Avian Handling, Physical Exam, & Clinical Techniques Flashcards

1
Q

What equipment can be used for avian handling?

A
  • towel for restraint
  • googles + hood
  • bite gloves
  • kickboard

beware of sharp beaks and talons and wings

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2
Q

What is proper restraint for avian patients? What sedation can be used for high-stress birds?

A
  • safe to restrain around the neck due to cartilage rings around the trachea
  • NEVER restrict movement of the keel
  • tuck in wings and legs into normal position
  • consider a dark room or eye covering to calm down

Midazolam or Butorphanol IN or IM

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3
Q

What should be avoided when handling psittacines? What should be done?

A

removing the bird from owner’s arm or shoulder

  • approach calmly and keep towel out of site
  • slowly introduce hand and encourage bird to step up
  • bring bird towards chest
  • drap towel over and restrain head, body, and wings —> rest palm on the birds back, encircle bird’s neck with thumb and forefinger
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4
Q

What special considerations can be taken for handling smaller, flighted birds?

A
  • can use one hand to support their back in the palm, use thumb and last 2 digits to cradle wings, an restrain head with second and third digits
  • remove items from the enclosure and gently but firmly use a towel to secure the bird in the corner of the cage
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5
Q

How should Galliformes and Anseriformes be handled?

A

chickens and ducks

  • firm grip around wings and neck +/- towel
  • cover eyes or darken the room to calm the bird
  • CAREFUL - males have spurs
  • can have short bursts of flight and defecate often
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6
Q

How are passerines/columbiformes restrained?

A

hold bird in non-dominant hand with their head between index and middle fingers and the body resting on the palm

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7
Q

What 6 things make up a detailed history for avian patients?

A
  1. enclosure type, size, and location
  2. enrichment/enclosure furnishing
  3. other birds/animals in the house
  4. cleaning schedule
  5. flight capabilities
  6. diet/supplements
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8
Q

How is hydration determined in birds? What is not commonly assessed on ocular exams?

A

skin tent of eyelid

PLR - birds can control pupil size themselves

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9
Q

How should the cere appear? What may cause color changes?

A

smooth, dry, unform in color

neoplasia, hormone changes

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10
Q

What is occurring in this beak?

A

malocclusion - scissor beak, commonly due to trauma

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11
Q

How is the beak in this avian patient?

A

overgrowth of rhinotheca - bird may need enrichment/toys to wear it down on its own

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12
Q

How can the oral cavity of psittacines be safely observed? How is it assessed?

A

speculum

examine mouth, tongue, oropharynx, mucous membranes, and choana for debris, d/c, growths, or plaques

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13
Q

What are choanal papilla?

A

borders of the choanal slit —> should be uniform, pointed, and facing caudally

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14
Q

How should the crop normally palpate? What does it given information about?

A
  • smooth, relatively thin-walled
  • free of lumps, swelling, impaction, FB, and infection (can transilluminate to get an idea of what’s inside)

assesses if bird is eating well

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15
Q

What is the normal integument of birds like? How can feather picking and loss be differentiated?

A

moist, beige/pale pink

feather picking is commonly caused by boredom or arthritic pain and broken feathers will likely be observed

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16
Q

Where are ectoparasites most commonly found on birds? What other aspects to the integumentary system should be observed on exam?

A

under wings, vent, and legs (common in chickens)

  • uropygial gland - at the base of the tail, common spot for neoplasia, impaction, and abscesses
  • plantar feet - pododermatitis
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17
Q

What is commonly auscultated in avian patients?

A

HEART - ventral/dorsal aspect, common to have a fast rate with a steady rhythm in-hospital

LUNGS/AIR SACS - ventral and dorsal cervical region/thorax/coelom, observe rate/effort, no obvious sounds should be heard

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18
Q

How is the musculoskeletal system assessed in birds?

A
  • observe the bird while it is standing
  • observe wing position at rest
  • extend and flex wings to assess joints and propotagium
  • extend and flex pelvic limbs to assess joints and perching reflex
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19
Q

How is BCS assessed in birds? What are the 5 stages?

A

keel and pectoral musculature (common spot for GnRH implants, IM injections, and microchips)

  1. EMACIATED - keel is almost muscleless
  2. THIN - keel bone very palpable
  3. NORMAL - keel bone tip is barely palpable and bird is well-muschles
  4. OVERWEIGHT - keel bone is not palpable within excess muscle and fat
  5. OBESE - cleavage palpable between excessive muscle and fat, but keel is not palpable
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20
Q

Where is the coelom palpated? What is assessed?

A

small space just below keel - shouldn’t feel much

masses or fluid

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21
Q

How is the cloaca examined?

A
  • observe for symmetry, function, and hygiene
  • every circumferentially to assess for wounds, swelling, and masses
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22
Q

What are 3 examples of sexual dimorphism is avian species? What is commonly necessary to differentiate sexes?

A
  1. ECLECTUS PARROT - males have green heads and females have red heads
  2. COCKATIEL - females are more black/grey bars on tailfeathers, males have rosier cheeks
  3. PARAKEET - males have blue ceres, females have brown ceres

DNA samples through a feather pluck (scopes are invasive!)

23
Q

What is commonly used for beak and nail trims in birds?

A

dremel - on an as needed basis, should be maintained with normal husbandry (enrichment!)

24
Q

What feathers are trimmed on avian wings? How does it differ for a cosmetic trim? What should be avoided on trims?

A

primary remiges

only distal few (9, 10) are trimmed, so when the wings are tucked the feathers look intact —> smaller species may still be able to get lift!

blood feathers

25
Q

How much blood can safely be collected from a bird?

A

1% (in grams) of BW

26
Q

What do avian RBCs look like?

A

elliptical, nucleated —> CBC must be done manually

27
Q

Label the WBCs seen on this blood smear.

A
  • BLACK = heterophil
  • BLUE = monocyte
  • GREEN = thrombocyte
  • ORANGE = eosinophil
  • RED = lymphocyte
28
Q

What tubes are used for CBC and chemistries in avian species? Why?

A
  • CBC = purple or green
  • CHEMISTRY = green, use avian/reptile rotors

EDTA can cause RBC lysis in crows, cranes, ostriches, and other species

29
Q

What are 3 common sites for blood collection in birds?

A
  1. right jugular - R is larger than L
  2. cutaneous ulnar (basilic, wing)
  3. medial metatarsal - good for longer-legged birds
30
Q

What fluids are most commonly used in birds? What is the most common way of administration? What is used in severe cases?

A

warmed standard crystalloids or colloids at 50 mL/kg/day (Normosol R, etc.)

SQ - 5-10 mL/kg per site most commonly in the inguinal web where the leg meets the body (be wary of air sacs)

IV and IO - catheters difficult to maintain, must be supervised

31
Q

What bones are most commonly used for IO catheter placement?

A

proximal tibiotarsus or distal ulna —> pneumatic bones vary by species!

32
Q

What are 3 common places for SQ fluid injection? Why must this be done especially carefully?

A
  1. inguinal web - good for larger volumes
  2. dorsal lumbosacral region
  3. propatagium

know air sac locations - U/S not helpful, birds have large amounts of air within their body

33
Q

What is the most common place for IM injections in birds? What is commonly avoided?

A

pectoral muscles, next to the keel

quadriceps, thick, gluteal mucsles - birds have a renal portal system, muscle necrosis

34
Q

What needs to be avoided when performing crop washes and gavaging?

A

glottis

  • crop is to the right
  • good for retrieving crop samples in cases of sour crop
35
Q

What are the 3 most common bandages used for birds?

A
  1. figure 8 - immobilizes elbow distally
  2. modified figure 8 - involves shoulder and humerus to keep the entire wing immobile
  3. tape splint - good for tarsometatarsal fractures in small birds <100 g
36
Q

What 3 landmarks are used for endoscopy and cannulation of caudal thoracic or abdominal air sacs? When is this most commonly performed?

A
  1. cranial muscles of the femur
  2. ventral to synsacrum
  3. caudal to the last rib

upper respiratory obstruction (commonly at the syrinx!)

37
Q

How is euthanasia approached with birds? What medications are most commonly used?

A
  • discuss process with owners and let them know the bird may vocalize/move following administration
  • sedate/anesthetize first

IV or ICe Barbiturates (aim for liver in smaller birds) —> CAN’T DO INTRACARDIAC due to keel

38
Q

How is fasting approached before surgery in birds?

A
  • 2-4 hours in medium-sized birds
  • 24 hours in raptors
  • not recommended in birds <200 g
39
Q

What is the purpose of pre-medicating avian patients before surgery? What combination is most commonly used?

A

facilitates handling and decreases anesthetic/analgesic drug requirements during the procedure

BZD + opioid —> Midazolam (IM or IN) + Butorphanol (IM) in psittacines or Hydromorphone in raptors

40
Q

What type of pre-medication is not commonly performed in birds before a procedure?

A

parasympatholytics - increases viscosity of respiratory tract secretions —> obstruction of airway and ETT common

  • Atropine
  • Glycopyrrolate
41
Q

What drugs are commonly used for induction in birds? What can high concentrations cause?

A
  • Ketamine + BZD
  • Ketamine + alpha-2 agonist
  • Propofol - cardiopulmonary monitoring and ventilatory support important!

cardiopulmonary depression and prologned/violent recoveries

42
Q

What inhalants can be used for avian species? Why are they used?

A

Isoflurane and Sevoflurane

  • good for critical patients due to decreased irritation and rapid recovery
  • rapid induction
  • can rapidly change anesthetic plane

(face mask for shorter procedures, intubation for longer ones)

43
Q

Why type of ETT is required in avian patients?

A

non-cuffed ETT —> have complete tracheal rings, so inflated cuffs can cause increased pressure and necrosis

44
Q

What type of breathing circuit is preferred for avian patients? 2 reasons why?

A

non-rebreathing (Bain circuit)

  1. decreased resistance to breathing
  2. rapid response to changes in the vaporizer
45
Q

What are 4 ways to assess anesthetic depth in avian patients?

A
  1. pelvic muscle tone
  2. withdrawal reflex
  3. palpebral reflex
  4. corneal reflex

(as each are diminished, the plane is deeper)

46
Q

What are 5 ways of monitoring the cardiovascular system in avian patients?

A
  1. stethoscope
  2. esophageal probe
  3. Doppler over superficial ulnar or deep radial
  4. ECG
  5. BP - palpate medial ulnar or medial metatarsal, place direct catheter in brachial or carotid arteries
47
Q

What position is required for avian surgical procedures? What should happen if the patient regurgitates?

A

lateral or dorsal recumbency - no pressure on keel!

slightly elevate head and neck

48
Q

What can make respiratory monitoring harder in marine birds?

A

dive reflex - built to hold breath and will not be properly maintained by Iso/Sevo —> manual ventilation is indicated

49
Q

What respiratory monitoring is recommended in avian patients?

A
  • rate/character - ET obstruction causes increased effort
  • capnograph
  • pulse oximetry
  • pilse ox
50
Q

What is the normal body temperature in avian patients?

A

104-106 F

  • thermal support is necessary
51
Q

When is fluid therapy recommended in avian patients in surgery? What rate is recommended?

A

procedures longer than 20 mins

IV or IO - 10 mL/kg/hr

52
Q

How should patients be handled in recovery?

A

keep restrained to keep wings from flapping, causing potential injury

53
Q

What are 9 ways to recognize pain in avian patients?

A
  1. change in temperament
  2. decreased appetite
  3. lameness
  4. reduced mobility/perching
  5. lethargy
  6. over/under-grooming
  7. restlessness
  8. hunched body position
  9. increased HR/RR
54
Q

What are 4 options for analgesics used for avian patients?

A
  1. OPIOIDS - kappa agonists may provide better pain relief compared to mu agonists (Butorphanol, Hydromorphone, Tramadol)
  2. NSAIDs - Meloxicam
  3. Gabapentin
  4. acupuncture