CHIEF COMPLAINT: altered mental status in setting of taking clonazepam and
[**First Name3 (LF) 21330**] for pain

PRESENT ILLNESS: Pt is a 26M w/PMHx significant for [**First Name3 (LF) 7344**] abuse and
multiple psych disorders was found altered by friend after
taking Clonazepam and [**Name (NI) **] for pain. Pt has had multiple
prior, recent hospitalizations related to drug abuse. Per prior
psych note on [**2191-5-17**] (time of prior ED eval for similar issues)
pt has multi axis diagnoses including Schizoaffective DO,
Borderline PD, Bipolar DO and heavy substance abuse and past med
hx of head injury, seizures and Hep C. Friends called EMS for
AMS and pt was brought to ED.
.
In the ED, initial vs were: 99.0 130 130/76 20 98%. Pt was
diaphoretic and tachy in the 130s. No clonus or hyperreflexia on
exam. Pupils 2mm-1 mm. Per report from friends, pt had taken a
large quantity of clonazepma and [**Date Range 21330**] (recently broke jaw for
which got [**Date Range 21330**] Rx). Agitated and wanted to leave; pt received
Haldol and Versed to calm him in addition to  reportedly in 4pt
leather restraints. Tox screen showed tylenol level of 73
(unknown time of ingestion) and pt placed on NAC protocol for
tylenol: 150 mg/kg, then 12.5 mg/kg/hr over 4 hours, then 6.25
mg/kg/hr over 16 hours w/plan per Tox to check LFTs at 20 hours,
if not elevated stop NAC, if elevated continue; repeat tylenol
in 4hrs. EKG: SR@84 QRS 96 QTc 412. Pt wanted to leave, pulled
IV and during attempts to leave was tackled, sedated wtih 5
haldol + 2 mg of ativan + 5 of versed and placed in 4 point
restraints. Pt then fell asleep, w/VSS 70s 100% 3 l NC, RR 8, BP
112/71. Pt was admitted to the ICU for managment of extreme
agitation in setting of drug overdose and associated altered
mental status.
.
Of note, pt has history of SI/SA w/multiple psych
hospitalizations as well as admission for drug overdose/AMS or
injuries related to drug use. Also of note, pt historically
difficult to get concrete hx from.
.
.
On the floor, pt was sedated. Unable to relate hx. Rousable but
falls back asleep.

MEDICAL HISTORY: * multi axis diagnoses including Schizoaffective DO, Borderline
PD, Bipolar DO and heavy substance abuse
* [**Hospital1 1680**] HRI [**3-/2191**] and after care plans to f/u @ [**Location (un) 14221**]
  Health with [**First Name8 (NamePattern2) 23368**] [**Last Name (NamePattern1) 1557**] [**Telephone/Fax (1) 68182**] on [**2191-4-13**] but did not
* no current treaters
* Pt reports mult diagnoses including ADHD dx @ 5 y/o, bipolar
do
* MDD, GAD and social anxiety, PTSD. Reports h/o hearing muffled
  voices.
* Per BEST records, pt has h/o schizoaffective d/o and
depression
* and last admitted to [**Hospital1 1680**] in [**5-24**].
* Pt reports mult psychiatric admissions including [**Hospital1 **]
  State x1 year @ age 20 for SA by jumping off bridge and
  cutting wrists
* h/o SIB by cutting; h/o SI/SA.
* h/o DMH and case manager in [**Location (un) 1459**] , MA. no contact for
  months
* Multiple med trials including quetiapine (felt tired),
  wellbutrin, risperidal, clonazepam, effexor, trileptal,

MEDICATION ON ADMISSION: * Adderall 20mg [**Hospital1 **]
* Seroquel 200mg [**Hospital1 **]
* Keppra 250mg qam
* Neurontin 600mg qid
* Klonopin 2mg [**Hospital1 **]
* Celexa 20g [**Hospital1 **]

ALLERGIES: Prozac / Haldol / thorazine

PHYSICAL EXAM: Vitals: T: 95.4 BP:110/59 P: 63 R: 12 O2: 97%
General: sedated but arousable, no acute distress, asking for
food but then falls asleep again
HEENT: Sclera anicteric, MMM
Neck: supple, JVP not elevated
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
rhonchi
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops appreciated but limited exam
Abdomen:  soft, non-tender, non-distended, bowel sounds present,
no rebound tenderness or guarding, however pt sedated so exam
limited
GU: no foley
Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema

FAMILY HISTORY: Mother with depression and alcohol dependent

SOCIAL HISTORY: (per OMR, unable to get from pt)
[**Name (NI) **] abuse, EtOH abuse, tobacco use (>half ppd)
born and raised in [**Location (un) 86**]; left home at 16. Multiple arrests for
drinking in public and hx of serving 2 years in jail for armed
robbery, attempted manslaughter. Reportedly earned GED. ? of
works parttime at a bar in [**Location (un) 86**] where his "boyfriend" is the
manager but currently lives with his fiance' in her subsidized
apt in [**Location (un) 2973**] and she said she is pregnant with his child. Pt
parents live in [**Last Name (un) 68183**], MA., but he is estranged from them.
Poisoning by aromatic analgesics, not elsewhere classified,Mixed acid-base balance disorder,Acute kidney failure, unspecified,Post traumatic seizures,Poisoning by benzodiazepine-based tranquilizers,Other, mixed, or unspecified drug abuse, unspecified,Accidental poisoning by aromatic analgesics, not elsewhere classified,Accidental poisoning by benzodiazepine-based tranquilizers,Leukocytopenia, unspecified,Backache, unspecified,Jaw pain,Unspecified disorder of liver,Unspecified viral hepatitis C without hepatic coma,Other and unspecified special symptoms or syndromes, not elsewhere classified,Borderline personality disorder,Schizoaffective disorder, unspecified,Physical restraints status,Epilepsy, unspecified, without mention of intractable epilepsy,Late effect of intracranial injury without mention of skull fracture,Late effects of unspecified accident
Pois-arom analgesics NEC,Mixed acid-base bal dis,Acute kidney failure NOS,Post traumatic seizures,Pois-benzodiazepine tran,Drug abuse NEC-unspec,Acc poison-arom analgesc,Acc poisn-benzdiaz tranq,Leukocytopenia NOS,Backache NOS,Jaw pain,Liver disorder NOS,Hpt C w/o hepat coma NOS,Special symptom NEC/NOS,Borderline personality,Schizoaffective dis NOS,Physical restrain status,Epilep NOS w/o intr epil,Lt eff intracranial inj,Late eff accident NOS
Name:  [**Known lastname 11660**],[**Known firstname 168**]                      Unit No:   [**Numeric Identifier 11661**]

Admission Date:  [**2191-6-12**]              Discharge Date:   [**2191-6-12**]

Date of Birth:  [**2165-3-8**]             Sex:   M

Service: MEDICINE

Allergies:
Prozac / Haldol / thorazine

Attending:[**First Name3 (LF) 10790**]
Addendum:
please see below for addendum to brief hospital course.

Brief Hospital Course:
Psychiatry service evaluated patient and concluded that overdose
was due to substance abuse and not related to suicidal ideation,
as the patient stated that he was in pain and was taking more
medications to try to relieve his pain.  Medication abuse was
discussed with pt and it was recommended that he follow up with
his PCP regarding safe pain control and that he discuss
outpatient substance abuse treatment.  Per psych, no psychiatric
barrier to discharge.

# Leukopenia: would consider HIV test as outpatient

Discharge Medications:
1. quetiapine 200 mg Tablet Extended Release 24 hr Sig: One (1)
Tablet Extended Release 24 hr PO BID (2 times a day).
2. levetiracetam 250 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. gabapentin 300 mg Capsule Sig: Two (2) Capsule PO QID (4
times a day).
4. citalopram 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).


Discharge Disposition:
Home

                             [**Doctor First Name 3354**] [**First Name8 (NamePattern2) **] [**Name8 (MD) 3353**] MD [**MD Number(2) 10791**]

Completed by:[**2191-6-12**]

Admission Date:  [**2191-6-12**]              Discharge Date:   [**2191-6-12**]

Date of Birth:  [**2165-3-8**]             Sex:   M

Service: MEDICINE

Allergies:
Prozac / Haldol / thorazine

Attending:[**First Name3 (LF) 338**]
Chief Complaint:
altered mental status in setting of taking clonazepam and
[**First Name3 (LF) 21330**] for pain

Major Surgical or Invasive Procedure:
none


History of Present Illness:
Pt is a 26M w/PMHx significant for [**First Name3 (LF) 7344**] abuse and
multiple psych disorders was found altered by friend after
taking Clonazepam and [**Name (NI) **] for pain. Pt has had multiple
prior, recent hospitalizations related to drug abuse. Per prior
psych note on [**2191-5-17**] (time of prior ED eval for similar issues)
pt has multi axis diagnoses including Schizoaffective DO,
Borderline PD, Bipolar DO and heavy substance abuse and past med
hx of head injury, seizures and Hep C. Friends called EMS for
AMS and pt was brought to ED.
.
In the ED, initial vs were: 99.0 130 130/76 20 98%. Pt was
diaphoretic and tachy in the 130s. No clonus or hyperreflexia on
exam. Pupils 2mm-1 mm. Per report from friends, pt had taken a
large quantity of clonazepma and [**Date Range 21330**] (recently broke jaw for
which got [**Date Range 21330**] Rx). Agitated and wanted to leave; pt received
Haldol and Versed to calm him in addition to  reportedly in 4pt
leather restraints. Tox screen showed tylenol level of 73
(unknown time of ingestion) and pt placed on NAC protocol for
tylenol: 150 mg/kg, then 12.5 mg/kg/hr over 4 hours, then 6.25
mg/kg/hr over 16 hours w/plan per Tox to check LFTs at 20 hours,
if not elevated stop NAC, if elevated continue; repeat tylenol
in 4hrs. EKG: SR@84 QRS 96 QTc 412. Pt wanted to leave, pulled
IV and during attempts to leave was tackled, sedated wtih 5
haldol + 2 mg of ativan + 5 of versed and placed in 4 point
restraints. Pt then fell asleep, w/VSS 70s 100% 3 l NC, RR 8, BP
112/71. Pt was admitted to the ICU for managment of extreme
agitation in setting of drug overdose and associated altered
mental status.
.
Of note, pt has history of SI/SA w/multiple psych
hospitalizations as well as admission for drug overdose/AMS or
injuries related to drug use. Also of note, pt historically
difficult to get concrete hx from.
.
.
On the floor, pt was sedated. Unable to relate hx. Rousable but
falls back asleep.

Past Medical History:
* multi axis diagnoses including Schizoaffective DO, Borderline
PD, Bipolar DO and heavy substance abuse
* [**Hospital1 1680**] HRI [**3-/2191**] and after care plans to f/u @ [**Location (un) 14221**]
  Health with [**First Name8 (NamePattern2) 23368**] [**Last Name (NamePattern1) 1557**] [**Telephone/Fax (1) 68182**] on [**2191-4-13**] but did not
* no current treaters
* Pt reports mult diagnoses including ADHD dx @ 5 y/o, bipolar
do
* MDD, GAD and social anxiety, PTSD. Reports h/o hearing muffled
  voices.
* Per BEST records, pt has h/o schizoaffective d/o and
depression
* and last admitted to [**Hospital1 1680**] in [**5-24**].
* Pt reports mult psychiatric admissions including [**Hospital1 **]
  State x1 year @ age 20 for SA by jumping off bridge and
  cutting wrists
* h/o SIB by cutting; h/o SI/SA.
* h/o DMH and case manager in [**Location (un) 1459**] , MA. no contact for
  months
* Multiple med trials including quetiapine (felt tired),
  wellbutrin, risperidal, clonazepam, effexor, trileptal,

Other PAST MEDICAL HISTORY:
* hx of grand mal seizures secondary to prior brain trauma and
alcohol
* craniotomy after a traumatic insult [**2184**]; ?reportedly hit by
bat
* prior stabbings to torso and back
* hepatic dysfunction
* HCV
* s/p assault on [**2191-1-21**] and seen @ [**Hospital1 18**] s/p Lt Zygomatic
  arch fracture

Social History:
(per OMR, unable to get from pt)
[**Name (NI) **] abuse, EtOH abuse, tobacco use (>half ppd)
born and raised in [**Location (un) 86**]; left home at 16. Multiple arrests for
drinking in public and hx of serving 2 years in jail for armed
robbery, attempted manslaughter. Reportedly earned GED. ? of
works parttime at a bar in [**Location (un) 86**] where his "boyfriend" is the
manager but currently lives with his fiance' in her subsidized
apt in [**Location (un) 2973**] and she said she is pregnant with his child. Pt
parents live in [**Last Name (un) 68183**], MA., but he is estranged from them.

Family History:
Mother with depression and alcohol dependent

Physical Exam:
Vitals: T: 95.4 BP:110/59 P: 63 R: 12 O2: 97%
General: sedated but arousable, no acute distress, asking for
food but then falls asleep again
HEENT: Sclera anicteric, MMM
Neck: supple, JVP not elevated
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
rhonchi
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops appreciated but limited exam
Abdomen:  soft, non-tender, non-distended, bowel sounds present,
no rebound tenderness or guarding, however pt sedated so exam
limited
GU: no foley
Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema

Pertinent Results:
[**2191-6-12**] 03:35AM   GLUCOSE-92 UREA N-17 CREAT-0.9 SODIUM-138
POTASSIUM-4.1 CHLORIDE-104 TOTAL CO2-25 ANION GAP-13
[**2191-6-12**] 03:35AM   ALT(SGPT)-33 AST(SGOT)-97* LD(LDH)-358* ALK
PHOS-60 TOT BILI-0.7
[**2191-6-12**] 03:35AM   CALCIUM-8.5 PHOSPHATE-3.6# MAGNESIUM-2.1
[**2191-6-12**] 03:35AM   ACETMNPHN-13
[**2191-6-12**] 03:35AM   WBC-3.3* RBC-4.64 HGB-14.2 HCT-43.5 MCV-94
MCH-30.5 MCHC-32.5 RDW-14.1
[**2191-6-12**] 03:35AM   PT-15.3* PTT-28.0 INR(PT)-1.3*
[**2191-6-11**] 07:43PM   GLUCOSE-101* UREA N-19 CREAT-1.3* SODIUM-137
POTASSIUM-4.5 CHLORIDE-99 TOTAL CO2-21* ANION GAP-22*
[**2191-6-11**] 07:43PM   ALT(SGPT)-33 AST(SGOT)-73* ALK PHOS-73 TOT
BILI-0.5
[**2191-6-11**] 07:43PM   LIPASE-18
[**2191-6-11**] 07:43PM   CALCIUM-9.8 PHOSPHATE-5.3*# MAGNESIUM-1.9
[**2191-6-11**] 07:43PM   OSMOLAL-286
[**2191-6-11**] 07:43PM   ASA-NEG ETHANOL-NEG ACETMNPHN-73*
bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
[**2191-6-11**] 07:43PM   WBC-5.9 RBC-4.90 HGB-15.4 HCT-45.1 MCV-92
MCH-31.4 MCHC-34.2 RDW-14.7
[**2191-6-11**] 07:43PM   NEUTS-65.4 LYMPHS-21.5 MONOS-10.6 EOS-1.6
BASOS-1.0
[**2191-6-11**] 07:43PM   PLT COUNT-184
[**2191-6-11**] 07:43PM   PT-12.7 PTT-24.1 INR(PT)-1.1

Brief Hospital Course:
Pt is a 26M w/PMHx significant for [**Month/Day/Year 7344**] abuse and
multiple psych disorders admitted for overdose with tylenol
level 73, agitation

[**Hospital Unit Name 153**] course:
Tox consulted in [**Last Name (LF) **], [**First Name3 (LF) **] was put on NaC protocol, dc'ed in AM as
level decreased and LFTs wnl.  Unclear if suicidal attempt or
not, but has had SI/SA in the past.  Pt's fiancee pregnant and
this may have been a trigger.  In ICU, he was hemodynamically
stable, had 1:1 sitter, and psych was consulted however patient
initally too somnolent for discussion with psych.  He was
written for CIWA with valium considering his h/o EtOH abuse,
however did not require any.  Continued home keppra and
neurontin.  Initially patient with [**Last Name (un) **] with Cr elevated to 1.3,
resolved with IVF.  Pt was able to tolerate PO in AM.  Pt noted
to have leukopenia and low plts, HIV was considered, unable to
discuss with pt.

Transitional issues:
- psych recs
- SW
- HIV consent

Medications on Admission:
* Adderall 20mg [**Hospital1 **]
* Seroquel 200mg [**Hospital1 **]
* Keppra 250mg qam
* Neurontin 600mg qid
* Klonopin 2mg [**Hospital1 **]
* Celexa 20g [**Hospital1 **]

Discharge Medications:
1. quetiapine 200 mg Tablet Extended Release 24 hr Sig: One (1)
Tablet Extended Release 24 hr PO BID (2 times a day).
2. levetiracetam 250 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. gabapentin 300 mg Capsule Sig: Two (2) Capsule PO QID (4
times a day).
4. citalopram 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).


Discharge Disposition:
Home

Discharge Diagnosis:
Medication overdose


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


Discharge Instructions:
You were seen in the intensive care unit for an overdose of pain
medications.  It is dangerous to take medications, especially
pain medications such as [**Hospital1 21330**], which can cause dangerous side
effects including breathing problems, liver damage, and urinary
retention, among others.  You also should not take medications
that are prescribed for other people as this can be unsafe.
Please follow up with your primary care doctor to treat your
pain as an outpatient.  You should also consider a substance
abuse treatment program as you are using your medications not as
prescribed.

Changes to your medications:
No changes were made to your medications

Followup Instructions:
Please call to make an appointment with your primary care doctor
in [**1-16**] weeks.



Completed by:[**2191-6-12**]
{'Poisoning by aromatic analgesics, not elsewhere classified,Mixed acid-base balance disorder,Acute kidney failure, unspecified,Post traumatic seizures,Poisoning by benzodiazepine-based tranquilizers,Other, mixed, or unspecified drug abuse, unspecified,Accidental poisoning by aromatic analgesics, not elsewhere classified,Accidental poisoning by benzodiazepine-based tranquilizers,Leukocytopenia, unspecified,Backache, unspecified,Jaw pain,Unspecified disorder of liver,Unspecified viral hepatitis C without hepatic coma,Other and unspecified special symptoms or syndromes, not elsewhere classified,Borderline personality disorder,Schizoaffective disorder, unspecified,Physical restraints status,Epilepsy, unspecified, without mention of intractable epilepsy,Late effect of intracranial injury without mention of skull fracture,Late effects of unspecified accident'}


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: altered mental status in setting of taking clonazepam and
[**First Name3 (LF) 21330**] for pain

PRESENT ILLNESS: Pt is a 26M w/PMHx significant for [**First Name3 (LF) 7344**] abuse and
multiple psych disorders was found altered by friend after
taking Clonazepam and [**Name (NI) **] for pain. Pt has had multiple
prior, recent hospitalizations related to drug abuse. Per prior
psych note on [**2191-5-17**] (time of prior ED eval for similar issues)
pt has multi axis diagnoses including Schizoaffective DO,
Borderline PD, Bipolar DO and heavy substance abuse and past med
hx of head injury, seizures and Hep C. Friends called EMS for
AMS and pt was brought to ED.
.
In the ED, initial vs were: 99.0 130 130/76 20 98%. Pt was
diaphoretic and tachy in the 130s. No clonus or hyperreflexia on
exam. Pupils 2mm-1 mm. Per report from friends, pt had taken a
large quantity of clonazepma and [**Date Range 21330**] (recently broke jaw for
which got [**Date Range 21330**] Rx). Agitated and wanted to leave; pt received
Haldol and Versed to calm him in addition to  reportedly in 4pt
leather restraints. Tox screen showed tylenol level of 73
(unknown time of ingestion) and pt placed on NAC protocol for
tylenol: 150 mg/kg, then 12.5 mg/kg/hr over 4 hours, then 6.25
mg/kg/hr over 16 hours w/plan per Tox to check LFTs at 20 hours,
if not elevated stop NAC, if elevated continue; repeat tylenol
in 4hrs. EKG: SR@84 QRS 96 QTc 412. Pt wanted to leave, pulled
IV and during attempts to leave was tackled, sedated wtih 5
haldol + 2 mg of ativan + 5 of versed and placed in 4 point
restraints. Pt then fell asleep, w/VSS 70s 100% 3 l NC, RR 8, BP
112/71. Pt was admitted to the ICU for managment of extreme
agitation in setting of drug overdose and associated altered
mental status.
.
Of note, pt has history of SI/SA w/multiple psych
hospitalizations as well as admission for drug overdose/AMS or
injuries related to drug use. Also of note, pt historically
difficult to get concrete hx from.
.
.
On the floor, pt was sedated. Unable to relate hx. Rousable but
falls back asleep.

MEDICAL HISTORY: * multi axis diagnoses including Schizoaffective DO, Borderline
PD, Bipolar DO and heavy substance abuse
* [**Hospital1 1680**] HRI [**3-/2191**] and after care plans to f/u @ [**Location (un) 14221**]
  Health with [**First Name8 (NamePattern2) 23368**] [**Last Name (NamePattern1) 1557**] [**Telephone/Fax (1) 68182**] on [**2191-4-13**] but did not
* no current treaters
* Pt reports mult diagnoses including ADHD dx @ 5 y/o, bipolar
do
* MDD, GAD and social anxiety, PTSD. Reports h/o hearing muffled
  voices.
* Per BEST records, pt has h/o schizoaffective d/o and
depression
* and last admitted to [**Hospital1 1680**] in [**5-24**].
* Pt reports mult psychiatric admissions including [**Hospital1 **]
  State x1 year @ age 20 for SA by jumping off bridge and
  cutting wrists
* h/o SIB by cutting; h/o SI/SA.
* h/o DMH and case manager in [**Location (un) 1459**] , MA. no contact for
  months
* Multiple med trials including quetiapine (felt tired),
  wellbutrin, risperidal, clonazepam, effexor, trileptal,

MEDICATION ON ADMISSION: * Adderall 20mg [**Hospital1 **]
* Seroquel 200mg [**Hospital1 **]
* Keppra 250mg qam
* Neurontin 600mg qid
* Klonopin 2mg [**Hospital1 **]
* Celexa 20g [**Hospital1 **]

ALLERGIES: Prozac / Haldol / thorazine

PHYSICAL EXAM: Vitals: T: 95.4 BP:110/59 P: 63 R: 12 O2: 97%
General: sedated but arousable, no acute distress, asking for
food but then falls asleep again
HEENT: Sclera anicteric, MMM
Neck: supple, JVP not elevated
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
rhonchi
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops appreciated but limited exam
Abdomen:  soft, non-tender, non-distended, bowel sounds present,
no rebound tenderness or guarding, however pt sedated so exam
limited
GU: no foley
Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or
edema

FAMILY HISTORY: Mother with depression and alcohol dependent

SOCIAL HISTORY: (per OMR, unable to get from pt)
[**Name (NI) **] abuse, EtOH abuse, tobacco use (>half ppd)
born and raised in [**Location (un) 86**]; left home at 16. Multiple arrests for
drinking in public and hx of serving 2 years in jail for armed
robbery, attempted manslaughter. Reportedly earned GED. ? of
works parttime at a bar in [**Location (un) 86**] where his "boyfriend" is the
manager but currently lives with his fiance' in her subsidized
apt in [**Location (un) 2973**] and she said she is pregnant with his child. Pt
parents live in [**Last Name (un) 68183**], MA., but he is estranged from them. 

### Response:
{'Poisoning by aromatic analgesics, not elsewhere classified,Mixed acid-base balance disorder,Acute kidney failure, unspecified,Post traumatic seizures,Poisoning by benzodiazepine-based tranquilizers,Other, mixed, or unspecified drug abuse, unspecified,Accidental poisoning by aromatic analgesics, not elsewhere classified,Accidental poisoning by benzodiazepine-based tranquilizers,Leukocytopenia, unspecified,Backache, unspecified,Jaw pain,Unspecified disorder of liver,Unspecified viral hepatitis C without hepatic coma,Other and unspecified special symptoms or syndromes, not elsewhere classified,Borderline personality disorder,Schizoaffective disorder, unspecified,Physical restraints status,Epilepsy, unspecified, without mention of intractable epilepsy,Late effect of intracranial injury without mention of skull fracture,Late effects of unspecified accident'}
