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Neurologic - Ataxia| Radiographs and images | ||||||
| No images for this patient |
| 2025-01-27 12:15 me | |||
head held completely upside down, bird staggering somewhat elected humane euthanasia 0.2 cc Torb IM 0.1 cc Midazolam IN 0.5 cc Pentobarb IV
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| 2025-01-26 17:41 AL | |||
| Leftovers: 10 Food: 15 g m/ck c/u big (+ vit + Ca) Increase if NOLO Force feed: 16 g m/ck c/u (+ vit + Ca) SQ fluids: 20 ml R leg Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BID: Note neuro symptoms Bird very unstable and reactive to grabbing. Could not stand up straight. 10g LOs.
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| 2025-01-26 15:10 cd | |||
----------- ORDER CHANGE ------------- Precautionary quarantine due to shared space with 26849 for 7 days or until test comes back
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| 2025-01-26 09:24 cd | |||
| Leftovers: 13 Food: 14g m c/u big Force feed: 22g m c/u SQ fluids: 20 ml Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BID: Note neuro symptoms Check mouth for blood BAR, flared standing in back, severe head tilt - almost upside down, ataxic. 13g LO removed. No blood seen in mouth. Second opinion on possible improvement tomorrow; neuro symptoms mild/moderate when seen by vet but has only worsened.
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| 2025-01-25 16:46 egg | |||
| Leftovers: 11 Food: 17 g m c/u big Force feed: 16 g m c/u SQ fluids: 20 ml Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BID: Note neuro symptoms Check mouth for blood BAR, Perched, 11 g LO. Still has major head tilt. Successfully tweezer fed last bis of FF. No blood in mouth.
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| 2025-01-25 09:14 cd | |||
| Leftovers: 27 Food: 12g m Force feed: 21g m c/u SQ fluids: 20 ml Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BID: Note neuro symptoms Check mouth for blood - none seen BARP, flaring defensively. 27g LO removed. Severe R head tilt, 90 deg +, at times tilting all the way upside down and close to touching perch. A bit ataxic but was able to stay on perch.
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| 2025-01-24 17:16 lt | |||
| Leftovers: 18 Food: 18g c/u big Force feed: 18g SQ fluids: 20 ml Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BID: Note neuro symptoms Very BAR, head tilt present. 18g LO. All meds given successfully.
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| 2025-01-24 10:14 RN | |||
| Leftovers: 4 Food: 23 g m c/u (+ vit + Ca) Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BAR, not perched head tilt to R, tilting entire body, very wobbly but feisty, no blood in mouth, LO 4g, small castings, changed towel
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| 2025-01-23 16:30 jb/KK | |||
| Leftovers: 28 Food: 13 g m/ck c/u big Increase if NOLO Force feed: 20 g m/ck c/u SQ fluids: 20 ml, if not eating Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BID: Note neuro symptoms Check mouth for blood Head has definite right tilt No blood noted in mouth Extremely feisty when grabbed and throughout treatment 28 g LO
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| 2025-01-23 09:50 me | |||
| Weight: 533 grams, Leftovers: 14 Weight change: -24 g (4 %) Food: 15 g m c/u big Force feed: 20 g m c/u SQ fluids: 20 ml Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR 14 g LO BID: Note neuro symptoms - perched but wobbly, head tilted to R, 45 degrees Check mouth for blood - none seen
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| 2025-01-22 14:19 cd | |||
| Leftovers: 8 Food: 17g m Force feed: 35g m c/u SQ fluids: 20 ml Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Diclofenac - OD - 2-3 drops RIGHT EAR BID: Note neuro symptoms Check mouth for blood BAR, ataxic, lunging at handler. 8g dried LO removed. Pronounced head tilt both while standing and in hand. No blood seen in mouth.
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| 2025-01-21 17:43 AL | |||
| Leftovers: 0 Food: 13 g m/ck c/u big (+ vit + Ca) Increase if NOLO Force feed: 20 g m/ck c/u (+ vit + Ca) SQ fluids: 20 ml, if not eating Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Check mouth for blood Bird was unstable on feet but standing and flaring defensively, tried to strike at grabber.
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| 2025-01-21 14:35 TR/MS | |||
| Leftovers: 13 Terbinafine: 0.80 ml (25 mg/ml susp) PO BAR, standing, head tilt to the R. 13 g ck LO. Accidentally gave R18's terbinafine from confusion with food cup. Tried charging me when put back. Veterinary Exam, Neuro, Right External Ear Opening: Patient was manually restrained. Right external ear opening was examined due to concern about possible injury to this area. Visual exam with magnification of the external ear opening shows moderate swelling (otitis externa) and small amount of old dried blood. Tympanum appears to be intact. No other active drainage or discharge. Patient has moderate right head tilt as well from trauma but is standing, alert and responsive. Assessment: AD: otitis externa from traumatic event. Plan: Treat with ophthalmic anti-inflammation eye drops 1-2 drop in RIGHT external ear opening BID for the next 7 days. Ideally order Flurbiprofen Ophthalmic Drops to replace for treatment when possible. Dr. Tracey Ritzman, DVM, Dipl. ABVP-Avian & ECM ----------- ORDER CHANGE ------------- start diclofenac AD BIDx7 switch FIC to cut up big since ataxic
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| 2025-01-20 16:33 cd | |||
| Leftovers: 16 Food: 16g ck Force feed: 20g ck c/u SQ fluids: 20 Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO BID: note neuro symptoms check mouth for blood BAR, standing with wings flared. 16g LO removed. Slight head tilt to R, moderately ataxic but not quite as severe as yesterday AM.
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| 2025-01-20 10:28 sc | |||
| Leftovers: 16 Food: 20g m/ck (+ vit + Ca) FF - 16g M (LO) Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Weigh Follow up exam BID: note neuro symptoms Standing with wings out when we went to grab for treatment. Still ataxic and started walking towards the front when we opened the kennel door. No mutes seen. Slight head tilt to the right. AD is still very swollen and bruised, I would like a vet to look at him this week. ----------- ORDER CHANGE ------------- Stat ff BID
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| 2025-01-19 17:17 JB | |||
| Leftovers: 20 Food: 20g m SQ fluids: 20 Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Small amount of frank blood originating from glottis, choana clear, no clotting noted Head tilting to the right and quite off balance - noticed dried drainage coming from AD. Used optho light to check inside ear. No fresh blood but tympanum looks deflated, therefore likely ruptured. Bruised wit dried blood throughout. Scheduled follow-up to check AD tomorrow as not sure what prognosis would be for this. AS wnl.
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| 2025-01-19 09:19 cd | |||
| Leftovers: 21 Food: 20g dk m SQ fluids: 20 Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO BID: note neuro symptoms check mouth for blood BAR, standing with wings flared, 21g LO removed. Pronounced ataxia while moving, inconsistent head tilt. Lunges to bite while handling. No blood in mouth.
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| 2025-01-18 18:05 AL | |||
| Leftovers: 18 Food: 18g m/ck (+ vit + Ca) Increase if NOLO SQ fluids: 20 if not eating Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO BID: note neuro symptoms check mouth for blood Bird was BAR, lying near donut but stood for grab attempt. Very small amount of fresh blood stuck to PO syringe when meds were administered, but none was visible from the outside. Not showing signs of ataxia. 16g LOs
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| 2025-01-18 09:00 cd | |||
Food: 19g m (+ vit + Ca) SQ fluids: 20 Meloxicam: 0.18 ml (1.5 mg/ml susp) PO Tramadol: 0.28 ml (40 mg/ml susp) PO Check eyes: OU Check ears: AU BID: note neuro symptoms check mouth for blood QAR, lying down. Stood in defensive posture during grab attempts. Reactive but still quiet in hand while treating. AD bloody and scabbed shut, swabbed out well, cleaned with hydrogen peroxide. Old and fresh blood in mouth, swabbed out at beginning and end of treatment, started gurgling a bit when placed back in kennel. Provided a donut but he stood up and struck at hands.
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| 2025-01-17 17:47 cd | |||
| Weight: 557 grams, Keel score: 3.0 Bird was diving for prey on side of road and was HBC. Finder turned around and contained and brought to us. ------------- PHYSICAL EXAM FINDINGS ---------------- Head Behavior and Neuro: QAR Glottis: some fresh blood, swabbed out Body Vent: clean Body condition score: 3 Fat: Keel Wings Left wing: wnl full ext Right wing: wnl full ext Legs Left leg: wnl full ext, strong Right leg: wnl full ext, strong Ectoparasites: none seen Bird presents mostly QAR, responsive to visual stimuli and strong but dulled. Standing with wings out when we opened box. Head moves slightly jerkily, shakes a bit when he moves. Some fresh blood in mouth, swabbed out. NSF on rest of body. Finished tx and set up in KR2 - crouched in front of kennel. Treatment --------- 0.06 Meloxi IM 0.28 buprenorphine IM 20cc LRS SQ R leg Plan --------- Monitor neuro symptoms and blood in mouth. Eye exam tomorrow and intake rads in a few days.
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