CHIEF COMPLAINT: seizure

PRESENT ILLNESS: Ms. [**Known lastname **] is a 79-year-old woman with hx of CVA, HTN,
hypothyroidism newly diagnosed Diffuse large B-Cell Non-Hodgkins
Lymphoma discharged yesterday from [**Hospital1 18**] with a diagnosis of
urosepsis thought to be secondary to ureteral obstruction from
an abdominal mass who presents today after a seizure at her
nursing home.
.
She was discharged from [**Hospital1 18**] to rehab the day prior to
presenation after an 11 day hospitalization stay after she
presented with urosepsis which was thought to be secondary to
hydronephrosis from obstruction secondary to her tumor. She
underwent ureteral stent revision with good effect. Her urine
and blood cultures grew pan-sensitive E. Coli which was treated
with ceftriaxone. The patient began chemotherapy on [**2146-6-7**]. She
received cytoxan, prednisone, vincristine, and intrathecal
methotrexate. She tolerated the chemo well. She developed tumor
lysis syndrome which was treated with high rates of IVF and
diuresis to keep her urine output up. She did not develop
complications, and tumor lysis resolved. She was given
intrathecal MTX on [**2146-6-13**]. Port cath placed on [**2146-6-13**].
.
The patient had a witnessed grand mal seizure at her nursing
home. On EMS arrival she was minimally responsive vitals at the
time 99.3 60 160/100 36-40 95% RA. In the ED, temp to 101.8 106
134/68 16 99% on NRB. She was witnessed to seizure again in the
ED. Out of concern for altered mental status and inability to
protect airway, the patient was intubated. She received
propofol, vecuronium and ativan for sedation. The patient
received vanc 1gm, ceftriaxone 2gm, dexamethasone 10mg and
dilantin 1500mg. After sedating and paralyzing medications, the
patient developed hypotension to 88/54 (and sbp to ?60's) and
was started on a levophed drip for hypotension. She was placed
on sepsis protocol with sepsis catheter placed via right IJ. The
patient received approximately 5.5L of NS with good blood
pressure response to 140's/50's. The patient was seen in the ED
by oncology and per their recommendations, she received a dose
of filgrastim.

MEDICAL HISTORY: High grade B-cell NHL- presented with three to four months of
appetite loss, nausea, and back pain.  CT scan performed on
[**2146-5-6**] revealed extensive ascites and peritoneal masses
concerning for ovarian cancer.  Also, noted were bilateral
ureteral irregularities close to obstruction, both on the left
and the right.
CVA- no residual deficit
R carotid artery occlusion
Melanoma- (~[**2140**]) Left eye localized involvement, s/p proton
beam tx without evidence of recurrence
hypertension
hypercholesterolemia
hypothyroidism
gout
.
Psurg:
Appendectomy

MEDICATION ON ADMISSION: Bisacodyl 10 mg DAILY PRN
Miconazole Nitrate 2 % Cream 2 times a day
Acetaminophen 325-650 mg PO Q4-6H: PRN
Alprazolam 0.25 mg PO once a day at bedtime
Allopurinol 200 mg DAILY
Fluconazole 200 mg Q24H
Trimethoprim-Sulfamethoxazole 160-800 mg 3X/WEEK (MO,WE,FR)
Alprazolam 0.25 mg 3 times a day: PRN
Docusate Sodium 100 mg 2 times a day
Senna 8.6 mg 1-2 Tablets 2 times a day
Saliva Substitution Combo as needed for mouth sores
Filgrastim 480 mcg Q24H
Trazodone 25 mg at bedtime PRN
Metoprolol Tartrate 50 mg, 2 times a day
Morphine Sulfate 2 mg IV Q4H:PRN
Ceftriaxone 1 g once a day
Ondansetron 4-8 mg IV Q8H:PRN
Menthol-Cetylpyridinium Cl 2 mg Lozenge PRN

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: per admitting resident
98.6 89 141/78
Vent: AC Vt set 550 obs 600 RR 14/0=14 PEEP 5 PIP 28 Plateau 18

FAMILY HISTORY: She has one cousin with history of breast cancer
and daughter had renal cell cancer.

SOCIAL HISTORY: married, lived with her husband in [**Name (NI) 1268**] until her most
recent hospitalization.  No current tobacco, or illicits. Drinks
2 glasses of wine per week.  smoking 20+ years ago.  Not
currently working.  She has 6 children who live in the area and
daughter in law who is a nurse.
Epilepsy, unspecified, without mention of intractable epilepsy,Burkitt's tumor or lymphoma, unspecified site, extranodal and solid organ sites,Other pulmonary insufficiency, not elsewhere classified,Shock, unspecified,Antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Other sedatives and hypnotics causing adverse effects in therapeutic use,Personal history of malignant melanoma of skin,Gout, unspecified,Personal history of tobacco use,Personal history of other diseases of circulatory system
Epilep NOS w/o intr epil,Brkt tmr unsp xtrndl org,Other pulmonary insuff,Shock NOS,Adv eff antineoplastic,Hypertension NOS,Hypothyroidism NOS,Adv eff sedat/hypnot NEC,Hx-malig skin melanoma,Gout NOS,History of tobacco use,Hx-circulatory dis NEC
Admission Date:  [**2146-6-17**]              Discharge Date:   [**2146-6-22**]

Date of Birth:  [**2066-9-20**]             Sex:   F

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 6169**]
Chief Complaint:
seizure

Major Surgical or Invasive Procedure:
intubation


History of Present Illness:
Ms. [**Known lastname **] is a 79-year-old woman with hx of CVA, HTN,
hypothyroidism newly diagnosed Diffuse large B-Cell Non-Hodgkins
Lymphoma discharged yesterday from [**Hospital1 18**] with a diagnosis of
urosepsis thought to be secondary to ureteral obstruction from
an abdominal mass who presents today after a seizure at her
nursing home.
.
She was discharged from [**Hospital1 18**] to rehab the day prior to
presenation after an 11 day hospitalization stay after she
presented with urosepsis which was thought to be secondary to
hydronephrosis from obstruction secondary to her tumor. She
underwent ureteral stent revision with good effect. Her urine
and blood cultures grew pan-sensitive E. Coli which was treated
with ceftriaxone. The patient began chemotherapy on [**2146-6-7**]. She
received cytoxan, prednisone, vincristine, and intrathecal
methotrexate. She tolerated the chemo well. She developed tumor
lysis syndrome which was treated with high rates of IVF and
diuresis to keep her urine output up. She did not develop
complications, and tumor lysis resolved. She was given
intrathecal MTX on [**2146-6-13**]. Port cath placed on [**2146-6-13**].
.
The patient had a witnessed grand mal seizure at her nursing
home. On EMS arrival she was minimally responsive vitals at the
time 99.3 60 160/100 36-40 95% RA. In the ED, temp to 101.8 106
134/68 16 99% on NRB. She was witnessed to seizure again in the
ED. Out of concern for altered mental status and inability to
protect airway, the patient was intubated. She received
propofol, vecuronium and ativan for sedation. The patient
received vanc 1gm, ceftriaxone 2gm, dexamethasone 10mg and
dilantin 1500mg. After sedating and paralyzing medications, the
patient developed hypotension to 88/54 (and sbp to ?60's) and
was started on a levophed drip for hypotension. She was placed
on sepsis protocol with sepsis catheter placed via right IJ. The
patient received approximately 5.5L of NS with good blood
pressure response to 140's/50's. The patient was seen in the ED
by oncology and per their recommendations, she received a dose
of filgrastim.


Past Medical History:
High grade B-cell NHL- presented with three to four months of
appetite loss, nausea, and back pain.  CT scan performed on
[**2146-5-6**] revealed extensive ascites and peritoneal masses
concerning for ovarian cancer.  Also, noted were bilateral
ureteral irregularities close to obstruction, both on the left
and the right.
CVA- no residual deficit
R carotid artery occlusion
Melanoma- (~[**2140**]) Left eye localized involvement, s/p proton
beam tx without evidence of recurrence
hypertension
hypercholesterolemia
hypothyroidism
gout
.
Psurg:
Appendectomy

Social History:
married, lived with her husband in [**Name (NI) 1268**] until her most
recent hospitalization.  No current tobacco, or illicits. Drinks
2 glasses of wine per week.  smoking 20+ years ago.  Not
currently working.  She has 6 children who live in the area and
daughter in law who is a nurse.


Family History:
She has one cousin with history of breast cancer
and daughter had renal cell cancer.

Physical Exam:
per admitting resident
98.6 89 141/78
Vent: AC Vt set 550 obs 600 RR 14/0=14 PEEP 5 PIP 28 Plateau 18

Gen:NAD, A and Ox3
HEENT:PERRL, MMdry, upper full dentures lower bridge, no elev
JVP
NEck:supple
CV:RRR, nS1S2 no MRG
PULM: scant wheezes througout lung fields.
Abd:nabs
Extrem:2+ rad and dp pulses, 2+ LE edema worse on left
Neuro:CNII-XII intact, [**6-11**] UE and LE strength except for [**5-12**] in
hip flexers bilat, distal sensation intact


Pertinent Results:
[**2146-6-17**] 11:53PM   TYPE-ART PO2-300* PCO2-28* PH-7.56* TOTAL
CO2-26 BASE XS-4
[**2146-6-17**] 07:29PM CEREBROSPINAL FLUID (CSF)  PROTEIN-59*
GLUCOSE-104
[**2146-6-17**] 07:29PM CEREBROSPINAL FLUID (CSF)  WBC-0 RBC-475*
POLYS-0 LYMPHS-60 MONOS-40
[**2146-6-17**] 07:29PM CEREBROSPINAL FLUID (CSF)  WBC-1 RBC-4222*
POLYS-6 LYMPHS-81 MONOS-13
[**2146-6-17**] 01:42PM   LACTATE-1.6
[**2146-6-17**] 01:30PM   GLUCOSE-182* UREA N-9 CREAT-0.6 SODIUM-137
POTASSIUM-2.7* CHLORIDE-110* TOTAL CO2-23 ANION GAP-7*
[**2146-6-17**] 01:30PM   ALT(SGPT)-15 AST(SGOT)-25 ALK PHOS-73
AMYLASE-151* TOT BILI-0.5
[**2146-6-17**] 01:30PM   LIPASE-15
[**2146-6-17**] 01:30PM   ALBUMIN-2.0*
[**2146-6-17**] 01:30PM   WBC-0.1* RBC-2.79* HGB-8.6* HCT-24.5* MCV-88
MCH-30.9 MCHC-35.2* RDW-14.3
[**2146-6-17**] 01:30PM   PLT COUNT-58*
[**2146-6-17**] 01:30PM   GRAN CT-50*
[**2146-6-17**] 11:18AM   TYPE-ART PH-7.30*
[**2146-6-17**] 11:18AM   GLUCOSE-186* LACTATE-5.8* NA+-131* K+-3.5
CL--95* TCO2-27
[**2146-6-17**] 11:18AM   HGB-11.5* calcHCT-35
[**2146-6-17**] 11:18AM   freeCa-1.08*
[**2146-6-17**] 11:00AM   GLUCOSE-205* UREA N-13 CREAT-1.0 SODIUM-132*
POTASSIUM-3.5 CHLORIDE-96 TOTAL CO2-24 ANION GAP-16
[**2146-6-17**] 11:00AM   CK(CPK)-36
[**2146-6-17**] 11:00AM   CK-MB-NotDone cTropnT-0.02*
[**2146-6-17**] 11:00AM   CALCIUM-8.2* PHOSPHATE-3.1 MAGNESIUM-1.7
[**2146-6-17**] 11:00AM   ASA-NEG ETHANOL-NEG ACETMNPHN-NEG
bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
[**2146-6-17**] 11:00AM   WBC-0.2* RBC-3.54* HGB-10.9* HCT-31.8* MCV-90
MCH-30.8 MCHC-34.3 RDW-14.4
[**2146-6-17**] 11:00AM   NEUTS-16* BANDS-0 LYMPHS-80* MONOS-0 EOS-0
BASOS-0 ATYPS-4* METAS-0 MYELOS-0
[**2146-6-17**] 11:00AM   HYPOCHROM-NORMAL ANISOCYT-NORMAL
POIKILOCY-NORMAL MACROCYT-NORMAL MICROCYT-NORMAL
POLYCHROM-NORMAL
[**2146-6-17**] 11:00AM   PLT SMR-LOW PLT COUNT-97*
[**2146-6-17**] 10:57AM URINE  HOURS-RANDOM
[**2146-6-17**] 10:57AM URINE  bnzodzpn-NEG barbitrt-NEG opiates-NEG
cocaine-NEG amphetmn-NEG mthdone-NEG
[**2146-6-17**] 10:57AM URINE  COLOR-Red APPEAR-Hazy SP [**Last Name (un) 155**]-1.009
[**2146-6-17**] 10:57AM URINE  BLOOD-LG NITRITE-NEG PROTEIN-30
GLUCOSE-100 KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0
LEUK-NEG
[**2146-6-17**] 10:57AM URINE  RBC->50 WBC-[**4-11**] BACTERIA-FEW YEAST-NONE
EPI-0-2
[**2146-6-17**] 10:50AM   GLUCOSE-164* LACTATE-5.2* NA+-133* K+-4.1
CL--96* TCO2-28
[**2146-6-17**] 10:45AM   UREA N-13 CREAT-1.1
[**2146-6-17**] 10:45AM   CK(CPK)-59 AMYLASE-109*
[**2146-6-17**] 10:45AM   CK-MB-NotDone cTropnT-0.01
[**2146-6-17**] 10:45AM   CALCIUM-8.4 PHOSPHATE-2.8 MAGNESIUM-1.8
[**2146-6-17**] 10:45AM   WBC-0.4* RBC-3.74* HGB-11.5* HCT-33.1* MCV-89
MCH-30.8 MCHC-34.8 RDW-14.3
[**2146-6-17**] 10:45AM   PT-13.5* PTT-29.8 INR(PT)-1.2*
[**2146-6-17**] 10:45AM   PLT SMR-LOW PLT COUNT-99*
[**2146-6-17**] 10:45AM   FIBRINOGE-428*
.
CXR
IMPRESSION:
1. Appropriate placement of a new right-sided internal jugular
central venous catheter with no evidence of pneumothorax.

2. Unchanged small bilateral pleural effusions and lower lobe
atelectasis (left greater than right) along with a persistent
mild-to-moderate interstitial edema.
.
CT head
No evidence of acute intracranial process.
.
CT abdomen
1. New moderate bilateral pleural effusion with compressive
atelectasis.

2. Small fluid accumulation around the liver and in the pelvis
suggesting the presence of ascites.

3. Status post bilateral double J catheter of both kidneys.
There has been interval dcrease in the size of soft tissue
infiltrate surrounding the course of both ureters into the
pelvis.

4. No retroperitoneal or pelvic hematoma is seen.

5. Unchanged appearance of calcified splenic artery aneurysm
measuring 16 mm.

6. Interval significant decrease in size of massively enlarged
mesenteric lymph nodes. The previously described soft tissue
mass within the upper pelvis is less prominent and can not be
well characterized since no oral or IV contrast has been used.
.
EEG
This is a normal portable EEG in the awake and drowsy
states. No focal or epileptiform features were seen.


Brief Hospital Course:
1) Seizure: Etiology of seizure remains unclear, most likely in
setting of IT MTX. Head CT negative, EEG normal, LP not
consistent with CNS disease/meningitis. On keppra 1000 [**Hospital1 **].
Stable. No further workup at this point.
.
2) Repiratory distress: RESOLVED. Was probably secondary to
depressed CNS drive in the setting of seizure. Now satting well
on room air.
.
3) ID: needs to finish 14-day course for fluconazole for thrush.
.
4) NHL: On CVP (Day 1 [**2146-6-7**]). Scheduled for rituxan as
outpatient on [**2146-6-24**].


Medications on Admission:
Bisacodyl 10 mg DAILY PRN
Miconazole Nitrate 2 % Cream 2 times a day
Acetaminophen 325-650 mg PO Q4-6H: PRN
Alprazolam 0.25 mg PO once a day at bedtime
Allopurinol 200 mg DAILY
Fluconazole 200 mg Q24H
Trimethoprim-Sulfamethoxazole 160-800 mg 3X/WEEK (MO,WE,FR)
Alprazolam 0.25 mg 3 times a day: PRN
Docusate Sodium 100 mg 2 times a day
Senna 8.6 mg 1-2 Tablets 2 times a day
Saliva Substitution Combo as needed for mouth sores
Filgrastim 480 mcg Q24H
Trazodone 25 mg at bedtime PRN
Metoprolol Tartrate 50 mg, 2 times a day
Morphine Sulfate 2 mg IV Q4H:PRN
Ceftriaxone 1 g once a day
Ondansetron 4-8 mg IV Q8H:PRN
Menthol-Cetylpyridinium Cl 2 mg Lozenge PRN


Discharge Medications:
1. Albuterol Sulfate 0.083 % (0.83 mg/mL) Solution Sig: One (1)
Inhalation Q6H (every 6 hours) as needed.
2. Ipratropium Bromide 0.02 % Solution Sig: One (1)  Inhalation
Q6H (every 6 hours) as needed.
3. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical TID
(3 times a day) as needed.
4. Zolpidem 5 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime) as
needed.
5. Lidocaine-Prilocaine 2.5-2.5 % Cream Sig: One (1) Appl
Topical ASDIR (AS DIRECTED).
6. Levetiracetam 500 mg Tablet Sig: Two (2) Tablet PO BID (2
times a day).
7. Fluconazole 100 mg Tablet Sig: One (1) Tablet PO Q24H (every
24 hours) as needed for qday.
8. Acyclovir 200 mg Capsule Sig: Two (2) Capsule PO every twelve
(12) hours.
9. Prochlorperazine 10 mg Tablet Sig: One (1) Tablet PO Q6H
(every 6 hours) as needed.


Discharge Disposition:
Extended Care

Facility:
[**First Name4 (NamePattern1) 533**] [**Last Name (NamePattern1) **] for Extended Care

Discharge Diagnosis:
Primary
- seizures
- shock
- respiratory distress
Secondary
- NHL


Discharge Condition:
good


Discharge Instructions:
Admitted for seizures in setting of intrathecal chemotherapy.
Now asymptomatic, EEG normal. On Keppra for prophylaxis.
Please take all medication as prescribed.
Please go to follow up appointments.
Next outpatient treatment is on Friday [**2146-6-24**].

Followup Instructions:
Provider: [**Name Initial (NameIs) 455**] 1-HEM ONC 7F HEMATOLOGY/ONCOLOGY-7F
Date/Time:[**2146-6-24**] 10:00
Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], MD Phone:[**Telephone/Fax (1) 7614**]
Date/Time:[**2146-6-27**] 11:15
Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 8941**], MD Phone:[**Telephone/Fax (1) 6317**]
Date/Time:[**2146-9-20**] 8:30



Completed by:[**2146-6-22**]
{"Epilepsy, unspecified, without mention of intractable epilepsy,Burkitt's tumor or lymphoma, unspecified site, extranodal and solid organ sites,Other pulmonary insufficiency, not elsewhere classified,Shock, unspecified,Antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Other sedatives and hypnotics causing adverse effects in therapeutic use,Personal history of malignant melanoma of skin,Gout, unspecified,Personal history of tobacco use,Personal history of other diseases of circulatory system"}


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: seizure

PRESENT ILLNESS: Ms. [**Known lastname **] is a 79-year-old woman with hx of CVA, HTN,
hypothyroidism newly diagnosed Diffuse large B-Cell Non-Hodgkins
Lymphoma discharged yesterday from [**Hospital1 18**] with a diagnosis of
urosepsis thought to be secondary to ureteral obstruction from
an abdominal mass who presents today after a seizure at her
nursing home.
.
She was discharged from [**Hospital1 18**] to rehab the day prior to
presenation after an 11 day hospitalization stay after she
presented with urosepsis which was thought to be secondary to
hydronephrosis from obstruction secondary to her tumor. She
underwent ureteral stent revision with good effect. Her urine
and blood cultures grew pan-sensitive E. Coli which was treated
with ceftriaxone. The patient began chemotherapy on [**2146-6-7**]. She
received cytoxan, prednisone, vincristine, and intrathecal
methotrexate. She tolerated the chemo well. She developed tumor
lysis syndrome which was treated with high rates of IVF and
diuresis to keep her urine output up. She did not develop
complications, and tumor lysis resolved. She was given
intrathecal MTX on [**2146-6-13**]. Port cath placed on [**2146-6-13**].
.
The patient had a witnessed grand mal seizure at her nursing
home. On EMS arrival she was minimally responsive vitals at the
time 99.3 60 160/100 36-40 95% RA. In the ED, temp to 101.8 106
134/68 16 99% on NRB. She was witnessed to seizure again in the
ED. Out of concern for altered mental status and inability to
protect airway, the patient was intubated. She received
propofol, vecuronium and ativan for sedation. The patient
received vanc 1gm, ceftriaxone 2gm, dexamethasone 10mg and
dilantin 1500mg. After sedating and paralyzing medications, the
patient developed hypotension to 88/54 (and sbp to ?60's) and
was started on a levophed drip for hypotension. She was placed
on sepsis protocol with sepsis catheter placed via right IJ. The
patient received approximately 5.5L of NS with good blood
pressure response to 140's/50's. The patient was seen in the ED
by oncology and per their recommendations, she received a dose
of filgrastim.

MEDICAL HISTORY: High grade B-cell NHL- presented with three to four months of
appetite loss, nausea, and back pain.  CT scan performed on
[**2146-5-6**] revealed extensive ascites and peritoneal masses
concerning for ovarian cancer.  Also, noted were bilateral
ureteral irregularities close to obstruction, both on the left
and the right.
CVA- no residual deficit
R carotid artery occlusion
Melanoma- (~[**2140**]) Left eye localized involvement, s/p proton
beam tx without evidence of recurrence
hypertension
hypercholesterolemia
hypothyroidism
gout
.
Psurg:
Appendectomy

MEDICATION ON ADMISSION: Bisacodyl 10 mg DAILY PRN
Miconazole Nitrate 2 % Cream 2 times a day
Acetaminophen 325-650 mg PO Q4-6H: PRN
Alprazolam 0.25 mg PO once a day at bedtime
Allopurinol 200 mg DAILY
Fluconazole 200 mg Q24H
Trimethoprim-Sulfamethoxazole 160-800 mg 3X/WEEK (MO,WE,FR)
Alprazolam 0.25 mg 3 times a day: PRN
Docusate Sodium 100 mg 2 times a day
Senna 8.6 mg 1-2 Tablets 2 times a day
Saliva Substitution Combo as needed for mouth sores
Filgrastim 480 mcg Q24H
Trazodone 25 mg at bedtime PRN
Metoprolol Tartrate 50 mg, 2 times a day
Morphine Sulfate 2 mg IV Q4H:PRN
Ceftriaxone 1 g once a day
Ondansetron 4-8 mg IV Q8H:PRN
Menthol-Cetylpyridinium Cl 2 mg Lozenge PRN

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: per admitting resident
98.6 89 141/78
Vent: AC Vt set 550 obs 600 RR 14/0=14 PEEP 5 PIP 28 Plateau 18

FAMILY HISTORY: She has one cousin with history of breast cancer
and daughter had renal cell cancer.

SOCIAL HISTORY: married, lived with her husband in [**Name (NI) 1268**] until her most
recent hospitalization.  No current tobacco, or illicits. Drinks
2 glasses of wine per week.  smoking 20+ years ago.  Not
currently working.  She has 6 children who live in the area and
daughter in law who is a nurse. 

### Response:
{"Epilepsy, unspecified, without mention of intractable epilepsy,Burkitt's tumor or lymphoma, unspecified site, extranodal and solid organ sites,Other pulmonary insufficiency, not elsewhere classified,Shock, unspecified,Antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Other sedatives and hypnotics causing adverse effects in therapeutic use,Personal history of malignant melanoma of skin,Gout, unspecified,Personal history of tobacco use,Personal history of other diseases of circulatory system"}
