CHIEF COMPLAINT: coffee ground emesis

PRESENT ILLNESS: 43F, PMH Hep C cirrhosis (complicated by ascites,
encephalopathy, portal hypertensive gastropathy, grade 1
varices, hepatic hydrothorax, elevated AFP) and HIV,  well known
to the transplant service  s/p [**7-/2179**] liver transplant with
re-transplant of liver( Roux en Y Hepjej) and kidney transplant
in [**9-28**]. Briefly She underwent [**2179-8-16**] an ECD liver donation
that ultimately failed after DGF,evidence of reperfusion inj on
bx. Post op she had a protracted course with UGIB due to ulcer
at J-J anastomosis. This was clipped endoscopically and  6 units
of PRBCs were transfused. She rebleed on POD 25. The ulcer was
unable to be re-clipped endoscopically. Only 1U of PRBCs was
needed. She developed hepatopulmonary syndrome and progressed to
MELD 50. On [**2179-9-29**], liver/kidney donor became available. She
underwent standard criteria liver transplant with RNY
hepaticojejunostomy with iliac artery supraceliac conduit to the
donor common hepatic artery. Post-operatively, liver began
functioning but kidney showed delayed function. She developed RP
hematoma s/p renal biopsy and required evacuation of hematoma
x2, with a revision of ureteral anastomosis during the second
take back.  She also had HA stent placed. She required wound vac
to her wound.  She was dcd to rehab with 2 readmissions for
Enterobacter UTI and doboff replacement. During placement of
doboff she had EGD to the stomach (no sm bowel scoped) with red
blood from a nose bleed. She now presents with episode of nausea
and tube feed intolerance that since yesterday is associated
with diffuse abdominal pain. Today at rehab she vomited 400cc of
coffee ground emesis. HCT trend 26.5 ([**12-9**])>24.4 ([**12-10**])>hct 20
>transfusion 2 units?.. to hct of 32.3 ([**12-13**] 10:29) >29.3 ([**12-13**]
16:49) at rehab.  Creatine is 1.4 from rehab labs. Micro data
shows [**12-12**] VRE 50-100k from urine Dapto sensitive. [**12-11**] GPC from
sputum.

MEDICAL HISTORY: Hepatic hydrothorax
HIV:   [**2179-12-15**][CD4 274, VL ND]
- diagnosed [**2157**], presumed from IVDU versus sexual transmission

MEDICATION ON ADMISSION: Aspirin 81mg, Clopidogrel 75 mg,Levothyroxine Sodium
50 mcg PO/NG DAILY, Atovaquone Suspension 750 mg PO/NG
DAILY,Metoprolol Tartrate 25 mg PO/NG TID , Azithromycin 1200 mg
PO/NG Q24H,. Olanzapine 5 mg PO DAILY, CeftriaXONE 1 gm IV Q24H,
Ondansetron ODT 4 mg PO/NG Q8H:PRN nausea,CycloSPORINE (Neoral)
MODIFIED 25 mg PO/NG QAM,Pantoprazole 8 mg/hr IV
INFUSION,CycloSPORINE (Neoral) MODIFIED 75 mg PO/NG QPM ,
PredniSONE 2.5 mg PO/NG DAILY, Emtricitabine-Tenofovir (Truvada)
1 TAB PO Q3D, Raltegravir 400 mg PO BID, Epoetin Alfa 1000 UNIT
SC QMOWEFR,Fluconazole 200 mg PO/NG Q24H, HYDROmorphone
(Dilaudid) 1 mg PO/NG Q6H:PRN, ValGANCIclovir 450 mg PO EVERY
OTHER DAY

ALLERGIES: ATRIPLA / Morphine / Percocet

PHYSICAL EXAM: ADMISSION PHYSICAL EXAM
Vital Signs: 81  85/50 16 100Ra
Gen: Jaundiced, + scleral icterus with severe cachexia. NAD, A&O
answering all questions appropriately, Doboff left nares without
blood. No evidence of blood from mouth or oropharynx.
CVS: RRR
CTAB anteriorly
Distended abdomen with moderate ascites, minimally tender on
exam, no rebound no guarding.  Roux tube capped and secured with
a stitch.  Well healing chevron incision healing by secondary
intention, no erythema, minimal drainage from right most aspect
of wound, does not prob beyond subcutaneous tissue
EXT:RUE PICC line without erythema or purulence, Left leg 2
edema
right +1 edema.  Left labia swollen.

FAMILY HISTORY: Mother alive & well but suffers from high blood pressure and
hyperlipidemia. Father died in [**2173**] from Parkinson's disease and
had h/o MI.

SOCIAL HISTORY: The patient lives with her mother and does not work due to
disability. She has a 20 year old daughter. She very
occasionally used to smoke tobacco and last smoked two years
ago. The patient reported that she stopped consuming alcohol ~3
years ago. History of other substance use includes IVDU (stopped
[**2156**]), cocaine and mushrooms, no current use. Has been at [**Hospital 100**]
Rehab post transplant.
Complications of transplanted liver,Acute kidney failure with lesion of tubular necrosis,Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction,Other shock without mention of trauma,Acute hepatitis C without mention of hepatic coma,Hematemesis,Other specified forms of effusion, except tuberculous,Non-healing surgical wound,Glucocorticoid deficiency,Acquired coagulation factor deficiency,Hyperosmolality and/or hypernatremia,Cachexia,Bacteremia,Other specified disorders of stomach and duodenum,Asymptomatic human immunodeficiency virus [HIV] infection status,Long-term (current) use of other medications,Infection with microorganisms without mention of resistance to multiple drugs,Chronic kidney disease, unspecified,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified
Compl liver transplant,Ac kidny fail, tubr necr,SIRS-noninf w ac org dys,Shock w/o trauma NEC,Hpt C acute wo hpat coma,Hematemesis,Effusion NEC exc tb,Non-healing surgcl wound,Glucocorticoid deficient,Acq coagul factor defic,Hyperosmolality,Cachexia,Bacteremia,Gastroduodenal dis NEC,Asymp hiv infectn status,Long-term use meds NEC,Inf mcr rst ot drg nt ml,Chronic kidney dis NOS,Hy kid NOS w cr kid I-IV
Admission Date:  [**2179-12-14**]              Discharge Date:   [**2179-12-31**]

Date of Birth:  [**2136-1-30**]             Sex:   F

Service: SURGERY

Allergies:
ATRIPLA / Morphine / Percocet

Attending:[**First Name3 (LF) 668**]
Chief Complaint:
coffee ground emesis

Major Surgical or Invasive Procedure:
[**2179-12-16**]: right pleurocentesis, Dr [**Last Name (STitle) **]


History of Present Illness:
43F, PMH Hep C cirrhosis (complicated by ascites,
encephalopathy, portal hypertensive gastropathy, grade 1
varices, hepatic hydrothorax, elevated AFP) and HIV,  well known
to the transplant service  s/p [**7-/2179**] liver transplant with
re-transplant of liver( Roux en Y Hepjej) and kidney transplant
in [**9-28**]. Briefly She underwent [**2179-8-16**] an ECD liver donation
that ultimately failed after DGF,evidence of reperfusion inj on
bx. Post op she had a protracted course with UGIB due to ulcer
at J-J anastomosis. This was clipped endoscopically and  6 units
of PRBCs were transfused. She rebleed on POD 25. The ulcer was
unable to be re-clipped endoscopically. Only 1U of PRBCs was
needed. She developed hepatopulmonary syndrome and progressed to
MELD 50. On [**2179-9-29**], liver/kidney donor became available. She
underwent standard criteria liver transplant with RNY
hepaticojejunostomy with iliac artery supraceliac conduit to the
donor common hepatic artery. Post-operatively, liver began
functioning but kidney showed delayed function. She developed RP
hematoma s/p renal biopsy and required evacuation of hematoma
x2, with a revision of ureteral anastomosis during the second
take back.  She also had HA stent placed. She required wound vac
to her wound.  She was dcd to rehab with 2 readmissions for
Enterobacter UTI and doboff replacement. During placement of
doboff she had EGD to the stomach (no sm bowel scoped) with red
blood from a nose bleed. She now presents with episode of nausea
and tube feed intolerance that since yesterday is associated
with diffuse abdominal pain. Today at rehab she vomited 400cc of
coffee ground emesis. HCT trend 26.5 ([**12-9**])>24.4 ([**12-10**])>hct 20
>transfusion 2 units?.. to hct of 32.3 ([**12-13**] 10:29) >29.3 ([**12-13**]
16:49) at rehab.  Creatine is 1.4 from rehab labs. Micro data
shows [**12-12**] VRE 50-100k from urine Dapto sensitive. [**12-11**] GPC from
sputum.

Past Medical History:
Hepatic hydrothorax
HIV:   [**2179-12-15**][CD4 274, VL ND]
- diagnosed [**2157**], presumed from IVDU versus sexual transmission

from husband, who was long-term IV drug user
Hepatitis C cirrhosis:  [**2179-12-15**][VL >69,000]
- diagnosed [**2176**]
- complicated by ascites, encephalopathy, portal hypertensive
gastropathy, grade 1 varices, hepatic hydrothorax, elevated AFP
without focal liver lesions
h/o necrotizing fascitis [**2163**] (complication of dog bite)
Pulmonary nodule, noted [**3-/2178**], 0.7cm
PSH:
- Liver transplant [**2179-8-17**]
- Liver/kidney transplant [**2179-9-29**].
- [**2179-10-7**] Exploratory retroperitoneal exploration
and revision ureteral anastomosis, evacuation of hematoma,
removal of packing.

Social History:
The patient lives with her mother and does not work due to
disability. She has a 20 year old daughter. She very
occasionally used to smoke tobacco and last smoked two years
ago. The patient reported that she stopped consuming alcohol ~3
years ago. History of other substance use includes IVDU (stopped
[**2156**]), cocaine and mushrooms, no current use. Has been at [**Hospital 100**]
Rehab post transplant.


Family History:
Mother alive & well but suffers from high blood pressure and
hyperlipidemia. Father died in [**2173**] from Parkinson's disease and
had h/o MI.

Physical Exam:
ADMISSION PHYSICAL EXAM
Vital Signs: 81  85/50 16 100Ra
Gen: Jaundiced, + scleral icterus with severe cachexia. NAD, A&O
answering all questions appropriately, Doboff left nares without
blood. No evidence of blood from mouth or oropharynx.
CVS: RRR
CTAB anteriorly
Distended abdomen with moderate ascites, minimally tender on
exam, no rebound no guarding.  Roux tube capped and secured with
a stitch.  Well healing chevron incision healing by secondary
intention, no erythema, minimal drainage from right most aspect
of wound, does not prob beyond subcutaneous tissue
EXT:RUE PICC line without erythema or purulence, Left leg 2
edema
right +1 edema.  Left labia swollen.


Pertinent Results:
[**2179-12-30**] 06:15AM BLOOD WBC-5.2 RBC-3.15* Hgb-10.1* Hct-28.5*
MCV-91 MCH-32.0 MCHC-35.4* RDW-24.3* Plt Ct-179
[**2179-12-30**] 06:15AM BLOOD PT-14.9* INR(PT)-1.3*
[**2179-12-15**] 12:09PM BLOOD  WBC-6.8 Lymph-12* Abs [**Last Name (un) **]-816 CD3%-79
Abs CD3-648 CD4%-34 Abs CD4-274* CD8%-46 Abs CD8-372
CD4/CD8-0.7*
[**2179-12-30**] 06:15AM BLOOD Glucose-91 UreaN-67* Creat-1.0 Na-141
K-3.6 Cl-104 HCO3-29 AnGap-12
[**2179-12-30**] 06:15AM BLOOD ALT-41* AST-117* AlkPhos-343*
TotBili-24.2*
[**2179-12-30**] 06:15AM BLOOD Albumin-2.5* Calcium-8.7 Phos-3.4 Mg-1.9
[**2179-12-30**] 06:15AM BLOOD Cyclspr-100

TTE: EF >65%.Mild-moderate mitral regurgitation with normal
valve morphology. Mild-moderate tricuspid regurgitation.
Pulmonary artery systolic hypertension. Normal biventricular
cavity sizes with preserved global and regional biventricular
systolic function.
Compared with the report of the prior study (images unavailable
for review) of [**2179-10-6**], the severity of mitral regurgitation,
tricuspid regurgitation, and pulmonary artery systolic
hypertension are all slightly reduced


Brief Hospital Course:
43 y.o. F s/p Liver/Kidney transplant admitted to the Transplant
Surgery Service with UGI bleed. She was admitted directly to the
SICU where she was intubated for airway protection and underwent
upper endoscopy with no active bleeding source identified.
ASA/Plavix were held. She required fluid resuscitation and
catecholamine support for her hypotension and was started on
empirical broad spectrum antibiotic therapy (Meropenum,
Linezolid, Flagyl and Ceftriaxone). Meropenum and Linezolid were
continued for 5 days. Flagyl and Ceftriaxone were discontinued
after 2 days.

She had a positive cosyntropin stimulation test and was given
stress dose corticosteroid replacement then maintenance
prednisone 7.5mg qd (to prevent liver rejection). She was
confused and somnolent on oral Dilaudid and was switched to IV
pain control with improved pain control. Olanzepine was
decreased to 2.5mg from 5mg with improved mental status.

LFTs remained elevated secondary to recurrent HCV with viral
load of >69 million. Interferon was initiated and given on a
3x/week basis. Overall, she tolerated this fairly well, but LFTs
remained about the same. She did experience alopecia and
increased depression.

On [**2179-12-23**] she was transferred out of the SICU. ASA and Plavix
were resumed. Her chronic non-healing transplant incision wound
was debrided, but she experienced bleeding and required
transfusions. HCT stabilized. The wound was dressed with normal
saline damp to dry dressings. She continued to have a small
amount of bleeding at the apex of her incision. Overall, she
experienced easy bruising/bleeding and skin tears.

Blood pressure was persistently low, with orthostatic systolic
pressures in the low 70's. BP did not respond to IV fluid
boluses and a unit of PRBC was given on [**12-28**] for a HCT of 26 from
29. Midodrine was begun on [**12-28**] and titrated to appropriate
pressures. Blood cultures were done on [**12-29**] which isolated
GNR/GPC. ID was consulted and Meropenum and Linezolid were
started for empiric coverage.

On [**12-28**], the patient expressed that she was "done" and did not
want to continue  care. Palliative care met with her on [**2179-12-30**]
to discuss this with her. It was established that she wanted to
stop treatments and wished to go home with hospice or to
hospice. DNR/DNI/CC was established. The majority of her meds
were stopped. Meropenum and Linezolid continued. Prednisone and
Cyclosporin were continued to prevent liver transplant
rejection.

After a family meeting with the team, case management contact[**Name (NI) **]
[**Name (NI) **] [**Hospital 77227**] Hospice House in [**Hospital1 789**] RI ([**Telephone/Fax (1) 77228**]and
she was accepted at this facility. A bed was available and she
will transfer there.

Medications on Admission:
Aspirin 81mg, Clopidogrel 75 mg,Levothyroxine Sodium
50 mcg PO/NG DAILY, Atovaquone Suspension 750 mg PO/NG
DAILY,Metoprolol Tartrate 25 mg PO/NG TID , Azithromycin 1200 mg
PO/NG Q24H,. Olanzapine 5 mg PO DAILY, CeftriaXONE 1 gm IV Q24H,
Ondansetron ODT 4 mg PO/NG Q8H:PRN nausea,CycloSPORINE (Neoral)
MODIFIED 25 mg PO/NG QAM,Pantoprazole 8 mg/hr IV
INFUSION,CycloSPORINE (Neoral) MODIFIED 75 mg PO/NG QPM ,
PredniSONE 2.5 mg PO/NG DAILY, Emtricitabine-Tenofovir (Truvada)
1 TAB PO Q3D, Raltegravir 400 mg PO BID, Epoetin Alfa 1000 UNIT
SC QMOWEFR,Fluconazole 200 mg PO/NG Q24H, HYDROmorphone
(Dilaudid) 1 mg PO/NG Q6H:PRN, ValGANCIclovir 450 mg PO EVERY
OTHER DAY

ALLERGIES:
ATRIPLA (Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate)
Morphine
Percocet (Oxycodone Hcl/Acetaminophen)


Discharge Medications:
1. ondansetron 4 mg Tablet, Rapid Dissolve Sig: One (1) Tablet,
Rapid Dissolve PO Q8H (every 8 hours) as needed for nausea.
2. olanzapine 2.5 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. prednisone 2.5 mg Tablet Sig: Three (3) Tablet PO DAILY
(Daily): to prevent liver rejection.
4. pramoxine-mineral oil-zinc 1-12.5 % Ointment Sig: One (1)
Appl Rectal TID (3 times a day) as needed for hemorrhoid.
5. Sodium Chloride 0.9%  Flush 10 mL IV PRN line flush
Temporary Central Access-ICU: Flush with 10mL Normal Saline
daily and PRN.
6. Heparin Flush (10 units/ml) 1 mL IV PRN line flush
Temporary Central Access-Floor:    Flush with 10 mL Normal
Saline followed by Heparin as above daily and PRN.
7. hydromorphone 2 mg/mL Syringe Sig: 0.5 mg Injection prn:
every 6 hours as needed for pain.
8. cyclosporine modified 100 mg/mL Solution Sig: One (1) ml PO
Q12H (every 12 hours).


Discharge Disposition:
Extended Care

Facility:
[**Hospital **] [**Hospital 77227**] Hospice House

Discharge Diagnosis:
HIV,
Recurrent Hepatitis C cirrhosis, hepato-renal syndrome; liver
(Hepatic artery stent)and kidney transplant
UGI bleed
Bacteremia, GNR/GPC [**2179-11-28**]
malnutrition


Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Bedbound.


Discharge Instructions:
Transferring to [**Hospital **] [**Hospital 77229**] Hospice House [**Telephone/Fax (1) 77228**] for
hospice care


Followup Instructions:
Please call the [**Hospital1 18**] Transplant Office [**Telephone/Fax (1) 673**] if
questions



Completed by:[**2179-12-31**]

Name:  [**Known lastname **] [**Known lastname 12470**],[**Known firstname 194**] B         Unit No:   [**Numeric Identifier 12471**]

Admission Date:  [**2179-12-14**]              Discharge Date:   [**2179-12-31**]

Date of Birth:  [**2136-1-30**]             Sex:   F

Service: SURGERY

Allergies:
ATRIPLA / Morphine / Percocet

Attending:[**First Name3 (LF) 2800**]
Addendum:
Cyclosporin discontinued

Discharge Disposition:
Extended Care

Facility:
[**Hospital **] [**Hospital 12472**] Hospice House

                             [**First Name11 (Name Pattern1) 399**] [**Last Name (NamePattern4) 2801**] MD [**MD Number(1) 401**]

Completed by:[**2179-12-31**]
{'Complications of transplanted liver,Acute kidney failure with lesion of tubular necrosis,Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction,Other shock without mention of trauma,Acute hepatitis C without mention of hepatic coma,Hematemesis,Other specified forms of effusion, except tuberculous,Non-healing surgical wound,Glucocorticoid deficiency,Acquired coagulation factor deficiency,Hyperosmolality and/or hypernatremia,Cachexia,Bacteremia,Other specified disorders of stomach and duodenum,Asymptomatic human immunodeficiency virus [HIV] infection status,Long-term (current) use of other medications,Infection with microorganisms without mention of resistance to multiple drugs,Chronic kidney disease, unspecified,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified'}


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: coffee ground emesis

PRESENT ILLNESS: 43F, PMH Hep C cirrhosis (complicated by ascites,
encephalopathy, portal hypertensive gastropathy, grade 1
varices, hepatic hydrothorax, elevated AFP) and HIV,  well known
to the transplant service  s/p [**7-/2179**] liver transplant with
re-transplant of liver( Roux en Y Hepjej) and kidney transplant
in [**9-28**]. Briefly She underwent [**2179-8-16**] an ECD liver donation
that ultimately failed after DGF,evidence of reperfusion inj on
bx. Post op she had a protracted course with UGIB due to ulcer
at J-J anastomosis. This was clipped endoscopically and  6 units
of PRBCs were transfused. She rebleed on POD 25. The ulcer was
unable to be re-clipped endoscopically. Only 1U of PRBCs was
needed. She developed hepatopulmonary syndrome and progressed to
MELD 50. On [**2179-9-29**], liver/kidney donor became available. She
underwent standard criteria liver transplant with RNY
hepaticojejunostomy with iliac artery supraceliac conduit to the
donor common hepatic artery. Post-operatively, liver began
functioning but kidney showed delayed function. She developed RP
hematoma s/p renal biopsy and required evacuation of hematoma
x2, with a revision of ureteral anastomosis during the second
take back.  She also had HA stent placed. She required wound vac
to her wound.  She was dcd to rehab with 2 readmissions for
Enterobacter UTI and doboff replacement. During placement of
doboff she had EGD to the stomach (no sm bowel scoped) with red
blood from a nose bleed. She now presents with episode of nausea
and tube feed intolerance that since yesterday is associated
with diffuse abdominal pain. Today at rehab she vomited 400cc of
coffee ground emesis. HCT trend 26.5 ([**12-9**])>24.4 ([**12-10**])>hct 20
>transfusion 2 units?.. to hct of 32.3 ([**12-13**] 10:29) >29.3 ([**12-13**]
16:49) at rehab.  Creatine is 1.4 from rehab labs. Micro data
shows [**12-12**] VRE 50-100k from urine Dapto sensitive. [**12-11**] GPC from
sputum.

MEDICAL HISTORY: Hepatic hydrothorax
HIV:   [**2179-12-15**][CD4 274, VL ND]
- diagnosed [**2157**], presumed from IVDU versus sexual transmission

MEDICATION ON ADMISSION: Aspirin 81mg, Clopidogrel 75 mg,Levothyroxine Sodium
50 mcg PO/NG DAILY, Atovaquone Suspension 750 mg PO/NG
DAILY,Metoprolol Tartrate 25 mg PO/NG TID , Azithromycin 1200 mg
PO/NG Q24H,. Olanzapine 5 mg PO DAILY, CeftriaXONE 1 gm IV Q24H,
Ondansetron ODT 4 mg PO/NG Q8H:PRN nausea,CycloSPORINE (Neoral)
MODIFIED 25 mg PO/NG QAM,Pantoprazole 8 mg/hr IV
INFUSION,CycloSPORINE (Neoral) MODIFIED 75 mg PO/NG QPM ,
PredniSONE 2.5 mg PO/NG DAILY, Emtricitabine-Tenofovir (Truvada)
1 TAB PO Q3D, Raltegravir 400 mg PO BID, Epoetin Alfa 1000 UNIT
SC QMOWEFR,Fluconazole 200 mg PO/NG Q24H, HYDROmorphone
(Dilaudid) 1 mg PO/NG Q6H:PRN, ValGANCIclovir 450 mg PO EVERY
OTHER DAY

ALLERGIES: ATRIPLA / Morphine / Percocet

PHYSICAL EXAM: ADMISSION PHYSICAL EXAM
Vital Signs: 81  85/50 16 100Ra
Gen: Jaundiced, + scleral icterus with severe cachexia. NAD, A&O
answering all questions appropriately, Doboff left nares without
blood. No evidence of blood from mouth or oropharynx.
CVS: RRR
CTAB anteriorly
Distended abdomen with moderate ascites, minimally tender on
exam, no rebound no guarding.  Roux tube capped and secured with
a stitch.  Well healing chevron incision healing by secondary
intention, no erythema, minimal drainage from right most aspect
of wound, does not prob beyond subcutaneous tissue
EXT:RUE PICC line without erythema or purulence, Left leg 2
edema
right +1 edema.  Left labia swollen.

FAMILY HISTORY: Mother alive & well but suffers from high blood pressure and
hyperlipidemia. Father died in [**2173**] from Parkinson's disease and
had h/o MI.

SOCIAL HISTORY: The patient lives with her mother and does not work due to
disability. She has a 20 year old daughter. She very
occasionally used to smoke tobacco and last smoked two years
ago. The patient reported that she stopped consuming alcohol ~3
years ago. History of other substance use includes IVDU (stopped
[**2156**]), cocaine and mushrooms, no current use. Has been at [**Hospital 100**]
Rehab post transplant. 

### Response:
{'Complications of transplanted liver,Acute kidney failure with lesion of tubular necrosis,Systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction,Other shock without mention of trauma,Acute hepatitis C without mention of hepatic coma,Hematemesis,Other specified forms of effusion, except tuberculous,Non-healing surgical wound,Glucocorticoid deficiency,Acquired coagulation factor deficiency,Hyperosmolality and/or hypernatremia,Cachexia,Bacteremia,Other specified disorders of stomach and duodenum,Asymptomatic human immunodeficiency virus [HIV] infection status,Long-term (current) use of other medications,Infection with microorganisms without mention of resistance to multiple drugs,Chronic kidney disease, unspecified,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified'}
