The motion of wing joints is a critical factor for successful flight in avian patients, but little information is available about goniometry in birds. Elbow and carpus joints in flexed and extended positions from 10 orthopedically normal wings of 6 adult wild barred owls (Strix varia) were evaluated with the animals under general anesthesia using a modified universal plastic goniometer and an electrogoniometer. These measurements were compared to those obtained using radiographic assessment. Intra- and interobserver reliability was calculated. Measurements in live animals were compared to those obtained from frozen-thawed carcasses. Results showed that the modified universal plastic goniometer can be used to obtain accurate results for elbow flexion and extension and for carpal flexion with good to excellent reliability compared to measurements collected from radiographic assessment. Measurements obtained using an electrogoniometer were less accurate and less reliable than those obtained with a plastic goniometer, possibly because of the size and configuration of the model used. Comparison of measurements from live animals and carcasses revealed no significant differences between mean measurements and suggested that further evaluation of carcasses as a model for study of goniometry measurements in avian wing joints should be considered.

Intramuscular (IM) administration of either alfaxalone or butorphanol with midazolam was evaluated for sedation and effects on heart and respiratory rates in budgerigars (Melopsittacus undulatus). Twenty adult budgerigars were randomly assigned to receive 1 of 2 treatments: alfaxalone at 15 mg/kg IM or butorphanol and midazolam at 2.5 mg/kg IM and 1.25 mg/kg IM, respectively. Baseline heart and respiratory rates and sedation score were collected and, after injection, time to initial effects and initial recumbency were recorded. Five minutes after injection, birds were assessed for a righting reflex, and, if absent, response to noxious stimulus was assessed by hemostat clamp on the first digit. Birds then underwent a standardized diagnostic evaluation of radiographs, jugular venipuncture, and physical examination. At the end of the physical examination, a sedation score was assigned, and birds were placed in dorsal recumbency for recovery. Times from injection to initial arousal, final recumbency, standing, and full recovery were recorded. Although time to onset of sedation was the same between groups, alfaxalone produced a shorter (P = .04) and more consistent duration of sedation (mean ± SD: 27.5 ± 5.9 minutes) compared with butorphanol-midazolam (72.0 ± 56.9 minutes). Only 3 of 10 birds receiving butorphanol-midazolam were recumbent by 5 minutes compared with 10 of 10 birds receiving alfaxalone. Radiographs were successfully obtained in 9 of 10 and 7 of 10 birds administered alfaxalone and butorphanol-midazolam, respectively. No adverse effects were observed in any bird. Intramuscular alfaxalone produces safe, effective, and reliable sedation in budgerigars and is a more consistent and shorter duration alternative to intramuscular butorphanol-midazolam.

Positive contrast gastrointestinal (GI) studies are performed frequently in avian medicine to identify GI obstruction, luminal distension, and intracoelomic mass effects. However, repeated manual restraint and radiographic positioning may result in a stress-response and associated morbidity in birds, which can be attenuated by administration of sedative drugs. In mammals, many sedative drugs have been shown to affect GI transit times and motility. In this randomized, blinded, controlled prospective study, the effects of midazolam (M; 6 mg/kg IM) and midazolam-butorphanol (MB; 3 mg/kg each IM) on GI transit times were evaluated in 12 healthy cockatiels (Nymphicus hollandicus). Iohexol (20 mL/kg) was administered by crop gavage 15 minutes after induction of sedation, and fluoroscopic images were obtained at different time points. Both sedation protocols significantly affected GI transit times and motility, and the MB protocol had more pronounced effects. Overall median (range) GI transit times were 60 (30–120), 90 (30–120), and 120 (120–180) minutes for the control, M, and MB groups, respectively. Ventricular contractions were markedly reduced with both sedation protocols, while esophageal boluses were reduced only in the MB group. Visualization of the GI tract after iohexol administration was graded highest in the control group and poorest in the MB group. Our results show that commonly used sedative drugs have significant effects on GI transit time and motility in birds. Therefore, GI transit times obtained in sedated birds should not be compared to available reference transit times obtained from unsedated animals.

We developed injectable hydrogels for the slow release of analgesic drugs in birds as an in vivo model of pharmacokinetics in wild avian species. Hydrogels loaded with sodium salicylate (NaSA) were injected subcutaneously in Ross broiler chickens. The hydrogels were made by dissolving sodium alginate and NaSA in water at 2 different concentrations (low, LALG; high, HALG) and then adding calcium chloride. In vitro drug release studies were performed by swelling the hydrogels in water and analyzing serial samples by ultraviolet-visible (UV-Vis) spectroscopy. Dried hydrogel films of the same formulations of the two alginate concentrations then were dissolved in sterile water for the in vivo pharmacokinetic study conducted in 18 chickens divided into 3 groups of 6 birds. Each of the 2 resultant NaSA hydrogel solutions were filtered with 0.2-µm syringe filters before injecting at a NaSA dose of 150 mg/kg SC in the respective LALG or HALG groups. The control group was injected SC with the same dose of NaSA dissolved in water. Pharmacokinetics parameters calculated by the compartmental and noncompartmental approaches were compared among the 3 groups by the Kruskal-Wallis test. Results of in vitro studies showed that both hydrogels released 80% of the drug during the first 3.5 hours. Results of the pharmacokinetic study indicated that NaSA concentrations remained above the minimum effective concentration (MEC) for analgesia in humans for 24 ± 8.9 (LALG) to 26 ± 4 (HALG) hours for the hydrogel formulations compared to 10 ± 5.6 hours for the aqueous formulation. These hydrogel formulations may have potential in providing long-term analgesia in avian species, but need further evaluation with pharmacodynamic or pharmacokinetic/pharmacodynamic modeling studies.

Keeping backyard poultry has become increasingly popular in urban and suburban households. With this rise in popularity comes an increased need for veterinarians who are willing to serve this demographic and a need for lab reference intervals that capture the range of clinically healthy backyard hens. We developed blood chemistry reference intervals for birds in backyard chicken flocks. Between June and August 2016, 133 adult, actively laying hens from 34 different flocks in Western Washington were sampled via medial metatarsal venipuncture. Whole heparinized blood was analyzed using a VetScan VS2 with Avian/Reptilian Profile Plus reagent rotors. Packed cell volume was determined via centrifugation of microhematocrit tubes. Reference intervals were calculated by Reference Value Advisor V2.1 software using the nonparametric method. Seven currently published reference intervals for the Gallus gallus domesticus could not be validated for use in backyard hens, according to the guidelines established by the Clinical and Laboratory Standards Institute. Of flock owners who participated in the study, 47% reported they would consider paying for a blood test if a veterinarian thought it would be beneficial.

To establish reference standards for ocular ultrasound and biometry, 24 cinereous vultures (Aegypius monachus) (45 eyes) underwent B-mode and A-mode ultrasonographic examination using a 12.5-MHz probe. The vultures were manually restrained without sedation, and the eyes were topically anesthetized. Biometry was performed in the sagittal plane for axial length of the globe (AGL), anterior chamber depth (ACD), lens thickness (LT), and vitreous chamber depth (VCD). Biometry of the pecten oculi (LP) was measured on images of transversal scan at 9 hours. Biometric findings were as follows: AGL=27.74 ± 0.77 mm, ACD=3.73 ± 0.62 mm, LT=5.41 ± 0.18 mm, VCD=18.60 ± 0.58 mm, and LP=10.21 ± 1.19 mm. No correlation was found between body weight and AGL. Right and left globe sizes were not significantly different, but AGL and VCD were significantly longer (P < .05) in male than in female vultures. Including diagnostic protocols such as ocular ultrasound may improve the ophthalmologic care of endangered raptors injured by blunt trauma, when opacities of the ocular media prevent examination of the internal ocular structures.

Unusual ocular abnormalities were documented in 3 wild eastern screech owls (Megascops asio) presented to a wildlife rehabilitation hospital after vehicular strike-induced trauma to the head. All 3 had anterior uveitis and free air bubbles in the anterior chamber, but none of the cases had any discernable corneal damage, either grossly or with fluorescein stain technique. Perforation of the globe at the level of the scleral ossicle was considered a possible cause. All 3 cases recovered with standard treatment for anterior uveitis, and the free air was absorbed within 10–14 days and did not appear to cause any lingering complications. The owls were later released back into the wild after demonstrating the ability to navigate obstacles in a flight cage and capture live prey.

A 3-year-old female Bruce's green pigeon (Treron waalia) was presented with granulomatous inflammation of the cere and underlying tissues with osteomyelitis and bone proliferation of the dorsal premaxilla. Biopsy and culture revealed the presence of Mycobacterium avium-intracellulare complex, and multi-antimicrobial treatment was initiated with clarithromycin, ethambutol, rifabutin, and enrofloxacin. The cere lesion improved and no evidence of systemic granulomas was observed over 4 months of treatment, although leukocytosis and monocytosis persisted. Five months after discontinuation of antibiotic therapy, the white blood cell count had normalized, but distal beak irregularities and partial recurrence of the mass were present. The bird died 15 months after discontinuation of antibiotic therapy and necropsy revealed no evidence of active mycobacteriosis of the beak or cere. This report documents an unusual clinical presentation of mycobacteriosis, in addition to its successful resolution.

Lateral body wall herniation with involvement of the oviduct was diagnosed in a female nanday conure (Aratinga nenday) and a female eclectus parrot (Eclectus roratus). A history of chronic egg laying and chronic reproductive activity was reported in both cases. A subcutaneous mass in the area of the caudal left lateral body wall was present in both birds. Diagnostic imaging (ultrasonography, computed tomography) and cytologic examination lead to the diagnosis of left lateral body wall herniation with involvement of the oviduct. In the conure, a developing egg was contained within the herniated oviduct. Both cases were successfully treated by salpingohysterectomy and surgical correction of the hernal ring. Lateral body wall herniation with oviductal involvement in birds has not previously been reported and should be considered as a differential for birds presenting with masses originating from the lateral body wall.

A 38-year-old female, intact yellow-naped Amazon parrot (Amazona auropalliata) presented with an acute swelling along the ventrocaudal body wall, hematochezia, and tenesmus. Physical examination identified a defect in the ventral body wall. Bimodal pain management was initiated at presentation and hematochezia and tenesmus resolved. Radiographic imaging and contrast fluoroscopy identified a partial cloacal strangulation. An exploratory celiotomy was performed. Adhesions to the body wall were identified and broken down, the cloacal position was corrected, and the abdominal musculature repaired. Contrast fluoroscopy performed 72 hours after surgery confirmed normal positioning of the cloaca. Follow-up examinations documented proper postoperative healing of the hernia repair and maintenance of visibly normal passage of droppings. Although various abdominal hernias have been described in birds, this case demonstrates an unreported variation involving partial cloacal strangulation in a parrot.

An immature Alpine swift (Tachymarptis melba) that presented to a wildlife rehabilitation center was observed to have bilateral pentadactyly on examination. The supernumerary digits did not appear to cause discomfort for the bird, and no motor deficits were apparent. The skin and nails of the digits appeared normal. Radiographically, the extra digits appeared to be composed of two phalanges. The male swift was housed and fed an insectivore diet until it was fully fledged and demonstrated good flying ability. After 16 days of hospitalization, hand-feeding, and flight training, the bird was released to the wild. To our knowledge, this is the first case described of bilateral pentadactyly in an Alpine swift.