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World Bird Sanctuary

25251

Problems

Notes

Costs

Admission date	2025-05-16
Final date	-
Days in captivity	4
Species	BWHA - Broad-winged Hawk
Age	ASY
Sex	UNK
Status	Reh
Band

Ectoparasite - Hippoboscid flies

Fecal Parasite - Capillaria

Fecal Parasite - Fluke

Fracture - L Metacarpus

Soft Tissue Trauma - Keel

Soft Tissue Trauma - L Wing

Cause of injury: Unknown

(Orange) L metacarpal fx

Found in St. Louis,MO
St. Louis county

Here is a summary of this patient's treatments and expenses:

Desc Qty Cost Subtotal

Examination 1 50.00 50.00

Daily rate 4 20.00 80.00

Radiographs 3 50.00 150.00

Surgery, major 1 500.00 500.00

Complete blood count 1 45.00 45.00

Packed cell volume 1 20.00 20.00

Fecal exam 1 25.00 25.00

Eye exam 2 25.00 50.00

Total 920.00

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

Radiographs and images
2025-05-16	2025-05-16	2025-05-16	2025-05-19	2025-05-19

2025-05-20 18:40 KS

Leftovers: 35
S: Standing, flared out wing
O: DNE, removed 1 chick, caught for meds and FF 32g venison
Clavamox: 0.75 Tablet (62.5 mg tablet) PO
Meloxicam: 0.12 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO

A: BAR, not self feeding yet
P: CCP

2025-05-20 16:26 KS

Updated medication doses based on a latest weight of 376.0 g 

2025-05-20 10:22 AD

Weight: 376.0 grams, BCS: 3.0, Leftovers: 34
S: Standing for catch.

O: Removed wing wrap from L wing.  Blood strike through on bandage on ventral aspect of metacarpus but no active bleeding seen when bandage removed.  Significant bruising present on metacarpus.  IM pin in place and fracture site feels stable.  Performed gentle PT on wing.  Covered sutures with TAO, telfa, tegaderm, placed fabric wrap on wing.  Sutures holding over the L femur but skin looks inflamed and there is a small gap in the suture line.  Covered with TAO, telfa/tegaderm. 
Food: SF 35g chick
Fluids: 20 cc LRS SQ
Clavamox: 0.81 Tablet (62.5 mg tablet) PO
Enrofloxacin (Baytril): 0.08 cc (100 mg/ml) PO
Fenbendazole (Panacur): 0.10 cc (100 mg/mL Suspension)  PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO
Calcium Slurry: 0.58 cc (100 mg/ml) PO

A: Bruising post op as expected on metacarpus, pin seems stable and in place, sutures holding currently.

P: Change bandages in 3d with PT on wing.  

2025-05-19 17:20 fw

S: Standing, facing cage door.

O: Dropped 34 grams of chick with meds on food.
Clavamox: 0.81 Tablet (62.5 mg tablet) PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO

A: BAR.

P: CCP.

2025-05-19 16:12 AD

S: Standing for catch.

O: See surgery report for details.  Placed IM pin in the L metacarapal fracture, closed wound on ventral metacarpus and wound along lateral femur with sutures.  Covered sutures on L metacarpus with TAO, telfa/tegaderm and placed figure-8 wrap on wing.
LRS SQ: 19.20 cc (LRS) SQ
Clavamox: 0.81 Tablet (62.5 mg tablet) PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO

A: Bone looked viable during surgery, able to stabilize and align fracture with IM pin.  

P: Change figure-8 wrap and bandages on L wing tomorrow.  

Surgery report
Procedure - Fracture repair - metacarpus
Performed by - AD
Surgery time - 30 minutes
Pre-medicated with torb IM.  Anesthestized via isoflurane facemask
with 2.5 uncuffed ET tube.  Placed bird in dorsal recumbency
and plucked feathers over L metacarpus and scrubbed site for
surgery.  Extended open wound with #15 blade, dissected down
to fracture ends.  Bone appeared in better alignment than on
intake x-rays, bone appears viable.  Placed IM pin up the proximal
fragment and out the carpus, blunted the other end of the pin
and drove across the fracture site.  Took x-rays to confirm placement.
 Flushed wound site and closed with 5-0 webcryl in horizontal
mattress pattern.  Cleaned wound on L femur, closed with 5-0
webcryl with simple continous pattern.  Turned bird onto sternal
recumbency and bent IM pin around the dorsal aspect of the bones.
 Covered ventral sutures with TAO, telfa and tegaderm, placed
figure-8 wrap on wing.  Bird recovered uneventfully from anesthesia.

2025-05-19 11:22 AD

S: Standing for catch.  

O: Removed large fabric wrap from L wing.  Changed bandage over ventral L metacarpus - no bone seen, open wound present.  Crepitus at fracture site.  Cleaned wound and covered with duoderm gel, telfa/tegaderm, placed splint back on fracture and placed figure-8 wrap on wing.  New wound found over the lateral aspect of the L femur, cleaned and covered with duoderm gel/telfa/tegaderm. Large retinal tear and debris in vitreous along the ventral aspect of the L eye, but bird still has menace and PLRs OU, menace may be slightly reduced on the L compared to the R but bird still has some visual reaction.  
LRS SQ: 19.20 cc (LRS) SQ
Clavamox: 0.81 Tablet (62.5 mg tablet) PO
Enrofloxacin (Baytril): 0.08 cc (100 mg/ml) PO
Fenbendazole (Panacur): 0.10 cc (100 mg/mL Suspension)  PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO
Calcium Slurry: 0.58 cc (100 mg/ml) PO

A: No bone seen today during bandage change but fracture would still benefit from surgery and wound cleaning under GA.  New wound found on femur, will likely suture close when bird down for surgery.

P: Plan for surgery.

2025-05-18 19:08 AE

Leftovers: 31
S: Standing and running away.

O: Replaced L carpal bandage. Cleaned w/ chlorohex and applied duoderm gel. Covered w/ telfa/tegaderm. Meds were placed on food. FF 31g of rat. Retrieved 31g of scrap.

Clavamox: 0.81 Tablet (62.5 mg tablet) PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO

A: Patient did not eat last night. L carpal wound is doing well so far.

P: CCP

2025-05-18 14:58 KK

Rx 5d panacur then recheck fecal.

Fecal
Collection date2025-05-18
ResultsPOS for 
Capillaria
Fluke

2025-05-18 08:33 AE

Weight: 403.0 grams, BCS: 3.5, Leftovers: 63
S: Standing in cage facing door and jumping away.

O: Removed L fabric wrap/splint. Removed L carpal bandage. KK assessed bone, appears viable. Cleaned L ventral carpal wound w/ chlorohex and applied Duoderm gel. Covered w/ telfa/tegaderm. Reapplied L carpal spint and fabric wrap. Gave oral meds and fluids. Dropped 31g of rat. Retrieved 63g of whole chicks.

LRS SQ: 19.20 cc (LRS) SQ
Clavamox: 0.38 Tablet (125 mg tablet) PO
Enrofloxacin (Baytril): 0.08 cc (100 mg/ml) PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO
Calcium Slurry: 0.58 cc (100 mg/ml) PO

A: Bone appears to remain viable as per KK, but coloration appears darker compared to intake. Will see how rest of bone looks tomorrow during surgery. Fabric wrap and splint combo appears to be keeping metacarpals stable. DNE food from yesterday, so will hand feed this evening in preparation for surgery.
Weight change:  +19 g (5 %)

P: HF in PM.

2025-05-17 19:51 MP

S: Jumped into ceiling when door opened. Flared. Footy.

O: Removed fabric wrap and bandage. Noted a good amount of bloody strikethrough on bandage. Moist hematoma forming over wound site. Gently cleaned with dilute chlorhex- did not removed hematoma to get visual on the bone. Packed with a generous amount of duoderm + a small amount of manuka. Bandaged with telfa/tega. Replaced splint and secured with paper tape wrapped gently around carpus. Replaced fabric wrap. Gave meds PO. Did not remove any scraps from cage in case he wants to eat overnight. 
Clavamox: 0.38 Tablet (125 mg tablet) PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO

A: BAR. Mentation very good. The fact that this wound appears to be bleeding, helping to keep the exposed bone moist, makes me cautiously optimistic. I'd advise against removing any hematoma or scab formation over the wound. Our best chance of keeping the bone viable with be to continue hydrating that wound with BID bandage changes until the bird can go to Sx. 

P: CCP

2025-05-17 13:08 AE

S: Standing in cage flaring one wing.

O: Collected fecal. Collected blood from right medial metatarsal. Performed IOP study. Removed L figure 8 wrap and metacarpal bandage. Bandage soaked through. Cleaned L metacarpal wound w/ chlorohex and packed w/ duoderm gel. Covered w/ telfa/tegaderm. Placed L fabric wrap w/ metacarpal splint. Applied tail guard. Sprayed w/ Adams. Gave fluids and oral meds. Dropped 60g of chick.

LRS SQ: 19.20 cc (LRS) SQ
Clavamox: 0.38 Tablet (125 mg tablet) PO
Enrofloxacin (Baytril): 0.08 cc (100 mg/ml) PO
Meloxicam: 0.13 cc (1.5 mg/ml  compounded) PO
Tramadol: 0.15 cc (25 mg/ml  compounded ) PO
Pentoxifylline: 0.12 cc (50 mg/ml  compounded ) PO
Calcium Slurry: 0.58 cc (100 mg/ml) PO

A: Very guarded prognosis as bone that is exposed over L metacarpal wound is already becoming discolored. Will change bandage BID to keep as moist as possible. L fabric wrap w/ metacarpal splint should provide enough support to keep metacarpal stabilized.

P: BID bandage changes. Monitor L fabric wrap/carpal splint. End care if bone coloration worsens.

PCV/TP
Collection date2025-05-17 13:08:00
PCV41 %
TS2.8 g\dl
Serumslightly icteric

CBC
Collection date2025-05-17
WBC count19400
Corrected count17675
Hets/Neut67% - 11842
  Bands0+
  Toxics0+
Lymphs13% - 2297
Eos14% - 2474
Mono6% - 1060
Baso0% - 0
Thrombocytesadequate
PI1
HemoproteusNEG
Leukocytozoon2+
PlasmodiumNEG
Read byKS
Count slightly elevated

Eye exam
Exam date - 2025-05-17
Examiner - AE
RIGHTLEFT
PLRMenacePLRMenace
DNEDNEDNEDNE
Stain Stain 
DNE DNE 
Right eye:
Left eye:

2025-05-16 18:46 AE

Weight: 384.0 grams, BCS: 3.5
S: Standing in box. Falling to side and footing.

O: Checked vitals. Gave torb. Performed intake exam. Took rads. Cleaned L ventral metacarpal wound and tucked metacarpal bone back under hole. Packed wound w/ duoderm gel and covered w/ telfa/tegaderm. Applied L figure 8 wrap. Gave fluids and oral meds. Placed in cage in ICU.


------------- PHYSICAL EXAM FINDINGS ----------------
Mentation: BAR
Temp (F): 106.1
Dehydration (%): 3
Neurologic: WNL
Head/mouth/beak: Dried blood from R nare.
Ears: NSF
Eyes: See ocular exam
Wings: L compound metacarpal fx.
Legs: NSF
Feet: NSF
Body: Scab over R pectoral.
Ectoparasites: Flat flies
Radiographic findings: L metacarpus major & minor bones fractured. Pinnable.
Initial treatment: 0.08 cc Torb; 0.26cc Meloxicam; 0.08 cc Baytril, 1/4 tablet Clavamox; 0.58cc Calcium Slurry.

A: Patient suffering from L metacarpal fracture. Compound wound is present on ventral aspect of fracture site and bone of metacarpus major was exposed. Was able to get bone back under skin and packed with ointment. Guarded prognosis as bone was exposed for unknown amount of time and will need surgical repair asap. Patient is otherwise healthy and vital signs are all stable.

P: Rx meloxicam, Clavamox, baytril, tramadol, calcium slurry, pentoxifylline and fluids. Monitor L figure 8 wrap. SID bandage changes and pack metacarpal wound w/ duoderm gel. Surgery 5/19. Collect blood and fecal 5/17. Take IOPs 5/17. SF in AM, HF in PM if DNE starting 5/18.

Eye exam
Exam date - 2025-05-16
Examiner - AE
RIGHTLEFT
PLRMenacePLRMenace
++++
Stain Stain 
NEG NEG 
Right eye:
Left eye:
Retinal tear and debris.
Vitals
Date2025-05-16 18:46:00
Temp106.1 F