CHIEF COMPLAINT: Myalgias

PRESENT ILLNESS: 48yoM with HIV on HAART, HTN, HL, polysubstance abuse,
depression p/w 8-10 days of worsening watery diarrhea, nausea,
anorexia, diffuse myalgia, and chills. The patient states that
he began feeling ill about 10 days ago and that his symptoms
progressive worsened and have not improved. He states that he
has diarrhea at baseline from HIV meds, but that the diarrhea
has been especially severe - profuse, watery, some blood in
stool (not unusual as pt is s/p chemo/radiation for anal
cancer). He has had severe nausea, dry heaves without vomiting
because he hasn't eaten much in the past 10 days. He has tried
to drink fluids. He also endorses diffuse myalgia from his legs
to his jaw. No fevers, + chills - temp at home has been 95-96.0.
No sick contacts. [**Name (NI) **] has continued to take his HIV meds normally
and has continued to take his BP meds except for HCTZ, which he
discontinued the past 2 days. No rashes, no CP or SOB. No
dysuria. He describes vision changes this AM and feels
lightheaded upon standing. He did have the flu shot this year.

MEDICAL HISTORY: HIV diagnosed in [**2118-7-14**], with a recent CD4 count 355
([**8-/2137**])
Stage I Squamous Carcinoma of the Rectum s/p 5FU and cisplatin
and XRT
Anal condylomata treated multiple times with cryotherapy
syphilis in [**2129**]
hypertension
depression with suicidal
ideation in [**2133-5-14**]
ETOH abuse
polysubstance abuse

MEDICATION ON ADMISSION: TRUVADA 200-300 MG TABS 1 TAB daily
REYATAZ 150 MG 2 CAPS daily
NORVIR 100 MG CAPS 1 CAP daily
ATENOLOL 25 MG daily
VENTOLIN HFA 2puff q4-6 HOURS
ACYCLOVIR 800 MG q8 prn herpes
REMERON 30 MG qhs
PRAVASTATIN 40 MG daily
SEROQUEL 100 MG 1-2 tabs PO QHS
FENOFIBRATE 160 daily
KLONOPIN 1 MG QHS
HCTZ 12.5MG daily
UNIVASC 15 MG TABS (MOEXIPRIL HCL) 1 TAB BY MOUTH EACH DAY
IMODIUM A-D 2 MG TABS (LOPERAMIDE HCL) TAKE 1 TAB BY MOUTH EVERY
8 HRS PRN DIARRHEA

ALLERGIES: Ziagen / Crixivan / Pravastatin

PHYSICAL EXAM: VS: Temp: 96 BP:102/68 HR:87 RR:16 O2sat 99RA
GEN: pleasant, NAD, shivering
HEENT: PERRL, EOMI, anicteric, MM dry, op without lesions, no
supraclavicular or cervical lymphadenopathy, no jvd, no carotid
bruits, no thyromegaly or thyroid nodules, occasional facial
muscle spasm
RESP: CTA b/l with good air movement throughout
CV: RR, S1 and S2 wnl, no m/r/g
ABD: somewhat distended, tympanic, +b/s, nt, no masses or
hepatosplenomegaly
EXT: no c/c/e
SKIN: no rashes/no jaundice/no splinters
NEURO: AAOx3. Cn II-XII intact. 5/5 strength throughout. No
sensory deficits to light touch appreciated. No pass-pointing on
finger to nose. 2+DTR's-patellar and biceps. No Chvosteks or
Trousseaus sign.

FAMILY HISTORY: H/O ? heart disease in father when his father was in his late
30s; htn runs in the family

SOCIAL HISTORY: He lives in [**Location 2251**]. He currently lives alone.
He did not have a partner at this time. He works as a book
keeper for a scrapyard on Monday, Wednesday, and Friday. He has
Rhabdomyolysis,Acute kidney failure with lesion of tubular necrosis,Unspecified essential hypertension,Tobacco use disorder,Diarrhea,Anemia, unspecified,Hypotension, unspecified,Insomnia, unspecified,Other and unspecified hyperlipidemia,Depressive disorder, not elsewhere classified,Asymptomatic human immunodeficiency virus [HIV] infection status,Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus
Rhabdomyolysis,Ac kidny fail, tubr necr,Hypertension NOS,Tobacco use disorder,Diarrhea,Anemia NOS,Hypotension NOS,Insomnia NOS,Hyperlipidemia NEC/NOS,Depressive disorder NEC,Asymp hiv infectn status,Hx-rectal & anal malign
Admission Date:  [**2137-12-2**]              Discharge Date:   [**2137-12-6**]

Date of Birth:  [**2089-4-25**]             Sex:   M

Service: MEDICINE

Allergies:
Ziagen / Crixivan / Pravastatin

Attending:[**First Name3 (LF) 6701**]
Chief Complaint:
Myalgias

Major Surgical or Invasive Procedure:
None.


History of Present Illness:
48yoM with HIV on HAART, HTN, HL, polysubstance abuse,
depression p/w 8-10 days of worsening watery diarrhea, nausea,
anorexia, diffuse myalgia, and chills. The patient states that
he began feeling ill about 10 days ago and that his symptoms
progressive worsened and have not improved. He states that he
has diarrhea at baseline from HIV meds, but that the diarrhea
has been especially severe - profuse, watery, some blood in
stool (not unusual as pt is s/p chemo/radiation for anal
cancer). He has had severe nausea, dry heaves without vomiting
because he hasn't eaten much in the past 10 days. He has tried
to drink fluids. He also endorses diffuse myalgia from his legs
to his jaw. No fevers, + chills - temp at home has been 95-96.0.
No sick contacts. [**Name (NI) **] has continued to take his HIV meds normally
and has continued to take his BP meds except for HCTZ, which he
discontinued the past 2 days. No rashes, no CP or SOB. No
dysuria. He describes vision changes this AM and feels
lightheaded upon standing. He did have the flu shot this year.

Pt was seen at HCP office at [**Name (NI) 778**] Clinic and BP in 70s/40s
with associated lightheadedness upon standing and with visual
changes this morning. Guarding on abd exam but no focal
tenderness. Hypothermic to 95-96.7 in office. He has been taking
2 of 3 BP meds despite illness (has continued atenolol 25 mg
qday and moexipril 15 mg qday). Does report blood in stool but
has history of this from anal ca s/p radiation/chemo.

In the ED, triage vital signs were: 97.1 73 79/45 18 98% RA. Pt
found to have a CK of [**Numeric Identifier 6702**], Cr of 27, anion gap of 30 and phos
of 18.9. Triggered in ED for hypotension, but was mentating,
awake. Received 4L NS bolus and now 1L D5W with 3 amps bicarb.
Now SBPs in 100's. No tachycardia. UA and CXR unremarkable.
Given vanc and zosyn and nephrology was consulted in ED. VBG
initially with pH 7.07. 2 18g PIVs were placed.

Past Medical History:
HIV diagnosed in [**2118-7-14**], with a recent CD4 count 355
([**8-/2137**])
Stage I Squamous Carcinoma of the Rectum s/p 5FU and cisplatin
and XRT
Anal condylomata treated multiple times with cryotherapy
syphilis in [**2129**]
hypertension
depression with suicidal
ideation in [**2133-5-14**]
ETOH abuse
polysubstance abuse


Social History:
He lives in [**Location 2251**]. He currently lives alone.
He did not have a partner at this time. He works as a book
keeper for a scrapyard on Monday, Wednesday, and Friday. He has

smoked a pack and a half of cigarettes since he was 15 years old

and drinks alcohol moderately.

Family History:
H/O ? heart disease in father when his father was in his late
30s; htn runs in the family

Physical Exam:
VS: Temp: 96 BP:102/68 HR:87 RR:16 O2sat 99RA
GEN: pleasant, NAD, shivering
HEENT: PERRL, EOMI, anicteric, MM dry, op without lesions, no
supraclavicular or cervical lymphadenopathy, no jvd, no carotid
bruits, no thyromegaly or thyroid nodules, occasional facial
muscle spasm
RESP: CTA b/l with good air movement throughout
CV: RR, S1 and S2 wnl, no m/r/g
ABD: somewhat distended, tympanic, +b/s, nt, no masses or
hepatosplenomegaly
EXT: no c/c/e
SKIN: no rashes/no jaundice/no splinters
NEURO: AAOx3. Cn II-XII intact. 5/5 strength throughout. No
sensory deficits to light touch appreciated. No pass-pointing on
finger to nose. 2+DTR's-patellar and biceps. No Chvosteks or
Trousseaus sign.

Pertinent Results:
ADMISSION LABS:
[**2137-12-2**] 04:45PM BLOOD WBC-5.6 RBC-3.11*# Hgb-11.0*# Hct-33.2*#
MCV-107* MCH-35.6* MCHC-33.3 RDW-13.7 Plt Ct-261
[**2137-12-2**] 04:45PM BLOOD Neuts-76.1* Lymphs-15.4* Monos-4.3
Eos-3.7 Baso-0.5
[**2137-12-2**] 04:45PM BLOOD PT-13.6* PTT-29.4 INR(PT)-1.2*
[**2137-12-2**] 04:45PM BLOOD Glucose-146* UreaN-208* Creat-27.7*#
Na-133 K-5.4* Cl-95* HCO3-8* AnGap-35*
[**2137-12-2**] 04:45PM BLOOD ALT-120* AST-206* CK(CPK)-[**Numeric Identifier 6702**]*
TotBili-0.8
[**2137-12-2**] 04:45PM BLOOD CK-MB-277* MB Indx-1.4 cTropnT-0.04*
[**2137-12-2**] 04:45PM BLOOD Calcium-6.5* Phos-18.9*# Mg-1.9
[**2137-12-2**] 05:17PM BLOOD Lactate-0.6 K-5.3
[**2137-12-2**] 05:17PM BLOOD freeCa-0.78*

URINE:
[**2137-12-2**] 07:44PM URINE Color-Yellow Appear-Clear Sp [**Last Name (un) **]-1.011
[**2137-12-2**] 07:44PM URINE Blood-LG Nitrite-NEG Protein-150
Glucose-TR Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.0 Leuks-TR
[**2137-12-2**] 07:44PM URINE RBC-[**2-15**]* WBC-0-2 Bacteri-FEW Yeast-NONE
Epi-0
[**2137-12-2**] 07:44PM URINE Hours-RANDOM UreaN-414 Creat-132 Na-43
K-36 Cl-44
[**2137-12-2**] 07:44PM URINE Myoglob-PRESUMPTIV
[**2137-12-2**] 07:44PM URINE bnzodzp-NEG barbitr-NEG opiates-NEG
cocaine-NEG amphetm-NEG mthdone-NEG

OTHER PERTINENT LABS:
[**2137-12-3**] 12:53PM BLOOD Ret Aut-1.0*
[**2137-12-2**] 04:45PM BLOOD CK(CPK)-[**Numeric Identifier 6702**]*
[**2137-12-2**] 08:50PM BLOOD CK(CPK)-[**Numeric Identifier 6703**]*
[**2137-12-3**] 12:40AM BLOOD CK(CPK)-[**Numeric Identifier 6704**]*
[**2137-12-3**] 05:10AM BLOOD CK(CPK)-[**Numeric Identifier 6705**]*
[**2137-12-3**] 09:02PM BLOOD CK(CPK)-[**Numeric Identifier 6706**]*
[**2137-12-4**] 05:35PM BLOOD CK(CPK)-6975*
[**2137-12-5**] 01:59AM BLOOD CK(CPK)-5275*
[**2137-12-5**] 05:38AM BLOOD CK(CPK)-5077*
[**2137-12-5**] 11:21PM BLOOD CK(CPK)-4104*
[**2137-12-6**] 05:48AM BLOOD CK(CPK)-3328*

[**2137-12-2**] 04:45PM BLOOD CK-MB-277* MB Indx-1.4 cTropnT-0.04*
[**2137-12-2**] 08:50PM BLOOD cTropnT-0.03*
[**2137-12-3**] 12:40AM BLOOD CK-MB-220* MB Indx-1.3 cTropnT-0.03*
[**2137-12-3**] 05:10AM BLOOD CK-MB-178* MB Indx-1.2 cTropnT-0.03*

[**2137-12-5**] 05:38AM Iron-117 calTIBC-302 VitB12-347 Folate-4.8
Ferritn-828* TRF-232
[**2137-12-4**] 08:17AM BLOOD TSH-1.7
[**2137-12-5**] 05:38AM BLOOD IgA-95
[**2137-12-5**] 05:38AM BLOOD tTG-IgA-PND

MICRO:
[**2137-12-2**] BCx: NGTD
[**2137-12-3**] MRSA screen: negative
[**2137-12-3**] Stool studies:
FECAL CULTURE (Pending):
   CAMPYLOBACTER CULTURE (Final [**2137-12-5**]):    NO CAMPYLOBACTER
FOUND.
   OVA + PARASITES (Final [**2137-12-4**]):
      NO OVA AND PARASITES SEEN.
      This test does not reliably detect Cryptosporidium,
Cyclospora or
      Microsporidium. While most cases of Giardia are detected
by routine
      O+P, the Giardia antigen test may enhance detection when
organisms
      are rare.
      .
      CHARCOT-[**Location (un) **] CRYSTALS PRESENT.
   Cryptosporidium/Giardia (DFA) (Final [**2137-12-5**]):
      NO CRYPTOSPORIDIUM OR GIARDIA SEEN.
   CLOSTRIDIUM DIFFICILE TOXIN A & B TEST (Final [**2137-12-4**]):
      Feces negative for C.difficile toxin A & B by EIA.
           (Reference Range-Negative).
[**2137-12-5**] 03:26PM STOOL FECAL FAT, QUALITATIVE, RANDOM-PND

STUDIES:
[**2137-12-2**] CXR:
No acute intrathoracic process.

[**2137-12-2**] CT head:
No acute intracranial hemorrhage or fractures identified.

[**2137-12-5**] Renal U/S:
Normal study

DISCHARGE LABS:
[**2137-12-6**] 05:48AM BLOOD WBC-5.6 RBC-2.35* Hgb-8.3* Hct-24.3*
MCV-104* MCH-35.3* MCHC-34.1 RDW-14.0 Plt Ct-301
[**2137-12-6**] 05:48AM BLOOD Glucose-98 UreaN-129* Creat-14.7* Na-143
K-3.4 Cl-109* HCO3-17* AnGap-20
[**2137-12-6**] 05:48AM BLOOD CK(CPK)-3328*
[**2137-12-6**] 05:48AM BLOOD Calcium-6.7* Phos-8.7* Mg-1.6
[**2137-12-6**] 06:10AM BLOOD freeCa-0.85*


Brief Hospital Course:
Mr. [**Known lastname 6707**] is a 48 year old man with h/o HIV, on HAART, rectal
SCC, HLD on statin, who was admitted with acute renal failure
and rhabdomyolysis.

# Acute renal failure: Differential includes prerenal renal
failure d/t N/V, decreased PO intake, ATN secondary to low BP's
at home (pt was taking antihypertensive meds at home) and
heme-pigment induced ATN in the setting of rhabdomyolysis due to
tenofovir or statin. Nephrology saw muddy brown casts on urine
sediment, so most likely ATN pigment nephropathy provoked by
HAART meds. Pt was profoundly acidemic (pH 7.07) and
hyperphosphatemic on admission, but potassium was only mildly
elevated. Nephrology was consulted in the ED. Cr on admission
was 27.7, which has trended down to 14.7 on discharge. The
patient did not need HD initiation. He was started on aluminum
hydroxide. Currently auto-diuresing well.

# Rhabdomyolysis: CK elevated to 20,000 on admission, but pt
denies recent red/brown urine. Potential etiologies of rhabdo in
this pt include statin-induced, tenofovir related, viral,
hypothyroid. CK has trended down to 3300 on discharge. Statin
and fibrate have been discontinued. HAART medications were held
- can be restarted as an outpatient.

# Diarrhea: Patient has had chronic diarrhea, which has recently
worsened. Stool studies are negative to date - Cdiff negative,
no O&P, no crypto/giardia/campylobacter. Fecal fat and stool
culture still pending on discharge.

# Anemia: Pt with macrocytic anemia, HCT in mid 20s. No evidence
of bleeding during hospitalization. Given low retic count, may
have degree of marrow suppression from prior chemo, xrt, and
ARVs.

# Hypocalcemia: Occasional muscle spasm of facial muscles
concerning for tetany early in hospitalization, which resolved.
To prevent complications of hypercalcemia in recovery phase,
avoided calcium repletion in the absense of hypocalcemic
symptoms or severe hyperkalemia. Goal ionized Ca 0.8-0.9.

# Hypotension: In clinic pt was in the 70's systolic but able to
relate a history. In [**Name (NI) **] pt was in the 80's for SBP, which
improved with 4L IVF. SBP 100-110s while hospitalized. Atenolol
and HCTZ were held.

# HIV: Well controlled on current regimen. Held HAART regimen
given ARF.

# Rectal SCC: S/p chemotherapy (5FU, cisplatin) and XRT.
Followed in oncology by Dr. [**Last Name (STitle) **]. Currently stable.

# Insomnia: Continued on home seroquel and klonopin.

Medications on Admission:
TRUVADA 200-300 MG TABS 1 TAB daily
REYATAZ 150 MG 2 CAPS daily
NORVIR 100 MG CAPS 1 CAP daily
ATENOLOL 25 MG daily
VENTOLIN HFA 2puff q4-6 HOURS
ACYCLOVIR 800 MG q8 prn herpes
REMERON 30 MG qhs
PRAVASTATIN 40 MG daily
SEROQUEL 100 MG 1-2 tabs PO QHS
FENOFIBRATE 160 daily
KLONOPIN 1 MG QHS
HCTZ 12.5MG daily
UNIVASC 15 MG TABS (MOEXIPRIL HCL) 1 TAB BY MOUTH EACH DAY
IMODIUM A-D 2 MG TABS (LOPERAMIDE HCL) TAKE 1 TAB BY MOUTH EVERY
8 HRS PRN DIARRHEA

Discharge Medications:
1. Outpatient Lab Work
Please draw CBC/diff, CHEM10, ionized calcium, CK once a week
starting [**2137-12-9**] at [**Hospital1 778**] Health.
2. clonazepam 1 mg Tablet Sig: One (1) Tablet PO QHS (once a day
(at bedtime)).
3. quetiapine 200 mg Tablet Sig: One (1) Tablet PO QHS (once a
day (at bedtime)).
4. aluminum hydroxide gel 600 mg/5 mL Suspension Sig: Thirty
(30) ML PO TID W/MEALS (3 TIMES A DAY WITH MEALS).
Disp:*1 bottle* Refills:*2*


Discharge Disposition:
Home

Discharge Diagnosis:
Primary Diagnosis:
Rhabdomyolysis
Acute renal failure

Secondary Diagnosis:
HIV
Chronic diarrhea
Anemia


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


Discharge Instructions:
You were admitted to [**Hospital1 69**] for
fatigue, malaise, and diarrhea.  You were found to have
rhabdomyolysis and acute renal failure.  You were treated with
fluids and electrolyte replacements. Your kidney function is
improving.

The following changes were made to your medications:
#. HOLD Truvada, Reyataz, Norvir
#. HOLD Atenolol, Hydrochlorothiazide
#. DISCONTINUE Pravastatin, Fenofibrate
#. START Aluminum hydroxide 3 times a day with meals


Followup Instructions:
Please call [**Hospital1 778**] Health at [**Telephone/Fax (1) 798**] early Monday morning
for an appointment. They will make sure that somebody can see on
Monday. You also need to have your blood drawn next Monday
[**2137-12-9**] at [**Hospital1 778**].

The following appointments have been made for you:

Department: NEPHROLOGY
When: TUESDAY [**2137-12-24**] at 3:00 PM
With: [**Known firstname 177**] [**Last Name (NamePattern4) 720**], M.D. [**Telephone/Fax (1) 721**]
Building: De [**Hospital1 **] Building ([**Hospital Ward Name 121**] Complex) [**Location (un) **]
Campus: WEST     Best Parking: [**Street Address(1) 592**] Garage


                             [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] MD [**MD Number(2) 6708**]
{'Rhabdomyolysis,Acute kidney failure with lesion of tubular necrosis,Unspecified essential hypertension,Tobacco use disorder,Diarrhea,Anemia, unspecified,Hypotension, unspecified,Insomnia, unspecified,Other and unspecified hyperlipidemia,Depressive disorder, not elsewhere classified,Asymptomatic human immunodeficiency virus [HIV] infection status,Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus'}


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: Myalgias

PRESENT ILLNESS: 48yoM with HIV on HAART, HTN, HL, polysubstance abuse,
depression p/w 8-10 days of worsening watery diarrhea, nausea,
anorexia, diffuse myalgia, and chills. The patient states that
he began feeling ill about 10 days ago and that his symptoms
progressive worsened and have not improved. He states that he
has diarrhea at baseline from HIV meds, but that the diarrhea
has been especially severe - profuse, watery, some blood in
stool (not unusual as pt is s/p chemo/radiation for anal
cancer). He has had severe nausea, dry heaves without vomiting
because he hasn't eaten much in the past 10 days. He has tried
to drink fluids. He also endorses diffuse myalgia from his legs
to his jaw. No fevers, + chills - temp at home has been 95-96.0.
No sick contacts. [**Name (NI) **] has continued to take his HIV meds normally
and has continued to take his BP meds except for HCTZ, which he
discontinued the past 2 days. No rashes, no CP or SOB. No
dysuria. He describes vision changes this AM and feels
lightheaded upon standing. He did have the flu shot this year.

MEDICAL HISTORY: HIV diagnosed in [**2118-7-14**], with a recent CD4 count 355
([**8-/2137**])
Stage I Squamous Carcinoma of the Rectum s/p 5FU and cisplatin
and XRT
Anal condylomata treated multiple times with cryotherapy
syphilis in [**2129**]
hypertension
depression with suicidal
ideation in [**2133-5-14**]
ETOH abuse
polysubstance abuse

MEDICATION ON ADMISSION: TRUVADA 200-300 MG TABS 1 TAB daily
REYATAZ 150 MG 2 CAPS daily
NORVIR 100 MG CAPS 1 CAP daily
ATENOLOL 25 MG daily
VENTOLIN HFA 2puff q4-6 HOURS
ACYCLOVIR 800 MG q8 prn herpes
REMERON 30 MG qhs
PRAVASTATIN 40 MG daily
SEROQUEL 100 MG 1-2 tabs PO QHS
FENOFIBRATE 160 daily
KLONOPIN 1 MG QHS
HCTZ 12.5MG daily
UNIVASC 15 MG TABS (MOEXIPRIL HCL) 1 TAB BY MOUTH EACH DAY
IMODIUM A-D 2 MG TABS (LOPERAMIDE HCL) TAKE 1 TAB BY MOUTH EVERY
8 HRS PRN DIARRHEA

ALLERGIES: Ziagen / Crixivan / Pravastatin

PHYSICAL EXAM: VS: Temp: 96 BP:102/68 HR:87 RR:16 O2sat 99RA
GEN: pleasant, NAD, shivering
HEENT: PERRL, EOMI, anicteric, MM dry, op without lesions, no
supraclavicular or cervical lymphadenopathy, no jvd, no carotid
bruits, no thyromegaly or thyroid nodules, occasional facial
muscle spasm
RESP: CTA b/l with good air movement throughout
CV: RR, S1 and S2 wnl, no m/r/g
ABD: somewhat distended, tympanic, +b/s, nt, no masses or
hepatosplenomegaly
EXT: no c/c/e
SKIN: no rashes/no jaundice/no splinters
NEURO: AAOx3. Cn II-XII intact. 5/5 strength throughout. No
sensory deficits to light touch appreciated. No pass-pointing on
finger to nose. 2+DTR's-patellar and biceps. No Chvosteks or
Trousseaus sign.

FAMILY HISTORY: H/O ? heart disease in father when his father was in his late
30s; htn runs in the family

SOCIAL HISTORY: He lives in [**Location 2251**]. He currently lives alone.
He did not have a partner at this time. He works as a book
keeper for a scrapyard on Monday, Wednesday, and Friday. He has 

### Response:
{'Rhabdomyolysis,Acute kidney failure with lesion of tubular necrosis,Unspecified essential hypertension,Tobacco use disorder,Diarrhea,Anemia, unspecified,Hypotension, unspecified,Insomnia, unspecified,Other and unspecified hyperlipidemia,Depressive disorder, not elsewhere classified,Asymptomatic human immunodeficiency virus [HIV] infection status,Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus'}
