Article 

Gastrointestinal Disease in the Ferret

The ferret is a carnivore with a short, simple gastrointestinal tract and a relatively rapid gastrointestinal transit time. Diarrhea is the most common clinical sign in ferrets with gastrointestinal disease, with the exception of gastrointestinal foreign bodies where anorexia and weight loss are the primary presenting complaints.

Article  Presenting Problem 

Presenting problem: Respiratory Disease in Snakes

Respiratory tract disease is common in captive snakes. Pneumonia and/or tracheitis are typically caused by opportunistic Gram-negative bacterial infections that are allowed to take hold due to poor husbandry practices. Disease is often unapparent to the owner until the problem is quite advanced and open-mouth breathing is observed. This presenting problem article explores key points of urgent care as well as general principles of case management.

Article  Presenting Problem 

Presenting problem: Dysecdysis in Reptiles

Primarily a disease of captive reptiles, dysecdysis is sporadically seen in free-ranging reptiles. Among captive reptiles, difficult sheds are most common in those with a complete shedding cycle: snakes and some geckos such as the leopard gecko and African fat-tailed gecko. Some skinks with relatively tiny digits, are prone to retaining shed skin on the digits.

Article 

Diseases of the Rabbit Respiratory Tract

Rhinitis or sinusitis, sometimes called “snuffles” in laymen’s terms, is usually characterized by unilateral or bilateral, mucopurulent nasal discharge, sneezing, and congestion. A subtle sign of upper respiratory tract disease can be discharge matted on the paws or the medial aspect of the forelimbs. Discharge may collect here as the rabbit fastidiously cleans its face with its forepaws. In the early stages of disease, discharge may not be evident on the nose or even on the paws, however close examination of…

Article 

Assessing the Sick Ferret

The average small animal veterinarian may easily become comfortable with ferrets. Ferrets are hardy and relatively stoic, and as members of the order Carnivora, ferrets are predator species that approach the world in a manner similar to cats and dogs. A relatively small number of medical problems are seen very commonly in ferrets. Careful study of these conditions and attention to the unique aspects of ferret anatomy and behavior will prepare the veterinarian for basic emergency care of the ferret.

Article 

Assessing the Sick Snake

Snake behavior will vary with the species, however the normal snake tends to be alert, responsive, and curious. Frequent tongue flicking is a sensory gathering behavior used to deliver scents to the vomeronasal organ. The normal snake is generally active, often coiling or twining its body. This is particularly true for smaller species. Signs of aggression in the snake may include…

Article 

Feeding the Hospitalized Turtle or Tortoise

Turtles and tortoises display a variety of dietary strategies ranging from the complete herbivory seen in many tortoises to the strict carnivory displayed in aquatic species like the snapping turtle. There are also many chelonians, such as the Eastern box turtle, that may be considered opportunistic omnivores. This review article, critiqued by reptile nutritionist, Susan Donoghue, discusses clinical concerns related to feeding the hospitalized turtle or tortoise. Topics covered range from recognizing true anorexia to food items to avoid. Practical technical concerns related to nutritional support such as tube feeding and daily caloric requirements are also discussed.

Article 

Abdominocentesis in Birds

Abdominocentesis or coelomocentesis may be indicated for the accumulation of fluid within one or more of the peritoneal cavities. Peritoneal fluid can accumulate with a variety of diseases, including chronic liver disease, amyloidosis in waterfowl, iron storage disease in mynah birds and toucans, coelomic tumors in budgerigar parakeets, viral infections like Marek’s disease (resulting in cardiac tumors), peritonitis, congestive heart failure, ovarian cysts, and trauma. This article reviews the potential complications of this clinical technique, the equipment needed, sample handling, and cytodiagnosis.

Article  Presenting Problem 

Presenting problem: Diarrhea in Chelonians

If you see reptiles in your clinical practice, you will encounter diarrhea in tortoises, and less commonly turtles. This paper describes the basics of case management beginning with anamnesis, continuing with information on the examination, tests and potential treatments and concluding with client education.

Article  Presenting Problem 

Presenting problem: Beak Trauma

Beak trauma is a common problem in the companion parrot. Beak injury most often occurs secondary to bird bites and other forms of aggression. Other potential causes include damage from inappropriate caging or toys and iatrogenic damage during…

Article  Presenting Problem  Quiz 

Presenting problem: Cardiac Dysrhythmia in the Ferret

Have you ausculted an arrhythmia in a ferret. Now what? Cardiac dysrhythmias can encompass a wide range of clinical syndromes that vary in significance and signs.

Do you consider ferret arrhythmias a cinch? Take our quiz to confirm you’re ready to auscult in a pinch!

Article  Presenting Problem 

Presenting problem: Dyspnea in Rats

Unfortunately respiratory disease is common in pet rats. Although most cases of respiratory disease in the rat are multifactorial, the most significant and serious bacterial pathogen is Mycoplasma pulmonis. Institute medical therapy as soon as possible in rats with respiratory disease since this improves…

Article  Presenting Problem 

Presenting problem: Urethral Obstruction in the Ferret

Urethral obstruction is an important reason for emergency presentation of the male ferret. If not corrected, obstruction can result in severe metabolic disturbances, coma, and death.

Signs of complete urethral obstruction are usually not very subtle. Ferrets may strain violently or cry when attempting to urinate. Owners may misinterpret the straining observed as “constipation”, and tenesmus may even lead to diarrhea in some cases. Occasionally, a ferret with blockage will present for lethargy, weakness, anorexia, and even collapse without obvious signs of dysuria although the urinary bladder will be…

Article 

Pain Management in Small Mammals

This brief article was created to serve as a synopsis of LafeberVet’s longer, more detailed “Analgesia in Small Mammals” authored by veterinary anesthesiologist, Dr. Paul Flecknell.

Article 

Feeding the Hospitalized Lizard

Fasting may be expected in lizards during certain times of the year. Many gravid females eat less or go off feed entirely due to the large number of eggs filling the coelom. Some species also fast for weeks or months as an adaptation to excess heat or cold, drought, or lack of food. This dormancy in reptiles is called…

Article  Presenting Problem 

Presenting problem: Shelled Egg Palpable

Detecting a shelled egg on physical examination is not necessarily a problem—birds lay eggs everyday! However palpation of a shelled egg is an important clinical finding that can be associated with dystocia. The egg is shelled in a distal part of the oviduct called the uterus or shell gland. Therefore a shelled egg would normally be palpable in either the…

Article 

Gastrointestinal Problems in Rabbits

Gastrointestinal problems are common in the pet rabbit. A thorough history, including a detailed dietary history, can provide invaluable clues to the problem at hand. Signs of gastrointestinal discomfort in the rabbit may include bruxism, reluctance to move, and anorexia. If there is a history of anorexia, it is imperative to differentiate whether the rabbit is not eating because it has no interest in food, or if it is showing an interest in food but unable to eat. A complete lack of appetite is most commonly seen with physiological problems such as renal failure, whereas a reluctance to eat is a classic presentation in rabbits with dental disease.

Article 

Supportive Care for Birds: The Basics

Exotic animal practice is challenging! To approach any exotic animal patient requires a balancing act between the principles of “One Medicine-One Health” and species-specific information. The basic principles of avian medicine are the same as for a human being or a horse or a cat or a dog, and in many instances, veterinary care of birds may be extrapolated from basic medical principles. However this approach can only take one so far and these basic principles must be weighed against species-specific information.

Article  Presenting Problem 

Presenting problem: Burns in Snakes and Lizards

Thermal burns are a common injury in snakes and lizards. Companion snakes and lizards may come in contact with poorly protected heat sources or old “hot rocks” that short circuit. Even free-ranging reptiles may be at risk for thermal injuries during grass or forest fires. This presenting problem article “Burns in Snakes and Lizards”, explores a basic understanding of burns in reptiles, then moves onto key points of urgent care as well as general aspects of case management, including patient history, physical examination, differential diagnoses, diagnostics, therapy, and finally prognosis.

Article  Presenting Problem 

Presenting problem: Anorexia in Birds

Anorexia may be the only indication of poor health in the critically ill bird and by the time other clinical signs are apparent disease may be quite advanced. This means that all reports of poor appetite in the avian patient must be taken very seriously.

Article  Presenting Problem 

Presenting problem: Fever of Unknown Origin in the Ferret

Disseminated idiopathic myofasciitis (DIM) is a severe inflammatory disease that primarily affects skeletal, smooth, and cardiac muscles as well as surrounding connective tissues. This recently identified disease typically affects young ferrets, less than 18 months of age. The cause of DIM is unknown, but this condition is suspected to be an acquired immune-mediated disease. The onset of DIM is usually acute to subacute, followed by a rapid decline over 12-36 hours. The most prominent clinical signs include a high fever ranging from…

Article  Presenting Problem 

Presenting problem: Diarrhea in Birds

Diarrhea may be defined as any change in the consistency or formation of the fecal portion of the dropping. Diarrhea is a common clinical presentation in birds, but it is important to differentiate true diarrhea from changes in other components of the droppings…

Article  Presenting Problem 

Presenting problem: Dyspnea in Rabbits

It is critical to approach the dyspneic rabbit quietly, carefully, and gently. Many rabbits with respiratory disease are unstable upon presentation, given the stress of their condition compounded by the stress of transport and the strange smells, sights and sounds of the veterinary clinic. In many cases, it is prudent to delay handling the patient. Transfer the rabbit to…

Article  Presenting Problem 

Presenting problem: Upper Respiratory Signs in the Ferret

Clinical signs of upper respiratory tract disease in the ferret can include congestion, sneezing, oculonasal discharge, and non-specific signs of illness, such as reduced appetite, lethargy, and weight loss. If disease extends lower into the respiratory tract, cough, tachypnea, and…

Article  Presenting Problem 

Presenting problem: Upper Respiratory Signs in the Bird

Rhinitis or sinusitis in the bird can include a host of clinical signs including congestion, sneezing, oculonasal discharge, exophthalmos, as well as non-specific signs of illness such as reduced appetite, lethargy, and weight loss. If disease extends lower into the lower respiratory tract, cough, tachypnea, and…

Article 

Fluid Administration in Reptiles

The basic principles of fluid therapy are the same in the reptile as seen in birds and mammals, however reptile anatomy and physiology make some features of this crucial supportive care procedure unique. This article reviews fluid resuscitation with the use of crystalloid fluids and colloids, indications for replacement fluids including signs of dehydration and osmolarity values reported in reptiles. Routes of fluid administration in reptiles are described include subcutaneous, oral, soaking, intracoelomic, intraosseous, and intravenous via the cephalic vein, jugular vein, and in rare instances intracardiac catheter placement. Patient monitoring, including blood pressure measurement and signs of overhydration, are also explored.

Article  Presenting Problem 

Presenting problem: Vaccine Reaction in Ferrets

Pet ferrets are routinely vaccinated against canine distemper virus and rabies virus. Anecdotally, hypersensitivity reactions to vaccines are common in the ferret, and can potentially be fatal.

Article  Presenting Problem 

Presenting problem: Voice Change in Birds

Change in bird song or loss of voice can be valuable diagnostic clues. When a bird is presented for a change in or loss of voice, this will localize lesions to the…

Article  Presenting Problem 

Presenting problem: Neurologic Deficits in Ferrets

Unfortunately, neurologic disease is a common presenting problem in the ferret. Neurologic deficits may include an altered level of consciousness, paresis, ataxia, or even pelvic limb paralysis or collapse.

Article 

Emergency Equipment Checklist for Avian Practice

When planning to accept avian patients, prepare yourself and your staff, prepare your hospital including hospital caging and exam rooms, and consider the equipment necessary for proper care…

Article 

Crop Stasis in Birds

The crop or ingluvies is a diverticulum of the esophagus present in many but not all, bird species. The crop serves as a food storage organ, regulating the flow of food through the gastrointestinal tract. Food within the crop is also softened by mucus glands. Crop stasis is a common clinical sign in which the crop fails to empty in a timely manner…

Article 

Crop Wash in Birds

Crop wash, also known as crop lavage or crop infusion, is indicated in patients with a history of persistent regurgitation unrelated to sexual behavior, crop stasis, crop impaction, or palpable abnormalities of the crop.

Article 

Fluid Administration in Amphibians

Most amphibians do not drink water. Fluid instead diffuses across semipermeable skin, and sometimes gills, directly from water or moist substrates. Excess fluid is excreted primarily by the kidneys, while conserving electrolyte levels. In some amphibians, skin is also involved in osmoregulation and respiration.

Article 

Heavy Metal Poisoning in Birds

Heavy metal poisoning in birds most commonly occurs from the ingestion of substances containing lead, or less commonly zinc.

Lead

Acute heavy metal toxicity is occasionally seen in companion parrots that ingest or chew on objects containing metal because of their curious nature and innate desire to forage. Chronic lead poisoning most frequently affects free-ranging wildlife, such as ducks, geese, swans, and loons. Lead toxicity also occasionally occurs in upland game birds, such as mourning doves, wild turkey, pheasants and quail. Lead poisoning has also been reported in raptors from the ingestion of lead-contaminated prey. Bald eagles have repeatedly been shown to be more sensitive to lead toxicity than other wild avian species, including red-tailed hawks, swans, and turkey vultures .

Article 

Spinal Injuries in Birds

Traumatic injury is the most common reason for admission of wild birds to rehabilitation centers. Spinal injuries in birds are particularly problematic, as they are incredibly difficult to diagnose, localize, and manage.

Unique anatomic features of the avian spine…

Article 

Top Ten Fluid Therapy Facts

Water is the single most important medium for sustaining life. Although there are unique considerations for avian, exotic companion mammal, and reptile patients, the basic principles of fluid therapy hold true for all animals. This brief article reviews 10 important facts related to water and organ homeostasis.

Article 

Understanding Shock: Ten Important Facts

Rewarming is an important part of the resuscitation plan for small patients. As body temperature falls, adrenergic receptors are theorized to become refractory to catecholamine release. Therefore active rewarming is indicated for patients with moderate to severe hypothermia. Use forced warm air blankets, incubators, circulating warm water blankets, and/or…

Article 

Wound Management in Exotic Animals

Traumatic wounds are frequently seen in exotic animals, and are particularly common in wildlife patients. Appropriate wound management of wounds has significant impact on healing time and success.

Article  Presenting Problem 

Presenting problem: Regurgitation in Birds

Regurgitation is a non-specific clinical sign, and it is not pathognomonic for any specific problem. Regurgitation can indicate a problem anywhere along the gastrointestinal tract or it may occur secondary to crop stasis caused by systemic illness.

Article  Presenting Problem 

Presenting problem: Pallor and Anemia in the Ferret

Although the medical approach to anemia is the same as in dogs & cats, some red cell parameters and some differentials differ in the ferret.

The ferret with moderate to severe anemia will exhibit pallor of the mucous membranes, nasal planum and skin. If a clotting disorder exists, petechial, ecchymotic and purpural hemorrhages can also be observed. The owner may complain of lethargy and reduced activity.

Article 

Temporary Tracheostomy Kits

In no way, should the reader believe the use of tracheostomy tubes is common in exotic companion mammals like the guinea pig. This technique is exceedingly rare. However given the frequent lack of airway control and the particular concerns when anesthetizing guinea pigs, those concerned with emergency and critical care should be aware of this technique as a “back up” option. In most instances, use of this surgical approach would mean that the clinician has failed to exercise foresight and planning for their patient’s airway control. Nevertheless anyone who sees rodents, particularly on an emergency basis, should consider compiling a tracheostomy kit and practicing this technique on cadavers.

Article  Presenting Problem 

Presenting problem: Bite Wounds

Bite wounds are not confined to small animal practice. Bite wounds are a common and significant problem in clinical practice, and LafeberVet’s presenting problem article features urgent care tips for this universal problem of veterinary patients. The incidence of bite wounds increases with a history of exposure to the outdoors or to other animals. The owner may even report a fight or interaction that results in a bite wound.

Article 

How to Verify Life (and Death) in Reptiles

Nowhere is the mystery of life and death more apparent than when dealing with reptiles.

Detecting the reptile heart rate: Even in the active, healthy reptile the stethoscope is generally a useless piece of equipment. The presence of scales or the shell makes auscultation of the heart difficult, if not impossible, in many instances. Therefore ancillary testing such as ultrasonography or electrocardiography is required.

Article  Quiz 

Assessing the Sick Frog or Toad

So a frog hops into your exam room…
Know just enough amphibian medicine to feel dangerous? Read Assessing the Sick Frog or Toad for practical information that will help you–and your patient–in the exam room.

Always happy to see frog and toad patients? ‘Hop to’ our brief quiz!

Article  Presenting Problem 

Heatstroke in Exotic Companion Mammals

Heatstroke is the most severe form of heat-related illnesses. In this life-threatening condition, the body is unable to dissipate heat load at a rate that accommodates excessive heat levels.

Begin treatment immediately once heatstroke is suspected. Intensive care is aimed at reducing body temperature while supporting organ function. A variety of techniques can be used to lower core body temperature. Administration of intravenous or intraosseous fluids is a popular internal cooling technique that also serves to support organ function…

Article 

Vascular Cutdown Techniques

Among exotic animals, venous cutdown is most commonly employed in reptiles like lizards and snakes although intraosseous catheters are also placed in lizards. Similarly, when an exotic companion mammal like a ferret or rabbit suffers from severe hypovolemia, dehydration, hypotension, and vascular collapse, intraosseous catheters have largely replaced venous cutdowns but this technique is occasionally employed.

Article 

Reproductive Disease in Reptiles: Twelve Key Facts

Common reproductive conditions of the reptile include prolapse of the cloaca, oviduct or copulatory organ, yolk coelomitis, dystocia or egg binding, as well as follicular stasis. This review article on twelve key facts explores clinically relevant anatomy and physiology and appropriate husbandry as well as key points of urgent care and general principles of case management.

Article  Presenting Problem 

Presenting problem: Prolapse in Reptiles

Prolapse in reptiles can involve the cloaca, a common receiving chamber for the reproductive, urinary, and gastrointestinal tracts. Prolapses can also originate from the distal gastrointestinal tract, reproductive organ, or urinary bladder—in those species with a bladder like the green iguana and leopard gecko…

Article 

Veterinary Answers

Learn more about the veterinary telemedicine service: VETERINARY ANSWERS.

Article  Presenting Problem 

Presenting problem: Paresis, Paralysis, and Tremors in Sugar Gliders

The sugar glider is a small, nocturnal marsupial native to New Guinea and Australia. Sugar gliders are omnivores that eat arthropods and plant products, such as eucalyptus phloem sap, manna, honeydew, nectar, and pollen in the wild. Although there is little medical information available on sugar gliders in captivity, nutritional secondary hyperparathyroidism or metabolic bone disease is recognized as a common problem in this species.

Article  Presenting Problem 

Presenting problem: Retained Spectacles in Reptiles

Like other shedding problems, retained spectacles or “eye caps” are a sign of an underlying problem related to patient health or husbandry. If retained spectacles are not removed, they can interfere with vision, damage the eye, and/or serve as a source of infection

Article 

Nebulization of Avian Patients

Nebulization is used in avian medicine to deliver certain medications, usually antibiotics or antifungals, directly to the respiratory tract. Nebulization can provide hydration to the mucous membranes as well as provide an expectorant effect to help clear debris from the respiratory tract.

Article  Presenting Problem 

Presenting problem: Shell Fractures in Chelonians

Shell fractures are one of the more common presentations of turtles and tortoises to the private exotic animal practitioner. Shell fractures are frequently caused by vehicular trauma, lawn mowers, predation by dogs and raccoons, or drops from balconies or porches. This presenting problem article reviews the key points of urgent care for this traumatic injury as well as the principles of case management.

Client Education Handout 

Do’s and Don’ts of Avian First Aid

First aid is the initial treatment given to an injured or ill bird during an emergency. The goal of first aid is to stabilize the bird until veterinary medical care can be provided. Donated by Dr. Greg Burkett, this client educational handout helps owners prepare for emergencies. Topics covered include the creation of a home hospital cage, stocking a first aid kit, the basics of owner supportive care as well as specific advice for emergencies like bite wounds, bleeding, and head trauma.

Article 

Exotic ICU: Nursing Care for Reptiles

Due to their unique anatomy, physiology, and behavior, critically ill reptiles pose special challenges. Fortunately there are a host of tips and tricks that can increase clinical success in an intensive care setting… This Exotic ICU article is part of a series exploring nursing care of special species.

Article  Presenting Problem 

Presenting problem: Aural Abscess in Turtles

The turtle ear is a simple structure that sits caudoventral to the eye covered by a large scale called the tympanic scute. As in many reptiles, the external ear is absent in chelonians. The tympanic membrane sits flush against the skin just underneath the tympanic scute. There is one ossicle, the columella, which crosses the large tympanic cavity to insert medially on the oval window of the cochlea. A narrow Eustachian tube connects the middle ear to the oropharynx.

Aural abscesses are well-encapsulated, caseous plugs that slowly develop until it fills the tympanic cavity. The cause of aural abscessation is not completely understood…

Article 

The Snapping Turtle – Tips for the Practitioner

At the Ontario Turtle Conservation Centre, previously the Kawartha Turtle Trauma Centre, we encourage private practices, emergency clinics, and rehabilitation centers to aid in the initial treatment of these injured turtles. We admit turtles from across the province, and it is extremely beneficial to the turtle to get immediate care locally before transfer. Snapping turtles are incredible in their ability to heal (albeit slowly!) and we cannot stress enough that the injuries can appear horrific, and yet can go on to heal, with subsequent release of the turtle back into the wild…

Article  Video 

Catheters in Reptiles

Fluid therapy is an important part of supportive care, and there are several routes available for fluid support in the reptile. Subcutaneous and/or oral fluids are appropriate for mild to moderate dehydration, while intracoelomic, intravenous, or intraosseous fluids are administered to critically ill reptiles or to patients with moderate to severe dehydration.

Article  Presenting Problem 

Presenting problem: Stomatitis in Reptiles

Stomatitis, also known as “mouth rot”, ulcerative stomatitis, necrotic stomatitis, and/or periodontal disease is a common problem in snakes and lizards. Stomatitis is less common in chelonians and crocodilians, and often presents as a stomatitis-rhinitis complex in tortoises. This presenting problem article explores the pertinent anatomy involved, key points of urgent care, as well as tips for case management.

Form-Questionnaire 

Procedure Equipment Checklists

Do you have everything? Shared by registered veterinary technician and veterinary technician specialist, Jill Murray of Oklahoma State University, review our collection of procedure equipment checklists. Checklists are used in clinical practice to make preparation for procedures more efficient and more consistent, thereby improving the quality of care. Use these equipment checklists to train students and staff, or simply to jog your memory for procedures performed only sporadically.

Article  Video 

Esophagostomy Tube Placement in the Ferret

Esophagostomy tube placement is an excellent choice for nutritional support of the debilitated small mammal patient requiring long-term feeding or for individuals that have suffered major orofacial trauma. Use this video clip or text with still images to review this important technique in the ferret.

Article  Presenting Problem 

Presenting problem: Anticoagulant Rodenticide Toxicosis in Free-Living Birds of Prey

Why is this bird bleeding? Anticoagulant rodenticide exposure in birds of prey has been documented in the United States, Canada, and Europe. Anticoagulant rodenticides have been commonly used over the past decades for control of rodent populations and these rodenticides can cause toxicosis in birds of prey via consumption of poisoned prey.

Anticoagulant rodenticides are divided into two categories: first generation rodenticides like warfarin and second generation rodenticides, such as brodifacoum. Second generation anticoagulant rodenticides are more toxic and also have…

Article 

Laboratory Assessment of the Bleeding Exotic Animal Patient

Hemorrhage in the critical patient can occur from a number of reasons. Before a blood sample is collected, carefully weigh the risk to the exotic animal patient against the clinical value of the test results. What will you do with this information? How will it affect your clinical plan? EDTA is the most commonly used anticoagulant in small mammals; lithium heparin is commonly used in birds and reptiles. Whenever possible, make a blood film immediately after venipuncture using fresh blood free of anticoagulant. Most adult small mammal hematocrits range from…

Article  Video 

Intravenous Catheter Placement in Small Mammals

Intravenous catheters are commonly placed in ferrets and rabbits to administer fluids and medications, induce anesthesia, and for delivery of analgesic drugs during and after surgery. Intravenous catheters are also placed with growing frequency in chinchillas, guinea pigs and other small exotic companion mammals. Use this video clip or text with still images to review patient selection, potential complications, equipment needed and step-by-step instructions for this technique, as well as daily fluid requirements, catheter maintenance, and patient monitoring.

Article  Video 

Nasogastric Tube Placement in the Rabbit

Nasogastric tube placement in the rabbit is an excellent choice for the weak, dehydrated patient that requires enteral nutritional support. Use of a nasogastric tube can be less stressful and more successful than syringe feeding. Nasogastric intubation is also indicated in rabbits that will undergo surgery involving the oral cavity, esophagus, stomach, or biliary tract. Use this video clip or text with still images to review contraindications and potential complications, equipment needed as well as the technique involved.

Article  Presenting Problem 

Presenting problem: Crop Burn in Birds

Crop burns are commonly caused by thermal injury in young birds and, in rare instances, by ingestion of caustic chemicals in adult birds. Crop burn is generally caused by feeding formula that is too hot (>110ºF or 43.3ºC) or less commonly, contact with a heat lamp or heating pad. Damage typically occurs in the gravity dependent right ventral region of the crop where the weight of the food bolus presses heated material against the skin. This increased thermal exposure can lead to necrosis of the crop wall and skin forming a fistula that can leak food.

Article  Presenting Problem 

Presenting problem: Trauma in Ferrets

Ferrets are small, flexible, mischievous, and curious. This combination means that traumatic injury is a common problem, particularly when owners do not supervise their pets or “ferret proof” their living quarters. For instance, reclining chairs have been implicated in the injury and even death of many ferrets. Ferrets may also be accidentally stepped on or become trapped within a confined space. Trauma can result in a constellation of injuries that may affect the head, thorax, abdomen, spine, and limbs.

Article  Video 

Endotracheal Intubation in the Rabbit

Endotracheal intubation of the rabbit is challenging because it difficult to directly visualize the tracheal opening in all but the largest individuals. Rabbits have a long, narrow oral cavity and the larynx, which sits on a ventral slope, is prone to spasm.

Use this video clip or text with still images to review equipment needed, potential complications as well as the techniques involved for blind intubation and intubation using visualization.

Article 

Intravenous Catheter Placement in Rabbits

Intravenous catheters are commonly placed in rabbits to administer fluids, medications, induce anesthesia, and for delivery of analgesic drugs during the perioperative and postoperative periods. Catheterization techniques used in dogs and cats can also be used for rabbits. To reduce the time in handling and reduce stress, supplies needed for catheterization should be set out and ready to go, prior to removing the patient from the cage.

Article 

Thoracocentesis in Ferrets

Exotic animal care is frequently a balancing act between concepts true for all medicine and species-specific information. Management of pleural effusion in the ferret relies on the same tests and treatments used in dogs and cats, including chest taps when indicated.

Article  Presenting Problem 

Presenting problem: The Fluffed and Ruffled Bird

A relaxed, comfortable bird may briefly fluff out its feathers before its plumage again appears flat and sleek. The critically ill bird may exhibit persistently fluffed and ruffled plumage…

Article  Presenting Problem 

Presenting problem: Cloacal Prolapse in Birds

Cloacal prolapse is a serious and potentially life-threatening problem. Prolapses can originate from the cloaca, oviduct or intestinal tract. The cloaca normally prolapses during egg laying or oviposition, and normal retraction of the cloaca may be slowed or absent in an obese hen or one with hypocalcemia. Excessive abdominal contractions caused by an abnormal egg, dystocia, cloacal disease, gastrointestinal disease or chronic mastubatory behavior can also promote prolapse.

Article  Presenting Problem  Video 

Presenting problem: Hemorrhage in Birds

When a bird is presented for bleeding as with a broken blood feather, it is important to distinguish between frank hemorrhage and blood on the cage or bird without active bleeding. This brief presenting problem article on hemorrhage in birds reviews the key points of urgent care: Hemorrhage that has stopped is best left undisturbed initially, while active bleeding requires immediate intervention by applying firm, steady pressure.

Article  Presenting Problem  Video 

Presenting problem: Broken Blood Feather

Why is a broken blood feather an emergency? When the blood feather breaks, the feather shaft acts like a straw making the vessels bleed much longer than they would otherwise due to capillary action. The degree of blood loss can be significant, particularly in small birds. Use this video clip or article with still images to review the basic structure of the blood feather, key points of urgent care as well as follow-up care.

Article  Video 

Intravenous Catheter Placement in the Bird

Fluid therapy is a vital part of avian medicine, and appropriate administration of fluids is essential. Intravenous catheters are commonly used intraoperatively or in more stable hospitalized patients. Unfortunately intravenous catheter placement in birds can be challenging. The veins can be difficult to access and the vessels are also prone to hematoma formation.

Use this video clip or text with still images to review the equipment needed, the technique involved, and potential venipuncture sites including the jugular vein, medial metatarsal vein and basilic or ulnar vein.

Article  Video 

Syringe Feeding the Ferret

Loss of appetite is a common finding in the sick ferret and nutritional support is often required. Ferrets with insulinoma may also require regular assist feedings to help maintain normal blood glucose levels. Fortunately syringe feeding the ferrets is a relatively straightforward process. The short, simple gut of the ferret has only a limited ability to absorb nutrients. So even healthy ferrets require a highly digestible diet. Use this video or article to review the equipment needed and the technique involved.

Article  Video 

Syringe Feeding Herbivorous Small Mammals

Mild to moderately ill exotic companion mammals are often syringe fed, and proper syringe-feeding technique is an essential skill for critical care nutrition of ferrets, rabbits, and rodents. Gastrointestinal stasis is one of the most common medical problems seen in small herbivores. A cornerstone of treatment is delivery of food containing high dietary fiber. Aggressive fluid therapy, often in the form of oral and subcutaneous fluids, is also crucial for successful management. Always address dehydration before beginning nutritional support. Get specific tips to improve your clinical success with this video clip or read the article with still images.

Article  Video 

Urethral Catheterization in Male Ferrets

Urethral catheterization of the male ferret is challenging due to the animal’s small size and J-shaped os penis, however the principles of catheterization as well as monitoring during catheter placement are essentially the same as in the domestic cat. Use this video or the article with still images to review equipment needed, potential complications and the steps involved in this critical care technique.

Article  Video 

Subcutaneous Fluids in Birds

The subcutaneous route is the most common method of fluid administration in the avian patient. Subcutaneous fluids are an excellent way to provide maintenance fluids or to correct mild dehydration in birds. This video clip and article with still images describe the equipment needed and the technique involved in this supportive care procedure.

Fluids are most commonly given in the inguinal space (crural patagium). With the bird secured by an assistant, have them extend one of the bird’s legs out and to one side. Wet down the area on the inner thigh to see the skin better at a point about halfway between…

Article  Video 

Intraosseous Catheter Placement in the Bird

Fluid therapy is indicated in critical patients including exotic animals. Vascular access can be extremely difficult or even impossible during shock, making intraosseous or IO catheterization necessary in the bird. Fortunately fluids and medications given through IO catheters are immediately taken up into the vasculature. The distal ulna is the site of choice for intraosseous catheter placement in the bird.

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Intraosseous Catheter Placement in Small Mammals

Fluid therapy is an important part of supportive care in the critical patient. When intravenous catheter placement fails or when veins are too small or too fragile, an intraosseous or IO catheter is an excellent option in exotic companion mammals. Use this video or text with still images to review equipment needed, potential complications, as well as the technique for intraosseous catheter placement in small mammals.

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Tube Feeding Birds

Tube feeding, also known as gavage feeding, is an essential part of avian supportive care. Sick birds are often presented with a history of anorexia and glycogen stores may be depleted within hours in small species with relatively high metabolic rates. Another important indication for gavage feeding is a documented drop in body weight of 5% to 10%.

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EmerAid Omnivore and the EmerAid Critical Care System: Hand and Gavage Feeding

Emeraid Omnivore can be hand fed or gavage fed to companion birds like parrots and songbirds and to omnivorous rodents like rats and mice. Emeraid Omnivore may be fed in combination with Emeraid Herbivore, to species like gerbils, hamsters, and the African pygmy hedgehog (Atelerix albiventris). Combinations of Emeraid Omnivore with Emeraid Carnivore can be used to meet the dietary requirements of these species…

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Nutritional Support in Reptiles

Nutritional support is indicated in reptiles with a 10% drop in body weight, and force-feeding is sometimes indicated with a history of anorexia. Interpretation of anorexia can be difficult in some reptiles, particularly snakes and chelonians. Never rush to feed a reptile. The patient must first be warm, housed at its preferred optimal temperature zone, and must be adequately hydrated.

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Cardiac Disease in Ferrets

Cardiac disease is common in middle-aged and older domestic ferrets. Dilated cardiomyopathy is the most common heart disorder in older ferrets, however hypertrophic cardiomyopathy and valve conditions also occur in the ferret. Clinical signs range from asymptomatic disease to fulminate heart failure with problems such as anorexia, weakness, and dyspnea.

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Respiratory Disease in Rats

One of the more common illnesses in rats is respiratory disease. Although most cases of respiratory disease in the rat are multifactorial, the most significant and serious bacterial pathogen is Mycoplasma pulmonis…

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Cardiopulmonary-Cerebral Resuscitation in Birds

The basic principles of cardiopulmonary-cerebral resuscitation may be applied to birds. The prognosis for respiratory arrest, especially when caused by isoflurane anesthesia overdose, is good. Cardiac arrest in birds carries a poor prognosis, because direct compression of the heart is not possible due to the overlying sternum. Also, because birds lack a diaphragm, closed-chest compressions cannot utilize the thoracic pump mechanism to increase overall negative intrathoracic pressure. Therefore early recognition of cardiovascular instability is particularly important in avian species.