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Amputation - RD3
Internal Trauma
| Radiographs and images | ||||||
 2024-05-03 |
 2024-05-04 |
 2024-05-06 |
 2024-05-06 |
 2024-05-07 |
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| 2024-05-17 10:45 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 146.0 grams, BCS: 3.0, Leftovers: 54 Group entry: 2 animals S:------------------------- [01592] / Adult / F - Running around. [24204] / Nestling / F - Standing on perch and flew to ground vocalizing. O: Weighed and Retrieved 54g of scrap. Dropped 100g of rat in AM. A: Both birds are down in weight. Will keep on chopped food until baby gets used to eating outside. Weight change: -7 g (5 %) P: Weigh baby again in 3 days.
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| 2024-05-16 09:25 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 Group entry: 2 animals S: Both on high perch ------------------------- [01592] / Adult / F - ran back and forth as soon as I entered mew, jumped to ground and ran around there when I approached to drop food [24204] / Nestling / F - Stood calmly on back perch O: Dropped 102g rat/chick (half chopped), no scrap A: Both BAR P: switch to SID food
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| 2024-05-15 16:22 OB | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 66 Group entry: 2 animals S: Both perched in far back corner ------------------------- [01592] / Adult / F - [24204] / Nestling / F - O: dropped 28g of rat, picked up 66g of scraps. wiped off food platform Lee was very jumpy while cleaning, the baby stayed perch. A: Both BAR P: CCP
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| 2024-05-15 09:54 PS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 84 Group entry: 2 animals S: Nestling sitting in back hutch, Lee on back perch flapping. O: Gave fresh water, dropped 81g R & Cx - 84g Scrap. A: BAR P: CCP
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| 2024-05-14 14:39 OB | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Group entry: 2 animals S: both perched in far back nest box, Lee jumped to ground and jumped around while dropping food. Baby stayed put in nest box ------------------------- [01592] / Adult / F - [24204] / Nestling / F - O: dropped 32g of rat and pigeon. A: BAR P: CCP
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| 2024-05-14 09:32 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 153.0 grams, BCS: 3.0, Leftovers: 0 S: Flared and running around O: Weighed, amputation site healing well and sutures intact. Moved to R5 and introduced to Lee. Dropped 29g chopped rat on food platform. Gave last doses of meds Enrofloxacin (Baytril): 0.02 cc (100 mg/ml) PO Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: BAR, RD3 amputation healing well and uses foot well P: Switch to half whole half chopped food and transition to all whole food. Monitor interaction with Lee. Weigh in 3 days
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| 2024-05-13 16:51 MP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 2 S: Standing, a piece of food stuck to foot. O: 2 scrap (one boney piece of food) removed. Dropped 26 g of rat with meds on it- Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR P: CCP
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| 2024-05-13 09:21 TL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 144.0 grams, BCS: 3.0, Leftovers: 0 S: Standing in cage vocalizing for catch. Wiggly throughout treatment. O: Cleaned RD3 sutures and around the area w chlorhex. Applied TAO to amputation site. Gave meds PO. Dropped 26g rat. Enrofloxacin (Baytril): 0.02 cc (100 mg/ml) PO Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: BAR. RD3 seems to be healing nicely, no redness or inflammation noted. Weight change: -7 g (5 %) Consistently has no scrap and weight is down, up food slightly. P: Weigt down a bit. Changing food amt to 25g BID.
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| 2024-05-12 16:16 OB | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: standing in corder by door and vocalizing loudly. Began eating before door closed. O: dropped 21g of rat for SF with meds on food. F Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR P: CCP
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| 2024-05-12 08:51 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 151.0 grams, BCS: 2.5, Leftovers: 11 S: Standing vocalizing and struggling. O: Collected blood from R medial metatarsal. Cleaned RD3 wound w/ chlorohex and applied TAO. Sutures are intact and healing well. Gave oral meds. SF 27g of rat in AM. Retrieved 11g of scrap. Enrofloxacin (Baytril): 0.02 cc (100 mg/ml) PO Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: Patient is alert/aware. RD3 is healing well. Scrapped food for the first time. Up in weight and might lower food amount if bird is starting to scrap. PCV value WNL now. Weight change: +16 g (12 %) P: Lower PM food amount.
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| 2024-05-11 16:38 KK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 S: Standing in front corner. Started vocalizing as soon as saw food and rand right over to it and started eating. O: Dropped 25g rat w/ med on food while in camo. Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR. A bit concerned about imprint risk with how enthusiastic was for food. P: CCP
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| 2024-05-11 08:57 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 135.0 grams, BCS: 2.5, Leftovers: 0 S: Standing in back corner and vocalizing. O: RD3 sutures intact and healing well. Applied TAO to sutures. Gave oral meds. Moved to back room. SF 25g of rat in AM. No leftovers. Noted 1 cast. Enrofloxacin (Baytril): 0.02 cc (100 mg/ml) PO Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: Patient is alert/aware and up in weight. RD3 sutures are looking really good. Weight change: +1 g (1 %) P: CCP
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| 2024-05-10 16:44 TL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 S: Hock-walked over during food drop. Began calling immediately upon touching door. O: Dropped 19g rat with meds on it in camo. Food: SF in AM and PM w/ meds on food Use camo and puppet Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR. P: CCP.
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| 2024-05-10 08:28 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 134.0 grams, BCS: 2.5, Leftovers: 0 S: Hock sitting and scooting away. O: Checked RD3 amputation site. Sutures intact and healing well. Applied small amount of TAO to sutures. Gave oral meds. SF 20g of rat in AM. No leftovers. Enrofloxacin (Baytril): 0.02 cc (100 mg/ml) PO Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: Patient is alert/aware. RD3 suture site is looking good. Weight change: +11 g (9 %) P: Move to back room 5/11
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| 2024-05-09 16:31 AH | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 S: Blind food drop. O: Dropped 20g of rat with meds onm food. Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR P: CCP
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| 2024-05-09 15:14 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Updated medication doses based on a latest weight of 123.0 g
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| 2024-05-09 10:28 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
took to Dr. Feagans for RD3 amputation
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| 2024-05-09 08:58 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 123.0 grams, BCS: 2.5, Leftovers: 0 S: In donut, stood up and vocalized O: Weighed, removed 2 casts from cage, no scrap. Removed bandage, dead bone visible and not enough skin to close without further amputation of RD3. Rebandaged with duoderm patch. Gave meds, dropped 22g rat Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: BAR, toe does not seem to be affecting her ability to eat or stand. Distal phallange of RD3 is dead and needs amputation - may need to amputate further depending on how other bone looks under the skin. P: Schedule surgery for RD3 amputation.
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| 2024-05-08 16:26 MP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 S: Hock sitting on donut. Hock walked quickly to food and started eating O: Dropped 18 g of rat with meds on it- Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR P: CCP
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| 2024-05-08 08:15 MP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 119.0 grams, BCS: 2.5, Leftovers: 0 S: Hock sitting in back corner with mouth open. Vocal in hand O: Checked duoderm patch- appears to be staying in place, no need to adjust. Dropped 20 g of rat. Weight change: +7 g (6 %) Gave meds PO- Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: BAR P: CCP
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| 2024-05-07 16:49 MP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 S: Hock sitting in back corner. Opened mouth all scary O: Dropped 15 g of rat with meds on it- Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR P: CCP
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| 2024-05-07 08:38 MP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Sitting in cage. Squirmy and vocal. O: Wrap had come off of end of toe. Removed completely and cleaned with dilute chlorhex. Tried a duoderm patch this time with a piece of tape to secure. Checked respiration- heavy breathing due to stress, but otherwise NSF. Dropped 18 g of rat in cage. Gave meds PO- Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: BAR. Hopefully the duoderm patch will hold better, that wounds needs to be hydrated and covered. If this continues to be an issue, then we will definitely need to do sx in order to close that wound. P: DC resp checks. Switch to SF am and pm
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| 2024-05-06 18:13 TL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 S: Sitting in back of cage. Vocal and active upon entering. Very responsive to food. O: Picked 0g scrap. SF 14g rat w camo and puppet, gave meds on food. Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR. P: CCP.
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| 2024-05-06 11:25 MP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 112.0 grams S: Sitting in cage. Vocal O: Checked respiration- no notable lung sounds. Dropped 16 g of rat. Removed bandage. Noted there may be bone exposure at tip of digit. Cleaned with dilute chlorhex and applied duoderm gel and bandaged with telfa and vet wrap. Weight change: +4 g (4 %) Gave meds PO and IM- Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO Iron Dextran: 0.01 cc (100 mg/ml inj) IM Vitamin B Complex: 0.01 cc (100 mg/ml) IM A: BAR. I'm concerned about the exposed bone on his RD3. Keeping it hydrated and covered will probably be out best bet. If it's unable to heal over, we may consider amuptating the toes further and suturing closed. P: Changed wound care protocol. Recheck in a few days and discuss if sx is necessary
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| 2024-05-05 19:29 OB | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2024-05-05 18:43 OB | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Leftovers: 0 S: hock sitting in back corner of cage, started vocalizing once food was dropped. O: AE gave meds PO in cage. Dropped 16g of rat. No scraps Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Began eating food as soon as it was dropped. A: BAR P: CCP
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| 2024-05-05 09:18 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 108.0 grams S: Sitting in corner vocalizing. O: Checked vitals. Temp good and repiration sounds clear. Collected blood from R medial metatarsal. Cleaned RD3 w/ chlorohex and applied duoderm gel. Covered w/ tefla/tegaderm. Gave fluids in L inguinal and gave oral meds. SF 16g of rat in AM. LRS SQ: 6.20 cc (LRS) SQ Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: Baby appears to be doing well without RD3 and bone looks healthy enough. Will want to keep that digit covered to keep bone underneath healthy while wound is healing. Vitals appear to have stabilized. Jumped on food when placed back in cage, so will hopefully self feed. PCV a little low. Weight change: +3 g (3 %) P: SID bandage changes on RD3. End Temp checks. Rx Vitamin B and Iron. Recheck blood in a week.
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| 2024-05-04 18:51 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Sitting in back corner and opening mouth. O: Gave med in cage. HF until full. Ate 14g of rat. Dropped remaining 1g of rat in cage. Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO A: BAR. Ate almost all food. P: CCP
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| 2024-05-04 12:30 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 105.0 grams S: Sitting in corner and trying to foot. Vocalizing. O: Checked vitals. Temp and resp appear more stable. Took rads. Noted L wrist might have minor fx at humerus. Collected fecal. Gave fluids and oral meds. Placed in normal cage in ICU. HF until full. Ate 9g of rat in AM. LRS SQ: 6.20 cc (LRS) SQ Trimethoprim-Sulfamethoxazole: 0.10 cc (48 mg/ml) PO Meloxicam: 0.08 cc (1.5 mg/ml compounded) PO A: Patient appears to be more stable than yesterday. Tip of RD3 missing and is already healing. X-rays show L humerus might have minor fx at wrist. Will probably heal well and L wrist only had minor flex. Will need to monitor how L wing progresses and how baby does out of incubator. Weight change: -19 g (15 %) P: Vet check 5/6. End fluids tomorrow. Clean RD3 and apply TAO SID
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| 2024-05-03 17:56 AH | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Was hock sitting in the left hand corner of the enclosure, opened mouth. O: HF 15g of rat until full and dropped the rest (I HF about half). A: BAR P: Radiographs and exam tomorrow 5/4/24.
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| 2024-05-03 17:20 TL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2024-05-03 15:32 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 124.0 grams, BCS: 2.0 S: Splayed out at back of incubator, sat up when grabbed O: Warmer and a little more stable, was able to do exam and clean some blood off of feathers but when attempting to lay down for radiograph fluid came into mouth and breathing got worse and gurgly. Put into oxygen and turned incubator down to 85 degrees. Gave mirror. Collected fecal ------------- PHYSICAL EXAM FINDINGS ---------------- Mentation: QAR Dehydration (%): <5 Neurologic: WNL Head/mouth/beak: Dirty Eyes: DNE Wings: WNL Legs: WNL Feet: RD3 wound and fracture distally Body: Covered in blood but did not see any wounds - blood likely from RD3 Feather condition: in blood, downy Ectoparasites: none seen Initial treatment: incubator and oxygen A: More alert now that they are warmed up. RD3 broken distally with large wound. Respiratory issues likely from internal trauma due to falling over 15 feet from nest. Blood on chest likely from toe wound or broken blood feathers as no wounds were found there. P: Rx meloxicam, TMS, fluids. Take rads when more stable. HF BID, vet check tomorrow. Monitor respiration on oxygen
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| 2024-05-03 14:08 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 124.0 grams Too cold for exam, blood noted on chest but no active bleeding. Put in incubator to warm up
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