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

Posted By: typinlikemad on 2008-12-09
In Reply to: Word help please - Lynn

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

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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.


how about petro-mastoiditis...nm
Subject: how about petro-mastoiditis...nm

x
try purulent
Subject: try purulent

x
may also be purulent...nm
Subject: may also be purulent...nm

x
purulent?
Subject: purulent?


purulent NM
Subject: purulent NM

nm
maybe purulent?
Subject: maybe purulent?


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?
I prefer purulent. (sm)
Subject: I prefer purulent. (sm)

Surely that's the word the dictator was thinking of. ;oD


How about purulent exudate? - nm
Subject: How about purulent exudate? - nm


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?
just a guess....maybe purulent?
Subject: just a guess....maybe purulent?

x
Just a stab but...
Subject: Just a stab but...

if ESL could she be saying shrimp (shrimps) and may be NSAIDS
Shot in the dark.."liquifying" maybe?
Subject: Shot in the dark.."liquifying" maybe?

xx
purulent? chronic allergic?
Subject: purulent? chronic allergic?


purulent allergic rhinitis?
Subject: purulent allergic rhinitis?

x
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?


possibly purulent bile? nm
Subject: possibly purulent bile? nm


stab at it...anomaly?
Subject: stab at it...anomaly?


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

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Yes, purulent is how we were told to type it at one of my jobs
Subject: Yes, purulent is how we were told to type it at one of my jobs

xx
I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm
Subject: I just could not hear purulent, suppurative, etc. I flagged it. Thx! nm

..
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...
I would have changed it to purulent sputum. (nmsg)
Subject: I would have changed it to purulent sputum. (nmsg)

xx
complete and total shot in the dark -
Subject: complete and total shot in the dark -

was found to have diabetes mellitus
wild stab but phlebolith?
Subject: wild stab but phlebolith?

n/m
taking a stab here with dysynchrony? nm
Subject: taking a stab here with dysynchrony? nm

s
clamp?.......just taking a stab at it....
Subject: clamp?.......just taking a stab at it....


my stab at the second one is eczematous pruritus...nm
Subject: my stab at the second one is eczematous pruritus...nm


a total stab...inside
Subject: a total stab...inside

could he be saying ...audiogram test frequency .... and then I know they test at 500, 1000, 2000 and 3000
it's a wild stab but could it be TENS since this is
Subject: it's a wild stab but could it be TENS since this is

soft tissue? Maybe patient is using TENS unit on pelvis/scapula area to relieve pain. Good luck!
Just taking a stab at it, but how about cereal?
Subject: Just taking a stab at it, but how about cereal?


wild stab - choanae?
Subject: wild stab - choanae?

n/m
silhouette; a dark shape seen against a light background
Subject: silhouette; a dark shape seen against a light background

/


Yes, purulent exudate. But can't figure out the "fibber" part. Thanks!
Subject: Yes, purulent exudate. But can't figure out the "fibber" part. Thanks!


wild stab but is this a scalp lac? something galea?
Subject: wild stab but is this a scalp lac? something galea?

just a thought
wild stab but "lytes" since probably dehydrated from
Subject: wild stab but "lytes" since probably dehydrated from

diarrhea?
right...probably the infection that spread to the middle ear is bacterial, with purulent discharge,
Subject: right...probably the infection that spread to the middle ear is bacterial, with purulent discharge, hence, odoriferous

is that the clinical picture presented in the patient's case? Did the PE include such ear discharge and the Assessment include Otitis media?
wild stab - can you hear vasomotor instability on
Subject: wild stab - can you hear vasomotor instability on

tilt-test screen? As in they are screening for something and they get dizzy with the tilt test screen? Just a thought.
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


I was just taking a quit stab at it, so please note I have no idea if this is correct. Thanks
Subject: I was just taking a quit stab at it, so please note I have no idea if this is correct. Thanks


last stab: pneumostatic response like in esophageal dilatation studies etc.? nm
Subject: last stab: pneumostatic response like in esophageal dilatation studies etc.? nm


Nares: Mucoid drainage? Purulent drainage?
Subject: Nares: Mucoid drainage? Purulent drainage?

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