2017-236 Problems Notes Costs
Admission date2017-10-04
Final date -
Days in rehab72
SpeciesRTHA - Red-tailed hawk
AgeAdult
SexUNK
StatusReh
BandBlue R 72
Fracture - ulna, left

Cause of injury: Unknown

Undergoing physical therapy

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

DescQtyCostSubtotal
Examination148.4448.44
Daily rate723.00216.00
Radiographs487.75351.00
Physical therapy734.22239.54
Total   $854.98

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

2017-10-06

2017-10-06

2017-11-02

2017-11-02
2017-12-14 09:36 MDG

Group entry: 14 animals
Feed 180g R, CH Per Bird

2017-12-13 12:24 MDG

Group entry: 14 animals
Feed 180g R, CH Per Bird

2017-12-12 16:37 MDG

Flight eval
Exam date - 2017-12-12
Examiner - MDG
FlightSound
Notes:
Endurance 4, Flight Symmetry 4, Maneuverability 4, Landing 4,Feather Condition 4, Lift 4 Total = 24
2017-12-12 09:25 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-12-11 09:18 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-12-08 14:17 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-12-06 16:14 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-12-05 17:53 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-12-04 17:18 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-12-01 14:22 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-11-30 16:03 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-11-29 15:13 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-11-28 16:48 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-11-27 15:39 MDG

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-11-25 09:46 jaw

Group entry: 13 animals
Feed 150g R, CH Per Bird

2017-11-24 09:18 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-23 08:54 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-22 08:48 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-21 16:17 MDG

Flight eval
Exam date - 2017-11-21
Examiner - MDG
FlightSound
Notes:
Endurance 2, Flight Symmetry 4, Maneuverability 4, Landing 4, Feather Condition 3, Lift 4 Total = 21
2017-11-21 09:06 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-18 10:36 TMM

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-17 14:11 SO

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-16 16:36 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-15 13:45 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-14 15:03 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-13 16:23 MDG

Group entry: 12 animals
Feed 150g R, CH Per Bird

2017-11-13 10:01 AJN

Moved to LFA1 for flight rehabilitation.

2017-11-12 16:26 sl

Food: 46g M,
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-12 09:40 sl

Food: 54g M,
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-11 19:14 JC

Food: 54g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-11 11:47 jc

Food: 48g Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-10 17:52 jc

Food: 54g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-10 09:55 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-09 16:20 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-09 14:10 SO

Re-examined patient. ROM in left wing normal. Patient will continue on cage rest for the weekend and move outside next week.

2017-11-09 14:10 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-11-09 14:10 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
PT:
==============================

2017-11-09 09:06 jc

NPO

2017-11-08 16:50 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-08 09:34 MDG

Food:50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-08 08:40 MDG
Weight: 1230 grams

2017-11-07 17:02 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-07 09:32 JC

Food: 52g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-06 16:11 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-06 10:27 MDG

NPO

2017-11-06 09:19 SO

Re-examined patient under anesthesia. Multiple fresh lacerations on both feet. Potentially self induced trauma. Will continue to monitor lesions. Measured ROM. Normal in elbow, reduced at carpus. Light PT for 3 minutes, carpus then at normal ROm.

Physical therapy
Left wing
 ElbowWrist
Before160150
After160180
2017-11-06 09:19 ?

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-11-05 16:28 jc

Food: 52g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-05 09:59 JC

Food: 52g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-04 17:14 sl

Food: 48g M,
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-04 17:08 sl

Food: 48g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-03 17:00 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-03 12:13 MDG

Food: 52g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-02 17:22 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-11-02 11:32 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
Radiograph:
==============================

2017-11-02 11:30 SO

Took patient to AUVTH for radiographs. Anesthetized with iso via facemask. Obtained lateral and CC views of left wing. Fracture has signs of bony callus and rounding of fracture segements. No obvious source of clicking felt during pt. Suspect this is a tendon that is "catching" on a fracture segment. Will continue to monitor and perform PT until wing is at full range of motion. Left patient out of figure 8 wrap for now.

2017-11-02 11:23 SO

2017-11-02 11:18 MDG

NPO for radiographs

2017-11-01 17:56 SO

Food: 48g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-11-01 10:13 MDG

Food: 50g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-31 15:51 MDG

Food: 50g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-31 10:07 MDG

Food: 48g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-30 15:47 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-30 08:46 MDG

NPO for PT

2017-10-29 16:16 sl

Food: 48g M,
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-29 10:10 sl

Food: 52g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-28 16:15 sl

Food: 48g M,
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-28 10:12 sl

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-27 16:52 MDG

Food: 52g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-27 09:07 MDG

Food: 56g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-26 16:07 MDG

Food: 54g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-26 13:01 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-26 11:37 AR

17-236 was placed under anesthesia using Isofluorane gas. The previous bandage was removed and the fracture site was palpated and a firm callous was present. The elbow and wrist were placed through full range of motion for 5 minutes. The figure eight bandage was reapplied using two inch cast padding and two inch vetwrap. The patient was then recovered.

Physical therapy
Left wing
 ElbowWrist
Before130150
After150180
2017-10-26 09:17 jc

NPO

2017-10-25 17:01 MDG

Food: 54g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-25 09:26 MDG

Food: 44g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-25 08:44 AR
Weight: 1240 grams

2017-10-24 16:07 MDG

Food: 48g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-24 09:09 jc

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-23 20:36 KB

Bandage change: Anesthetized for bandage change and physical therapy. The previous bandage was removed and the fracture site (proximal ulna) was palpated; a fibrous callous is present at the fracture site. PT was performed until full ROM was achieved. A new figure-eight bandage was placed and the patient was recovered.

Physical therapy
Left wing
 ElbowWrist
Before140172
After160180
2017-10-23 16:15 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-23 16:08 MDG

NPO

2017-10-23 15:31 ?

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-22 16:09 sl

Food: 50g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-22 09:35 sl

Food: 45g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-21 16:15 AR

Food: 52g M, Ch
Meloxicam 0.91mL (1.5mg/mL solution) PO in food

2017-10-21 10:33 jc

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-20 16:43 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-20 10:32 MDG

Food: 46g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-20 08:13 ?

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-19 16:46 MDG

Food: 46g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-19 16:37 KB

Anesthetized for bandage change and physical therapy. The previous bandage was removed and the fracture site (proximal ulna) was palpated; a fibrous callous has begun forming at the fracture site. PT was performed until full ROM was achieved. A new figure-eight bandage was placed and the patient was recovered.

Physical therapy
Left wing
 ElbowWrist
Before130160
After150170
2017-10-19 14:33 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
PT:
==============================

2017-10-19 12:58 MDG

NPO


2017-10-18 17:36 MDG

Food: 54g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-18 08:42 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-18 08:38 AR
Weight: 1220 grams

2017-10-17 16:32 MDG

Food: 50g M,
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-17 10:03 MDG

Food: 52g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food

2017-10-16 16:32 SO

Food: 48g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-16 15:54 SO

Patient anesthetized with iso via facemask. Figure 8 wrap removed. Fracture site has firm callus palpable. PT initiated until full range of motion acquired. Figure 8 wrap re-applied.

Physical therapy
Left wing
 ElbowWrist
Before130150
After146170
2017-10-16 15:53 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-16 08:44 MDG

NPO for PT

2017-10-15 17:04 KC

Food: 50g M, Ch - given 46g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-15 09:22 KC

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-14 16:25 KC

Food: 50g M, Ch - gave 53g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-14 09:28 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-13 16:06 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-13 09:01 MDG

2017-10-12 17:02 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-12 11:57 KC

2017-236 was anesthetized using isoflurane and oxygen so that PT could be done. Heart rate was monitored throughout.
The L comminuted ulnar fracture palpated as it had previously.
The L elbow and carpus are improving in their ROM.
A figure of eight bandage was placed over the injury to provide support while it continues to heal.
PT will continue to be done 2 times a week until he is both out of his bandage and his ROM is normal.

Physical therapy
Left wing
 ElbowWrist
Before140150
After150170
2017-10-12 11:55 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-12 08:05 KC

NPO for PT this AM.

2017-10-11 16:47 SO

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-11 08:34 ?

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-11 08:13 KC
Weight: 1200 grams
Food: 50g M, Ch - gave 48g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

Weight loss has been >10% patient's BW. Weight will continue to be monitored closely. Weight loss could be due to muscle loss from inactivity, but cannot be definitively stated as the cause. Patient is consistently eating all of the food offered.

2017-10-10 16:43 MDG

NPO

PT:

2017-10-10 15:57 KC

2017-236 was anesthetized using isoflurane and oxygen so that PT could be done. Heart rate was monitored throughout the procedure.
The comminuted ulnar fracture on the L wing palpated no differently than it has previously. Measurements of ROM were taken before and after PT. A figure of eight bandage was placed over the injury to provide support while it continues to heal.
2017-236 will continue to have PT done 2 times a week until he is both out of his bandage and his ROM is normal.

Physical therapy
Left wing
 ElbowWrist
Before100110
After150180
2017-10-10 08:21 KC

NPO for PT today.

2017-10-09 16:44 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-09 08:27 KC

Food: 50g M, Ch - gave 48g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-08 16:14 KC

Food: 50g M, Ch - gave 50g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-08 08:54 KC

Food: 50g M, Ch - gave 54g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-07 16:58 KC

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-07 09:55 KC

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-06 16:59 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-06 13:57 krc

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
PT: q3days
==============================

2017-10-06 13:52 krc

2017-236 was taken to radiology today to evaluate his left wing. He was anesthetized using isoflurane and oxygen and two views, a left lateral and a caudocranial, were taken.
The left ulna has a comminuted fracture at the proximal aspect of the bone, however the radius is intact. There is periostal bone formation over the fracture site and soft tissue swelling around it as well.
2017-236 will be allowed to continue healing on his own, as he is doing so appropriately already. He will continue to recieve Meloxicam 0.91mL (15mg/mL soln) BID PO. PT to maintain ROM will be done every 3 days, as will bandage changes.

2017-10-06 13:00 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-06 12:59 SO

2017-10-06 09:20 MDG

NPO for radiographs

2017-10-05 16:36 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-05 11:29 MDG

Food: 50g M, Ch
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO in food.

2017-10-05 07:59 krc

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-04 16:34 SO

Food: 50g M
Meloxicam: 0.91 ml (1.5 mg/ml soln) PO

2017-10-04 16:18 krc

2017-236 arrived on 10/4/17 and was examined that same day:
Weight: 1,360g
Mentation: bright, alert, responsive
Posture: normal, sitting upright in cage
Overall appearance: aside from ulnar fracture, apparently healthy
Heart rate: 340bpm
Resp rate: 60rpm
Mucous membranes: NE
Dehydration: 0%
Oral cavity: unremarkable
-Choana: unremarkable
Beak/cere: unremarkable
Eyes: unremarkable
Ears: unremarkable
Wings:
-ROM: decreased in L wing
-Patagium: intact in both wings
-L: firm swelling over proximal ulna with crepitus, radius intact
Legs/feet:
-ROM: not decreased
-Plantar surface: no lesions
-Talons: none broken
Ceolom: no obvious masses or injury
BCS: 2/5
Vent: no fecal staining
Uropygial gland: NE

2017-236 was given 0.27mL Meloxicam into the left pectoral muscle and a figure of eight bandage applied to left wing.The bandage will be changed at least every 3-4 days and ROM will be assessed and increased if needed during that time. If 2017-236 eats tonight, radiology will be pursued tomorrow. If not, food will be offered again in the morning.

2017-10-04 15:08 SO

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
Meloxicam: 0.91 ml (1.5 mg/ml soln) BID PO
==============================

2017-10-04 15:07 SO
Weight: 1360 grams

2017-10-04 15:07 MDG

======= TREATMENT PLAN =======
Food: 50g M, Ch BID
==============================

Version 1.5.2 - 3.14.4 Fri Dec 15 03:00:14 2017