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Shot in the dark.."liquifying" maybe?

Posted By: (nm) on 2006-03-02
In Reply to: type of hematoma - Earlybird

Subject: Shot in the dark.."liquifying" maybe?

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Shot in the dark
Subject: Shot in the dark

Could it be patent foramen ovale?  Just a thougt...
Shot in the dark...
Subject: Shot in the dark...

Could they be saying small villus?
Shot in the dark
Subject: Shot in the dark

Could there be a "lobar" or "bronchial" in that somewhere?
shot in the dark, but could it be
Subject: shot in the dark, but could it be

subconjunctival hemorrhage?
A total shot in the dark here...
Subject: A total shot in the dark here...

I have an ESL who does these and in her sedation note she uses:  IV midazolam.  No chance in heck of that being it is there?
shot in the dark: ARDS?
Subject: shot in the dark: ARDS?

x


Just a shot in the dark, polyethylene?
Subject: Just a shot in the dark, polyethylene?


This is a shot in the dark, something like "cranial" function??? NM
Subject: This is a shot in the dark, something like "cranial" function??? NM

x
Just a real wild shot in the dark and
Subject: Just a real wild shot in the dark and

a real oldie, haven't seen it around since the '70s, used to do them on peds for sugar screening, but could have maybe been short Dexi for Dextrostix.  For all I know there are still some places and emergency services, etc. that still use it.  Gave it away on that one  but ya never know, maybe places still using leftovers from the 70s...
complete and total shot in the dark -
Subject: complete and total shot in the dark -

was found to have diabetes mellitus
stab in the dark..
Subject: stab in the dark..

self-harm or having done this? Do you have diagnosis?

Stab in the dark here
Subject: Stab in the dark here

but could it be "hearing voices".  The patient denies hearing voices?
stab in the dark - Werlhof’s
Subject: stab in the dark - Werlhof’s

This is a form of idiopathic thrombocytopenic purpura which causes hemorraging from the mucous membranes.
Stab in the dark, could it be Volkman's retractor.
Subject: Stab in the dark, could it be Volkman's retractor.


stab in the dark, purulent mastoiditis??...nm
Subject: stab in the dark, purulent mastoiditis??...nm

x
silhouette; a dark shape seen against a light background
Subject: silhouette; a dark shape seen against a light background

/


scotopia ? The ability to see in darkness or dim light; dark-adapted vision
Subject: scotopia ? The ability to see in darkness or dim light; dark-adapted vision


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 ??
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!
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.
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


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


It's a loooong shot, but could you be hearing
Subject: It's a loooong shot, but could you be hearing

nm
Long shot.......dipyridamole?
Subject: Long shot.......dipyridamole?

x