CHIEF COMPLAINT: BRBPR

PRESENT ILLNESS: 84 yo M with a history of extensive diverticulosis of the colon
(particularly the sigmoid), Atrial Fibrillation on ASA/plavix,
and several prior episodes of diverticular bleeding.  He
presented to his gastroenterologist's office this morning after
having several loose stool and frank blood per rectum x 3.  He
was noted to be orthostatic at that time with BP 140/100 HR 83
supine and 110/70 HR 113 standing. At that time, he complained
of mild dizziness but was noted to look well.
.
He was referred to the ED, where initial vital signs were: 97.9,
102, 140/86, 20, 100ra. He was noted to have BRBPR on rectal
exam, but no active bleeding. Hct was 39.6 which is marginally
down from his baseline of 40-42. He was admitted to medicine for
serial Hct surveillance with two PIV in place.
.
Currently, he states that he feels well.  He is not weak or
short of breath. He has not re-bled since the episode this
morning and has had no further loose bowel movements. His
daughters are at the bedside.
.
ROS: Denies CP, SOB, PND, orthopnea, headace, visual
disturbance, melena, hematemesis, dysuria, incontince,
constipation, weakness, fatigue, rash. All other ROS negative.
Of note, he was seen by his PCP & ortho the week preceding for
what seems to have been a hemarthrosis judging by a fluid Hct of
29, but the improvement in his knee pain seems a bit more brisk
than I would have expected for that condition--states his knee
pain is now minimal.

MEDICAL HISTORY: - Atrial Fibrillation, CHADS2 score = 2, on plavix/ASA instead
of coumadin because of recurrent GI bleeding.
- several prior admissions for diverticular bleeding, has only
ever required one transfusion.
- Hypertension.
- Lumbar spinal stenosis.
- Hypothyroidism.
- Hearing loss.
- Hypercholesterolemia.
- Benign prostatic hypertrophy.
- Caretaker stress (spouse with dementia).
- Bilateral herniorrhaphies.
- Tonsillectomy.
- Cataract surgery.
- Thyroid cyst removal.

MEDICATION ON ADMISSION: OMR list recently reconciled by PCP and reviewed with patient in
detail.
Medications - Prescription
AMLODIPINE - 5 mg Tablet - 1 Tablet(s) by mouth HS (at bedtime)
CLOPIDOGREL [PLAVIX] - 75 mg Tablet - 1 Tablet(s) by mouth once
a day
DIGOXIN - 125 mcg Tablet - 1 (One) Tablet(s) by mouth once a day
FINASTERIDE - 5 mg Tablet - 1 Tablet(s) by mouth daily
LEVOTHYROXINE [SYNTHROID] - 150 mcg Tablet - 1 (One) Tablet(s)
by mouth once a day
METOPROLOL TARTRATE - 50 mg Tablet - 1 Tablet(s) by mouth twice
a day
MIRTAZAPINE - 7.5 mg Tablet - 1 Tablet(s) by mouth 1 hour before
bedtime
MOEXIPRIL [UNIVASC] - 15 mg Tablet - 1 Tablet(s) by mouth twice
a day
SIMVASTATIN - 10 mg Tablet - 1 (One) Tablet(s) by mouth once a
day
TAMSULOSIN [FLOMAX] - 0.4 mg Capsule, Ext Release 24 hr - 1
(One) Capsule(s) by mouth at bedtime
Medications - OTC
ASPIRIN - 325 mg Tablet - 1 (One) Tablet(s) by mouth daily
CALCIUM CARBONATE [CALTRATE 600] -  (Prescribed by Other
Provider) - 600 mg (1,500 mg) Tablet - 1 Tablet(s) by mouth
daily
DOCUSATE SODIUM [COLACE] -  (Prescribed by Other Provider) - 100
mg Capsule - 1 Capsule(s) by mouth twice a day
FERROUS SULFATE [IRON] -  (OTC) - 325 mg (65 mg iron) Capsule,
Extended Release - 1 Capsule(s) by mouth Mon-Wed =Fri
MELATONIN -  (Prescribed by Other Provider) - 3 mg Tablet - 1
Tablet(s) by mouth at bedtime
MULTIVITAMIN -   Capsule - 1 (One) Capsule(s) by mouth once a
day

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: 97.9, 138/91, 93, 20, 97ra
General: Alert, oriented, no acute distress. well-appearing
HEENT: Sclera anicteric, conjunctiva not pale, MMM, oropharynx
clear and without erythema
Neck: Supple, JVP not elevated, no LAD
Lungs: Clear to auscultation bilaterally
CV: Irregularly irregular rhythm, distant S1/S2 no murmurs
auscultated
Abdomen: Soft, non-tender, non-distended, bowel sounds present
GU: No foley
Ext: Radial/pedal pulses 2+
Neuro: CNs [**3-19**] intact, 5/5 strength in all extremities

FAMILY HISTORY: Notable for heart disease in his father and brother. Mother had
leukemia.

SOCIAL HISTORY: The patient is married and has three children. He owns a
wholesale business selling tobacco and candy to other stores. He
has caretaker stress related to being the primary caregiver for
his wife who has dementia: he lives in [**Name (NI) 19168**] on the [**Doctor Last Name **]
because that is where she is. Son is a physician and acts as his
HCP.  Two daughters at bedside on the day of admission.
Diverticulosis of colon with hemorrhage,Acute posthemorrhagic anemia,Atrial fibrillation,Unspecified essential hypertension,Benign neoplasm of colon,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Unspecified acquired hypothyroidism,Pure hypercholesterolemia,Insomnia, unspecified
Dvrtclo colon w hmrhg,Ac posthemorrhag anemia,Atrial fibrillation,Hypertension NOS,Benign neoplasm lg bowel,BPH w/o urinary obs/LUTS,Hypothyroidism NOS,Pure hypercholesterolem,Insomnia NOS
Admission Date:  [**2141-3-30**]              Discharge Date:   [**2141-4-5**]

Date of Birth:  [**2057-1-18**]             Sex:   M

Service: MEDICINE

Allergies:
No Known Allergies / Adverse Drug Reactions

Attending:[**First Name3 (LF) 9160**]
Chief Complaint:
BRBPR

Major Surgical or Invasive Procedure:
- central venous line placement
- mesenteric angiography
- sigmoidoscopy with clip placement


History of Present Illness:
84 yo M with a history of extensive diverticulosis of the colon
(particularly the sigmoid), Atrial Fibrillation on ASA/plavix,
and several prior episodes of diverticular bleeding.  He
presented to his gastroenterologist's office this morning after
having several loose stool and frank blood per rectum x 3.  He
was noted to be orthostatic at that time with BP 140/100 HR 83
supine and 110/70 HR 113 standing. At that time, he complained
of mild dizziness but was noted to look well.
.
He was referred to the ED, where initial vital signs were: 97.9,
102, 140/86, 20, 100ra. He was noted to have BRBPR on rectal
exam, but no active bleeding. Hct was 39.6 which is marginally
down from his baseline of 40-42. He was admitted to medicine for
serial Hct surveillance with two PIV in place.
.
Currently, he states that he feels well.  He is not weak or
short of breath. He has not re-bled since the episode this
morning and has had no further loose bowel movements. His
daughters are at the bedside.
.
ROS: Denies CP, SOB, PND, orthopnea, headace, visual
disturbance, melena, hematemesis, dysuria, incontince,
constipation, weakness, fatigue, rash. All other ROS negative.
Of note, he was seen by his PCP & ortho the week preceding for
what seems to have been a hemarthrosis judging by a fluid Hct of
29, but the improvement in his knee pain seems a bit more brisk
than I would have expected for that condition--states his knee
pain is now minimal.

Past Medical History:
- Atrial Fibrillation, CHADS2 score = 2, on plavix/ASA instead
of coumadin because of recurrent GI bleeding.
- several prior admissions for diverticular bleeding, has only
ever required one transfusion.
- Hypertension.
- Lumbar spinal stenosis.
- Hypothyroidism.
- Hearing loss.
- Hypercholesterolemia.
- Benign prostatic hypertrophy.
- Caretaker stress (spouse with dementia).
- Bilateral herniorrhaphies.
- Tonsillectomy.
- Cataract surgery.
- Thyroid cyst removal.

Social History:
The patient is married and has three children. He owns a
wholesale business selling tobacco and candy to other stores. He
has caretaker stress related to being the primary caregiver for
his wife who has dementia: he lives in [**Name (NI) 19168**] on the [**Doctor Last Name **]
because that is where she is. Son is a physician and acts as his
HCP.  Two daughters at bedside on the day of admission.


Family History:
Notable for heart disease in his father and brother. Mother had
leukemia.


Physical Exam:
97.9, 138/91, 93, 20, 97ra
General: Alert, oriented, no acute distress. well-appearing
HEENT: Sclera anicteric, conjunctiva not pale, MMM, oropharynx
clear and without erythema
Neck: Supple, JVP not elevated, no LAD
Lungs: Clear to auscultation bilaterally
CV: Irregularly irregular rhythm, distant S1/S2 no murmurs
auscultated
Abdomen: Soft, non-tender, non-distended, bowel sounds present
GU: No foley
Ext: Radial/pedal pulses 2+
Neuro: CNs [**3-19**] intact, 5/5 strength in all extremities


Pertinent Results:
ADMISSION LABS:
[**2141-3-30**] 11:55AM BLOOD WBC-10.5 RBC-4.37* Hgb-13.5* Hct-39.6*
MCV-91 MCH-31.0 MCHC-34.2 RDW-13.5 Plt Ct-208
[**2141-3-30**] 11:55AM BLOOD Neuts-79.3* Lymphs-13.7* Monos-4.8
Eos-1.4 Baso-0.8
[**2141-3-30**] 11:55AM BLOOD Glucose-106* UreaN-23* Creat-1.0 Na-141
K-3.9 Cl-107 HCO3-23 AnGap-15
.
CTA abdomen
1. Focus of active extravasation of blood in the sigmoid colon
consistent
with ongoing GI bleeding (likely related to diverticulosis). An
additional
area of high density near the splenic flexure is felt likely to
represent
inspissated material within a diverticulum with additional focus
of
extravasation felt less likely.
2. Two hypodense hepatic lesions, too small to characterize by
CT (although
reference to prior MRI shows that these represent cysts).
3. 1-cm left adrenal hypodense lesion, which in reference to
prior MRI
represents a cyst, unchanged.
4. 5-mm hypodensity in the pancreatic tail, correlating to a
cyst or dilated
side branch on prior MR, appears stable.
5. Bilateral renal cysts, including a right upper pole cyst with
mild
complexity but no specifically worrisome features, unchanged.
Bilateral
nonobstructing renal stones.
6. Diffuse colonic diverticulosis.
.
MESENTERIC ANGIOGRAPHY
1. Selective inferior mesenteric artery DSA angiogram in
multiple
non-orthogonal projections demonstrated no active arterial
bleeding in the
descending or the sigmoid colon.
2. Multiple supraselective DSA injections of the first and
second order
branches of the inferior mesenteric artery supplying the area of
interest
demonstrated no active extravasation.
3. Placement of a 7 French triple-lumen central venous line into
the distal
superior vena cava via the right internal jugular vein.
.
SIGMOIDOSCOPY
Impression: Diverticulosis of the mainly seen in the right colon
(endoclip). Polyp in the distal sigmoid colon. Blood in the
colon. Otherwise normal sigmoidoscopy to cecum.

Brief Hospital Course:
84yo M with AFIB on ASA/plavix and extensive diverticulosis
presented with recurrent diverticular bleeding which appeared
active on CTA, but could not be isolated on angiography.
Subsequently went for sigmoidoscopy with clipping of three
oozing diverticuli which achieved hemostasis.
.
# Diverticular Bleeding / Acute Blood Loss Anemia: Ultimately
required transfusion of 4 U pRBC and transfer to the medical
ICU. Had resolution of GI bleeding after diverticuli were
clipped. ASA and Plavix were held and will continue to be held
upon discharge. Hct has remained stable. He should not have an
MRI for at least 4 weeks as the clips in his colon are not
compatible.
.
# Atrial Fibrillation with rapid ventricular response: Despite
resolution of GI bleeding, he was noted to have HR up to
140-160s only with exertion that returned to 70-90 range upon
rest. RVR was controlled by increasing daily Metoprolol dose to
150mg XL daily. He had occasional transient spikes to 110-120s
on Telemetry while walking, but he was asymptomatic. He was
continued on home Digoxin. Holding ASA and Plavix, which he
takes for stroke prophylaxis as he has previously had
diverticular bleeding on Coumadin. Outpatient Cardiologist, Dr.
[**Last Name (STitle) **], saw patient in-house and agreed with above changes.
Decision about if/when to resume one or both anti-platelet
agents as outpatient will be deferred to PCP and Cardiologist.
.
# HTN: His ACE-I and Amlodipine were held throughout the
admission and he was normotensive. These were held through
discharge and can be restarted at the discretion of his PCP.
.
# Sigmoid polyp: A polyp was noted in the sigmoid colon.
Elective polypectomy should be considered on an outpatient
basis.
.
# BPH: Tamsulosin and finasteride were continued.
.
TRANSITIONAL ISSUES:
- BP meds were held and can be restarted as outpatient if
needed.
- Titrate Metoprolol as needed based on HR and symptoms
(currently asymptomatic).
- Consider sigmoid polypectomy when safe to do so.

Medications on Admission:
OMR list recently reconciled by PCP and reviewed with patient in
detail.
Medications - Prescription
AMLODIPINE - 5 mg Tablet - 1 Tablet(s) by mouth HS (at bedtime)
CLOPIDOGREL [PLAVIX] - 75 mg Tablet - 1 Tablet(s) by mouth once
a day
DIGOXIN - 125 mcg Tablet - 1 (One) Tablet(s) by mouth once a day
FINASTERIDE - 5 mg Tablet - 1 Tablet(s) by mouth daily
LEVOTHYROXINE [SYNTHROID] - 150 mcg Tablet - 1 (One) Tablet(s)
by mouth once a day
METOPROLOL TARTRATE - 50 mg Tablet - 1 Tablet(s) by mouth twice
a day
MIRTAZAPINE - 7.5 mg Tablet - 1 Tablet(s) by mouth 1 hour before
bedtime
MOEXIPRIL [UNIVASC] - 15 mg Tablet - 1 Tablet(s) by mouth twice
a day
SIMVASTATIN - 10 mg Tablet - 1 (One) Tablet(s) by mouth once a
day
TAMSULOSIN [FLOMAX] - 0.4 mg Capsule, Ext Release 24 hr - 1
(One) Capsule(s) by mouth at bedtime
Medications - OTC
ASPIRIN - 325 mg Tablet - 1 (One) Tablet(s) by mouth daily
CALCIUM CARBONATE [CALTRATE 600] -  (Prescribed by Other
Provider) - 600 mg (1,500 mg) Tablet - 1 Tablet(s) by mouth
daily
DOCUSATE SODIUM [COLACE] -  (Prescribed by Other Provider) - 100
mg Capsule - 1 Capsule(s) by mouth twice a day
FERROUS SULFATE [IRON] -  (OTC) - 325 mg (65 mg iron) Capsule,
Extended Release - 1 Capsule(s) by mouth Mon-Wed =Fri
MELATONIN -  (Prescribed by Other Provider) - 3 mg Tablet - 1
Tablet(s) by mouth at bedtime
MULTIVITAMIN -   Capsule - 1 (One) Capsule(s) by mouth once a
day

Discharge Medications:
1. digoxin 125 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Tablet(s)
2. levothyroxine 75 mcg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
3. simvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. mirtazapine 15 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime).

5. finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

6. metoprolol succinate 100 mg Tablet Extended Release 24 hr
Sig: 1.5 Tablet Extended Release 24 hrs PO DAILY (Daily).
Disp:*45 Tablet Extended Release 24 hr(s)* Refills:*0*
7. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day) as needed for constipation.
8. Flomax 0.4 mg Capsule, Ext Release 24 hr Sig: One (1)
Capsule, Ext Release 24 hr PO at bedtime.
9. melatonin 3 mg Tablet Sig: One (1) Tablet PO once a day.
10. multivitamin     Tablet Sig: One (1) Tablet PO once a day.
11. Caltrate 600 600 mg (1,500 mg) Tablet Sig: One (1) Tablet PO
once a day.


Discharge Disposition:
Home

Discharge Diagnosis:
ACUTE DIVERTICULAR BLEED
ACUTE BLOOD LOSS ANEMIA
ATRIAL FIBRILLATION
HYPERTENSION
BENIGN PROSTATIC HYPERTROPHY


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


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

You were admitted with a serious diverticular bleed which
required several transfusions and transfer to the Medical
Intensive Care Unit.  The bleeding could not be stopped by
interventional radiologists, but eventually ceased after severl
clips were placed in your sigmoid colon.

As we discussed, you should stop both aspirin and plavix for
now. As you know, you take these medications to reduce your risk
of stroke, but they do predispose you to bleeding.  Dr. [**Last Name (STitle) **],
Dr. [**Last Name (STitle) **], and Dr. [**First Name (STitle) 679**] are all aware of your
hospitalization.  The decision about whether to re-start aspirin
and plavix requires careful balancing of the risks and benefits.
 Please discuss this with your outpatient providers in the
coming week to reach an informed decision.

While you were here, you did not receive lisinopril or
amlodipine. Despite this, your blood pressure was normal.
Please hold these medications until you follow-up with Dr.
[**Last Name (STitle) **].

Summary of medication changes:
- Stop ASPIRIN and PLAVIX for at least one week; discuss with
Dr. [**Last Name (STitle) **] prior to re-starting either of these.
- Hold LISINOPRIL and AMLODIPINE until you follow-up in
geriatrics clinic.

Please note that the clips which were placed in your colon are
not compatible with MRI machines. You should not have an MRI for
at least one month.

Followup Instructions:
Department: GERONTOLOGY
When: MONDAY [**2141-4-10**] at 11:00 AM
With: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], RNC [**Telephone/Fax (1) 719**]
Building: LM [**Hospital Unit Name **] [**Location (un) **]
Campus: WEST     Best Parking: [**Hospital Ward Name **] Garage

                             [**Name6 (MD) **] [**Name8 (MD) **] MD [**MD Number(2) 9162**]

Completed by:[**2141-4-5**]
{'Diverticulosis of colon with hemorrhage,Acute posthemorrhagic anemia,Atrial fibrillation,Unspecified essential hypertension,Benign neoplasm of colon,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Unspecified acquired hypothyroidism,Pure hypercholesterolemia,Insomnia, unspecified'}


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: BRBPR

PRESENT ILLNESS: 84 yo M with a history of extensive diverticulosis of the colon
(particularly the sigmoid), Atrial Fibrillation on ASA/plavix,
and several prior episodes of diverticular bleeding.  He
presented to his gastroenterologist's office this morning after
having several loose stool and frank blood per rectum x 3.  He
was noted to be orthostatic at that time with BP 140/100 HR 83
supine and 110/70 HR 113 standing. At that time, he complained
of mild dizziness but was noted to look well.
.
He was referred to the ED, where initial vital signs were: 97.9,
102, 140/86, 20, 100ra. He was noted to have BRBPR on rectal
exam, but no active bleeding. Hct was 39.6 which is marginally
down from his baseline of 40-42. He was admitted to medicine for
serial Hct surveillance with two PIV in place.
.
Currently, he states that he feels well.  He is not weak or
short of breath. He has not re-bled since the episode this
morning and has had no further loose bowel movements. His
daughters are at the bedside.
.
ROS: Denies CP, SOB, PND, orthopnea, headace, visual
disturbance, melena, hematemesis, dysuria, incontince,
constipation, weakness, fatigue, rash. All other ROS negative.
Of note, he was seen by his PCP & ortho the week preceding for
what seems to have been a hemarthrosis judging by a fluid Hct of
29, but the improvement in his knee pain seems a bit more brisk
than I would have expected for that condition--states his knee
pain is now minimal.

MEDICAL HISTORY: - Atrial Fibrillation, CHADS2 score = 2, on plavix/ASA instead
of coumadin because of recurrent GI bleeding.
- several prior admissions for diverticular bleeding, has only
ever required one transfusion.
- Hypertension.
- Lumbar spinal stenosis.
- Hypothyroidism.
- Hearing loss.
- Hypercholesterolemia.
- Benign prostatic hypertrophy.
- Caretaker stress (spouse with dementia).
- Bilateral herniorrhaphies.
- Tonsillectomy.
- Cataract surgery.
- Thyroid cyst removal.

MEDICATION ON ADMISSION: OMR list recently reconciled by PCP and reviewed with patient in
detail.
Medications - Prescription
AMLODIPINE - 5 mg Tablet - 1 Tablet(s) by mouth HS (at bedtime)
CLOPIDOGREL [PLAVIX] - 75 mg Tablet - 1 Tablet(s) by mouth once
a day
DIGOXIN - 125 mcg Tablet - 1 (One) Tablet(s) by mouth once a day
FINASTERIDE - 5 mg Tablet - 1 Tablet(s) by mouth daily
LEVOTHYROXINE [SYNTHROID] - 150 mcg Tablet - 1 (One) Tablet(s)
by mouth once a day
METOPROLOL TARTRATE - 50 mg Tablet - 1 Tablet(s) by mouth twice
a day
MIRTAZAPINE - 7.5 mg Tablet - 1 Tablet(s) by mouth 1 hour before
bedtime
MOEXIPRIL [UNIVASC] - 15 mg Tablet - 1 Tablet(s) by mouth twice
a day
SIMVASTATIN - 10 mg Tablet - 1 (One) Tablet(s) by mouth once a
day
TAMSULOSIN [FLOMAX] - 0.4 mg Capsule, Ext Release 24 hr - 1
(One) Capsule(s) by mouth at bedtime
Medications - OTC
ASPIRIN - 325 mg Tablet - 1 (One) Tablet(s) by mouth daily
CALCIUM CARBONATE [CALTRATE 600] -  (Prescribed by Other
Provider) - 600 mg (1,500 mg) Tablet - 1 Tablet(s) by mouth
daily
DOCUSATE SODIUM [COLACE] -  (Prescribed by Other Provider) - 100
mg Capsule - 1 Capsule(s) by mouth twice a day
FERROUS SULFATE [IRON] -  (OTC) - 325 mg (65 mg iron) Capsule,
Extended Release - 1 Capsule(s) by mouth Mon-Wed =Fri
MELATONIN -  (Prescribed by Other Provider) - 3 mg Tablet - 1
Tablet(s) by mouth at bedtime
MULTIVITAMIN -   Capsule - 1 (One) Capsule(s) by mouth once a
day

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: 97.9, 138/91, 93, 20, 97ra
General: Alert, oriented, no acute distress. well-appearing
HEENT: Sclera anicteric, conjunctiva not pale, MMM, oropharynx
clear and without erythema
Neck: Supple, JVP not elevated, no LAD
Lungs: Clear to auscultation bilaterally
CV: Irregularly irregular rhythm, distant S1/S2 no murmurs
auscultated
Abdomen: Soft, non-tender, non-distended, bowel sounds present
GU: No foley
Ext: Radial/pedal pulses 2+
Neuro: CNs [**3-19**] intact, 5/5 strength in all extremities

FAMILY HISTORY: Notable for heart disease in his father and brother. Mother had
leukemia.

SOCIAL HISTORY: The patient is married and has three children. He owns a
wholesale business selling tobacco and candy to other stores. He
has caretaker stress related to being the primary caregiver for
his wife who has dementia: he lives in [**Name (NI) 19168**] on the [**Doctor Last Name **]
because that is where she is. Son is a physician and acts as his
HCP.  Two daughters at bedside on the day of admission. 

### Response:
{'Diverticulosis of colon with hemorrhage,Acute posthemorrhagic anemia,Atrial fibrillation,Unspecified essential hypertension,Benign neoplasm of colon,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Unspecified acquired hypothyroidism,Pure hypercholesterolemia,Insomnia, unspecified'}
