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She just says Adacel declined --- I think Adacel is a tetanus shot offered to pt.

Posted By: Flo on 2006-08-25
In Reply to: What is the context? nm - :)

Subject: She just says Adacel declined --- I think Adacel is a tetanus shot offered to pt.

xxx


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Thought it might be Adacel, Tetanus booster. Glad you got it. nm
Subject: Thought it might be Adacel, Tetanus booster. Glad you got it. nm


ADACEL
Subject: ADACEL


Adacel. see ref.
Subject: Adacel. see ref.

FDA Approves a New Combination Vaccine to Help Protect Both ...



The vaccine will be marketed as Adacel by Aventis Pasteur Limited located in ... Adacel is the first vaccine approved as a pertussis booster for adults. ...
www.fda.gov/bbs/topics/ANSWERS/2005/ANS01361.html - 8k - Cached - Similar pages
[ More results from www.fda.gov ]

Quick Look has it listed as Adacel
Subject: Quick Look has it listed as Adacel

x
Adacel. Here is good link with sm
Subject: Adacel. Here is good link with sm

an added feature of monthly drug approvals etc. Best I have found.


 


http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm


 


 


This is valuable help being offered. There
Subject: This is valuable help being offered. There

are 3 different terms you need to know, no matter if you are doing acute care, radiology or whatever.

There is the perineum, that area in the crotch region that is viewed in lithotomy position. Adjective form is perineal.

The peritoneum, which is the transparent membrane that lines the abdominal cavity and covers most of the viscera. When in adjective form it is peritoneal.

The third word is peroneal (muscle, nerve, tendon) and relates to the leg.

You could print this out and tape to your monitor.
I offered the hepatitis immunization. She has deferred and will follow up at work where
Subject: I offered the hepatitis immunization. She has deferred and will follow up at work where

I offered the hepatitis immunization.  She has deferred and will follow up at work where administration will "EL BEE IT"  at no cost.    What fits here?  Thank you.


Hydergine is used for treating symptoms of declined mental capacity (memory, mood, and behavior prob
Subject: Hydergine is used for treating symptoms of declined mental capacity (memory, mood, and behavior problems) in certain patients older than 60 years of age.


tetanus?
Subject: tetanus?


tetanus toxoid....................NM
Subject: tetanus toxoid....................NM

/
DTap for tetanus.
Subject: DTap for tetanus.

nm
Tetanus or typhus?
Subject: Tetanus or typhus?


s/L Adisil (tetanus vaccine)
Subject: s/L Adisil (tetanus vaccine)


YEAH!! Got it...tetanus toxoid. Thanks for your help :)
Subject: YEAH!! Got it...tetanus toxoid. Thanks for your help :)


probably "Adacel" update (tetanus)
Subject: probably "Adacel" update (tetanus)


Ok, one more shot at this....sm
Subject: Ok, one more shot at this....sm

could it be..joint space narrowing, or JSN of the medial compartment of the knee??? (I hope, I hope, I hope) let me know what cha think,
is there any way you can get 20 mg/ml shot
Subject: is there any way you can get 20 mg/ml shot

derms use Kenalog or similar injections, typical concentration is 20 mg/ml
just a shot..sm
Subject: just a shot..sm

"At that juncture she would, despite her young age, be a candidate for supportive care only."


Another shot...
Subject: Another shot...

chelation agent?
Here's a shot...
Subject: Here's a shot...

mucociliary papilla--mucociliary referring to mucus and ciliary in the airways and papilla referring to protuberances or elevations. Makes sense to me in your context. :-)
Another shot...
Subject: Another shot...

venous saphenous ??
Shot in the dark
Subject: Shot in the dark

Could it be patent foramen ovale?  Just a thougt...
Long shot...
Subject: Long shot...

Maybe it is Tazorac cream.  It is used for psoriasis and acne. 
it's a long shot from your s/l, but -- sm
Subject: it's a long shot from your s/l, but -- sm

"component of inadequate nutritional intake" might fit -- as albumin can be low in malnutrition.
That was too obvious - I should be shot!!! Thanks for your help .
Subject: That was too obvious - I should be shot!!! Thanks for your help .


Long shot, but...
Subject: Long shot, but...

this sounds like it's psych work, so it could be Pokemon.  They're little creatures created by Nintendo, I think.  Google Pokemon and see if that fits.
Long shot...
Subject: Long shot...

I found Hyserp which I also saw as hydroserp.  Any way the other could be Lopressor? 
this might be a long shot...
Subject: this might be a long shot...

Caduet for HTN.

Rocephin antibiotic.
A long shot, maybe not. Could it be, sm
Subject: A long shot, maybe not. Could it be, sm

"did not want to do anticoagulation at this point."
This is a long shot but
Subject: This is a long shot but

I was able to find "floor" of acetabulum and obturator "groove". Perhaps doc is saying "floor and groove"? Hope this helps. Good luck!
Shot in the dark...
Subject: Shot in the dark...

Could they be saying small villus?
this is a loooonnnnggg shot, but could it be--sm
Subject: this is a loooonnnnggg shot, but could it be--sm

*parents* or *relatives*?? good luck!!
long shot, but could be --sm
Subject: long shot, but could be --sm

pterygium?
long shot perhaps
Subject: long shot perhaps

phlebitis? Is this an ESL?
This is a long shot...sm
Subject: This is a long shot...sm

but the first thought that went through my head when I read your sentence was *hepatic*. I did a search and there is such a thing as hepatic leg swelling--your sound alike may even by HP meaning hepatitis. Just a thought.
This is a long shot, but try --sm
Subject: This is a long shot, but try --sm

He appears to have *absence of* crepitation of the joint.
Long shot
Subject: Long shot

Here's a list of meds I found used for intravesical instillation: Adriamycin, doxorubicin, epirubicin, mitomycin C, valrubicin, pirarubicin and gemcitabine gemzar. Don't know if you can hear any of those, but good luck to you and let us know if you find out for sure what it is.
long shot
Subject: long shot

nonsteroidal?
a long shot, i do not even know what she is saying...but
Subject: a long shot, i do not even know what she is saying...but

HEENT:  Pupils equal, round, reactive to light; accomodation, s/l like something beginning with an m ________ are intact. 
Long shot but...
Subject: Long shot but...

Could they be saying anterior?
long shot
Subject: long shot

This may be a long shot, but here we go! It sounds like
Heaves shows rubs, lung field. Any thoughts?

A long shot but......
Subject: A long shot but......

There is a single-stitch aponeurotic tuck technique used for the eyelids, ptosis, etc. Could that possibly be it? A long shot but possibly.
This might be a long shot...(sm)
Subject: This might be a long shot...(sm)

Imitrex and nortriptyline are both used to treat migraines.
Shot in the dark
Subject: Shot in the dark

Could there be a "lobar" or "bronchial" in that somewhere?
was just going to suggest D5W shot as well
Subject: was just going to suggest D5W shot as well


a shot of some kind...
Subject: a shot of some kind...

IMMUNIZATION HISTORY:
1. Flu shot in October 2007.
2. The "manu" shot in October of 2006.

Sounds like "the man-u shot" ??? or "de-man-u shot"


any ideas? Thanks!



pneumo shot
Subject: pneumo shot


shot in the dark, but could it be
Subject: shot in the dark, but could it be

subconjunctival hemorrhage?
Okay - long shot here.....
Subject: Okay - long shot here.....

Review of systems -


Denies any "correction ahead?". Denies any frequent headaches.


I am a newbie, but this just sounds weird....could it be right. It sure doesnt sound like "congestion" or "concussion".......i am at a loss, thinking about flagging it and moving on, just thought I would post it here for ideas.


long shot--sm
Subject: long shot--sm

levator scapulae palpation??
Menopause shot
Subject: Menopause shot

The patient could be menopausal.  She has not been getting her s/l Zelner shots. 


Thanks