Do you have any photos of her injuries?  Was the shell actually cracked/broken/penetrated at any point, or was the outer epidermis just scraped off?  Also, where did she bleed from?

Its possible that she may not be feeding from the combined stress of injury and being in a new environment.  Also, captive turtles that have been exposed to normal seasonal shifts in their life often slow their feeding/activity rates as winter approaches, just as they would do in the wild.

Turtles are tough animals, and they can go a long time without eating.  Might be best to continue with the wound therapy and warm temps until she heals.  Keep offering food, but I wouldn't lose too much sleep over her not eating until its been a while (weeks or even months).

Van

Thank you for the response.  She still isn't eating.  She is interested in the worms - looks at them, follows them with her eyes, and has even nudged one with her beak, but has not actually opened her mouth and taken a bite.  We are especially worried about it because we wish she'd eat as a way to get a bit more moisture into her system.  We soak her once a day, but the vet told us not to mist her enclosure or offer her a water bowl because getting the wounds wet would be bad. 

I don't have photos.  When all of this happened, it was the last thing on my mind.  I may be able to take some photos when we take the bandages off to soak her today.  There are some cracks on her platron near the edge, and on her carapace there are a few spots along the edges where parts of her shell are missing (so the edge of her carapace is very jagged and broken looking).  The vet doesn't believe her body cavity was punctured, though.  On one side, where the plastron and carapace meet (between her front and back leg), pieces of both are basically broken off, but are still hanging on by a little bit of tissue.  The vet didn't want to remove them, and just said we should wait and see if the will heal back up or fall off.  Right now, most of the rough broken-off edges of her shell have healed over, and there are really just a couple of areas that i would still consider an open wound.  We clean these out daily, allow her to soak, apply silver sulfadiazine (sp?) cream, wrap sterile gauze around her shell to cover these areas, and then secure it with the pet bandage.  It covers it completely, stays in place, but still allows her to move.  I am a bit confused why the vet has chosen to do this instead of mending the shell with epoxy or a patch, but she is an experienced vet, so I'll trust her.

Here are my concers: 

1) Lack of moisture.  We can't mist the enclosure of give her a water dish to soak in. She gets a 20-30 minute soak each day.  Is this enough to keep her well hydrated?  Sadly, I haven't noticed her drinking any water during her soak.  Can she absorb it through her skin?

2) She won't eat.  We have proper temperature, light, and UVB to stimulate appetite, but she is just not interested.  I know box turtles can go quite a while without eating, but doesn't she need vitamins and nutrition to support her immune system while she recovers?

3) Her eyes.  One looks wide open and normal, although it may be sticking out a bit, and the other one appears half-closed, but not really swollen or puffy.  I have read that I could use cod liver oil on them.  Do you think this is a good idea?

Also, for sick or injured turtles who won't eat, I have read about soaking them in a diluted pedialyte formula.  Is this a good idea for her, or would it harm her open wounds?  What about adding liquid vitamins to the water?

I'd be careful to not soak her too much.  Just as they don't need to eat regularly, turtles can go without drinking for a while.  You could probably soak her once every 2-3 days and be just fine.  The risk with soaking too much is that if water gets pooled anywhere it might encourage an infection.

Yes, but not to the same degree as mammals.  Reptilian immune systems are much more constrained by body temperature than by nutrients, and a natural injury response can be (not always) to seek out a warm place to bask and actually avoid feeding so they can focus entirely on thermoregulation

If the shell isn't really cracked I'm sure she will recover just fine.  Damage to the marginal scutes is a minor injury- its how many turtles are marked in research.

The damage to the shell bridge is probably the most concerning, but its tough to tell how serious it is without a photo.  If there's any way to fix the shell pieces together, they should heal nicely.  Many vets simply use epoxy to do this and it works fine.

Van

Hi y'all, just an update.  Our little turtle is doing better.  We have continued to follow the vet's instructions and soak her once a day (this is also when we change her bandages).  The last two days, she has been more active and has visibly been drinking the water.  Last night, she showed some interest in a strawberry, even trying to bite it, but didn't really get any of it.  Then this morning I put a wax worm in front of her and she gobbled it up immediately.  I offered her another and she ate it, too.  When I left for work, she was showing interest in some banana I put out for her.  So she is now eating and drinking.  Her right eye still looks a bit closed and cloudy, but it doesn't look red or swollen, and it appears to get better during and after her daily soaks, so I believe it may be a bit dry due to the fact that we currently have to keep her in a dry newspaper substrate instead of the moist soil she would have in the wild.  I am watching it closely though.  Other than the daily soaks and bandage changes (which we have been instructed to do by the vet), I am leaving her alone.