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Fracture - L Tibiotarsus| Radiographs and images | ||||||
 2025-05-18 |
 2025-05-18 |
 2025-05-19 |
 2025-05-19 |
 2025-05-20 |
 2025-05-20 |
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| 2025-05-20 18:07 MP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Sternal when door opened, trying to flop away O: Gave meds PO and on food pieces during HF. HF 30 g of rat. Clavamox: 0.66 Tablet (62.5 mg tablet) PO Meloxicam: 0.11 cc (1.5 mg/ml compounded) PO Tramadol Low Dose(5mg per kg): 0.07 cc (25mg/ml Compounded) PO Pentoxifylline: 0.09 cc (50 mg/ml compounded ) PO A: BAR. L leg rotates medially when bird tries to stand/walk and bird will sometimes trip over the L foot with the R. P: CCP
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| 2025-05-20 16:26 KS | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Updated medication doses based on a latest weight of 330.0 g
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| 2025-05-20 15:50 AD | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Laying sternal to the R, L leg splayed out. O: See surgery report for details. Placed IM pin in the L TBT and added splint to leg. Cleaned partial thickness wound on the dorsal aspect of the L patagium. A: Repaired L TBT fracture with IM pin, elected not to place cross pins/ESF tie-in due to bird being young and growing quickly. P: Monitor splint, change PRN or in 2d.
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| 2025-05-20 10:01 AD | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 330.0 grams, BCS: 1.0 S: Laying with splint leg out from body. O: Very warm to the touch, temp elevated. L foot swollen, loosened end of vet wrap splint but elected not to fully change as bird is getting surgery and this will be done under GA. No abnormalities felt in R carpus, minimal bruising noted on L humerus, scabbing present over dorsal L patagium. LRS SQ: 15.80 cc (LRS) SQ Clavamox: 0.63 Tablet (62.5 mg tablet) PO Enrofloxacin (Baytril): 0.06 cc (100 mg/ml) PO Meloxicam: 0.10 cc (1.5 mg/ml compounded) PO Tramadol Low Dose(5mg per kg): 0.06 cc (25mg/ml Compounded) PO Pentoxifylline: 0.09 cc (50 mg/ml compounded ) PO Calcium Slurry: 0.47 cc (100 mg/ml) PO Iron Dextran: 0.03 cc (100 mg/ml inj) IM Vitamin B Complex: 0.01 cc (100 mg/ml) IM A: Bird seems a little more responsive in hand today, maybe a little more stable, needs surgery ASAP. P: Surgery today.
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| 2025-05-19 17:24 fw | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Laying on top of food and towel nest. O: Grabbed from cage to administer PO meds. KS HF/FF 41 grams of rat while in hand. Clavamox: 0.63 Tablet (62.5 mg tablet) PO Meloxicam: 0.10 cc (1.5 mg/ml compounded) PO Tramadol Low Dose(5mg per kg): 0.06 cc (25mg/ml Compounded) PO Pentoxifylline: 0.09 cc (50 mg/ml compounded ) PO A: BAR. P: CCP.
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| 2025-05-19 15:00 fw | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Sitting on ground, leaning against cage door. O: Tried to HF while wearing camo but bird uninterested in food. Repositioned bird on towel nest. Dropped 41 grams of rat in cage while wearing camo. A: BAR. P: CCP.
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| 2025-05-19 13:21 fw | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2025-05-19 11:36 AD | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 330.0 grams, BCS: 1.0 S: Laying sternal, handler thought bird might be deceased. Feces in cage. O: Bird very quiet in hand, weak vocalizations. Mild crackles on auscultation of lungs. Splint in place on L leg, distal limb does not look swollen. No abnormalities felt in palpation of R carpus. Skin very dry and flaky, especially over the back. Partial thickness wound along the dorsal L patagium, cleaned area with chlorhex. Lesions/build up present inside mouth under tongue - most came away when swabbed area. Took x-rays with splint on to check alignment of fracture - L TBT fracture very displaced. Drew blood from the R medial metatarsal vein. LRS SQ: 15.80 cc (LRS) SQ Clavamox: 0.63 Tablet (62.5 mg tablet) PO Enrofloxacin (Baytril): 0.06 cc (100 mg/ml) PO Meloxicam: 0.10 cc (1.5 mg/ml compounded) PO Tramadol Low Dose(5mg per kg): 0.06 cc (25mg/ml Compounded) PO Pentoxifylline: 0.09 cc (50 mg/ml compounded ) PO Calcium Slurry: 0.47 cc (100 mg/ml) PO A: Surgery should be done ASAP due to patient being young and fracture being so displaced - concerned that bird may be not quite stable for surgery however. P: Plan for surgery today or tom.
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| 2025-05-18 19:46 AE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
S: Laying in donut and lethargic from drugs. O: HF 40g of rat in cage. A: QAR. Was really out of it from drugs that were given earlier. P: CCP
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| 2025-05-18 16:50 KK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Weight: 316.0 grams, BCS: 2.0 S: Hock sitting in transport box with L leg splayed out to the side. Struggled when picked up. Tried to vocalize but no sound came out. O: Gave 0.03cc torb IM for obvious leg fx. Performed intake exam and rads. Did not take rads after splinting due to declining mentation of patient and fact that was not able to reduce override to fx segments due to muscle contracture. ------------- PHYSICAL EXAM FINDINGS ---------------- Mentation: QAR Temp (F): 100.6 Dehydration (%): 6 Neurologic: NSF Head/mouth/beak: MM a bit dry and pale Ears: NSF Eyes: NSF Wings: Both carpus's a bit tight. Distal R radius feels more flexible than normal. Bruising to medial L humerus Legs: Fx to distal L TBT. Closed with bruising and swelling over fx site Feet: NSF Body: NSF Feather condition: Debris matted into abdomenal/chest feathers. Body still downy. Flight feathers just starting to unfurl. Ectoparasites: None seen Radiographic findings: Confirmed fx to distal L TBT. Break is relatively clean but fx segments are currently overridding. No abnormalities seen to distal R radius where extra flex is felt, but joints still not fully formed. Initial treatment: Gave 0.11cc meloxicam PO + 0.10cc pentox PO + 0.47cc Calcium Slurry PO + 11cc LRS SQ in R inguinal. Placed splint over L leg using layer of cast padding, followed by SAM splint, followed by vet-wrap. Placed in cage in CC room on low heating pad. A: Likely blown from nest in tornado. Sustained simple, closed fx to distal L TBT. Will require surgery due to overriding nature of segments, would likely not heal with just a splint. Appears to be enough of a distal bone segment to allow for surgical repair. Was not able to line up TBT segments better in splint due to muscle contracture. Splint mostly just serving to immobilize fx site, not provide good alignment. P: Vet check tomorrow. Surgery either tomorrow or next day depending on patient stability. Rx low dose tramadol BID. Rx meloxicam BID. Rx pentoxifylline BID. Rx Calcium Slurry SID. Rx Clavamox and baytril for surgical repair. Give SQ fluids SID. Collect blood and fecal tomorrow. Collect IOPs for study on Wednesday after has time to recover from surgery. HF BID, chopped rodent. Monitor splint but leave in place until surgery unless causing an issue.
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