HANDCART but not entirely sure why! (Well known phrase "Gone to Hell in A Handcart...)
EDNA Short Woman - EDNA elevated = ANDE = Short for ANDES
LANCET Instrument used in surgery NC = North Carolina State in TEAL (duck) reversed
HANDCART as in gone to hell in a handcart HAN is a river and C = cold but not sure of the rest
EDNA - Elevation = ANDES reversed and shortened
LANCET - Instrument in surgery with North Carolina State (NC) in Teal (kind of duck) reversed