CHIEF COMPLAINT: [**First Name3 (LF) **], afib with rvr

PRESENT ILLNESS: Patient is an 80 yo cantonese man with pmhx significant for
DMII, ESRD on HD, HTN, CAD, PAF with multiple recent
hospitalizations for enterococcus urosepsis ([**11-21**])and [**Month/Day (4) **] of
unknown source ([**12-1**]) who presents today with [**Month/Year (2) **], chills,
nausea, vomiting and diarrhea.
Patient was first hospitalized with enterococcus UTI in early
[**Month (only) **] and was treated with 7 days of augmentin. He then
returned a week later with [**Month (only) **] and chills and had negative w/u
including LP, head ct, abd/pelvic ct, Mycotic culture,
mycobacteria culture, urine culture, sputum culture, c.diff and
blood cultures were all negative. Thin/thick smear was negative
for parasites. Additionally, U/S negative for abscess/fluid
collection at fistula site, CXR which showed a questionable
right middle lobe pneumonia, however CT chest showed no evidence
of pneumonia, and TTE which showed no evidence of endocarditis.
Patient was given 4 days of antibiotics in total and then
monitored. Patient did not have [**Month (only) **] thereafter and was
discharged.
Patient was in his usual state of health until this am when he
woke up with chills, weakness and some mild respiratory distress
without cough. Initial vs in the ED were T 100.4-->102.3
rectally, HR 122-150, BP 162/66, 93% RA. In the ED, he had
episode of non-bloody emesis and brown guaic negative diarrhea.
Otherwise, patient denies dizziness, headache, neck stiffness,
cough, sob, cp, abd pain, muscle/joint pain or diarrhea or
vomiting at home. Patient was also noted to have petechial [**Month (only) **]
on his right arm which was thought to be old per his
nephrologist who knows the patient. Prior to this knowledge
there was concern that the [**Month (only) **] could be sign of meningococcemia
and he was given a dose of vancomycin and ceftriaxone. Patient
also had afib with rvr to 140s in the ED during the time when he
was vomiting and nurses were trying to place IV access. He did
not receive av nodal blocking agents but his hr came down to low
100s with IVF x 2.5 liters in total. Patient also received 2
grams of magnesium. Renal consulted in ED and plan to dialyze
patient today.
On presentation to ICU, intial vs were: T 99.1, BP 106/49, HR
91, O2 sat 100% on 3 liters. Patient reported feeling weak and
tired but otherwise had no complaints.

MEDICAL HISTORY: 1. CAD - reported as single vessel disease s/p catheterization
in [**5-20**] following ETT-MIBI demonstrating an inferolateral
perfusion defect. Mid LCX was stented with a Drug Eluting Stent

MEDICATION ON ADMISSION: 1. Isosorbide Mononitrate 30 mg QD
2. Allopurinol 200 mg Tablet QD
3. Metoprolol Tartrate 37.5 mg Tablet [**Hospital1 **]
4. Methylprednisolone 8 mg QD
5. Levothyroxine 75 mcg QD
6. Folic Acid 1 mg QD
7. Atorvastatin 10 mg QD
8. Aspirin 81 mg QD
9. Protonix 40 mg QD
10. Coumadin 2.5 mg Tablet Sig: One (1) Tablet PO 2days/week:
Take 2.5mg 2days per week.
11. Coumadin 2.5 mg Tablet Sig: 0.5 Tablet PO once a day: Please

ALLERGIES: Lovastatin

PHYSICAL EXAM: VS: Temp 99.1 : BP: 106/49 HR: 91 RR: 16 O2sat 100% on 3 liters
NC
GEN: sleepy but easily arousable and appropriately answering
questions, pleasant, comfortable, NAD
HEENT: NCAT, PERRL, EOMI, anicteric, MMM, op without lesions
NECK: no supraclavicular or cervical lymphadenopathy, jvp 7-8
cm, no carotid bruits, no thyromegaly or thyroid nodules, neck
supple w/ no pain on movement in all directions or cervical
spine tenderness
RESP: bibasilar crackles, no wheezes or rhonchi
CV: RR, S1 and S2 wnl, no m/r/g
ABD: nd, +b/s, soft, nt, no masses or hepatosplenomegaly
EXT: no c/c/e, warm, good pulses
SKIN: right arm- non-blanching macular [**Last Name (LF) **], [**First Name3 (LF) **] red,
non-tender
NEURO: AAOx3. Cn II-XII intact. 5/5 strength throughout. No
sensory deficits to light touch appreciated.
RECTAL: guaic negative in ED

FAMILY HISTORY: Both parents deceased. Father had diabetes. He has 2 children
who are well and no siblings.
.

SOCIAL HISTORY: Mr. [**Known lastname **] is Cantonese speaking. He lives at home with his wife.
[**Name (NI) **] has a remote 20-year history of tobacco smoking. He quit 20
years ago. No alcohol or illicit drug use
Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Atrial fibrillation,Coronary atherosclerosis of native coronary artery,Gout, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Long-term (current) use of anticoagulants
DMII renl nt st uncntrld,End stage renal disease,Hyp kid NOS w cr kid V,Atrial fibrillation,Crnry athrscl natve vssl,Gout NOS,Osteoarthros NOS-unspec,Long-term use anticoagul
Admission Date:  [**2184-1-6**]              Discharge Date:   [**2184-1-9**]

Date of Birth:  [**2103-1-26**]             Sex:   M

Service: MEDICINE

Allergies:
Lovastatin

Attending:[**First Name3 (LF) 2745**]
Chief Complaint:
[**First Name3 (LF) **], afib with rvr

Major Surgical or Invasive Procedure:
None


History of Present Illness:
Patient is an 80 yo cantonese man with pmhx significant for
DMII, ESRD on HD, HTN, CAD, PAF with multiple recent
hospitalizations for enterococcus urosepsis ([**11-21**])and [**Month/Day (4) **] of
unknown source ([**12-1**]) who presents today with [**Month/Year (2) **], chills,
nausea, vomiting and diarrhea.
Patient was first hospitalized with enterococcus UTI in early
[**Month (only) **] and was treated with 7 days of augmentin. He then
returned a week later with [**Month (only) **] and chills and had negative w/u
including LP, head ct, abd/pelvic ct, Mycotic culture,
mycobacteria culture, urine culture, sputum culture, c.diff and
blood cultures were all negative. Thin/thick smear was negative
for parasites. Additionally, U/S negative for abscess/fluid
collection at fistula site, CXR which showed a questionable
right middle lobe pneumonia, however CT chest showed no evidence
of pneumonia, and TTE which showed no evidence of endocarditis.
Patient was given 4 days of antibiotics in total and then
monitored. Patient did not have [**Month (only) **] thereafter and was
discharged.
Patient was in his usual state of health until this am when he
woke up with chills, weakness and some mild respiratory distress
without cough. Initial vs in the ED were T 100.4-->102.3
rectally, HR 122-150, BP 162/66, 93% RA. In the ED, he had
episode of non-bloody emesis and brown guaic negative diarrhea.
Otherwise, patient denies dizziness, headache, neck stiffness,
cough, sob, cp, abd pain, muscle/joint pain or diarrhea or
vomiting at home. Patient was also noted to have petechial [**Month (only) **]
on his right arm which was thought to be old per his
nephrologist who knows the patient. Prior to this knowledge
there was concern that the [**Month (only) **] could be sign of meningococcemia
and he was given a dose of vancomycin and ceftriaxone. Patient
also had afib with rvr to 140s in the ED during the time when he
was vomiting and nurses were trying to place IV access. He did
not receive av nodal blocking agents but his hr came down to low
100s with IVF x 2.5 liters in total. Patient also received 2
grams of magnesium. Renal consulted in ED and plan to dialyze
patient today.
On presentation to ICU, intial vs were: T 99.1, BP 106/49, HR
91, O2 sat 100% on 3 liters. Patient reported feeling weak and
tired but otherwise had no complaints.


Past Medical History:
1. CAD - reported as single vessel disease s/p catheterization
in [**5-20**] following ETT-MIBI demonstrating an inferolateral
perfusion defect. Mid LCX was stented with a Drug Eluting Stent

with successful rescue of the OM1 with balloon angioplasty.
2. Diabetes Mellitus Type II - for more than 30 years. Has
nephropathy and proteinuria, as well as mild distal neuropathy.

3. Atrial fibrillation - paroxysmal atrial fibrillation
diagnosed in [**2170**]. On long-term anticoagulation.
4. Hypertension
5. History of GI bleed - History of gastric ulcers. Presumed
lower GI bleed on [**1-20**].
6. Chronic renal insufficiency - Probable diabetic nephropathy.

7. Sleep apnea
8. Musculoskeletal problems:
(a) Bilateral severe carpel tunnel
(b) Polyneuropathy of hands
(c) Right flexor tendon nodules/ contracture
(d) OA of DIPs, PIPs, and 1st CMC
(e) Gout - recent admission in [**2-19**] for gout flair.
(f) Pseudogout.
(g) osteopenia


Social History:
Mr. [**Known lastname **] is Cantonese speaking. He lives at home with his wife.
[**Name (NI) **] has a remote 20-year history of tobacco smoking. He quit 20
years ago. No alcohol or illicit drug use

Family History:
Both parents deceased. Father had diabetes. He has 2 children
who are well and no siblings.
.


Physical Exam:
VS: Temp 99.1 : BP: 106/49 HR: 91 RR: 16 O2sat 100% on 3 liters
NC
GEN: sleepy but easily arousable and appropriately answering
questions, pleasant, comfortable, NAD
HEENT: NCAT, PERRL, EOMI, anicteric, MMM, op without lesions
NECK: no supraclavicular or cervical lymphadenopathy, jvp 7-8
cm, no carotid bruits, no thyromegaly or thyroid nodules, neck
supple w/ no pain on movement in all directions or cervical
spine tenderness
RESP: bibasilar crackles, no wheezes or rhonchi
CV: RR, S1 and S2 wnl, no m/r/g
ABD: nd, +b/s, soft, nt, no masses or hepatosplenomegaly
EXT: no c/c/e, warm, good pulses
SKIN: right arm- non-blanching macular [**Last Name (LF) **], [**First Name3 (LF) **] red,
non-tender
NEURO: AAOx3. Cn II-XII intact. 5/5 strength throughout. No
sensory deficits to light touch appreciated.
RECTAL: guaic negative in ED


Pertinent Results:
COMPLETE BLOOD COUNT    WBC  RBC Hgb Hct MCV MCH MCHC RDW Plt Ct

[**2184-1-9**] 07:40AM    10.3  3.75* 12.2* 37.5* 100* 32.6* 32.5
15.0 170
[**2184-1-8**] 06:25AM    11.2* 3.54* 11.5* 35.7* 101* 32.5* 32.2
14.2 155
[**2184-1-6**] 11:21PM    11.8* 3.57* 11.4* 35.5* 99* 32.0 32.2
14.7 157
[**2184-1-6**] 08:50AM    14.5* 3.98* 12.7* 39.5* 99* 32.0 32.3
15.5 222
.
RENAL & GLUCOSE      Glucose UreaN Creat Na K Cl HCO3
[**2184-1-9**] 07:40AM    140* 36* 2.9* 138 4.6 100 29
[**2184-1-8**] 06:25AM    136* 43* 3.3* 143 4.2 104 29
[**2184-1-7**] 11:36AM    234* 29* 2.7* 141 4.6 105 26
[**2184-1-6**] 11:21PM    80   21* 2.3* 144 4.2 108 29
[**2184-1-6**] 08:50AM    144* 49* 4.0* 142 5.2*1 105 25
.
[**2184-1-8**] 8:40 am Influenza A/B by DFA
      Source: Nasopharyngeal aspirate.
**FINAL REPORT [**2184-1-9**]**: NEGATIVE FOR INFLUENZA A & B VIRAL
ANTIGEN
.
[**2184-1-6**]  No growth on blood cultures x 2
[**2184-1-6**]  No growth on urine culture
.
Legionella Urinary Antigen  (Final [**2184-1-7**]):
      NEGATIVE FOR LEGIONELLA SEROGROUP 1 ANTIGEN

Brief Hospital Course:
ASSESSEMENT/PLAN: Pt is an 80 yo man with pmhx CAD, ESRD on HD,
DM2, HTN, PAF admitted with fevers, developed vomiting in the
ED, now with no further episodes of fevers.
.
# [**Month/Day/Year **]: Pt with history of [**Month/Day/Year **] without known source despite
extensive workup in [**11/2183**], also in 2 other times during [**2182**].
Admitted with a significant [**Year (4 digits) **], however no further episodes
during hospitalization. Had a one day stay in the MICU due to
?sepsis. Pt did not develop any localizing signs without growth
on blood or urine cultures, influenza & legionella antigens
negative. ?Drug [**Year (4 digits) **] with allopurinol, also no evidence of
malignancy on imaging done. Possibility that fevers may be
related to dialysis as they started soon after initiation of HD,
although no evidence of infection at AV graft site. Pt received
an empiric course of antibiotics including vancomycin, flagyl &
levaquin for a total of 3 days. Pt did not have any further
episodes of fevers during hospitalization.
.
# Afib with RVR: Episode of RVR on admission which resolved with
single dose of metoprolol 5mg IV; also repeat episode in
association with hypoglycemia and resolve with correction of
metabolic derangement. Uptitrated metoprolol dosing from 37.5mg
[**Hospital1 **] to 50mg TID during hospitalizaton. Pt also on coumadin,
although INR slightly subtherapeutic at discharge.
.
# CAD: No evidence of ischemia per EKG, pt without symptoms of
chestpain or shortness of breath. Continued aspirin,
atorvastatin and increased metoprolol as above. Held isosorbide
mononitrate on admission but restarted prior to d/c.
.
# ESRD: Pt had 2 sessions of hemodialysis while on admission.
Usually with HD tues/thurs/sat. Nephrology followed closely,
continued pt on nephrocaps.
.
# h/o gout: Significant gout, closely followed by rheumatology
outpt. Pt was continued on home regimen allopurinol and
methylprednisolone. No acute issues while in house.
.
# DM: Was labile initially during admission with an episode of
hypoglycemia overnight on lantus 6U and sliding scale humalog.
FSG AC & HS, diabetic diet. Pt was changed to home regimen of
Levemir & Novolog prior to discharge.
.
Pt reached maximal hospital benefit and was discharged home to
follow up with PCP.

Medications on Admission:
1. Isosorbide Mononitrate 30 mg QD
2. Allopurinol 200 mg Tablet QD
3. Metoprolol Tartrate 37.5 mg Tablet [**Hospital1 **]
4. Methylprednisolone 8 mg QD
5. Levothyroxine 75 mcg QD
6. Folic Acid 1 mg QD
7. Atorvastatin 10 mg QD
8. Aspirin 81 mg QD
9. Protonix 40 mg QD
10. Coumadin 2.5 mg Tablet Sig: One (1) Tablet PO 2days/week:
Take 2.5mg 2days per week.
11. Coumadin 2.5 mg Tablet Sig: 0.5 Tablet PO once a day: Please

take 1.25mg 5 days per week.
12. Nitroglycerin 0.4 mg Tablet, Sublingual Sig: One (1)
Sublingual up to 3 times as needed for chest pain: place under
tongue for chest pain as needed.
13. Levemir 100 unit/mL Solution Sig: Sixteen (16) units
Subcutaneous at bedtime.
14. Novolog 100 unit/mL Solution Sig: per sliding scale
Subcutaneous refer to sliding scale three days per day.
15. Renal Caps 1 mg Capsule Sig: One (1) Capsule PO once a day.


Discharge Medications:
1. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable
PO DAILY (Daily).
2. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr
Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).
3. Allopurinol 100 mg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
4. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO TID
(3 times a day).
Disp:*90 Tablet(s)* Refills:*2*
5. Methylprednisolone 8 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
6. Levothyroxine 75 mcg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
7. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

8. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
9. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
10. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap
PO DAILY (Daily).
11. Nitroglycerin 0.4 mg Tablet, Sublingual Sig: [**12-18**] tablet
Sublingual AS directed as needed for chest pain.
12. Levemir 100 unit/mL Solution Sig: Sixteen (16) units
Subcutaneous at bedtime.
13. Novolog 100 unit/mL Solution Sig: One (1) units Subcutaneous
Before meals & at bedtime: Per sliding scale.
14. Warfarin 2.5 mg Tablet Sig: 0.5 Tablet PO 5X/WEEK
(MO,TU,WE,FR,SA).
15. Warfarin 2.5 mg Tablet Sig: One (1) Tablet PO 2X/WEEK
([**Doctor First Name **],TH).
16. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6
hours) as needed for pain, [**Doctor First Name **].
17. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID
(2 times a day).
Disp:*60 Capsule(s)* Refills:*2*
18. Bacitracin 500 unit/g Ointment Sig: One (1) tube Topical
twice a day: Apply thin layer of ointment over affected area.
Disp:*1 tube* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
[**Hospital **] of unknown origin
Atrial fibrillation
Diabetes II
Hypertension
Gout


Discharge Condition:
Stable, afebrile 96.8F


Discharge Instructions:
You were admitted with high fevers which resolved after
admission. We did not find the source of your fevers. You
received antibiotics for 3 days. You developed a very fast heart
rate, we increased your metoprolol to control your HR.
.
We have made some changes to your medications. Please increase
your metoprolol to 50mg three times daily. You may continue to
take your other medications as prescribed.
.
Please call or come to the ED if you develop chestpains,
shortness of breath, high fevers or any other worrisome
concerns.

Followup Instructions:
Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 5447**], M.D. Date/Time:[**2184-1-16**] 11:10
Provider: [**Name10 (NameIs) **] [**Name8 (MD) **], MD Phone:[**Telephone/Fax (1) 2226**] Date/Time:[**2184-3-18**]
8:30
Provider: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 722**], DPM Phone:[**Telephone/Fax (1) 543**]
Date/Time:[**2184-3-26**] 10:40
{'Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Atrial fibrillation,Coronary atherosclerosis of native coronary artery,Gout, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Long-term (current) use of anticoagulants'}


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: [**First Name3 (LF) **], afib with rvr

PRESENT ILLNESS: Patient is an 80 yo cantonese man with pmhx significant for
DMII, ESRD on HD, HTN, CAD, PAF with multiple recent
hospitalizations for enterococcus urosepsis ([**11-21**])and [**Month/Day (4) **] of
unknown source ([**12-1**]) who presents today with [**Month/Year (2) **], chills,
nausea, vomiting and diarrhea.
Patient was first hospitalized with enterococcus UTI in early
[**Month (only) **] and was treated with 7 days of augmentin. He then
returned a week later with [**Month (only) **] and chills and had negative w/u
including LP, head ct, abd/pelvic ct, Mycotic culture,
mycobacteria culture, urine culture, sputum culture, c.diff and
blood cultures were all negative. Thin/thick smear was negative
for parasites. Additionally, U/S negative for abscess/fluid
collection at fistula site, CXR which showed a questionable
right middle lobe pneumonia, however CT chest showed no evidence
of pneumonia, and TTE which showed no evidence of endocarditis.
Patient was given 4 days of antibiotics in total and then
monitored. Patient did not have [**Month (only) **] thereafter and was
discharged.
Patient was in his usual state of health until this am when he
woke up with chills, weakness and some mild respiratory distress
without cough. Initial vs in the ED were T 100.4-->102.3
rectally, HR 122-150, BP 162/66, 93% RA. In the ED, he had
episode of non-bloody emesis and brown guaic negative diarrhea.
Otherwise, patient denies dizziness, headache, neck stiffness,
cough, sob, cp, abd pain, muscle/joint pain or diarrhea or
vomiting at home. Patient was also noted to have petechial [**Month (only) **]
on his right arm which was thought to be old per his
nephrologist who knows the patient. Prior to this knowledge
there was concern that the [**Month (only) **] could be sign of meningococcemia
and he was given a dose of vancomycin and ceftriaxone. Patient
also had afib with rvr to 140s in the ED during the time when he
was vomiting and nurses were trying to place IV access. He did
not receive av nodal blocking agents but his hr came down to low
100s with IVF x 2.5 liters in total. Patient also received 2
grams of magnesium. Renal consulted in ED and plan to dialyze
patient today.
On presentation to ICU, intial vs were: T 99.1, BP 106/49, HR
91, O2 sat 100% on 3 liters. Patient reported feeling weak and
tired but otherwise had no complaints.

MEDICAL HISTORY: 1. CAD - reported as single vessel disease s/p catheterization
in [**5-20**] following ETT-MIBI demonstrating an inferolateral
perfusion defect. Mid LCX was stented with a Drug Eluting Stent

MEDICATION ON ADMISSION: 1. Isosorbide Mononitrate 30 mg QD
2. Allopurinol 200 mg Tablet QD
3. Metoprolol Tartrate 37.5 mg Tablet [**Hospital1 **]
4. Methylprednisolone 8 mg QD
5. Levothyroxine 75 mcg QD
6. Folic Acid 1 mg QD
7. Atorvastatin 10 mg QD
8. Aspirin 81 mg QD
9. Protonix 40 mg QD
10. Coumadin 2.5 mg Tablet Sig: One (1) Tablet PO 2days/week:
Take 2.5mg 2days per week.
11. Coumadin 2.5 mg Tablet Sig: 0.5 Tablet PO once a day: Please

ALLERGIES: Lovastatin

PHYSICAL EXAM: VS: Temp 99.1 : BP: 106/49 HR: 91 RR: 16 O2sat 100% on 3 liters
NC
GEN: sleepy but easily arousable and appropriately answering
questions, pleasant, comfortable, NAD
HEENT: NCAT, PERRL, EOMI, anicteric, MMM, op without lesions
NECK: no supraclavicular or cervical lymphadenopathy, jvp 7-8
cm, no carotid bruits, no thyromegaly or thyroid nodules, neck
supple w/ no pain on movement in all directions or cervical
spine tenderness
RESP: bibasilar crackles, no wheezes or rhonchi
CV: RR, S1 and S2 wnl, no m/r/g
ABD: nd, +b/s, soft, nt, no masses or hepatosplenomegaly
EXT: no c/c/e, warm, good pulses
SKIN: right arm- non-blanching macular [**Last Name (LF) **], [**First Name3 (LF) **] red,
non-tender
NEURO: AAOx3. Cn II-XII intact. 5/5 strength throughout. No
sensory deficits to light touch appreciated.
RECTAL: guaic negative in ED

FAMILY HISTORY: Both parents deceased. Father had diabetes. He has 2 children
who are well and no siblings.
.

SOCIAL HISTORY: Mr. [**Known lastname **] is Cantonese speaking. He lives at home with his wife.
[**Name (NI) **] has a remote 20-year history of tobacco smoking. He quit 20
years ago. No alcohol or illicit drug use 

### Response:
{'Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Atrial fibrillation,Coronary atherosclerosis of native coronary artery,Gout, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Long-term (current) use of anticoagulants'}
