Patient list | RaptorMed.com | Glossary of terms Carolina Raptor Center
26812 Problems Notes Costs
Admission date2025-01-13
Final date2025-02-12
Days in captivity30
SpeciesBAEA - Bald eagle
AgeA6Y
SexUNK
StatusE
Band
Emaciation
Fracture - beak
Fracture - ulna, left
Ocular - blind, OS
Soft tissue wounds - neck

Cause of injury: HBC

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

DescQtyCostSubtotal
Examination1120.00120.00
Daily rate3018.20546.00
Radiographs14300.004200.00
Physical therapy6110.00660.00
Complete blood count160.0060.00
Packed cell volume225.0050.00
Blood lead2180.00360.00
Fecal exam262.00124.00
Lab tests1Variable0.00
Total  6120.00

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

2025-01-13

2025-01-13

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2025-01-13

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2025-01-14

2025-01-16

2025-01-20

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2025-02-03

2025-02-03

2025-02-10

2025-02-10

2025-02-12

2025-02-12
2025-04-01 15:06 ME

Transfer record
Date2025-04-01
ToNational Eagle and Wildlife Repository - Lauren Orr

2025-03-14 15:26 me

eagle recovery tag # 05180

2025-02-12 13:14 cd

BAR, jumped off perch to ground when we walked in. All food LO. Brought inside for PT under 5% ISO and oxygen via mask. Mostly immediate full extension at elbow, wrist ~100deg and stiff. Started working out wrist well but felt shift/crepitation close to joint. Consulted SC and got new radiographs - discovered another closed oblique fracture, fresh and very distal, almost involved with wrist. Can see a possible 'notch' on distal ulna in Monday's radiographs; may have been where this fracture started. Given preexisting trouble with wrist extension, malunion distal fracture, new fracture, and blindness OS, this bird has a very poor prognosis and new fracture will impede wrist mobility even more once healed. Opted to humanely euthanize with 1.0cc Pentobarbital IV while under ISO.

Biometric
Report date2025-02-12
Wing chord537 mm
Culmen50 mm
Hallux36 mm

2025-02-11 13:19 JD
Leftovers: 144
Food: 405 g r
Terbinafine: 2.16 ml (25 mg/ml susp) PO
Monitor for L wing droop
Leftovers, perched upon entry, when approached jumped down from perch and hid in corner, shivering, BARP

2025-02-10 14:50 sc
Weight: 3476 grams, Leftovers: 337
Weight change: -112 g (3 %)
Weight: 3476

337g F LOs
Updated rads under 4% ISO via mask with PT. Large calluses have formed at the fx sites. Opted to leave off the velcro wrap to see what he does with that wing and left him in R10L

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before120100
After140175
Notes
PT under 4% ISO via mask. The elbow went well and quickly reached full extention. The wrist is stiff and painful so it took a while to reach full. I am not certain that it reached the full 180, but it was close.

2025-02-09 11:33 cd
Leftovers: 0
Food: 354 g F
Terbinafine: 2.16 ml (25 mg/ml susp) PO

QAR, standing on ground in back. NOLO, just a F head/skin & R tail removed. He has a standing ground perch in there but propped up large branch as ramp to lowest perch.

2025-02-08 10:43 cd
Leftovers: 105
Food: 407 g F (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 2.16 ml (25 mg/ml susp) PO
PT: PROM L wing - under anesthesia

BAR, standing in back, jumped around when we approached to grab. 105g F LO removed. Brought inside and anaesthetized under ISO and oxygen via mask (5% ind, 2-4% maint) for PT. Muscle stiff initially but worked out quickly. Could not achieve full extension at wrist, tried for a while. Felt some clicking at distal end of fracture in the initial few extensions, supported well. Rewrapped in velcro wrap. Quick recovery.
For now scheduled PT EOD to hopefully help wrist stiffness.

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before8070
After140170
Notes
Stiffness worked out quickly. Could not achieve full ROM at wrist despite attempts. Did many extensions & held at most full achievable a few times.

2025-02-07 16:04 LT
Leftovers: 139
Food: 351 g F(R M and F) (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 2.16 ml (25 mg/ml susp) PO

BAR, very bright and alert. 139g R LO collected. Bandage seemed fully intact

2025-02-06 16:00 JB
Leftovers: 96
Food: 385 g R
Terbinafine: 2.16 ml (25 mg/ml susp) PO
96 g LO

2025-02-05 11:20 RTS
Leftovers: 0
Food: 380 g F (R M and F) (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 2.16 ml (25 mg/ml susp) PO

NoLo, BAR, Sitting on ground, Not flying

2025-02-04 13:33 JD
Leftovers: 0
Food: 370 g r PUT MEDS IN FOOD
Terbinafine: 2.16 ml (25 mg/ml susp) PO
NOLO, BAR, body trembling, attempted to hop on stick connecting perch to ground but fell

2025-02-03 10:34 sc
Keel score: 3.0Leftovers: 246
Food: 350 g F (+ vit + Ca)
Terbinafine: 2.16 ml (25 mg/ml susp) PO
Radiograph: L wing
Weigh
Keel check
PT: PROM L wing - under anesthesia
Collect blood for recheck CBC(see rm note) -JB
Eval for continued PT and schedule

PT under 4% ISO via mask went well. There are large calluses at both fx sites. Rads show signs of healing but the distal end is not as well aligned on the sky view. All LO are ck, potentially stop feeding ck. Wrapped with a velcro wrap and placed in R10L

----------- ORDER CHANGE -------------
Continue terb while still under treatment

PCV/TP
Collection date2025-02-03 10:34:00
PCV39 %
TS3.2 g\dl
Serumstraw
Blood lead
Collection date2025-02-03
Level0.00 ug/dL
Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before10090
After140180
Notes
The wrist is a little stiff, but the elbow has good ROM quickly.

2025-02-02 14:19 JB

Checked morphology for CBC collected on intake (almost 3 weeks ago). No toxic heterophils see, but decent number of reactive lymphocytes. Instead of jumping to treatment (broad spectrum abx), will schedule a recheck CBC (blood to be drawn next time under anesthesia for PT)

2025-02-02 13:11 JN
Leftovers: 82
Food: 402g ck
Terbinafine: 2.16 ml (25 mg/ml susp) PO
82g l/o ck, QAR, on ground

2025-02-01 13:16 MR
Leftovers: 178
Food: 376 g R/ck PUT MEDS IN FOOD
Terbinafine: 2.16 ml (25 mg/ml susp) PO

stayed by the corner of enclosure, very alert, had 178 g of fish in leftovers.

2025-01-31 09:49 cm
Leftovers: 198
Food: 340g Fk (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 2.16 ml (25 mg/ml susp) PO

QAR. Grounded facing back left corner. Turned head and followed feeders movements. 198g F LO.

2025-01-30 14:20 ME
Weight: 3588 grams, Keel score: 3.0, Leftovers: 0
Weight change: -8 g (0 %)
Food: 388 g F
Terbinafine: 2.16 ml (25 mg/ml susp) PO

BARP, hopped off perch and landed on L side. Anesthetized under 4% iso for PT. Wrist is still stiff and bird resisted to wrist being extended at first. Recovery was uneventful. NOLO. Moved to R10 - small due to rain forecast.

MOVED TO: R10 - small

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before140180
After140180

2025-01-29 11:57 RN
Leftovers: 0
Food: 346g R/ck (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 2.16 ml (25 mg/ml susp) PO

BAR, on ground, wing wrap intact, walked to far side of enclosure, NOLO so left in 10L

2025-01-28 17:00 me
Leftovers: 426
Food: 212 g R/ck
Terbinafine: 2.16 ml (25 mg/ml susp) PO
426 g LO
Bird on high perch on back, with the aid of a ramp
Wing bandage intact


----------- ORDER CHANGE -------------
Switch to SID

2025-01-28 12:10 CPR
Leftovers: 204
Food: 434 g F/ck
Terbinafine: 1.86 ml (25 mg/ml susp) PO

BARP. sat still and stared at me. 204 g R Lo untouched. Put new food on different brick.

2025-01-27 17:36 gm
Leftovers: 31
Food: 201 g R (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
BID: No F in PM

QAR, standing in corner of enclosure, watching me. Wing bandage intact. Rat head LO (31 g).

2025-01-27 11:00 me
Weight: 3596 grams, Keel score: 3.0, Leftovers: 0
Weight change: -17 g (0 %)
Food: 243g R (+ vit + Ca)
Terbinafine: 1.86 ml (25 mg/ml susp) PO
NOLO, standing in corner
Anesthetized with ISO via mask (5% induction, 4% maintenance) for PT: PROM L wing - under anesthesia; took a minute to achieve full extension, elbow still bruised brown
Applied Fig 8 bandage
R wrist bumper still intact
Quick recovery

MOVED TO:R 10 lg

Physical therapy
Limb/jointLeft wing
Type
 ElbowWrist
Before110140
After140180

2025-01-26 16:09 LR
Leftovers: 0
Food: 217 g R
PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
BID: No F in PM

NOLO, BAR, on ground when entering, as I stepped to place food he moved to the corner and stood still, bandage is dry and in place.

2025-01-26 10:50 CPR
Leftovers: 0
Food: 212 g ck
Terbinafine: 1.86 ml (25 mg/ml susp) PO

BAR. on ground perch. Hopped off and ran to corner when entering. NoLo.

2025-01-26 08:16 cd

Scheduled for move to R10 large tomorrow w/ PT/etc to keep perching/lower stress

2025-01-25 15:12 CPR
Leftovers: 0
Food: 205 g R
Terbinafine: 1.86 ml (25 mg/ml susp) PO

BAR. On ground perch when entered. hopped off and ran to the back left corner. stood facing corner and stared at me. NoLo.

2025-01-25 11:15 mm
Leftovers: 0
Food: 207 g R PuT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
BID: No F in PM

On ground. Quiet. NOLO. Removed two large pellets.
When warmer, might want to spray down large stone in enclosure.

2025-01-24 17:02 mb
Leftovers: 11
Food: 216 g R (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO


11 g LO F, BAR- stood in the corner with back facing away from me and head turned toward me. Kept mouth open and watched me.

2025-01-24 09:37 RN
Leftovers: 0
Food: 211g F/ (+ vit + Ca)
Terbinafine: 1.86 ml (25 mg/ml susp) PO

BAR, stood in back corner, not perched, watching closely, L wing wrap intact, NOLO

2025-01-23 15:23 KK
Leftovers: 113
Food: 197 g r
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Stain: OS
BID: No F in PM

BAR 113 g F lo R

2025-01-23 10:54 MS
Weight: 3613 grams, Keel score: 2.5, Leftovers: 0
Weight change: +519 g (17 %)
Food: 211 g F PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Stain: OS
Check eyes: OS
Weigh
Keel check
PT: PROM L wing - under anesthesia

BAR, running around before I entered. NOLO. Anesthetized under 4% iso for PT. Wing gets perfect extension, but wrist is a bit stiff. Not very mobile, but the distal fx did not feel completely stable just yet. No stain uptake, d/c oflox. Cleaned off tail and wing tips, very dirty. Reapplied fig 8. Recovery uneventful. Bird ran into ground perch and knocked self over when let loose. Watched for a little bit and he seemed alright afterwards. AT next grab, we need to scrub enclosure. Use bucket/brush if still below freezing.

----------- ORDER CHANGE -------------
d/c oflox

Physical therapy
Limb/jointLeft wing
TypePROM
 ElbowWrist
Before140180
After140180
Notes
5 reps each joint. Wrist a bit stiff.
Eye exam
Exam date - 2025-01-23
Examiner - ME
RIGHTLEFT
PLRMenacePLRMenace
DNEDNEDNENEG
Stain Stain 
DNE DNE 
Right eye:
Left eye:

2025-01-22 15:05 sc
Leftovers: 0
Food: 446g F PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO

QAR, standing in corner behind door. nolo

2025-01-21 16:30 ME
Leftovers: 0
Food: 210 g ck
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Ofloxacin - OS -
NOLO

2025-01-21 11:22 AL
Leftovers: 0
Food: 210 g R (+ vit + Ca) PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Ofloxacin - OS -


BAR, standing in back, grabbed to administer eyedrops OS.

2025-01-20 17:00 cd
Leftovers: 121
Food: 200g F PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Ofloxacin - OS -

BAR, standing in back, startled when grabbed. 121g LO F removed. Restrained on ground for eyedrop.

2025-01-20 12:35 sc

Food: 228 g F
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Ofloxacin - OS -
Radiograph: updated rads
PT: PROM L wing - under anesthesia


PT under 4% ISO went well. The distal end of the fx site has a nice callus forming (palpable) and both fx sites are more stable during this round of PT. The proximal end is a little misaligned but should be able to heal well. Cleaned feet and tail of mutes and placed back in R10S.

2025-01-19 17:37 AG
Leftovers: 0
Food: 206 g R PUT MEDS IN FOOD
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
Ofloxacin - OS -
BID: No F in PM
BAR, P on small perch on ground, LO whole fish was left in cage

2025-01-19 10:00 cd
Leftovers: 0
Food: 224 g F (+ vit + Ca)
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
Ofloxacin - OS -
BID: No F in PM

BAR, NOLO, running along back, startled when he saw me. Restrained for eyedrops.

2025-01-18 15:46 MS
Leftovers: 0
Food: 210 g R
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
Ofloxacin - OS -

BAR, standing in corner. Didn't see me approaching. Pinned quickly for drops. NOLO.

----------- ORDER CHANGE -------------
remove fluids if not eating

2025-01-18 11:12 cd
Leftovers: 15
Food: 213g F (incl. head)
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
Ofloxacin - OS -

BAR, hopping along back wall. Negligible LOs (15g ck neck/head), did not grab, just restrained on ground for eyedrop.

2025-01-17 11:00 SC
Leftovers: 0
Food: 215 g F (+ vit + Ca)
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
Ofloxacin - OS -
Anesthetized with ISO via mask for PT: PROM L wing - callus forming on distal ulna; wing still bruised
rebandaged with padded Fig 8
NOLO

2025-01-16 17:14 ah
Leftovers: 0
Food: fed 196 g R
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
Bird was on the ground in the back corner upon arrival,

2025-01-16 17:11 SC

Seen by the Ophthalmologist today. She thinks that it is possible that OS is a recent injury that could have happened with the ulna fracture.

----------- ORDER CHANGE -------------
Oflox OS - BID
Restain eye in 7 days

Eye exam
Exam date - 2025-01-16
Examiner - Vet
RIGHTLEFT
PLRMenacePLRMenace
DNEDNEDNEDNE
Stain Stain 
DNE + 
Right eye:
WNL
Left eye:
Difuse corneal haze, anterior lens luxation. Suspect fibrin (vs lens luxation) in the anterior chamber

2025-01-16 11:00 ME/KRS
Leftovers: 0
Food: 61g ck with meds
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
NOLO
Fed small meal - ophthalmologist coming this afternoon

2025-01-15 17:42 MS
Leftovers: 0
Food: 214 g ck (+ vit + Ca)
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO

Quiet, standing behind the door. Didn't react much to me standing there because he was facing me with OS. NOLO.

2025-01-15 11:09 RMB

Fecal
Collection date2025-01-15
ResultsNEG
Fecal
Collection date2025-01-15
ResultsPOS for
capillaria

2025-01-15 09:41 bt
Leftovers: 0
Food: 207g F (+ vit + Ca)
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO
QAR, on ground, neuro seemed normal
NOLO

2025-01-15 08:58 sc

HPAI test result - Neg

Bird is no longer in quarantine

2025-01-14 15:40 RMB
Leftovers: 0
Food: 176g F (CA+ VA)
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Tramadol: 1.55 ml (40 mg/ml susp) PO

BID: Quarantine - Staff treat only. If feeding only, feed from door
Watch for neuro symptoms

BAR, standing in back left corner, turned around and faced away from me when put fish in. NOLO

2025-01-14 10:48 sc
Leftovers: 0
Food: 100 g ck
SQ fluids: 60
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Buprenorphine: 1.55 ml (0.6 mg/ml inj) IM
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
Fecal

BAR, standing and alert, had to move around to catch. NOLO. Fecal sample collected.


----------- ORDER CHANGE -------------
Stop burpr
Start Tram
Increase food
Stop Fluids unless not eating

2025-01-13 16:35 sc/me

Food: 67g Ck c/o (+ vit + Ca)
SQ fluids: 60
Terbinafine: 1.86 ml (25 mg/ml susp) PO
Buprenorphine: 1.55 ml (0.6 mg/ml inj) IM
Meloxicam: 1.02 ml (1.5 mg/ml susp) PO
BID: Quarantine - Staff treat only
Watch for neuro symptoms - none seen
QAR, standing on ground
Easy to handle

2025-01-13 15:14 cd

US FWS notified via email: species of interest admitted.

2025-01-13 15:11 sc

Bird will be placed in quarantine until HPAI test results come back

2025-01-13 13:52 cd
Weight: 3094 grams, Keel score: 2.5
Transferred from Holly's Nest Animal Rescue. Found HBC in Chatham County on 1/11. Reported bird would accept food if held near/above eye level but would not eat on his own.

------------- PHYSICAL EXAM FINDINGS ----------------
Head
Behavior and Neuro: QAR
Mouth: clean
Beak: callus on lower L mandible
Ears: clean
Body
Vent: clean
Body condition score: 2.5
Wings
Left ulna and radius: ulna fx in two places, closed, mobile
Left elbow: dark green bruising, leads up humerus
Right wing: wnl full ext
Legs
Left leg: wnl full ext
Right leg: wnl full ext
Left remiges: feathers near alula bent/damaged
Ectoparasites: none seen

Bird presents mostly QAR but strong and reactive to visual stimuli. Immediately noted condition of OS - very cloudy, pupil completely dilated & fixed in position, limited to no normal anatomy visible. L elbow is bruised dk green, soft swelling, with more bruising leading up the humerus. Crepitation felt while attempting to extend wing, swelling palpated on distal and midshaft-proximal ulna, radius intact. Head hung briefly while we picked him up to move. Anaesthetized under ISO and oxygen via mask for radiographs - confirmed two fractures of L ulna, decently aligned. Mandible fx unclear, will get better images at another time if necessary; callus doesn't seem to have caused any issue. Wrapped L wing, drew blood from R ulnar vein, collected cloacal & choanal swabs for HPAI PCR testing. Normal recovery. Large old scab on neck; picked off, some scar tissue underneath and very small soft tissue wound; did not bandage. Finished tx and set up in R10s. His head was drooped to his chest for some time and he started falling to his side, then startled and righted himself, held head normally.

Treatment
---------
1.80 terbinafine PO
0.60 torb IM
120cc LRS SQ
FF 2 m, ~40g total
Fig 8 wrap L wing
Bumper R wrist

Plan
---------
Monitor neuro symptoms. Continue treatment for mild emaciation and ulna fx. Consult with ophthalmologist on Thurs about OS and consult vets about potential surgical repair.

PCV/TP
Collection date2025-01-13 13:52:00
PCV31 %
TS2.6 g\dl
Serumpale straw
Blood lead
Collection date2025-01-13
Level4.90 ug/dL
CBC
Collection date2025-01-13
WBC count17800
Corrected count12262
Hets/Neut70% - 8583
  Bands1+
  Toxics0+
Lymphs14% - 1716
Eos6% - 735
Mono10% - 1226
Baso0% - 0
Thrombocytes
PI3
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read bycd
Heterophilia. 4-5 banded seen, no overt toxic markers. Some possibly reactive lymphs. Will save for JB to review as well
Sample
Collection date2025-01-13
Typechoanal/cloacal swab
Notes:
Results:
AI PCR : PENDING
Eye exam
Exam date - 2025-01-13
Examiner - cd/me
RIGHTLEFT
PLRMenacePLRMenace
++NEGNEG
Stain Stain 
DNE DNE 
Right eye:
WNL
Left eye:
Blind. Densely cloudy white, pupil is completely dilated and fixed. No irritation noted around eye, blinking nictitating membrane.

Version 4.0.2 - 4.0.7 Thu Jul 3 00:20:03 2025