Patient list | RaptorMed.com | Glossary of terms Carolina Raptor Center
26599 Problems Notes Costs
Admission date2024-10-12
Final date -
Days in captivity40
SpeciesGHOW - Great horned owl
AgeAHY
SexUNK
StatusReh
Band22063
Head tilt - right
Neurologic - Tremors
Ocular - chorioretinitis, OS
Ocular - keratitis, OD
Ocular - keratitis, OS
Soft tissue wounds - right leg

Cause of injury: Unknown

Active patient
Volunteer Notified at Release

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

DescQtyCostSubtotal
Examination1120.00120.00
Daily rate4015.40616.00
Radiographs2300.00600.00
Fecal exam362.00186.00
Total  1522.00

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

2024-10-12

2024-10-12

2024-10-16

2024-10-16

2024-10-16

2024-11-08
2024-11-20 15:51 SD
Leftovers: 0
Food: 119 g R (+ vit + Ca)
Exercise: 8-10x

BARP. Took a little motivation to exercise. Exercised 8x, Some noise while flying. NOLO. Water good.

2024-11-19 13:31 MS
Leftovers: 0
Food: 119 g r/m

BARP, head tilted ~30 degrees to the left. Immediately flew down and grabbed the rat, held in mouth. Gave water. NOLO.

2024-11-18 11:25 me

Intentionally skipped today

2024-11-17 15:59 SC
Weight: 1287 grams, Leftovers: 0
Weight change: -52 g (4 %)
Food: 102 g m/ck
Move to - R9 w/ grabbing class

Move somewhere bigger when room

Went to food immediately. Moved to R9
Increase food slightly

2024-11-16 15:00 ABH
Leftovers: 0
Food: 109 g m
Exercise: 6x
Note any neuro behavior

NOLO. BARP. Leaning to L side with slight L head tilt. Able to fly p2p accurately

2024-11-15 11:40 Dr G/ keno
Weight: 1339 grams
Weight change: -67 g (5 %)
Food: 105 g m/ck/r (+ vit + Ca)
Vet check: Evaluate neuro status, eye exam
Weigh
Keel check
Note any neuro behavior

BAR and very feisty. Flew back and forth several times with ease. A couple of the landings were a little wobbly, especially at first, but it seemed that as time went on she adjusted. The head tilt is visible, but barely at this point. I didn't bring my scope out so didn't look at eye - will do so next week.
After weighing she jumped right on one of the chicks and flew with it to a perch, then flared defensively at us all the while holding the chick.
P: Start to exercise. Would like to see her moved somewhere bigger. Recheck in 1 week. Dr Gardner

2024-11-14 14:36 KK
Leftovers: 0
Food: 96 g m
Note any neuro behavior. Head tilting slightly to the left. Food appreciative. BARP NOLO

2024-11-13 16:29 jh
Leftovers: 0
Food: 93 g r (+ vit + Ca)
Note any neuro behavior - head tilt left to 1 oclock

BARP, NOLO, went to food immediately and took to perch
water clean, collected pellets

2024-11-12 16:25 LR
Leftovers: 0
Food: 110 g m/ck
Note any neuro behavior

BARP, NOLO, flew to other perch as soon as I entered, head slanted a little to the left, some hissing as I went to place food, dropped down off perch to eat immediately

2024-11-11 16:45 ME
Leftovers: 0
Food: 111 g m (+ vit + Ca)
Note any neuro behavior: Tilting head to the left.

BARP, occasional hissing. Flew down to food immediately. NOLO. Water changed.

2024-11-10 16:21 AG
Leftovers: 0
Food: 110 g ck
Note any neuro behavior

BARP, NOLO, Perch to Perch, Immediately went for food

2024-11-09 14:00 ABH
Leftovers: 0
Food: 102 g m

NOLO. BARP. Leaning to left when standing, slight left head tilt. Attempted to fly, landed on ceiling and became grounded. Able to reperch after 3 attempts.

2024-11-08 14:49 Dr. G/MS
Weight: 1406 grams, Leftovers: 0
Weight change: -51 g (4 %)
Food: 67 g m/ck (+ vit + Ca)
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Vet check: Evaluate neuro status, eye exam
Note any neuro behavior

Head tilt seems a bit less apparent today, about 15-20 degrees. Bird is very alert and feisty. Flies readily but a bit uncontrolled, hovers oddly in the air and seems uncoordinated when landing, veers to the side at times.
Eye injury stable.
I think it best to move bird to a bigger habitat, and continue one more week of Meloxicam.
Remains to be seen whether head tilt will resolve and bird will be releasable.
Moved to R3 - not ideal, but longer than current habitat.

MOVED TO: R3

Eye exam
Exam date - 2024-11-08
Examiner - Dr G/ MS/ Keno
RIGHTLEFT
PLRMenacePLRMenace
++++++++
Stain Stain 
DNE DNE 
Right eye:
Left eye:
Distinct area of scarring directly above and associated with pecten around 2 o'clock - dark outline, lighter inside, with small dots present

2024-11-07 15:21 KK
Leftovers: 0
Food: 104 g m
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior. Head tilt a little to the left. Food appreciative. Immediately jumped down off perch and ate 2 mice quicky. BARP NOLO

2024-11-06 15:55 MB
Leftovers: 0
Food: 107 g r (+ vit + Ca)
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior

BAR NOLO. Perched in back corner. Slight head tilt (about 20-30 degrees). Puffing and clacking.

2024-11-05 11:23 MS
Leftovers: 0
Food: 58 g m/ck (+ vit + Ca) + 1 live mouse
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior

Perched in the back and ed was facing back wall. Didn't turn around until I stomped loudly in the gravel, and when he did turn, his head was tilted to the right ~30 degrees. Stared at the food I dropped, then watched the mouse. Wanted to see if bird has any reaction to live prey. NOLO.

2024-11-04 09:50 Me

Intentionally skipped today

2024-11-03 16:05 AG
Leftovers: 0
Food: 110 g m/ck
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior

BARP, NoLo, Perch to Perch, clacky, hissy, head leans to left side

2024-11-02 13:15 CPR
Leftovers: 0
Food: 103 g m
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior

BARP. When entering flew up to perch next to do and clacked beak. Had head titled about 50 degrees to the left. NoLo.

2024-11-01 12:39 Dr. G/EGG/SD
Leftovers: 0
Food: 112 g M/CK (+ vit + Ca)
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Vet check: Evaluate neuro status, eye exam
Note any neuro behavior

Mild head tilt - about the same as on Sunday. Flying but has some wobbliness, likely due to head tilt. Did not catch up and examine eye. Recheck in 1 week. Continue Meloxicam. Dr Gardner

2024-10-31 15:00 jb
Leftovers: 0
Food: 100-110 g m/ck
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior
BAR puffed up and clacky
No neuro behavior noted
NOLO

2024-10-30 16:48 SD
Leftovers: 0
Food: 110 g R/ck (+ vit + Ca)
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior

BARP, on back perch. Hissing, and clacking. Head tilted to L side, no other neuro behavior. NOLO. Water good.

2024-10-29 15:55 lkm
Leftovers: 0
Food: 110 g m/ck
Meloxicam: 0.48 ml (1.5 mg/ml susp) PO
Note any neuro behavior

BARP at front of enclosure, flew to back perch when entered, hissing, clacky, watching me intently, head was tilted to left side the entire time, NOLO

2024-10-28 09:05 bt
Leftovers: 0
Food: 110 g ck (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
BARP, hissing and clacking. Stayed on perch. Head tilt to the left
NOLO

2024-10-27 16:09 AG
Leftovers: 0
Food: 106g m
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Vet check: Evaluate neuro status outside if time
Note any neuro behavior

BARP, NoLo, left head tilt

2024-10-27 12:36 Dr G/ CD
Weight: 1457 grams
Weight change: +57 g (4 %)
Bird is BAR. Has a mild (~30 degree) head tilt to the left. Very alert and does fly fairly well, head tilt does not seem to significantly affect flight.
eye exam - bruising/ changes to fundus OS
P: Recommended to start back on Meloxicam, has not been here that long and it is still possible there is significant inflammation. Will recheck Friday. Dr Gardner

Eye exam
Exam date - 2024-10-27
Examiner - Dr G/ CD
RIGHTLEFT
PLRMenacePLRMenace
DNEDNE++++
Stain Stain 
DNE DNE 
Right eye:
Left eye:
Pitting and larger dark area dorsal to pecten. Bruising and darker areas around lateral aspect of the pecten. Not active but significant

2024-10-26 14:45 ABH
Leftovers: 0
Food: 110 g m


NOLO. BARP. Sitting on perch by door. Defensive, lots of hissing and clacking, no posturing. Tilting head to left, leaning body to left.

2024-10-25 11:25 ME
Leftovers: 0
Food: 115 g ck (+ vit + Ca)
Note any neuro behavior - head tilted to L, 30-40 degrees
NOLO, BAR, hissing

2024-10-24 16:39 ah
Leftovers: 0
Food:fed 58 g m; NOLO
BID: on back perch and BAR upon arrival, did have head tilt to the right

2024-10-24 14:33 MS


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

2024-10-24 13:05 MKF
Leftovers: 0
Food: 50 g ck
BID: Note any neuro behavior

Head tilt towards left but otherwise BAR. Perched near door watching entire time. NOLO.

2024-10-23 16:11 jh
Leftovers: 0
Food: 55 g ck (+ vit + Ca)
BID: Note any neuro behavior

BARP, NOLO
Perched by door with head tilt to about 2 o'clock, OMB
Hissy, tries to clack but cant quite make the sound

2024-10-23 10:00 tm
Leftovers: 0
Food: 50 g ck and m (+ vit + Ca)

BAR, P
hissing, puffed up, clacking
clacking was quiet, could see and hear the beak moving but it was not the typical sharp sound
I put "wet clacking" in my notes
head tilted to the left
NOLO

2024-10-22 16:39 KC
Leftovers: 0
Food:62 g ck
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
BID: Note any neuro behavior
BAR. NOLO. Hissing, on perch next to door, puffed up. head tilt 45 degrees

2024-10-22 10:27 sc
Leftovers: 0
Food: 55g ck
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO

BAR and perched right inside the door. Head was tilted past 90 degrees to the left but turned to be less than 90 degrees when he was looking at me. I tapped on the wall to see if he would move but he made no attempts to walk away from me. NOLO, but feathers seen on ground from last meal

2024-10-21 16:17 me

Food: 57 g ck (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Weigh
BID: Note any neuro behavior
bar, not perched, couldn't see if there were lo, there seemed to be a little nuero symptoms as they were looking up to me

2024-10-21 14:00 me

Perched, head tilted to the left about 45 degrees

2024-10-21 10:00 me
Leftovers: 0
Food: 59 g ck (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
NOLO
Wound care/bandage change: examined R leg - no injuries found
BID: Note any neuro behavior - none observed

MOVED TO:R 32

2024-10-20 17:35 AG
Leftovers: 0
Food: 58 g m
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
BID: Note any neuro behavior
BAR, NoLo, not perched, very jumpy

2024-10-20 10:09 CD/DG
Leftovers: 0
Food: 58 g m
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
BID: Note any neuro behavior

BAR, perched, jumping all around enclosure, NOLO. Changed papers. Little bit unsteady/twitchy but no head tilt seen.

2024-10-19 16:30 ABH
Leftovers: 0
Food: 50 g m
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO

NOLO. Perched, but quiet with back facing door. Did not react to food hatch opening.

2024-10-19 11:00 cd/kj
Leftovers: 0
Food: 55g dk m
Moved to 14a
NOLO
BARP - feisty, less pronounced neuro than previous days

2024-10-18 16:48 MB
Leftovers: 0
Food: 61 g ck (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
BID: Note any neuro behavior

NOLO, alert- clicking and hissing, stayed perched in one spot, looked at me with head tilted to the right, looked up towards the ceiling and back towards me

2024-10-18 09:38 BT
Leftovers: 0
Food: 61 g ck (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
BARP, hissing and defensive. Neuro behavior seemed normal
NOLO

2024-10-17 15:17 jb/KK
Leftovers: 0
Food: 58 g m/ck
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Move to - outside?
BID: Note any neuro behavior. None noted. QAR on perch
NOLO

2024-10-17 13:04 jh

Fecal
Collection date2024-10-17
ResultsNEG

2024-10-17 10:00 AL / ME
Weight: 1400 grams, Leftovers: 0
Weight change: +36 g (3 %)
Food: 59g m (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Wound care/bandage change: Check R knee - No injury found ME
Moved to 14B

Head tremor and circling when turning around, slight tremor when grabbed. NOLO, BAR, perched.

2024-10-16 18:35 MS
Leftovers: 0
Food: 57 g ck (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
BID: Note any neuro behavior

BARP, much more alert and appeared very visual, peeking head around corner to watch me. No tremors or neuro behavior. NOLO. Started eating right away.

2024-10-16 10:55 MS/TR
Leftovers: 0
Food: 54 g m (+ vit + Ca)
Fenbendazole: 0.41 ml (100 mg/ml susp) PO
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Stain: OU
Check eyes: OU
Radiograph: Intake

Quiet, body facing forward, head turned towards the back. Bird reacted to me prodding him and was feisty in hand. Anesthetized under 3% iso for intake rads. Recovery was slow. NSF on rads. Placed back in kennel. NOLO.

Veterinary Exam, Radiography, Eye Recheck:

Patient placed under brief general anesthesia for radiography and veterinary exam.

Whole body radiography taken and images were WNL.

Eye Exam:
Anisicoria present with right pupil size smaller than left pupil size. PLR present and intact.
Posterior chamber appears normal, retina and pectin appear normal.

Assessment:
The anisicoria and the CNS symptoms are most likely related to probable head trauma. Patient is visual and
will hopefully improve over time with supportive care and meloxicam therapy.

Plan:
Continue meloxicam.
Monitor food intake.

Dr. Tracey Ritzman, DVM, Dipl. ABVP-Avian & ECM

Eye exam
Exam date - 2024-10-16
Examiner - TR
RIGHTLEFT
PLRMenacePLRMenace
+DNE+DNE
Stain Stain 
NEG NEG 
Right eye:
Left eye:

2024-10-15 17:59 sc
Leftovers: 0
Food: 60 g ck
Fenbendazole: 0.41 ml (100 mg/ml susp) PO
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO

Perched and NOLO. Her head bobbled as she turned to look at us when we went to feed but no reading was seen and her head remained stable while we fed.


Did not restart eye meds. Will recheck OU in the morning and determine if medication is needed still.

2024-10-15 15:42 MS

HPAI test results: Not Detected

----------- ORDER CHANGE -------------
end quarantine

2024-10-15 10:20 me
Leftovers: 0
Food: 50 g ck
Fenbendazole: 0.41 ml (100 mg/ml susp) PO
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Postponed Radiographs
NOLO
BAR, perched; at one point bird was looking up and head moving in circles

----------- ORDER CHANGE -------------
Discontinue handling for now until HPAI test results come back

2024-10-14 16:55 RMB
Leftovers: 0
Food: 50g ck (+ vit + Ca)
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Terramycin - OU -

Behavior was mostly normal when grabbed. A little fidgety.

HPAI Test completed due to behavior. Entire KR2 under quarantine until results back.

NOLO

2024-10-14 15:35 RMB

Checking to see of GHOW ate, NOLO

Was head back facing ceiling and reading.

2024-10-14 09:05 EB/me
Leftovers: 9
Food: 51 g ck (+ vit + Ca)
Fenbendazole: 0.41 ml (100 mg/ml susp) PO
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Terramycin - OU -
9 g LO
Perched, BAR
Showed head tremors when handled

2024-10-13 17:15 cd
Leftovers: 50
Food: 50 g m
SQ fluids: 50 ml
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Terramycin - OU -

BARP, hissing. 50g LO removed. Stargazing when I took kennel cover off then reacted to me, head wobble/tremor very evident, no consistent tilt. Ataxic movements during handling. Placed new food on perch.

2024-10-13 11:34 RMB

Start 3 day Fenben

Fecal
Collection date2024-10-13
ResultsPOS for
fluke
Fecal
Collection date2024-10-13
ResultsNEG

2024-10-13 09:38 RMB/DG
Leftovers: 24
Food: 51 g m
SQ fluids: 50 ml
Meloxicam: 0.45 ml (1.5 mg/ml susp) PO
Terramycin - OU -
Fecal

BAR, perched, active when being grabbed, head was a little shaky while being held, 24g LO m

2024-10-12 14:40 EGG
Weight: 1364 grams, Keel score: 2.5

------------- PHYSICAL EXAM FINDINGS ----------------
Head
Behavior and Neuro: BAR
Mouth: Clean
Beak: Clean
Ears: Clear
Body
Wings
Left wing: WNL
Right wing: WNL
Legs
Left leg: WNL
Right femur: Old bruising and some feather loss
Feathers: WNL
Ectoparasites: Flatflies
Other observations: Flaky skin, dehydration

Finder said bird was unable to fly. RRT reported that it was in a lake. When approached, flew about 10 ft in the air, then fell. It tried to flee again and landed in water. It was picked up after coming out of the water on its own.

Exam Notes
BAR, standing in box. Wet due to falling in lake. Very vocal and strong, would thrash sometimes. Nothing notable found other than some old bruising, possible old road rash, along femur, just above the right knee, with some accompanying feather loss. Also has flaky skin, suggesting dehydration, and flatflies. Administered treatment and moved to KR2.

Treatment:
Meloxicam: 0.13 IM
Fluids: 50ml LRS SQ
Bronco
Terramyacin: OU
Food: 62 g m

Eye exam
Exam date - 2024-10-12
Examiner - CPR
RIGHTLEFT
PLRMenacePLRMenace
++DNE++DNE
Stain Stain 
++ ++ 
Right eye:
Stain came positive and has several spots of cornea abrasions.
Left eye:
Stain was positive and has some cornea abrasion in lower lateral portion of eye.

2024-10-12 14:39 EGG

Band changed to: 22063

Version 4.0.2 - 4.0.7 Thu Nov 21 01:23:53 2024