Patient list | RaptorMed.com | Glossary of terms Carolina Raptor Center
26135 Problems Notes Costs
Admission date2024-04-11
Final date -
Days in captivity24
SpeciesBADO - Barred owl
AgeSY
SexUNK
StatusReh
Band18189
Bruised
Emaciation
Fracture - ulna, left
Ocular - chorioretinitis, OD
Ocular - chorioretinitis, OS
Parasitic - capillaria

Cause of injury: Unknown

Active patient
Finder present at release
Release where found

Found in Union Grove,NC
Iredell county
Here is a summary of this patient's treatments and expenses:

DescQtyCostSubtotal
Examination1120.00120.00
Daily rate2415.40369.60
Radiographs6300.001800.00
Physical therapy5110.00550.00
Fecal exam462.00248.00
Total  3087.60

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

2024-04-14

2024-04-14

2024-04-14

2024-04-14

2024-04-26

2024-04-26
2024-05-05 17:34 BW/KL
Leftovers: 0
Food: 76 g m

BAR perched
Nolo

2024-05-04 15:13 TM/MS
Leftovers: 0
Food: 74 g ck
BAR, P
clacked
bandage looked good
NOLO

2024-05-03 15:14 cd
Weight: 699 grams
Weight change: +15 g (2 %)
Food: 70g m (+ vit + Ca) Watch food intake carefully
PT: PROM L wing
Leave bandage off?

BARP. Grabbed for PT & weigh. Almost immediate full extension, flapping on his own. Wing still droops while unwrapped and he was just moved to R33 and put in a velcro wrap on Weds - left wrap on for now, re eval at next check.

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before135160
After140180
Notes
Took a few reps but almost immediate full ext. Wrist stiffer than elbow. Unsure about reactivity to ext - was very bitey & struggling the whole time, not just during extensions

2024-05-02 15:27 jbkk/rb
Leftovers: 0
Food:67 g m
Perched, BAR
NOLO

2024-05-01 13:47 TR
Weight: 684 grams, Leftovers: 0
Food: 78g m (+ vit + Ca)

Hopped to back and puffed & clacked at me. Did not use ramp to perch while I could see him.

Veterinary Exam, Left Wing 05/01/2024:

Bird was brought to hospital building for examination of left wing. History of segmental frature of left ulna.

Existing bandage was removed. left wing was palpated. The ulna has very good callous formation palpaable and the ulna palpates stable. There is relatively good range of motion with elbow and carpus but not yet normal.

Review of recent radiograph images from 4/26/24 shows good alignmnet of this segmental frature and visible indication of callous formation starting to develop at both fratures lines.

Recommend placing a velcro wing wrap on this bird today which was done.

Plan: Keep velcro wrap and continue PT. Recheck radiographs can be considered in 1-2 weeks per Dr. G's recommendation.

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

MOVED TO: R33

2024-04-30 16:10 lkm/ms
Leftovers: 0
Food: 72 g m Watch food intake carefully

BARP, clacky, leaned against side of enclosure on perch but not standing upright, NOLO

2024-04-29 17:13 rf/RMB
Leftovers: 0
Food: 70 g m/ (+ vit + Ca) Watch food intake carefully
Weigh- forgot
PT: PROM L wing - under anesthesia: Did not use anesthesia. Slightly reactionary on first extension, after that, no response. Extension is really good. Callus feels stable. Rewrapped with figure 8 wrap.

Physical therapy
Limb/jointLeft wing
Type
 ElbowWrist
Before140180
After140180

2024-04-28 17:37 BW/KL
Leftovers: 0
Food: 75 g m

BAR perched
NOLO
Wrap in place; observed for a bit, but did not eat food while there.

2024-04-27 17:06 MS
Leftovers: 0
Food: 70 g m

BARP, clacking, flared up. Changed papers. NOLO. Had one cast.

2024-04-26 11:41 Dr. G/MS
Weight: 658 grams, Keel score: 3.0, Leftovers: 0
Food: 71 g ck (+ vit + Ca)
Check eyes: OU
Keel check

BAR, NOLO. Changed papers and collected 3 pellets.

VET NOTES
Brought inside for PT/ recheck radiographs.
Maintained under Isoflurane GA at 3%
Left ulna fracture shows radiographic signs of healing.
The distal fracture fragment is displaced somewhat dorsally but overall alignment of fracture is good and hopefully will result in good anatomical alignment.
Bird has only been here 2 weeks and fracture feels slightly rubbery so I think should stay bandaged one more week.
PT every 2-3 days.
If doing well leave bandage off in about a week.
I will recheck in 2 weeks.
Dr Gardner

Eye exam
Exam date - 2024-04-26
Examiner - Dr. G
RIGHTLEFT
PLRMenacePLRMenace
DNEDNEDNEDNE
Stain Stain 
DNE DNE 
Right eye:
Slightly mottled fundus but appears normal for this bird
Left eye:
Slightly mottled fundus. Faint scar on dorsal aspect of cornea

2024-04-25 16:02 jb/bwAO
Leftovers: 0
Food: 76 g m
BARP
Bandage appears intact
NOLO

2024-04-24 12:45 RTS/MS
Leftovers: 0
Food: 76g m (+ vit + Ca)
BAR, NoLo

2024-04-23 15:10 bw
Leftovers: 0
Food: 76g ck

Grabbed for PT under ISO. Bird was alert and perched. Mutes ++

PT under 3% ISO and oxygen via mask. Extension was great. Proximal end still very slightly mobile. Reapplied figure 8 wrap.


Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before140180
After140185

2024-04-22 16:25 bw/Srm
Leftovers: 0
Food: 72 g m/ck (+ vit + Ca) Watch food intake carefully

bar, perched, bandage in place, nolo

2024-04-21 16:00 BW/KG
Leftovers: 0
Food: 77g m
BARP, clucked and fluffed when I opened cage. Added more newspaper as it was crumpled up some in areas. NOLO.

2024-04-20 15:06 cd

no tx necessary

Fecal
Collection date2024-04-18
ResultsPOS for
capillaria
Fecal
Collection date2024-04-20
ResultsNEG

2024-04-20 12:38 Dr G/ BW
Weight: 620 grams, Keel score: 3.0
Weight change: +31 g (5 %)
Food: 77 g ck
Check eyes: OU
Vet check: Check eyes, PT, general check
Weigh
PT: PROM L wing - under anesthesia

VET NOTES
Brought inside for PT and eye check.
Anesthetized with Isoflurane, maintained well at 3%. Removed bandage, ROM in elbow and carpus are very good. I can feel callouses but there is still some mobility at the more proximal portion of the fracture.
Rewrapped, will probably need a couple more weeks of bandaging at least, since there is still some mobility and we need to see radiographic healing.
Eyes appear improved and are of no concern.
Radiographs on 4/26. PT every 3 days. Dr Gardner

Eye exam
Exam date - 2024-04-20
Examiner - Dr G/ BW
RIGHTLEFT
PLRMenacePLRMenace
DNEDNEDNEDNE
Stain Stain 
DNE DNE 
Right eye:
Some uneven pigment/ mottling of fundus
Left eye:
Pin-point scar on cornea. Some uneven pigment/ mottling of fundus

2024-04-20 12:35 bw
Leftovers: 0
Food: 77g ck

Alert and perched. Mutes ++
Changed papers

2024-04-19 16:52 cd
Leftovers: 0
Food: 79g m (+ vit + Ca)

BARP, NOLO. flared when I opened door. Wrap intact, papers not too dirty.

2024-04-18 15:54 sc/ah

Food: Perched upon arrival, curiously watching. Fed 41 g m; NOLO.
Fenbendazole: 0.15 cc (100 mg/ml susp) PO
Fecal

2024-04-18 12:55 MS


----------- ORDER CHANGE -------------
switch to SID starting tomorrow

2024-04-18 09:20 lm/ms
Leftovers: 0
Food: 35g m (increase?)
Fenbendazole: 0.15 cc (100 mg/ml susp) PO
Fecal collected
BAR perced, wrap intact, clacky, stayed perched to change papers
NOLO

2024-04-17 15:32 MB/JH/CD
Leftovers: 0
Food: 36 g ck (+ vit + Ca) Increase if NOLO Watch food intake carefully

BAR NOLO
Perched in middle, clacky, no mutes/pellets

2024-04-17 11:22 MS

Band changed to: 18189

2024-04-17 11:12 MS
Weight: 589 grams, Keel score: 3.0, Leftovers: 0
Weight change: +57 g (11 %)
Food: 34 g ck (+ vit + Ca) Increase if NOLO Watch food intake carefully
Fenbendazole: 0.15 cc (100 mg/ml susp) PO
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
Weighed
Keel check
PT: PROM L wing - under anesthesia

BARP. Anesthetized under 3% iso for PT. Bird gets perfect extension and no swellng/bruising present. Ended up reapplying unpadded fig 8, but next session can probably have Velcro wrap or be unwrapped. Recovery uneventful. Banded. NOLO.

----------- ORDER CHANGE -------------
d/c tram and melox

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before140180
After140185
Notes
3, 15-sec reps each joint + patagial massage

2024-04-16 16:45 SK/BW
Leftovers: 0
Food: 36 g m
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO

NOLO perched fluffed up and clacked when door opened. Wing wrap in place

2024-04-16 09:00 me/eg/ae
Leftovers: 0
Food: 37 g m
Fenbendazole: 0.15 cc (100 mg/ml susp) PO
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
nolo
BARP
wrap intact
changed papers

2024-04-15 16:14 rf/me
Leftovers: 0
Food: 36 g m (+ vit + Ca) Increase if NOLO Watch food intake carefully
Fenbendazole: 0.15 cc (100 mg/ml susp) PO
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
BARP, NOLO, perched facing away from door, bandage on left wing intact, very clacky

2024-04-15 10:06 bt/me
Leftovers: 0
Food: 35 g ck (+ vit + Ca) Increase if NOLO Watch food intake carefully
Fenbendazole: 0.15 cc (100 mg/ml susp) PO
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
BARP, clacky
NOLO
Bandage looked good

2024-04-14 17:13 BW/KG
Leftovers: 0
Food: 35g m
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
QARP, almost looked like he was leaning against the wall. Wrap in place. NOLO.

2024-04-14 10:56 cd/me
Weight: 532 grams, Leftovers: 0
Weight change: +24 g (5 %)
Food: 29g m
Fenbendazole: 0.15 cc (100 mg/ml susp) PO
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
Radiograph: intake
PT: L wing - under anesthesia

BARP, NOLO. Anaesthetized under ISO and oxygen via mask (4% ind, 2.5-3% maint) for radiographs. L ulna fx is stable with minimal displacement. Immediate full ext at PT. Weight is estimate; weighed with wrap and subtracted approx wrap weight. Recovery slow but uneventful. Moved out to 15b.

MOVED TO: R15b

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before140180
After140180
Notes
immediate full ext

2024-04-13 18:18 jh/ms


----------- ORDER CHANGE -------------
start fenben SIDx5

Fecal
Collection date2024-04-13
ResultsPOS for
capillaria
fluke
Fecal
Collection date2024-04-13
ResultsNEG

2024-04-13 16:53 jh/ms
Leftovers: 0
Food: 35 g m
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
BARP, wrap in place
NOLO, so put meds in food and did not grab

2024-04-13 09:23 mlm/cd

Food:32g m
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO

perched and quiet. changed papers

2024-04-12 17:12 lt/cd
Leftovers: 0
Food: 30-35 g m/ck (+ vit + Ca) Increase if NOLO Watch food intake carefully
SQ fluids: 25
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO

BARP, alert and responsive. Fluids and meds administered successfully. No leftovers.

2024-04-12 12:16 Dr. G/MS
Leftovers: 0
Food: 34 g ck (+ vit + Ca)
SQ fluids: 25 cc L leg
Meloxicam: 0.18 cc (1.5 mg/ml susp) PO
Tramadol: 0.25 cc (40 mg/ml susp) PO
Check eyes: OU
Vet check: Check eyes, PT, general check
Collected fecal

BARP. NOLO.

VET NOTES
Bird is BAR. Figure-8 is slipping off.
Did eye exam - changes are not particularly concerning to me.
Removed slipping bandage, bruising on L wing seems improved, callous appears stable but radiographs should be done as soon as bird is out of quarantine.
Continue with plan. Dr Gardner

----------- ORDER CHANGE -------------
d/c FF

Eye exam
Exam date - 2024-04-12
Examiner - Dr G
RIGHTLEFT
PLRMenacePLRMenace
++++++++
Stain Stain 
DNE NEG 
Right eye:
Lighter area noted in lateral fundus (scar? Detachment?). Generalized streaking and gray pigment similar to OS
Left eye:
Gray pigment and streaking noted in fundus. Pin-point scar noted on central cornea.

2024-04-11 15:30 bw
Weight: 508 grams, Keel score: 2.5

------------- PHYSICAL EXAM FINDINGS ----------------
Head
Behavior and Neuro: QAR
Mouth: clear
Nares: clear
Cere: nsf
Ears: mild brusing in right ear
Body
Keel and pectoral muscles: nsf
Abdomen: nsf
Pelvis: nsf
Vent: dirty but wnl
Body condition score: 2.5
Wings
Left wing: blue/green bruising along ulna/radius from wrist to elbow
Left ulna and radius: distal healing fracture. Slightly mobile.
Right wing: nsf
Legs
Left leg: nsf
Right leg: nsf
Feathers: several tipped

History: Bird was found beside the road at night by finders dog and was left there to see if it would fly away. Next day? the bird was still there so finder captured bird and brought into their home and contained in their closet. Bird was offered and potentially ate mealworms. In the picture the finder sent to us, the bird was perched on a stick in their home. Finder transported the bird to us.

Exam:
Bird was quiet but alert. Clacked a few times when getting out of box. The bird is a little skinny with a keel of 2.5. Some older mild bruising present in the right ear. The left wing had bright blue and green bruising from the elbow to the wrist as well as swelling. The swelling was mainly present distally. A fracture could be felt about two inches from the elbow but it was not very mobile. No sharp ends could be felt and it was not open. The fracture did feel well aligned but will need rads to confirm. The left eye has some wide spread mild scarring and an old rentinal tear that was healing already. The right eye has a small pit? in the anterior chamber. It appeared to be on the globe but did not pick up stain.
A figure 8 wrap was placed on the L wing and bird was put in KR2

Treatment given:
0.25cc Buprenophine IM
25cc LRS SQ
30g m

Plan:
Switch to tramadol PO in the morning for pain. Bird will need radiographs to confirm fracture and Dr. Gardner should look at the eyes-specifically OD

Version 3.2.0 - 3.18.67 Sun May 05 20:16:36 2024