CHIEF COMPLAINT: Fevers

PRESENT ILLNESS: 67m with htn, cad, afib, cva, esrd on hd presents with fevers
and sepsis. He apparently was found to be febrile at HD so was
transferred to the the ED.
In ED, attempts at subclavian and IJ's failed and a femoral line
was placed. A CT abdomen/pelvis was attempted, but contrast
extravasated out into the abdominal wall, for which surgery was
consulted.
At the time of admission, the patient was able to anwer basic
questions and follow commands, but seemed confused and was not
cooperative with the interpreter. His daughter was [**Name (NI) 653**] who
said that although normally fairly oriented, he generally
becomes confused in the setting of fever. She also noted that
she'd seen him the day prior to admission and that he had no
complaints and was acting his normal self. She said he'd had no
f/c, ha, neck pain, chest pain, sob, increased cough (has been
coughing since recent admit for aspiration pneumonia), abd pain,
n/v/d. He makes no urine. He was initially admitted to the MICU
and transferred out to the floor after 24 hours.
.
Currently, he has had no positive blood cultures for 48 hours
and is being maintained on vancomycin 1g QHD for MRSA sepsis. He
has no complaints, denies weakness, pain, shortness of breath,
chest pain, fevers, chills, nausea or vomiting. History taken
through bedside phone translator for Haitian Creole.

MEDICAL HISTORY: 1) Left occipital lobe CVA [**2-22**] p/w change in MS [**First Name (Titles) **] [**Last Name (Titles) **],
chronic CVAs now on coumadin for likely embolic nature
2) Paroxysmal Afib, rate controlled with tachy/brady, occas 2
sec pauses, best managed with metoprolol 75 tid per cards
3) Chronic eosinophilia unknown etiology, strongyloides sent in
[**2-22**] for w/u as well as SPEP/UPEP
4) h/o GI Bleed in [**2167-7-20**] while on asa, plavix, IIb/IIIa
post-cath--no EGD or C-scope performed in f/u yet
5) ESRD secondary to HTN, dialysis MWF- followed by Dr. [**First Name (STitle) 805**]

MEDICATION ON ADMISSION: -Lisinopril 10mg daily
-Folic Acid 1mg daily
-Docusate 100mg [**Hospital1 **]
-Nephrocaps
-Sevelamer 800mg TID
-Warfarin 3mg daily
-Lactulose 30cc daily
-Trazodone 50mg qHS
-Cinacalcet 30mg daily
-Aspirin 325mg daily
-Clonidine 0.2mg TID
-Amlodipine 5mg daily
-Atorvastatin 80mg qHS
-Metoprolol Tartrate 25mg [**Hospital1 **]
-Calcium Carbonate 500mg [**Hospital1 **]

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: t 96.7, bp 130/86, hr 88, rr 12, spo2 99% 2lNC
gen- chronically-ill appearing male, pleasant, non-tox, NAD
heent- anicteric but muddy, op clear with mmm
neck- no jvd/lad
cv- irreg irreg, II/VI midsystolic murmur at the RLSB. no r/g.
PMI wnl.
Lungs- no resp distress or acc muscle use, poor air movement,
mild rales in bases l>r
abd- soft, nt, nd, +BS.
Ext- 1+ pitting edema LLE, none right, warm/dry
nails- no clubbing, [**Doctor First Name 15569**] nails
neuro- Knows name, knows at hospital, CN V, VII-XII in tact,
although the patient squints his right eye (he is capable of
opening both eyelids wide). EOM difficult to assess s/s
compliance. No asterixis. DTR's in tact and equal bilaterally.
Seems to be weaker on the left side.

FAMILY HISTORY: Mother with hypertension. No history of no strokes, seizures, or

SOCIAL HISTORY: Lives in nursing home. No tobacco, etoh, illicit drug use.
Transfer paper work from nursing home lists [**First Name4 (NamePattern1) **] [**Known lastname **] as the
relative or guardian ([**Telephone/Fax (1) 32722**].
Infection and inflammatory reaction due to other vascular device, implant, and graft,Methicillin susceptible Staphylococcus aureus septicemia,Sepsis,Mitral valve disorders,Diseases of tricuspid valve,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Atrial fibrillation,End stage renal disease,Long-term (current) use of anticoagulants,Personal history of other diseases of circulatory system,Other and unspecified hyperlipidemia,Diverticulosis of colon (without mention of hemorrhage),Anemia in chronic kidney disease,Primary hyperparathyroidism
React-oth vasc dev/graft,Meth susc Staph aur sept,Sepsis,Mitral valve disorder,Tricuspid valve disease,Hyp kid NOS w cr kid V,Atrial fibrillation,End stage renal disease,Long-term use anticoagul,Hx-circulatory dis NEC,Hyperlipidemia NEC/NOS,Dvrtclo colon w/o hmrhg,Anemia in chr kidney dis,Primary hyperparathyroid
Admission Date:  [**2168-8-10**]              Discharge Date:   [**2168-8-17**]

Date of Birth:  [**2100-11-15**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 465**]
Chief Complaint:
Fevers

Major Surgical or Invasive Procedure:
Tunnelled Catheter Placement


History of Present Illness:
67m with htn, cad, afib, cva, esrd on hd presents with fevers
and sepsis. He apparently was found to be febrile at HD so was
transferred to the the ED.
In ED, attempts at subclavian and IJ's failed and a femoral line
was placed. A CT abdomen/pelvis was attempted, but contrast
extravasated out into the abdominal wall, for which surgery was
consulted.
At the time of admission, the patient was able to anwer basic
questions and follow commands, but seemed confused and was not
cooperative with the interpreter. His daughter was [**Name (NI) 653**] who
said that although normally fairly oriented, he generally
becomes confused in the setting of fever. She also noted that
she'd seen him the day prior to admission and that he had no
complaints and was acting his normal self. She said he'd had no
f/c, ha, neck pain, chest pain, sob, increased cough (has been
coughing since recent admit for aspiration pneumonia), abd pain,
n/v/d. He makes no urine. He was initially admitted to the MICU
and transferred out to the floor after 24 hours.
.
Currently, he has had no positive blood cultures for 48 hours
and is being maintained on vancomycin 1g QHD for MRSA sepsis. He
has no complaints, denies weakness, pain, shortness of breath,
chest pain, fevers, chills, nausea or vomiting. History taken
through bedside phone translator for Haitian Creole.

Past Medical History:
1) Left occipital lobe CVA [**2-22**] p/w change in MS [**First Name (Titles) **] [**Last Name (Titles) **],
chronic CVAs now on coumadin for likely embolic nature
2) Paroxysmal Afib, rate controlled with tachy/brady, occas 2
sec pauses, best managed with metoprolol 75 tid per cards
3) Chronic eosinophilia unknown etiology, strongyloides sent in
[**2-22**] for w/u as well as SPEP/UPEP
4) h/o GI Bleed in [**2167-7-20**] while on asa, plavix, IIb/IIIa
post-cath--no EGD or C-scope performed in f/u yet
5) ESRD secondary to HTN, dialysis MWF- followed by Dr. [**First Name (STitle) 805**]

6) h/o bacteremia w/ MSSA (last bacteremia [**11-22**] with coag neg
staph sensitive to oxacillin but resistent to PCN- treated
w/vanco)
7) h/o pulling out groin lines
8) HTN, controlled
9) CAD s/p NSTEMIS, 2 LAD stents, CABG [**2164**]: last ECHO [**2167-8-27**],
EF >55%
10) Hyperlipidemia
11) Diverticulosis
12) Severe Hyperparathyroidism, presumed adenoma, not on vitamin
D for this concern
13) chronic anemia
14) chronic transudative pleural effusions
15) h/o neurocysticercosis calcified

Social History:
Lives in nursing home. No tobacco, etoh, illicit drug use.
Transfer paper work from nursing home lists [**First Name4 (NamePattern1) **] [**Known lastname **] as the
relative or guardian ([**Telephone/Fax (1) 32722**].


Family History:
Mother with hypertension. No history of no strokes, seizures, or

heart disease


Physical Exam:
t 96.7, bp 130/86, hr 88, rr 12, spo2 99% 2lNC
gen- chronically-ill appearing male, pleasant, non-tox, NAD
heent- anicteric but muddy, op clear with mmm
neck- no jvd/lad
cv- irreg irreg, II/VI midsystolic murmur at the RLSB. no r/g.
PMI wnl.
Lungs- no resp distress or acc muscle use, poor air movement,
mild rales in bases l>r
abd- soft, nt, nd, +BS.
Ext- 1+ pitting edema LLE, none right, warm/dry
nails- no clubbing, [**Doctor First Name 15569**] nails
neuro- Knows name, knows at hospital, CN V, VII-XII in tact,
although the patient squints his right eye (he is capable of
opening both eyelids wide). EOM difficult to assess s/s
compliance. No asterixis. DTR's in tact and equal bilaterally.
Seems to be weaker on the left side.

Pertinent Results:
[**2168-8-10**] 11:00AM BLOOD WBC-14.3*#
[**2168-8-10**] 05:00PM BLOOD WBC-27.4*#
[**2168-8-10**] 07:00PM BLOOD WBC-21.5*
[**2168-8-11**] 03:38AM BLOOD WBC-18.0*
[**2168-8-12**] 02:00AM BLOOD WBC-11.6*
[**2168-8-12**] 03:41PM BLOOD WBC-9.7
[**2168-8-14**] 05:00AM BLOOD WBC-7.0
.
[**2168-8-14**] 05:00AM BLOOD PT-21.2* PTT-36.1* INR(PT)-2.1*
[**2168-8-10**] 11:00AM BLOOD Glucose-68* UreaN-19 Creat-3.8* Na-139
K-3.6 Cl-96 HCO3-33* AnGap-14
.
[**2168-8-10**] 11:00AM BLOOD cTropnT-0.14*
[**2168-8-10**] 05:40PM BLOOD CK-MB-NotDone cTropnT-0.17*
[**2168-8-11**] 03:38AM BLOOD cTropnT-0.16*
[**2168-8-13**] 03:40PM BLOOD CK-MB-NotDone cTropnT-0.13*
[**2168-8-14**] 12:15AM BLOOD CK-MB-NotDone cTropnT-0.12*
[**2168-8-14**] 05:00AM BLOOD CK-MB-2 cTropnT-0.12*
.
[**2168-8-14**] 05:00AM BLOOD Calcium-8.7 Phos-3.1 Mg-2.4
[**2168-8-11**] 03:48AM BLOOD Type-[**Last Name (un) **] Temp-36.2 Rates-2/  pO2-31*
pCO2-52* pH-7.40 calTCO2-33* Base XS-5 Intubat-NOT INTUBA
Comment-NASAL [**Last Name (un) 154**]
.
CXR: IMPRESSION:  AP chest compared to most recent prior chest
film [**2168-7-11**]: Consolidation in the lung bases has improved
and small left pleural effusion has decreased.  Small region of
prior right apical consolidation has cleared. Moderate
enlargement of the cardiac silhouette has decreased.  There is
no pneumothorax.  No change in alignment of sternal wires
including fracture of the most superior and the off-line
configuration to the most inferior two.
.
CT Abd/Pelvis: IMPRESSION: 1.  Complete extravasation of
administered contrast into the patient's right lower quadrant in
an extraperitoneal location.  The likely explanation for this
finding is that the right femoral CVL tip was positioned in the
right inferior epigastric vein, which ruptured upon contrast
administration. 2.  Slightly limited exam due to the lack of
intravenous contrast, but no definite acute intraabdominal
abnormalities identified.
.
ECG	Study Date of [**2168-8-10**]  10:25:58 AM Shaky baseline. Probable
atrial fibrillation with rapid heart action and tachycardia.
Inideterminate axis. Non-specific ST segment depression in leads
V4-V6, either rate-related or ischemic. Compared to the previous
tracing of [**2168-7-10**] atrial fibrillation was previously present
with likely continuation to the present. Low voltage in the limb
leads as before. ST segment depressions were previously present.
.
TTE: Conclusions:
1. The left atrium is mildly dilated.
2. There is mild symmetric left ventricular hypertrophy. The
left ventricular
cavity size is normal. Overall left ventricular systolic
function is low
normal (LVEF 50-55%).
3. The right ventricular cavity is dilated. Right ventricular
systolic
function appears depressed.
4. The ascending aorta is mildly dilated.
5. The aortic valve leaflets (3) are mildly thickened. Trace
aortic
regurgitation is seen.
6. The mitral valve leaflets are mildly thickened. Moderate (2+)
mitral
regurgitation is seen.
7. Moderate [2+] tricuspid regurgitation is seen. There is
moderate pulmonary
artery systolic hypertension.
8. No evidence of endocarditis seen.
9. Compared with the prior study (images reviewed) of [**2168-5-31**],
tricuspid
regurgitation and pulmonary hypertension are worse.
.
Tunnelled Cath Report: IMPRESSION:  Successful placement of a
tunneled left groin hemodialysis catheter for a left temporary
triple-lumen hemodialysis catheter.

Brief Hospital Course:
67m with cad, afib, esrd here with fevers and elevated WBC found
to have MRSA sepsis now on Vancomycin IV.
.
#MRSA Baceteremia -- Pt met SIRS criteria with fever, wbc, and
occasional tachycardia. There was no evidence of severe sepsis
or septic shock, with pt actually hypertensive and no other
end-organ disease noted during MICU stay. Possible primary
sources for MRSA sepsis would be his HD line which was removed
and site replaced. WBC is now wnl.
-D/w renal, do not feel it's necessary to pull L femoral
catheter at this time (placed on [**8-11**]) even though 1 pos Blood
cx on [**8-12**].
-Vanco for MRSA bacteremia administered during dialysis, s/p
Gentamicin 80mg QHD X 2 doses with HD for synergy.
- Decision made to defer TEE due to risk/benefit ratio in his
case -  he has a h/o a GI bleed that has not been worked-up and
is at high risk for aspiration so would need to be intubated for
the procedure.  Will plan to treat empirically for endocarditis
with 6 wks of Vanc (through [**2168-9-23**].)
- Last positive blood cx [**8-12**], afebrile, hemodynamically stable
.
# Chest Pain - Has had intermittant episodes of CP.  Unlikely to
be cardiac in origin as without ECG changes, prior cycled
enzymes neg (elevated trop but his trop is elevated at
baseline).  GI causes are also in the differential and after
giving maalox, symptoms resolved. Possible that the patient is
having gastritis. Ordered PPI and maalox/benadryl/lidocaine mix.
 Patient is no longer symptomatic.
.
#Contrast extravasation -- Felt to be due to superficial
placement of CVL. Currently asymptomatic. NTD per surgery.
.
#CAD -- No active ischemia, con't asa, atorvastatin, metoprolol,
lisinopril. patient ruled out for mi.
.
#Afib -- Con't metoprolol - decreased dose to 12.5mg [**Hospital1 **] due to
episode of bradycardia to 30s (asymptomatic). Warfarin held for
several days for the possibility of procedures but he was
restarted on 3 mg po qd on [**8-16**].
.
#ESRD -- Con't HD on MWF. Con't sevelamer, nephrocaps
.
#HTN -- Con't lisinopril, metoprolol, clonidine, amlodipine
.
# Anemia -- Microcytic, likely a mixed picture of
iron-deficiency and ACD
- added iron supplement
.
#FEN -- Renal diet; vol even
.
#PPx -- boots, aspiration precautions
.
#Code -- full, confirmed with family
.
# Dispo -- d/c to nursing home with 6 wks antibiotics
- needs to have ongoing safety labs (CBC, Chem 10, LFTS, INR,
Vanc trough) followed by Dr. [**Last Name (STitle) **]
- PCP and ID [**Name9 (PRE) 32723**] scheduled
.
#Contact -- [**Doctor Last Name **], daughter, [**Telephone/Fax (1) 32724**]. [**Name (NI) **], wife,
([**Telephone/Fax (1) 32722**].


Medications on Admission:
-Lisinopril 10mg daily
-Folic Acid 1mg daily
-Docusate 100mg [**Hospital1 **]
-Nephrocaps
-Sevelamer 800mg TID
-Warfarin 3mg daily
-Lactulose 30cc daily
-Trazodone 50mg qHS
-Cinacalcet 30mg daily
-Aspirin 325mg daily
-Clonidine 0.2mg TID
-Amlodipine 5mg daily
-Atorvastatin 80mg qHS
-Metoprolol Tartrate 25mg [**Hospital1 **]
-Calcium Carbonate 500mg [**Hospital1 **]

Discharge Medications:
1. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
3. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap
PO DAILY (Daily).
4. Sevelamer 800 mg Tablet Sig: One (1) Tablet PO TID (3 times a
day).
5. Warfarin 1 mg Tablet Sig: Three (3) Tablet PO DAILY (Daily).

6. Lactulose 10 g/15 mL Solution Sig: Thirty (30) cc PO once a
day as needed for constipation.
7. Trazodone 50 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime).
8. Cinacalcet 30 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

9. Aspirin 81 mg Tablet Sig: One (1) Tablet PO once a day.
10. Clonidine 0.2 mg Tablet Sig: One (1) Tablet PO TID (3 times
a day).
11. Amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

12. Atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
13. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
14. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)
Tablet, Chewable PO TID (3 times a day).
15. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO
DAILY (Daily) for 2 months.
16. Vancomycin in Dextrose 1 g/200 mL Piggyback Sig: One (1) g
Intravenous  QHD (each hemodialysis) for 6 weeks: through
[**2168-9-23**].
17. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).


Discharge Disposition:
Extended Care

Facility:
Roscommon

Discharge Diagnosis:
MRSA bacteremia
Chest pain
Atrial fibrilation
ESRD on HD
HTN
Anemia


Discharge Condition:
Hemodynamically stable.


Discharge Instructions:
Please return to the hospital for fevers, chest pain, shortness
of breath.
.
Please take all medications as prescribed.

Followup Instructions:
Provider: [**First Name4 (NamePattern1) 247**] [**Last Name (NamePattern1) 248**], MD Phone:[**Telephone/Fax (1) 250**]
Date/Time:[**2168-9-1**] 10:40
Provider: [**Last Name (NamePattern4) **]. [**First Name (STitle) **] [**Doctor Last Name 9406**] Phone:[**Telephone/Fax (1) 457**] Date/Time:[**2168-9-20**]
9:00
Please have the following labs drawn weekly at dialysis and have
them faxed to Dr.[**Name (NI) 32725**] office: ([**Telephone/Fax (1) 9190**]
CBC with diff
CHEM 10
AST, ALT, Alk phos, TBili, INR, Vancomycin level prior to
dialysis
.
Continue to have dialysis Monday, Wednesday and Friday


                             [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] MD [**MD Number(2) 472**]
{'Infection and inflammatory reaction due to other vascular device, implant, and graft,Methicillin susceptible Staphylococcus aureus septicemia,Sepsis,Mitral valve disorders,Diseases of tricuspid valve,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Atrial fibrillation,End stage renal disease,Long-term (current) use of anticoagulants,Personal history of other diseases of circulatory system,Other and unspecified hyperlipidemia,Diverticulosis of colon (without mention of hemorrhage),Anemia in chronic kidney disease,Primary hyperparathyroidism'}


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: Fevers

PRESENT ILLNESS: 67m with htn, cad, afib, cva, esrd on hd presents with fevers
and sepsis. He apparently was found to be febrile at HD so was
transferred to the the ED.
In ED, attempts at subclavian and IJ's failed and a femoral line
was placed. A CT abdomen/pelvis was attempted, but contrast
extravasated out into the abdominal wall, for which surgery was
consulted.
At the time of admission, the patient was able to anwer basic
questions and follow commands, but seemed confused and was not
cooperative with the interpreter. His daughter was [**Name (NI) 653**] who
said that although normally fairly oriented, he generally
becomes confused in the setting of fever. She also noted that
she'd seen him the day prior to admission and that he had no
complaints and was acting his normal self. She said he'd had no
f/c, ha, neck pain, chest pain, sob, increased cough (has been
coughing since recent admit for aspiration pneumonia), abd pain,
n/v/d. He makes no urine. He was initially admitted to the MICU
and transferred out to the floor after 24 hours.
.
Currently, he has had no positive blood cultures for 48 hours
and is being maintained on vancomycin 1g QHD for MRSA sepsis. He
has no complaints, denies weakness, pain, shortness of breath,
chest pain, fevers, chills, nausea or vomiting. History taken
through bedside phone translator for Haitian Creole.

MEDICAL HISTORY: 1) Left occipital lobe CVA [**2-22**] p/w change in MS [**First Name (Titles) **] [**Last Name (Titles) **],
chronic CVAs now on coumadin for likely embolic nature
2) Paroxysmal Afib, rate controlled with tachy/brady, occas 2
sec pauses, best managed with metoprolol 75 tid per cards
3) Chronic eosinophilia unknown etiology, strongyloides sent in
[**2-22**] for w/u as well as SPEP/UPEP
4) h/o GI Bleed in [**2167-7-20**] while on asa, plavix, IIb/IIIa
post-cath--no EGD or C-scope performed in f/u yet
5) ESRD secondary to HTN, dialysis MWF- followed by Dr. [**First Name (STitle) 805**]

MEDICATION ON ADMISSION: -Lisinopril 10mg daily
-Folic Acid 1mg daily
-Docusate 100mg [**Hospital1 **]
-Nephrocaps
-Sevelamer 800mg TID
-Warfarin 3mg daily
-Lactulose 30cc daily
-Trazodone 50mg qHS
-Cinacalcet 30mg daily
-Aspirin 325mg daily
-Clonidine 0.2mg TID
-Amlodipine 5mg daily
-Atorvastatin 80mg qHS
-Metoprolol Tartrate 25mg [**Hospital1 **]
-Calcium Carbonate 500mg [**Hospital1 **]

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: t 96.7, bp 130/86, hr 88, rr 12, spo2 99% 2lNC
gen- chronically-ill appearing male, pleasant, non-tox, NAD
heent- anicteric but muddy, op clear with mmm
neck- no jvd/lad
cv- irreg irreg, II/VI midsystolic murmur at the RLSB. no r/g.
PMI wnl.
Lungs- no resp distress or acc muscle use, poor air movement,
mild rales in bases l>r
abd- soft, nt, nd, +BS.
Ext- 1+ pitting edema LLE, none right, warm/dry
nails- no clubbing, [**Doctor First Name 15569**] nails
neuro- Knows name, knows at hospital, CN V, VII-XII in tact,
although the patient squints his right eye (he is capable of
opening both eyelids wide). EOM difficult to assess s/s
compliance. No asterixis. DTR's in tact and equal bilaterally.
Seems to be weaker on the left side.

FAMILY HISTORY: Mother with hypertension. No history of no strokes, seizures, or

SOCIAL HISTORY: Lives in nursing home. No tobacco, etoh, illicit drug use.
Transfer paper work from nursing home lists [**First Name4 (NamePattern1) **] [**Known lastname **] as the
relative or guardian ([**Telephone/Fax (1) 32722**]. 

### Response:
{'Infection and inflammatory reaction due to other vascular device, implant, and graft,Methicillin susceptible Staphylococcus aureus septicemia,Sepsis,Mitral valve disorders,Diseases of tricuspid valve,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Atrial fibrillation,End stage renal disease,Long-term (current) use of anticoagulants,Personal history of other diseases of circulatory system,Other and unspecified hyperlipidemia,Diverticulosis of colon (without mention of hemorrhage),Anemia in chronic kidney disease,Primary hyperparathyroidism'}
