Algorithm 1: Sick-Bird Syndrome

r/o behavior,
Sick-Bird Syndrome monitor for
Exam
Signalment/history progression,
Normal consider
baseline
Poor r/o toxin r/o testing
Abnormal
husbandry exposure trauma
Radiographs
Metallic density
Diet change, Aerosolized See in GI tract
enrichment, toxin, heavy trauma Normal
environment metals, plant section Blood work, Egg or
change ingestion CBC/Biochemistry Normal repro Heavy metal
(see toxin Fecal, choanal, disease – testing and
appendix) +/- crop sample treat as treat if
Abnormal CBC indicated indicated

Fecal (wet Gram’s stain Low HCT – High WBC > High WBC Organomegaly, GI gas/dilation
mount/float) see anemia; 40,000 < 40,000 lung or air sac
high HCT r/o lesion
Normal COPD,
dehydration r/o, foreign
Positive Negative Abnormal Choanal/cloacal Endoscopy, body, PDD,
cytology bacterial C/S biopsy, toxin
Spore-forming r/o chlamydia, and begin bacterial/fungal ingestion,
Treat bacteria, RBCs mycobacteria, therapy; r/o C/S if warranted fungal or
protozoa or Increased Increased yeast, aspergillosis, other disease bacterial
parasites but Gram - Macrorhabdus neoplasia disease,
r/o other neoplasia,
disease etc
r/o clostridiosis, Cultures, titers, further tests
r/o blood from based on signs and diagnostic
Bacterial Treat if signs GI/repro/renal, Abnormal results. See Appendix 3:
C/S, begin warrant but r/o cloacal mass biochemistries Laboratory testing Investigate other
antibiotics other disease changes as indicated

 AST  Bile acids  Calcium  Calcium  Cholesterol  Glucose  Glucose  Tot Prot  Tot Prot  Uric acid

r/o r/o liver r/o r/o depleted, r/o liver disease, r/o diabetes r/o r/o chronic r/o liver disease, r/o renal
muscle vs disease vs reproductive, nutritional high fat diet mellitus, septicemia, infection, renal disease, disease,
cardiac vs artifact dehydration, deficiency,  (lipemia), bile stress, liver disease, dehydration, blood loss, dehydration,
liver (lipemia, neoplasia, Vit protein,  duct reproductive, neoplasia, reproductive, neoplasia, toxin, Vit A
hemolysis) D toxicosis, absorption, obstruction, coelomic starvation, artifact malabsorption, deficiency,
artifact steroid use reproductive disease aspergillosis (lipemia) malnutrition artifact