Sonia M. Hernández-Divers, DVM, DACZM
SUMMARY
Birds remain as common pets. Most the patients visiting the wild animal practice are birds. Birds present with several medical urgencies. The practitioner must be familiar with the necessary equipment and the methodology to quickly/efficiently evaluate and treat birds. A summary of intensive care principles is presented herein, with particular emphasis to wild birds.
INTRODUCTION
Birds hide disease symptoms
Care takers/owners usually have limited contact with birds
Small size + high metabolic rate rapid deterioration
BE READY! BE READY! BE READY!
First, train the veterinarian, and the veterinarian staff education
Adequate equipment and facilities have them handy prior to accepting birds in the practice
CLINICAL CLASSIFICATION
Treatment of life-threatening conditions
ABC of urgencies or working plan
Detailed history
Examine housing/cages
Five-minute physical exam
Initial supportive therapy
PHYSICAL EXAMINATION of the Urgent Patient
Recognize shock
Shock treatment
Dehydration
Hemorrhage
Neurological dysfunction
This far, minimum diagnosis
Recognize stress
INTENSIVE CARE
Fluids and fluid additives
Improve blood pressure
Improve O2 supply
Remove damaging metabolites
Oxygen
Antimicrobials
Analgesics/anti-inflammatory drugs
Prevent/treat pain
Reduce inflammation
INTENSIVE CARE: additional treatments to be always kept in mind
Nutritional support
Key in patients with high metabolic rates
Mimic normal diet
OTHER CARE
Primary attention to wounds
Fracture stabilization
Cleaning
Anti parasite treatments
INTENSIVE CARE AND FOLLOW UP
Cardiopulmonary status
Temperature
Urination/Defecation
CCS/Chemical profiles
Clinical condition
COMMON URGENCIES--zoo/pet birds
Acute diseases
Trauma
New feathers
Mutilation
Toxicity
Convulsions
Feather removal
Wound care
Respiratory/cardiac arrest
Cardiomyopathy
Tracheal obstruction
Aspergillosis
Other pneumonias
Teflon toxicity
Supportive therapy
GI disease
Crop/GI stasis
Enteritis
Foreign body
Support
Quick diagnosis
Antimicrobials
Surgery
Reproductive diseases
Dystocia
Peritonitis
Supportive therapy
Ca supplementation
Keep warm and moistened
Surgery
Chronic systemic diseases
Infectious
Chlamydophila
Various viruses
Nutritional
Weakened patient
Emaciated patient
COMMON URGENCIES--wild birds
Trauma, trauma, trauma
Toxicity
Lead
Chelating agents
Organophosphates
Atropine 2-PAM, dehyphenhydramine, diazepam
· Infectious diseases
Aspergillosis
Botulism
Duck plague (DVE)
Fowl cholera (P. multocida)