CHIEF COMPLAINT: Unable to void

PRESENT ILLNESS: Mr. [**Known lastname **] is a 66 year old man with juvenile rheumatoid
arthritis and an indwelling foley catheter secondary to an
atonic bladder. He presented to the ED today with a one day
history of inability to void and abdominal pain. He states that
he uses a leg bag during the day and a larger bag at night,
which are emptied by his two PCAs (each comes for 2 hours a day,
morning and evening). He is not aware of any abnormal-appearing
urine recently and has not had dysuria. He also reports that to
his knowledge his leg ulcer is at baseline, not getting worse.
.
In the ED, initial vs were: 97.8 103 136/79 18 100%. His Foley
was exchanged and drained 1 L of purulent-looking urine. This
resolved his abdominal pain. He had very poor access, so labs
were not able to be obtained. He had an intraosseous line placed
in the right lower extremity and was given IL of IV fluids.
While in the ED, he was noted to be hypotensive to SBP
40s-50s/P; however, his small arms and body habitus made a good
[**Location (un) 1131**] difficult. BP in the leg was 90s/40s, and his mental
status was clear throughout.  His left lateral ankle was also
noted to be malodorous. He received vancomycin (for leg
cellulitis) and zosyn for antibiotics.
.
On the floor, patient reported complete resolution of abdominal
pain. He reported discomfort at the IO site, as well as his
chronic hip and knee pain because he did not receive home pain
meds in ED.
.
Review of sytems:
(+) Per HPI
(-) Denies fever, chills, night sweats, recent weight loss or
gain. Denies headache, sinus tenderness, rhinorrhea or
congestion. Denied cough, shortness of breath. Denied chest pain
or tightness, palpitations. Denied nausea, vomiting, diarrhea,
constipation or abdominal pain. No recent change in bowel or
bladder habits. No dysuria. Denied arthralgias or myalgias.

MEDICAL HISTORY: - with chronic indwelling foley catheter
- Juveile rheumatoid arthritis (no steroids in decades, but
history of chronic steroids x 15 years)
- Osteoporosis
- GERD
- Left venous stasis ulcer, chronic
- Hemorroids
- Chronic pain of knee, back, shoulder, hip
- s/p C. difficile infection
- Cellulitis/osteomyelitis of his calf
- Multiple orthopedic surgeries (no hardware per patient) to
ankles, knees, neck, right elbow

MEDICATION ON ADMISSION: FAMOTIDINE 40 mg qPM
METHADONE 5 mg/5 mL Solution, 10 ml by mouth at 6pm
OXYCODONE 10 mg q4 hours
RISEDRONATE 35 mg every week
ASPIRIN 162 mg daily
FERROUS GLUCONATE 324 mg TID
MULTIVITAMIN

ALLERGIES: Tetracycline Analogues

PHYSICAL EXAM: Physical Exam on Admission to [**Hospital Unit Name 153**]
Vitals: T: BP: 121/67 P: 91 R: 18 O2: 96% on RA
General: Alert, oriented, no acute distress. Small body habitus
with foreshortened extremities and small hands and feet.
HEENT: Sclera anicteric, MMM, oropharynx clear
Neck: supple, JVP difficult to assess given body habitus (large
jowls), no LAD
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
rhonchi
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops
Abdomen:  Soft, non-tender, non-distended, bowel sounds present,
no rebound tenderness or guarding, no organomegaly
GU: Small amount of purulent discharge at urethra, foley in
place
Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema. Superficial ulceration of left lower extremity with
copious yellow exudative discharge and minimal surrounding
erythema, slightly indurated.

FAMILY HISTORY: Brother died of colon cancer in his 40s. Mother with alcoholism,
cirrhosis, and heart attack. Sister alive and well. Father alive
with hypertension.

SOCIAL HISTORY: Former smoker, 10 pack years. Rare alcohol. Retired
neurohistologist (formerly worked at [**Hospital1 **]). Lives alone in
an apartment in [**Location (un) **], two PCAs help him in the morning and
evening. Uses an electric wheelchair to get around both at home
and outside his home.
Mechanical complication due to urethral (indwelling) catheter,Urinary tract infection, site not specified,Cellulitis and abscess of leg, except foot,Ulcer of calf,Other specified retention of urine,Polyarticular juvenile rheumatoid arthritis, chronic or unspecified,Atony of bladder,Hypotension, unspecified,Osteoporosis, unspecified,Other chronic pain,Personal history of tobacco use,Family history of malignant neoplasm of gastrointestinal tract,Pseudomonas infection in conditions classified elsewhere and of unspecified site,Urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Anemia, unspecified,Peripheral vascular disease, unspecified,Venous (peripheral) insufficiency, unspecified,Hypovolemia
Malfunc urethral cath,Urin tract infection NOS,Cellulitis of leg,Ulcer of calf,Oth spcf retention urine,Juv rheum arthritis NOS,Atony of bladder,Hypotension NOS,Osteoporosis NOS,Chronic pain NEC,History of tobacco use,Family hx-gi malignancy,Pseudomonas infect NOS,Abn react-urinary cath,Anemia NOS,Periph vascular dis NOS,Venous insufficiency NOS,Hypovolemia
Admission Date:  [**2109-6-14**]              Discharge Date:   [**2109-6-20**]

Date of Birth:  [**2042-7-26**]             Sex:   M

Service: MEDICINE

Allergies:
Tetracycline Analogues

Attending:[**First Name3 (LF) 2195**]
Chief Complaint:
Unable to void

Major Surgical or Invasive Procedure:
foley catheter changed


History of Present Illness:
Mr. [**Known lastname **] is a 66 year old man with juvenile rheumatoid
arthritis and an indwelling foley catheter secondary to an
atonic bladder. He presented to the ED today with a one day
history of inability to void and abdominal pain. He states that
he uses a leg bag during the day and a larger bag at night,
which are emptied by his two PCAs (each comes for 2 hours a day,
morning and evening). He is not aware of any abnormal-appearing
urine recently and has not had dysuria. He also reports that to
his knowledge his leg ulcer is at baseline, not getting worse.
.
In the ED, initial vs were: 97.8 103 136/79 18 100%. His Foley
was exchanged and drained 1 L of purulent-looking urine. This
resolved his abdominal pain. He had very poor access, so labs
were not able to be obtained. He had an intraosseous line placed
in the right lower extremity and was given IL of IV fluids.
While in the ED, he was noted to be hypotensive to SBP
40s-50s/P; however, his small arms and body habitus made a good
[**Location (un) 1131**] difficult. BP in the leg was 90s/40s, and his mental
status was clear throughout.  His left lateral ankle was also
noted to be malodorous. He received vancomycin (for leg
cellulitis) and zosyn for antibiotics.
.
On the floor, patient reported complete resolution of abdominal
pain. He reported discomfort at the IO site, as well as his
chronic hip and knee pain because he did not receive home pain
meds in ED.
.
Review of sytems:
(+) Per HPI
(-) Denies fever, chills, night sweats, recent weight loss or
gain. Denies headache, sinus tenderness, rhinorrhea or
congestion. Denied cough, shortness of breath. Denied chest pain
or tightness, palpitations. Denied nausea, vomiting, diarrhea,
constipation or abdominal pain. No recent change in bowel or
bladder habits. No dysuria. Denied arthralgias or myalgias.

Past Medical History:
- with chronic indwelling foley catheter
- Juveile rheumatoid arthritis (no steroids in decades, but
history of chronic steroids x 15 years)
- Osteoporosis
- GERD
- Left venous stasis ulcer, chronic
- Hemorroids
- Chronic pain of knee, back, shoulder, hip
- s/p C. difficile infection
- Cellulitis/osteomyelitis of his calf
- Multiple orthopedic surgeries (no hardware per patient) to
ankles, knees, neck, right elbow

Social History:
Former smoker, 10 pack years. Rare alcohol. Retired
neurohistologist (formerly worked at [**Hospital1 **]). Lives alone in
an apartment in [**Location (un) **], two PCAs help him in the morning and
evening. Uses an electric wheelchair to get around both at home
and outside his home.


Family History:
Brother died of colon cancer in his 40s. Mother with alcoholism,
cirrhosis, and heart attack. Sister alive and well. Father alive
with hypertension.

Physical Exam:
Physical Exam on Admission to [**Hospital Unit Name 153**]
Vitals: T: BP: 121/67 P: 91 R: 18 O2: 96% on RA
General: Alert, oriented, no acute distress. Small body habitus
with foreshortened extremities and small hands and feet.
HEENT: Sclera anicteric, MMM, oropharynx clear
Neck: supple, JVP difficult to assess given body habitus (large
jowls), no LAD
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
rhonchi
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops
Abdomen:  Soft, non-tender, non-distended, bowel sounds present,
no rebound tenderness or guarding, no organomegaly
GU: Small amount of purulent discharge at urethra, foley in
place
Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema. Superficial ulceration of left lower extremity with
copious yellow exudative discharge and minimal surrounding
erythema, slightly indurated.


Pertinent Results:
Labs on Admission: [**2109-6-14**] 04:20PM
WBC-15.5*# RBC-3.53* Hgb-6.9* Hct-23.4* MCV-66* Plt Ct-385
Neuts-83.8* Lymphs-11.6* Monos-3.8 Eos-0.5 Baso-0.3
PT-14.4* PTT-39.7* INR(PT)-1.2*
Glucose-112* UreaN-30* Creat-0.8 Na-140 K-4.1 Cl-106 HCO3-26
AnGap-12
Calcium-7.7* Phos-2.8 Mg-1.9
URINE Color-Yellow Appear-Cloudy Sp [**Last Name (un) **]-1.017
URINE Blood-SM  Nitrite-NEG Protein-100 Glucose-NEG Ketone-NEG
Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-LG
URINE RBC-30* WBC->182* Bacteri-MOD Yeast-NONE Epi-0
URINE WBC Clm-MANY Mucous-MANY

Labs on Discharge: [**2109-6-19**] 01:04PM
WBC-10.6 RBC-3.27* Hgb-6.4* Hct-22.9* MCV-70* Plt Ct-337
Glucose-113* UreaN-17 Creat-0.6 Na-139 K-4.1 Cl-104 HCO3-28
AnGap-11

Imaging:
[**2109-6-14**]
- Tib/Fib X -ray: Intraosseous catheter is seen with tip in the
proximal tibial metadiaphysis beyond the cortical margin. Bones
are diffusely osteopenic with ankylosis involving the hindfoot,
midfoot and ankle. Extensive degeneration and distortion
incompletely assessed at the knee. Extensive vascular
calcifications are also seen.
IMPRESSION: IO catheter in the proximal tibia.

Microbiology:
URINE CULTURE (Final [**2109-6-19**]):
      MIXED BACTERIAL FLORA ( >= 3 COLONY TYPES), CONSISTENT
WITH FECAL
      CONTAMINATION.
      WORK UP PER DR [**Last Name (STitle) **].[**Doctor Last Name **] [**2109-6-15**].
      PSEUDOMONAS AERUGINOSA.    >100,000 ORGANISMS/ML..
      PROTEUS MIRABILIS.    10,000-100,000 ORGANISMS/ML..
         Piperacillin/tazobactam sensitivity testing available
on request.
      ENTEROCOCCUS SP..    10,000-100,000 ORGANISMS/ML..
         AMPICILLIN AND Penicillin Sensitivity testing performed
by
         Sensititre.  Daptomycin Sensitivity testing per DR [**Last Name (STitle) **]
#[**Numeric Identifier 30694**].
         Daptomycin Sensitivity testing performed by Sensititre.

         SENSITIVE TO Daptomycin (MIC=1MCG/ML).

                              SENSITIVITIES: MIC expressed in
MCG/ML

_________________________________________________________
                             PSEUDOMONAS AERUGINOSA
                             |          PROTEUS MIRABILIS
                             |          |          ENTEROCOCCUS
SP.
                             |          |          |
AMPICILLIN------------             =>32 R        1 S
AMPICILLIN/SULBACTAM--             =>32 R
CEFAZOLIN-------------               16 I
CEFEPIME--------------     8 S      <=1 S
CEFTAZIDIME-----------   <=1 S      <=1 S
CEFTRIAXONE-----------              <=1 S
CIPROFLOXACIN---------     2 I      =>4 R
DAPTOMYCIN------------                             S
GENTAMICIN------------   <=1 S        4 S
LINEZOLID-------------                           2 S
MEROPENEM-------------<=0.25 S   <=0.25 S
NITROFURANTOIN--------                        <=16 S
PENICILLIN G----------                           4 S
PIPERACILLIN/TAZO-----   <=4 S
TETRACYCLINE----------                        =>16 R
TOBRAMYCIN------------   <=1 S      <=1 S
TRIMETHOPRIM/SULFA----             =>16 R
VANCOMYCIN------------                        =>32 R


Brief Hospital Course:
Mr. [**Known lastname **] is a 66 year old man with a history of JRA and
bladder atony with chronic indwelling Foley who presents with
one day of urinary retention and abdominal pain.

# Urinary tract infection.  Most likely [**1-30**] urinary retention
from clogged/obstructed Foley catheter.  Foley catheter was
changed on [**2109-6-14**].  Last documented catheter change prior was
in [**Month (only) 547**].  Upon admission to the ICU, hemodynamics were stable
with improvement of his abdominal discomfort.  His outpatient
urologist was informed.  Urine culture was significant for VRE
and Psuedomonas, and the patient was placed on Macrobid and
Meropenem initially, which was transitioned to Macrobid and
Piperacillin-Tazobactam at discharge. A PICC was placed in the
LUE for home antibiotics, and he will complete a total of 14
days of antibiotics. Safety labs to be sent on Wednesday, [**6-26**] and faxed to the ID division. Patient will susbsequently
follow-up with his outpatient ID physician [**Last Name (NamePattern4) **].[**Last Name (STitle) **]. Patient
remained afebrile, asymptomatic and hemodynamically stable
throughout his stay on the general medicine service.

# Urinary retention.  [**1-30**] bladder atony with chronic indwelling
Foley.  Since the change of Foley catheter on admit, his
abdominal discomfort improved, suggesting possible clogging in
the catheter. Patient will have continued follow-up with his
outpatient urologist. [**Month (only) 116**] need scheduled foley catheter changes,
[**First Name8 (NamePattern2) **] [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 7986**] (NP) and Dr.[**Name (NI) 825**] note on [**2108-7-6**]

# Chronic leg ulcer, PVD: Baseline per patient. Patient has been
followed by Dr. [**Last Name (STitle) **] for his non-healing ulcer. Asa 162mg was
continued, and QOD Aquacel silver dressings were ordered. Blood
cultures remained negative. No antibiotics were given
specifically for the wound infection.

# Hypotension.  Concerning for peri-sepsis initially, but
apparently hypotension in the ED and borderline in the ICU.
Unclear if this was due to poor cuff [**Location (un) 1131**] given his body
habitus and use of a large cuff in the ED or if it recovered
quickly after 1L of IVF.  Using pediatric cuff, readings
remained mostly in the 110s.

# Microcytic Anemia: History of iron-deficient anemia.  No
evidence of acute bleed. Pt was continued on his home iron
therapy. Iron studies were normal. HCT remained near his
baseline during his admission.

# Osteoporosis: Likely secondary to chronic steroid use. Has
chronic pain related to multiple surgeries. Continued home
Actonel (Mondays). Continued methadone and oxycodone for chronic
pain

Code Status: OK to intubate, defibrillate or cardiovert; no
chest compressions


Medications on Admission:
FAMOTIDINE 40 mg qPM
METHADONE 5 mg/5 mL Solution, 10 ml by mouth at 6pm
OXYCODONE 10 mg q4 hours
RISEDRONATE 35 mg every week
ASPIRIN 162 mg daily
FERROUS GLUCONATE 324 mg TID
MULTIVITAMIN

Discharge Medications:
1. famotidine 20 mg Tablet Sig: Two (2) Tablet PO HS (at
bedtime).
2. methadone 10 mg/mL Concentrate Sig: One (1)  PO DAILY AT 6 ()
as needed.
3. oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours)
as needed for pain.
4. risedronate 35 mg Tablet Sig: One (1) Tablet PO weekly on
Monday () as needed for osteoporosis.
5. aspirin 81 mg Tablet, Chewable Sig: Two (2) Tablet, Chewable
PO DAILY (Daily).
6. ferrous gluconate 325 mg (37.5 mg Iron) Tablet Sig: One (1)
Tablet PO TID (3 times a day).
7. multivitamin     Tablet Sig: One (1) Tablet PO once a day.
8. nitrofurantoin monohyd/m-cryst 100 mg Capsule Sig: One (1)
Capsule PO BID (2 times a day) for 17 doses.
Disp:*17 Capsule(s)* Refills:*0*
9. piperacillin-tazobactam 2.25 gram Recon Soln Sig: One (1)
dose Intravenous every six (6) hours for 8 days.
Disp:*8 day's supply* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
hypotension
urinary tract infection-complicated
atonic bladder with chronic foley
L.leg chronic ulcer

juvenile rheumatoid arthritis


Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Ambulatory - requires assistance or aid (walker
or cane).

Discharge Instructions:
You were intially admitted with abdominal pain and inability of
your foley catheter to drain. For this, you had your foley
catheter replaced. You were given antibiotics for a urinary
tract infection. You will need to take Zosyn and Macrobid upon
discharge through [**6-28**].

Medication changes:
1. Take Zosyn and Macrobid through [**6-28**]

Please take all of your medications as prescribed and follow up
with the appointments below.

Followup Instructions:
Department: Primary Care
Name: Dr. [**First Name8 (NamePattern2) 2048**] [**Last Name (NamePattern1) **]
When: Wednesday [**2109-6-26**] at 3:15 PM
Address: [**Street Address(2) 12840**],[**Apartment Address(1) 40744**], [**Location (un) 6017**],[**Numeric Identifier 12842**]
Phone: [**Telephone/Fax (1) 40745**]

Department: INFECTIOUS DISEASE
When: FRIDAY [**2109-7-5**] at 8:30 AM
With: [**Name6 (MD) **] [**Name8 (MD) **], MD [**Telephone/Fax (1) 457**]
Building: LM [**Hospital Unit Name **] [**Hospital 1422**]
Campus: WEST     Best Parking: [**Hospital Ward Name **] Garage

Department: VASCULAR SURGERY
When: WEDNESDAY [**2109-12-4**] at 11:30 AM
With: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 10107**], NP [**Telephone/Fax (1) 1237**]
Building: LM [**Hospital Unit Name **] [**Location (un) **]
Campus: WEST     Best Parking: [**Hospital Ward Name **] Garage
{'Mechanical complication due to urethral (indwelling) catheter,Urinary tract infection, site not specified,Cellulitis and abscess of leg, except foot,Ulcer of calf,Other specified retention of urine,Polyarticular juvenile rheumatoid arthritis, chronic or unspecified,Atony of bladder,Hypotension, unspecified,Osteoporosis, unspecified,Other chronic pain,Personal history of tobacco use,Family history of malignant neoplasm of gastrointestinal tract,Pseudomonas infection in conditions classified elsewhere and of unspecified site,Urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Anemia, unspecified,Peripheral vascular disease, unspecified,Venous (peripheral) insufficiency, unspecified,Hypovolemia'}


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: Unable to void

PRESENT ILLNESS: Mr. [**Known lastname **] is a 66 year old man with juvenile rheumatoid
arthritis and an indwelling foley catheter secondary to an
atonic bladder. He presented to the ED today with a one day
history of inability to void and abdominal pain. He states that
he uses a leg bag during the day and a larger bag at night,
which are emptied by his two PCAs (each comes for 2 hours a day,
morning and evening). He is not aware of any abnormal-appearing
urine recently and has not had dysuria. He also reports that to
his knowledge his leg ulcer is at baseline, not getting worse.
.
In the ED, initial vs were: 97.8 103 136/79 18 100%. His Foley
was exchanged and drained 1 L of purulent-looking urine. This
resolved his abdominal pain. He had very poor access, so labs
were not able to be obtained. He had an intraosseous line placed
in the right lower extremity and was given IL of IV fluids.
While in the ED, he was noted to be hypotensive to SBP
40s-50s/P; however, his small arms and body habitus made a good
[**Location (un) 1131**] difficult. BP in the leg was 90s/40s, and his mental
status was clear throughout.  His left lateral ankle was also
noted to be malodorous. He received vancomycin (for leg
cellulitis) and zosyn for antibiotics.
.
On the floor, patient reported complete resolution of abdominal
pain. He reported discomfort at the IO site, as well as his
chronic hip and knee pain because he did not receive home pain
meds in ED.
.
Review of sytems:
(+) Per HPI
(-) Denies fever, chills, night sweats, recent weight loss or
gain. Denies headache, sinus tenderness, rhinorrhea or
congestion. Denied cough, shortness of breath. Denied chest pain
or tightness, palpitations. Denied nausea, vomiting, diarrhea,
constipation or abdominal pain. No recent change in bowel or
bladder habits. No dysuria. Denied arthralgias or myalgias.

MEDICAL HISTORY: - with chronic indwelling foley catheter
- Juveile rheumatoid arthritis (no steroids in decades, but
history of chronic steroids x 15 years)
- Osteoporosis
- GERD
- Left venous stasis ulcer, chronic
- Hemorroids
- Chronic pain of knee, back, shoulder, hip
- s/p C. difficile infection
- Cellulitis/osteomyelitis of his calf
- Multiple orthopedic surgeries (no hardware per patient) to
ankles, knees, neck, right elbow

MEDICATION ON ADMISSION: FAMOTIDINE 40 mg qPM
METHADONE 5 mg/5 mL Solution, 10 ml by mouth at 6pm
OXYCODONE 10 mg q4 hours
RISEDRONATE 35 mg every week
ASPIRIN 162 mg daily
FERROUS GLUCONATE 324 mg TID
MULTIVITAMIN

ALLERGIES: Tetracycline Analogues

PHYSICAL EXAM: Physical Exam on Admission to [**Hospital Unit Name 153**]
Vitals: T: BP: 121/67 P: 91 R: 18 O2: 96% on RA
General: Alert, oriented, no acute distress. Small body habitus
with foreshortened extremities and small hands and feet.
HEENT: Sclera anicteric, MMM, oropharynx clear
Neck: supple, JVP difficult to assess given body habitus (large
jowls), no LAD
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
rhonchi
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops
Abdomen:  Soft, non-tender, non-distended, bowel sounds present,
no rebound tenderness or guarding, no organomegaly
GU: Small amount of purulent discharge at urethra, foley in
place
Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema. Superficial ulceration of left lower extremity with
copious yellow exudative discharge and minimal surrounding
erythema, slightly indurated.

FAMILY HISTORY: Brother died of colon cancer in his 40s. Mother with alcoholism,
cirrhosis, and heart attack. Sister alive and well. Father alive
with hypertension.

SOCIAL HISTORY: Former smoker, 10 pack years. Rare alcohol. Retired
neurohistologist (formerly worked at [**Hospital1 **]). Lives alone in
an apartment in [**Location (un) **], two PCAs help him in the morning and
evening. Uses an electric wheelchair to get around both at home
and outside his home. 

### Response:
{'Mechanical complication due to urethral (indwelling) catheter,Urinary tract infection, site not specified,Cellulitis and abscess of leg, except foot,Ulcer of calf,Other specified retention of urine,Polyarticular juvenile rheumatoid arthritis, chronic or unspecified,Atony of bladder,Hypotension, unspecified,Osteoporosis, unspecified,Other chronic pain,Personal history of tobacco use,Family history of malignant neoplasm of gastrointestinal tract,Pseudomonas infection in conditions classified elsewhere and of unspecified site,Urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Anemia, unspecified,Peripheral vascular disease, unspecified,Venous (peripheral) insufficiency, unspecified,Hypovolemia'}
