Procedures: Therapeutics - Page 2 of 3

Article

All raptors consume a meat-based diet ranging from the specialist diet of the fish-eating osprey (Pandion haliaetus) to a generalist diet that can include insects, mammals, birds, reptiles, amphibians, and even carrion. Other than poultry, the exact nutritional requirements of birds are unknown, however the natural raptor diet is always relatively high in protein and fat and low in carbohydrates. Whole prey diets have a calcium/phosphorus ratio of 1.5:1 as the bird actually consumes the bones as well as the meat…

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The Vets Now Surgical Safety Checklist includes a list of safety issues that should be read aloud, with both the veterinarian and veterinary nurse or veterinary technician present. This checklist is divided into three categories: induction of anesthesia, before the skin incision, and before the patient leaves the operating room…

Article Video Webinar

Did you attend the Lafeber Symposium at the 2015 International Conference on Avian heRpetological and Exotic mammal medicine in Paris? View a recording of this encore, web-based seminar: “Medical Management of Psittacines with Bornavirus Ganglioneuritis (PDD)” by Susan Orosz, DVM, DABVP (Avian Practice), DECZM (Avian). This presentation on avian borna virus contains medium to advanced level content. The novice is encouraged to view the first hour of Dr. Orosz’s presentation “Anatomy & Physiology of the Avian Gastrointestinal Tract: Clinical Applications”, which includes a helpful review of avian gastrointestinal anatomy and physiology.

Article Video Webinar

View the recording of this free, interactive webinar, presented by Neil Forbes, BVetMed DECZM (Avian) FRCVS. Many sick or injured exotic animals are presented in critical condition. More of these patients can be saved by appropriate fluids and nutritional support, than by any single medical or surgical procedure. In practical terms, providing this support is often easier said than done. Dr. Forbes’ presentation serves to demystify some of the challenges encountered; practical solutions for all exotic patients are described and discussed.

Article Presenting Problem

Red leg syndrome, also known as “pink belly disease” or bacterial dermatosepticemia, is one of the most common clinical conditions of captive frogs. Associated with peracute to acute bacterial septicemia, red leg is generally a disease of captive animals although the condition has also been implicated in rare mass mortalities of wild amphibians. This presenting problem article reviews clinical findings in red leg syndrome, pathogenesis of disease, as well as key points of urgent care and prognosis. The basics of case management are then reviewed: differential diagnoses, diagnostics, treatment, prevention and control.

Article

The non-hyphal, zoosporic, chytrid fungus Batrachochytrium dendrobatidis (Bd) has caused widespread and dramatic population declines in both wild and captive amphibians worldwide. Use this table to review the basics of the infectious disease chytridiomycosis

Article Slideshow

Did you hear about the Palawan turtle crisis? In June 2015, Philippine authorities confiscated over 4,000 turtles, many of them critically endangered Philippine forest turtles (Siebenrockiella leytensis), intended for the illegal pet trade. Enjoy LafeberVet’s brief, fun slideshow that explores our Emeraid donation for the Palawan turtle crisis as well as care of many, many, many turtles. Although medical supplies are not currently required, financial contributions are still needed for this important conservation effort.

Article

Gastric dilatation or “bloat” and gastrointestinal obstruction is an acute and life-threatening condition of pet rabbits commonly caused by an obstruction with pellets of compressed hair. The discussion portion of this Case Challenge reviews onset, clinical signs, and diagnostic test results of obstructive and non-obstructive gastrointestinal disease. This condition is considered a surgical emergency and key points of urgent care strive to stabilize the patient through analgesia, decompression when indicated, and supportive care. Surgery is discussed as well as recommendations for patients that cannot go to surgery due to clinical or financial constraints. Follow-up care as well as homecare recommendations, disease prevention, and prognosis are also explored.

Article

The use of esophagostomy tubes (e-tubes) allows administration of oral medications and critical care nutrition to turtles and tortoises while minimizing stress and the risk of esophageal trauma associated with repeated rigid gavage tube feeding. Esophagostomy tubes are very well tolerated in chelonians and the patient can even eat normally with the tube in place. Patients can be medicated and fed on an outpatient basis, and once fully recovered, the e-tube is easily removed in the veterinary clinic.

Article

A variety of agents may be used in small mammals with ectoparasites. Download this easy-to-use table for a list of agents used to manage lice, flea infestation, mange or acariasis.

Article

Released for National Veterinary Technician Week 2014, Nursing Care for Exotic Companion Mammals is part of an Exotic ICU series providing advice on the management of small exotic companion mammals in a critical care setting. Specific recommendations on caging, medicating, feeding, and monitoring the critical small mammal are explored as well as important potential sequelae to the stress of hospitalization.

Client Education Handout

Should I have my pet rabbit “fixed”? In most cases, the answer is an unqualified YES. In this client education handout, the benefits to spay or neuter of the house rabbit are explored. Recommendations for pre-surgical preparation for companion animal castration as well as aftercare are also discussed.

Article

It is 10 p.m. in your veterinary emergency hospital and a dreaded call comes in. A panicked owner is in tears because their beloved pet is in crisis. In most cases, your team will quickly gather supplies and move swiftly to prepare for the emergent patient. This patient may strike fear in many veterinary professionals, however, because it is the dreaded avian patient presenting to a general veterinary practice.

Released for National Veterinary Technician Week 2014, Tips and Tricks for the Avian Patient is part of an Exotic ICU series that provides advice on the management of birds in a critical care setting.

Article Video

Wing injuries may present as a wing droop or an inability to fly. The figure-of-eight bandage, or wing wrap, is the standard method for stabilizing the wing short-term. See the NEW and improved version of LafeberVet’s wing wrap placement video clip.

Article

Proventricular dilatation disease or PDD is one of the most frustrating avian conditions encountered today. The recent discovery of a causal relationship between PDD and avian bornavirus has not simplified the challenges that are faced. The detection of avian bornavirus infection is common in birds with PDD but is also detected in birds with other chronic diseases that are not diagnosed with PDD. Proventricular dilatation disease was first reported in the late 1970s…

Article

Because of a lack of identified blood groups in companion bird species, compatibility for transfusion is based on the use of major and minor cross matches. A major cross match is performed by mixing donor red cells with recipient plasma and a minor cross match uses recipient cells and donor plasma. The appearance of agglutination or cell lysis indicates incompatibility.

Unlike mammals, a single transfusion between different bird species can be safe and efficacious. Transfusions will be most effective if the donor is…

Article

Leg bands are sometimes used for identification of birds. Band removal is indicated as a medical treatment when the band is associated with tissue swelling due to trauma or a build up of keratin. Prophylactic band removal is recommended by some veterinarians because of the danger of the band catching on wire or toys. There is some controversy, however, as to whether bands truly pose a significant risk. Most clinicians agree that closed bands pose less risk of injury compared to…

Article

Reproductive emergencies are most commonly seen in small psittacine birds like the cockatiel, lovebird and budgerigar parakeet. This article reviews conditions commonly seen on an emergency basis such as dystocia, egg yolk peritonitis, cloacal or oviductal prolapse, and/or chronic egg laying. Pertinent anatomy and physiology as well as case management, including the reproductive history, physical examination, diagnostic imaging, and behavioral modification techniques are also discussed.

Article

Urolithiasis is characterized by single or multiple calculi throughout the urinary tract or by the presence of sandy material within the bladder and urethra. Uroliths are fortunately more of a historical disease in the ferret, while calculi are still an important problem in rabbits and rodents.

Article

Antibiotic therapy is a challenge in rabbits. The rabbit digestive system depends upon a healthy population of microbes to function properly. In normal circumstances, normal commensal bacteria completely overwhelm the small numbers of opportunistic pathogenic bacteria present and keep them safely in check. Certain antibiotics, particularly when given by the oral route, however, have the potential to disturb this crucial balance by killing off the commensal bacteria…

Article

If the gut works, use it. The preferred route for providing nutrition is enteral feeding since this preserves intestinal structure and function. Parenteral nutrition is indicated to prevent malnutrition when patients cannot consume adequate nutrients by oral feeding or tube feeding or when the respiratory tract cannot be protected. Parenteral nutrition is 100% bioavailable since nutrients reach tissue without the variations associated with gastrointestinal digestion.

Article

Omega-3 fatty acids are polyunsaturated fatty acids (PUFAs) that comprise a small percentage of dietary lipids ingested by humans and animals. The name “omega-3” refers to the location of the double bond closest to the methyl end of the hydrocarbon chain, and may be alternatively referred to as “n-3” in the literature. Chief among the omega-3 fatty acids is…

Article

One of the most valuable items in avian practice is a reliable formulary. Although pharmacokinetic and pharmacodynamic data is slowly growing, the vast majority of drug doses in companion parrot medicine rely on extrapolation and/or clinical experience. It is crucial that the clinician have access to this wide range of information and experience.

Article

The gastrointestinal tract acquires and digests food, absorbs nutrients and water, and expels unabsorbed ingesta as feces. Nutritional support of the avian patient with gastrointestinal (GI) disease is challenging. In cats and dogs, it is easy to “rest” the gut, however with their relatively high metabolic rate, this is difficult, if not impossible, to achieve in many avian patients. Specific disease conditions increase the difficulty regulating gastrointestinal motility including ingluvitis (crop stasis). …

Article

The avian patient poses special challenges for delivery of injectable medications. Although the techniques involved are not unique to birds, special knowledge of avian anatomy as well as delicate, proficient technical skills are required. Depending on the species, the individual, and the clinical situation, injections can be delivered by intramuscular, intravenous, intraosseous, subcutaneous, intratracheal, or intracoelomic routes. Parenteral drug administration provides the advantage of delivering a precise dose when a rapid therapeutic response is necessary. Disadvantages include stress as well as the potential irritation or pathology that can occur at the injection site.

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There are various approaches to provide food for the companion parrot. Each nutritional strategy has its own advantages and disadvantages including seed-only diets, pelleted diets, extruded diets, and/or foraging diets.

Article

There are a number of potential nutritional problems that can promote renal disease. Excess dietary protein, excess dietary calcium, hypovitaminosis A, or hypervitaminosis D may lead to nephritis or other degenerative renal changes…

Article

In mammals, chronic liver disease is often associated with decreased intake of food, mainly due to anorexia, nausea, and vomiting, as well as taste abnormalities, and the same appears to be true for the avian patient. Chronic liver disease may also lead to maldigestion and malabsorption, as well as metabolic abnormalities such as increased protein and lipid catabolism, glucose intolerance, depletion of hepatic glycogen stores, and decreased glucose oxidation. Therefore chronic liver disease may lead to significant malnutrition and weight loss, particularly in patients with severe hepatic dysfunction…

Article

Diarrhea is a common clinical presentation in avian medicine. Diarrhea may be caused by a variety of conditions, however it is particularly important for the practitioner to understand the anatomy and diseases of the avian gastrointestinal tract and associated organs.

Article

A clinical trial was conducted with cockatiels to compare a whole-seed balanced diet (Nutri-Berries) with that of a pelleted diet. Blood values, body weight, and other parameters were measured to assess the alternative diet’s clinical effects on birds.

Article

Psittacosis or ornithosis is caused by Chlamydophila psittaci, an obligate intracellular bacterial infection of birds. Chlamydophila psittaci may be excreted in feces and oculonasal discharge. Chlamydophila is environmentally labile but remains infectious for months in organic debris. Latently infected birds appear healthy but shed the organism intermittently for months to years. Stressors such as breeding, shipping, crowding, or climatic extremes may activate shedding.

Article

Feeding excessively hot formula (>110°F) causes crop burns. This problem is particularly common when formula is heated in a microwave without thorough mixing. Early signs of crop burn include…

Article

Hemochromatosis, “iron overload”, or “iron storage disease” is the excess accumulation of iron within parenchyma, especially in the liver and eventually in the heart and spleen. Elevated iron stores eventually lead to hepatocyte damage and fibrosis.

Article Presenting Problem

Oropharyngeal lesions tend to be asymptomatic until lesions are quite advanced. Clinical signs associated with oropharyngeal disease vary, but may include anorexia, dysphagia, drooling, halitosis, head or food flicking and rubbing the beak. Diffuse disease or large focal lesions or diffuse disease can obstruct the choanal slit and/or glottis leading to wheezing, open-mouth breathing, dyspnea or in extreme cases suffocation…

Article

As in other species, to manage pain successfully, one must know when pain might occur. Several common medical disorders can result in acute pain such as otitis, conjunctivitis, and acute gastrointestinal disease. Chronic pain can arise from conditions such as arthritis, which commonly develops in older…

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Foraging for food is a basic behavioral repertoire for birds in the wild. The lack of opportunities for companion birds to engage in this behavior may play an important role in the development of abnormal behaviors. For example, Snyder et al documented that Puerto Rican Amazon parrots spend approximately 4–6 hour per day foraging and that they routinely travel several miles between sites. In contrast, companion birds in our homes like the orange-winged Amazon parrot spend approximately 30–72 minutes per day eating a pelleted diet without traveling, manipulating food items, and not attempting to balance their own diet. It has been suggested…

Article Presenting Problem

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. Important causes of diarrhea in young ferrets include coccidiosis and rotavirus. Ferrets of all ages may be afflicted with Helicobacter gastritis, ferret enteric coronavirus, and stress-induced diarrhea while middle-aged to older ferrets may suffer from inflammatory bowel disease and intestinal lymphoma. Although signalment, history, and physical exam findings may be sufficient to reach a tentative diagnosis, additional diagnostics may include cytology such as fecal parasite testing, and imaging. Treatment will vary with the specific condition identified but frequently includes…

Article Presenting Problem

Lethargy, total or partial anorexia, a reduction in fecal output, or scant fecal size can all indicate critical illness in rabbits. Problems that slow the gut are often uncomfortable, however rabbits tend to mask pain and discomfort, especially when frightened. Signs of fear and pain in the rabbit can include…

Article

Providing nutrition to the hospitalized small mammal is a fairly straightforward process. Encourage owners to bring their pet’s “regular” diet to minimize the risk of food refusal or gastrointestinal upset. Also consider keeping the following food items available…

Article

Depending on their age and size, snakes may be fed multiple times in one week or every 2 to 4 weeks. If nutritional support is truly needed, then assisted feeding is indicated in the hospitalized snake. Tube feeding is commonly performed in critically ill snakes after fluid therapy and supplemental heat is provided.

Article Presenting Problem

Abnormal urine in the rabbit typically appears white and chalky or pigmented. These changes can be related to the unique metabolism of calcium in the rabbit. Rabbits absorb nearly all calcium ingested; therefore blood levels vary substantially with the calcium content of the diet…

Article

This brief article was created to serve as a synopsis of LafeberVet’s longer, more detailed “Avian Analgesia” authored by avian veterinarian, Dr. Michelle Hawkins.

Article Video Webinar

When Kara Burns, veterinary technician specialist in nutrition, visited Tuskegee University School of Veterinary Medicine during the fall of 2014, her lecture on critical care nutrition made a big impression on the veterinary medical students. This 48-minute presentation explores the basics of nutritional supportive care appropriate for all species before concluding with information on nutritional support of special species like birds, reptiles and exotic companion mammals.

Article

Pancreatic beta cell tumor or insulinoma is commonly seen in middle-aged to older pet ferrets in some nations, including the United States. This article reviews the common clinical picture as well as expected laboratory results. While there is no cure for beta cell tumors, surgical debulkment of the tumor with possible partial pancreatectomy is the treatment of choice. This treatment modality is discussed as well as medical management, which centers around corticosteroid and/or diazoxide administration.

Article

The large size of the raptor eye and its relative lack of orbital protection superiorly and laterally means any form of head trauma frequently involves the eye and its associated structures. In one report, ocular injuries were most commonly caused by vehicular collision, gunshot and leghold traps. The most common clinical finding in birds of prey presented for medical attention is hyphema. Trauma may also lead to…

Article

Restraint collar devices are also referred to as ‘neck collars’ or ‘safety collars’. The most common restraint collar is the Elizabethan collar (or e-collar). Many different manufacturers sell e-collars and modified e-collars designed for different species and for specific purposes. Restraint collars are widely used to prevent undesirable behaviors and self-injury. Clinically, veterinarians have used restraint collars in birds to prevent self-mutilation or self-trauma and to prevent animals from removing intravenous catheters, bandages, and other external devices.

Article

Air sac cannulas are routinely used to ventilate birds by a route other than endotracheal intubation. Air sac tubes are used for oxygenation and anesthesia, especially during surgery of the head or trachea where tracheal intubation would be cumbersome. In addition, air sac cannulas provide a means to medicate air sacs directly, and they are also used to aid dyspneic birds with tracheosyringeal obstruction from foreign bodies, granulomas, or tumors.

Article

Unfortunately the sedentary lifestyle of the companion bird makes obesity one of the most common forms of malnutrition seen in clinical practice. Pet birds are fed too much food or they are fed diets rich in sources of fat, such as sunflower seeds .

Article

Head trauma may occur when a bird flies into an object such as a window or ceiling fan, or when falls occur secondary to an improper wing trim, neurologic disease, or severe weakness. Evaluate the bird for evidence of head trauma such as blood in the choanal slit, ears, or nares. Gently palpate the skull. A fracture of pneumatic skull bone can allow air to escape creating emphysema. The pupillary light response (PLR) should also be evaluated, although PLR may be absent in birds with a normal reflex path due to avian anatomic differences. Perform a fundic exam, particularly in…

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Providing a bird with good nutrition often has different meanings for clinicians and clients. While the goal is to provide a diet that mimics the diet of that particular species in the wild, in captivity those strategies for feeding parrots are very different.

Article

There are two types of seeds fed to pet birds: oil seeds and non-oil seeds. Oil seeds are a rich source of energy and vitamin E. Oil seeds such as sunflower seeds contain at least 50% fat and are low in calcium. Non-oil seeds such as millet are much lower in fat when compared to oil seeds and the energy present is stored as starch.

Article

The principles of fluid therapy are basically the same in exotic companion mammals as in other species. The biggest difference is that changes can occur very rapidly in these tiny patients. For instance, fluids should almost always be warmed or your patient will cool down quickly. Intraosseous or intravenous fluids can be heated with…

Article

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

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

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

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

The most common presentation of P. multocida infection is upper respiratory tract disease. Pasteurella multocida was identified as a cause of mucopurulent rhinitis in rabbits or “snuffles” in the 1920s. Clinical signs include mucopurulent nasal discharge, sneezing, congestion, and/or snoring. Infection of the nasolacrimal duct may extend to the conjunctiva causing ocular discharge and nasolacrimal duct obstruction. Affected rabbits may also have…

Article

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.

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Download LafeberVet’s Rabbit Dental Chart for use during clinical procedures ranging from standard dental examination to major orofacial surgery.

Article

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

Although fungal disease is uncommon in small mammals, dermatophytosis is the most common mycosis seen in clinical practice. Despite the low incidence of clinical disease, rodents are common asymptomatic carriers of dermatophytes. Fungal pathogens are generally more important for their zoonotic potential. Rodents are frequently asymptomatic carriers of ringworm, and transmission of disease to human caretakers is not uncommon.

Article Presenting Problem

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

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

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

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

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

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

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

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 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

Most small herbivores like the rabbit, guinea pig, and chinchilla possess a simple, non-compartmentalized stomach paired with a large cecum and colon. To feed the small herbivore gastrointestinal tract, provide insoluble dietary fiber to stimulate gut motility and maintain gastrointestinal health. A balanced small herbivore diet contains adequate fiber (minimum 25%), minimal starch, and moderate protein levels. Among small herbivorous non-ruminants, the gastrointestinal tract of the rabbit is the most specialized and this manuscript will focus on unique features of this species’ anatomy and physiology.

Article

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

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

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

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

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

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

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 Video

In exotic companion mammals, intramuscular injections are primarily given in the large muscles of the rear legs or the epaxial muscles. This review article features a brief video illustrating epaxial muscle injection as well as a discussion of potential complications and a step-by-step description of injections into both thigh and epaxial musculature.

Article Presenting Problem

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

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

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

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

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

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

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, 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

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 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 .

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