Patient list | RaptorMed.com | Glossary of terms Carolina Raptor Center
26606 Problems Notes Costs
Admission date2024-10-14
Final date -
Days in captivity38
SpeciesRTHA - Red-tailed hawk
AgeHY
SexUNK
StatusReh
Band22006
Emaciation
Plaque in mouth
Soft tissue wounds - chin
Soft tissue wounds - digit 3, left
Soft tissue wounds - digit 4, left

Cause of injury: Trapped by falconer

Active patient

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

DescQtyCostSubtotal
Examination1120.00120.00
Daily rate3815.40585.20
Radiographs15300.004500.00
Surgery, minor5375.001875.00
Fecal exam262.00124.00
Total  7204.20

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

2024-10-24
2024-10-24
2024-10-24
2024-10-24
2024-10-24
2024-10-24
2024-10-24

2024-10-30
2024-10-30
2024-10-30
2024-10-30
2024-10-30
2024-11-01
2024-11-01

2024-11-01
2024-11-01
2024-11-01
2024-11-01
2024-11-01
2024-11-01
2024-11-01

2024-11-05
2024-11-05
2024-11-05
2024-11-05
2024-11-08
2024-11-08
2024-11-08

2024-11-13
2024-11-13
2024-11-13
2024-11-13
2024-11-13
2024-11-13
2024-11-18

2024-11-18
2024-11-20
2024-11-20
2024-11-20
2024-11-20 15:56 SD
Leftovers: 0
Food: 41 g r (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BARP. Stayed perched while dropping food, didn't move a whole lot. NOLO.

2024-11-20 10:15 cd
Weight: 1149 grams
Weight change: -2 g (0 %)
Food: 40-45 g m/ck (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO
Weigh
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 3 w/ Manuka, digit 4 silver-gel

NOLO. Brought inside for wound care. Very BAR and strong during grab but sat still during wound care. Swabbed mouth w betadine, did foot wound care with bird in o2 mask. L foot is a bit pink.

Surgery report
Procedure - Wound debridement
Performed by - cd
Surgery time - 0 minutes

Mouth scab quiet, in same condition as Monday. Scrubbed L D3&4
with chlorhex and flushed well. Applied honey/silver gel respectively
and covered with telfa/vet wrap/tape.

2024-11-19 13:52 MS
Leftovers: 0
Food: 40 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BAR, flew up to perch. Immediately came back down for food. NOLO.

2024-11-19 09:00 me
Leftovers: 0
Food: 44g m/ck
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO
NOLO
Perched, BAR

2024-11-18 13:32 me
Leftovers: 0
Food: 47g m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BARP, nolo

2024-11-18 09:45 cd/me
Weight: 1151 grams, Leftovers: 0
Weight change: -2 g (0 %)
Food: 46g dk m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO
Weigh
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 3 w/ Manuka, digit 4 silver-gel

BARP, flew perch to perch, evasive. NOLO. Grabbed and brought inside for wound care, masked with oxygen, no ane used. Very active during other handling but still during procedures. Finished tx and brought back outside.

Surgery report
Procedure - Wound debridement
Performed by - cd/me
Surgery time - 0 minutes

Mouth - swabbed with diluted betadine and flushed. Inside mouth
looks clean and firmly scabbed. Outer wound on jaw has a softer
scab on proximal end of wound. Concerned about possible bone
exposure? 
L D3 & 4 - Scrubbed gently & flushed well. See attached images.
Rebandaged with honey/SSD respectively and telfa/vet wrap/tape.

2024-11-17 16:57 AG
Leftovers: 0
Food: 43 g ck
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BARP, NOLO, stayed perched

2024-11-17 09:33 fm/dg
Leftovers: 0
Food: 46 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BARP
NOLO

2024-11-16 15:00 ABH
Leftovers: 0
Food: 46 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

NOLO. BARP. Alert to feeder presence, but did not become defensive. Struck at food soon after feeder left.

2024-11-16 10:44 SD
Leftovers: 0
Food: 42 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BARP. Running side to side along perch. Foot bandage in place. Jumped down to get food when leaving enclosure. NOLO.

2024-11-15 16:09 MB
Leftovers: 0
Food: 40 g dk m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

NOLO, QARP- stayed perched in one spot, looking back and forth from me to wall

2024-11-15 10:15 Dr G/ SC/ keno/ sean
Weight: 1153 grams, Keel score: 4.5
Weight change: -10 g (1 %)
Food: 61 g m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

Anesthetized for wound care - see surgery report.
Discussed prognosis w/ SC and ME. I am concerned that the distal aspect of L digit 3 will have to be amputated - not sure about the long-term prognosis of L digit 4 distally. May lose talon - but hopefully will grow back.
Discussion is that prognosis is guarded, and unsure because he came in thin. But was he thin because of the mouth lesion? Looks like everything happened at the same time - and likely was trying to heal from all these wounds thus lost condition.
He is eating whole food now and getting "fat".

For now - continue to manage wounds. Will re-evaluate next week and see what status is of all wounds, re-visit whether or not amputation is in his best interest. Dr Gardner

Surgery report
Procedure - Wound debridement
Performed by - Dr Gardner
Surgery time - 15 minutes

Removed bandage on foot and evaluated. L digit 3 has deteriorated
since I last saw it - there is a bit "gap" and I feel that the
distal joint is a bit mobile. It doesn't look that clean either.

Scrubbed and flushed and opted to pack with Manuka honey again
to try to debride.
Also cleaned distal 4th digit. Opted to use Silver-gel to try
to get it to scab again. 

Moved to mouth - the scabbing actually looked better and smaller
to me today. Moved the tube tape to the upper beak to improve
access. Debrided scab w/in the mouth and under the beak. Uncovered
a very small defect that went through and through, but much smaller
than I would have thought. Much of the scabbing also came off
the outside of the beak, revealing some healthy-looking keratin
regrowing. Overall, good improvement. 
Applied Coloplast to beak/ mouth. Dr Gardner

2024-11-15 10:13 sc

decrease food

2024-11-14 15:57 KK
Leftovers: 0
Food: 61 g m/ck
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BARP NOLO

2024-11-14 09:19 KRS
Leftovers: 0
Food: 65 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO
NOLO, active, flew across cage when we entered, BAR

2024-11-13 16:32 jh
Leftovers: 0
Food: 57 g m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO


BARP, NOLO
flew from one perch to other and back while I dropped food
foot bandages appeared in place and standing evenly on perch

2024-11-13 10:26 MS
Leftovers: 0
Food: 63 g ck (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 2 w/ Coloplast

BARP, hopping around. Bandage tape was very sticky. NOLO.

Surgery report
Procedure - Wound debridement
Performed by -
Surgery time - 0 minutes

Scab on LD3 lifted, plugging the hole. Decided to trim excess
scabbing. LD4 looks the same, fresh blood. Scrubbed each toe
with chlorhex and covered with Coloplast and telfa bandage. Reapplied
padded cover. Mouth looks good. Still has ~1/2 cm plaque started
to lift. Scrubbed with betadine.

2024-11-12 16:34 LR
Leftovers: 0
Food: 62 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BARP, NOLO, silent, stayed in the same position, bandage looks clean, not wet

2024-11-12 08:51 ea
Leftovers: 0
Food: 64 g ck
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

BAR-P, foot wrap in place, NOLO

2024-11-11 15:54 bt
Leftovers: 0
Food: 64 g m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO

qar,perched,nolo, nothing else of note

2024-11-11 08:56 sc
Weight: 1163 grams, Keel score: 2.5
Weight change: +53 g (5 %)
Food: 60 g ck (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Meloxicam: 0.38 ml (1.5 mg/ml susp) PO
Weigh
Wound care/bandage change: Plaque in mouth and under chin with betadine flush; L digit 2 w/ Coloplast


----------- ORDER CHANGE -------------
Moved to covered place since there is a chance of rain before Dr G will see the bird. (R7)
Increased food since still a little thin

Surgery report
Procedure - Wound debridement
Performed by - SC/ME
Surgery time - 0 minutes

Mouth and Left foot wound care. No ane used. Mouth's scab is
mostly adhered, both inside and out. Flushed with betadine solution
and flushed. Cotoplast applied. 

Left foot. Digit 3 has a large scab laterally that is pieced
together (not a solid piece). Lightly scrubbed and flushed. Added
cotoplast, telfa and wrapped with cast padding and vetwrap. Digit
4's small scab has come up and is exposing fresh tissue and the
base of the talon. The scab came off as we were lightly scrubbing.
Opted to put silver gel, hydrocolloid dressing and telfa on before
wrapping with cask padding and vet wrap. The 4th digit didn't
want to extend all the way but we didn't want to force it incase
the talon's keretin sheeth was damaged enough to come off.

2024-11-10 16:43 AG
Leftovers: 0
Food: 59 g ck
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
BARP, NOLO, Immediately went for food when feeder left. Grabbed chick with non bandaged claw and flew back to perch to feed

2024-11-10 08:38 cd
Leftovers: 0
Food: 57g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO

BARP, NOLO. Flew perch to perch while dropping food, clung above door a few times. bandage intact

2024-11-09 15:30 ABH
Leftovers: 0
Food: 56 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO

NOLO. BARP. Flew p2p once without incident. Struck at food shortly after feeder left.

2024-11-09 08:50 cd
Leftovers: 0
Food: 55g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO

BARP, NOLO. flew perch to perch a few times before & during feeding. Bandage intact.

2024-11-08 16:15 SD
Leftovers: 0
Food: 62 g m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO

BARP. Stayed on perch while dropping food, but flew down right when leaving. NOLO.

2024-11-08 14:06 Dr. G/MS
Weight: 1110 grams, Keel score: 2.5, Leftovers: 0
Weight change: 0 g (0 %)
Food: 60 g m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Keel check

Did bandage change and wound care awake. Patient is BAR.
Toe wound: removed bandage from L digit 3. The defect down to the bone has filled in well; there is exuberant pink granulation tissue overlying the bone and almost completely filling the defect. Toe flexes and extends well.
Lightly scrubbed and flushed wound and applied Coloplast, Telfa, padding, vet wrap.
The scab at the tip of digit 4 exfoliated revealing a shallow small wound. Cleaned and applied SSD.
There is a small superficial puncture on the medial aspect of the RIGHT hallux (likely from a talon). Cleaned quickly and also applied SSD.

Beak wound: The thick scab under the beak is partially lifting up. Removed and snipped it and applied Coloplast. Did not dare to explore further as the bird was not under anesthesia.
Also removed some of the plaque from inside the mouth.
P: Will explore this wound under GA next week - I think it is declaring itself. Most certainly the outside and inside wounds are connected and may need some type of closure.
Continue antibiotics. Dr Gardner

Surgery report
Procedure - Wound debridement
Performed by -
Surgery time - 0 minutes








2024-11-07 16:00  ah


Leftovers: 0
Food: 55 g m; NOLO
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
BAR and on perch upon arrival; curious of food but he did not get it while I was in there. 








2024-11-07 09:12  mkf


Leftovers: 0
Food: 56 g ck
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

Nolo, BAR - On back perch, watching.  Standing on bandaged foot normally








2024-11-06 15:54  MB


Leftovers: 0
Food: 55 g m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BAR NOLO. Perched in back. Looking around moving head around a lot.








2024-11-06 10:42  bt


Leftovers: 0
Food: 60 g ck (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
QARP, stayed quiet and perched while food was placed
NOLO








2024-11-05 11:56  sc


Leftovers: 0
Food: 59 g m/ck 
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BAR, perched nolo. Looked down when placed food on brick.








2024-11-05 09:01  MS


Weight: 1110 grams, Keel score: 2.0, Leftovers: 0
Weight change: +40 g (4 %)
Food: 55 g 1/2 FL + 1/2 m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
Weigh
Keel check
Fecal
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 2, Medi-honey, bandage
Send photos to Dr. G of toe 11/05 before rebandaging - change to coloplast?

BARP. Very vocal in hand and feisty. Anesthetized briefly under light anesthesia. Recovery was quick and uneventful. NOLO. Put meds in food, will drop PM food later. Collected fecal just in case.

----------- ORDER CHANGE -------------
switch to fully furred food




Surgery report


Procedure - Wound debridement
Performed by - 
Surgery time - 0 minutes
Removed bandage and flushed toe. Debrided some tissue from around
the wound and bled lightly. Covered with collagen hydrogel and
telfa pad. Applied padded wrap over toe. Swabbed plaques in mouth
with betadine, not much change since Friday.








2024-11-04 09:33  cd


Leftovers: 0
Food: 107 g 1/2 FL + 1/2 m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BARP, looking around as I placed food. NOLO. Bandage intact








2024-11-03 16:07  AG


Leftovers: 0
Food: 26 g 1/2 FL + 1/2 ck
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BARP, NoLo, perch to perch








2024-11-03 09:58  cd


Weight: 1070 grams, Leftovers: 0
Weight change: -12 g (1 %)
Food: 52 g 1/2 FL + 1/2 m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
Weigh
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 2, Medi-honey, bandage

BARP, flying well. NOLO. Brought inside for wound care. Still dropping in weight a bit, consider rechecking fecal just in case? 

----------- ORDER CHANGE -------------
inc food slightly




Surgery report


Procedure - Wound debridement
Performed by - cd
Surgery time - 0 minutes
Cleaned well with chlorhex & flushed. Debrided small piece of
dead tissue. Applied Medihoney & covered with Telfa/cast padding/vet
wrap and tape. 

Swabbed mouth with betadine and followed with swab of water.
One small piece of plaque hanging but not easily detaching, left
in. 




2024-11-02 17:13  me


Leftovers: 0
Food: 20 g m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
NOLO
BAR, perched, few over and started eating immediately








2024-11-02 13:18  MS




----------- ORDER CHANGE -------------
remove "staff only" note








2024-11-02 11:10  cd


Leftovers: 0
Food: 48 g 1/2 FL + 1/2 m
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

Flew perch to perch as I entered, NOLO, some casts beneath perches. foot bandage intact. Flew over and ate a few seconds after I left. 








2024-11-01 17:11  LT


Leftovers: 0
Food: 47 g 1/2 FL + 1/2 m (+ vit + Ca)
Clindamycin: 1.08 ml (Compounded 100 mg/ml susp) PO
Enrofloxacin: 3/4 tab (22.7 mg tab) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BARP, nolo. Very bright and active during inspection








2024-11-01 15:11  MS




----------- ORDER CHANGE -------------
remove note to place on perch. let's try on brick.








2024-11-01 10:10  Dr. G/EGG


Weight: 1082 grams
Weight change: -25 g (2 %)
Food: 45 g FL (+ vit + Ca)
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
Vet check: Check face, toes
Radiograph: Toes if more swollen; DV of skull
Weigh
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 2, clean/ SSD
STAFF ONLY - WATCH TO MAKE SURE FOOD DOESN'T DROP

Bandage change, radiographs, doctor check today
Bird is BAR. Bandage is over the middle of digit 3, but not covering the scab on the distal aspect of the toe.
Anesthetized with Isoflurane for radiographs, wound care. 
RADS - no bony changes in toe noted. Jaw appears symmetrical although I don't have a good view of the lower jaw in the radiographs as it is superimposed over the upper jaw. No obvious bony changes there. 

Toe is oozy, brought upstairs for wound care. The large scab on the lateral aspect exfoliated easily, leaving a fairly large, deep dirty wound down to bone. Cleaned well, then instilled Medi-honey to fill wound. Covered w/ Telfa, padding, vet wrap with distraction tabs.
Cleaned mouth and applied Coloplast - there are still some small plaques and the area under the chin is still dark and hardened. Will remain to be seen what will happen when this all consolidates - if the scabs come off when they are healed it may need more aggressive wound care. 
P: Continue EOD wound care - use Medihoney for now, please send Dr. G pictures in 4 days, depending on how it looks will change to coloplast. Continue oral wound care. Change antibiotics to Enrofloxacin and clindamycin. Dr G
NOTE: took a long time to recover from anesthesia. 

----------- ORDER CHANGE -------------
start enro/clinda, d/c clava
switch to 1/2 + 1/2
inc to 50-55 g

















2024-10-31 16:03  ah


Leftovers: 0
Food: fed 46 g FL Q cut up size C; NOLO
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
Bird was on back perch; BAR








2024-10-31 10:30  me


Leftovers: 0
Food: 50 g FL c/u (size C) - placed on perch
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
NOLO
STAFF ONLY - WATCH TO MAKE SURE FOOD DOESN'T DROP

Flew to perch and ate immediately








2024-10-30 16:47  AL


Leftovers: 0
Food: 49 g FL ck/ boneless Q pieces (+ vit + Ca)
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BARP, almost flew into catch when I opened the door. Appeared very interested in food as it was dropped. NOLO.








2024-10-30 12:29  MS



Band changed to: 22006








2024-10-30 12:24  MS


Weight: 1107 grams, Leftovers: 0
Weight change: +32 g (3 %)
Food: 51 g FL c/u big (+ vit + Ca)
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
Weigh
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 2, clean/ SSD
STAFF ONLY - WATCH TO MAKE SURE FOOD DOESN'T DROP

BARP, hopped p2p, chirpy in hand. Did awake wound care. LD4 was taloning LD3, left a hole on the top of the toe. Flushed wound and packed with SSD. Covered toe with telfa/paper tape bandage and vet wrap. Swabbed mouth plaques with betadine and removed some lifting scabs. Chin is still scabbed over. Banded. Moved to R10 - large for more space and bird flew around. NOLO.

MOVED TO: R10 - large













2024-10-30 12:09  cd




----------- ORDER CHANGE -------------
switched to BID








2024-10-30 09:05  sc



Was fed R10l/R6's food last night in addition to FIC. Ate all








2024-10-29 16:23  AL


Leftovers: 0
Food: 44g ck (+ vit + Ca)
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BARP, ate well. Bird dropped one piece and considered going for it, but didn't because I was in the way. I picked up piece and put it back on perch and bird ate it. 








2024-10-29 13:20  jd


Leftovers: 0
Food: 45g FL Size C + Q pieces w/o bones (+ vit + Ca)
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
Weigh
Wound care/bandage change: Plaque in mouth with betadine flush; L digit 2, clean/ SSD
STAFF ONLY - WATCH TO MAKE SURE FOOD DOESN'T DROP

Perched, food was placed on perch, ate food upon placing it down, NOLO








2024-10-29 08:42  sc



Food: 40g FL/Q Size C 
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

NOLO and BARP. Opted to place food on perch and not handle for wound care today to see if he would eat again on his own. After placing food on perch he ate immediately.

----------- ORDER CHANGE -------------
Push mouth wound care to tomorrow
Switch to staff only - stay and watch to make sure food doesn't fall
Increase food amounts tid, switch to BID on Thursday
Stop FF/Fluids








2024-10-28 17:38  sc


Leftovers: 0
Food: 36 g FL 
SQ fluids: 35 ml
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

NOLO! Searched the perch and below and found no leftovers. Perched and bar. laid out more food on the perch leading up to the bird. start to use larger pieces of FL and add Q feathers/wings when available.

----------- ORDER CHANGE -------------
restart clava bid








2024-10-28 13:04  me


Leftovers: 25
Food: 33 g FL plus 23 g Q part on perch
25 g LO
perched, BAR, hopped p-to-p, both wings hanging down a bit

Trying to see if larger pieces and quail are more appealing








2024-10-28 09:07  bt


Leftovers: 10
Food: 11 g FL (+ vit + Ca)
Force feed: 28g g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
QARP, lethargic, force fed and fluids given without issue.  Breathing normal, but mouth remained open whole time while being held.
10g LO








2024-10-27 17:22  EGG


Leftovers: 0
Food: 10 g FL
Force feed: 26  g FL c/u (size B)
SQ fluids: 35 ml
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO
BAR, Perched, NOLO. Attentive and tried to bite at hands near his head, hopped away and flew back up to perch after being released. 








2024-10-27 11:02  Dr G/ CD


Weight: 1075 grams, Keel score: 1.5
Weight change: -17 g (2 %)
Food: 9 g FL (+ vit + Ca)
Force feed: 26 g FL c/u (size B) 
SQ fluids: 35 ml
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Tramadol: 0.54 ml (40 mg/ml susp) PO

BAR and mobile per staff.
Brought inside and anesthetized briefly to check toe and mouth. 
Left digit 3 is bleeding a bit and oozing. Per Cas, the toe looks a bit more swollen. Palpated and cleaned. To me, it looks like the scab is cracking a bit where the toe bends and that is causing the oozing, possibly making it more inflamed. 
Cleaned and applied SSD to toe. 
Checked plaque in mouth - to me this looks like a traumatic plaque, there is also a scab and scarring externally. I suspect that the external and external wounds are related and might even be a through and through injury that is trying to heal. 
Cleaned plaque with a little Betadine on a Q-tip. Some of the plaque loosened up and was able to remove. The flesh underneath looks good. 
Not eating - may be painful.
P: Add Tramadol - if not improving in 4 days add meloxicam (didn't go straight to Meloxicam just because so skinny). 
Clean mouth and foot EOD. 
For now, Clavamox as antibiotic is fine. 
If toe more swollen, repeat radiographs. If doing radiographs, add a DV of head (to look at R jawline). Dr Gardner








2024-10-26 17:37  SD


Keel score: 2.0Leftovers: 0
Food: 10 g FL (+ vit + Ca)
Force feed: 25 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BARP. Wings flared and defensive when going to treat. NOLO.








2024-10-26 13:13  EGG


Leftovers: 11
Force feed: 32 g FL c/u (size B) (+ vit + Ca)
BAR, Perched. 11 g LO. Chirping when grabbed. R wing primary feather # 2 is broken.








2024-10-26 08:50  SC/GC/KJ


Weight: 1092 grams, Leftovers: 11
Weight change: +16 g (1 %)
Food: 11 g FL (+ vit + Ca)
Force feed: 38 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Weigh

BARP, one 11 g chunk of FL LO. Clacky, hissy, and evasive to being grabbed. Weighed 1092 g.

KJ gave 35 mL LRs SQ in R hindlimb. Sort of tweezer fed; would swallow if food was placed in the back of mouth. Jumped on ground when returned to enclosure then flew back to high perch. No water in enclosure.








2024-10-25 17:20  SC


Leftovers: 12
Food: 10 g FL (+ vit + Ca)
Force feed: 53 g FL c/u (size B) (+ vit + Ca)
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Perched
12 g LO's








2024-10-25 11:15  ME


Weight: 1076 grams, Leftovers: 51
Weight change: +13 g (1 %)
Food: 13 g FL (+ vit + Ca)
Force feed: 50 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
51 g LO
Active, flew from ground to low perch when returned








2024-10-24 16:28  ah


Leftovers: 14
Food: 10 g FL in cage; 14 g FL LO with wing
Force feed: 28 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml given to L leg
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Radiograph: intake (attn: toes)
Weigh
Bird was on perch upon arrival and BAR. Had a small spot of dry blood and tiny wound (old?) on cere, picture was taken to show staff.








2024-10-24 13:27  ME/AL



Force feed: 36 g FL c/u (size B) 
All LO - placed under  quail wing
Slight bleeding from small cere wound

MOVED TO:R 10 sm for more room, may  be less likely to jump

----------- ORDER CHANGE -------------
increase ff








2024-10-24 09:00  ME


Weight: 1063 grams, Leftovers: 0
Weight change: -20 g (2 %)
Food: 10 g FL 
Force feed: 29 g FL c/u (size B) 
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Anesthetized with ISO via mask (5% induction, 3% to 2.5% maintain) for intake Radiographs: NSF 
NOLO!
chin area leathery, thick scab. large lesion in mouth around R base of tongue still present with edge peeling a little; outer edge of lower jaw has scab as well

two toes still swollen with old scabs, using them
















2024-10-23 17:26  MB


Leftovers: 0
Food: 10 g FL (+ vit + Ca)
Force feed: 27 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BAR NOLO. Force fed, no tweezer feed. Changed paper in condo 








2024-10-23 13:22  SD


Leftovers: 10
Force feed: 27 g FL c/u + 10 g LO FL. (size B) (+ vit + Ca)

BARP. Perched and flaring wings. Very vocal. FF prepped food and the 10 g m LO from earlier.








2024-10-23 10:48  SD


Weight: 1083 grams, Leftovers: 0
Weight change: -1 g (0 %)
Food: 10 g FL (+ vit + Ca)
Force feed: 27 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Weigh

BARP. Very vocal. Weighed and administered meds and fluids. NOLO. 








2024-10-22 17:06  cd


Leftovers: 10
Food: 11 g FL (+ vit + Ca)
Force feed: 31 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BARP, vocal when grabbed. 10g LO removed from back corner, bit covered in downy feathers. Swallowed better with a lot of water. Placed new food on perch. Changed papers, very dirty. 








2024-10-22 13:02  MS



Force feed: 33 g FL c/u (+ vit + Ca)

BARP, started peeping when grabbed. Didn't eat, food pile was pushed back.








2024-10-22 09:20  ME


Leftovers: 10
Food: 10 g FL (+ vit + Ca)
Force feed: 31 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Perched, BAR
10 g LO
L Toes # 2 & # 3 appear swollen - both have old scabs on them; still functional. Dr. T to look at ?








2024-10-21 17:33  AL


Leftovers: 0
Food: 10 g FL (+ vit + Ca)
Force feed: 16 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

NOLO, BARP and held mouth open








2024-10-21 13:45  me


Leftovers: 10
Force feed: 27 g FL c/u (size B) (+ vit + Ca)
BAR,perched
All LO - placed it on perch next to bird








2024-10-21 09:20  eb/me


Weight: 1084 grams, Leftovers: 21
Weight change: +8 g (1 %)
Food: 11 g FL (+ vit + Ca)
Force feed: 28 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Weigh

QAR, perched
mouth open entire time
did not attempt to bite at FF food
gave fluids, meds and FF without any issues
cleaned kennel and changed newspaper








2024-10-20 18:05  EGG


Leftovers: 35
Food: 36 g FL (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BAR, perched. all LO from earlier in the day. Force fed all LO (some must have been regurg?)








2024-10-20 10:00  cd


Leftovers: 0
Food: 10 g FL 
Force feed: 27 g FL c/u (size B) 
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BARP, NOLO. Swallowed a little better after meds/FF this morning. Changed papers. Alter FIC/FF amounts if NOLO at midday 








2024-10-19 18:23  MS



Food: 11 g FL
Force feed: 26 g FL c/u
SQ fluids: 35 ml R leg
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BARP, chirping. Bouncing around in box entire time. Moved outside for less stress.

MOVED TO: R17b

----------- ORDER CHANGE -------------
add FIC








2024-10-19 13:08  CD



Force feed: 27 g FL c/u (+ vit + Ca)

BARP, chirping. Attempted to TF/force TF but would not swallow, OMB. Force fed all food, again took a while to actually swallow. 








2024-10-19 09:00  cd


Weight: 1076 grams
Weight change: -16 g (1 %)
Force feed:  29 g FL c/u (size B) 
SQ fluids: 30 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Weigh

QARP but strong. Mutes ++. OMB, took a little while to swallow. Cleaned kennel and changed papers.

----------- ORDER CHANGE -------------
increased ff








2024-10-18 16:23  SD


Leftovers: 0
Force feed:  21 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BARP. Vocal when grabbing for treatment. Mouth lesions look good and healing. NOLO.








2024-10-18 12:19  EGG


Leftovers: 0
Force feed:  20 g FL c/u (size B) (+ vit + Ca)
BAR, Perched. NOLO. Chirping a lot when being grabbed. Easily swallowed FF after a little water.








2024-10-18 08:45  ME


Weight: 1092 grams
Weight change: +7 g (1 %)
Force feed: 18 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Perched, NOLO

Moved to new kennel


----------- ORDER CHANGE -------------
stop Nutrical








2024-10-17 17:20  jb/KK


Leftovers: 0
Force feed: Nutrical + 17- g FL c/u (size B)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO
Weigh
Very BAR
NOLO because had no food in kennel








2024-10-17 12:58  MS



Force feed: Nutrical + 10 g FL c/u (+ vit + Ca)

BARP. Refused to swallow FF.

----------- ORDER CHANGE -------------
inc FF to 15-20 g 








2024-10-17 09:00  AL


Weight: 1085 grams
Weight change: -36 g (3 %)
Force feed: Nutrical + 15 g FL c/u (size B) (+ vit + Ca)
SQ fluids: 35 ml
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

NOLO, QAR, perched








2024-10-16 18:45  MS


Leftovers: 9
Force feed: Nutrical + 5 g FL c/u (+ vit + Ca)
SQ fluids: 35 mL R leg
Amoxi-Clav: 1 lg + 1/2 sm tab (62.5, 125 mg tabs) PO
Terbinafine: 0.67 ml (25 mg/ml susp) PO

BARP, wings flared. 9 g LO. Unsure if this bird was fed at midday since TR evaluated. 

----------- ORDER CHANGE -------------
inc FF








2024-10-16 13:45  MS



No treatment necessary 




Fecal


Collection date2024-10-16
ResultsNEG




Fecal


Collection date2024-10-16
ResultsPOS for 
capillaria








2024-10-16 11:28  TR



Veterinary Examination, 10/16/24: 

Patient examined with manual restraint. 

Oral cavity/beak: The upper beak near commissures has healing superficial abrasions just inside on upper palate. these lesions are not active lesions and are almost completely healed. 
The lower beak has more significant lesions that appear to be previous trauma to the beak tissue because the lesions are near the commissure of the mouth on both sides, symmetrical but are superficial and are healing well. 
There is no active drainage from any of the oral lesions and the lesions appear to be healing. I think this is most like previous traumatic injury rather than active infection.  There is superficial, pale plaque like lesion just beneath the tongue as well that is healing. 

Assessment: Previous, healing traumatic injury to the beak and mouth that appears to be healing. Recent infection cannot be fully ruled out however, and it would be recommended to have this bird on systemic antibiotic therapy for the next 10 days. 

Chin: Area just beneath the lower beak has superficial scabbing and the dermis is healing well. There is no active discharge or drainage. 

Body Condition: This bird was listed as emaciated at intake but today on exam there is pectoral muscle present and I would not classify this bird as emaciated body condition but rather moderately thin. 

Treatment PLan:  Add oral systemic antibiotic therapy to this bird's treatment plan. 
Continue the anti-fungal therapy (terbinafine) as well.  May need to assist feed this bird while the mouth continues to heal. 
No need for topical therapy to the mouth for the lesions as the areas are healing well. 

Antibiotic therapy to add to treatment plan:  Clavamox Oral  10 day course. 

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








2024-10-15 18:06  sc


Leftovers: 6
FIC - 11g fl
Force feed: Nutrical + 9g FL 
SQ fluids: 35 mL
Terbinafine: 0.67 ml (25 mg/ml susp) PO

Perched and alert. 6g LO. Mouth still looks swollen and there are dried areas of "gunk" on it. Seemed to have trouble swallowing food that was placed in the back of his mouth. Will have the vet examine more tomorrow.








2024-10-15 15:44  MS




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








2024-10-15 12:53  me



Placed 12 g FL, c/u on perch
BAR, perched








2024-10-15 09:30  me


Weight: 1121 grams
Weight change: +9 g (1 %)
Force feed: 10g FL 
SQ fluids: 35 mL
Terbinafine: 0.67 ml (25 mg/ml susp) PO
BAR, standing
Fresh Fecal collected

----------- ORDER CHANGE -------------
increase FF








2024-10-14 17:37  cd




----------- ORDER CHANGE -------------
Quarantined due to shared space with 26599, wear full PPE








2024-10-14 16:52  RMB



Force feed: 7g FL (+ vit + Ca)
SQ fluids: 35 mL  + Vit B
Terbinafine: 0.67 ml (25 mg/ml susp) PO


BARP, a little crazy!








2024-10-14 13:12  cd


Weight: 1112 grams, Keel score: 1.5
Finder is a falconer - trapped bird and found plaques in mouth. used BC trap. Given 2 doses 50 mg/kg Metronidazole before transfer. 

------------- PHYSICAL EXAM FINDINGS ----------------
Head
  Behavior and Neuro: BAR
  Other: 1x1 cm wound under chin, scabbed
  Mouth: plaques, smelly
  Ears: clean
Body
  Vent: clean
  Body condition score: 1.5, 2
Wings
  Left wing: wnl full ext
  Right wing: wnl full ext
Legs
  Left leg: full ext
    Left foot, ankle, digits: some minor scrapes, maybe tiny bit swollen? maybe just big feet
  Right leg: full ext
    Right foot, ankle, digits: some minor scrapes
  Ectoparasites: none seen

BAR, standing in box. Keel between 1.5-2. Plaques in mouth, smelly breath. Wound under chin, ~1cm x 1cm, scabbed roughly. Cleaned off and bandaged with ssd/telfa/tega. Swabbed mouth plaques for microscopic eval. Finished tx and set up in KR2 - stood in back. 

Treatment 
---------
0.11 iron dextran IM
40cc LRS SQ 

Plan
---------
Continue emaciation protocol. Eval slides to determine any tx necessary. 




Eye exam


Exam date - 2024-10-14
Examiner - cd
RIGHTLEFT
PLRMenacePLRMenace
++++++++
Stain Stain 
DNE DNE 
Right eye:
wnl
Left eye:
wnl



   
		

	



			
    	
	



	


  	

		
		
  			

 			

			 Version 4.0.2 - 4.0.7
			Thu Nov 21 01:48:40 2024