CHIEF COMPLAINT: colchicine toxicity

PRESENT ILLNESS: PCP: [**Name10 (NameIs) **],[**Name11 (NameIs) **] [**Name Initial (NameIs) **] [**Telephone/Fax (1) 41966**]
.
CC: nausea/vomiting
.
HPI:
Patient is a 42 year old male with history of HTN, reactive
airway disease, right-sided sciatica, and gout who presents
following colchicine overdose. Patient reports increasing left
great toe and second toe pain three days ago. Patient thought he
has instructed to take 4 pills of colchicine x 0.6mg per hour
for 12 hours (28.8mg). He took 28.8 mg from 5pm Saturday to last
dose 5am Sunday (greater than 36 hours) ago. Following overdose,
patient reported intractable nausea/vomiting yesterday; denied
hematemesis. Also noted diffuse abdominal pain. Denied changes
in his bowel habits, bloody stool, or black stool. He was not
able to keep anything down, and also noted a decrease in his
urine output.
.
Patient had regularly schedule f/u appointment with PCP today,
raised the issue of colchicine toxicity, noted nausea, vomiting
and has been unable to keep down POs. PCP instructed patient to
got to NEBH for further eval.
.
At [**Hospital6 **], 97.2 121 132/89 24 98% RA. Received
Zofran 4mg, Dilaudid 1mg, Solumedrol 60mg, Activated Charcoal
25g at 1700. Received 1L NS. Labs notable for Cr 3.2, ALT 76,
AST 210. Transferred to [**Hospital1 **] for further evaluation.
.
At [**Hospital1 **] ED, 98.7 115 143/98 18 98% RA He recieved additional IVF
and another 25 grams of activated charcoal.
.
Review of systems:
(+) Per HPI
(-) Denies fever, chills, night sweats, recent weight loss or
gain. Denies headache, sinus tenderness, rhinorrhea or
congestion. Denied cough, shortness of breath. Denied chest pain
or tightness, palpitations. Denied arthralgias or myalgias.

MEDICAL HISTORY: PMH:
h/o gout
h/o nephrolithiasis
HTN
Asthma
Sciatica- right, diagnosed about three weeks ago

MEDICATION ON ADMISSION: - Albuterol
- Colchicine 0.6 mg
- Cyclobenzaprine 10 mg
- Naproxen 500 mg
- Singulair 10 mg
- Tylenol-Codeine #3 300 mg-30 mg
.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Admission Physical Exam:
VS: 107/62 HR 106 97% 2 liters RR 16 wt
GA: AOx3, NAD morbidly obese
HEENT: PERRLA. MMM. no LAD. no JVD. neck supple.
Cards: PMI palpable at 5/6th IC space. No RVH. RRR S1/S2 heard.
no murmurs/gallops/rubs.
Pulm: CTAB no crackles or wheezes
Abd: soft, NT, +BS. no g/rt. neg HSM. neg [**Doctor Last Name 515**] sign.
Extremities: wwp, no edema. DPs, PTs 2+.
Skin:
Neuro/Psych: CNs II-XII intact. 5/5 strength in U/L extremities.
DTRs 2+ BL (biceps, achilles, patellar). sensation intact to LT,
pain, temperature, vibration, proprioception. cerebellar fxn
intact (FTN, HTS). gait WNL.

FAMILY HISTORY: denied CAD, Type II DM
.

SOCIAL HISTORY: Has been with a monogomous partner, [**Name (NI) **], for 20yrs
They recently moved back home with his mother to help her manage
the house. His younger brother [**Name (NI) **] also lives with him.
He is intermittently drink EtOH, occassionly uses marijuana.
Denies IVDU.
Poisoning by uric acid metabolism drugs,Acute kidney failure, unspecified,Acidosis,Thrombocytopenia, unspecified,Asthma, unspecified type, unspecified,Unspecified essential hypertension,Sciatica,Accidental poisoning by water, mineral, and uric acid metabolism drugs,Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH],Leukocytosis, unspecified,Gout, unspecified,Nonspecific abnormal findings in stool contents
Pois-uric acid metabol,Acute kidney failure NOS,Acidosis,Thrombocytopenia NOS,Asthma NOS,Hypertension NOS,Sciatica,Acc poisn-metabol agnt,Elev transaminase/ldh,Leukocytosis NOS,Gout NOS,Abn find-stool contents
Admission Date:  [**2161-8-17**]              Discharge Date:   [**2161-8-19**]

Date of Birth:  [**2119-7-26**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 2751**]
Chief Complaint:
colchicine toxicity

Major Surgical or Invasive Procedure:
NO Major Surgical or Invasive procedures


History of Present Illness:

PCP: [**Name10 (NameIs) **],[**Name11 (NameIs) **] [**Name Initial (NameIs) **] [**Telephone/Fax (1) 41966**]
.
CC: nausea/vomiting
.
HPI:
Patient is a 42 year old male with history of HTN, reactive
airway disease, right-sided sciatica, and gout who presents
following colchicine overdose. Patient reports increasing left
great toe and second toe pain three days ago. Patient thought he
has instructed to take 4 pills of colchicine x 0.6mg per hour
for 12 hours (28.8mg). He took 28.8 mg from 5pm Saturday to last
dose 5am Sunday (greater than 36 hours) ago. Following overdose,
patient reported intractable nausea/vomiting yesterday; denied
hematemesis. Also noted diffuse abdominal pain. Denied changes
in his bowel habits, bloody stool, or black stool. He was not
able to keep anything down, and also noted a decrease in his
urine output.
.
Patient had regularly schedule f/u appointment with PCP today,
raised the issue of colchicine toxicity, noted nausea, vomiting
and has been unable to keep down POs. PCP instructed patient to
got to NEBH for further eval.
.
At [**Hospital6 **], 97.2 121 132/89 24 98% RA. Received
Zofran 4mg, Dilaudid 1mg, Solumedrol 60mg, Activated Charcoal
25g at 1700. Received 1L NS. Labs notable for Cr 3.2, ALT 76,
AST 210. Transferred to [**Hospital1 **] for further evaluation.
.
At [**Hospital1 **] ED, 98.7 115 143/98 18 98% RA He recieved additional IVF
and another 25 grams of activated charcoal.
.
Review of systems:
(+) Per HPI
(-) Denies fever, chills, night sweats, recent weight loss or
gain. Denies headache, sinus tenderness, rhinorrhea or
congestion. Denied cough, shortness of breath. Denied chest pain
or tightness, palpitations. Denied arthralgias or myalgias.


Past Medical History:
PMH:
h/o gout
h/o nephrolithiasis
HTN
Asthma
Sciatica- right, diagnosed about three weeks ago

Social History:
Has been with a monogomous partner, [**Name (NI) **], for 20yrs
They recently moved back home with his mother to help her manage
the house. His younger brother [**Name (NI) **] also lives with him.
He is intermittently drink EtOH, occassionly uses marijuana.
Denies IVDU.

Family History:
denied CAD, Type II DM
.

Physical Exam:
Admission Physical Exam:
VS: 107/62 HR 106 97% 2 liters RR 16 wt
GA: AOx3, NAD morbidly obese
HEENT: PERRLA. MMM. no LAD. no JVD. neck supple.
Cards: PMI palpable at 5/6th IC space. No RVH. RRR S1/S2 heard.
no murmurs/gallops/rubs.
Pulm: CTAB no crackles or wheezes
Abd: soft, NT, +BS. no g/rt. neg HSM. neg [**Doctor Last Name 515**] sign.
Extremities: wwp, no edema. DPs, PTs 2+.
Skin:
Neuro/Psych: CNs II-XII intact. 5/5 strength in U/L extremities.
DTRs 2+ BL (biceps, achilles, patellar). sensation intact to LT,
pain, temperature, vibration, proprioception. cerebellar fxn
intact (FTN, HTS). gait WNL.

Discharge Physical Exam:
Vitals: 98.2, BP 137/97, HR 86, 100% SaO2 RA
General: Alert, oriented, no acute distress
HEENT: Sclera anicteric, MMM, oropharynx clear
Neck: supple, no JVP, no LAD
Lungs: Clear to auscultation bilaterally, no wheezes, rales,
ronchi
CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs,
gallops
Abdomen: soft, obese, non-tender, non-distended, bowel sounds
present, no rebound tenderness or guarding, no organomegaly
Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis.
Trace edema b/l.
Skin: tanned, no rashes
Neuro: AAOx3, strength 5/5 throughout, sensation intact to light
touch, CN2-12 intact bilateral, gait wnl, DTR 2+symmetric

Pertinent Results:
RADIOLOGY:
[**2161-8-17**] CXR FINDINGS: No previous images. Single view shows no
evidence of pneumonia,
vascular congestion, or pleural effusion.
.
.
LABORATORY:
[**2161-8-17**] 07:54PM BLOOD Type-ART pO2-77* pCO2-32* pH-7.34*
calTCO2-18* Base XS--7
[**2161-8-17**] 07:54PM BLOOD Lactate-1.4
[**2161-8-17**] 06:00PM BLOOD ASA-NEG Ethanol-10 Acetmnp-NEG
Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
.
[**2161-8-19**] 04:55AM BLOOD WBC-8.7 RBC-4.69 Hgb-13.9* Hct-39.4*
MCV-84 MCH-29.6 MCHC-35.3* RDW-15.3 Plt Ct-146*
[**2161-8-18**] 05:05PM BLOOD WBC-13.8* RBC-4.89 Hgb-14.4 Hct-40.4
MCV-83 MCH-29.5 MCHC-35.7* RDW-15.4 Plt Ct-134*
[**2161-8-18**] 05:52AM BLOOD WBC-16.8* RBC-5.39 Hgb-15.7 Hct-44.7
MCV-83 MCH-29.2 MCHC-35.2* RDW-15.5 Plt Ct-140*
[**2161-8-17**] 09:22PM BLOOD WBC-13.8* RBC-5.43 Hgb-16.0 Hct-45.1
MCV-83 MCH-29.4 MCHC-35.4* RDW-15.6* Plt Ct-149*
[**2161-8-17**] 06:00PM BLOOD WBC-12.4* RBC-6.13 Hgb-17.8 Hct-50.8
MCV-83 MCH-29.1 MCHC-35.1* RDW-15.9* Plt Ct-169
.
[**2161-8-19**] 04:55AM BLOOD Neuts-77.5* Lymphs-15.3* Monos-5.4
Eos-1.4 Baso-0.4
[**2161-8-18**] 05:52AM BLOOD Neuts-91* Bands-7* Lymphs-1* Monos-1*
Eos-0 Baso-0 Atyps-0 Metas-0 Myelos-0
[**2161-8-17**] 06:00PM BLOOD Neuts-88* Bands-0 Lymphs-8* Monos-4 Eos-0
Baso-0
.
[**2161-8-18**] 05:52AM BLOOD Hypochr-NORMAL Anisocy-1+ Poiklo-NORMAL
Macrocy-NORMAL Microcy-NORMAL Polychr-NORMAL
.
[**2161-8-19**] 04:55AM BLOOD PT-11.9 PTT-26.0 INR(PT)-1.0
[**2161-8-18**] 05:52AM BLOOD PT-11.9 PTT-27.8 INR(PT)-1.0
[**2161-8-17**] 09:22PM BLOOD PT-13.4 PTT-28.6 INR(PT)-1.1
[**2161-8-17**] 06:49PM BLOOD PT-13.6* PTT-28.0 INR(PT)-1.2*
[**2161-8-17**] 06:49PM BLOOD PT-13.6* PTT-28.0 INR(PT)-1.2*
.
[**2161-8-17**] 09:22PM BLOOD Fibrino-498*
.
[**2161-8-19**] 04:55AM BLOOD Glucose-99 UreaN-27* Creat-1.0 Na-137
K-3.4 Cl-105 HCO3-23 AnGap-12
[**2161-8-18**] 05:05PM BLOOD Glucose-99 UreaN-31* Creat-1.2 Na-138
K-3.4 Cl-107 HCO3-21* AnGap-13
[**2161-8-18**] 05:52AM BLOOD Glucose-116* UreaN-36* Creat-1.5* Na-140
K-3.4 Cl-107 HCO3-19* AnGap-17
[**2161-8-17**] 09:22PM BLOOD Glucose-127* UreaN-42* Creat-2.3* Na-140
K-3.6 Cl-108 HCO3-17* AnGap-19
[**2161-8-17**] 06:00PM BLOOD Glucose-129* UreaN-44* Creat-2.9*# Na-141
K-3.7 Cl-103 HCO3-18* AnGap-24*
.
[**2161-8-19**] 04:55AM BLOOD ALT-179* AST-217* AlkPhos-99 TotBili-0.5
[**2161-8-18**] 05:05PM BLOOD ALT-113* AST-160* CK(CPK)-521*
AlkPhos-118 TotBili-0.5
[**2161-8-18**] 05:52AM BLOOD ALT-90* AST-146* CK(CPK)-580*
AlkPhos-137* TotBili-0.5
[**2161-8-17**] 09:22PM BLOOD ALT-88* AST-150* AlkPhos-160* TotBili-0.5
[**2161-8-17**] 06:00PM BLOOD ALT-100* AST-175* AlkPhos-214*
TotBili-0.5
.
[**2161-8-18**] 05:05PM BLOOD CK-MB-3 cTropnT-<0.01
[**2161-8-18**] 05:52AM BLOOD cTropnT-<0.01
[**2161-8-17**] 06:00PM BLOOD cTropnT-<0.01
.
[**2161-8-19**] 04:55AM BLOOD Calcium-8.4 Phos-2.0* Mg-2.4
[**2161-8-18**] 05:05PM BLOOD Calcium-8.0* Phos-1.6* Mg-2.4
[**2161-8-18**] 05:52AM BLOOD Calcium-7.2* Phos-2.1* Mg-2.4
[**2161-8-17**] 09:22PM BLOOD Albumin-3.8 Calcium-7.1* Phos-2.4*
Mg-1.1*

Brief Hospital Course:
 # Colchicine Toxicity: Anion-gap metabolic acidosis,
Leukocytosis, Thrombocytopenia, Transaminitis, Acute Kidney
Injury
.
Mr. [**Known lastname **] was transferred to [**Hospital1 18**] ED for further management of
an accidental colchicine overdose for a gout flare of right
great toe on [**2161-8-17**]. He was admitted initially to the Medical
ICU and found to have anion-gap acidosis, acute kidney failure,
and leukocytosis, thrombocytopenia and transaminitis (see below
for lab values). Toxicology was consulted. Patient was treated
with IVF, activated charcoal and conservative management.
.
Patient was closely observed for signs of GI bleed,
cardiotoxicity, liver and kidney failure.  Patient received one
dose of IV PPI for guaiac + stools but this was discontinued as
he remained asymptomatic.
.
The patient remained hemodynamically stable and symptoms
improved in MI CU over 24 hours. He was able to tolerated
regular diet. Mr [**Known lastname **] was transferred to the Inpatient Medicine
service for further observation. Patients electrolyte
abnormalities resolved and myocardial pathology was ruled out.
.
At discharge, patients acidosis and leukocytosis were resolved
and renal function was returning to baseline. Patient continued
to have mild asymptomatic transaminitis. Patient was educated on
potential long term effects of colchicine toxicity including
rebound leucoytosis and transient alopecia and asked to follow
up with PCP.
.
# Gout
Mr. [**Known lastname **] continued to experience mild gout symptoms resolved
which was treated conservatively with PO fluids and oxycodone.
He was instructed to not take colchicine until he meet with PCP
and to resume his home allopurinol and treat further symptoms
with NSAIDs. Patient was counciled on further weight loss,
avoidance of high protein foods, and avoidance of alcohol.
.
# Back pain due to sciatica
Mr [**Known lastname 97840**] newly  diagnosed sciatica was managed with PO
oxycodone to good effect. He was instructed to follow up with
PCP and the [**Name9 (PRE) **] Spine Center as an outpatient.

Medications on Admission:
- Albuterol
- Colchicine 0.6 mg
- Cyclobenzaprine 10 mg
- Naproxen 500 mg
- Singulair 10 mg
- Tylenol-Codeine #3 300 mg-30 mg
.

Discharge Medications:
1. Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig:
1-2 Puffs Inhalation Q6H (every 6 hours) as needed for dyspnea.

2. Montelukast 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. Oxycodone 5 mg Tablet Sig: 1-2 Tablets PO every twelve (12)
hours as needed for pain.
Disp:*20 Tablet(s)* Refills:*0*
4. Allopurinol  Oral
5. Ibuprofen 800 mg Tablet Sig: One (1) Tablet PO every eight
(8) hours.
Disp:*30 Tablet(s)* Refills:*0*
6. Potassium Citrate 10 mEq Tablet Sustained Release Sig: Two
(2) Tablet Sustained Release PO once a day.


Discharge Disposition:
Home

Discharge Diagnosis:
Primary Diagnosis:
Colchicine overdose
Acute Kidney Injury
Gout
Back pain due to siatica
.
Secondary Diagnosis:
Leukocytosis
Thrombocytopenia
Transamnitis
Guaiac (+) stool
Anion-gap metabolic acidosis


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


Discharge Instructions:
You were admitted because of you took too much colchicine for a
gout flare of your right great toe over the weekend
(8/14-15/10). You initailly had nausea, vomiting, and abdominal
pain and went to your PCP on [**Name9 (PRE) 766**] [**8-17**] who sent you to the
[**Hospital1 **] ED. You were transferred over to [**Hospital1 18**] ED for further
management of the colchicine overdose. You were admitted
initially to the Medicial ICU and found to have electrolyte
abnormalities, acute kidney failure, and mild bone marrow and
liver abnormalities secondary to your medication overdose. These
effects improved with conservative treatment, charcoal and IV
fluids.
.
You continued to have some residual toe pain from your gout. We
recommend that you take ibuprofen and allopurinol for gout.
.
We treated your siatica with oral oxycodone and ibuprofen here.
We ask that you follow up with your PCP and the [**Name9 (PRE) **] Spine
Center as an outpatient.
.
****It is very important for your PCP to check repeat LFTs and a
CBC to monitor the resolving effects of the colchicine toxicity.
 Do not take any tylenol or use alcohol until liver function
normalizes.
.
Medications changes:
1. Do not take any colchicine until you meet with your PCP
2. You can take oxycodone 5-10mg (1-2 tabs) as needed for your
back pain.
3. You should resume your allopurinol, but please take ibuprofen
800mg every 8hours (2400mg/day max) for three days and then
continue as needed for back pain. Please take ibuprofen with
food and if you develop stomach upset you can take over the
counter zantac.
.
Please keep all follow up appointments.
.
Should you develop any of the symptoms listed below or anything
else that is concerning to you, please call your primary care
doctor or go to your local emergency room.

Followup Instructions:
PCP:
[**Name Initial (NameIs) 7274**]: [**Last Name (LF) **],[**First Name3 (LF) **] R.
DATE: [**9-1**] at 2:30pm
Address: [**Street Address(2) **], 4W, [**Location (un) **],[**Numeric Identifier 809**]
Phone: [**Telephone/Fax (1) 41966**]
Fax: [**Telephone/Fax (1) 97841**]
.
[**Hospital6 2910**] spine center
DATE: [**2161-9-3**]
PHYSICIAN: [**Last Name (NamePattern4) **]. [**Last Name (STitle) **]
ADDRESS: [**Last Name (NamePattern1) 14648**], [**Location (un) 86**], [**Numeric Identifier 8542**]
PHONE: [**Telephone/Fax (1) 26838**]



Completed by:[**2161-8-20**]
{'Poisoning by uric acid metabolism drugs,Acute kidney failure, unspecified,Acidosis,Thrombocytopenia, unspecified,Asthma, unspecified type, unspecified,Unspecified essential hypertension,Sciatica,Accidental poisoning by water, mineral, and uric acid metabolism drugs,Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH],Leukocytosis, unspecified,Gout, unspecified,Nonspecific abnormal findings in stool contents'}


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: colchicine toxicity

PRESENT ILLNESS: PCP: [**Name10 (NameIs) **],[**Name11 (NameIs) **] [**Name Initial (NameIs) **] [**Telephone/Fax (1) 41966**]
.
CC: nausea/vomiting
.
HPI:
Patient is a 42 year old male with history of HTN, reactive
airway disease, right-sided sciatica, and gout who presents
following colchicine overdose. Patient reports increasing left
great toe and second toe pain three days ago. Patient thought he
has instructed to take 4 pills of colchicine x 0.6mg per hour
for 12 hours (28.8mg). He took 28.8 mg from 5pm Saturday to last
dose 5am Sunday (greater than 36 hours) ago. Following overdose,
patient reported intractable nausea/vomiting yesterday; denied
hematemesis. Also noted diffuse abdominal pain. Denied changes
in his bowel habits, bloody stool, or black stool. He was not
able to keep anything down, and also noted a decrease in his
urine output.
.
Patient had regularly schedule f/u appointment with PCP today,
raised the issue of colchicine toxicity, noted nausea, vomiting
and has been unable to keep down POs. PCP instructed patient to
got to NEBH for further eval.
.
At [**Hospital6 **], 97.2 121 132/89 24 98% RA. Received
Zofran 4mg, Dilaudid 1mg, Solumedrol 60mg, Activated Charcoal
25g at 1700. Received 1L NS. Labs notable for Cr 3.2, ALT 76,
AST 210. Transferred to [**Hospital1 **] for further evaluation.
.
At [**Hospital1 **] ED, 98.7 115 143/98 18 98% RA He recieved additional IVF
and another 25 grams of activated charcoal.
.
Review of systems:
(+) Per HPI
(-) Denies fever, chills, night sweats, recent weight loss or
gain. Denies headache, sinus tenderness, rhinorrhea or
congestion. Denied cough, shortness of breath. Denied chest pain
or tightness, palpitations. Denied arthralgias or myalgias.

MEDICAL HISTORY: PMH:
h/o gout
h/o nephrolithiasis
HTN
Asthma
Sciatica- right, diagnosed about three weeks ago

MEDICATION ON ADMISSION: - Albuterol
- Colchicine 0.6 mg
- Cyclobenzaprine 10 mg
- Naproxen 500 mg
- Singulair 10 mg
- Tylenol-Codeine #3 300 mg-30 mg
.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Admission Physical Exam:
VS: 107/62 HR 106 97% 2 liters RR 16 wt
GA: AOx3, NAD morbidly obese
HEENT: PERRLA. MMM. no LAD. no JVD. neck supple.
Cards: PMI palpable at 5/6th IC space. No RVH. RRR S1/S2 heard.
no murmurs/gallops/rubs.
Pulm: CTAB no crackles or wheezes
Abd: soft, NT, +BS. no g/rt. neg HSM. neg [**Doctor Last Name 515**] sign.
Extremities: wwp, no edema. DPs, PTs 2+.
Skin:
Neuro/Psych: CNs II-XII intact. 5/5 strength in U/L extremities.
DTRs 2+ BL (biceps, achilles, patellar). sensation intact to LT,
pain, temperature, vibration, proprioception. cerebellar fxn
intact (FTN, HTS). gait WNL.

FAMILY HISTORY: denied CAD, Type II DM
.

SOCIAL HISTORY: Has been with a monogomous partner, [**Name (NI) **], for 20yrs
They recently moved back home with his mother to help her manage
the house. His younger brother [**Name (NI) **] also lives with him.
He is intermittently drink EtOH, occassionly uses marijuana.
Denies IVDU. 

### Response:
{'Poisoning by uric acid metabolism drugs,Acute kidney failure, unspecified,Acidosis,Thrombocytopenia, unspecified,Asthma, unspecified type, unspecified,Unspecified essential hypertension,Sciatica,Accidental poisoning by water, mineral, and uric acid metabolism drugs,Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [LDH],Leukocytosis, unspecified,Gout, unspecified,Nonspecific abnormal findings in stool contents'}
