2017-132 Problems Notes Costs
Admission date2017-06-13
Final date -
Days in rehab144
SpeciesBAEA - Bald eagle
AgeImmature
SexUNK
StatusReh
BandSilver L 94
Dehydration
Ectoparasite - Lice
Emaciation
Fracture - metacarpus, right

Cause of injury: Unknown

Release approved

Found in Belgreen,AL
Franklin county
Here is a summary of this patient's treatments and expenses:

DescQtyCostSubtotal
Examination148.4448.44
Daily rate1445.25756.00
Radiographs487.75351.00
Complete blood count117.1417.14
Packed cell volume18.078.07
Blood chemistry145.3545.35
Total   $1226.00

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

2017-06-19

2017-06-19

2017-07-18

2017-07-18
2017-11-03 16:59 MDG

Food: 150g M, R, Ch

2017-11-03 08:35 ?

======= TREATMENT PLAN =======
Food: 150g M, R, Ch, Fish BID PUT MEDS IN FOOD
==============================

2017-11-02 14:47 MDG

Group entry: 6 animals
250 grams R, Ch, per bird

2017-11-01 13:35 MDG

Group entry: 6 animals
250 grams R, Ch per bird

2017-10-31 14:06 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-30 15:45 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-29 10:13 sl

Group entry: 6 animals
1492 grams R, Ch, Q per bird

2017-10-28 10:15 sl

Group entry: 6 animals
1515 grams R, Ch, Q per bird

2017-10-27 14:54 MDG

Group entry: 6 animals
250 grams R, Ch, per bird

2017-10-26 14:02 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-25 16:14 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-24 15:18 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-23 16:12 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-22 09:38 sl

Group entry: 6 animals
1502 grams R per bird

2017-10-20 13:33 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-19 14:35 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-18 14:10 MDG

Group entry: 6 animals
250 grams R, Ch per bird

2017-10-17 16:30 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-16 15:56 MDG

Group entry: 6 animals
250 grams R, Ch, per bird

2017-10-15 09:29 KC

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-14 09:32 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-13 16:04 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-12 14:08 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-11 14:54 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-10 16:46 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-09 15:17 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-08 09:48 sl

Group entry: 6 animals
1492 grams R, Ch, M per bird

2017-10-07 10:05 KC

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-06 14:02 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-04 14:57 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-03 15:45 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-10-02 15:30 MDG

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-30 10:52 HS

Group entry: 6 animals
1500 grams R per bird

2017-09-28 15:41 RCL

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-27 16:48 RCL

Group entry: 6 animals
250 grams Ch per bird

2017-09-26 15:51 RCL

Group entry: 6 animals
250 grams R, Ch, per bird

2017-09-25 17:07 RCL

Group entry: 6 animals
250 grams R, Ch, per bird

2017-09-24 09:25 sl

Group entry: 6 animals
1530 grams R, Ch per bird

2017-09-23 10:37 sl

Group entry: 6 animals
1500 grams R, Ch per bird

2017-09-22 16:45 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-21 14:38 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-20 13:32 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-20 13:04 SO

Flight eval
Exam date - 2017-09-20
Examiner - SO
FlightSound
Notes:
End 4, Sym 4, Manuv 4, Landing 4, Feather 4, Lift 4
2017-09-19 14:42 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-18 14:18 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-15 14:49 JS

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-14 15:56 JS

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-13 13:57 JK

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-12 14:17 JS

Group entry: 6 animals
250 grams R per bird

2017-09-11 10:21 JS

Group entry: 6 animals
250 grams R and Ch per bird

2017-09-08 14:50 JS

Group entry: 6 animals
250 grams R per bird

2017-09-07 13:32 sw

Group entry: 6 animals
250 grams R, Ch per bird

2017-09-06 14:36 sw

Group entry: 6 animals
250 grams R per bird

2017-09-05 15:13 JS

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-09-01 16:59 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-30 08:51 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-29 15:38 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-27 10:13 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-26 09:59 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-25 13:40 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-24 09:47 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-23 14:09 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-22 16:45 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-21 16:01 SO

Group entry: 6 animals
250 grams R, Ch, Q per bird

2017-08-18 14:55 SO

Group entry: 6 animals
250 grams R F per bird

2017-08-16 14:28 SO

Group entry: 6 animals
250 grams R, Ch per bird

2017-08-13 09:11 HK

Group entry: 6 animals
1498 grams R,per bird

2017-08-12 08:58 HK

Group entry: 6 animals
1506 grams R, Ch, Q per bird

2017-08-11 15:11 SO

Group entry: 6 animals
250 grams R, Ch per bird

2017-08-10 12:59 cr

Group entry: 6 animals
250 grams R, Q per bird

2017-08-09 15:02 SS

Group entry: 6 animals
250 grams R per bird

2017-08-08 13:36 CR

Group entry: 6 animals
250 grams R, Q per bird

2017-08-07 14:07 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-08-04 13:53 SS

Group entry: 6 animals
250 grams R, Ch, per bird

2017-08-03 14:06 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-08-02 14:04 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-08-01 13:59 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-07-31 14:00 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-07-29 11:29 HK

Group entry: 6 animals
1500 grams R, Ch, per bird

2017-07-28 13:57 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-07-27 14:09 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-07-26 14:20 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-07-25 14:05 SS

Group entry: 6 animals
250 grams R per bird

2017-07-24 13:57 SS

Group entry: 6 animals
250 grams R per bird

2017-07-23 09:49 HK

Group entry: 6 animals
1500 grams R, Ch, per bird

2017-07-21 13:53 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-07-20 14:45 SS

Group entry: 6 animals
250 grams R, Ch per bird

2017-07-19 15:29 SS

Group entry: 6 animals
250 grams R per bird

2017-07-19 10:54 JR

Flight eval
Exam date - 2017-07-19
Examiner - JR
FlightSound
Notes:
Symmetry: 4 Endurance: 4 Lift: 4 Feather Quality: 4 Maneuverability: 4 Landing: 3
2017-07-19 08:35 SS

Food: 102g M, R, Ch PUT MEDS IN FOOD

Patient was moved to large flight aviary.
Flight evaluation:
Symmetry:4
Endurance:4
Lift:4
Feather Quality:4
Maneuverabilty:4
Landing:3

Recheck flight evaluation in one weeks time.
Banded left silver 94

2017-07-18 15:55 SS

Food: 100g M, Ch PUT MEDS IN FOOD

2017-07-18 15:44 SO

======= TREATMENT PLAN =======
Food: 100g M, R, Ch, Fish BID PUT MEDS IN FOOD
Radiograph:
==============================

2017-07-18 14:08 SO

Patient was taken to the Auburn Uviversity Small Animal Teaching Hosptial for
radiographs for reevaluation of minor and major metacarpel fractures. Patient was
was placed under general anesthesiawith a face mask and isoflurane. Right lateral
wing and caudocranial views were taken. Radiographs showed a stable healing mid-diaphsyeal
fracture of the right Major metacarpus with periosteal proliferation. There may be
a sequestum
in the fracture line, at this time it does not appear likely to cause a clinic issue.
The right minor metacarpus showed two stable healing diaphsyeal fractures with
periosteal reactions(one mid-diaphysisand one on the proximal portion of the
diaphysis).


132 will be transferred to a large flight aviary to gain strength back in his
pectorial muscle from inactivity before flight evaluations.

2017-07-18 14:08 SO

======= TREATMENT PLAN =======
Food: 100g M, R, Ch, Fish BID PUT MEDS IN FOOD
Radiograph:
==============================

2017-07-18 11:10 SS

NPO

2017-07-17 15:30 SS

Food: 100g R PUT MEDS IN FOOD

2017-07-17 08:38 SS

Food: 98g Ch PUT MEDS IN FOOD

2017-07-17 07:58 ?

======= TREATMENT PLAN =======
Food: 100g M, R, Ch, Fish BID PUT MEDS IN FOOD
==============================

2017-07-16 16:35 jc

Food: 100g M, R, PUT MEDS IN FOOD

2017-07-16 09:39 jc

Food: 106g M, R, PUT MEDS IN FOOD

2017-07-15 16:43 HK

Food: 102g M, Ch, PUT MEDS IN FOOD

2017-07-15 10:24 HK

Food: 98g M, Ch, PUT MEDS IN FOOD

2017-07-14 16:24 SS

Food: 100g Ch PUT MEDS IN FOOD

2017-07-14 08:34 SS

Food: 96g Ch PUT MEDS IN FOOD

2017-07-13 16:56 SS

Food: 100g M, R PUT MEDS IN FOOD

2017-07-13 08:22 SS

Food: 100g R, Ch PUT MEDS IN FOOD

2017-07-12 15:33 SS

Food: 102g M PUT MEDS IN FOOD

2017-07-12 08:28 SS

Food: 102g R, Ch PUT MEDS IN FOOD

2017-07-11 15:36 SS

Food: 100g M PUT MEDS IN FOOD

2017-07-11 08:35 SS

Food: 104g Ch PUT MEDS IN FOOD

2017-07-10 16:33 SS

Food: 100g R PUT MEDS IN FOOD

2017-07-10 10:05 SS

Food: 98g R, Ch PUT MEDS IN FOOD

2017-07-09 16:36 HK

Food: 98g M, PUT MEDS IN FOOD

2017-07-09 09:39 HK

Food: 100g M, PUT MEDS IN FOOD

2017-07-08 16:26 HK

Food: 101g M,Ch, PUT MEDS IN FOOD

2017-07-08 09:14 HK

Food: 101g M, Ch, PUT MEDS IN FOOD

2017-07-07 15:57 SS

Food: 100g Ch PUT MEDS IN FOOD

2017-07-07 08:09 SS

Food: 96g R PUT MEDS IN FOOD

2017-07-06 15:55 SS

Food: 100g M, Ch PUT MEDS IN FOOD

2017-07-06 08:36 SS

Food: 100g M, Ch PUT MEDS IN FOOD

2017-07-05 17:01 SS

Food: 98g M PUT MEDS IN FOOD

2017-07-05 09:15 SS

Food: 100g R PUT MEDS IN FOOD

2017-07-04 17:34 HK

Food: 96g M, PUT MEDS IN FOOD

2017-07-04 09:31 SS

Food: 96g Ch PUT MEDS IN FOOD

2017-07-03 15:54 SS

Food: 102g M, R

2017-07-03 08:50 SS

Food: 100g M, R PUT MEDS IN FOOD

2017-07-02 16:42 jc

Food: 98g M, PUT MEDS IN FOOD

2017-07-02 11:04 jc

Food: 100g M, PUT MEDS IN FOOD

2017-07-01 17:13 jc

Food: 104g M, R, Ch, PUT MEDS IN FOOD

2017-07-01 10:55 jc

Food: 98g R, Ch, PUT MEDS IN FOOD

2017-06-30 15:42 SS

Food: 98g R PUT MEDS IN FOOD

2017-06-30 08:56 SS

Food: 96g R, Ch PUT MEDS IN FOOD

2017-06-29 15:58 SS

Food: 100g M, R, Ch, Fish PUT MEDS IN FOOD

2017-06-29 09:03 SS

Food: 96g R, Ch PUT MEDS IN FOOD

2017-06-28 16:18 SS

Food: 102g M, R, Ch, Fish PUT MEDS IN FOOD

2017-06-28 08:55 SS

Food: 100g Ch PUT MEDS IN FOOD

2017-06-27 15:55 SS

Food: 100g M, R, Ch, Fish PUT MEDS IN FOOD

2017-06-27 08:44 SS

Food: 100g M, R, Ch PUT MEDS IN FOOD

2017-06-26 16:13 SS

Food: 98g Ch PUT MEDS IN FOOD

2017-06-26 08:50 SS

Food: 104g M, Ch PUT MEDS IN FOOD

2017-06-25 16:54 jc

Food: 102g M, R, Ch PUT MEDS IN FOOD

2017-06-25 10:12 jc

Food: 100g M, R, Ch, PUT MEDS IN FOOD

2017-06-24 17:18 HK

Food: 100g M, Fish PUT MEDS IN FOOD

2017-06-24 08:12 HK

Food: 100g M, R, Ch, PUT MEDS IN FOOD

2017-06-23 16:34 SS

Food: 104g Ch PUT MEDS IN FOOD

2017-06-23 08:27 SS

Food: 104g R, Ch

2017-06-22 16:18 SS

Food: 104g M, R, Ch, Fish PUT MEDS IN FOOD

2017-06-22 08:56 SS

Food: 98g R PUT MEDS IN FOOD

2017-06-21 15:54 SS

Food: 98g M PUT MEDS IN FOOD

2017-06-21 09:02 SS

Food: 104g M, R, Ch PUT MEDS IN FOOD

2017-06-20 16:34 SS

Food: 102g Ch PUT MEDS IN FOOD

2017-06-20 09:08 SS

Food: 102g R, Ch PUT MEDS IN FOOD

2017-06-19 16:31 SS

Food: 102g Ch PUT MEDS IN FOOD

2017-06-19 15:37 SO

======= TREATMENT PLAN =======
Food: 100g M, R, Ch, Fish BID PUT MEDS IN FOOD
==============================

2017-06-19 15:34 EC

The CBC showed a heterophilia, eosinophilia, monocytosis, and a lymphopenia. The
increased heterophil/lymphocyte ratio along with the eosinophilia indicates a
stress response. The monocytosis present may indicate chronic inflammation. The
uric acid was also elevated but the patient was not fasted prior to blood
collection so this is the most likely cause for that elevation.
There are no signs of acute inflammataion or infection in this blood work so it is
less
likely this patient currently has osteomyelitis which was previously a
concern. This blood work also showed there were no anesthetic concerns and that
it would be safe to anesthetize the patient for radiographs.

2017-06-19 15:07 SO

======= TREATMENT PLAN =======
Food: 100g M, R, Ch, Fish BID PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) BID PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) BID PO
==============================

2017-06-19 15:06 SO

Patient was taken to the Auburn Uviversity Small Animal Teaching Hosptial for
radiographs today (6/19/17). Patient was was placed under general anesthesia
with a face mask and isoflurane. Right lateral wing and caudocranial views were taken.
Radiographs showed a chronic mid-diaphsyeal fracture on the right major metacarpus
and two chronic diaphsyeal fractures in the right minor metacarpus (one mid-diaphysis
and one on the proximal portion of the diaphysis). All fracture sites showed periosteal
proliferation. Both of the mid-diaphysis fractures had step defects. There may be
a sequestum in the major
metacarpus, but it is difficult to say definitively at this time.

Radiographss will be repeated in 4 weeks to see if the possible sequestrum seen
today was a true sequestrum and what other bony changes may have occured.

2017-06-19 10:08 SS

NPO

2017-06-19 07:53 SO

======= TREATMENT PLAN =======
NPO
TMS: 3.15 cc (48 mg/ml soln) BID PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) BID PO
Radiograph:
==============================

2017-06-18 17:16 jc

Food: 98g M, R, PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-18 10:21 jc

Food: 102g M, R, Ch, PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-17 17:41 jc

Food: 100g ch PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-17 10:55 jc

Food: 96 g M, Ch, PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-16 16:30 SS

Food: 104g M, PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-16 14:20 SS

Food: 106g R, Ch, PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-16 13:28 SO

PCV/TP
Collection date2017-06-16
PCV35 %
TS-1.0 g\dl
Serum
Serum chemistry
Collection date2017-06-16
AST499 U/LPhos0.0 mg/dl
BA0 umol/LTP2.8 g/dl
CK477 U/LAlb0.0 g/dl
UA17.1 mg/dlGlob0.0 g/dl
Glu317 mg/dlK+3.3 mmol/l
Ca9.7 mg/dlNa+149 mmol/l
  AMY0 U/L
Hem , Lip , Ict
CBC
Collection date2017-06-16
WBC count8696
Corrected count8696
Hets/Neut81% - 7043
  Bands0+
  Toxics0+
Lymphs3% - 260
Eos7% - 608
Mono5% - 434
Baso4% - 347
Thrombocytes
PI1
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read byAU Clin Path
2017-06-15 16:25 SS

Food: 102g M, Ch PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-15 09:29 EC

2017-132 was re-assessed for it's hydration status today and had pink moist mucous
membranes with normal saliva therefore it was determined the patient's hydration
status was adequate to stop fluid therapy. Blood was drawn from the right jugular
vein to be sumbitted for a CBC and Chemistry.

2017-06-15 09:08 SS

NPO

2017-06-14 16:24 SS

Food: 100g M, R, Ch, Fish PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-14 14:42 SS

Food: 102g R, Ch PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-14 07:51 SO

US FWS notified via email: species of interest admitted.

2017-06-13 16:46 SS

Food: 102g M, R, Ch, Fish PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) PO

2017-06-13 12:52 LK

------------- FLUID PROTOCOL ------------
Tue, Jun 13: 118.1 ml BID
Wed, Jun 14: 118.1 ml BID
Maintenance is 157.5 ml per day

------------- PHYSICAL EXAM FINDINGS ----------------
Observational examination
Mentation: Quiet, alert, responsive
Posture: Standing
Overall appearance: Normal
Comments: Feathers were fluffed. Eagle was alert.
Vital stats
Heart rate: 150
Respiratory rate: 26
Mucous membranes: Pale and Tachy
Dehydration: 5-10%
Comments: The saliva was mildly stringy
Oral cavity: Normal
Choana: Normal
Beak/Cere: Normal
Feather quality: Normal
Wings: Healed open metacarpal fracture that was stable in the right wing, which
was covered
by a thick scab. Step defect palpated where the bones did not heal properly.
Wings - Range of motion: Normal
Wings - Patagium: Normal
Legs/Feet: Normal
Legs/Feet - Range of motion: Normal
Legs/Feet - Plantar surface: Normal
Legs/Feet- Talons: Normal
Ceolom: Normal
BCS: 2
Other observations: Right pectoral muscle was atropied upon palpation of the keel.
Feather mites were observed.

Treatment Plan:
Food: 100g M, R, Ch, Fish BID- Put medications in food

Fluids: Maintenance is 157.5 ml/d
Tues June 13th 236.25 ml SID
Wed June 14th 118.1 ml BID

Placed in CCW. Frontline was applied topically for the feather mites. Will recieve
fluids and medications over the next two days. A reassessment will be performed to
check for correction of the dehydration. Radiographs are planned for Thursday June
15, 2017 to assess the healed open
stable fracture and rule out a sequestrum which would indicate the need to
change TMS as the antibiotic as it would not penetrate the bone in the
necessary area. A CBC has been discussed to determine immune status.

2017-06-13 12:21 SO

======= TREATMENT PLAN =======
Food: 100g M, R, Ch, Fish BID PUT MEDS IN FOOD
TMS: 3.15 cc (48 mg/ml soln) BID PO
Meloxicam: 2.11 ml (1.5 mg/ml soln) BID PO
==============================

2017-06-13 12:19 SO
Weight: 3150 grams, BCS: 2.0

Version 1.5.2 - 3.14.4 Sat Nov 04 03:00:11 2017