Algorithm 3:

Regurgitation/Vomiting Regurgitation/Vomiting

Signalment/History/Exam

r/o behavioral, r/o iatrogenic: Ingluvial lesion Oral lesions Ingluvial Abnormal feces
normal casting in some medications, suspected hypomotility
raptors motion sickness
No abnormalities See Algorithm 8:
Oropharg. Lesions
Crop swab or flush See Alorithm 2:
Remove Change r/o crop burn, foreign for Gram’s stain Diarrhea
perceived mate, medication body, mass, stricture; and direct exam
behavioral protocol, anti- endoscopic
modification, no emetic drugs examination may be
treatment if helpful Parasites,
normal Increased
Macrorhabdus,
Normal Gram – or
yeast
abnormal
Radiographic findings bacteria
Normal radiographs

See Algorithm 1: Bloodwork;

Bacterial C/S, begin Treat if signs warrant but
Sick-Bird Syndrome CBC/Biochemistry
antibiotics r/o other disease
Normal

Metallic densities Organomegaly, lung or

Obstruction, Egg or reproductive
Generalized mass within gastrointestinal air sac lesions Increased gas or
impaction, foreign pathology suspected
effect or loss of detail tract dilation/enlarged
body
GI tract

Heavy metal testing Endoscopy, biopsy,

Additional diagnostics
as warranted: barium
study, fluoroscopy,
ultrasound; See
Algorithm 5: Coelomic
Distention
and initiate chelation bacterial/fungal C/S if
Determine if medical therapy if indicated; warranted, granuloma See Algorithms 5: r/o, enteritis, foreign
or surgical may need to consider debridement Coelomic distention body, PDD, toxin
management removal of material and 6: Egg Binding ingestion, fungal or
warranted and treat bacterial disease,
accordingly neoplasia, etc
Cultures, titers, further tests
based on signs and diagnostic
results. See Appendix 3:
Laboratory testing