2018-148 Problems Notes Costs
Admission date2018-06-27
Final date -
Days in rehab138
SpeciesBAEA - Bald eagle
AgeImmature
SexUNK
StatusReh
Band
Ectoparasite - Lice
Fracture - coracoid, left
Wing droop - left

Cause of injury: Unknown

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

DescQtyCostSubtotal
Examination148.4448.44
Daily rate1385.25724.50
Radiographs687.75526.50
Total   $1299.44

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

2018-07-10

2018-07-10

2018-07-10

2018-07-31

2018-07-31

2018-07-31
2018-11-09 15:52 SAK

Food: 156g R, M

2018-11-09 14:47 SO
BCS: 4.0

------------- PHYSICAL EXAM FINDINGS ----------------
Observational examination
Mentation: BAR
Posture: Normal
Vital stats
Heart rate: 300
Respiratory rate: 40
Mucous membranes: Pink and moist

Physical exam was WNL. Band removed, patient okayed for release.

2018-11-09 14:32 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-11-08 13:30 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-11-07 13:41 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-11-06 13:40 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-11-05 16:58 MDG

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-11-02 14:30 MDG

Group entry: 3 animals
325 grams R, Ch per bird

2018-11-01 15:15 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-31 13:38 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-30 13:20 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-29 14:46 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-28 08:51 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-27 08:56 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-26 14:13 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-25 14:04 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-10-24 13:49 SAK

Group entry: 2 animals
325 grams R, Ch, per bird

2018-10-23 13:49 SAK

Group entry: 2 animals
325 grams R, Ch, Q per bird

2018-10-22 14:33 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-19 14:07 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-18 13:58 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-17 13:56 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-10-16 13:40 MDG

Group entry: 3 animals
325 grams R, Ch per bird

2018-10-15 14:39 MDG

Group entry: 3 animals
325 grams R, Ch per bird

2018-10-14 09:00 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-13 09:26 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-12 14:06 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-10-11 13:36 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-10 13:58 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-10-09 13:51 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-08 13:31 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-05 14:31 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-04 13:50 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-10-03 14:45 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-10-02 14:01 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-10-01 14:25 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-30 08:54 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-28 13:57 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-27 13:49 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-26 15:42 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-25 15:14 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-24 14:03 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-21 14:05 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-20 15:27 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-19 13:50 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-09-18 14:08 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-09-18 09:41 SAK

Flight eval
Exam date - 2018-09-18
Examiner - SAK
FlightSound
Notes:
Feather Condition 4, Maneverability 4, Endurance 4, Lift 4, Landing 4, Symmetry 4 = Total 24
2018-09-17 14:10 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-09-16 09:19 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-15 09:17 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-14 14:20 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-14 08:09 SAK

Group entry: 3 animals
9-13-18 325 grams R, Ch, Q per bird

2018-09-12 15:00 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-11 14:33 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-10 14:27 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-09-07 09:57 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-09-07 08:27 SAK

Group entry: 3 animals
9-6-18 325 grams R, Ch, per bird

2018-09-06 11:51 SAK

Flight eval
Exam date - 2018-09-06
Examiner - SAK
FlightSound
Notes:
Feather Condition 4, Endurance 4, Symmetry 4, Maneverability 4, Lift 4 Landing 4 = Total 24
2018-09-05 14:30 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-09-04 14:32 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-09-02 10:22 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-09-01 10:52 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-31 15:17 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-30 16:11 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-29 15:18 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-28 17:00 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-27 13:54 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-08-24 10:56 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-23 14:55 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-08-23 09:57 SAK

Flight eval
Exam date - 2018-08-23
Examiner - SAK
FlightSound
Notes:
Feather Condition 4, Flight Endurance 4, Flight Symmetry 3, Flight Maneverability 4, Lift 4, Landing 4 = Total 23
2018-08-22 13:21 MDG

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-21 14:53 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-20 13:37 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-08-17 09:30 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-08-16 09:22 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-15 13:35 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-14 09:52 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-13 15:44 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-12 09:58 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-11 10:37 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-10 11:20 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-09 11:02 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-08 14:51 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-07 15:50 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-07 10:32 SAK

Flight eval
Exam date - 2018-08-07
Examiner - SAK
FlightSound
Notes:
Feather Condition 4, Flight Endurance 3, Symmetry 2, Maneverability 4, Lift 4, Landing 4 = total 21
2018-08-06 17:41 SAK

Group entry: 3 animals
325 grams R, Ch, per bird

2018-08-05 10:06 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-04 11:40 CR

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-03 14:20 SAK

Group entry: 3 animals
325 grams R, Ch, Q per bird

2018-08-02 15:02 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-08-01 14:36 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-07-31 15:23 SAK

Group entry: 3 animals
325 grams R, Ch per bird

2018-07-31 11:28 MDG

Radiograph Analysis:
- Patient was anesthetized using isoflurane at 4% starting at 10:40 am until 11:00 am.
* 10:40 am HR: 250 bpm RR: 60 brpm
* 10:43 am HR: 235 bpm RR: 35 brpm
* 10:46 am HR: 230 bpm RR: 20 brpm
* 10:49 am HR:230 bpm RR: 18 brpm
* 10:52 am HR: 235 bpm RR: 18 brpm
* 10:55 am HR: 235 bpm RR: 20 brpm
* 11:00 am HR: 230 bpm RR: 18 brpm

- A right lateral, VD, and H-view radiographs were taken for analysis.
- A mid-shaft fracture of the left coracoid was craniolaterally displaced.
- Bony remodeling and rounding of the fracture edges indicate this is a chronic fracture. There are no changes since the last radiograph, with a wide gap between pieces of the coracoid, suggesting this is a non-union.
- The left scapula appeared more radio dense than the right scapula. However, due to the connection of these pneumatic bones it is possible the inflammation and fluid originating from the coracoid extended into the scapula.

Assessment:
- The patient is not exhibiting any pain, is moving comfortably around their cage, and is eating its meals. The fracture is closed and stable. At this time no medications are indicated. There have been no obvious/detectable changes in the fracture seen on imaging and this is considered a non-union due to the large space without bridging between the pieces of the coracoid. It may be possible that the bird can create a fibrous union between the pieces and increase muscling to compensate for this fracture. The bird will be placed in a flight aviary to have more room for flight and to build muscle strength again. Bi-monthly flight evaluations will determine if the bird's flight improves or remains static.


Plan:
- Move to large flight aviary 2 and note success with participation in the next bimonthly flight evaluation.

2018-07-31 10:10 SAK

NPO
Radiograph:
Left 148g from 7/31/18

2018-07-30 15:44 SAK

Food: 154g R, Ch

2018-07-30 12:00 SAK

Food: 164g R, M
left 142g from 7/29/18

2018-07-29 17:04 JC

Food: 150g R, M, Ch

2018-07-28 16:12 JC

Food: 156g M, Ch

2018-07-28 10:28 JC

Food: 148g M

2018-07-27 16:20 SAK

Food: 154g M

2018-07-27 09:51 CR

Food: 158g R, Ch

2018-07-26 16:29 SAK

Food: 154g R

2018-07-26 09:08 SAK

Food: 148g R

2018-07-25 17:01 SAK

Food: 152g M

2018-07-25 09:06 SAK

Food: 150g R
Left 146g from 7/24/18

2018-07-24 16:44 SAK

Food: 152g M

2018-07-24 08:57 SAK

Food: 150g R, M, Ch
Left 198g from 7/23/18

2018-07-23 16:36 SAK

Food: 154g M

2018-07-23 10:29 SAK

Food: 154g M, Ch
Left 122g from 7/22/18

2018-07-22 17:03 CR

Food: 150g R, M

2018-07-22 10:56 CR

Food: 150g R, Ch

2018-07-21 16:42 CR

Food: 150g R

2018-07-21 10:41 CR

Food: 148g M

2018-07-20 16:16 SAK

Food: 146g M, Ch

2018-07-20 09:53 SAK

Food: 150g R, M

2018-07-19 16:37 SAK

Food: 150g R

2018-07-19 10:28 SAK

Food: 148g R, M

2018-07-18 16:43 SAK

Food: 150g M

2018-07-18 09:47 SAK

Food: 154g R, M

2018-07-16 16:27 SAK

Food: 150g R

2018-07-16 10:14 SAK

Food: 156g Ch

2018-07-15 16:59 JC

Food: 148g M, Ch

2018-07-15 10:22 JC

Food: 148g R, Ch

2018-07-14 16:46 JC

Food: 152g R, M

2018-07-14 09:53 JC

Food: 154g R, M

2018-07-13 16:26 SAK

Food: 150g R

2018-07-13 09:15 SAK

Food: 148g R

2018-07-12 16:25 SAK

Food: 148g M, Ch

2018-07-12 09:12 SAK

Food: 152g R, M

2018-07-11 16:48 SAK

Food: 164g M

2018-07-11 09:22 SAK

Food: 156g R, M

2018-07-10 16:23 SAK

Food: 160g Ch

2018-07-10 11:38 SO

======= TREATMENT PLAN =======
Food: 150g R, M, Ch BID
==============================

2018-07-10 11:37 SO/BAB

Radiograph Analysis:
- Patient was anesthetized using isoflurane at 4% starting at 10:53 am until 11:08 am.
* 10:53 am HR: 140 bpm RR: 180 brpm
* 10:56 am HR: 200 bpm RR: 20 brpm
* 11:02 am HR: 200 bpm RR: 30 brpm
* 11:10 am HR: 250 bpm RR: 40 brpm
- A right lateral, VD, and H-view radiographs were taken for analysis.
- A mid-shaft fracture of the left coracoid was craniolaterally displaced.
- Bony remodeling and rounding of the fracture edges indicate this is a chronic fracture.
- The left scapula appeared more radiodense than the right scapula. However, due to the connection of these pneumatic bones it is possible the inflammation and fluid originating from the coracoid extended into the scapula.

Assessment:
- The patient is not exhibiting any pain, is moving comfortably around their cage, and is eating its meals. The fracture is closed and stable. At this time no medications are indicated.


Plan:
- Recheck in 3 weeks for bony callus formation and progression of healing. In the meantime, the patient will be confined in its current housing in MH3.

2018-07-10 10:03 SAK

NPO
Radiograph:

2018-07-10 07:52 SO

======= TREATMENT PLAN =======
NPO
Radiograph:
==============================

2018-07-09 16:24 SAK

Food: 152g R, M

2018-07-09 10:42 SAK

Food: 152g R

2018-07-08 16:44 CR

Food: 152g M

2018-07-08 11:14 kep

Food: 152g M

2018-07-07 16:05 CR

Food: 149g R

2018-07-07 11:36 CR

Food: 150g R

2018-07-06 15:51 SAK

Food: 152g R, M

2018-07-06 09:15 SAK

Food: 152g R and M

2018-07-05 15:41 SAK

Food: 150g R, M

2018-07-05 09:32 CR

Food: 150g M

2018-07-04 16:54 JC

Food: 148g R, M

2018-07-03 16:07 SAK

Food: 150g R, M

2018-07-03 14:21 SO

======= TREATMENT PLAN =======
Food: 150g R, M, Ch BID
==============================

2018-07-03 14:21 SO

======= TREATMENT PLAN =======
Food: 150g R, M, Ch BID
==============================

2018-07-03 14:20 SO

Flight eval noted no attempt at flight, left wing droop noted. Suspect coracoid fracture. Will radiograph next week.

2018-07-03 08:39 SAK

Food: 158g M and Ch

2018-07-02 16:05 SAK

Food: 152g M

2018-07-02 09:07 SAK

Food: 150g M

2018-07-01 17:02 JC

Food: 148g R, M

2018-07-01 09:41 JC

Food: 150g R, Ch

2018-06-30 16:49 JC

Food: 150g R, Ch

2018-06-30 10:06 JC

Food: 154g M, Ch

2018-06-29 16:27 SAK

Food: 153g R and M

2018-06-29 09:29 SAK

Food: 154g R

2018-06-28 16:26 SAK

Food: 150g M

2018-06-28 15:13 DMB

Patient was moved to MH3 to allow it more space while under observation to insure it is eating appropriately on its own. After another 24 hours if the patient is eating normally they can be moved to LFA 2

2018-06-28 09:25 SAK

Food: 154g R

2018-06-27 15:27 SAK

Food: 160g M

2018-06-27 14:18 SO

US FWS notified via email: species of interest admitted.

2018-06-27 13:23 SO

======= TREATMENT PLAN =======
Food: 150g R, M, Ch BID
==============================

2018-06-27 13:21 SO
Weight: 3470 grams, BCS: 2.5

------------- PHYSICAL EXAM FINDINGS ----------------
Observational examination
Mentation: BAR
Posture: Normal
Overall appearance: Lice noted
Vital stats
Heart rate: 270
Respiratory rate: 70
Mucous membranes: Pink and Moist
Oral cavity: WNL
Beak/Cere: WNL
Eyes: WNL
Ears: WNL
Feather quality: WNL
Wings: WNL
Legs/Feet: WNL
Ceolom: WNL
Vent: WNL
Uropygial gland: WNL

Will offer food and monitor. If patient eating for 48 hours, will consider flight eval

Version 1.5.2 - 3.15.13 Mon Nov 12 03:00:03 2018