CHIEF COMPLAINT: Decreased urine output, SOB

PRESENT ILLNESS: 62 year old male with multiple medical problems significant for
b/l fibrothoraces s/p lung decortication in [**2-3**], diastolic CHF
(EF 55%), NSTEMI in setting of urosepsis in [**2139**], and 2 recent
admissions for urosepsis and CHF/PNA, who presents from home
with decreased urine output, chest pressure and SOB. He reports
that since discharge 5 days ago his shortness of breath has
gotten progressively worse. He denies orthopnea and says that
his breathing is actually better when slightly reclined. He also
says his LE edema is less than it has been.
.
He noted the decreased urine output yesterday, despite the
presence of a foley. Denies any hematuria.
.
He also complains of a chest pressure/tightness, substernal,
which does have some positional component and some association
to breathing. It's [**4-11**] at it's worst and is not associated with
N/V/D.
.
In the ED this admission, his initial BP was 126, however
dropped to the 80s. He received 2L IVF without improvement in
his BP, and was started on peripheral dopamine. Initial labs
were notable for ARF with creatinine 3.8, a BNP of 32,800, and a
UA with 11-20 wbc, many bacteria, positive LE. Lactate 1.6. Bcx,
Ucx sent. CXR showed ?PNA in LLL and CHF. Given one dose of
ceftriaxone and sent to [**Hospital Unit Name 153**] on peripheral dopamine.
.
2 recent admissions: First from [**Date range (1) 34884**] with presumed
urosepsis s/p penile implant surgery. He required levophed, and
was treated with Vancomycin and Ceftriaxone, though urine and
blood cultures were negative; vancomycin was discontinued, and
he was discharged home on a 7 day course of PO cefpodoxime. A
foley was left in place, as he was unable to void. This
admission was also complicated by acute on chronic renal
failure, with Cr increase to 4.3 (baseline 1.6) atributed to his
hypotension. It was 2.1 on discharge. He had elevated (max 0.29)
but decreasing troponins but no chest pain or ST changs, and he
was thought to have demand ischemia.
.
He was readmitted on [**2148-11-17**] with chest pressure, found to
have LLL PNA and CHF. He was diuresed with IV lasix and treated
for pneumonia with levaquin. Of note, he was discharged on home
O2 secondary to desaturation with ambulation. He continued to
have urinary retention during this admission and was again
discharged with a foley.

MEDICAL HISTORY: 1) CHF, EF 45% from most recent echo [**6-5**], mixed LV systolic and
diastolic dysfunction, cardiomyopathy
2) CAD, NSTEMI in [**3-6**] during admission for urosepsis with
hypotension and coma.
3) Type II DM c/b neuropathy, nephropathy, per pt no retinopathy

MEDICATION ON ADMISSION: 1. Escitalopram 5 mg PO QAM
2. Escitalopram 10 mg PO QPM
4. Aspirin 325 mg PO DAILY
5. Docusate Sodium 100 mg PO BID
6. Senna 8.6 mg PO BID PRN
7. Pantoprazole 40 mg PO Q24H
8. Tamsulosin 0.4 mg PO HS
9. Calcium Carbonate 500 mg PO TID WITH MEALS
10. Oxycodone-Acetaminophen 5-325 mg PO Q4-6H PRN
11. Lisinopril 20 mg PO DAILY
12. Isosorbide Mononitrate 60 mg PO DAILY
13. Metoprolol Tartrate 12.5 mg PO BID
14. Zolpidem 5 mg PO HS PRN
15. Levofloxacin 250 mg PO Q24H (last dose today)
16. Furosemide 20 mg PO DAILY
17. Finasteride 5 mg PO DAILY

ALLERGIES: Vicodin

PHYSICAL EXAM: PE: 98.6, 89/36, 68, 19, 93% on 3L.
Gen: Overweight caucasian male wearing BIPAP mask, appearing
comfortable, communicative.
HEENT: Anicteric sclerae, BIPAP in place.
Neck: Unable to locate JVP secondary to body habitus.
Cor: RR, normal rate, no m/r/g.
Lungs: B/L rales about 1/3 up from the bases, decreased breath
sounds at L base with dullness to percussion.
Abd: NABS, subcutaneous nodules, NT/ND, oblique scar in RUQ.
Extr: Trace to 1+ pitting edema of LE b/l.
Genitals: Penile implant in place, erythematous and edematous
penile shaft, yellow exudate on gauze coming from inferior
portion of penile shaft, +aphthous ulcer on R base of penis.

FAMILY HISTORY: CVA - brother
Breast [**Name (NI) 3730**] - mother
emphysema - father

SOCIAL HISTORY: The patient lives with his wife. [**Name (NI) **] does
not smoke. Only minimal ethanol. Otherwise, he is extremely
sedentary.
Acute kidney failure, unspecified,Hypovolemia,Other complications due to genitourinary device, implant, and graft,Pressure ulcer, other site,Hypoxemia,Diastolic heart failure, unspecified,Urinary complications, not elsewhere classified,Retention of urine, unspecified,Urinary obstruction, unspecified,Hypotension, unspecified,Impotence of organic origin,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Anemia, unspecified,Old myocardial infarction,Obstructive sleep apnea (adult)(pediatric),Depressive disorder, not elsewhere classified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Hip joint replacement,Long-term (current) use of insulin,Other diuretics causing adverse effects in therapeutic use
Acute kidney failure NOS,Hypovolemia,Comp-genitourin dev/grft,Pressure ulcer, site NEC,Hypoxemia,Diastolc hrt failure NOS,Surg compl-urinary tract,Retention urine NOS,Urinary obstruction NOS,Hypotension NOS,Impotence, organic orign,Hypertension NOS,DMII wo cmp nt st uncntr,Anemia NOS,Old myocardial infarct,Obstructive sleep apnea,Depressive disorder NEC,Osteoarthros NOS-unspec,Joint replaced hip,Long-term use of insulin,Adv eff diuretics NEC
Admission Date:  [**2141-11-27**]              Discharge Date:   [**2141-12-1**]

Date of Birth:  [**2078-1-6**]             Sex:   M

Service: MEDICINE

Allergies:
Vicodin

Attending:[**First Name3 (LF) 2474**]
Chief Complaint:
Decreased urine output, SOB

Major Surgical or Invasive Procedure:
None


History of Present Illness:
62 year old male with multiple medical problems significant for
b/l fibrothoraces s/p lung decortication in [**2-3**], diastolic CHF
(EF 55%), NSTEMI in setting of urosepsis in [**2139**], and 2 recent
admissions for urosepsis and CHF/PNA, who presents from home
with decreased urine output, chest pressure and SOB. He reports
that since discharge 5 days ago his shortness of breath has
gotten progressively worse. He denies orthopnea and says that
his breathing is actually better when slightly reclined. He also
says his LE edema is less than it has been.
.
He noted the decreased urine output yesterday, despite the
presence of a foley. Denies any hematuria.
.
He also complains of a chest pressure/tightness, substernal,
which does have some positional component and some association
to breathing. It's [**4-11**] at it's worst and is not associated with
N/V/D.
.
In the ED this admission, his initial BP was 126, however
dropped to the 80s. He received 2L IVF without improvement in
his BP, and was started on peripheral dopamine. Initial labs
were notable for ARF with creatinine 3.8, a BNP of 32,800, and a
UA with 11-20 wbc, many bacteria, positive LE. Lactate 1.6. Bcx,
Ucx sent. CXR showed ?PNA in LLL and CHF. Given one dose of
ceftriaxone and sent to [**Hospital Unit Name 153**] on peripheral dopamine.
.
2 recent admissions: First from [**Date range (1) 34884**] with presumed
urosepsis s/p penile implant surgery. He required levophed, and
was treated with Vancomycin and Ceftriaxone, though urine and
blood cultures were negative; vancomycin was discontinued, and
he was discharged home on a 7 day course of PO cefpodoxime. A
foley was left in place, as he was unable to void. This
admission was also complicated by acute on chronic renal
failure, with Cr increase to 4.3 (baseline 1.6) atributed to his
hypotension. It was 2.1 on discharge. He had elevated (max 0.29)
but decreasing troponins but no chest pain or ST changs, and he
was thought to have demand ischemia.
.
He was readmitted on [**2148-11-17**] with chest pressure, found to
have LLL PNA and CHF. He was diuresed with IV lasix and treated
for pneumonia with levaquin. Of note, he was discharged on home
O2 secondary to desaturation with ambulation. He continued to
have urinary retention during this admission and was again
discharged with a foley.


Past Medical History:
1) CHF, EF 45% from most recent echo [**6-5**], mixed LV systolic and
diastolic dysfunction, cardiomyopathy
2) CAD, NSTEMI in [**3-6**] during admission for urosepsis with
hypotension and coma.
3) Type II DM c/b neuropathy, nephropathy, per pt no retinopathy

4) HTN
5) CRI, baseline creatinine of 1.7
6) Anemia of chronic disease.
7) Sleep apnea on BiPAP, currently [**10-10**]
8) Chronic restrictive ventilatory disease secondary to a bile
duct leak with pulmonary fibrosis requiring decortication
9) Neuropathy - hands and feet
10) Lower extremity claudication
11) BPH.
12) Glaucoma; on carbonic anhydrase inhibitor
13) Bilateral cataracts s/p surgical removal
14) Depression
15) Osteoarthritis
16) Erectile dyscunction s/p Penile implant [**11-6**]
..
Past surgical history:
1) [**2138**] Roux-en-y reconstruction after laparoscopic
cholecystectomy c/b damage to CBD
2) [**2139**] Decortication for fibrothorax complicated by
respiratory failure requiring tracheostomy.
3) Appendectomy.
4) Left knee/hip replacement


Social History:
The patient lives with his wife. [**Name (NI) **] does
not smoke. Only minimal ethanol. Otherwise, he is extremely
sedentary.


Family History:
CVA - brother
Breast [**Name (NI) 3730**] - mother
emphysema - father

Physical Exam:
PE: 98.6, 89/36, 68, 19, 93% on 3L.
Gen: Overweight caucasian male wearing BIPAP mask, appearing
comfortable, communicative.
HEENT: Anicteric sclerae, BIPAP in place.
Neck: Unable to locate JVP secondary to body habitus.
Cor: RR, normal rate, no m/r/g.
Lungs: B/L rales about 1/3 up from the bases, decreased breath
sounds at L base with dullness to percussion.
Abd: NABS, subcutaneous nodules, NT/ND, oblique scar in RUQ.
Extr: Trace to 1+ pitting edema of LE b/l.
Genitals: Penile implant in place, erythematous and edematous
penile shaft, yellow exudate on gauze coming from inferior
portion of penile shaft, +aphthous ulcer on R base of penis.


Pertinent Results:
EKG: NSR at 70 bpm, normal intervals, normal axis, Q in III, TWI
in V2-V5, no ST segment changes.
.
CXR [**11-27**]: IMPRESSION: Probable mild CHF. Bibasilar atelectasis.
However, an early pneumonic infiltrate cannot be excluded.
Pleural fluid versus thickening along left lateral chest wall.
Probable small pleural effusions. Please note that these
findings may be exaggerated to some degree due to low
inspiratory volumes.


Brief Hospital Course:
1. Hypotension: Patient was admitted to the [**Hospital Unit Name 153**] where he was
treated with pressors including dopamine for his hypotension.
His blood pressure medications were held.  [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 104**] stim test was
performed and was normal.  He was noted to have a urinary tract
infection on admission, as well as infiltrate at his left lung
base on CXR.  He was started on Vancomycin and Ceftriaxone.
There was some concern for sepsis, especially in light of the
patient's recent penile implant surgery.  Urology was consulted
and they felt that the surgical site was healing well without
signs of infection.  They recommended foley placement as they
thought the patient's hypotension was likely secondary to mild
urinary retention.  They also recommended re-starting Proscar
and Flomax.  Patient was weaned off pressors and continued to
have hypotension responsive to fluid boluses.  Given that the
patient remained essentially afebrile after admission, with no
leukocytosis and negative blood cultures, it was deemed highly
unlikley that the pateint was in septic shock.  Given his
response to fluid boluses, there was some though the hypotension
was a result of over diuresis at home, possibly complicated by
overuse of narcotics for his recent surgery.  He was transferred
to the [**Company 191**] service and continued to do well except for
persistent penile pain secondary to surgery.  He had a few
episodes of sharp chest pain, reproducible with palpation, which
he described as different from his anginal chest pain.  There
were no associated symptoms and no ECG changes when one was
obtained immediately after an episode of pain.  Pain was well
controlled with PRN percocet.  Patient failed a voiding trial
and was discharged home in stable condition with his foley
catheter still in place.

.
2. Troponin elevation: Up to .21, from .11 on [**11-17**] in the
setting of urosepsis. Given that his CK was flat and there were
no ECG changes, the troponin elevation was attributed to chronic
wall stretch from CHF with impaired troponin clearance in the
setting of ARF.

.
3. Acute Renal Failure: Creatinine was 3.8 on admission.  FeNa
was consistent with pre-renal etiology and resolved with fluids.
 Recent baseline appears to be around 1.4-1.7. His urine output
transiently declined while in the unit, then returned to [**Location 213**].
 Tamulosin was increased per urology recs.
.
4. Hypoxia, ?hypoventilation: Unclear how much of the hypoxia is
secondary to PNA versus CHF. Also some concern for
hypoventilation from OSA. The picture is further compliated by
the patient's fibrothorax s/p decortication. Bipap was continued
for for OSA.  Lasix was re-started at a low dose.  Hypoxia
improved but with intermittent oxygen saturation levels below
90, especially with ambulation, patient was dicharged on home
oxygen.
.
5. DM: That patient's normal dose of lantus 8U QHS was continued
with a RISS for stict glucose control.
.
6. Anemia: This is a chronic problem.  Patient's baseline
earlier this year was in the mid-30s, however more recently
around 30 during repeated hospitalizations. Iron studies were
sent and were consistent with anemia of chronic inflammation and
likely is secondary to renal failure.
.


Medications on Admission:
1. Escitalopram 5 mg PO QAM
2. Escitalopram 10 mg PO QPM
4. Aspirin 325 mg PO DAILY
5. Docusate Sodium 100 mg PO BID
6. Senna 8.6 mg PO BID PRN
7. Pantoprazole 40 mg PO Q24H
8. Tamsulosin 0.4 mg PO HS
9. Calcium Carbonate 500 mg PO TID WITH MEALS
10. Oxycodone-Acetaminophen 5-325 mg PO Q4-6H PRN
11. Lisinopril 20 mg PO DAILY
12. Isosorbide Mononitrate 60 mg PO DAILY
13. Metoprolol Tartrate 12.5 mg PO BID
14. Zolpidem 5 mg PO HS PRN
15. Levofloxacin 250 mg PO Q24H (last dose today)
16. Furosemide 20 mg PO DAILY
17. Finasteride 5 mg PO DAILY


Discharge Medications:
1. Furosemide 20 mg Tablet Sig: Three (3) Tablet PO DAILY
(Daily).
Disp:*90 Tablet(s)* Refills:*2*
2. Escitalopram 10 mg Tablet Sig: 0.5 Tablet PO QAM (once a day
(in the morning)).
3. Escitalopram 10 mg Tablet Sig: One (1) Tablet PO QHS (once a
day (at bedtime)).
4. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
5. Docusate Sodium 100 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
6. Senna 8.6 mg Capsule Sig: One (1) Tablet PO BID (2 times a
day) as needed.
7. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
8. Tamsulosin 0.4 mg Capsule, Sust. Release 24HR Sig: One (1)
Capsule, Sust. Release 24HR PO HS (at bedtime).
9. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)
Tablet, Chewable PO TID W/MEALS (3 TIMES A DAY WITH MEALS).
10. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: One (1) Tablet
PO every 4-6 hours as needed for pain.
11. Isosorbide Mononitrate 60 mg Tablet Sustained Release 24HR
Sig: One (1) Tablet Sustained Release 24HR PO DAILY (Daily).
12. Zolpidem 5 mg Tablet Sig: One (1) Tablet PO HS (at bedtime).

13. Finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
14. Toprol XL 25 mg Tablet Sustained Release 24HR Sig: One (1)
Tablet Sustained Release 24HR PO once a day.
Disp:*30 Tablet Sustained Release 24HR(s)* Refills:*2*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
urinary retention
acute renal failure
congestive heart failure
hypoxia
status post penile implant
atypical chest pain


Discharge Condition:
Stable


Discharge Instructions:
Weigh yourself every morning, [**Name8 (MD) 138**] MD if weight > 3 lbs.

Adhere to 2 gm sodium diet

Take all medications as directed.  Do not stop or change any of
your medications without first speaking to a doctor.

Seek medical attention immediately if you experience:
any kind of "pressure" chest pain; if you experience the sharp,
stabbing chest pain and it persists long enough that you become
concerned; any shortness of breath which does not resolve after
2-3 minutes of rest; fevers or chills.

Followup Instructions:
1. You should call your primary doctor Dr. [**Last Name (STitle) **] and schedule
an appointment in [**12-4**] weeks.  You should take a list of all of
your medications so he can review them.  You should discuss the
intermittent sharp, stabbing chest pain which you experienced in
the hospital with your doctor.

2. Provider: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 3330**], [**Name Initial (NameIs) **].D. Phone:[**Telephone/Fax (1) 3331**]
Date/Time:[**2141-12-6**] 3:00

3. Provider: [**Name Initial (NameIs) 9484**]CC2 PULMONARY LAB-CC2 Date/Time:[**2141-12-25**]
1:30

4. Provider: [**First Name11 (Name Pattern1) 1569**] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **], M.D. Phone:[**Telephone/Fax (1) 612**]
Date/Time:[**2141-12-25**] 2:15


                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 2477**] MD, [**MD Number(3) 2478**]
{'Acute kidney failure, unspecified,Hypovolemia,Other complications due to genitourinary device, implant, and graft,Pressure ulcer, other site,Hypoxemia,Diastolic heart failure, unspecified,Urinary complications, not elsewhere classified,Retention of urine, unspecified,Urinary obstruction, unspecified,Hypotension, unspecified,Impotence of organic origin,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Anemia, unspecified,Old myocardial infarction,Obstructive sleep apnea (adult)(pediatric),Depressive disorder, not elsewhere classified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Hip joint replacement,Long-term (current) use of insulin,Other diuretics causing adverse effects in therapeutic 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: Decreased urine output, SOB

PRESENT ILLNESS: 62 year old male with multiple medical problems significant for
b/l fibrothoraces s/p lung decortication in [**2-3**], diastolic CHF
(EF 55%), NSTEMI in setting of urosepsis in [**2139**], and 2 recent
admissions for urosepsis and CHF/PNA, who presents from home
with decreased urine output, chest pressure and SOB. He reports
that since discharge 5 days ago his shortness of breath has
gotten progressively worse. He denies orthopnea and says that
his breathing is actually better when slightly reclined. He also
says his LE edema is less than it has been.
.
He noted the decreased urine output yesterday, despite the
presence of a foley. Denies any hematuria.
.
He also complains of a chest pressure/tightness, substernal,
which does have some positional component and some association
to breathing. It's [**4-11**] at it's worst and is not associated with
N/V/D.
.
In the ED this admission, his initial BP was 126, however
dropped to the 80s. He received 2L IVF without improvement in
his BP, and was started on peripheral dopamine. Initial labs
were notable for ARF with creatinine 3.8, a BNP of 32,800, and a
UA with 11-20 wbc, many bacteria, positive LE. Lactate 1.6. Bcx,
Ucx sent. CXR showed ?PNA in LLL and CHF. Given one dose of
ceftriaxone and sent to [**Hospital Unit Name 153**] on peripheral dopamine.
.
2 recent admissions: First from [**Date range (1) 34884**] with presumed
urosepsis s/p penile implant surgery. He required levophed, and
was treated with Vancomycin and Ceftriaxone, though urine and
blood cultures were negative; vancomycin was discontinued, and
he was discharged home on a 7 day course of PO cefpodoxime. A
foley was left in place, as he was unable to void. This
admission was also complicated by acute on chronic renal
failure, with Cr increase to 4.3 (baseline 1.6) atributed to his
hypotension. It was 2.1 on discharge. He had elevated (max 0.29)
but decreasing troponins but no chest pain or ST changs, and he
was thought to have demand ischemia.
.
He was readmitted on [**2148-11-17**] with chest pressure, found to
have LLL PNA and CHF. He was diuresed with IV lasix and treated
for pneumonia with levaquin. Of note, he was discharged on home
O2 secondary to desaturation with ambulation. He continued to
have urinary retention during this admission and was again
discharged with a foley.

MEDICAL HISTORY: 1) CHF, EF 45% from most recent echo [**6-5**], mixed LV systolic and
diastolic dysfunction, cardiomyopathy
2) CAD, NSTEMI in [**3-6**] during admission for urosepsis with
hypotension and coma.
3) Type II DM c/b neuropathy, nephropathy, per pt no retinopathy

MEDICATION ON ADMISSION: 1. Escitalopram 5 mg PO QAM
2. Escitalopram 10 mg PO QPM
4. Aspirin 325 mg PO DAILY
5. Docusate Sodium 100 mg PO BID
6. Senna 8.6 mg PO BID PRN
7. Pantoprazole 40 mg PO Q24H
8. Tamsulosin 0.4 mg PO HS
9. Calcium Carbonate 500 mg PO TID WITH MEALS
10. Oxycodone-Acetaminophen 5-325 mg PO Q4-6H PRN
11. Lisinopril 20 mg PO DAILY
12. Isosorbide Mononitrate 60 mg PO DAILY
13. Metoprolol Tartrate 12.5 mg PO BID
14. Zolpidem 5 mg PO HS PRN
15. Levofloxacin 250 mg PO Q24H (last dose today)
16. Furosemide 20 mg PO DAILY
17. Finasteride 5 mg PO DAILY

ALLERGIES: Vicodin

PHYSICAL EXAM: PE: 98.6, 89/36, 68, 19, 93% on 3L.
Gen: Overweight caucasian male wearing BIPAP mask, appearing
comfortable, communicative.
HEENT: Anicteric sclerae, BIPAP in place.
Neck: Unable to locate JVP secondary to body habitus.
Cor: RR, normal rate, no m/r/g.
Lungs: B/L rales about 1/3 up from the bases, decreased breath
sounds at L base with dullness to percussion.
Abd: NABS, subcutaneous nodules, NT/ND, oblique scar in RUQ.
Extr: Trace to 1+ pitting edema of LE b/l.
Genitals: Penile implant in place, erythematous and edematous
penile shaft, yellow exudate on gauze coming from inferior
portion of penile shaft, +aphthous ulcer on R base of penis.

FAMILY HISTORY: CVA - brother
Breast [**Name (NI) 3730**] - mother
emphysema - father

SOCIAL HISTORY: The patient lives with his wife. [**Name (NI) **] does
not smoke. Only minimal ethanol. Otherwise, he is extremely
sedentary. 

### Response:
{'Acute kidney failure, unspecified,Hypovolemia,Other complications due to genitourinary device, implant, and graft,Pressure ulcer, other site,Hypoxemia,Diastolic heart failure, unspecified,Urinary complications, not elsewhere classified,Retention of urine, unspecified,Urinary obstruction, unspecified,Hypotension, unspecified,Impotence of organic origin,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Anemia, unspecified,Old myocardial infarction,Obstructive sleep apnea (adult)(pediatric),Depressive disorder, not elsewhere classified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Hip joint replacement,Long-term (current) use of insulin,Other diuretics causing adverse effects in therapeutic use'}
