Bulge below ear (firm)

Tram

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Ear canal is clear and the bulge is firm. Vet said to wait for it to burst or lance it then give antibiotics. Gave her Tylan 200 for a week with no difference. Today she seems more docile than normal. Anyone familiar with this in their flock?
 

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Opened her mouth this morning and don't see anything that looks out of the normal. Pressed on the bulge and seems pretty firm. Must admit I am hesitant to lance it. Not sure how deep do I cut or do I just slice the skin open and then see if I can mash it like a zit?

I do have one more girl who has a foaming eye (no respitory issues observed) that I am am getting another Excede injection for.
 
Picked up the injections today and when I lanced that bulge. The blood just poured out. I swear I didn't go deep. You would think she was in the killing cone.

I tried blood clotting powder with no luck. Ended up putting 4 stitches to close it up and applied more blood clotting powder. Bulge is still there and I am not sure she is gonna make it through the night.

I am so depressed atm, I didn't realize owning a large flock meant becoming a vet. But no way I can run to the vet for every bird issue.
😢
 
When you lanced it, was it only blood coming out? Did you get any pus or white gunk?
 
Update: she has passed on. 😢
Next time I will use a syringe to test the lump first. She lost way too much blood.
 

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