2017-250 Problems Notes Costs
Admission date2017-10-27
Final date -
Days in rehab49
SpeciesEASO - Eastern screech owl
AgeAdult
SexUNK
StatusReh
Band
Neurologic - Head trauma
Ocular - Corneal Ulceration, OD
Ocular - Corneal Ulceration, OS
Ocular- Chorioretinitis, OD

Cause of injury: Unknown

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

DescQtyCostSubtotal
Examination148.4448.44
Daily rate491.0049.00
Complete blood count117.1417.14
Packed cell volume18.078.07
Blood chemistry145.3545.35
Total   $168.00

Costs are estimates based on fees charged at a local avian specialist.
Radiographs and images
No images for this patient
2017-12-14 09:42 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

Use to towel to catch patient.

2017-12-14 09:34 MDG

Food: 8g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Waiting for consult: Ophtho - 2017-12-20
Use to towel to catch patient.

2017-12-14 09:33 MDG

======= TREATMENT PLAN =======
Food: 10g M, Ch, cut up BID
Meloxicam: 0.09 ml (1.5 mg/ml soln) BID PO
Triple Ab - OD BID until 2017-12-20
Waiting for consult: Ophtho - 2017-12-20
Use to towel to catch patient.
==============================

2017-12-13 12:29 MDG

Food: 18g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.

Use to towel to catch patient.

2017-12-13 12:21 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.

Use to towel to catch patient.

2017-12-13 09:15 MDG
Weight: 150 grams

2017-12-12 16:41 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD
Vet check: Ophtho Consult
Waiting for consult: Ophtho - 2017-12-20
Use to towel to catch patient.

2017-12-12 09:19 MDG

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-11 16:06 MDG

Food: 15g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-11 09:12 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-10 16:35 JC

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD
Use to towel to catch patient.

2017-12-10 09:50 JC

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD
Use to towel to catch patient.

2017-12-09 16:30 JC

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD
Use to towel to catch patient.

2017-12-09 09:44 JC

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD
Use to towel to catch patient.

2017-12-08 16:44 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-08 08:44 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-07 16:04 MDG

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-07 08:41 JC

Food: 8g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Use to towel to catch patient.

2017-12-06 16:32 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-06 10:19 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO ini food.
Triple Ab - OD
Use to towel to catch patient.

2017-12-06 08:34 MDG
Weight: 150 grams

2017-12-05 17:55 MDG

Food: 50g M
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-12-05 10:04 MDG

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-12-04 17:43 MDG

Food: 16g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-12-03 14:02 JC

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD

2017-12-03 09:18 JC

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD
Leftovers: 4g

2017-12-02 16:37 JC

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OD

2017-12-02 09:32 AJN

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-12-01 16:23 MDG

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-12-01 09:08 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-11-30 15:51 AJN

Food: 16g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab (ophthalmic solution) OD

2017-11-30 13:48 MDG

Food: 8g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-11-29 09:54 AJN

Food: 18g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OD

2017-11-29 08:37 jaw

======= TREATMENT PLAN =======
Food: 10g M, Ch, cut up BID
Meloxicam: 0.09 ml (1.5 mg/ml soln) BID PO
Triple Ab - OD BID until 2017-12-12
==============================

2017-11-29 08:27 AJN
Weight: 160 grams

2017-11-28 18:38 jaw

Ophtho noted ulcers that the chorioretinitis noted OS had improved but there was a superficial ulcer in the right eye. So because of this it was recommended continuing meloxicam, discontinue ketorolac, and starting back the neopoly bac drops in the right eye. Would like to recheck the ulcer in 2 weeks.

2017-11-28 16:38 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-27 16:46 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-27 08:33 MDG

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-26 16:32 jc

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-26 10:29 jc

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-25 16:18 jaw

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-25 09:50 jaw

Food: 14g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-24 16:13 AJN

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-24 09:13 JC

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-24 08:02 Jc

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU
Thursday Evening

2017-11-23 08:46 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-22 16:18 jc

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-22 08:40 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-21 16:36 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-21 09:01 SO

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-20 18:14 AJN

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-20 17:25 SO

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-20 09:38 JC

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-19 16:24 jc

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-19 10:32 jc

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-18 17:03 TMM

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-18 10:17 TMM

Food: 18g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-17 15:39 SO

Food: 14g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-17 09:40 TMM

Food: 10g Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-16 16:37 MDG

Food: 10g Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-16 08:50 MDG

Food: 14g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-15 16:13 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-15 09:10 MDG

Food: 14g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food
Ketorolac - OU

2017-11-15 09:02 jaw
Weight: 140 grams

2017-11-14 15:56 MDG

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-14 08:43 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-13 16:26 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-13 09:55 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-13 08:57 SO

======= TREATMENT PLAN =======
Food: 10g M, Ch, cut up BID
Meloxicam: 0.09 ml (1.5 mg/ml soln) BID PO
Ketorolac - OU BID
==============================

2017-11-12 16:25 sl

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-12 09:39 sl

Food: 12g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-11 19:13 JC

Food: 12 M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-11 11:46 jc

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-10 17:49 jc

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-10 09:54 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-09 16:19 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-09 09:05 jc

Food: 8g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-08 16:49 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-08 09:30 MDG

Food: 20g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-08 08:39 MDG
Weight: 140 grams

2017-11-07 17:02 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-07 09:30 JC

Food: 10g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-06 16:10 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-06 10:26 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Ketorolac - OU

2017-11-05 16:26 jc

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-05 09:58 JC

Food: 12g M cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-04 17:13 sl

Food: 8g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-04 17:07 sl

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Ketorolac - OU

2017-11-03 16:58 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU

2017-11-03 12:12 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU

2017-11-02 17:17 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU

2017-11-02 11:03 MDG

Food: 12g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU

2017-11-01 17:53 SO

Food: 8g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OU
Ketorolac - OU

2017-11-01 15:39 SO

PCV/TP
Collection date2017-11-01
PCV41 %
TS-1.0 g\dl
Serum
Serum chemistry
Collection date2017-11-01
AST298 U/LPhos0.0 mg/dl
BA0 umol/LTP4.2 g/dl
CK568 U/LAlb0.0 g/dl
UA5.7 mg/dlGlob0.0 g/dl
Glu382 mg/dlK+2.8 mmol/l
Ca10.7 mg/dlNa+165 mmol/l
  AMY0 U/L
Hem , Lip , Ict
CBC
Collection date2017-11-01
WBC count12967
Corrected count12967
Hets/Neut32% - 4149
  Bands0+
  Toxics0+
Lymphs24% - 3112
Eos26% - 3371
Mono12% - 1556
Baso6% - 778
Thrombocytes
PI1
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read byAU Clin Path
2017-11-01 10:09 MDG

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU
Blood: CBC chem

2017-10-31 15:50 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU

2017-10-31 14:00 SO

Ophtho noted ulcers have resolved, chorioretinitis noted OS. Rec continueing meloxicam, ketorolac, and discontinue neopoly bac in 2-3 days, recheck in 2 weeks.

2017-10-31 14:00 SO

======= TREATMENT PLAN =======
Food: 10g M, Ch, cut up BID
Meloxicam: 0.09 ml (1.5 mg/ml soln) BID PO
Triple Ab - OU BID until 2017-11-03
Ketorolac - OU BID
Vet check: Ophtho Consult on 10/31 at 1 p.m.
==============================

2017-10-31 10:02 MDG

Food: 12g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU
Vet check: Ophtho Consult on 10/31 at 1 p.m.

2017-10-30 15:47 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU

2017-10-30 08:46 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO in food.
Triple Ab - OU
Ketorolac - OU

2017-10-29 16:16 sl

Food: 12g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OU
Ketorolac - OU

2017-10-29 10:09 sl

Food: 12g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OU
Ketorolac - OU

2017-10-28 16:14 sl

Food: 10g M, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OU
Ketorolac - OU

2017-10-28 10:12 sl

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OU
Ketorolac - OU

2017-10-27 16:51 MDG

Food: 10g M, Ch, cut up
Meloxicam: 0.09 ml (1.5 mg/ml soln) PO
Triple Ab - OU
Ketorolac - OU

2017-10-27 13:24 SO

======= TREATMENT PLAN =======
Food: 10g M, Ch, cut up BID
Meloxicam: 0.09 ml (1.5 mg/ml soln) BID PO
Triple Ab - OU BID
Ketorolac - OU BID
==============================

2017-10-27 10:21 AR


------------- PHYSICAL EXAM FINDINGS ----------------
Observational examination
Mentation: Quiet, Alert, Responsive
Posture: Normal
Overall appearance: Blepharospasm present in right eye
Vital stats
Heart rate: 200
Mucous membranes: pink and moist
Comments: Hyboscid Flies present
Oral cavity: Normal, no blood present
Choana: Normal, no blood present
Beak/Cere: Dried blood present within right nare
Eyes: Blepharospasm present in right eye; Fluoroscein stain applied to both eyes-Right eye had an area of multifocal pinpoint stain uptake in the ventral central portion of the cornea, Left eye had a small area of stain uptake in the lateral ventral portion of the cornea. On fundic examination, there appeared to be a hazy appearance in the posterior chamber of the right eye, indicating possible retinal detachment.
Ears: Not evaluated
Feather quality: Normal
Wings - Range of motion: Normal
Wings - Patagium: Normal
Legs/Feet - Range of motion: Normal
Legs/Feet - Plantar surface: Normal
Legs/Feet- Talons: Normal
Ceolom: Normal
BCS: 3
Vent: Not evaluated
Uropygial gland: Not evaluated

----------------------------------------------------------------------------------------------
TREATMENTS ADMINISTERED:
-Meloxicam 5mg/mL injectable: Gave 0.03mL (1mg/kg) IM in left pectoral
-NeoPolyBac ointment applied to both eyes
-Ketorolac ophthalmic applied to both eyes
-Frontline spray applied

----------------------------------------------------------------------------------------------
PLAN:
-Continue NeoPolyBac ointment and Ketorolac OU twice daily.
-Begin Meloxicam 1.5mg/mL solution: Give 0.09mL by mouth in food twice daily.
-Re-evaluate posterior chamber of right eye in 1 week.
-Re-stain both eyes in 2 weeks.

2017-10-27 09:20 SO

======= TREATMENT PLAN =======
Food: 10g M, Ch, cut up BID
Triple Ab - OU BID
Ketorolac - OU BID
==============================

2017-10-27 09:08 MDG

Food: 14 M cut up

2017-10-27 08:01 SO

======= TREATMENT PLAN =======
Food: 10g M, Ch, cut up BID
==============================

2017-10-26 09:00 AR
Weight: 130 grams, BCS: 3.0

------------- PHYSICAL EXAM FINDINGS ----------------
Observational examination
Mentation: Quiet, alert, responsive
Posture: Normal
Overall appearance: Normal
Vital stats
Heart rate: 104
Respiratory rate: 60
Mucous membranes: pink and moist
Comments: On auscultation, an arrhythmia was noted. A dropped beat followed by an escape beat was auscultated
Oral cavity: Frank blood present
Choana: Frank blood present
Beak/Cere: Normal
Eyes: Normal on brief examination
Ears: Not evaluated
Feather quality: Normal
Wings: Normal
Wings - Range of motion: Normal
Wings - Patagium: Normal
Legs/Feet - Range of motion: Normal
Legs/Feet - Plantar surface: Normal
Legs/Feet- Talons: Normal
Ceolom: Normal
BCS: 3
Vent: Not evaluated
Uropygial gland: Not evaluated

----------------------------------------------------------------------------------------------
Treatments administered
-Meloxicam 5mg/mL Injectable-0.03mL (1mg/kg) given IM in left pectoral muscle.

----------------------------------------------------------------------------------------------
PLAN
-Cage rest overnight followed by re-evaluation in the morning.

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