Canton Center Animal Hospital, PC
Serving You and Your Pet for 25 Years
Phone: (734) 459-1400



     Dr. Lafeber, several years ago said "that over 60% of new bird owners will get rid of their bird in three to four years." The reason usually given was that the bird didn't meet their expectations. Many of these birds had behaviors that were unexpected and unacceptable. The question might be asked, how could so many people become deluded? The answer is very complex. We would need to know the motivation of each person. Was the purchase an impulse? Were the breeder/pet shop super sales persons? Maybe the bird was beautiful to behold; but, in the end the bird is unwanted.
     What events transpired between the acquisition of the bird and its disposal. The focus of this article is knowing your bird.
     When a new client comes to the clinic we make every effort to bond them to the bird. We spend time discussing the traits and qualities of the bird that they purchased. We try to explain the normal maturing behavior, including sexuality, vocalizing, talking, breeding, territoriality, eating, dominance, security and survival. By doing this we hope that the owner realizes that this bird's behavior will change with age. We want the people to know that birds experience a yearly rhythm. A bird that suddenly becomes aggressive in the spring is normal.
     When it comes to bird ownership, an informed person makes informed decisions. It's important to know that a large psittacine may live over fifty years. It's important to know that the bird will primarily bond with one individual and tolerate others. When we drive an automobile we must know the rules of the road to avoid chaos, injury or death. It makes sense to be informed.
     How does one get to know their bird? We can read about their natural habitats in the country of origin and most species have been described in books and magazines. Personal communication with breeders is valuable. Bird clubs were born in an attempt to provide information, guidance and assistance in procuring knowledge of specific species.
     Knowledge is acquired through education by the breeder/seller or by personal effort. My experience has proven that neither of these sources is well cultivated. Most pet bird owners have very little information or understanding of what their new bird entails. Good business practice would suggest that a seller would inform their customer, as much as possible, about the nature of their product (bird). A successful business person would strive to please a client to encourage repeat sales and referrals. The goal then is to know the product (bird).
     There are two facets to knowing your bird. The first facet is the bird itself. The bird is an amazon, a parakeet, a cockatoo, a lory or some other type of bird. This means that the bird has certain nutritional requirements of housing needs. The bird may be a good talker, singer or whistler. Knowing the birds normal habits will serve as a tool to determine if its behavior is normal. The initial attraction is similar to human behavior. We are attracted to a bird by its color(s), abilities, physical appearance or personal experience. This level of bird ownership is based on emotions. Reality, however, will soon rear its head. If not trained properly the bird may become a biter, screamer, feather picker or be impossible to touch because we don't understand the bird's behavior.
     The second facet to knowing your bird involves its physiology. This area of knowledge is often the difference between life and death. We emphasize to pet owners that birds specialize in sub-clinical disease, this means that birds in the wild will not appear ill for the sole purpose of survival. Predators are adept at identifying weak prey. Most birds that are obviously ill are beyond medical help. This is why we recommend minimally a yearly physical and laboratory evaluation. Flock studies have shown that 2-10% of the birds in an aviary are ill.
     Symptoms of illness will initially be very obscure. To identify any changes, it is valuable to "know your bird." A good appetite is usually never indicative of health. Most birds will eat voraciously to the day they die. When the history includes anorexia the prognosis is poor. My impression is that most people consider appetite the primary indicator of health.
     What does it mean to "know your bird?" Because behavioral changes are subtle it will take astute observation and good records to raise the index  of suspicion that your bird might be unhealthy. A good record can include weight taking, hours spent asleep/awake, play/rest intervals, talking, vocalizing, eating habits, breeding history, dropping changes, water intake and general attitude.
     A good example of "knowing your bird" is the male canary. When he molts he will stop singing for one to several months. If this continued six months I'd be concerned. Initially his behavior is normal, but it could eventually become the only symptom of an ongoing health problem. If a client reports that the pet is now taking a nap at 2 o'clock, which is now a new behavior, I consider that a symptom possibly of disease. These are the signs we are looking for. The bird has changed his routine but acts totally normal.
     A major sign of compromised health is the appearance of the droppings. There are three elements in the normal dropping. The urine or water, the creamy fraction or urates and the feces. The type of diet fed influences markedly its character. Questions to be answered concerning the droppings might include. Has the size of the water stain increased? Has the color of the urates changed from creamy to a shade of yellow, orange, green or red? Has the color, shape or odor of the feces changed?
     Some causes of change in the size of the urine stain includes diet, diabetes, liver or kidney disease, endocrine problems, egg-laying and nervousness.
     The urates are the end product of protein metabolism. If they are not the normal creamy color then a health problem must be suspected. Foods or diets that are heavily pigmented will cause a normal food color to appear in the urates. The most common cause of urate color is a compound called biliverdin. It is a waste product of hemoglobin catabolism. Biliverdin is normally excreted by the liver into the bile and eliminated in the stool. When the liver fails to excrete it adequately, it then is passed into the urine and becomes readily visible by the green-colored stain of the urates. All birds will occasionally pass a dropping stained green. If several droppings daily are stained green then this bird is sick.
     Points to consider regarding the feces include diarrhea, color, odor, volume and shape. The greatest confusion occurs when watery droppings are thought to be diarrhea instead of urinating. Diarrhea means there is no shape to the feces. The shape can be influenced by diet. Birds fed a pelleted diet will produce a soft, semi-formed normal watery dropping. Females preparing to or laying eggs have large, sometimes odorous stools. If a bird is passing an odorous stool this usually implies that a gas-forming bacteria is present.
     Another symptom of compromised health is tail-bobbing during rest or after brief exercising. If the bird is unable to obtain an adequate supply of oxygen during its respiratory cycle it will bob its tail up and down in a rhythmic manner. Although the symptom is respiratory the cause is usually due to liver enlargement or some other impingement upon the air sacs.
     Many times a pet bird will be presented with a large mass. Because of size and location it often becomes impossible to remove them. The solution to this problem is to touch and examine the entire bird frequently, preferably weekly to locate any growth when it is small enough to remove.
     Periodic dated photographs taken at regular intervals may reveal gradual feather changes that you wouldn't notice otherwise. Many birds have lesions on the bottom of their feet. Pick the bird up and look at the foot pads. Look at the bird face-on and notice if the head is symmetrical. Early identification of skull problems is paramount to success. Look at other birds of the same species, you may not realize that your bird is abnormal. It is vital that you "know your bird" for its sake.


     The subject of this article will discuss how light affects the yearly sexual cycle of the bird. Considering the subject from a practical point of view we must remember that pet and breeder birds are being kept in an artificial environment. This abnormal condition immediately raises questions. How much light does a bird need? What types of light should be used? Are grow lights of any specific benefit?
     Most of the birds kept in captivity in this vicinity are of tropical origin, therefore, these birds would normally experience diurnal (day) and nocturnal (night) gradients equally. What does this mean and how are we going to apply correct lighting in captivity?
     A brief discussion of the effect light cycles have may help clarify the issue. Increased length of day light hours causes the gonads of both sexes to grow and mature at the time the eggs should be laid. The sexual cycle is affected by bad weather, low temperatures or lack of food but day length is the primary factor that stimulates hormonal production.
     Basically, light passes directly through the skull and penetrates into photo receptors located in the hypothalmus . These cells then synthesize (produce) and release a hormone called gonadotrophin-releasing hormone (GnRH). GnRH production begins in the autumn. It is at this time that sexual behavior may be evident. Examples of increased sexual behavior may include singing or color changes of the beak in some birds. The GnRH production continues to escalate until approximately the summer solstice or June 21. The GnRH production then ceases until the start of the next reproduction season in the fall.
     Although the rate of GnRH production increases with increasing day length, the exact pace of GnRH production is evolved for each species. By this I mean most birds have timed their hormonal cycle with food availability. Ideally each species of bird wants to have the maximum food supply available to feed and raise its young. That is why birds may skip a breeding season if food supplies are inadequate.
     Because GnRH is the product of increased day length and causes gonadal maturity that doesn't mean that a successful breeding cycle will occur. GnRH production is totally independent of environmental conditions. The breeding pair will have taken a territory, built a nest, copulated, laid eggs and incubated them in the hopes of raising offspring. It is essential that the birds have predicted correctly that all environmental conditions coincide with the GnRH levels.
     Obviously the conditions of the captive environment don't compare to the natural state. The aviculturist will have determined the territory, nest, food supply, possibly the mate and yes the length of the day light cycle. If we've educated ourselves concerning the requirements of the species kept we will enjoy successful reproduction.
     Because most captive birds come from the tropics we could practice utilizing the natural schedule of 12 hours of day light and 12 hours of night. Most people would find that schedule to be very restrictive due to work constraints and the desire for personal interaction with our pets. Studies have shown that tropical birds will have normal GnRH production when housed under temperate zone day length conditions. This means that ideally the bird(s) should be kept under conditions that mimics the day length out of doors. If this plan would be implemented then the breeding season of tropical birds living in a temperate zone would be more clearly defined.
     To help explain why this would happen we can examine the gonads of tropical birds. In tropical birds the gonadal cycle of growth and regression is less notable then in temperate clime birds. It could be said that their sexual cycle is less dramatic then in temperate birds. In tropical species the breeding may be synchronous (together) or asynchronous (variable). Birds displaying synchronous habits will all breed and produce offspring simultaneously. Species with asynchronous behavior will have eggs, chicks, fledglings and juveniles in the colony at any one time of the year.
     To summarize the previous discussion it is clear that light determines the breeding condition of avian gonads. All normal adult birds achieve sexual readiness sometime during spring and early summer. However, environmental conditions will determine whether the birds will actually attempt to raise a clutch of babies.
     How might we correlate this information with the captive state? There are two ideal lighting patterns. The first method would be to maintain breeding birds on a 12 hour daylight and 12 hour night time schedule. The second method would be to constantly adjust and approximate the day length of our temperate environment. Both systems would work. This also means that the lights should not be turned on once they are turned off for the night because the bird interprets the lights are turned on as part of the day length. In other words, don't turn the lights on again until morning. What we attempt to do is to avoid day length confusion.
     In reality, probably few if any aviculturists are concerned with lighting schedules. One of the problems of maintaining animals in unnatural places (eg. tropical vs. temperate climates) is that we must make every effort to duplicate the preferred optimal comfort zones that exist in the countries of origin. Most birds, especially pet birds, are usually under a very erratic pattern of day length. This could, at a minimum, create a variable effect in the production of GnRH.
     It could be speculated that some of the breeding problems experienced in aviaries is the result of abnormal day lengths. Vices may be the result of confusion due to hormonal surges that cannot be satisfied. Feather picking may be related to improper lighting. I think more attention to day lengths would prove fruitful. Studies have shown that the type of lighting used is not significant in stimulating gonadal growth. The subject of lighting is very complex but if we utilize lighting schedules comparable to nature our pet birds should benefit greatly.


Introduction
     In veterinary medicine, clinicians often rely on the visual examination and history to make treatment decisions. Avian patients, however, often do not demonstrate overt clinical signs until their health is greatly compromised. It is because of this phenomenon that pursuing diagnostic evaluations is necessary. The purpose then of testing is to identify those pets that are not clinically ill, but need medical care.
     All normal birds have an immune system, that is constantly being challenged by viruses, bacteria, fungi, parasites and toxins. Their state of health is also influenced by deficiencies and excesses in the diet. It is during that period of time in which a bird appears normal, but will eventually become clinically sick that is defined as sub-clinical illness. Birds are genetically programmed to hide their health problems to avoid being preyed upon.
     What are some of the causes that may result in sub-clinical illness? The number one priority of each bird is self-preservation. This process begins the day the bird is weaned (it is no longer fed and protected by its parents). The first obstacle encountered is the flock pecking order. The pyramid of power in the flock is dictated by age, size, sex, experience, environmental conditions, predation, nutrition, diseases, genetics and population density. The higher one's position in the flock the greater the survivability and the chance for reproduction. This is the well-known concept of survival of the fittest.
     The second reason for sub-clinical illness is flock social competition. Birds genetically realize that individual survivability is dependent upon flock vitality. The flock serves as a support group for training, food procurement, genetic diversity, protection and survival.

Diagnostic Laboratories
     Avian veterinarians must rely heavily on diagnostic laboratories who provide tests that can aid in the diagnosis and treatment of disease and metabolic conditions. Tests are often repeated to monitor the progress of the patient during and after the prescribed therapy.
     Many tests can be conducted in the clinic. Clinics are variously equipped and can do a lot of diagnostics in-house (dependent upon staff training), while others may use outside laboratories exclusively. Whenever in-house tests can be accomplished the waiting period for results is greatly reduced. Because new information is constantly being discovered, diagnostic capability will increase. What we can only talk about today may be diagnosable in the future.

Patient Restraint
     The main concern of the avian patient is self-preservation. When a bird is restrained it is concerned for its life. Hand-raised birds are more trusting and may not seem so stressed when handled. When diagnostic procedures are performed, the bird is often held or confined in an abnormal position. These positions are not inherently painful but birds view them as unpleasant. Stress studies have shown that most patient fear is alleviated by using sedation. The sedation used is administered via a face mask. Then anesthetic mixed with oxygen quickly (usually 15-45 seconds) renders the bird unconscious.
     The supplies and materials needed to do the diagnostic sampling will have been prepared prior to anesthesia. It will be discussed with the client what are all the anticipated procedures to be done. When the bird is anesthetized every test will be done as quickly and efficiently as possible. The time lapsed between anesthesia, sample and recovery is usually less than five minutes.
     Some birds, especially macaws, may regurgitate after being anesthetized. This is not harmful to the bird. Clients have not reported any ill effects at home following sedation. Our goal is to treat the patient as calmly and gently as possible and yet do a service that has interpretable value.

Blood Collection
     Everyone has had the experience of giving blood for health exams. In human medicine large volumes of blood are taken, often as much as 30 cc's. This amount is equivalent to the total weight of many parakeets. It is sometimes frightening to the owner when blood sampling is suggested. Today most laboratory techniques need only micro samples to get diagnostic results. Almost all the testing that is done can be accomplished with 1 cc of blood or less.
     Approximately 10% of the birds body weight is blood. We can then safely take 10% of the total blood volume. This amounts to 1% of the body weight. If a bird weighs 100 grams, our blood sample would be 1 gram which equals 1 cc. A healthy bird is capable of replacing any lost blood in three days. In small birds we will sometimes have the bird back for sampling after several days to accomplish all the testing desired.
     Blood is usually collected from one of four different sites. From the most common site to the least we'll use the jugular, wing, leg, veins or a clipped toe nail.

Blood Analysis
     We recommend a minimum of a yearly blood analysis. Clients often comment that their pet bird looks and acts normal. They feel that blood evaluations are unnecessary. The proverb that says, "if you don't look for any thing you won't find anything" is true. The death rate in birds with clinical signs of illness is very high. We prefer to identify problems as early  as possible when the outcome might be reversible. No one, including avian veterinarians are capable of diagnosing most health problems during a physical and visual examination. The unfortunate misconception that exists is that a diagnosis equates to a successful treatment. This is often not the case. The most common problem usually uncovered involves the liver. The diagnosis may be liver failure in an apparently healthy bird. This means that this bird will shortly develop clinical signs. Sometimes certain dietary changes and other supportive supplements may enhance and prolong the quality of life. When a client presents a new bird for examination our main goal is to provide knowledge and information that may prevent premature and untimely deaths. We believe the foundation for health includes yearly monitoring through blood analysis.

Complete Blood Count
     The complete blood count (CBC) includes the packed cell volume (PCV), the white blood count (WBC), the differential (the percentage of the five different white blood cells), the platelets or thrombocytes, the total blood proteins, blood parasite identification if present, and cell morphology (cell shape). Other CBC determinations that may be helpful includes hemoglobin levels and the erythrocytic indices which are used to differentiate types of anemia's.
     The most common alterations noted in CBC's involve the PCV, WBC, proteins, cell morphology and differential WBC. The PCV is most useful in identifying dehydration and anemia. The WBC identifies increases and decreases of those cells that are actively responding to bodily invasions of virus', bacteria, parasites and any potentially life-threatening situation. The blood protein can indicate dehydration, liver vitality, immune responses, egg-laying, dietary disturbances and the state of body fluids  and electrolyte balance. Cell morphology or the shape of WBC's and RBC's can be used to identify parasites, lead poisoning, anemias, cellular response to infections and often is valuable for prognosis (outcome of the condition). The differential WBC yields the percentage of the five types of WBC's. The percentage of response of each cell can tell us if the condition is acute (recent) or chronic (long-standing). We may also diagnose WBC's that are cancerous.

Blood Chemistry Evaluation
     The fluid portion of blood contains numerous enzymes, electrolytes, hormones, proteins, minerals, fats, carbohydrates, vitamins and waste products. Each of these substances are present at a level that will allow the bodily functions in an optimum state. Deficiencies or excesses will have a negative effect on the well-being or survival of the bird. Serial testing is often indicated to monitor the effectiveness of therapy or patient progress. The value of yearly testing would be the identification of an escalating pattern in a specific test. For example, we may see a slow increase in uric acid levels. This would tell us that the kidneys are not effectively clearing this waste product. We may be able to stop this trend with dietary decreases in protein.

The Gram Stain
     There are two basic classes of bacteria. This is based upon what color they retain when stained with Gram stain. If the organisms are blue under the microscope they are called Gram positive: if red they are called Gram negative. Since psittacine birds rarely have Gram negative bacteria, the Gram stain tells us that these organisms may be causing the health problem that is present. Up to 10% Gram negative bacteria are tolerable. Gram positive bacteria are however often incriminated in skin and foot infections. The Gram stain also serves another valuable purpose. If we gram stain the oral cavity or cloaca we should expect approximately 150 gram positive organisms per 100 times magnification. The health of the bird is probably threatened when the normal flora number is increased or decreased. Ultimately the gram stain may be used in making the decision to do a culture and microbial sensitivity.

Bacterial Culture and Antimicrobial Testing
     A sterile swab can be touched to any body surface or discharge and then placed in a medium that enhances bacterial growth. This will enable the avian veterinarian to determine the specific bacteria involved in the disease-producing state. Fungi can also be identified with this technique.
     After the bacteria have been isolated, the next step is to conduct antimicrobial sensitivity. This means that drug-impregnated discs are placed in contact with the bacteria. If the antibiotic is effective against the bacteria isolated there will be a zone of no growth surrounding the disc. The width of the zone varies with each antibiotic but generally the wider the zone the more effective will be the therapy. This type of anti-bacterial testing is not used with fungal isolates.

Radiology
     Radiographs or x-rays are a valuable diagnostic tool in avian medicine. Because birds have air sacs many anatomical features are visualized. Often a pathological state can be identified only by using radiographs. Foreign bodies, eggs, fractures, organ size or displacement and bone density  can also be recognized with x-rays. It is considered by some avian veterinarians to be the most usable method for appreciating overall patient health. To take x-rays with interpretive value sedation is recommended as the bird must be placed on its back and side.

Biopsy
     Quite often we can only arrive at a diagnosis or the state of health of a tissue or organ through histology (study of cells). We may also identify viruses, bacteria, fungi, cancerous cells, parasites, hypersensitivity, edema, or other clues to a possible diagnosis through microscopic study. Biopsies can also help as to predict (prognose) the outcome of the case at hand. A biopsy is the collection of a small sample of tissue. It is placed in a preservative and sent to a pathologist qualified to make the best deductions as to the diagnosis. Biopsies may be taken from most organs of the body with minimal discomfort to the pet.

Parasites
     There are three groups of parasites in birds. Ectoparasites are associated with feathers, skin, legs and beak. Endoparasites are found inside the body especially the intestinal tract. Blood parasites are also seen by examining blood smears under the microscope. The most common external parasite is the scaly-face mite of the parakeet. Feather lice are sometimes seen in cockatiels and are very common in wild birds especially raptors and barnyard fowl.
     Since most pet birds are now domestically raised intestinal parasites are uncommon unless they are kept in outdoor aviaries. Fecal flotation's are used to detect parasite eggs. On rare occasions a worm may be seen in the stool or protruding from the bird's vent.
     Certain parasites are best diagnosed using what is called a wet mount. A cotton swab soaked with saline is used to swab the mouth or the cloaca to find organisms that may rupture if collected by any other method.
     At time parasites may only be found during pathological studies by the pathologist. This would be a rare incident unless the bird is wild caught or has exposure to wild animals.

Chlamydiosis
     Chlamydia is a genus of bacteria comprising three species. In birds we are concerned with the organism chlamydia psittaci. The organism functions much like a virus. It is an obliate intracellular parasite which means that outside of the host cell it is inactive. It is a very common problem in places where large numbers of birds exist. People who are associated with or in close proximity to infected birds may contract the disease. The most common avenue of infection for humans is the inhalation of bird feces that have dehydrated and become part of the environmental dust. Inhalation of contaminated air may lead to disease. Effective daily sanitation of the aviary will do much to prevent exposure to and contracting the disease. Any person with persistent respiratory symptoms should consider possibly being infected.
     There are several methods used to diagnose chlamydia psittaci. Any organ or body discharge can be evaluated for infection, however the most common source of the disease is bird feces. The ideal method of diagnosis is culturing the bacterium. This, however, can take weeks. In many cases there isn't the luxury of time to wait for the diagnosis. On the clinical level the most time efficient test used is called the ELISA (enzyme-linked immunosorbent assay). This test measures the presence of the organism in the sample tested. Blood samples can also be submitted to laboratories to detect antibodies. There are a number of variations of these tests to attempt to diagnose the problem. Other then the culture all tests known at this time can yield false negatives. The chlamydia organism is often shed intermittently in the stool, making fecal sampling a guess at best. Not all birds will mount a strong antibody titer therefore blood sampling may be too early or too late. Most cases of psittacosis are diagnosed by history and other supporting tests that imply the presence of infection. Birds can be infected repeatedly.

Virus Identification
     Diagnosing viruses ante mortem (live animal) is very difficult. The pathologist is usually the person who identifies virus diseases. Clinicians may surmise their presence but have a difficult time providing it. Recently two test have become available to diagnose psittacine beak and feather disease (PBFD) and polyomavirus. Both diseases occur mainly in birds from fifteen days to one year of age, but they may occur at any age. Since these tests depend upon the presence of the virus, it is possible to get false negative results. These tests have enabled us to identify birds who are latent carries but clinically normal. Studies have shown that every facility having large numbers of birds especially budgerigars will have carriers of polyomavirus. Probably most or all birds have been exposed to the plyomavirus. Other viruses such as Pacheco's disease, proventricular dilatation  syndrome (PDS), reoviruses and pox viruses have been identified. Methods to diagnose these viruses in live birds are being identified. Methods to diagnose these viruses in live birds are being studied, but unfortunately most are confirmed on post-mortems.

Miscellaneous Tests
     Other test that have been used sporadically include acid fast straining for tuberculosis, lead, zinc and iron toxicosis, urinalysis, thyroid and other hormone assays, cytology (cellular evaluation), fungal titers, tracheal and air sac lavages, skin scrapings, crop washing, barium x-rays, electrocardiogram (EKG), ultrasound, blood sexing and endoscopy.

Necropsy
     Ideally, every avian veterinarian would want to be instrumental in saving every patient presented. Despite our best efforts and the cycle of life some patients will die. The necropsy is the final opportunity to diagnose a problem. Unfortunately not all necropsies will reveal the answers sought. In those cases of sudden death the concern for the welfare of surviving birds is the basis for necropsy. It has been said that identifying a problem is half of the solution.
     To gain the most benefit from necropsy the following guide lines are recommended. Due to autolysis (tissue disintegration) the body must be cooled as rapidly as possible. This can be done by soaking the body in icy water for thirty minutes or rubbing with alcohol. Place it in a plastic bag and refrigerate. Take it to the avian veterinarian as quickly as possible. Do not freeze the bird before having a necropsy performed.
     The body cavity is opened to visualize the gross anatomy. Small samples of the various organs are placed in a preservative for pathological evaluation. Other samples may be taken for bacterial and viral isolation. Many, many tests can be conducted to arrive at the cause of death. Each necropsy performed will enhance our education and knowledge of avian medicine, because we will gain insight in the processes of health. Remember, necropsies do not always provide conclusive results.

Suggested Yearly Evaluation
     We are all aware of the human medical recommendations for semiannual or annual health exams. The purpose for these visits again is to prevent catastrophes or expensive reconstructive procedures. The benefit and reality of these visits is only too apparent in birds. Because avian medicine is evolving so rapidly there usually is much new information from year to year. The yearly visit is also used as a time to share medical updates, techniques and answer questions.
     As was described in the previous information many tests can be conducted. Experience has shown that a screening group of tests are adequate for most situations. Depending upon the species of bird and the history, other tests will be suggested. In the introduction we discussed sub-clinical illness and the importance of identifying birds harboring problems.
     It is recommended that a yearly exam be done consisting of the following tests. A CBC (complete blood count) will reveal anemia's, infections and protein levels. Biochemistries are used to evaluate enzymes, levels of waste product in the blood, electrolytes and some minerals. X-rays enable the avian veterinarian to make judgments of bone density and organ relationships. Because birds fly, all body organs are firmly affixed in the body to prevent damage when landing. If an organ is enlarged or displaced a clinical decision can be made. As was mentioned, many other tests may be done as the situation dictates. Since the above procedures require restraint, anesthesia is recommended to alleviate stress.
     Avian medicine is constantly changing. New tests are being developed to enhance our diagnostic ability.

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