CHIEF COMPLAINT: Abdominal pain

PRESENT ILLNESS: 62 F p/w hypotension to the ED (70's SBP), RUQ abdominal pain
and necrotic, maloderous wound on the Right medial malleolus.
Right foot pain began 5 days PTA after sustaining an insect bite
while gardening.  Four days PTA abdominal pain started, w/ N/V
x2, anorexia the night PTA.  Denies Diarrhea, consitpation,
blood in stool.

MEDICAL HISTORY: 1. Diverticulitis s/p partial colectomy
2. PUD
3. Depression
4. Htn
5. Hypothyroidism
6. Raynauds
8. Uterine Fibroids
9. Internal carotid artery dissection
10. Asthma
11. h/o hepatitis
12. h/o TIA
13. Visual Seizures

MEDICATION ON ADMISSION: atenolol 25mg QD
levothyroxine 150mcg daily
albuterol
[**Doctor First Name 130**] 60mg [**Hospital1 **]
dyazide 25/37.5mg daily
flonase 2puff [**Hospital1 **]
K-dur 20meq qd
neurotin 200mg TID
nifedical xl 30BID
prilosec 20mg [**Hospital1 **]
singulair 10mg qhs
skelaxin 400mg [**Hospital1 **]
tramadol 50mg QD

ALLERGIES: Penicillins / Iodine; Iodine Containing / Sulfonamides /
Percocet / Latex

PHYSICAL EXAM: On admission:
94.1   101   80/48   16   93% RA
A&Ox3, mod. distress, pale,  +rigors
tachy, RRR
CTAB
RUQ TTP w/ guarding and rebound.  reducible epigastric hernia,
no mass.
ext: cool,  Right medial malleolous indurated and necrotic
abscess w/ foul smelling odor and necrotic soft tissue below.

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: Retired [**Hospital1 18**] pathologist, no tobacco, no EtOH, lives with her
husband.
Septicemia due to anaerobes,Necrotizing fasciitis,Acute respiratory failure,Severe sepsis,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Asthma, unspecified type, unspecified,Other specified disease of white blood cells,Intestinal bypass or anastomosis status,Abdominal pain, right upper quadrant
Anaerobic septicemia,Necrotizing fasciitis,Acute respiratry failure,Severe sepsis,Hypertension NOS,Hypothyroidism NOS,Asthma NOS,Wbc disease NEC,Intestinal bypass status,Abdmnal pain rt upr quad
Admission Date:  [**2159-12-16**]              Discharge Date:   [**2160-1-4**]

Date of Birth:  [**2096-12-17**]             Sex:   F

Service: SURGERY

Allergies:
Penicillins / Iodine; Iodine Containing / Sulfonamides /
Percocet / Latex

Attending:[**First Name3 (LF) 371**]
Chief Complaint:
Abdominal pain

Major Surgical or Invasive Procedure:
debridement R lower leg.


History of Present Illness:
62 F p/w hypotension to the ED (70's SBP), RUQ abdominal pain
and necrotic, maloderous wound on the Right medial malleolus.
Right foot pain began 5 days PTA after sustaining an insect bite
while gardening.  Four days PTA abdominal pain started, w/ N/V
x2, anorexia the night PTA.  Denies Diarrhea, consitpation,
blood in stool.

Past Medical History:
1. Diverticulitis s/p partial colectomy
2. PUD
3. Depression
4. Htn
5. Hypothyroidism
6. Raynauds
8. Uterine Fibroids
9. Internal carotid artery dissection
10. Asthma
11. h/o hepatitis
12. h/o TIA
13. Visual Seizures


Social History:
Retired [**Hospital1 18**] pathologist, no tobacco, no EtOH, lives with her
husband.


Family History:
non-contributory

Physical Exam:
On admission:
94.1   101   80/48   16   93% RA
A&Ox3, mod. distress, pale,  +rigors
tachy, RRR
CTAB
RUQ TTP w/ guarding and rebound.  reducible epigastric hernia,
no mass.
ext: cool,  Right medial malleolous indurated and necrotic
abscess w/ foul smelling odor and necrotic soft tissue below.

Pertinent Results:
[**2159-12-20**] 04:58AM BLOOD WBC-11.8* RBC-3.16* Hgb-10.0* Hct-28.8*
MCV-91 MCH-31.5 MCHC-34.5 RDW-14.2 Plt Ct-368
[**2159-12-19**] 02:17AM BLOOD WBC-11.7* RBC-2.94* Hgb-9.0* Hct-27.5*
MCV-94 MCH-30.6 MCHC-32.6 RDW-14.2 Plt Ct-295
[**2159-12-18**] 02:44AM BLOOD WBC-14.4* RBC-2.76* Hgb-8.8* Hct-26.3*
MCV-95 MCH-32.1* MCHC-33.7 RDW-14.2 Plt Ct-294
[**2159-12-17**] 01:44PM BLOOD WBC-21.3* RBC-3.27* Hgb-10.2* Hct-30.2*
MCV-93 MCH-31.3 MCHC-33.8 RDW-14.0 Plt Ct-317
[**2159-12-17**] 03:49AM BLOOD WBC-16.4* RBC-3.20* Hgb-10.0* Hct-29.5*
MCV-92 MCH-31.1 MCHC-33.7 RDW-14.0 Plt Ct-274
[**2159-12-16**] 11:15PM BLOOD WBC-19.1* RBC-3.26* Hgb-10.1*# Hct-30.3*
MCV-93 MCH-31.0 MCHC-33.4 RDW-13.8 Plt Ct-274
[**2159-12-16**] 05:55PM BLOOD WBC-21.7*# RBC-4.16* Hgb-13.7 Hct-39.9
MCV-96 MCH-32.9* MCHC-34.3 RDW-13.8 Plt Ct-297
[**2159-12-20**] 04:58AM BLOOD Plt Ct-368
[**2159-12-19**] 02:17AM BLOOD Plt Ct-295
[**2159-12-18**] 02:44AM BLOOD Plt Ct-294
[**2159-12-17**] 01:44PM BLOOD Plt Ct-317
[**2159-12-17**] 01:44PM BLOOD PT-12.6 PTT-150.0* INR(PT)-1.1
[**2159-12-17**] 03:49AM BLOOD Plt Ct-274
[**2159-12-16**] 11:15PM BLOOD PT-14.5* PTT-35.2* INR(PT)-1.4
[**2159-12-16**] 05:55PM BLOOD Plt Smr-NORMAL Plt Ct-297
[**2159-12-20**] 04:58AM BLOOD Glucose-122* UreaN-4* Creat-0.6 Na-140
K-3.6 Cl-103 HCO3-28 AnGap-13
[**2159-12-19**] 02:17AM BLOOD Glucose-81 UreaN-4* Creat-0.6 Na-142
K-3.9 Cl-106 HCO3-28 AnGap-12
[**2159-12-18**] 05:12PM BLOOD Glucose-100 UreaN-6 Creat-0.6 Na-143
K-4.3 Cl-111* HCO3-25 AnGap-11
[**2159-12-17**] 03:49AM BLOOD Glucose-102 UreaN-17 Creat-0.5 Na-139
K-3.4 Cl-109* HCO3-21* AnGap-12
[**2159-12-16**] 11:15PM BLOOD Glucose-122* UreaN-19 Creat-0.6 Na-141
K-2.9* Cl-112* HCO3-19* AnGap-13
[**2159-12-16**] 05:55PM BLOOD Glucose-102 UreaN-33* Creat-1.2* Na-134
K-4.3 Cl-91* HCO3-26 AnGap-21*
[**2159-12-17**] 03:49AM BLOOD ALT-21 AST-27 AlkPhos-55 Amylase-13
TotBili-0.3
[**2159-12-16**] 05:55PM BLOOD ALT-16 AST-37 AlkPhos-75 Amylase-17
TotBili-0.5
[**2159-12-20**] 04:58AM BLOOD Calcium-8.0* Phos-3.8 Mg-1.8
[**2159-12-19**] 02:17AM BLOOD Calcium-8.1* Phos-4.0 Mg-1.9
[**2159-12-18**] 05:12PM BLOOD Calcium-7.5* Phos-3.2 Mg-1.8
[**2159-12-17**] 03:49AM BLOOD Calcium-7.3* Phos-2.1* Mg-1.8
[**2159-12-16**] 11:15PM BLOOD Calcium-7.4* Phos-2.8 Mg-2.0
[**2159-12-16**] 05:55PM BLOOD TotProt-6.5 Calcium-9.3 Phos-3.8 Mg-1.5*
[**2159-12-17**] 05:35AM BLOOD Cortsol-23.1*
[**2159-12-17**] 05:27AM BLOOD Cortsol-18.8
[**2159-12-17**] 05:04AM BLOOD Cortsol-16.0
[**2159-12-17**] 03:50AM BLOOD Cortsol-9.7
[**2159-12-16**] 06:01PM BLOOD Lactate-3.6*
[**2159-12-16**] 08:07PM BLOOD Lactate-2.2*
[**2159-12-16**] 10:34PM BLOOD Glucose-127* Lactate-2.2* Na-137 K-3.2*
Cl-110
[**2159-12-17**] 04:14AM BLOOD Lactate-1.4
[**2159-12-17**] 08:26AM BLOOD Glucose-97 Lactate-1.1 K-2.8*
[**2159-12-17**] 10:45AM BLOOD Glucose-138* Lactate-0.9 K-4.2

Blood Cultures 11/6: No growth

Wound Culture [**12-16**]:
[**2159-12-16**] 6:10 pm SWAB
                            **FINAL REPORT [**2159-12-22**]**
   GRAM STAIN (Final [**2159-12-16**]):
      3+  (5-10 per 1000X FIELD):   POLYMORPHONUCLEAR
LEUKOCYTES.
      4+   (>10 per 1000X FIELD):   GRAM NEGATIVE ROD(S).
      4+   (>10 per 1000X FIELD):   GRAM POSITIVE COCCI.
                                    IN PAIRS AND CLUSTERS.
      3+  (5-10 per 1000X FIELD):   GRAM POSITIVE ROD(S).

   WOUND CULTURE (Final [**2159-12-22**]):
      Due to mixed bacterial types ( >= 3 colony types) an
abbreviated
      workup is performed appropriate to the isolates recovered
from the
      site (including a screen for Pseudomonas aeruginosa,
Staphylococcus
      aureus and beta streptococcus).
      WORK-UP PER ID.
      ESCHERICHIA COLI.    SPARSE GROWTH.
         Trimethoprim/Sulfa sensitivity testing available on
request.
      ESCHERICHIA COLI.    SPARSE GROWTH.  2ND STRAIN.
         Trimethoprim/Sulfa sensitivity testing available on
request.
      VIRIDANS STREPTOCOCCI.    SPARSE GROWTH.
         OF TWO COLONIAL MORPHOLOGIES.

                              SENSITIVITIES: MIC expressed in
MCG/ML
______________________________________________________
                             ESCHERICHIA COLI
                             |          ESCHERICHIA COLI
                             |          |
AMPICILLIN------------  =>32 R        8 S
AMPICILLIN/SULBACTAM--     4 S        4 S
CEFAZOLIN-------------   <=4 S      <=4 S
CEFEPIME--------------   <=1 S      <=1 S
CEFTAZIDIME-----------   <=1 S      <=1 S
CEFTRIAXONE-----------   <=1 S      <=1 S
CEFUROXIME------------     4 S        4 S
GENTAMICIN------------   <=1 S      <=1 S
IMIPENEM--------------   <=1 S      <=1 S
LEVOFLOXACIN----------     1 S   <=0.25 S
MEROPENEM-------------<=0.25 S   <=0.25 S
PIPERACILLIN----------              <=4 S
PIPERACILLIN/TAZO-----   <=4 S      <=4 S
TOBRAMYCIN------------   <=1 S      <=1 S

   ANAEROBIC CULTURE (Final [**2159-12-20**]):
      Mixed bacterial flora-culture screened for B. fragilis, C.
      perfringens, and C. septicum.  None isolated.

******************
Tissue culture [**12-16**]
[**2159-12-16**] 10:30 pm TISSUE     Site: ANKLE      RIGHT.

   GRAM STAIN (Final [**2159-12-17**]):
      NO POLYMORPHONUCLEAR LEUKOCYTES SEEN.
      4+   (>10 per 1000X FIELD):   GRAM POSITIVE COCCI.
                                    IN PAIRS AND CLUSTERS.

   TISSUE (Final [**2159-12-22**]):
      Due to mixed bacterial types ( >= 3 colony types) an
abbreviated
      workup is performed appropriate to the isolates recovered
from the
      site (including a screen for Pseudomonas aeruginosa,
Staphylococcus
      aureus and beta streptococcus).
      MODERATE GROWTH MIXED BACTERIAL FLORA ( >=3 COLONY TYPES)
CONSISTENT
      WITH SKIN FLORA.
      GRAM POSITIVE RODS.    MODERATE GROWTH.
         OF THREE COLONIAL MORPHOLOGIES.  UNABLE TO IDENTIFY
FURTHER.
         gram stain reviewed: 3+  (5-10 per 1000X FIELD):   were
observed
         ([**2159-12-20**]).
      ESCHERICHIA COLI.    SPARSE GROWTH STRAIN 1.
         Trimethoprim/Sulfa sensitivity testing available on
request.
      ENTEROCOCCUS SP..    SPARSE GROWTH.
      ESCHERICHIA COLI.    RARE GROWTH.  STRAIN 2.
         Trimethoprim/Sulfa sensitivity testing available on
request.

                              SENSITIVITIES: MIC expressed in
MCG/ML

_________________________________________________________
                             ESCHERICHIA COLI
                             |          ENTEROCOCCUS SP.
                             |          |          ESCHERICHIA
COLI
                             |          |          |
AMPICILLIN------------  =>32 R      <=2 S     =>32 R
AMPICILLIN/SULBACTAM--     8 S                   4 S
CEFAZOLIN-------------   <=4 S                 <=4 S
CEFEPIME--------------   <=1 S                 <=1 S
CEFTAZIDIME-----------   <=1 S                 <=1 S
CEFTRIAXONE-----------   <=1 S                 <=1 S
CEFUROXIME------------     4 S                   4 S
GENTAMICIN------------   <=1 S                 <=1 S
IMIPENEM--------------   <=1 S                 <=1 S
LEVOFLOXACIN----------     1 S        1 S        1 S
MEROPENEM-------------<=0.25 S              <=0.25 S
PENICILLIN------------              0.5 S
PIPERACILLIN/TAZO-----   <=4 S                 <=4 S
TOBRAMYCIN------------   <=1 S                 <=1 S
VANCOMYCIN------------              <=1 S

   ANAEROBIC CULTURE (Final [**2159-12-21**]):
      Mixed bacterial flora-culture screened for B. fragilis, C.
      perfringens, and C. septicum.  None isolated.

   FUNGAL CULTURE (Preliminary):    NO FUNGUS ISOLATED.

   POTASSIUM HYDROXIDE PREPARATION (Final [**2159-12-17**]):
      NO FUNGAL ELEMENTS SEEN.

   ACID FAST CULTURE (Pending):

   ACID FAST SMEAR (Final [**2159-12-17**]):
      NO ACID FAST BACILLI SEEN ON DIRECT SMEAR.
************
Stool Culture [**12-22**], [**12-24**], [**12-25**]: Negative for C Diff


Brief Hospital Course:
#Necrotizing Fasciitis: The patient was diagnosed with spesis in
the ED and a Code Sepsis protocol was followed. In ED given 2
liters IVF with no improvement in BP.  Right SC CVL placed,
levophed started with good response.  Pt taken to the OR for
debridement.  OR findings c/w Necrotizing fasciitis.  Wound left
open and packed. Patient was admitted to the general surgery
service under Dr. [**Last Name (STitle) 107052**] and placed in the SICU. Patient was
left intubated on levophed. IV antibiotics were started
(levofloxacin/vancomycin/gentamycin/clindamycin), and an ID
consult was obtained.  Tube feed were started via an OGT on
[**12-17**].  The patient was taken back to the OR on [**12-17**] for
observation of the wounds.  No further debridement was necessary
as the wounds were quite clean. The wounds were again packed
open; the patient was returned to the SICU intubated and on
levophed and propofol.  A plastic surgery consult was obtained
for recommendations on closure.  A wound vac was placed per
their recommendations on [**2159-12-18**].  The patient was extubated
after dressing changes on [**2159-12-18**]. Clear liquids was started on
[**2159-12-19**] and advanced to regular diet on [**2159-12-20**].  On [**2159-12-22**]
antibiotics were changed to Vanco/Aztreonam/Flagyl per the ID
team.  On [**2159-12-24**] a PICC line was placed by angiography. The
wound continued to be treated with a wound vac, changed every
3-4 days.  On [**2159-12-27**] the patient was taken to the OR by the
plastic surgery team for a Split-thickness skin graft from right
thigh to right leg measuring 5 x 25 cm.  A wound vac was again
placed in the OR and left in place for 5 days per the plastic
surgery team.  Per the ID team antibiotics (Vanco, po Flagyl,
Aztreonam) to be continued for 2 weeks from this operation (to
complete on [**2160-1-10**]). On [**2160-1-1**] the wound vac was removed by
the plastic surgery team.  There was 100% graft take.  The
medial thigh wounds were treated with wet to dry packing and
allowed to heal by secondary intention.  On [**2160-1-2**] the skin
graft and donor site were healing.  The thigh wounds had good
granulation tissue without significant drainage. The patient was
ready for discharge per the general surgery, plastic surgery and
PT teams.  On [**2160-1-4**] the patient was discharged to rehab.
.
#Thrombocytosis: Platletes rose to a maximum of 1,080,000.
Hematology considered this to be a acute phase reaction and did
not think intervention was warrented.  She is to have a
follow-up CBC at her outpatient visit.  If platelets are still
elevated, she is to have an outpatient Hematomlogy/oncology
consult.

Medications on Admission:
atenolol 25mg QD
levothyroxine 150mcg daily
albuterol
[**Doctor First Name 130**] 60mg [**Hospital1 **]
dyazide 25/37.5mg daily
flonase 2puff [**Hospital1 **]
K-dur 20meq qd
neurotin 200mg TID
nifedical xl 30BID
prilosec 20mg [**Hospital1 **]
singulair 10mg qhs
skelaxin 400mg [**Hospital1 **]
tramadol 50mg QD

Discharge Medications:
1. Albuterol 90 mcg/Actuation Aerosol Sig: 1-2 Puffs Inhalation
Q6H (every 6 hours).
2. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q12H (every 12 hours).
3. Fexofenadine 60 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day).
4. Triamterene-Hydrochlorothiazid 37.5-25 mg Capsule Sig: One
(1) Cap PO DAILY (Daily). Cap(s)
5. Levothyroxine Sodium 150 mcg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
6. Gabapentin 100 mg Capsule Sig: Two (2) Capsule PO TID (3
times a day).
7. Metaxalone 800 mg Tablet Sig: 0.5 Tablet PO bid ().
8. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO q3-4hr as
needed.
Disp:*45 Tablet(s)* Refills:*0*
9. Montelukast 10 mg Tablet Sig: One (1) Tablet PO QHS (once a
day (at bedtime)).
10. Amphetamine-Dextroamphetamine 5 mg Tablet Sig: Six (6)
Tablet PO bid ().
11. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every
4 to 6 hours) as needed.
12. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal
HS (at bedtime) as needed.
13. Metoclopramide 10 mg Tablet Sig: One (1) Tablet PO QIDACHS
(4 times a day (before meals and at bedtime)).
14. Atenolol 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

15. Metronidazole 500 mg Tablet Sig: One (1) Tablet PO TID (3
times a day) for 7 days: continue through doses on [**1-10**].
Disp:*21 Tablet(s)* Refills:*0*
16. Vancomycin in Dextrose 1 g/200 mL Piggyback Sig: One (1) 1gm
Intravenous  Q 12H (Every 12 Hours) for 7 days: continue through
doses on [**2160-1-10**].
Disp:*14 1gm* Refills:*0*
17. Aztreonam [**2154**] mg IV Q8H
18. Aztreonam 2 g Recon Soln Sig: One (1) 2gm Injection every
eight (8) hours for 7 days: continue through doses on [**2160-1-10**].
Disp:*21 2gm* Refills:*0*
19. Heparin Lock Flush (Porcine) 100 unit/mL Syringe Sig: Two
(2) ML Intravenous  DAILY (Daily) as needed for 9 days.
Disp:*30 ML(s)* Refills:*0*
20. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day.
Disp:*60 Capsule(s)* Refills:*2*
21. Outpatient Lab Work
CBC with Diff, BUN, Cr, ALT, AST, Alk Phos, T Bili
Please draw the week of [**2160-1-6**]


Discharge Disposition:
Extended Care

Facility:
[**Hospital1 599**] of [**Location (un) 55**]

Discharge Diagnosis:
Necrotizing fascitis


Discharge Condition:
Good


Discharge Instructions:
Please resume taking your regular medications. Take all new
medications as directed.  Continue all antibiotics until [**2160-1-10**]

You may resume your regular activities.  You may shower, and pat
dry the wound covered. Do not soak the wound for 2 weeks.

Please call your physician or return to the hospital if you
experience:
- Increasing pain
- Fever (>101.5 F)
- Inability to eat or persistent vomiting
- Foul discharge from your wound
- Other symptoms concerning to you

Followup Instructions:
1. Please follow up with Dr. [**Last Name (STitle) **] in [**2-11**] weeks.  Call his
office, ([**Telephone/Fax (1) 2300**], to make an appointment.
2. Call Dr.[**Name (NI) 26831**] office for a follow-up appointment ([**Telephone/Fax (1) 107053**]
3. Have a CBC, BUN, Cr, LFT's drawn for your appointment with
Dr. [**Last Name (STitle) **] to check your platelet count.
{'Septicemia due to anaerobes,Necrotizing fasciitis,Acute respiratory failure,Severe sepsis,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Asthma, unspecified type, unspecified,Other specified disease of white blood cells,Intestinal bypass or anastomosis status,Abdominal pain, right upper quadrant'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: Abdominal pain

PRESENT ILLNESS: 62 F p/w hypotension to the ED (70's SBP), RUQ abdominal pain
and necrotic, maloderous wound on the Right medial malleolus.
Right foot pain began 5 days PTA after sustaining an insect bite
while gardening.  Four days PTA abdominal pain started, w/ N/V
x2, anorexia the night PTA.  Denies Diarrhea, consitpation,
blood in stool.

MEDICAL HISTORY: 1. Diverticulitis s/p partial colectomy
2. PUD
3. Depression
4. Htn
5. Hypothyroidism
6. Raynauds
8. Uterine Fibroids
9. Internal carotid artery dissection
10. Asthma
11. h/o hepatitis
12. h/o TIA
13. Visual Seizures

MEDICATION ON ADMISSION: atenolol 25mg QD
levothyroxine 150mcg daily
albuterol
[**Doctor First Name 130**] 60mg [**Hospital1 **]
dyazide 25/37.5mg daily
flonase 2puff [**Hospital1 **]
K-dur 20meq qd
neurotin 200mg TID
nifedical xl 30BID
prilosec 20mg [**Hospital1 **]
singulair 10mg qhs
skelaxin 400mg [**Hospital1 **]
tramadol 50mg QD

ALLERGIES: Penicillins / Iodine; Iodine Containing / Sulfonamides /
Percocet / Latex

PHYSICAL EXAM: On admission:
94.1   101   80/48   16   93% RA
A&Ox3, mod. distress, pale,  +rigors
tachy, RRR
CTAB
RUQ TTP w/ guarding and rebound.  reducible epigastric hernia,
no mass.
ext: cool,  Right medial malleolous indurated and necrotic
abscess w/ foul smelling odor and necrotic soft tissue below.

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: Retired [**Hospital1 18**] pathologist, no tobacco, no EtOH, lives with her
husband. 

### Response:
{'Septicemia due to anaerobes,Necrotizing fasciitis,Acute respiratory failure,Severe sepsis,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Asthma, unspecified type, unspecified,Other specified disease of white blood cells,Intestinal bypass or anastomosis status,Abdominal pain, right upper quadrant'}
