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Carolina Raptor Center

26681

Problems

Notes

Costs

Admission date	2024-11-10
Final date	-
Days in captivity	11
Species	COHA - Cooper's hawk
Age	HY
Sex	F
Status	Reh
Band	6016

Ectoparasite - flat flies

Ocular - chorioretinitis, OD

Ocular - chorioretinitis, OS

Ruptured crop

Cause of injury: Trapped in chicken coop

Escape artist

Crop surgery 11/12

Found in Hickory,NC
Catawba county

Here is a summary of this patient's treatments and expenses:

Desc Qty Cost Subtotal

Examination 1 120.00 120.00

Daily rate 11 15.40 169.40

Surgery, major 1 1250.00 1250.00

Total 1539.40

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

Radiographs and images
2024-11-13

2024-11-20 15:56 cd

----------- ORDER CHANGE -------------
inc to normal food amount

2024-11-20 15:53 SD

Leftovers: 0
Food: 30 g clean meat whole w/ feathers  (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

BARF. Flying before entering enclosure. Flying around enclosure while dropping food. NOLO.

2024-11-20 10:15 cd

Weight: 451 grams, Leftovers: 0
Weight change: -32 g (7 %)
Food: 28 g clean meat whole w/ feathers (+ vit + Ca) placed on food platform
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO
Suture check
Weigh
Removed tail wrap

BARP, flighty once we entered. NOLO. Removed tail wrap. Sutures look good, very clean and dry, most of the bruising has dissipated. Gave meds PO, swallowed well. 

2024-11-19 13:37 MS

Food: 22 g clean meat + Q feathers (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

BAR, fluttering all around. Some Q feathers under food platform, but left it there since it's a short day.

2024-11-19 09:00 me

Leftovers: 0

----------- ORDER CHANGE -------------
Switch to BID, increase food in cage

Food: 31 g clean meat whole w/ feathers  - PLACED ON FOOD PLATFORM IN BACK
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO
NOLO
Flying all over enclosure

2024-11-18 13:28 cd

Leftovers: 0
Food: 10 g clean meat whole w/ feathers  (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

NOLO! put meds in food. Flying perch to perch while feeding

2024-11-18 09:00 me

Leftovers: 0
Treating BID today due to Deer hunt

Food: 17 g clean meat whole w/ feathers  (+ vit + Ca) PLACED ON FOOD PLATFORM
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO
NOLO
flying all around enclosure

2024-11-17 15:48 JB

Leftovers: 0
Food: 11 g clean meat whole w/ feathers  (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

Accidentally missed midday tx -- no ff needed, consider switching to BID?

Moved to R11
Sutures look great, no bruising at incision site, appears almost completely healed

2024-11-17 09:22 sc

Food: 20 g clean meat whole w/ feathers + water  (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

Very BAR, jumping against back wall of condo the entire time I was in 17. Peeked for LO, none seem. opted to place food with tweezers through food hatch. bird was omb by the time I was leaving. 

-------------plan------------
Consulted with Tracey about moving bird to covered 8x16 to reduce stress
Plan to move midday with more food
Will FF meds if LO

2024-11-16 17:54 MS

Food: 11 g clean meat whole w/ feathers (+ vit + Ca)
Force feed: 8 g clean meat MINCED (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

BAR, hopping around. Swallowed food well.

2024-11-16 14:43 MS

Leftovers: 0
Force feed: 8 g clean meat MINCED (+ vit + Ca)

Very BAR, hopping around. NOLO seen! Swallowed well once food was placed in mouth.

2024-11-16 10:00 cd

Weight: 483 grams, Keel score: 2.0, Leftovers: 5
Weight change: -45 g (9 %)
Food: 11 g clean meat whole w/ feathers  (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO
Weigh
Keel check
Move to - condo R17
Do not FF in AM, make food as whole as it can be with no bones but skin and feathers. Place on perch in condo. Meds PO in AM when moved.

BARP, very flighty & crashing during grab attempts, struggling in hand. Swallowed meds well. Wt includes tail wrap. 
MOVED TO: R17d

2024-11-15 17:01 sc

Leftovers: 5
Food: 6 g clean meat some c/u and a boneless wing (size B) (+ vit + Ca)
Force feed: 10 g clean meat MINCED 
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

5g LO balled up under perched. Perched and then hopped down, very challenging to handle. 10g FF seemed like a little much for her but she swallowed all of it by the end. FIC placed on perched and moistened. 

---------plan-------
Move out to condo in am and try leaving FIC

2024-11-15 12:44 Dr G

Leftovers: 0
Food: 7 g boneless Q leg

BAR. Standing in back of kennel leaning forward with defensive stance. Dropped boneless leg in front. A few pieces of LO left in kennel. Boneless Q wing pretty much picked clean.

2024-11-15 09:15 Dr G/ SC

Leftovers: 4
Food: 6 g clean meat c/u (size B) with boneless quail wing (+ vit + Ca)
Force feed: 8 g clean meat MINCED (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Gabapentin: 0.11 ml (50 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO
Very active
4 g LO
Examined sutures - all intact, most distal aspect of wound is a little bruised, maybe some slight scabbing. All appears to be holding. 
Bird is not eating on own and has regurgitated quite a bit (none seen today). Hand fed slowly today and she swallowed most of it down herself with some patience. 
Discussed moving outside to decrease stress, possibly adding Gabapentin 10 mg/kg to decrease stress. 
weigh when moved. Dr Gardner

2024-11-14 16:50 MS

Food: 6 g clean meat c/u (size B) placed on a boneless quail wing
Tweezer feed: 5 g clean meat MINCED - opened mouth on her own, swallowed once food was place in mouth
SQ fluids: 25 ml
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Terbinafine: 0.32 ml (25 mg/ml susp) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO
No regurg
Very active!

2024-11-14 12:40 SC

Force feed: 6 g clean meat MINCED 
Perched, BAR
No regurg

2024-11-14 08:55 SD

Leftovers: 6
Force feed: Nutrical + 4 g clean meat MINCED (+ vit + Ca) would not tweezerfeed but would swallow when food is place in mouth
SQ fluids: 25 ml
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO
6 g LO
Jumpy, tail wrap intact.
Moved to new kennel


----------- ORDER CHANGE -------------
Start Terbinafine BID at mid-day feeding

2024-11-13 17:10 jh

Leftovers: 0
Food: 7 g clean meat c/u (size B) (+ vit + Ca) with Q feather shreds
Force feed: Nutrical + 3 g clean meat MINCED (+ vit + Ca) moistened with water
SQ fluids: 18 ml (couldn't do full 25, started leaking)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

Extremely BAR, perched but jumped down quickly, NOLO, tail wrap in place
Dark bruising around stiches but no bleeding.
Placed FF in mouth and sprayed with water, bird swallowed easily

2024-11-13 12:38 RMB

Force feed: Nutrical 
Super BAR, AM FIC still there

2024-11-13 09:30 MS

Band changed to: 6016

2024-11-13 08:45 MS

Leftovers: 4
Food: 9 g clean meat MINCED (+ vit + Ca)
Force feed: Nutrical
SQ fluids: 25 ml L leg
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

BARP, bounced around. Looks like bird regurgitated last night's force feed. Decided to give Nutrical and drop prepped clean meat. Will give Nutrical again midday and attempt FF again tonight. Suture line scabbed over. Removed towel. Banded. Sprayed for flat flies.

----------- ORDER CHANGE -------------
switch to Nutrical
Staff treat ONLY

2024-11-12 17:15 sc/me

Force feed: 10 g clean meat MINCED (+ vit + Ca)
Enrofloxacin: 1/4 tab (22.7 mg tab) PO
Meloxicam: 0.17 ml (1.5 mg/ml susp) PO
Tramadol: 0.26 ml (40 mg/ml susp) PO

BAR and perched. easier to handle but still fought a lot. Gentle FF meal. will leave FIC tomorrow

2024-11-12 15:43 sc

Surgery report
Procedure - Rupture crop repair
Performed by - Dr.Ritzman
Surgery time - 0 minutes
Crop Rupture Repair Surgery: 
Patient placed under general anethesia and placed in dorsal recumbency.
A central, larger crop rupture was identified that has sealed
to the outer dermal layer on the periminter, 360 degrees. The
area surrounding the crop opening was gently prepared and feathers
removed from the surgery site. 
The crop was dissected away and separated from the dermis using
blunt dissection with hemostats and qtips. The dermis was separated
from crop opening. Two stay sutures were placed on lateral sides
of crop opening to elevate the crop out of the incision area.
 The maring of the crop was resected 360 degrees with #15 blade
to freshen the margins. Crop was two layer cosure horizontally
with 5-0 Vicryl. First layer mucosa was simple continous inverting
layer. Second layer serosa was simple continuous inverting layer.

Saline was injected into the crop lumen with 25 gauge needle
to inflate the crop with saline to allow expansion of the crop.
Leak test was negative/acceptable. 

The stay sutures to the crop were removed. 
Fresh margins were created with the dermis 360 degrees with #15
blade to freshen dermal margins. 
Closure of dermis vertically with 4-0 Ethilon in simple interrupted
pattern. 

No bandage was applied after complete closure. 

Patient recovery from anesthesia was prolonged with patient taking
approximately 15 minutes after cessation of general anesthesia
to be extubated. Moderate amount of mucous present within oral
cavity, glottis was clear. 

Subcutaneous fluid injection given subcutaneously. 

Suture removal recommended in 14 days. 

Plan: Feed smaller amount of food more frequently and feed soft
meat pieces only without bone fragments for the next 2 weeks
if possible while incisions are healing. 

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

2024-11-12 08:20 sc

Weight: 528 grams
Weight change: -6 g (1 %)
SQ fluids: 25cc
Enrofloxacin: 0.08 ml (100 mg/ml inj) SQ
Torb 0.09cc IM

BAR and perched. Flew out when attempting to grab for treatment. Opted to switch to torb for the day since she was having a procedure this afternoon. No Meloxi this morning either. Placed back in kennel. weight includes bandage and tail wrap.

2024-11-11 16:58 AL

SQ fluids: 25cc
Enrofloxacin: 0.08 ml (100 mg/ml inj) SQ
Buprenorphine: 0.27 ml (0.6 mg/ml inj) IM
Meloxicam: 0.05 ml (5 mg/ml inj) IM


Bird was BAR sitting on towel in back of kennel and very reactive when grabbed and throughout treatment. Bandage and tail wrap still intact. Bird thrashed around a lot during every treatment and was especially reactive to legs being touched. Some scabbing noticed on R leg when attempting to give fluids, so I opted to give in L leg instead. 

2024-11-11 09:59 sc

Keel score: 3.5
SQ fluids: 25mL
Enrofloxacin: 0.08 ml (100 mg/ml inj) SQ
Buprenorphine: 0.27 ml (0.6 mg/ml inj) IM
Meloxicam: 0.05 ml (5 mg/ml inj) IM
Tail wrap

Very BAR and jumpy. Perched and challenging to handle. Wrap over the crop wound is in good shape, opted to not mess with it. Added a tail wrap and placed back in kennel.

Biometric
Report date2024-11-11
Wing chord260 mm

2024-11-10 18:01 JB

Weight: 534 grams, Keel score: 3.5
Found in chicken coop, had eaten one chicken but was trapped and chickens were attacking bird. Captured and driven from Hickory.
------------- PHYSICAL EXAM FINDINGS ----------------
Head
  Behavior and Neuro: BAR
  Mouth: Clear
Body
  Crop: Ruptured at caudal end, food surrounding, not actively bleeding, healthy tissue in margins
Wings
  Left wing: NSF
  Right wing: NSF
Legs
  Left leg: NSF
  Right leg: NSF
  Ectoparasites: flat flies

Pt very BAR and jumpy in box, became stressed and somewhat difficult to restrain throughout exam and tx. 
Gave 0.25mL Buprenorphine IM and 0.02mL Midazolam intranasally. 

Rest of exam unremarkable and tissue around crop rupture is healthy so began wound tx and bandage for suture repair tomorrow if possible. Unable to pluck feathers around wound site so gave additional 0.05mL Midazolam intranasally. Pt remained reactive and stressed after several minutes so opted not to pluck feathers at this time and proceeded to gently flush the crop with water while pt was restrained in lateral position with head elevated. Cleaned around wound (removed all food material found and cleaned surrounding skin with saline solution. 
Placed telfa pad and tegaderm. Wrapped with gauze wrap then vetwrap.
Forgot tail wrap - scheduled for tomorrow.

---TX---

Meloxicam 0.05mL IM
10mL SQ LRS
Enrofloxacin 0.36mL in fluid pocket


Placed pt in kennel with donut to recover from sedation - forgot Bronco.
Pt is very stressed and there is concern that he will not tolerate this bandage well.


Eye exam
Exam date - 2024-11-10
Examiner - JB
RIGHTLEFT
PLRMenacePLRMenace
+++++
Stain Stain 
DNE DNE 
Right eye:
Some floating debris and small
amount of fresh blood in cranial
portion of AC, otherwise appears
normal
Left eye:
Small amount of floating debris
and some fresh blood in cranial
portion of AC, otherwise appears
normal