Patient list | RaptorMed.com | Glossary of terms World Bird Sanctuary
25678 Problems Notes Costs
Admission date2025-12-06
Final date -
Days in captivity8
SpeciesRTHA - Red-Tailed Hawk
AgeAHY
SexF?
StatusReh
Band
Ectoparasite - Hippoboscid flies
Fecal Parasite - Capillaria
Fecal Parasite - Coccidia
Fecal Parasite - Fluke
Fecal Parasite - Roundworm
GI Stasis
Neurologic - Leg Paralysis/Spinal Trauma
Ocular - Retinitis, OS
Soft Tissue Trauma - Keel
Toxin - Lead

Cause of injury: Lead Toxicity

(Red) Lead

Found in Arnold,MO
Jefferson county
Here is a summary of this patient's treatments and expenses:

DescQtyCostSubtotal
Examination150.0050.00
Daily rate830.00240.00
Radiographs550.00250.00
Complete blood count145.0045.00
Packed cell volume220.0040.00
Blood lead280.00160.00
Fecal exam125.0025.00
Eye exam225.0050.00
Total  860.00

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

2025-12-06

2025-12-06

2025-12-06

2025-12-07

2025-12-07

2025-12-07

2025-12-07

2025-12-14
2025-12-14 11:34 AE
Leftovers: 47
S: Standing on perch flaring wings. Jumped away and footing.

O: Collected blood from R medial metatarsal. Checked respiration. Lungs sound clear and resp rate stable. Wound on R flank static and scabbed. Gave oral meds. Dropped 52g of rat. Retrieved 47g of scrap.

Albon 25mg kg(Sulfadimethoxine): 0.59 cc (50mg/ml) PO
Terbinafine: 0.52 cc (50 mg/ml compounded ) PO

A: Lead levels are low. Mentation is doing well, but bird DNE again.

P: CCP

PCV/TP
Collection date2025-12-14 11:34:00
PCV50 %
TS5.0 g\dl
Serumslightly icteric
Blood lead
Collection date2025-12-14
Level0.00 ug/dL
Vitals
Date2025-12-14 11:34:00
Resp24 bpm

2025-12-13 11:09 TL

Updated medication doses based on a latest weight of 1186.0 g

2025-12-13 10:43 NK
Weight: 1186.0 grams, BCS: 3.5, Leftovers: 35
S: Standing on perch. Flaring and footing.

O: Weighed and assessed body score. No abnormal lung sounds. Wound on R flank healing well. Administered oral meds. Collected 35 g of scrap.

Albon 25mg kg(Sulfadimethoxine): 0.62 cc (50mg/ml) PO
Fenbendazole (Panacur): 0.31 cc (100 mg/mL Suspension) PO
Terbinafine: 0.55 cc (50 mg/ml compounded ) PO

A: BAR. Not eating much, but still has good BCS. 22 g (3%) weight drop.

P: CCP.

Vitals
Date2025-12-13 10:43:00
Resp30 bpm

2025-12-12 09:48 AE

S: Flared, footy during catch
O: Caught for meds, respirations normal before and after catch. No food in crop, no regurge in cage. 1 small cast. Dropped42g mouse/venison
Albon 25mg kg(Sulfadimethoxine): 0.62 cc (50mg/ml) PO
Fenbendazole (Panacur): 0.31 cc (100 mg/mL Suspension) PO
Terbinafine: 0.55 cc (50 mg/ml compounded ) PO
Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO

A: BAR. Wound on flank healing well

P: Stop HF for 3 days to encourage self feeding (bird still at above average BCS). Discontinue TMS

2025-12-11 18:15 KS
Leftovers: 38
S: Flared, jumped to avoid catch
O: Caught for meds, DNE. HF 30g venison/rat
Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) SQ in 5cc Saline in right inguinal area
DMSA: 0.40 cc (100 mg/ml) PO

A: BAR
P: CCP

2025-12-11 09:12 AE
Weight: 1208.0 grams, BCS: 4.0, Leftovers: 0
S: Standing and flaring wings. Footing. Laying sternal when placed back before jumping back up.

O: Fluids absorbed over inguinals and abdomen. Gave 5cc saline w/ CaEDTA in L inguinal. Gave fluids in R inguinal. Listened to respiration, lung sound normal on all fields. Gave oral meds. Noted crop empty. Noted normal amount of feces in cage. Dropped 41g of rat/rabbit. No leftovers.

LRS SQ: 66.40 cc (LRS) SQ
Albon 25mg kg(Sulfadimethoxine): 0.62 cc (50mg/ml) PO
Fenbendazole (Panacur): 0.31 cc (100 mg/mL Suspension) PO
Terbinafine: 0.55 cc (50 mg/ml compounded ) PO
Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) IM
DMSA: 0.40 cc (100 mg/ml) PO

A: Patient's mentation has improved since intake. GI appears to be processing normally and crop was also empty. Respiration rate appeared at normal levels with clear lung sounds.
Weight change: +18 g (2 %)

P: CCP

Vitals
Date2025-12-11 09:12:00
Resp30 bpm

2025-12-10 17:48 KS
Leftovers: 57
S: Perched, very footy for catch
O: DNE, removed 57g scrap. Caught for meds and HF 32g rat/rabbit.
Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) IM
DMSA: 0.40 cc (100 mg/ml) PO

A: BAR
P: CCP

2025-12-10 08:39 AF
Leftovers: 44
S: kicking, flapping, biting for catch but quiet in hand

O:
Took respiratory rate
R flank wound scabbing well
Gave SQ fluids in R inguinal area, caEDTA SQ in 5 cc of fluids in left inguinal area, and PO meds
LRS SQ: 66.40 cc (LRS) SQ
Albon 25mg kg(Sulfadimethoxine): 0.62 cc (50mg/ml) PO
Fenbendazole (Panacur): 0.31 cc (100 mg/mL Suspension) PO
Terbinafine: 0.55 cc (50 mg/ml compounded ) PO
Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) IM
DMSA: 0.40 cc (100 mg/ml) PO

Collected 44 grams of scrap and dropped 62 grams of rabbit

A: BAR

P: CCP

Vitals
Date2025-12-10 08:39:00
Resp28 bpm

2025-12-09 17:33 NK

S: Standing on perch, flaring. Footy during catch. Calm in hand.

O: Crop processed food. Wound on R flank appears normal. Administered IM and oral meds. Lots of scrap in cage, left alone.

Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) IM
DMSA: 0.40 cc (100 mg/ml) PO

A: QAR. Not very responsive in hand. Not eating much.

P: CCP.

2025-12-09 09:27 AD
Weight: 1190.0 grams, BCS: 4.0, Leftovers: 31
S: On perch, flared and footy. 1 cast in cage. Only very small amount of feces in cage but bird did not eat yesterday.

O: Bird very QAR in hand. Small scab on R flank, very small amount of debris is vitreous OS under pectin, bird seems visual OU. Lungs clear on auscultation. Placed tail guard.
Food: SF 62g vent, rabbit, rat
LRS SQ: 66.40 cc (LRS) SQ
Albon 50mg kg(Sulfadimethoxine): 1.24 cc (50 mg/ml) PO
Fenbendazole (Panacur): 0.31 cc (100 mg/mL Suspension) PO
Terbinafine: 0.55 cc (50 mg/ml compounded ) PO
Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) IM
DMSA: 0.40 cc (100 mg/ml) PO

A: No significant abnormalities on exam aside from quiet mentation on hand likely secondary to lead toxicity. Bird not eating consistently on own. Bird likely does not need antibiotics, if the CBC is WNL will d/c TMS after 5 d course.

P: Monitor appetite, mentation.

Eye exam
Exam date - 2025-12-09
Examiner - AD
RIGHTLEFT
PLRMenacePLRMenace
+DNE+DNE
Stain Stain 
DNE DNE 
Right eye:
Left eye:

2025-12-08 19:20 KK

S: Flared and footed for catch. Lay sternal when returned to cage.

O: DNE but left scrap in cage in case wants to eat later. Gave meds.
Trimethoprim-Sulfamethoxazole: 1.03 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) SQ in 5cc sterile saline in R inguinal
DMSA: 0.40 cc (100 mg/ml) PO

A: BAR. Using legs well. Laying down when returned to cage appears normal for this bird.

P: CCP

2025-12-08 18:55 KK

Rx 5d panacur and 8d albon then recheck fecal

Fecal
Collection date2025-12-08
ResultsPOS for
Capillaria
Fluke
Roundworm
Coccidia

2025-12-08 16:24 TL

Updated medication doses based on a latest weight of 1239.0 g

2025-12-08 08:53 KK

S: Flared and footed through glove for catch. Lay sternal when put back.

O: Respirations sound forced with slight wet crackle on auscultation but can't be heard without stethoscope. Normal fecal output, vent clean. Wound on R flank thinly scabbed and mobile with skin. Crop empty. Fluids absorbed. Gave meds and fluids. Dropped 40g rab, venison. Moved to back room.
LRS SQ: 66.40 cc (LRS) SQ in R inguinal
Terbinafine: 0.58 cc (50 mg/ml compounded ) PO
Trimethoprim-Sulfamethoxazole: 1.10 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) SQ in 5cc sterile saline in L inguinal
DMSA: 0.40 cc (100 mg/ml) PO

A: Seems to be processing and absorbing fluids. Good leg use and fecal output. Lungs sound a bit harsh.

P: Upgrade catch level to red.

Vitals
Date2025-12-08 08:53:00
Resp45 bpm

2025-12-07 18:19 TL
Leftovers: 0
S: Standing in crate. Footy for catch.

O: Caught for oral meds. All AM fluids absorbed. No scraps. Noted bright orangeish red mute on mat, lots of regular mutes present also.
Trimethoprim-Sulfamethoxazole: 1.10 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) SQ in 5cc NaCl - R inguinal
DMSA: 0.40 cc (100 mg/ml) PO

A: BAR. Processing well, mentation improving.

P: CCP.

2025-12-07 09:15 TL
Weight: 1239.0 grams, BCS: 4.5
S: Standing in crate with both feet. Footy for catch. Plentiful fecal present. Laid sternal in crate when put back.

O: Collected fecal sample. Listened to respirations - NSF on auscultation. Stained OU - no uptake. Took quick rads for GI/crop - food is processing, GI appears much more clear than at admit. Food processed from crop and bird produced cast overnight. Absorbed all fluids. Cleaned wound on R flank with dilute chlorhex and applied small amount of DermaGel. Placed on ground in exam room - bird mostly laid sternal, opened mouth at handlers, was able to prompt them to grip reflexively on side of exam cart. Flaps when lufted. Gave SQ fluids and med, gave oral meds. Dropped 35g chick.
LRS SQ: 66.40 cc (LRS) SQ - R inguinal
Terbinafine: 0.58 cc (50 mg/ml compounded ) PO
Trimethoprim-Sulfamethoxazole: 1.10 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) SQ - L inguinal in 5cc NaCl
DMSA: 0.40 cc (100 mg/ml) PO
Weight change: -89 g (7 %)

A: QAR. Processing food fine. Subdued mentation may be attributed to lead toxicity and fear response. Using feet and legs well until stressed in hand.

P: CCP. Continue CaEDTA SQ administration if continuing to absorb fluids.

Vitals
Date2025-12-07 10:16:00
Pulse180 bpm
Resp36 bpm

2025-12-06 19:21 AE

S: Standing in back of crate.

O: Noted feces and urates in crate. No feces evacuated from vent. Gave IM/oral meds. Digested food in crop felt processed and empty.

Trimethoprim-Sulfamethoxazole: 1.10 cc (48 mg/ml) PO
CaEDTA: 0.23 cc (200 mg/ml inj) IM
DMSA: 0.40 cc (100 mg/ml) PO

A: Patient is currently using legs and crop appears to have processed along with bird able to defecate on its own. Mentation improved from intake.

P: CCP

2025-12-06 10:00 AE
Weight: 1328.0 grams, BCS: 4.5
S: Laying sternal in box.

O: Checked vitals. Performed intake exam. Took rads. Evacuated some feces from vent. Collected blood from R medial metatarsal. Cleaned small wound on R flank w/ chlorohex and applied Dermagel. Gave PO and SQ fluids. Placed in crate in ICU.


------------- PHYSICAL EXAM FINDINGS ----------------
Mentation: QAR
Temp (F): 106.2
Dehydration (%): 7
Heart rate: 120
Resp rate: 40
Neurologic: Quiet but aware.
Head/mouth/beak: Mouth tacky. Crop has liquidy mostly processed food.
Ears: NSF
Eyes: OS: Retinal tear along far lateral aspect from pectin
Wings: NSF
Legs: Not using legs to stand and only flexing toes. Deep pain response in both feet.
Feet: NSF
Body: Abdomen distended. Small wound scabbed on R flank, healing.
Ectoparasites: Flat flies
Radiographic findings: No fractures noted. Stomach is very full and GI tract is backed up.
Initial treatment: 30cc LRS PO; 43cc LRS SQ

A: Patient suffering from GI stasis with potential crop stasis brought on by lead poisoning. No fractures noted on x-rays. Patient also displaying some leg paralysis and not trying to stand on own. Will begin treating to try and evacuate/flush out system before giving more food. Will need to monitor crop to make sure that digested food gets processed as well.

P: Rx DMSA, CaEDTA, TMS, Terbinafine, oral and SQ fluids. Evacuate vent BID. Repeat lateral of GI and crop for processing. Hold off on food for a couple of days.

PCV/TP
Collection date2025-12-06 10:00:00
PCV41 %
TS3.8 g\dl
Serumclear
Blood lead
Collection date2025-12-06
Level21.40 ug/dL
CBC
Collection date2025-12-06
WBC count7800
Corrected count7106
Hets/Neut42% - 2984
  Bands0+
  Toxics0+
Lymphs43% - 3055
Eos4% - 284
Mono11% - 781
Baso0% - 0
Thrombocytesadequate
PI1
HemoproteusNEG
Leukocytozoon1+
PlasmodiumNEG
Read byAE
Count on the low end. Recheck at 1 week mark.
Eye exam
Exam date - 2025-12-06
Examiner - AE
RIGHTLEFT
PLRMenacePLRMenace
++++
Stain Stain 
NEG NEG 
Right eye:
NSF
Left eye:
Retinal tear on far lateral aspect from pectin.
Vitals
Date2025-12-06 12:49:00
Temp106.2 F
Pulse120 bpm
Resp40 bpm

Version 4.0.4 - 4.1.13 Sun Dec 14 16:02:43 2025