CHIEF COMPLAINT: Peritonitis

PRESENT ILLNESS: History of Present Illness: 47 YOM with history of ESRD on PD,
H/O endocarditis s/p St. [**First Name5 (NamePattern1) 923**] [**Last Name (NamePattern1) 1291**] and MVR here at [**Hospital1 18**] in
[**8-/2156**] transferred from OSH for peritonitis refractory to
systemic antibiotics.
.
Patient was initially admitted to [**Location (un) 16843**] Hoispital with
Upper GI bleed secondary to esophageal ulcer that required no
intervention. His [**Location (un) **] was held and following observation
and stability of his HCT his heparin gtt was restarted. Unclear
when he was exactly diagnosed with peritonitis bc be have no
formal documentation of infected fluid but likely around 1.24.
He was started on systemic Per his transfer summary cultures
grew out klebsiella that is sensitive to amikacin, ampicillin
and sulbactam, cefoxiti, ciprofloxacin, uimipenam and bactrim
but resistent to tobramycin, gentimycin, ceftriaxone, cefepime
and cephazolin and ampicillin. His antibiotic course to date is
unclear as there are references to vancomycin, gentamycin,
tygacil and levofloxacin. Most recently he was on levofloxacin
and tygacil and recently switched to ertapenam.
.
.
On arrival to the MICU, he is drowsy but arousable with heparin
gtt running and one PIV. Poor peripheral stick. ABG attempted
for labs. Right femoral line placed under ultrasound guidance.
.

MEDICAL HISTORY: ESRD on PD
HTN
h/o multiple line infections
restless leg syndrome
asthma
h/o VRE
h/o endocarditis s/p [**Location (un) 1291**] and MVR
h/o MRSA

MEDICATION ON ADMISSION: amiodarone 200mg
amitryptiline
phoslo 2 tabs tid
renagel 3 tabs tid
asa 325mg qday
levodopa/carbidopa 25/250
benadryl
colace 100mg daily
senna
metoprolol 50 [**Hospital1 **]
simethicone
nepro
darbopoietin 60 mcg q week
.
Medications on transfer:
heparin gtt
dilaudid 1 mg IV q4h prn pain
Insulin sliding scale
duonebs
tylenol 650 q4h prn pain/fever
zofran 4mg IV q6hours prn
Ertapenam 0.5g IV q24.

ALLERGIES: Iron / lisinopril

PHYSICAL EXAM: On Admission to MICU:
Vitals: 88 125/89 O2 SAt 100% on RA
General: Drowsy but arousable. Mild distress.
HEENT: Dry mucous membranes
Neck: supple, JVP not elevated, no LAD
CV: Regular rate and rhythm, mechanical S1 + S2
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
ronchi
Abdomen: soft, TTP diffusely, non-distended, bowel sounds
present, no organomegaly
GU: no foley
Ext: Bilateral grafts with evidence of multiple vascular
procedures.

FAMILY HISTORY: family hx: mother with HTN

SOCIAL HISTORY: Social hx: pt currently in jail, has been there since [**2152**]; was
Infection and inflammatory reaction due to peritoneal dialysis catheter,Other suppurative peritonitis,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Compression of vein,Chronic venous embolism and thrombosis of subclavian veins,Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms,Restless legs syndrome (RLS),Conjunctivitis, unspecified,Asthma, unspecified type, unspecified,Esophageal reflux,Heart valve replaced by other means,Anemia in chronic kidney disease,Hiccough,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation,Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Personal history of Methicillin resistant Staphylococcus aureus,Renal dialysis status,Acquired absence of kidney,Long-term (current) use of anticoagulants,Personal history of tobacco use
React-periton dialy cath,Suppurat peritonitis NEC,End stage renal disease,Hyp kid NOS w cr kid V,Compression of vein,Ch emblsm subclav veins,Oth gram negatv bacteria,Restless legs syndrome,Conjunctivitis NOS,Asthma NOS,Esophageal reflux,Heart valve replac NEC,Anemia in chr kidney dis,Hiccough,Abn react-artif implant,Abn react-procedure NEC,Hx Methicln resist Staph,Renal dialysis status,Acquired absence kidney,Long-term use anticoagul,History of tobacco use
Admission Date:  [**2157-2-28**]              Discharge Date:   [**2157-3-10**]

Date of Birth:  [**2109-5-26**]             Sex:   M

Service: MEDICINE

Allergies:
Iron / lisinopril

Attending:[**First Name3 (LF) 30**]
Chief Complaint:
Peritonitis

Major Surgical or Invasive Procedure:
right femoral tunnelled 12 French 20-cm hemodialysis catheter
placement
Removal of peritoneal dialysis catheter

History of Present Illness:
History of Present Illness: 47 YOM with history of ESRD on PD,
H/O endocarditis s/p St. [**First Name5 (NamePattern1) 923**] [**Last Name (NamePattern1) 1291**] and MVR here at [**Hospital1 18**] in
[**8-/2156**] transferred from OSH for peritonitis refractory to
systemic antibiotics.
.
Patient was initially admitted to [**Location (un) 16843**] Hoispital with
Upper GI bleed secondary to esophageal ulcer that required no
intervention. His [**Location (un) **] was held and following observation
and stability of his HCT his heparin gtt was restarted. Unclear
when he was exactly diagnosed with peritonitis bc be have no
formal documentation of infected fluid but likely around 1.24.
He was started on systemic Per his transfer summary cultures
grew out klebsiella that is sensitive to amikacin, ampicillin
and sulbactam, cefoxiti, ciprofloxacin, uimipenam and bactrim
but resistent to tobramycin, gentimycin, ceftriaxone, cefepime
and cephazolin and ampicillin. His antibiotic course to date is
unclear as there are references to vancomycin, gentamycin,
tygacil and levofloxacin. Most recently he was on levofloxacin
and tygacil and recently switched to ertapenam.
.
.
On arrival to the MICU, he is drowsy but arousable with heparin
gtt running and one PIV. Poor peripheral stick. ABG attempted
for labs. Right femoral line placed under ultrasound guidance.
.


Past Medical History:
ESRD on PD
HTN
h/o multiple line infections
restless leg syndrome
asthma
h/o VRE
h/o endocarditis s/p [**Location (un) 1291**] and MVR
h/o MRSA


Social History:
Social hx: pt currently in jail, has been there since [**2152**]; was

previously imprisoned [**2137**]-[**2138**]. He denies any history of etoh,

ex smoker quit 20 y/a, [**1-31**] PPD x 10 years, cocaine use,
marijuana use, denies history IVDU


Family History:
family hx: mother with HTN


Physical Exam:
On Admission to MICU:
Vitals: 88 125/89 O2 SAt 100% on RA
General: Drowsy but arousable. Mild distress.
HEENT: Dry mucous membranes
Neck: supple, JVP not elevated, no LAD
CV: Regular rate and rhythm, mechanical S1 + S2
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
ronchi
Abdomen: soft, TTP diffusely, non-distended, bowel sounds
present, no organomegaly
GU: no foley
Ext: Bilateral grafts with evidence of multiple vascular
procedures.

On Discharge:
Vitals: 98.6 100-111/68-78 95 18 95% on RA
General: NAD, AxOx3
HEENT: Dry mucous membranes
Neck: supple, JVP not elevated, no LAD
CV: Regular rate and rhythm, mechanical S1 + S2
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
ronchi
Abdomen: soft, mildly TTP diffusely, non-distended, bowel sounds
present, no organomegaly
GU: no foley
Ext: Bilateral grafts with evidence of multiple vascular
procedures.

ACCESS: HD tunnel catheter placed on R femoral. double lumen L
femoral catheter.

Pertinent Results:
On Admission:

[**2157-2-28**] 10:35PM BLOOD WBC-8.0# RBC-3.28* Hgb-9.4* Hct-29.5*
MCV-90 MCH-28.6 MCHC-31.7 RDW-17.5* Plt Ct-239
[**2157-2-28**] 10:35PM BLOOD Neuts-80* Bands-0 Lymphs-8* Monos-9 Eos-0
Baso-1 Atyps-0 Metas-1* Myelos-1*
[**2157-2-28**] 10:35PM BLOOD PT-14.3* PTT-35.1 INR(PT)-1.3*
[**2157-3-1**] 10:28AM BLOOD ESR-85*
[**2157-2-28**] 10:35PM BLOOD Glucose-98 UreaN-130* Creat-14.4*#
Na-132* K-4.9 Cl-89* HCO3-27 AnGap-21*
[**2157-2-28**] 10:35PM BLOOD Calcium-8.7 Phos-13.5*# Mg-2.5
[**2157-2-28**] 10:35PM BLOOD CRP-249.7*

[**2157-3-6**] CT Abdomen
FINDINGS:

LUNG BASES: There are bilateral pleural effusions left larger
than right.
Adjacent linear opacities are seen in the lung bases
representing atelectasis. Patient is status post sternotomy and
mitral valve repair.

ABDOMEN AND PELVIS: Within segment V/VI of the liver there is a
small focal hypoattenuation which is too small to characterize
but probably represents a simple hepatic cyst. There are no
other focal hepatic lesions. There is no intra- or extra-hepatic
biliary ductal dilatation. Gallbladder is collapsed.  The
spleen, pancreas, adrenal glands appear within normal limits.
The patient is status post bilateral renal resections.

Evaluation of bowel demonstrates regions of diffuse thickening
of the small bowel (2, 53) and colon (2,46) . There is
enhancement of the peritoneal layers consistent with the
provided history of peritonitis. There are regions of free
intraperitoneal gas (2, 30). There is an additional region of
extraluminal gas seen in the right upper quadrant of the abdomen
(2, 34). The etiology is not entirely elucidated and could be
related to residual gas which was also seen on the previous
study. There is no evidence of extravasated oral contrast [**Doctor Last Name 360**]
to suggest an enteric perforation. The peritoneal dialysis
catheter has been removed.

There is no mesenteric or retroperitoneal lymphadenopathy.
Atherosclerotic
vascular calcification of the abdominal aorta is noted. The
abdominal aorta is normal in caliber.

Since previous study the right femoral line has been replaced
and a new
tunneled dialysis catheter has been placed with its tip
terminating in the
right atrium. Note is also made of another left femoral IV line
the tip of
which terminates in the right atrium.

Findings within the skeleton most consistent with renal
osteodystrophy.

There is generalized anasarca.

IMPRESSION:
1. Continued pneumoperitoneum, which could relate to the prior
presence and subsequent removal of the peritoneal dialysis
catheter. No evidence of oral contrast extravasation to suggest
an enteric perforation. Enhancing peritoneal layers consistent
with provided history of peritonitis.

2. Thickening of [**Known lastname **] of the small bowel and colon suggestive of
ileocolitis, possibly secondary.

3. Interval removal of peritoneal dialysis catheter and
placement of right
femoral vein access tunnelled catheter and left femoral access
PICC line, the tips of which terminate in the right atrium.

4. Bilateral pleural effusions with adjacent atelectasis.

Discharge Labs:

[**2157-3-10**] 06:08AM BLOOD WBC-7.6 RBC-2.59* Hgb-7.9* Hct-24.5*
MCV-95 MCH-30.3 MCHC-32.0 RDW-17.0* Plt Ct-226
[**2157-3-10**] 06:08AM BLOOD PT-29.4* PTT-98.3* INR(PT)-2.8*
[**2157-3-10**] 06:08AM BLOOD Glucose-111* UreaN-19 Creat-5.8*# Na-138
K-3.9 Cl-99 HCO3-33* AnGap-10
[**2157-3-10**] 06:08AM BLOOD Calcium-8.7 Phos-4.0# Mg-2.0
[**2157-3-9**] 06:18AM BLOOD calTIBC-109 Ferritn-[**2163**]* TRF-84*
[**2157-3-7**] 09:31AM BLOOD PTH-239*
[**2157-3-1**] 10:28AM BLOOD CRP-258.2*

Brief Hospital Course:
Assessment and Plan: 47 YOM with ESRD on PD, [**Month/Day/Year 1291**] AND MCR [**3-3**] to
endocarditis, difficult vascular access trasnmitted to [**Hospital1 18**]
MICU for mangement of ESBL klebsiella peritonitis.
.
# ESBL Klebsiella and GNR peritonitis: Patient remained
hemodynamically stable throughout his MICU course. Culture data
from the OSH shows Klebsiella oxytoca resistant to ceftaz and
ampicillin. Patient was started on IV meropenem and vancomycin
in addition to intraperitoneal vancomycin and meropenem.
Transplant surgery removed the PD catheter on HD#2 ([**2157-3-2**])
and patient was intubated for the procedure though quickly
extubated on return. Fluid from the PD catheter grew
enterobacter cloacae complex senstive to meropenem.  Per ID,
vancomycin was discontinued and meropenmen was continued IV.
Patient felt subjectively improved after removal of PD catheter
on [**2157-3-2**] and he was maintained on dilaudid for pain control.

A right femoral tunneled HD catheter was placed on [**2157-3-2**].
The line clotted during the initial attempted run of HD on [**3-3**].
On [**3-4**] the line was replaced on [**3-4**]. On [**3-5**], the patient spike a
fever to 101 and vancomycin was restarted.  Blood cultures were
obtained, and after 3 days of no growth and the patient
remaining afebrile, vancomycin was discontinued.  Meropenem was
discontinued on the day of discharge and the patient was
discharge on 5-more days of ertapenem 500mg IV daily to complete
a 14 day course of abx since removed of the PD catheter.
.
# ESRD: Initially on PD due to poor 'end-stage' vascular access
issues in the past. Temporary femoral HD line was placed by IR
on hospital day #2 and PD catheter was removed that same day.
Hemodialysis was attempted on HD#3 but the dialysis line did not
work. After a tunnel HD line was placed on HD#4 and The patient
then successfully underwent HD on HD#4 and HD#5 and was started
on MWF HD.  He will need to comtinue 3 times weekly HD.  Iron
and Epo were held given active infection.  These will need to be
restarted per renal after discharge.
.
# [**Month/Day (4) 1291**]/MVR: History of St. [**Male First Name (un) 1525**] valves. Kept on heparin gtt
given multiple interventions during this hospitalization. The
patient was restarted on [**Male First Name (un) **] on [**2157-3-4**] and became
therapeutic to 2.8 (target 2.5-3.5) on [**2157-3-10**] and heparin was
discontinued.  The patient was discharged on warfarin 8mg PO
daily and should continue to have INR monitoring and dosing
adjustment.
.
#.conjunctivitis- The patient developed conjunctivitis on [**2157-3-9**]
and was started on Erythromycin 0.5% Ophth Oint 0.5 in both eyes
TID.  He was discharge to complete 5 additional days of
treatment.
.
# HTN: Normotensive throughout hospital course. Not on
medications
.
# GERD: The patient was started on famotadine on admission.  He
complained of acid reflux on the daily prior to discharge while
on famotadine and was switched to omeprazole.

Transition Issues:
- INR monitor with a target INR of 2.5-3.5

Medications on Admission:
amiodarone 200mg
amitryptiline
phoslo 2 tabs tid
renagel 3 tabs tid
asa 325mg qday
levodopa/carbidopa 25/250
benadryl
colace 100mg daily
senna
metoprolol 50 [**Hospital1 **]
simethicone
nepro
darbopoietin 60 mcg q week
.
Medications on transfer:
heparin gtt
dilaudid 1 mg IV q4h prn pain
Insulin sliding scale
duonebs
tylenol 650 q4h prn pain/fever
zofran 4mg IV q6hours prn
Ertapenam 0.5g IV q24.


Discharge Medications:
1. sevelamer carbonate 800 mg Tablet Sig: Three (3) Tablet PO
TID W/MEALS (3 TIMES A DAY WITH MEALS).
2. warfarin 2 mg Tablet Sig: Four (4) Tablet PO Once Daily at 4
PM: adjust for goal INR 2.5-3.5.
3. calcium acetate 667 mg Capsule Sig: Three (3) Capsule PO TID
W/MEALS (3 TIMES A DAY WITH MEALS).
4. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO DAILY (Daily).
5. ertapenem 1 gram Recon Soln Sig: One (1) 500mg Intravenous
once a day for 5 days.
6. erythromycin 5 mg/gram (0.5 %) Ointment Sig: One (1)
Ophthalmic TID (3 times a day).
7. camphor-menthol 0.5-0.5 % Lotion Sig: One (1) Appl Topical
[**Hospital1 **] (2 times a day).
8. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
9. simethicone 80 mg Tablet, Chewable Sig: One (1) Tablet,
Chewable PO QID (4 times a day) as needed for gas.
10. acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6
hours) as needed for pain/fever.
11. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable
PO once a day.
12. darbepoetin alfa in polysorbat 60 mcg/0.3 mL Syringe Sig:
One (1)  Injection once a week.
13. senna 8.6 mg Capsule Sig: One (1) Capsule PO twice a day as
needed for constipation.


Discharge Disposition:
Extended Care

Discharge Diagnosis:
Peritonitis


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


Discharge Instructions:
Mr. [**Known lastname **],

You were transferred to [**Hospital1 69**] for
an abdominal infection.  You were treated with antibiotics and
the peritoneal dialysis catheter was removed.  A new
hemodialysis dialysis catheter was placed in your groin.  You
will need to continue to undergo hemodialysis on Mondays,
Wednesdays and Fridays.  You will need to complete 5 more days
of antibiotics.

Medication Changes:
START taking omeprazole 20mg by mouth daily
START Ertapenam 500mg intravenously daily for 5 more days
START Calcium Acetate [**2146**] mg by mouth with three times a day
with meals.
START taking Warfarin 8 mg by mouth daily, please have this
medication adjusted by your doctor
START taking sevelamer CARBONATE 2400 mg three times day with
meals
START Erythromycin 0.5% Ointment in both both eyes three times
daily for 5 additional days
START camphor-menthol 0.5-0.5% lotion
START docusate sodium 100 mg by mouth twice daily as needed for
constipation
START simethicone 80 mg by mouth up to four time daily as needed
for gas
START acetaminophen 325 mg 1-2 tablets as need for pain/fever up
to 4 times daily
STOP any other medications

Followup Instructions:
Please keep the following appointments:

Department: TRANSPLANT CENTER
When: THURSDAY [**2157-3-24**] at 1:15 PM
With: [**First Name11 (Name Pattern1) 674**] [**Last Name (NamePattern4) 675**], MD [**Telephone/Fax (1) 673**]
Building: LM [**Hospital Ward Name **] Bldg ([**Last Name (NamePattern1) **]) [**Location (un) **]
Campus: WEST     Best Parking: [**Hospital Ward Name **] Garage

Department: TRANSPLANT CENTER
When: TUESDAY [**2157-4-12**] at 9:00 AM
With: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] [**Telephone/Fax (1) 673**]
Building: LM [**Hospital Unit Name **] [**Location (un) **]
Campus: WEST     Best Parking: [**Hospital Ward Name **] Garage

Department: TRANSPLANT
When: TUESDAY [**2157-4-12**] at 10:00 AM
With: TRANSPLANT ID [**Telephone/Fax (1) 673**]
Building: LM [**Hospital Ward Name **] Bldg ([**Last Name (NamePattern1) **]) [**Location (un) **]
Campus: WEST     Best Parking: [**Hospital Ward Name **] Garage
{'Infection and inflammatory reaction due to peritoneal dialysis catheter,Other suppurative peritonitis,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Compression of vein,Chronic venous embolism and thrombosis of subclavian veins,Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms,Restless legs syndrome (RLS),Conjunctivitis, unspecified,Asthma, unspecified type, unspecified,Esophageal reflux,Heart valve replaced by other means,Anemia in chronic kidney disease,Hiccough,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation,Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Personal history of Methicillin resistant Staphylococcus aureus,Renal dialysis status,Acquired absence of kidney,Long-term (current) use of anticoagulants,Personal history of tobacco use'}


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: Peritonitis

PRESENT ILLNESS: History of Present Illness: 47 YOM with history of ESRD on PD,
H/O endocarditis s/p St. [**First Name5 (NamePattern1) 923**] [**Last Name (NamePattern1) 1291**] and MVR here at [**Hospital1 18**] in
[**8-/2156**] transferred from OSH for peritonitis refractory to
systemic antibiotics.
.
Patient was initially admitted to [**Location (un) 16843**] Hoispital with
Upper GI bleed secondary to esophageal ulcer that required no
intervention. His [**Location (un) **] was held and following observation
and stability of his HCT his heparin gtt was restarted. Unclear
when he was exactly diagnosed with peritonitis bc be have no
formal documentation of infected fluid but likely around 1.24.
He was started on systemic Per his transfer summary cultures
grew out klebsiella that is sensitive to amikacin, ampicillin
and sulbactam, cefoxiti, ciprofloxacin, uimipenam and bactrim
but resistent to tobramycin, gentimycin, ceftriaxone, cefepime
and cephazolin and ampicillin. His antibiotic course to date is
unclear as there are references to vancomycin, gentamycin,
tygacil and levofloxacin. Most recently he was on levofloxacin
and tygacil and recently switched to ertapenam.
.
.
On arrival to the MICU, he is drowsy but arousable with heparin
gtt running and one PIV. Poor peripheral stick. ABG attempted
for labs. Right femoral line placed under ultrasound guidance.
.

MEDICAL HISTORY: ESRD on PD
HTN
h/o multiple line infections
restless leg syndrome
asthma
h/o VRE
h/o endocarditis s/p [**Location (un) 1291**] and MVR
h/o MRSA

MEDICATION ON ADMISSION: amiodarone 200mg
amitryptiline
phoslo 2 tabs tid
renagel 3 tabs tid
asa 325mg qday
levodopa/carbidopa 25/250
benadryl
colace 100mg daily
senna
metoprolol 50 [**Hospital1 **]
simethicone
nepro
darbopoietin 60 mcg q week
.
Medications on transfer:
heparin gtt
dilaudid 1 mg IV q4h prn pain
Insulin sliding scale
duonebs
tylenol 650 q4h prn pain/fever
zofran 4mg IV q6hours prn
Ertapenam 0.5g IV q24.

ALLERGIES: Iron / lisinopril

PHYSICAL EXAM: On Admission to MICU:
Vitals: 88 125/89 O2 SAt 100% on RA
General: Drowsy but arousable. Mild distress.
HEENT: Dry mucous membranes
Neck: supple, JVP not elevated, no LAD
CV: Regular rate and rhythm, mechanical S1 + S2
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
ronchi
Abdomen: soft, TTP diffusely, non-distended, bowel sounds
present, no organomegaly
GU: no foley
Ext: Bilateral grafts with evidence of multiple vascular
procedures.

FAMILY HISTORY: family hx: mother with HTN

SOCIAL HISTORY: Social hx: pt currently in jail, has been there since [**2152**]; was 

### Response:
{'Infection and inflammatory reaction due to peritoneal dialysis catheter,Other suppurative peritonitis,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Compression of vein,Chronic venous embolism and thrombosis of subclavian veins,Other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms,Restless legs syndrome (RLS),Conjunctivitis, unspecified,Asthma, unspecified type, unspecified,Esophageal reflux,Heart valve replaced by other means,Anemia in chronic kidney disease,Hiccough,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation,Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Personal history of Methicillin resistant Staphylococcus aureus,Renal dialysis status,Acquired absence of kidney,Long-term (current) use of anticoagulants,Personal history of tobacco use'}
