: (+ vit + Ca)
Terbinafine: 0.64 cc (25 mg/ml susp) PO
BID: Alert staff if L wing is drooped below perch. Check pins daily (visual check).

BAR, running along the perch and bitey in hand. Anesthetized under 3% iso for PT. Reaches full extension after a few reps and didn't seem painful for the bird. Cleaned pin sites with betadine swab and coated with TAB ointment. Proximal pin site had more buildup than the rest. Reapplied vet wrap and chew tabs to ex-fix. Noticed crusty skin on inguinal and there is a small scab there. Nothing major, but applied some TAB and left alone. NOLO. Recovery uneventful.

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before125180
After140180
Notes
3 reps, 15 seconds each

2024-03-21 16:07 cs/rb
Leftovers: 0
Food: 55 g m/ck
BAR, L wing not drooped much
NOLO

2024-03-21 09:35 ME/MKF
Leftovers: 0
Food: 52 g m/ck
Terbinafine: 0.64 cc (25 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

Nolo
Fixator appears in place; some chewing on duct tape
Can see yellow vet wrap between featers and duct tape

2024-03-20 15:26 MB/RMB
Leftovers: 0
Food: 58 gck (+ vit + Ca)
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

BAR NOLO
Perched on far perch, spread wings unevenly with left more out and right wing more up

2024-03-20 10:44 TR

Food: 56 g ck (+ vit + Ca)
Vet check: Check ex-fix, PT, rads?
Radiograph: Follow-up rads
PT: PROM L wing - under anesthesia
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

Veterinary Exam 3/20/21:

Patient holding left wing up with good position at time of capture (per Renee).

Patient was placed under brief general Isoflurane anesthesia for exam and radiography.

Radiography taken of left wing, VD view. Radiograph shows good callous formation at frature site and continued good reduction and IM pin and cross pins are stable. PT was performed on left wing with good extension of carpus and good extension of elbow considering EF present.

Externally the skin and pin sites appear healthy. No drainage or discharge, no inflammation.

Cleansed pin exit sites with betadine swab.

Patient recovery was uneventful.

Plan:
Discontinue all antibiotic therapy.
Discontinue meloxicam therapy.
Change Terbinafine to SID dosing.

Recheck radiographs again in 5-7 days. Continue with PT.

Dr. Tracey Ritzman, DVM, Dipl ABVP-Avian & Exotic Companion Mammals

2024-03-19 16:50 LKM/BW
Leftovers: 0
Food: 52 g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

BARP, L wing is not drooped below perch, very alert and looking around, NOLO

2024-03-19 08:48 ao
Leftovers: 0
Food: 53 g ck
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

BAR, Perched. There is a noticeable wing droop but not below perch. Fixator seems intact. There is some chewing on the chew tab. NOLO.

2024-03-18 17:07 RMB/srm
Leftovers: 0
Food:55 g m/ck (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
PT: PROM L wing - under anesthesia

bar, perched, there definitly a l wing droop, not below the perch but very noticable, there were some left overs on the perch but werent able to get to it.

2024-03-18 10:15 bt/me
Weight: 1068 grams, Leftovers: 0
Weight change: +6 g (1 %)
Food: 508 g ck (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
NOLO
BAR, perched
PT: PROM L wing - under anesthesia - elbow fairly stiff, improved somewhat after 3-4 minutes
Cleaned pins - IM pin a little goopy; applied triple Ab ointment to all pins
added more duct tape chew tabs - bird definitely working on them
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before110160
After125180

2024-03-17 16:07 KG/BW
Leftovers: 0
Food: 57g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
BARP, NOLO. Shoulder of wing is out, but the wing is not below perch. Sounded like he flew from the perch on one side to the other as I approached.

2024-03-17 11:01 RMB/FLM
Leftovers: 0
Food: 52g ck/m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

NOLO
BARP
fixator intact.
when i was closer to the door, was in a non-defensive stance. both wings tucked above tail when in neutral position.

2024-03-16 15:03 DG/MS
Leftovers: 0
Food: 56 g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

3/16 - check outside that bird is off the ground and doing all right in new habitat

BAR, perched, flew between perches a couple times, fixator looked to be in place, NOLO

2024-03-16 09:51 cs/bw
Leftovers: 0
Food: 55 g m (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO

Left wing sligtly drooped, but perched! BAR
NOLO

2024-03-15 18:25 rmb/lt
Leftovers: 0
Food: 52 g m (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Move to - R 15?
BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)

3/16 - check outside that bird is off the ground and doing all right in new habitat


BARP
Very alert and responsive. Very minor droop in L wing present, but not close to being below perch.
No leftovers

2024-03-15 09:33 Dr G/ MS
Leftovers: 0
Food: 51 g m(+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO

BID: Alert staff if wing left wing is drooped below perch. Check fixator daily (visual check)



Quick PT under GA. The elbow extension is about 3/4, I think some of the reduction is because the shoulder part of the repair gets in the way. I don't really find any other good reason for the elbow extension to be reduced. The elbow is not swollen and does not seem abnormal. The patagium is loose. There is a bump on the medial aspect of the distal humerus where I think the distal end of the IM pin dug into the medial cortex and caused a bit of a reaction, but that does not seem to be a big deal.

Cleaned IM pins, applied triple antibiotic ointment.
Since this bird had an open fracture to begin with, I think continuing antibiotics for a month minimum is a good idea. The radiographs also do not show a lot of bony callous yet and the edges of the fracture are a bit sharp.

Continue PT and pin care every 2-3 days. Move to larger habitat. Dr Gardner

2024-03-14 15:40 jbMS
Leftovers: 0
Food: 56 g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch. Wing not drooped
NOLO

2024-03-14 09:25 MS/LM
Leftovers: 0
Food: 51g ck
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO

BAR, perched, flared up, no wing droop holding both up, perch is wobbly and fell half out of wall mount, put it back in place and bird stayed on perch while changed papers
NOLO

*Move FRIDAY

2024-03-13 15:50 JH/RMB
Leftovers: 0
Food: 57 g ck (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch

BARP, asleep facing back when i first entered so got a good look at L wing. It is drooping even with perch but not below it. Once they noticed me, turned around in full defense posture with a more prominent L droop while wings were up high.
NOLO

2024-03-13 10:13 MS
Weight: 1062 grams, Keel score: 3.0, Leftovers: 0
Food: 53 g ck (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
Radiograph: Follow-up rads
PT: PROM L wing
BID: Alert staff if wing left wing is drooped below perch.

BAR, very feisty, footy. Anesthetized under 3% iso for PT. Vet is not in today. Stiff elbow, could not get quite full extension, but bird only has a slight wing droop. Most proximal pin end was bleeding a bit. Duct tape was very chewed. Removed vet wrap and cleaned pin sites with betadine swabs, then reapplied vet wrap and chew tabs over ex-fix. Cleaned poopy feathers as bird woke up. Recovery uneventful. NOLO.

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before95180
After125180

2024-03-12 16:00 SK/BW
Leftovers: 0
Food: 57 g m/
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

NOLO seen, wing wrap in place
BARP both wings raised defensively with wrist at head level but only right wing extended (bird was next to wall so could be due to that or injury)
Went for food after door closed

2024-03-12 10:12 ms/eg/ae
Leftovers: 0
Food: 73 g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP, wings flared defensively entire time, changed papers
bonus mouse w tram

2024-03-11 16:15 JH/RMB
Leftovers: 0
Food: 57 g m/ck (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch.

BARP, wing is drooping minimally and bird is able to hold it level
NOLO, ate immediately

2024-03-11 08:40 eb/me
Leftovers: 0
Food: 60 g m and ck (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch.

BAR
perched in middle
nolo
L wing was not drooping
both wings were out in defensive position
changed newspaper

2024-03-10 17:28 bw/kl
Leftovers: 0
Food: 55 g ck
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
PT: PROM L wing - leave wrap off and reapply tape - under anesthesia
BID: Alert staff if wing left wing is drooped below perch.

BAR
perched
nolo
Went to food immediately and was eating well.

2024-03-10 10:40 RMB/FLM
Leftovers: 0
Food: 51 g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
PT: PROM L wing - leave wrap off and reapply tape - under anesthesia
BID: Alert staff if wing left wing is drooped below perch.


Placed under 3% ISO via mask. PT was a little stiff in elbow. Cleaned around pins wit iodine, a little drainage from upper pin. Had chewed on the duct tape on fixature a little.

Very BAR, holding wings up in defensive posture. NOLO

2024-03-09 16:34 TM/MS
Leftovers: 0
Food: 55g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BAR, P
NOLO
holding both wings up in defensive posture


2024-03-09 09:15 bw/mm
Leftovers: 0
Food: 50 g m
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch. - in defensive position with both wings raised.

2024-03-08 16:27 RMB/MB/LT
Leftovers: 0
Food: 53 g M (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
BID: Alert staff if wing left wing is drooped below perch.

BARP
Very alert and responsive.
L wing showing very minor droop during defensive display.
No leftovers

2024-03-08 11:48 Dr. G/MS
Weight: 978 grams, Keel score: 2.5, Leftovers: 0
Weight change: -24 g (2 %)
Food: 51 g m (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
Vet check: Check ex-fix, PT, RADS?
Weighed
BID: Alert staff if wing left wing is drooped below perch.

PT under anesthesia today.
Wrap removed, did PT. Elbow is very stiff, could not get to completely extend. The patagium seems fine - I wonder if the callous is causing some contraction. There is also some mild yellowish swelling on the ventral aspect of the elbow.
Although there is no visible callous there is palpable callous. I can still feel the edges of the bone but they feel a bit blunted, so I think this is healing as expected. Incision looks fine.
Cleaned the pin sites w/ Betadine then applied Triple antibiotic.
As planned, kept wing unwrapped but applied a couple of pieces of tape wrapping from the bent portion of the IM pin around the humerus more proximally. I hope that this will help keep the fixation in place and prevent him from pulling the IM pin too easily. Also placed several distraction tabs.
P: Check later today - keep unwrapped unless wing is drooping to the ground. A mild droop is to be expected.
Continue to do PT EOD to try to loosen up that elbow.
REPLACE THE TAPE AROUND THE BENT PART OF THE IM PIN IF NEEDED!
I would definitely continue antibiotics at least 1 more week. I think I remember this being a slightly open fracture. Dr Gardner

MOVED TO: R17b

2024-03-07 17:11 rb/ah
Leftovers: 0
Food: fed 57 g m; NOLO.
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

2024-03-07 09:30 mkf/me
Leftovers: 0
Food: 52 g M
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

nolo
BAR perched with wings extended.

2024-03-06 16:07 JH/RMB
Leftovers: 0
Food: 58 g CK (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP, NOLO, defensive stance, wing wrap in place, very curious while i changed paper, pounced on food as soon as i shut door

2024-03-06 09:15 AO
Leftovers: 0
Food: 57 g (1/2 fl + 1/2 M/CK) w/ Q wing (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
BAR, Perched. Was very defensive from the moment I opened his condo. Puffed up and everything looks OK. Changed papers and NOLO. Did not eat as soon as food was put down?

2024-03-05 16:15 SK/BW
Leftovers: 0
Food: 25 g m 33g fl m with q skin + feathers
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

wing wrap in place
wings raised defensively
silent, attentive, perched, looking between feeder and food once food placed

2024-03-05 10:15 me/eg
Weight: 1002 grams, Leftovers: 0
Weight change: +38 g (4 %)
Food: 50-55 g 1/2 fl + 1/2 M/CK w/ Q wing (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
NOLO
Anesthetized with ISO via mask for PT and Radiograph: Follow-up rads - little evidence of callus;
Fixation intact and feels firm; cleaned pins, applied triple abs and covered with vetwrap;
L elbow quite stiff; had to give 0.2 cc Torb IM because PT was painful at 4% ISO
Reapplied Fig 8 bandage
kennel dirty
MOVED TO:R 17 C

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before70160
After140180
Notes
took 1-2 minutes to achieve full extension

2024-03-04 18:00 JH/RMB
Leftovers: 0
Food: 55 g 1/2 fl ck + 1/2 cu m w/ Q wing (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP, defensive wings, wrap in place, NOLO

2024-03-04 09:26 bt/me
Leftovers: 0
Food: 55g Total (27 g FL C + 28 g M) (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
NOLO
QARP, bandage in place looks good

2024-03-03 16:32 BW/KG
Leftovers: 0
Food: 53g TOTAL
- 1/2 fl = 18g chk
- 1/2 c/u big = 35g M
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
BARP, wings out, NOLO. Started eating while I was still in condo

2024-03-03 11:33 RDF/RMB
Leftovers: 0
Food: 58 g 1/2 fl + 1/2 M w/ Q wing (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
QARP, NOLO, acted defensive during drop, started eating immediately

2024-03-02 16:22 bw/tm
Leftovers: 0
Food: 30g ck + 23g FL w/ Q wing vit + calc
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

Very BAR, perched
one wing spread, bandage was in place on other
very interested in food, leaning towards it as i placed it
NOLO

2024-03-02 09:17 cd
Weight: 964 grams, Leftovers: 0
Weight change: +38 g (4 %)
Food: 53 g 1/2 fl (+vit+Ca) + 1/2 m/ck w/ Q feathers
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP, NOLO, jumpy. Brought inside and anaesthetized for PT. Elbow pretty stiff, took many reps for full ext. Wrist got almost immediate full ext. Moved to R17d - condo dirty

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before75165
After140180
Notes
elbow took many reps, wrist almost immediate

2024-03-01 16:41 mb/cd/lt
Leftovers: 0
Food: 63 g 1/2 fl + 1/2 M/CK w/ Q wing (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP
Bandage seems completely in tact
Began eating immediately
No leftovers

----------- ORDER CHANGE -------------
stop sq fluids

2024-03-01 10:45 jh/me
Leftovers: 0
Food: 52 g m (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

Did not grab, BAR, perched in wings-out defensive stance, NOLO, wing wrap in place.

2024-02-29 16:58 jb/kk/rb
Leftovers: 0
Food: 51 g 1/2 fl + 1/2 M/g (+ vit + Ca)

Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
NOLO
BARP

2024-02-29 10:40 me
Leftovers: 0
Food: 57 g 1/2 fl + 1/2 M w/ Q wing
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
NOLO

2024-02-28 15:45 cd
Leftovers: 0
Food: 51 g 1/2 fl + 1/2 M w/ Q feathers (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP, NOLO! feathers strewn around but no LO hiding. Turned on perch to face me, wings out. Wrap looks good

2024-02-28 12:44 Dr. TR

Veterinary Exam, Left Humerus Fracture, Had Surgical Repair performed 2/21/24:

Patient was placed under brief general anesthesia with Isoflurane 3% and maintained via face mask at this level.

The existing bandage over the left wing was removed. All pin sites were examined. All pin sites appear healthy, no drainage or discharge, no inflammation noted. Gently cleaned the exit site of the IM pin with dilute chlorhexidine and placed small amount of Silvadene ointment where pin exits the skin.

PT was peformed on the wing with good extension of both elbow and carpus (angle not measured).

Replaced outer bandage wrap with light figure of 8 bandage- single layer of cast pading and then vet wrap over.

Patient recovery from anesthesia was rapid and uneventful. No imaging taken today as the fracture repair is 7 days old.

Dr. Tracey Ritzman, DVM, Dipl. ABVP-Avian & Exotic Companion Mammals

2024-02-28 11:54 Dr. T/CD
Weight: 926 grams, Leftovers: 30
Weight change: -10 g (1 %)
Food: 52 g 1/2 fl + 1/2 M/CK w/ Q wing (+ vit + Ca)
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
Weigh

BARP, defensive. papers are torn and strewn. 30g LO removed - Q wing was ripped up, some food tossed around, but most was hidden/folded in newspapers. Missed enro when giving meds. Moved to B when putting back outside; C dirty.

2024-02-27 15:30 lkm/bw
Leftovers: 0
Food: 53 g FL w/ Q wing or feathers on top
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP, defensive, nolo, no fluids needed

2024-02-27 09:45 sc/me

Food: 16 g FL w/ Q wing or feathers on top (+ vit + Ca)
Tweezer feed: 37 g FL (+ vit + Ca),
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

All lo, bandage looks good. Opted to move outside to R17c to see if he will start eating outside.

2024-02-26 17:17 JH/RMB

Fecal
Collection date2024-02-26
ResultsNEG

2024-02-26 16:30 bw
Leftovers: 28
Food: 10 g FL (+ vit + Ca)
Force feed: 41 g FL (+ vit + Ca)
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

Perched and alert. Jumped away when trying to grab. Not interested in tweezer feeeding. Had to force in mouth and they would sometimes swollow without assistance

Consider adding Q wing to FIC

2024-02-26 10:45 bw/sc
Leftovers: 30
Food: 30g FL (+ vit + Ca)
Tweezer feed: 30 g FL (+ vit + Ca)
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

Perched and alert. LOs were scattered around kennel. Mutes present but unable to collect fecal because they were all dried out. Moved to new clean kennel

PT was performed under 3% ISO and oxygen via mask with uneventful recovery. Was not reactive to PT under anesthesia. Wrist was not stiff and easy to get to full extension. Elbow a little stiff but able to reach full extension.

Pins were all in place and suture line looked good. Removed bandage and left off. Slight swelling and brusing below distal pin. Replaced fig 8 bandage

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before100110
After140180

2024-02-25 17:29 cd
Leftovers: 12
Food: ~37 g FL
Tweezer feed: ~25g FL
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

All food LO. FF a little less and left more fic to encourage eating. Did not give fluids - both inguinal areas appear to have slight soft tissue damage

2024-02-25 09:30 RMB/FLM
Weight: 936 grams, Leftovers: 29
Weight change: +29 g (3 %)
Food: 12g FL (+ vit + Ca)
Tweezer feed: 40 g FL (+ vit + Ca), If not eating
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
Weigh

BAR, standing in front on food. 29 g LO

2024-02-24 16:38 MS
Leftovers: 16
Food: 45 g FL (+ vit + Ca)
Tweezer feed: 14 g FL (+ vit + Ca), If not eating
SQ fluids: 30 cc R leg
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

BARP, 16 g LO. FF the FIC accidentally. Did not swallow well.

2024-02-24 09:00 cd
Leftovers: 16
Food: 15 g FL (+ vit + Ca)
Tweezer feed: 47 g FL (+ vit + Ca)
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO
Forgot to weigh - do tonight

Whole meal LO. QAR in front, fiesty once grabbed.

2024-02-23 16:41 cd/lt
Leftovers: 22
Food: 16 g FL (+ vit + Ca)
Tweezer feed: 45 g FL (+ vit + Ca)
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Tramadol: 0.45 cc (40 mg/ml susp) PO

QARP, flared. 22g LO removed. Fell partially against kennel wall when placed back, still flared defensively

2024-02-23 13:11 sc

Checked on to see if there was a wing droop. Wing droop is very obvious, however the bird is not standing his wing. We haven't seen him try to move around or perch. We will keep an eye on this and replace figure 8 if needed.

2024-02-23 11:15 SC
Leftovers: 18
Food: 22 g FL (+ vit + Ca)
Tweezer feed: 25 g FL (+ vit + Ca)
SQ fluids: 30 cc
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 1/2 tab (22.7 mg tab) PO
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Buprenorphine: 0.45 ml (0.6 mg/mL inj) IM
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
18 g LO
perched, BAR
anesthetized, removed wing bandage, reinforced sidebar with piece of metal and covered external fixator. Placed telfa and tega over the suture site as the old piece of telfa was wet from discharge.
post-op rads taken under 3% ISO via mask. Recovered very well.

We left the figure 8 and body wrap off to see what he would do with the wing.

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before100130
After140180
Notes
PT under 3% ane went very well. Hardly any resistence. Full ROM on both elbow and wrist

2024-02-22 15:49 jb/rmb
Leftovers: 23
Food: 25g FL
Tweezer feed: 24 g FL
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 0.14 cc (100 mg/ml inj) SQ

Terbinafine: 0.54 cc (25 mg/ml susp) PO
Buprenorphine: 0.45 ml (0.6 mg/mL inj) IM
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO

Laying down, QAR. Tried perching after tx

2024-02-22 10:06 SC
Leftovers: 0
Food: 28 g FL (+ vit + Ca)
Tweezer feed: 20 g FL (+ vit + Ca)
SQ fluids: 30 cc
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 0.14 cc (100 mg/ml inj) SQ
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Buprenorphine: 0.45 ml (0.6 mg/mL inj) IM
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO

Sleeping this morning, BAR and standing when door was opened and ran away and crouched in back corner during grabbing. Did not see LO's. Wrap still intact. Cleaned dried blood from L wing with H2O2. Didn't weigh.

2024-02-21 17:52 cd/sc

No FIC tonight
Tweezer feed: ~15 g FL
SQ fluids: 30
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 0.14 cc (100 mg/ml inj) SQ
Fenbendazole: 0.27 ml (100 mg/ml susp) PO
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Buprenorphine: 0.45 ml (0.6 mg/mL inj) IM
Meloxicam: 0.09 cc (inj) IM

2024-02-21 17:32 TR/SC

Surgery report
Procedure - Fracture repair - humerus
Performed by - Dr. Ritzman
Surgery time - 90 minutes

Left Humerus Fracture Repair Surgery, Long Oblique, Simple, Open
Fracture both drosally and ventrally: 

Patient placed under general anesthesia. The dorsal aspect of
the fracture site and left humerus was gently prepared for surgery.


Utilization of the open dermal site dorsally for incision and
access to fracture. A longitudinal incision was made with #15
blade along open fracture site. The radial nerve was identified
and determined to be intact. There was extensive pre-existing
muscle damage from this fracture due to the severe oblique aspect
of the fracture. 

A 7/64 round IM pin was placed into the proximal humeral bone
and advanced out through the shoulder area. The IM pin was then
retrograded distally into the distal fracture fragment. Alignment
of the oblique fracture ends was achieved with gently manual
manipulation. Two cerclage wires were placed over the oblique
fracture site to help secure the bone ends. Wire used was 0.9
mm diameter wire. 

Closure of incision with 4-0 PDS II in simple continuous pattern
for subcuticular layer and simple continuous with several simple
interrupted sutures on dermal layer. 

Two 0.045 cross pins were placed at both proximal and distal
ends of the humerus from the dorsal aspect and were tied in to
the IM modified ESF. 

Ventral aspect of the humerus was examined and there was a pinpoint
skin opening from the fracture. This was closed with surgical
tissue adhesive. 

A light modified figure of 8 bandage was applied post operatively.


Range of motion for elbow was good on palpation post op. 

Radiograph imaging was not taken post op due to the extended
anesthesia time. 

Patient recovery was prolonged and this was thought to be due
to potential hypothermia.  Patient continued to have regular
hear rate throughout anesthesia and surgery and during recovery.


Dr. Tracey Ritzman, DVM, Dipl. ABVP-Avian & Exotic Companion
Mammals

2024-02-21 14:01 RMB

Start Fenben

Fecal
Collection date2024-02-21
ResultsPOS for
fluke
capillaria
porrocaecum
Fecal
Collection date2024-02-21
ResultsPOS for
capillaria
porrocaecum

2024-02-21 09:00 MS
Leftovers: 31
SQ fluids: 30 cc L leg
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 0.14 cc (100 mg/ml inj) SQ
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Buprenorphine: 0.45 ml (0.6 mg/mL inj) IM

BARP, footy. Gave meds, did not feed due to surgery later. did not eat last night. Forgot to weigh.

2024-02-20 16:10 bw/ms
Leftovers: 43
Food: 40g FL
Force Feed: 8g FL
SQ fluids: 25
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 0.14 cc (100 mg/ml inj) SQ
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Buprenorphine: 0.45 ml (0.6 mg/mL inj) IM
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO

Initially laying in kennel but stood once door was opened. Alert but quiet in hand. Tried to tweezer feed a few bites but not interested. Force fed about 8g. Laid down when placed back in kennel
All food LO and untouched.

----------- ORDER CHANGE -------------
switched to 100 mg/mL enro

2024-02-20 12:32 MS

Band changed to: 18186

2024-02-20 10:52 MS
Leftovers: 46
Food: 48 g FL (+ vit + Ca)
SQ fluids: 30 cc L leg
Clindamycin: 0.91 cc (Compounded 100 mg/ml susp) PO
Enrofloxacin: 0.61 cc (22.7 mg/ml inj) SQ
Terbinafine: 0.54 cc (25 mg/ml susp) PO
Buprenorphine: 0.45 ml (0.6 mg/mL inj) IM
Meloxicam: 0.32 cc (1.5 mg/ml susp) PO
Radiograph: Intake, left humerus fx
Collected fecal

BARP, flared wing out and fell on back to try and foot me. Anesthetized under 3% iso for intake rads. Rads confirmed a midshaft humeral fx. SC will contact TR to schedule pin sx tomorrow. Redid bandage on dorsal aspect of wing, still looks good - DuoDerm, SSD, telfa/tega. Did not eat last night. Recovery uneventful. Banded R leg. Dark red bruising on keel, left alone. Reapplied padded fig 8 + body wrap. Sprayed with Bronco.

2024-02-19 18:16 RMB/RN
Weight: 907 grams, Keel score: 2.5
Finder observed hopping around apt parking lot unable to fly. Flushed into wooded area and contained with blanket.
------------- PHYSICAL EXAM FINDINGS ----------------
Head
Behavior and Neuro: BAR
Other: Wound left side of cere where meets head. Small wound inside of right orbital ridge. Both healing.
Mouth: Clear
Beak: Underside of lower mandible, healing scab left side
Ears: Feather lice
Body
Vent: Toned/Clear
Body condition score: 2.5
Wings
Left humerus: Mid-shaft fracture, open dorsally. Bone exposed and very healthy.
Right wing: WNL
Legs
Left leg: WNL
Left foot, ankle, digits: Very small scratches on feet, healing
Right foot, ankle, digits: Very small scratches on feet, healing
Feathers: WNL
Ectoparasites: fleather lice


Exam:
Standing in box, very BAR. Palpated fracture in left humerus. Healing wounds on face and feet. A little skinny. Admin Torb and placed under 2% ISO. Fracture is very mid-shaft, small opening dorally with proximal edge of bone poking through. Due to hour, postpone rads until next day. Cleaned wound with scrubbed and gently flushed around wound avoiding open bone. Able to get bone under skin no problem, wound is about the side of a dime. Covered with SSD, duaderm, telfa, and tegaderm. Wrap in padding well, then figure 8 and body wrap. Completed treatment and placed in KR2.

Treatment:
Fluids: 30 ml LRS +Vit B SQ
Trob: 0.18 ml IM
Meloxi: 0.09 ml IM
Enro: 0.61 ml SQ
Clinda: 0.91 ml PO
Terbine: 0.54 ml PO
Iron: 0.09 ml IM
Bronco
Food: 45 g CK FL

Eye exam
Exam date - 2024-02-19
Examiner - RMB/RN
RIGHTLEFT
PLRMenacePLRMenace
++++++++
Stain Stain 
DNE DNE 
Right eye:
Very minor scarring medial to pecten and a little lateral, both ventral
Left eye:
Minor scarring medial /ventral to pecten

Version 3.2.0 - 3.18.67 Mon Apr 29 06:11:57 2024