CHIEF COMPLAINT: abdominal and suprapubic pain

PRESENT ILLNESS: 79 year old male, Cantonese-only speaking man with hypertension,

MEDICAL HISTORY: - Coronary artery disease s/p CABG [**3-/2119**] (LIMA to the LAD and
- separate SVGs to the PDA and an OM)
- HLD
- HTN
- BPH
- Emphysema per ct scan
- TB many years ago, treated for 2 years
- s/p cholecytectomy and cholangitis

MEDICATION ON ADMISSION: Preadmission medications listed are correct and complete.
Information was obtained from Family/Caregiver[**Name (NI) 581**].
1. Aspirin 81 mg PO DAILY
2. Atorvastatin 10 mg PO DAILY
3. Doxazosin 4 mg PO HS
4. Omeprazole 40 mg PO DAILY
Please take 30 minutes prior to meal
5. Ropinirole 1 mg PO TID
6. Acetaminophen 650 mg PO Q6H:PRN pain
Please do not exceed 2g/24hrs
7. Docusate Sodium 100 mg PO BID
8. OxycoDONE (Immediate Release)  2.5-5.0 mg PO Q4H:PRN pain
Please monitor and hold for sedation, RR<12 or AMS
9. Senna 1 TAB PO BID:PRN constipation
10. Tiotropium Bromide 1 CAP IH DAILY
11. Metoprolol Succinate XL 25 mg PO DAILY
12. Lisinopril 2.5 mg PO DAILY

ALLERGIES: Penicillins / simvastatin

PHYSICAL EXAM: PHYSICAL EXAM AT ADMISSION:
Vitals: T: 100.3 BP: 119/54 P: 100 R:20 O2:99%RA
General: Alert, oriented, no acute distress
HEENT: Sclera anicteric, MMM, oropharynx clear, multiple brown
macules on forhead and scalp
Neck: supple, JVP not elevated
Lungs: Clear to auscultation bilaterally with the exception of
decreased breath sound in left lower quadrant, no wheezes,
rales, ronchi, no egophony
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops
Abdomen: soft, bowel sounds present, no rebound tenderness or
guarding, no organomegaly, + tenderness to moderate palpation in
suprapubic area and bilateral lower abdominal quadrants,
+distended  bladder
Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema

FAMILY HISTORY: Mother had hypertension and history of cancer.

SOCIAL HISTORY: Prior 20 pack year smoker, quit 20 years ago. Retired CEO of
auto parts business in [**Country 651**]. Lives with his wife and is
independent with ADLs. Rare alcohol, denies illicits.
Unspecified septicemia,Pneumonia, organism unspecified,Septic shock,Urinary tract infection, site not specified,Hyposmolality and/or hyponatremia,Severe sepsis,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Coronary atherosclerosis of unspecified type of vessel, native or graft,Aortocoronary bypass status,Other specified retention of urine,Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS),Personal history of tobacco use,Other emphysema,Esophageal reflux,Restless legs syndrome (RLS)
Septicemia NOS,Pneumonia, organism NOS,Septic shock,Urin tract infection NOS,Hyposmolality,Severe sepsis,Hypertension NOS,Hyperlipidemia NEC/NOS,Cor ath unsp vsl ntv/gft,Aortocoronary bypass,Oth spcf retention urine,BPH w urinary obs/LUTS,History of tobacco use,Emphysema NEC,Esophageal reflux,Restless legs syndrome
Admission Date:  [**2124-9-14**]              Discharge Date:   [**2124-9-19**]

Date of Birth:  [**2045-8-27**]             Sex:   M

Service: MEDICINE

Allergies:
Penicillins / simvastatin

Attending:[**First Name3 (LF) 16115**]
Chief Complaint:
abdominal and suprapubic pain

Major Surgical or Invasive Procedure:
None


History of Present Illness:
79 year old male, Cantonese-only speaking man with hypertension,

hyperlipidemia, CAD s/p CABG ([**2118**]) with perc chole tube for
cholecystitis/duodenitis and sepsis in [**2124-6-4**], recently
discharged from [**Hospital1 18**] on [**9-8**] s/p chole and cholangitis treated
with antibiotics --  now presenting with complaints of lower
abdominal pain. The patient reports feeling well until 2-3 days
ago, when he started having lower abdominal and suprapubic pain.
Rates the pain as a [**5-14**] in the suprapubic area. He also
believes he is retaining urine. Associated symptoms include
chills, + urgency and dysuria.  He also endorses hematuria with
small clots in his foley bag -- but no stream of blood in the
urine. He had a foley placed during his last hospitalization and
he was suppose to see Urology as an outpatient for possible
removal of foley today.  He was also completing a course of
antibiotics from his last hospitalization -- his last dose of
clindamycin was today.  Also reports loose stools. The patient
denies fever, nausea, vomitting, SOB or cough.

In the ED, initial vitals were 100.1 114 124/56 18 98%.
Abdominal exam showed suprapubic tenderness, but no CVA
tenderness.  Labs showed WBC count of 21.8K with 96%
neutrophils.  Lactate was 1.5.  LFTs showed alkaline phosphatase
of 207, ALT of 42.  Chest X-ray showed a left lower lobe
consolidation.  Urinalysis showed >182 WBCs, >182 RBCs, large
leukocytes, moderate blood, 10 ketones, and 30 protein.  Patient
was started on vancomycin 1 gram IV x 1, ciprofloxacin 400 mg IV
x 1.  Vitals upon transfer were 95 105/51 16 96%.

On the floor, vs were: T 100.3 P 100 BP 119/54 R 20 O2 sat 99RA.
The patient endorsed ongoing abdominal pain.  He rated the pain
as a [**2122-1-10**], worse with movement.  He expressed interest in
having the foley catheter removed and trying to void on his own.
 He denied shortness of breath, difficulty breathing, wheezing,
cough, or fevers.  Reported intermittent sweating and chills.


Past Medical History:
- Coronary artery disease s/p CABG [**3-/2119**] (LIMA to the LAD and
- separate SVGs to the PDA and an OM)
- HLD
- HTN
- BPH
- Emphysema per ct scan
- TB many years ago, treated for 2 years
- s/p cholecytectomy and cholangitis


Social History:
Prior 20 pack year smoker, quit 20 years ago. Retired CEO of
auto parts business in [**Country 651**]. Lives with his wife and is
independent with ADLs. Rare alcohol, denies illicits.



Family History:
Mother had hypertension and history of cancer.


Physical Exam:
PHYSICAL EXAM AT ADMISSION:
Vitals: T: 100.3 BP: 119/54 P: 100 R:20 O2:99%RA
General: Alert, oriented, no acute distress
HEENT: Sclera anicteric, MMM, oropharynx clear, multiple brown
macules on forhead and scalp
Neck: supple, JVP not elevated
Lungs: Clear to auscultation bilaterally with the exception of
decreased breath sound in left lower quadrant, no wheezes,
rales, ronchi, no egophony
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops
Abdomen: soft, bowel sounds present, no rebound tenderness or
guarding, no organomegaly, + tenderness to moderate palpation in
suprapubic area and bilateral lower abdominal quadrants,
+distended  bladder
Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema

PHYSICAL EXAM AT DISCHARGE:
Vitals: Tm 99.1    Tc 97.8    112/60   67   20   94-98%RA
I/O: 8hr: [**Telephone/Fax (1) 46127**]
24hr: 2600/3550+BMx1
General: Alert, oriented, no acute distress
HEENT: NC/AT, Sclera anicteric, MMM,
Neck: supple, JVP not elevated, no LAD
CV: RRR, II/VI SEM at LUSB, nl s1 s2
Lungs: Bilateral crackles [**12-7**] way up, good air movement
Abdomen: S, NT/ND, BS+, no suprapubic tenderness
GU: No Foley
Ext: WWP no c/c/e
Neuro: Alert, oriented, appropriate, non-focal


Pertinent Results:
Labs at admission:
[**2124-9-14**] 09:03AM BLOOD WBC-21.8*# RBC-4.22* Hgb-12.9* Hct-37.6*
MCV-89 MCH-30.5 MCHC-34.2 RDW-14.9 Plt Ct-381#
[**2124-9-14**] 09:03AM BLOOD Neuts-92.6* Lymphs-2.9* Monos-4.0 Eos-0.3
Baso-0.1
[**2124-9-14**] 09:03AM BLOOD Glucose-103* UreaN-13 Creat-1.0 Na-136
K-3.5 Cl-99 HCO3-25 AnGap-16
[**2124-9-14**] 09:03AM BLOOD ALT-42* AST-28 AlkPhos-207* TotBili-1.2
[**2124-9-14**] 09:03AM BLOOD ALT-42* AST-28 AlkPhos-207* TotBili-1.2
[**2124-9-14**] 09:23AM BLOOD Lactate-1.6

Discharge Labs
[**2124-9-19**] 07:05AM BLOOD WBC-4.4 RBC-3.61* Hgb-11.0* Hct-32.4*
MCV-90 MCH-30.5 MCHC-34.0 RDW-14.8 Plt Ct-305
[**2124-9-19**] 07:05AM BLOOD Glucose-98 UreaN-8 Creat-0.6 Na-139 K-3.9
Cl-103 HCO3-27 AnGap-13
[**2124-9-19**] 07:05AM BLOOD Calcium-8.6 Phos-3.6 Mg-1.9

Imaging:
CXR [**2124-9-14**]:
IMPRESSION: Left lower lobe opacity concerning for pneumonia.

Liver/Gallblader U/S (Preliminary Report) [**2124-9-14**]:
IMPRESSION: 1. Patient is status post cholecystectomy. No fluid
collections identified. No intrahepatic or extrahepatic biliary
duct dilatation. 2. Heterogeneous echogenic liver consistent
with fatty infiltration however other forms of more severe liver
disease are not excluded.

RENAL ULTRASOUND [**2124-9-15**]
IMPRESSION: Simple renal cyst as on previous studies without
evidence of renal abscess.

Microbiology:
[**2124-9-14**] Urine culture [**2124-9-14**] 8:16 am URINE

                            **FINAL REPORT [**2124-9-16**]**

   URINE CULTURE (Final [**2124-9-16**]):
      ESCHERICHIA COLI.    >100,000 ORGANISMS/ML..
         PRESUMPTIVE IDENTIFICATION.
         Piperacillin/tazobactam sensitivity testing available
on request.

                              SENSITIVITIES: MIC expressed in
MCG/ML

_________________________________________________________
                             ESCHERICHIA COLI
                             |
AMPICILLIN------------  =>32 R
AMPICILLIN/SULBACTAM--     4 S
CEFAZOLIN-------------  =>64 R
CEFEPIME--------------     2 S
CEFTAZIDIME-----------     4 S
CEFTRIAXONE-----------  =>64 R
CIPROFLOXACIN---------   =>4 R
GENTAMICIN------------   <=1 S
MEROPENEM-------------<=0.25 S
NITROFURANTOIN--------   256 R
TOBRAMYCIN------------   <=1 S
TRIMETHOPRIM/SULFA----  =>16 R

Urine culture [**2124-9-15**]
   URINE CULTURE (Final [**2124-9-17**]):
      GRAM NEGATIVE ROD(S).    ~5000/ML.

Blood culture [**2124-9-14**]- NGTD  [**2124-9-15**]- NGTD
CDiff [**2124-9-15**]- NEGATIVE
Blood culture [**2124-9-16**]:  Blood Culture, Routine (Preliminary):
      ESCHERICHIA COLI.    FINAL SENSITIVITIES.
         Piperacillin/Tazobactam sensitivity testing performed
by [**First Name8 (NamePattern2) 3077**]
         [**Last Name (NamePattern1) 3060**].

                              SENSITIVITIES: MIC expressed in
MCG/ML

_________________________________________________________
                             ESCHERICHIA COLI
                             |
AMPICILLIN------------  =>32 R
AMPICILLIN/SULBACTAM--     8 S
CEFAZOLIN-------------  =>64 R
CEFEPIME--------------     2 S
CEFTAZIDIME-----------     4 S
CEFTRIAXONE-----------  =>64 R
CIPROFLOXACIN---------   =>4 R
GENTAMICIN------------   <=1 S
MEROPENEM-------------<=0.25 S
PIPERACILLIN/TAZO-----       S
TOBRAMYCIN------------   <=1 S
TRIMETHOPRIM/SULFA----  =>16 R

   Anaerobic Bottle Gram Stain (Final [**2124-9-16**]):
      Reported to and read back by DR. [**Last Name (STitle) 46128**], SHINWA @ 1010PM
[**2124-9-16**].
      GRAM NEGATIVE ROD(S).

Bld culture [**2124-9-17**],  [**2124-9-18**],  [**2124-9-19**]  NGTD

Urine studies:
[**2124-9-17**] 06:53AM URINE Color-Straw Appear-Clear Sp [**Last Name (un) **]-1.004
[**2124-9-17**] 06:53AM URINE Blood-SM  Nitrite-NEG Protein-NEG
Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-MOD
[**2124-9-17**] 06:53AM URINE RBC-5* WBC-5 Bacteri-FEW Yeast-NONE Epi-0
[**2124-9-14**] 08:16AM URINE Color-Yellow Appear-Hazy Sp [**Last Name (un) **]-1.015
[**2124-9-14**] 08:16AM URINE Blood-MOD Nitrite-POS Protein-30
Glucose-NEG Ketone-10 Bilirub-NEG Urobiln-NEG pH-6.5 Leuks-LG
[**2124-9-14**] 08:16AM URINE RBC->182* WBC->182* Bacteri-MANY
Yeast-NONE Epi-0

Brief Hospital Course:
79 year old male with significant PMH for hypertension,
hyperlipidemia, CAD s/p CABG ([**2118**]) with perc chole tube for
cholecystitis/duodenitis and sepsis in [**2124-6-4**], recently
discharged from [**Hospital1 18**] on [**9-8**] s/p chole admitted with abdominal
pain and found to have UTI and became septic with transfer to
the ICU which stablized with IV hydration and found to have
Ecoli bacteremia who was stablized and requiring IV cefepime at
the time of discharge.

ACTIVE ISSUES:

# Pneumonia: At admission in the ED the patient presented with
signs of infection including leukocytosis, low and grade
temperature. CXR in ED was suggestive of left lower lobe
consolidation.  In the ED he was empirically treated with
vancomycin, cefepime and cipro.  Given that he was recently
hospitalized and discharge he was treated for HCAP with
Vanc/Cefepime. He will complete a 7 day HCAP treatment course on
[**9-20**] (at which time he will stop his Vancomycin).  While in the
ICU he had a new oxygen requirement, hwoever this weaned off
with IV abx and autodiuresis.  He had no oxygen requirement at
the time of discharge, and his lungs were clear.

# UTI: At presentation in the ED the patient reported lower
abdominal pain, urgency and dysuria. His urine in the ED was
remarkable for nitrites, +180 RBCs and +180 WBCs. He was given
vancomycin, cefepime and cipro in the ED.  His greatest risk for
developing UTI was that he had a foley placed during his last
hospitalization.   Urine grew E. Coli with multiple resistance
but was sensitive to cefepime. Blood cultures came back positive
for Ecoli that was also sensitive to cefepime and therefore
likely urosepticiemia.

#Urinary retention- patient was admitted with indwelling foley
from his recent sugery leading to urinary retention.  This was
removed during his hospitalization and he was voiding without
difficulty at the time of discharge.
-Doxazosin was discontinued as he dropped his blood pressure
while on this and was no longer having urinary retention at the
time of discharge.

#Ecoli Bacteremia-patient had blood cultures that grew EColi
with similar sensitivities to
-will need to finish Cefepime on [**2124-9-23**] for a 7 day course
from day 1 of negative cultures on [**2124-9-17**]
-blood cutlures from [**9-17**], 15, and 16 were NGTD at the time of
discharge and final cultures will be monitored by his inpatient
team and communicated with his PCP if they become positive

# h/o cholangitis s/p chole: At admission the patient reported
abdominal pain. Patient with recent cholecystitis requiring perc
chole tube in [**2124-6-4**]. Did not have a cholecystectomy at that
time due to inflammation but is now s/p choleocystectomy after
having surgery earlier this month. In the ED he had RUQ U/S
which was notable for no ongoing evidence of infection or fluid
connection. In the ED his abdominal pain was treated with
oxycodone. He was evaluted by surgery in the ED who found no
acute surgical issues.  Serial abdominal exams were
unremarkable.

CHRONIC ISSUES:

# CAD s/p CABG: CAGB with LIMA to LAD and separate SVGs to PDA
in [**2118**]. Denied symptoms of chest pain, chest pressure or
fatigue at admission. He was dontinued home medications
including his asa and statin. His antihypertensives (metoprolol
and lisiopril) were held at admission as he was hypotensive to
normotensive in the ED.  His metoprolol was restarted on
[**2124-9-19**] and switched from succinate to tartrate (12.5mg [**Hospital1 **]).
His Lisinopril was still held and will need to be restarted for
cardioprotective effects once it is clear that he is tolerating
his metoprolol
-restart lisinopril 2.5 mg po qday if tolerating betablocker
-consider switching metop tartrate back to succinate when
discharged back home for convenience
-continued aspirin and atorvastatin

# Emphysema: Stable. H/o possible obstructive ventalitory defect
on PFTs from [**2117**] and CT scan with evidence of emphysema. He was
continued on tiotropium during this admission.

# Hypertension: see above changes made
-stopped doxazosin
-switched
-held lisinopril

# Hyperlipidemia: Stable. Continued on home atorvastatin.

# GERD: Stable. Continued on home omeprazole.

# Restless leg: Stable. Continued on home ropinirole.

TRANSITIONAL ISSUES:
-continue cefepime IV through [**9-23**]
-continue vancomycin IV through [**9-20**]
-restart lisinopril 2.5mg po qday once blood pressure stable on
metoprolol
-Labs pending at the time of discharge (blood cultures from
[**9-17**], [**9-18**], [**9-19**])- will be followed-up by inpatient team ->
final results showed no growth

Medications on Admission:
Preadmission medications listed are correct and complete.
Information was obtained from Family/Caregiver[**Name (NI) 581**].
1. Aspirin 81 mg PO DAILY
2. Atorvastatin 10 mg PO DAILY
3. Doxazosin 4 mg PO HS
4. Omeprazole 40 mg PO DAILY
Please take 30 minutes prior to meal
5. Ropinirole 1 mg PO TID
6. Acetaminophen 650 mg PO Q6H:PRN pain
Please do not exceed 2g/24hrs
7. Docusate Sodium 100 mg PO BID
8. OxycoDONE (Immediate Release)  2.5-5.0 mg PO Q4H:PRN pain
Please monitor and hold for sedation, RR<12 or AMS
9. Senna 1 TAB PO BID:PRN constipation
10. Tiotropium Bromide 1 CAP IH DAILY
11. Metoprolol Succinate XL 25 mg PO DAILY
12. Lisinopril 2.5 mg PO DAILY


Discharge Medications:
1. Acetaminophen 650 mg PO Q6H:PRN pain
Please do not exceed 2g/24hrs
2. Aspirin 81 mg PO DAILY
3. Atorvastatin 10 mg PO DAILY
4. Docusate Sodium 100 mg PO BID
5. Omeprazole 40 mg PO DAILY
Please take 30 minutes prior to meal
6. Ropinirole 1 mg PO TID
7. Senna 1 TAB PO BID:PRN constipation
8. Tiotropium Bromide 1 CAP IH DAILY
9. Vancomycin 1500 mg IV Q 12H
To end on [**9-20**]
10. CefePIME 1 g IV Q12H
to end on [**9-23**]
11. Metoprolol Tartrate 12.5 mg PO BID
12. Phenazopyridine 100 mg PO TID Duration: 3 Days


Discharge Disposition:
Extended Care

Facility:
[**Hospital **] LivingCenter -  [**Location (un) **]

Discharge Diagnosis:
EColi Bacteremia
Urinary Tract infection and urosepsis
Hospital-associated Pneumonia


Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Ambulatory - Independent.


Discharge Instructions:
Dear Mr. [**Known lastname **],

It was a pleasure taking care of you at the [**Hospital1 18**]!

You were admitted to the hospital because of abdominal pain.
Here, we found that you had a urinary tract infection and a
pneumonia. The bacteria from the urine was also found in your
blood. We are treating you with IV antibiotics which you will
need to continue through [**2124-9-23**] and you will receive these at
rehab.
Please keep all follow up appointments. Please take all
medications as prescribed.

Followup Instructions:
Provider: [**Name10 (NameIs) **] CARE CLINIC Phone:[**Telephone/Fax (1) 600**]
Date/Time:[**2124-9-27**] 3:00

Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2385**], MD Phone:[**Telephone/Fax (1) 62**]
Date/Time:[**2124-12-19**] 11:00
{'Unspecified septicemia,Pneumonia, organism unspecified,Septic shock,Urinary tract infection, site not specified,Hyposmolality and/or hyponatremia,Severe sepsis,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Coronary atherosclerosis of unspecified type of vessel, native or graft,Aortocoronary bypass status,Other specified retention of urine,Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS),Personal history of tobacco use,Other emphysema,Esophageal reflux,Restless legs syndrome (RLS)'}


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 and suprapubic pain

PRESENT ILLNESS: 79 year old male, Cantonese-only speaking man with hypertension,

MEDICAL HISTORY: - Coronary artery disease s/p CABG [**3-/2119**] (LIMA to the LAD and
- separate SVGs to the PDA and an OM)
- HLD
- HTN
- BPH
- Emphysema per ct scan
- TB many years ago, treated for 2 years
- s/p cholecytectomy and cholangitis

MEDICATION ON ADMISSION: Preadmission medications listed are correct and complete.
Information was obtained from Family/Caregiver[**Name (NI) 581**].
1. Aspirin 81 mg PO DAILY
2. Atorvastatin 10 mg PO DAILY
3. Doxazosin 4 mg PO HS
4. Omeprazole 40 mg PO DAILY
Please take 30 minutes prior to meal
5. Ropinirole 1 mg PO TID
6. Acetaminophen 650 mg PO Q6H:PRN pain
Please do not exceed 2g/24hrs
7. Docusate Sodium 100 mg PO BID
8. OxycoDONE (Immediate Release)  2.5-5.0 mg PO Q4H:PRN pain
Please monitor and hold for sedation, RR<12 or AMS
9. Senna 1 TAB PO BID:PRN constipation
10. Tiotropium Bromide 1 CAP IH DAILY
11. Metoprolol Succinate XL 25 mg PO DAILY
12. Lisinopril 2.5 mg PO DAILY

ALLERGIES: Penicillins / simvastatin

PHYSICAL EXAM: PHYSICAL EXAM AT ADMISSION:
Vitals: T: 100.3 BP: 119/54 P: 100 R:20 O2:99%RA
General: Alert, oriented, no acute distress
HEENT: Sclera anicteric, MMM, oropharynx clear, multiple brown
macules on forhead and scalp
Neck: supple, JVP not elevated
Lungs: Clear to auscultation bilaterally with the exception of
decreased breath sound in left lower quadrant, no wheezes,
rales, ronchi, no egophony
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops
Abdomen: soft, bowel sounds present, no rebound tenderness or
guarding, no organomegaly, + tenderness to moderate palpation in
suprapubic area and bilateral lower abdominal quadrants,
+distended  bladder
Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema

FAMILY HISTORY: Mother had hypertension and history of cancer.

SOCIAL HISTORY: Prior 20 pack year smoker, quit 20 years ago. Retired CEO of
auto parts business in [**Country 651**]. Lives with his wife and is
independent with ADLs. Rare alcohol, denies illicits. 

### Response:
{'Unspecified septicemia,Pneumonia, organism unspecified,Septic shock,Urinary tract infection, site not specified,Hyposmolality and/or hyponatremia,Severe sepsis,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Coronary atherosclerosis of unspecified type of vessel, native or graft,Aortocoronary bypass status,Other specified retention of urine,Hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (LUTS),Personal history of tobacco use,Other emphysema,Esophageal reflux,Restless legs syndrome (RLS)'}
