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10,049,041
22,532,814
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Precedex Attending: ___ Chief Complaint: Respiratory distress, increased mechanical ventilator support Major Surgical or Invasive Proced...
[ "A419", "J15211", "J9622", "J441", "Z9911", "J440", "I82C11", "E873", "F17210", "I10", "R000", "F419", "N400", "N401", "R338", "R319", "G8929", "Z22322", "Z930", "Z931", "K5903", "T402X5A", "J40" ]
Allergies: Precedex Chief Complaint: Respiratory distress, increased mechanical ventilator support Major Surgical or Invasive Procedure: [MASKED] L femoral CVL placement History of Present Illness: [MASKED] yom HTN, advanced COPD, recently here with severe refractory hypercarbic respiratory failure attributed to acute ...
[]
[ "F17210", "I10", "F419", "N400", "G8929" ]
[ "A419: Sepsis, unspecified organism", "J15211: Pneumonia due to Methicillin susceptible Staphylococcus aureus", "J9622: Acute and chronic respiratory failure with hypercapnia", "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "Z9911: Dependence on respirator [ventilator] status", "...
10,049,041
22,620,123
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Precedex Attending: ___. Chief Complaint: Nausea, vomiting, diarrhea Major Surgical or Invasive Procedure: None History of Present I...
[ "K529", "J9692", "E874", "I82C11", "B9561", "F419", "Z22322", "F17210", "Z9981", "Z930", "Z934", "R7989", "R319", "N400", "I10", "K5909", "D72829", "R000", "T40605A" ]
Allergies: Precedex Chief Complaint: Nausea, vomiting, diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] with a history of COPD and HTN, recently here with severe refractory hypercarbic respiratory failure [MASKED] COPD exacerbation, MSSA Pneumonia, s/p trach pla...
[]
[ "F419", "F17210", "N400", "I10" ]
[ "K529: Noninfective gastroenteritis and colitis, unspecified", "J9692: Respiratory failure, unspecified with hypercapnia", "E874: Mixed disorder of acid-base balance", "I82C11: Acute embolism and thrombosis of right internal jugular vein", "B9561: Methicillin susceptible Staphylococcus aureus infection as t...
10,049,041
23,314,477
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Precedex / ibuprofen Attending: ___. Chief Complaint: word finding difficulties with concern for intracranial hemorrhage Major Surgical ...
[ "I619", "I5033", "G936", "J9621", "R4701", "I471", "J441", "J95811", "J942", "I82721", "G9340", "D430", "I110", "F419", "K6289", "D72829", "Z66", "Y838", "Y810", "Y92238", "Z7901", "D649", "N400", "K219", "R1310", "K648", "Z87891", "Z9981" ]
Allergies: Precedex / ibuprofen Chief Complaint: word finding difficulties with concern for intracranial hemorrhage Major Surgical or Invasive Procedure: NONE History of Present Illness: Mr. [MASKED] is a [MASKED] with a history of COPD and HTN, recently here with severe refractory hypercarbic respiratory failure [MASK...
[]
[ "I110", "F419", "Z66", "Z7901", "D649", "N400", "K219", "Z87891" ]
[ "I619: Nontraumatic intracerebral hemorrhage, unspecified", "I5033: Acute on chronic diastolic (congestive) heart failure", "G936: Cerebral edema", "J9621: Acute and chronic respiratory failure with hypoxia", "R4701: Aphasia", "I471: Supraventricular tachycardia", "J441: Chronic obstructive pulmonary di...
10,049,041
25,320,808
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Precedex Attending: ___. Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: Tracheostomy/PEG placement ___ Hi...
[ "J15211", "J9622", "R578", "G92", "A419", "J440", "J95851", "E870", "J441", "J0180", "T402X5A", "T43595A", "D638", "Y848", "E0781", "Y92230", "K5900", "F17200", "I10", "T4275XA", "Z9981", "F419", "R000", "T486X5A", "E8339", "E875", "R945" ]
Allergies: Precedex Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: Tracheostomy/PEG placement [MASKED] History of Present Illness: HPI: History obtained from ED and OMR as patient sedated. Mr. [MASKED] is a [MASKED] with a history of COPD, 45 pack-year smoking history, and HTN presenting wit...
[]
[ "Y92230", "K5900", "I10", "F419" ]
[ "J15211: Pneumonia due to Methicillin susceptible Staphylococcus aureus", "J9622: Acute and chronic respiratory failure with hypercapnia", "R578: Other shock", "G92: Toxic encephalopathy", "A419: Sepsis, unspecified organism", "J440: Chronic obstructive pulmonary disease with (acute) lower respiratory inf...
10,049,041
25,923,317
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Precedex Attending: ___ ___ Complaint: Date of ICU Admission: ___ Reason for ICU Admission: AMS Major Surgical or Invasive Procedure: N...
[ "K529", "J9692", "E874", "J449", "I10", "F17210", "D72829", "F419", "Z930", "K5909" ]
Allergies: Precedex [MASKED] Complaint: Date of ICU Admission: [MASKED] Reason for ICU Admission: AMS Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] with a history of COPD and HTN, recently here with severe refractory hypercarbic respiratory failure [MASKED] COPD exace...
[]
[ "J449", "I10", "F17210", "F419" ]
[ "K529: Noninfective gastroenteritis and colitis, unspecified", "J9692: Respiratory failure, unspecified with hypercapnia", "E874: Mixed disorder of acid-base balance", "J449: Chronic obstructive pulmonary disease, unspecified", "I10: Essential (primary) hypertension", "F17210: Nicotine dependence, cigaret...
10,049,095
22,362,949
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: lisinopril / desipramine / verapamil Attending: ___. Chief Complaint: Agitation Major Surgical or Invasive Procedure: None History o...
[ "N179", "E870", "F05", "Z86718", "E860", "F319", "G20", "F0150", "Z950", "F419", "E1142", "I129", "E1122", "N183", "Z9181", "Z794", "Z7901", "E1165", "L89620", "R509", "Z66", "Z993", "R42", "T43595A", "Y92230", "Z87820", "Z96653" ]
Allergies: lisinopril / desipramine / verapamil Chief Complaint: Agitation Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] male with history of bipolar disease, depression, [MASKED] disease, vascular dementia, bilateral knee replacements, peripheral neuropathy, diabetes...
[]
[ "N179", "Z86718", "F419", "I129", "E1122", "Z794", "Z7901", "E1165", "Z66", "Y92230" ]
[ "N179: Acute kidney failure, unspecified", "E870: Hyperosmolality and hypernatremia", "F05: Delirium due to known physiological condition", "Z86718: Personal history of other venous thrombosis and embolism", "E860: Dehydration", "F319: Bipolar disorder, unspecified", "G20: Parkinson's disease", "F0150...
10,049,334
24,032,789
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: hip fracture Major Surgical or Invasive Procedure: Orthopedic Surgery ___: Intramedulla...
[ "S72141A", "I5033", "G92", "J9692", "J9691", "N179", "E870", "E872", "I4891", "E46", "D688", "D62", "L100", "N390", "W1830XA", "Y92009", "F0390", "I10", "I2510", "Z87820", "Z751", "B964", "E785", "Z66", "N401", "N39498", "R159", "S40819A", "M1611", "Z6825" ]
Allergies: Penicillins Chief Complaint: hip fracture Major Surgical or Invasive Procedure: Orthopedic Surgery [MASKED]: Intramedullary nailing with a long TFN System, 10 x [MASKED] mm, with 105 mm lag screw. History of Present Illness: [MASKED] with dementia, atrial fibrillation not on anticoagulation, and history of t...
[]
[ "N179", "E872", "I4891", "D62", "N390", "I10", "I2510", "E785", "Z66" ]
[ "S72141A: Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture", "I5033: Acute on chronic diastolic (congestive) heart failure", "G92: Toxic encephalopathy", "J9692: Respiratory failure, unspecified with hypercapnia", "J9691: Respiratory failure, unspecified with hypoxi...
10,049,723
21,230,207
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / lisinopril / hydrocodone / doxycycline / clindamycin / cephalexin / bee sting / E-Mycin / Vicodin / Kefl...
[ "E1122", "I5032", "N186", "Z992", "Z794", "E1140", "I2510", "Z951", "G4733", "N400", "H548", "E11319", "E785", "K219", "E669", "D631", "M109", "Z87891", "I110", "Z6836" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / lisinopril / hydrocodone / doxycycline / clindamycin / cephalexin / bee sting / E-Mycin / Vicodin / Keflex Chief Complaint: HD initiation Major Surgical or Invasive Procedure: NONE History of Present Illness: Mr. [MASKED] is a [MASKED] w/ history of CKD stage 5, T2DM c/b dia...
[]
[ "E1122", "I5032", "Z794", "I2510", "Z951", "G4733", "N400", "E785", "K219", "E669", "M109", "Z87891", "I110" ]
[ "E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease", "I5032: Chronic diastolic (congestive) heart failure", "N186: End stage renal disease", "Z992: Dependence on renal dialysis", "Z794: Long term (current) use of insulin", "E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspe...
10,049,723
29,946,500
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / lisinopril / hydrocodone / doxycycline / clindamycin / cephalexin / bee sting / E-Mycin / Vicodin / Kefl...
[ "N179", "I130", "E1121", "E1140", "I509", "I2510", "Z951", "K219", "E11319", "Z794", "G4733", "M109", "E669", "E785", "N400", "Z87891", "H548", "R509", "N184", "Z6837", "R1310" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / lisinopril / hydrocodone / doxycycline / clindamycin / cephalexin / bee sting / E-Mycin / Vicodin / Keflex Chief Complaint: Abnormal labs Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with T2DM, HTN, CHF, CAD s/p CABG [MASKED], obesity and E...
[]
[ "N179", "I130", "I2510", "Z951", "K219", "Z794", "G4733", "M109", "E669", "E785", "N400", "Z87891" ]
[ "N179: Acute kidney failure, unspecified", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "E1121: Type 2 diabetes mellitus with diabetic nephropathy", "E1140: Type 2 diabetes mellitus with diab...
10,049,746
20,432,838
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Pravachol / Darvon / Ambien / Augmentin / etodolac / Corticosteroids (Glucocorticoids) / cefepime Attending: ___. Chief Complaint: fever ...
[ "A419", "I2699", "C8339", "J449", "N12", "F05", "B9620", "E039", "E83119", "Z85828", "Z87891", "Z66", "S72002D", "M9702XD", "W19XXXD", "L270", "T361X5A", "Y92239", "K5900" ]
Allergies: Pravachol / Darvon / Ambien / Augmentin / etodolac / Corticosteroids (Glucocorticoids) / cefepime Chief Complaint: fever Major Surgical or Invasive Procedure: [MASKED] line removal [MASKED] History of Present Illness: [MASKED] with DLBCL s/p R-CHOP, recent PE, COPD, recent periprosthetic femur fracture, hemo...
[]
[ "J449", "E039", "Z87891", "Z66", "K5900" ]
[ "A419: Sepsis, unspecified organism", "I2699: Other pulmonary embolism without acute cor pulmonale", "C8339: Diffuse large B-cell lymphoma, extranodal and solid organ sites", "J449: Chronic obstructive pulmonary disease, unspecified", "N12: Tubulo-interstitial nephritis, not specified as acute or chronic", ...
10,049,746
24,332,085
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Pravachol / Darvon / Carrot Attending: ___. Chief Complaint: Broken femur, newly diagnosed DLBCL Major Surgical or Invasive Procedure: __...
[ "C8339", "I2699", "E43", "J189", "S72302A", "E872", "E870", "D709", "F05", "D591", "M9702XA", "Z781", "Z66", "W1830XA", "Y92002", "E83119", "E039", "J45909", "Z87891", "T380X5A", "Y92230", "R0902", "E8770", "Z6826", "R000", "D72829", "R740", "E806", "D6481", ...
Allergies: Pravachol / Darvon / Carrot Chief Complaint: Broken femur, newly diagnosed DLBCL Major Surgical or Invasive Procedure: [MASKED] line placement History of Present Illness: [MASKED] w/ PMH hemochromatosis, hypothyroidism, anemia presents from [MASKED] with a femur fracture s/p fall. She had a previous hip frac...
[]
[ "E872", "Z66", "E039", "J45909", "Z87891", "Y92230" ]
[ "C8339: Diffuse large B-cell lymphoma, extranodal and solid organ sites", "I2699: Other pulmonary embolism without acute cor pulmonale", "E43: Unspecified severe protein-calorie malnutrition", "J189: Pneumonia, unspecified organism", "S72302A: Unspecified fracture of shaft of left femur, initial encounter f...
10,049,851
29,728,893
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Epistaxis Major Surgical or Invasive Procedure: Bon...
[ "D696", "D61818", "R040", "D72819", "M109", "I10", "T504X5A", "Y92009" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Epistaxis Major Surgical or Invasive Procedure: Bone marrow biopsy [MASKED] History of Present Illness: [MASKED] year old male with history of hypertension, gout. presenting as transfer from [MASKED] with thrombocytopenia and epistaxis that has now...
[]
[ "D696", "M109", "I10" ]
[ "D696: Thrombocytopenia, unspecified", "D61818: Other pancytopenia", "R040: Epistaxis", "D72819: Decreased white blood cell count, unspecified", "M109: Gout, unspecified", "I10: Essential (primary) hypertension", "T504X5A: Adverse effect of drugs affecting uric acid metabolism, initial encounter", "Y9...
10,049,902
21,559,583
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Major Surgical or Invasive Procedure: None attach Pertinent Results: Adm...
[ "J8489", "J9601", "J45901", "J441", "I5022", "F17210", "T59811A", "J705", "Y929", "E039", "F419", "D513", "F1290", "R112", "E669", "Z6831", "Z801", "I110", "E876" ]
Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: None attach Pertinent Results: Admission labs: =============== [MASKED] 10:00PM BLOOD WBC-14.2* RBC-3.62* Hgb-11.2 Hct-34.2 MCV-95 MCH-30.9 MCHC-32.7 RDW-14.1 RDWSD-48.5* Plt [MASKED] [MASKED] 10:00PM BLOOD Neuts-91.7* Lymphs-5...
[]
[ "J9601", "F17210", "Y929", "E039", "F419", "E669", "I110" ]
[ "J8489: Other specified interstitial pulmonary diseases", "J9601: Acute respiratory failure with hypoxia", "J45901: Unspecified asthma with (acute) exacerbation", "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "I5022: Chronic systolic (congestive) heart failure", "F17210: Nicotin...
10,050,106
22,807,951
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Cipro / Levaquin / Seroquel Attending: ___. Chief Complaint: agitated depression, possible psychosis on ___ from ER ...
[ "F332", "G20", "E871", "R627", "F419", "F4001", "R634", "Z6821", "Z818" ]
Allergies: Penicillins / Cipro / Levaquin / Seroquel Chief Complaint: agitated depression, possible psychosis on [MASKED] from ER Major Surgical or Invasive Procedure: none History of Present Illness: Patient seen earlier this AM with RN, SW, Psych attending ([MASKED]). History provided largely by husband who is at bed...
[]
[ "E871", "F419" ]
[ "F332: Major depressive disorder, recurrent severe without psychotic features", "G20: Parkinson's disease", "E871: Hypo-osmolality and hyponatremia", "R627: Adult failure to thrive", "F419: Anxiety disorder, unspecified", "F4001: Agoraphobia with panic disorder", "R634: Abnormal weight loss", "Z6821: ...
10,050,445
25,137,144
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROSURGERY Allergies: No Allergies/ADRs on File Attending: ___. Chief Complaint: Fall Major Surgical or Invasive Procedure: none History of Present Il...
[ "S065X9A", "I4892", "I5020", "S066X9A", "S062X9A", "W109XXA", "F17210", "E785", "I4891", "I110", "R402141", "R402361", "R402251", "Z515", "Z781" ]
Allergies: No Allergies/ADRs on File Chief Complaint: Fall Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] year old male with a history of afib on xarelto who presents with a fall with a left SDH, repeat scan showing right frontal contusion, left temporal contusion, and bilateral SAH Pas...
[]
[ "F17210", "E785", "I4891", "I110", "Z515" ]
[ "S065X9A: Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter", "I4892: Unspecified atrial flutter", "I5020: Unspecified systolic (congestive) heart failure", "S066X9A: Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial...
10,050,755
20,050,796
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: fever, encephalopathy, hypernatremia Major Surgical or...
[ "J189", "J9691", "E43", "E870", "G92", "G20", "R1310", "I69351", "I69391", "E46", "I469", "I10", "E785", "J988" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: fever, encephalopathy, hypernatremia Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] [MASKED], history of left multifocal MCA/PCA hemispheric stroke, chronic, bilateral upper and lower contractures, HTN, hyperlipidem...
[]
[ "I10", "E785" ]
[ "J189: Pneumonia, unspecified organism", "J9691: Respiratory failure, unspecified with hypoxia", "E43: Unspecified severe protein-calorie malnutrition", "E870: Hyperosmolality and hypernatremia", "G92: Toxic encephalopathy", "G20: Parkinson's disease", "R1310: Dysphagia, unspecified", "I69351: Hemiple...
10,050,755
20,724,333
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: shortness of breath and choking Major Surgical or Inva...
[ "J690", "E43", "G20", "I69391", "Z931", "Z681", "I10", "E785", "R1310" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: shortness of breath and choking Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] male with [MASKED], history of left hemispheric stroke, hypertension, and hyperlipidemia with recent admission for pneumonia and multifo...
[]
[ "I10", "E785" ]
[ "J690: Pneumonitis due to inhalation of food and vomit", "E43: Unspecified severe protein-calorie malnutrition", "G20: Parkinson's disease", "I69391: Dysphagia following cerebral infarction", "Z931: Gastrostomy status", "Z681: Body mass index [BMI] 19.9 or less, adult", "I10: Essential (primary) hyperte...
10,050,755
26,698,047
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: altered mental status, right arm weakness Major Surgic...
[ "I63132", "J189", "J690", "E43", "N179", "G92", "E870", "G8191", "R1310", "G20", "R4701", "I10", "D638", "F0280", "E785", "H9193", "E860", "Z6820", "R918", "R197", "H409", "Z781", "R0902" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: altered mental status, right arm weakness Major Surgical or Invasive Procedure: [MASKED] PEG placement by [MASKED] History of Present Illness: The patient is an [MASKED] year-old [MASKED] speaking man with a history of [MASKED] disease, left hemisp...
[]
[ "N179", "I10", "E785" ]
[ "I63132: Cerebral infarction due to embolism of left carotid artery", "J189: Pneumonia, unspecified organism", "J690: Pneumonitis due to inhalation of food and vomit", "E43: Unspecified severe protein-calorie malnutrition", "N179: Acute kidney failure, unspecified", "G92: Toxic encephalopathy", "E870: H...
10,050,823
20,436,894
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: PSYCHIATRY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: "I've been hearing voices." Major Surgical or Invasive Proc...
[ "F333", "R45851", "A0811", "F4310", "F1010", "F411", "F4001", "Z915", "F17210", "R350" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I've been hearing voices." Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with history of MDD, GAD, panic disorder with agoraphobia and alcohol use disorder who self-presented with ...
[]
[ "F17210" ]
[ "F333: Major depressive disorder, recurrent, severe with psychotic symptoms", "R45851: Suicidal ideations", "A0811: Acute gastroenteropathy due to Norwalk agent", "F4310: Post-traumatic stress disorder, unspecified", "F1010: Alcohol abuse, uncomplicated", "F411: Generalized anxiety disorder", "F4001: Ag...
10,051,043
22,009,252
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Left sided weakness Major Surgical or Invasive Procedure: Bron...
[ "I63432", "M317", "G8194", "I480", "I7789", "J479", "R29702", "R270", "Z8673" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Left sided weakness Major Surgical or Invasive Procedure: Bronchoscopy History of Present Illness: Ms. [MASKED] is a [MASKED] year-old woman with a pertinent past medical history of microscopia polyangiitis (pANCA/MPO+; presented as diffuse alveola...
[]
[ "I480", "Z8673" ]
[ "I63432: Cerebral infarction due to embolism of left posterior cerebral artery", "M317: Microscopic polyangiitis", "G8194: Hemiplegia, unspecified affecting left nondominant side", "I480: Paroxysmal atrial fibrillation", "I7789: Other specified disorders of arteries and arterioles", "J479: Bronchiectasis,...
10,051,043
25,409,423
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Dyspnea on exertion, difficulty managing anticoagulation Major...
[ "I480", "I6340", "I97820", "E854", "N184", "M317", "Z7901", "G8321", "R4789", "Y848", "Y92230", "R29703", "I680", "Z006", "I129", "Z8673", "I776", "Z9114" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Dyspnea on exertion, difficulty managing anticoagulation Major Surgical or Invasive Procedure: [MASKED] [MASKED] implant (Left atrial appendage device) History of Present Illness: [MASKED] old female with h/o HTN, paroxysmal atrial fibrillation, mu...
[]
[ "I480", "Z7901", "Y92230", "I129", "Z8673" ]
[ "I480: Paroxysmal atrial fibrillation", "I6340: Cerebral infarction due to embolism of unspecified cerebral artery", "I97820: Postprocedural cerebrovascular infarction following cardiac surgery", "E854: Organ-limited amyloidosis", "N184: Chronic kidney disease, stage 4 (severe)", "M317: Microscopic polyan...
10,051,043
26,563,181
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROSURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Headache Major Surgical or Invasive Procedure: ___: Diagno...
[ "I6002", "N390", "E871", "M317", "R4701", "R471", "Z8673", "T45526A", "Z91120", "Y929", "E8351", "I129", "N189", "I480", "R402142", "R402252", "R402362", "Z9114", "H9319", "T45516A", "Z91128", "B009", "I951", "B9620", "F329", "F4321", "Z6379", "Z598", "E875" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Headache Major Surgical or Invasive Procedure: [MASKED]: Diagnostic angiogram [MASKED]: Left craniotomy for clipping of left ICA bifurcation aneurysm History of Present Illness: [MASKED] is a [MASKED] female on ASA 81 (last taken [MASKED] being wor...
[]
[ "N390", "E871", "Z8673", "Y929", "I129", "N189", "I480", "F329" ]
[ "I6002: Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation", "N390: Urinary tract infection, site not specified", "E871: Hypo-osmolality and hyponatremia", "M317: Microscopic polyangiitis", "R4701: Aphasia", "R471: Dysarthria and anarthria", "Z8673: Personal history of transie...
10,051,043
26,948,064
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: dizziness, blurry vision Major Surgical or Invasive Proced...
[ "I63542", "M317", "N184", "E854", "I680", "I6389", "R42", "R2689", "H532", "R419", "I480", "I10", "R29701", "I671", "D649", "Z23", "Z8673", "Z2239" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: dizziness, blurry vision Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with PMH of microscopic polyangiitis diagnosed in [MASKED], multiple episodes of ischemic stroke in [MASKED], paroxysmal atrial fibrillation S/...
[]
[ "I480", "I10", "D649", "Z8673" ]
[ "I63542: Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery", "M317: Microscopic polyangiitis", "N184: Chronic kidney disease, stage 4 (severe)", "E854: Organ-limited amyloidosis", "I680: Cerebral amyloid angiopathy", "I6389: Other cerebral infarction", "R42: Dizzines...
10,051,043
27,233,968
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Double vision, dizziness, gait unsteadiness Major Surgical or...
[ "I6340", "M317", "N038", "E854", "H532", "R260", "Z8673", "N189", "I480", "Z9114", "J99", "N08", "R946", "F329", "R4584", "I10" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Double vision, dizziness, gait unsteadiness Major Surgical or Invasive Procedure: Lumbar puncture History of Present Illness: NEUROLOGY STROKE ADMISSION NOTE [MASKED] [MASKED] (BID #: [MASKED]) CC: double vision, transfer from [MASKED] HPI: [MASKED...
[]
[ "Z8673", "N189", "I480", "F329", "I10" ]
[ "I6340: Cerebral infarction due to embolism of unspecified cerebral artery", "M317: Microscopic polyangiitis", "N038: Chronic nephritic syndrome with other morphologic changes", "E854: Organ-limited amyloidosis", "H532: Diplopia", "R260: Ataxic gait", "Z8673: Personal history of transient ischemic attac...
10,051,043
29,090,306
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Hemoptysis, eye redness Major Surgical or Invasive Procedure: ...
[ "M317", "B1910", "N179", "R042", "R739", "N059", "D649", "H15109", "Z7952", "Z2239", "Z8673" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hemoptysis, eye redness Major Surgical or Invasive Procedure: [MASKED]: Bronchoscopy with Lavage History of Present Illness: [MASKED] with h/o MPA (MPO Ab positive) with prior pulmonary involvement (DAH) and renal involvement (GN) who presents with...
[]
[ "N179", "D649", "Z8673" ]
[ "M317: Microscopic polyangiitis", "B1910: Unspecified viral hepatitis B without hepatic coma", "N179: Acute kidney failure, unspecified", "R042: Hemoptysis", "R739: Hyperglycemia, unspecified", "N059: Unspecified nephritic syndrome with unspecified morphologic changes", "D649: Anemia, unspecified", "H...
10,051,074
21,350,747
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / trimethaphan Attending: ___. Chief Complaint: NSTEMI Major Surgical or Invasive ...
[ "I214", "R6521", "A411", "N170", "I5033", "T82518A", "I248", "I350", "I110", "I480", "Z7901", "Z7902", "Z933", "R195", "Z720", "E119", "E785", "M549", "G8929", "Y840", "Y92238" ]
Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / trimethaphan Chief Complaint: NSTEMI Major Surgical or Invasive Procedure: [MASKED] - cardiac catheterization with normal arteries History of Present Illness: [MASKED] female with h/o afib on Coumadin, severe diverticular disease s/p partial colectomy with end ...
[]
[ "I110", "I480", "Z7901", "Z7902", "E119", "E785", "G8929" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "R6521: Severe sepsis with septic shock", "A411: Sepsis due to other specified staphylococcus", "N170: Acute kidney failure with tubular necrosis", "I5033: Acute on chronic diastolic (congestive) heart failure", "T82518A: Breakdown (mechanical) of o...
10,051,074
27,940,505
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / trimethaphan Attending: ___. Chief Complaint: Severe Aortic Stenosis Major Surgi...
[ "I350", "R570", "I314", "K7200", "I5033", "I442", "D62", "I480", "Z6841", "B368", "N179", "I9789", "I9751", "L7602", "Z538", "Z7901", "J449", "I110", "E119", "Y848", "I252", "Z006", "Y92234", "Z933", "E669", "E785", "E039", "F17210", "Z794", "R0902", "K219...
Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / trimethaphan Chief Complaint: Severe Aortic Stenosis Major Surgical or Invasive Procedure: TAVR attempt [MASKED] complicated by hematoma TAVR [MASKED] PPM attempt [MASKED] complicated by RA/RV perforation and cardiac tamponade Mediastinal exploration w/sternoto...
[]
[ "D62", "I480", "N179", "Z7901", "J449", "I110", "E119", "I252", "E669", "E785", "E039", "F17210", "Z794", "K219" ]
[ "I350: Nonrheumatic aortic (valve) stenosis", "R570: Cardiogenic shock", "I314: Cardiac tamponade", "K7200: Acute and subacute hepatic failure without coma", "I5033: Acute on chronic diastolic (congestive) heart failure", "I442: Atrioventricular block, complete", "D62: Acute posthemorrhagic anemia", "...
10,051,074
28,928,117
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / trimethaphan Attending: ___. Chief Complaint: Chest Pain Major Surgical or Invas...
[ "R0789", "I252", "Z8674", "I110", "I5032", "E119", "E538", "D649", "Z954", "I480", "Z7901", "Z933", "Z720", "J449", "Z794", "Z950", "E785", "E039", "K219", "K5900", "R21", "N6459", "E6601", "Z6839" ]
Allergies: Penicillins / Sulfa (Sulfonamide Antibiotics) / trimethaphan Chief Complaint: Chest Pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] y F with h/o aortic stenosis, paroxysmal AFib on Coumadin and amiodarone, severe diverticular disease s/p partial colectomy with end ostomy,...
[]
[ "I252", "I110", "I5032", "E119", "D649", "I480", "Z7901", "J449", "Z794", "E785", "E039", "K219", "K5900" ]
[ "R0789: Other chest pain", "I252: Old myocardial infarction", "Z8674: Personal history of sudden cardiac arrest", "I110: Hypertensive heart disease with heart failure", "I5032: Chronic diastolic (congestive) heart failure", "E119: Type 2 diabetes mellitus without complications", "E538: Deficiency of oth...
10,051,352
23,908,367
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chronic cholecystitis Major Surgical or Invasive Procedure:...
[ "K8000", "K828" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chronic cholecystitis Major Surgical or Invasive Procedure: [MASKED]: Laparoscopic cholecystectomy History of Present Illness: The patient is a [MASKED] with RUQ pain for the past 5 hours that woke him from sleep. He had similar pain last night as ...
[]
[]
[ "K8000: Calculus of gallbladder with acute cholecystitis without obstruction", "K828: Other specified diseases of gallbladder" ]
10,051,500
26,049,591
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins Attending: ___ Chief Complaint: Sore Throat Major Surgical or Invasive Procedure: ___ EGD History of Present Illness:...
[ "K210", "E7800", "I10", "E669", "Z6830", "J309" ]
Allergies: Penicillins Chief Complaint: Sore Throat Major Surgical or Invasive Procedure: [MASKED] EGD History of Present Illness: [MASKED] with PMhx of HTN presents with chest pain and sore throat. Per patient, she notes that 2d PTA, she developed a foreign body sensation in her throat. She notes that since developmen...
[]
[ "I10", "E669" ]
[ "K210: Gastro-esophageal reflux disease with esophagitis", "E7800: Pure hypercholesterolemia, unspecified", "I10: Essential (primary) hypertension", "E669: Obesity, unspecified", "Z6830: Body mass index [BMI]30.0-30.9, adult", "J309: Allergic rhinitis, unspecified" ]
10,051,658
27,577,432
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROSURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: back and leg pain Major Surgical or Invasive Proce...
[ "M5117" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: back and leg pain Major Surgical or Invasive Procedure: [MASKED] LUMBAR MICRODISCECTOMY, LEFT L5-S1 History of Present Illness: Mr. [MASKED] is a [MASKED] male who in [MASKED] developed sudden onset of back pain and leg pain. He says his back hurts...
[]
[]
[ "M5117: Intervertebral disc disorders with radiculopathy, lumbosacral region" ]
10,051,850
21,845,745
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Right hip pain/fracture Major Surgical or Invasive Proc...
[ "S72141A", "F0390", "F200", "Z66", "E039", "I10", "D509", "W19XXXA", "Y92129", "Z515" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Right hip pain/fracture Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] pleasant Femail with pmhx of anemia, schizophrenia, dementia, who was transferred from an outside hospital for a fall with R hip pain. Unable to...
[]
[ "Z66", "E039", "I10", "D509", "Z515" ]
[ "S72141A: Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture", "F0390: Unspecified dementia without behavioral disturbance", "F200: Paranoid schizophrenia", "Z66: Do not resuscitate", "E039: Hypothyroidism, unspecified", "I10: Essential (primary) hypertension", "D...
10,051,872
21,380,555
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) Attending: ___. Chief Complaint: Nausea, vomiting Major Surgical or Invasive Procedure: None Histor...
[ "E1010", "I471", "R4701", "N179", "Z9641", "I6523", "Z8673", "I10", "D72829", "E785", "E039", "I160", "Z006", "E1065" ]
Allergies: Sulfa (Sulfonamide Antibiotics) Chief Complaint: Nausea, vomiting Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with a history of T1D on Humalog insulin pump (followed by Dr. [MASKED] at [MASKED], HTN, hypothyroid, and recent stroke 2 weeks ago without residual deficits who ...
[]
[ "N179", "Z8673", "I10", "E785", "E039" ]
[ "E1010: Type 1 diabetes mellitus with ketoacidosis without coma", "I471: Supraventricular tachycardia", "R4701: Aphasia", "N179: Acute kidney failure, unspecified", "Z9641: Presence of insulin pump (external) (internal)", "I6523: Occlusion and stenosis of bilateral carotid arteries", "Z8673: Personal hi...
10,051,990
24,801,170
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Fevers, abdominal Pain Major Surgical or Invasive Procedure: ...
[ "K810", "D689", "K766", "K7030", "I959", "Z87820", "I10", "E785", "F419", "E119", "D72819", "K649", "G40909" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fevers, abdominal Pain Major Surgical or Invasive Procedure: Paracentesis [MASKED] History of Present Illness: [MASKED] y/o male with a history alcoholism c/b DT, siezure disorder, TBI s/p SAH after a fall, alcoholic cirrhosis c/b known varices s/p...
[]
[ "I10", "E785", "F419", "E119" ]
[ "K810: Acute cholecystitis", "D689: Coagulation defect, unspecified", "K766: Portal hypertension", "K7030: Alcoholic cirrhosis of liver without ascites", "I959: Hypotension, unspecified", "Z87820: Personal history of traumatic brain injury", "I10: Essential (primary) hypertension", "E785: Hyperlipidem...
10,052,047
27,883,252
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: ___ Trans ca...
[ "I350", "I5032", "I452", "I130", "I2510", "E1122", "N189", "I482", "E785", "K219", "G4733", "L237", "I252", "Z951", "Z9861", "E669", "Z87891", "Z8546", "Z6839", "Z006" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: [MASKED] Trans catheter aortic valve replacement History of Present Illness: [MASKED] with PMH significant for CAD s/p prior MI w/LAD angioplasty in [MASKED] & CABG [MASKED], HFrEF, Afib, RBBB, CKD, DM ...
[]
[ "I5032", "I130", "I2510", "E1122", "N189", "E785", "K219", "G4733", "I252", "Z951", "E669", "Z87891" ]
[ "I350: Nonrheumatic aortic (valve) stenosis", "I5032: Chronic diastolic (congestive) heart failure", "I452: Bifascicular block", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "I2510: Atheros...
10,052,193
26,526,599
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: morphine Attending: ___ Chief Complaint: Fall with R orbital fracture Major Surgical or Invasive Procedure: None History of Present...
[ "S023XXA", "N179", "N390", "E119", "S02401A", "Z6841", "I10", "W109XXA", "Y92098", "M25461", "M1711", "R339", "R451", "E669" ]
Allergies: morphine Chief Complaint: Fall with R orbital fracture Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] y/o female presents with right orbital fracture on CT from OSH and right knee pain after a fall this morning. The fall occurred at 2am while she was walking downstairs in her...
[]
[ "N179", "N390", "E119", "I10", "E669" ]
[ "S023XXA: Fracture of orbital floor", "N179: Acute kidney failure, unspecified", "N390: Urinary tract infection, site not specified", "E119: Type 2 diabetes mellitus without complications", "S02401A: Maxillary fracture, unspecified side, initial encounter for closed fracture", "Z6841: Body mass index [BMI...
10,052,340
23,427,451
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: aspirin / Penicillins Attending: ___. Chief Complaint: New Atrial Fibrillation with Rapid Ventricular Response Major Surgical or Inva...
[ "I130", "I5043", "I248", "I480", "N189", "I2510", "M1990", "E039", "I447", "E785", "Z87891", "D649" ]
Allergies: aspirin / Penicillins Chief Complaint: New Atrial Fibrillation with Rapid Ventricular Response Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old lady with a history of anemia requiring blood transfusions in the past, hypertension, arthritis, and non-ob...
[]
[ "I130", "I480", "N189", "I2510", "E039", "E785", "Z87891", "D649" ]
[ "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "I5043: Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure", "I248: Other forms of acute ischemic heart diseas...
10,052,395
23,421,657
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: PLASTIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: right sided facial fractures and nasal fractures Major Su...
[ "S0231XA", "S0240EA", "S022XXA", "S0281XA", "S0240CA", "J342", "X58XXXA", "Y939" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: right sided facial fractures and nasal fractures Major Surgical or Invasive Procedure: [MASKED]: RIGHT ZM, Orbital Rim, Lateral Orbital Wall, Orbital Floor ORIF through R gingivobuccal and R Subtarsal incisions Closed nasal reduction History of Pre...
[]
[]
[ "S0231XA: Fracture of orbital floor, right side, initial encounter for closed fracture", "S0240EA: Zygomatic fracture, right side, initial encounter for closed fracture", "S022XXA: Fracture of nasal bones, initial encounter for closed fracture", "S0281XA: Fracture of other specified skull and facial bones, ri...
10,052,530
27,361,644
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Abdominal Pain Major Surgical or Invasive Procedure: Lap...
[ "K3580", "F17210" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abdominal Pain Major Surgical or Invasive Procedure: Laparoscopy Appendectomy [MASKED] History of Present Illness: Patient presents with 12 hours of acute abdominal pain. Symptoms began suddenly upon waking this AM. Pain was initially at periumbill...
[]
[ "F17210" ]
[ "K3580: Unspecified acute appendicitis", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,052,597
20,894,008
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: sulfa drugs / shellfish derived Attending: ___ Chief Complaint: Left knee osteoarthritis Major Surgical or Invasive Procedure: L...
[ "M1712", "D62", "E6601", "Z6838", "F329", "F419", "E785", "F1290" ]
Allergies: sulfa drugs / shellfish derived Chief Complaint: Left knee osteoarthritis Major Surgical or Invasive Procedure: Left total knee arthroplasty on [MASKED] History of Present Illness: Mrs. [MASKED] is [MASKED] who presents with left knee arthritis. She presents for a left total knee arhtroplasty. Past Medical H...
[]
[ "D62", "F329", "F419", "E785" ]
[ "M1712: Unilateral primary osteoarthritis, left knee", "D62: Acute posthemorrhagic anemia", "E6601: Morbid (severe) obesity due to excess calories", "Z6838: Body mass index [BMI] 38.0-38.9, adult", "F329: Major depressive disorder, single episode, unspecified", "F419: Anxiety disorder, unspecified", "E7...
10,052,597
23,585,224
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: sulfa drugs Attending: ___ Chief Complaint: right knee pain Major Surgical or Invasive Procedure: Right total knee arthroplasty ...
[ "M1711", "Z6841", "I10", "E6601", "E785", "J45909", "R5082", "F1290" ]
Allergies: sulfa drugs Chief Complaint: right knee pain Major Surgical or Invasive Procedure: Right total knee arthroplasty History of Present Illness: [MASKED] year old female with right knee pain presents for joint replacement. Past Medical History: seizures as an infant, depression/anxiety, HLD, obesity Social Histo...
[]
[ "I10", "E785", "J45909" ]
[ "M1711: Unilateral primary osteoarthritis, right knee", "Z6841: Body mass index [BMI]40.0-44.9, adult", "I10: Essential (primary) hypertension", "E6601: Morbid (severe) obesity due to excess calories", "E785: Hyperlipidemia, unspecified", "J45909: Unspecified asthma, uncomplicated", "R5082: Postprocedur...
10,052,745
20,739,598
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ ___ Complaint: right knee OA Major Surgical or Invasive Procedure: right...
[ "M1711", "I10", "E785", "E039", "E669", "Z6835" ]
Allergies: No Known Allergies / Adverse Drug Reactions [MASKED] Complaint: right knee OA Major Surgical or Invasive Procedure: right total knee replacement [MASKED], [MASKED] History of Present Illness: [MASKED] year old female with right knee OA, failed conservative measures, presenting for right TKA. Past Medical His...
[]
[ "I10", "E785", "E039", "E669" ]
[ "M1711: Unilateral primary osteoarthritis, right knee", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "E039: Hypothyroidism, unspecified", "E669: Obesity, unspecified", "Z6835: Body mass index [BMI] 35.0-35.9, adult" ]
10,052,875
28,599,142
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: hay fever / oxycodone Attending: ___. Chief Complaint: fall, fever Major Surgical or Invasive Procedure: Flex sig ___ History of Pr...
[ "K50914", "K50913", "I10" ]
Allergies: hay fever / oxycodone Chief Complaint: fall, fever Major Surgical or Invasive Procedure: Flex sig [MASKED] History of Present Illness: [MASKED] history of HTN, recently diagnosed anal fistulas who initially presented to an OSH after falling at the golf course in the setting of fevers to 102.7 and a month of ...
[]
[ "I10" ]
[ "K50914: Crohn's disease, unspecified, with abscess", "K50913: Crohn's disease, unspecified, with fistula", "I10: Essential (primary) hypertension" ]
10,052,926
29,714,792
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Penicillins / vancomycin / Cephalosporins / Lyrica / Pyridium Attending: ___. Chief Complaint: symptomatic cholelithiasis Major Su...
[ "K8000", "I712", "Z8546", "K2270", "K219", "I10", "G4733", "F329", "R7611", "F419", "H269", "Z8042", "Z7982", "G8918", "R339" ]
Allergies: Penicillins / vancomycin / Cephalosporins / Lyrica / Pyridium Chief Complaint: symptomatic cholelithiasis Major Surgical or Invasive Procedure: Laparoscopic cholecystectomy History of Present Illness: Mr. [MASKED] is a [MASKED] w/history of prostate cancer, GERD c/b [MASKED], thoracic AA, HTN who presents wi...
[]
[ "K219", "I10", "G4733", "F329", "F419" ]
[ "K8000: Calculus of gallbladder with acute cholecystitis without obstruction", "I712: Thoracic aortic aneurysm, without rupture", "Z8546: Personal history of malignant neoplasm of prostate", "K2270: Barrett's esophagus without dysplasia", "K219: Gastro-esophageal reflux disease without esophagitis", "I10:...
10,052,938
24,661,451
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Abdominal Pain, Biliary Drain Leak Major Surgical or In...
[ "T85590A", "K750", "K831", "E43", "B3789", "C787", "C7800", "I5032", "D684", "Z681", "C240", "B9620", "J449", "Z9981", "Y738", "Y929", "D649", "E8342", "Z87891", "I110", "I50812", "Z794", "E1165", "Z515", "E876", "E861" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abdominal Pain, Biliary Drain Leak Major Surgical or Invasive Procedure: [MASKED]: B/L PTBD exchange with upsize of L to [MASKED] F. U/S guided hepatic dome abscess drain placement ([MASKED]). [MASKED]: [MASKED] cholangiogram which showed left side...
[]
[ "I5032", "J449", "Y929", "D649", "Z87891", "I110", "Z794", "E1165", "Z515" ]
[ "T85590A: Other mechanical complication of bile duct prosthesis, initial encounter", "K750: Abscess of liver", "K831: Obstruction of bile duct", "E43: Unspecified severe protein-calorie malnutrition", "B3789: Other sites of candidiasis", "C787: Secondary malignant neoplasm of liver and intrahepatic bile d...
10,052,938
25,231,169
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Allergies/ADRs on File Attending: ___. Chief Complaint: sepsis, choalngiocarcinoma, bile duct obstruction Major Surgical or Invas...
[ "A4181", "K831", "J189", "C221", "C787", "I110", "C7800", "I5032", "J440", "K8309", "A4151", "Z9049", "E119", "Z7984", "Z9981", "Z87891", "I959", "Y95", "I50812", "Z792", "Z1612", "D649", "D6959" ]
Allergies: No Allergies/ADRs on File Chief Complaint: sepsis, choalngiocarcinoma, bile duct obstruction Major Surgical or Invasive Procedure: ERCP (Endoscopic Retrograde Cholangiopancreatography) Percutaneous biliary drain placement History of Present Illness: [MASKED] year old Female from [MASKED] here for ERCP, due t...
[]
[ "I110", "I5032", "E119", "Z87891", "D649" ]
[ "A4181: Sepsis due to Enterococcus", "K831: Obstruction of bile duct", "J189: Pneumonia, unspecified organism", "C221: Intrahepatic bile duct carcinoma", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "I110: Hypertensive heart disease with heart failure", "C7800: Secondary mal...
10,052,992
21,083,113
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: bright red blood in stools Major Surgical or Invasive Pro...
[ "K648", "I81", "C7800", "R042", "C189", "C187", "Z66", "I10", "E785", "K7460", "Z8505", "K219", "F17210", "Z86711", "Z515", "G893", "K5520", "T45515A" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: bright red blood in stools Major Surgical or Invasive Procedure: None. History of Present Illness: PCP: [MASKED]. [MASKED] -- [MASKED] ([MASKED]) CC: [MASKED] bleeding HISTORY OF PRESENT ILLNESS: =========================== Mr. [MASKED] is a [MASKE...
[]
[ "Z66", "I10", "E785", "K219", "F17210", "Z515" ]
[ "K648: Other hemorrhoids", "I81: Portal vein thrombosis", "C7800: Secondary malignant neoplasm of unspecified lung", "R042: Hemoptysis", "C189: Malignant neoplasm of colon, unspecified", "C187: Malignant neoplasm of sigmoid colon", "Z66: Do not resuscitate", "I10: Essential (primary) hypertension", ...
10,052,992
24,411,782
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: new metastatic lesions Major Surgical or Invasive Procedur...
[ "C7801", "I2699", "E440", "B1910", "C787", "B181", "D649", "D696", "I10", "E042", "J45909", "F17210", "B182", "Z6828", "Z8505", "C7802", "Z86718", "Z7901", "Z85038", "Z9221" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: new metastatic lesions Major Surgical or Invasive Procedure: [MASKED] guided lung biopsy History of Present Illness: [MASKED] PMH HCC (s/p liver resection + RFA) as well as colon cancer (s/p resection + adjuvant FOLFOX), presents today with new met...
[]
[ "D649", "D696", "I10", "J45909", "F17210", "Z86718", "Z7901" ]
[ "C7801: Secondary malignant neoplasm of right lung", "I2699: Other pulmonary embolism without acute cor pulmonale", "E440: Moderate protein-calorie malnutrition", "B1910: Unspecified viral hepatitis B without hepatic coma", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "B181: C...
10,052,992
26,248,042
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: dizziness, chest pain Major Surgical or Invasive Procedur...
[ "I951", "E876", "C220", "I4891", "Z85038", "F17210", "R079", "B1910", "R630", "Z6827", "Z8619", "I81", "R627", "I10", "K219" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: dizziness, chest pain Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] with hx of Hep B/Hep C cirrhosis, recurrent HCC c/b non-occlusive PVT, Colon Ca (IIIB, in remission), and atrial fibrillation wh...
[]
[ "I4891", "F17210", "I10", "K219" ]
[ "I951: Orthostatic hypotension", "E876: Hypokalemia", "C220: Liver cell carcinoma", "I4891: Unspecified atrial fibrillation", "Z85038: Personal history of other malignant neoplasm of large intestine", "F17210: Nicotine dependence, cigarettes, uncomplicated", "R079: Chest pain, unspecified", "B1910: Un...
10,052,992
27,263,182
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chest pain, Hypokalemia Major Surgical or Invasive Proce...
[ "N179", "B1910", "E46", "E860", "I480", "D6959", "I10", "E785", "R0789", "B1920", "Z85038", "Z8505", "K219", "F17210", "Z6825", "E861" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain, Hypokalemia Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a [MASKED] with hx of Hep B/Hep C cirrhosis, recurrent HCC c/b non-occlusive PVT, Colon Ca (IIIB, in remission), and atrial fibrillation ...
[]
[ "N179", "I480", "I10", "E785", "K219", "F17210" ]
[ "N179: Acute kidney failure, unspecified", "B1910: Unspecified viral hepatitis B without hepatic coma", "E46: Unspecified protein-calorie malnutrition", "E860: Dehydration", "I480: Paroxysmal atrial fibrillation", "D6959: Other secondary thrombocytopenia", "I10: Essential (primary) hypertension", "E78...
10,052,992
27,584,154
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: s/p TACE Major Surgical or Invasive Procedure: Transarteri...
[ "Z5111", "G9340", "C220", "B1910", "B1920", "E876", "F17210", "I10", "Z85038", "K7460" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: s/p TACE Major Surgical or Invasive Procedure: Transarterial chemoembolization [MASKED] FINDINGS: 1. Conventional celiac and hepatic arterial anatomy. 2. Pre-embolization arteriogram and cone beam CT showing tumor blush in segment VI. 4. Post-embol...
[]
[ "F17210", "I10" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "G9340: Encephalopathy, unspecified", "C220: Liver cell carcinoma", "B1910: Unspecified viral hepatitis B without hepatic coma", "B1920: Unspecified viral hepatitis C without hepatic coma", "E876: Hypokalemia", "F17210: Nicotine dependence, cigarettes,...
10,053,000
28,772,209
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Penicillins / Tetracycline Attending: ___. Chief Complaint: acute diverticulitis Major Surgical or Invasive Procedure: none His...
[ "K5720", "I10", "I776", "E7800" ]
Allergies: Penicillins / Tetracycline Chief Complaint: acute diverticulitis Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] man with history of ANCA positive vasculitis on chronic prednisone,who presents to the ED after 3 days of abdominal pain. Patient reports that he has been having pe...
[]
[ "I10" ]
[ "K5720: Diverticulitis of large intestine with perforation and abscess without bleeding", "I10: Essential (primary) hypertension", "I776: Arteritis, unspecified", "E7800: Pure hypercholesterolemia, unspecified" ]
10,053,139
26,871,759
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: penicillin Attending: ___ Chief Complaint: jaundice Major Surgical or Invasive Procedure: ERCP w sphincterotomy and stent placement ...
[ "K831", "C250", "E1140", "E785", "Z7984", "Z794", "Z87891" ]
Allergies: penicillin Chief Complaint: jaundice Major Surgical or Invasive Procedure: ERCP w sphincterotomy and stent placement [MASKED] History of Present Illness: Ms. [MASKED] is a [MASKED] female with past medical history of type 2 diabetes, diabetic neuropathy, and hypercholesterolemia who presents with painless ja...
[]
[ "E785", "Z794", "Z87891" ]
[ "K831: Obstruction of bile duct", "C250: Malignant neoplasm of head of pancreas", "E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified", "E785: Hyperlipidemia, unspecified", "Z7984: Long term (current) use of oral hypoglycemic drugs", "Z794: Long term (current) use of insulin", "Z87891...
10,053,184
25,990,123
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Ciprofloxacin Attending: ___. Chief Complaint: Cough, rhoncherous breathing Major Surgical or Invasive Procedure: None History ...
[ "N390", "L89152", "I248", "G309", "G40409", "L89621", "R630", "F0280", "J069", "F419", "J45909", "I447", "Z6823", "Z515", "Z66" ]
Allergies: Ciprofloxacin Chief Complaint: Cough, rhoncherous breathing Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old with history of advanced dementia (bed bound, non-vocal, rarely opens eyes to voice for past few months) and seizure disorder presenting with cough and rhoncher...
[]
[ "N390", "F419", "J45909", "Z515", "Z66" ]
[ "N390: Urinary tract infection, site not specified", "L89152: Pressure ulcer of sacral region, stage 2", "I248: Other forms of acute ischemic heart disease", "G309: Alzheimer's disease, unspecified", "G40409: Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus", ...
10,053,216
22,569,760
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: codeine / tetracycline Attending: ___. Chief Complaint: Polycystic Liver disease with multiple liver cysts with dominant cysts in rig...
[ "Q446", "M170", "M85862", "M85861" ]
Allergies: codeine / tetracycline Chief Complaint: Polycystic Liver disease with multiple liver cysts with dominant cysts in right lobe. Major Surgical or Invasive Procedure: Laparoscopic cyst unroofing History of Present Illness: [MASKED] year old female with chief complaint of abdominal pain on her right side rated [...
[]
[]
[ "Q446: Cystic disease of liver", "M170: Bilateral primary osteoarthritis of knee", "M85862: Other specified disorders of bone density and structure, left lower leg", "M85861: Other specified disorders of bone density and structure, right lower leg" ]
10,053,697
25,563,287
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: s/p fall Major Surgical or Invasive Proc...
[ "O9A213", "S62336A", "O4443", "O99343", "F909", "Z3A33", "W1839XA", "Y9289" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: s/p fall Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] [MASKED] yrs. G1, P0, Term0, Preterm0, Abt0, Sab0, Tab0, Ect0, Live0 at 33w3d presented to [MASKED] for evaluation after fall. HPI: She was walking her dog...
[]
[]
[ "O9A213: Injury, poisoning and certain other consequences of external causes complicating pregnancy, third trimester", "S62336A: Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture", "O4443: Low lying placenta NOS or without hemorrhage, third trimester", "O99...
10,053,810
26,647,692
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: dapagliflozin Attending: ___. Chief Complaint: Abnormal head CT, nausea Major Surgical or Invasive Procedure: None History of P...
[ "I6389", "I614", "R4181", "I4891", "E119", "Z794", "I10", "E785", "R413", "R634", "R4701", "Z66", "E1165", "R270", "Z7902", "R001", "T447X5A", "Y92230", "R29702" ]
Allergies: dapagliflozin Chief Complaint: Abnormal head CT, nausea Major Surgical or Invasive Procedure: None History of Present Illness: Mrs. [MASKED] is a [MASKED] year old active woman with diabetes type 2, hypertension, atrial fibrillation on eliquis, mild cognitive decline (presumed), who presents as hospital-to-h...
[]
[ "I4891", "E119", "Z794", "I10", "E785", "Z66", "E1165", "Z7902", "Y92230" ]
[ "I6389: Other cerebral infarction", "I614: Nontraumatic intracerebral hemorrhage in cerebellum", "R4181: Age-related cognitive decline", "I4891: Unspecified atrial fibrillation", "E119: Type 2 diabetes mellitus without complications", "Z794: Long term (current) use of insulin", "I10: Essential (primary)...
10,053,854
22,192,970
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Asymptomatic with mitral regurgitation and coronary ar...
[ "I2510", "I481", "I429", "I5022", "Z8673", "Z7901", "I10", "E785", "G4730", "Z87891", "Z8249", "I8391", "E669", "Z6837", "D649" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Asymptomatic with mitral regurgitation and coronary artery disease Major Surgical or Invasive Procedure: [MASKED] Coronary artery bypass graft x 3, Mitral valve repair History of Present Illness: [MASKED] year old male with history of TIA, atrial f...
[]
[ "I2510", "Z8673", "Z7901", "I10", "E785", "Z87891", "E669", "D649" ]
[ "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "I481: Persistent atrial fibrillation", "I429: Cardiomyopathy, unspecified", "I5022: Chronic systolic (congestive) heart failure", "Z8673: Personal history of transient ischemic attack (TIA), and cerebral infarction wi...
10,054,237
27,785,875
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROSURGERY Allergies: Sulfa (Sulfonamide Antibiotics) Attending: ___. Chief Complaint: Neck pain Major Surgical or Invasive Procedure: ___ C6-7 ACDF ...
[ "M50223", "F17210", "M545" ]
Allergies: Sulfa (Sulfonamide Antibiotics) Chief Complaint: Neck pain Major Surgical or Invasive Procedure: [MASKED] C6-7 ACDF History of Present Illness: [MASKED] presenting with neck pain with MRI showing C6C7 disc herniation w/o cord compression or myelopathy Past Medical History: Chronic back pain s/p L4L5 laminect...
[]
[ "F17210" ]
[ "M50223: Other cervical disc displacement at C6-C7 level", "F17210: Nicotine dependence, cigarettes, uncomplicated", "M545: Low back pain" ]
10,054,496
25,245,648
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: PSYCHIATRY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: "I feel like people hate me." Major Surgical or Invasive Pr...
[ "F209", "R45851", "R440", "F17210", "F1210", "F1590" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I feel like people hate me." Major Surgical or Invasive Procedure: None History of Present Illness: Emergency department psychiatric consultation: Mr. [MASKED] [MASKED] is a [MASKED] year old man, student at [MASKED] with a history of schizoaffect...
[]
[ "F17210" ]
[ "F209: Schizophrenia, unspecified", "R45851: Suicidal ideations", "R440: Auditory hallucinations", "F17210: Nicotine dependence, cigarettes, uncomplicated", "F1210: Cannabis abuse, uncomplicated", "F1590: Other stimulant use, unspecified, uncomplicated" ]
10,054,622
20,480,182
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: NSAIDS (Non-Steroidal Anti-Inflammatory Drug) Attending: ___. Chief Complaint: Pelvic cramping Major Surgical or Invasive...
[ "O030", "D696" ]
Allergies: NSAIDS (Non-Steroidal Anti-Inflammatory Drug) Chief Complaint: Pelvic cramping Major Surgical or Invasive Procedure: Dilation and curettage Physical Exam: Discharge physical exam Vitals: VSS Gen: NAD, A&O x 3 CV: RRR Resp: no acute respiratory distress Abd: soft, appropriately tender, no rebound/guarding Ext...
[]
[ "D696" ]
[ "O030: Genital tract and pelvic infection following incomplete spontaneous abortion", "D696: Thrombocytopenia, unspecified" ]
10,054,634
25,928,444
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Demerol / morphine Attending: ___ Chief Complaint: generalized weakness, muscle aches, intermittent fevers, sore throat and wakes up with...
[ "A408", "E785", "N400", "J302", "G4700", "D649", "R51" ]
Allergies: Demerol / morphine Chief Complaint: generalized weakness, muscle aches, intermittent fevers, sore throat and wakes up with HA, now with + BCx Major Surgical or Invasive Procedure: TEE ([MASKED]) PICC line Insertion ([MASKED]) History of Present Illness: Patient is a [MASKED] M with PMH HLD, duodenal ulcer c/...
[]
[ "E785", "N400", "G4700", "D649" ]
[ "A408: Other streptococcal sepsis", "E785: Hyperlipidemia, unspecified", "N400: Benign prostatic hyperplasia without lower urinary tract symptoms", "J302: Other seasonal allergic rhinitis", "G4700: Insomnia, unspecified", "D649: Anemia, unspecified", "R51: Headache" ]
10,054,753
28,204,953
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Weeks of nausea, vomiting, and progressively worse food...
[ "E43", "E870", "C7951", "C7989", "M8458XA", "E869", "C3492", "E119", "F17210", "I951", "Z66", "E876", "Z6821", "Z933", "Z808", "Z85038" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Weeks of nausea, vomiting, and progressively worse food and water intake. Major Surgical or Invasive Procedure: Placement of venting gastric tube History of Present Illness: Mr. [MASKED] is a [MASKED] M h/o colon CA s/p colectomy with end colostomy...
[]
[ "E119", "F17210", "Z66" ]
[ "E43: Unspecified severe protein-calorie malnutrition", "E870: Hyperosmolality and hypernatremia", "C7951: Secondary malignant neoplasm of bone", "C7989: Secondary malignant neoplasm of other specified sites", "M8458XA: Pathological fracture in neoplastic disease, other specified site, initial encounter for...
10,054,992
25,004,394
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Paranoia Major Surgical or Invasive Procedure: None Hi...
[ "F23", "F1099", "F319", "F17210" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Paranoia Major Surgical or Invasive Procedure: None History of Present Illness: HPI: Ms. [MASKED] is a [MASKED] year old female, with prior history of Bipolar Disorder / Psychosis, now presenting with acute agitation. Patient with potentially prior...
[]
[ "F17210" ]
[ "F23: Brief psychotic disorder", "F1099: Alcohol use, unspecified with unspecified alcohol-induced disorder", "F319: Bipolar disorder, unspecified", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,055,235
24,749,318
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROSURGERY Allergies: Penicillins Attending: ___. Chief Complaint: Fall Major Surgical or Invasive Procedure: ___: Diagnostic cerebral angiogram History o...
[ "S066X9A", "S14101A", "S12091A", "F10239", "I67848", "R291", "E871", "L03114", "T82898A", "L02414", "T82594A", "S0211CA", "W01198A", "Y92010", "F17210", "K219", "R402413", "I959", "R739", "J45909", "E875", "Y710", "Y92230", "I493", "B9561", "D72829", "F418", "Y7...
Allergies: Penicillins Chief Complaint: Fall Major Surgical or Invasive Procedure: [MASKED]: Diagnostic cerebral angiogram History of Present Illness: [MASKED] y/o male who presents as a transfer from [MASKED] for evaluation of ICH and skull fracture s/p fall from standing while intoxicated. Pt arrives via [MASKED] EMS...
[]
[ "E871", "F17210", "K219", "J45909", "Y92230" ]
[ "S066X9A: Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter", "S14101A: Unspecified injury at C1 level of cervical spinal cord, initial encounter", "S12091A: Other nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture", "F...
10,055,344
29,209,451
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Intubati...
[ "I2109", "A419", "J9601", "K7200", "I5033", "N179", "R570", "R6521", "K226", "N183", "I237", "D62", "E872", "I471", "I25118", "I2582", "Z955", "I129", "Z87891", "Z531", "E119", "E785", "M1990", "Z96652" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Intubation Left heart cath Placement of IABP History of Present Illness: Mr [MASKED] is a [MASKED] year old [MASKED] speaking male with a history of MI/3vCAD s/p multiple stents/PTCA in [MASKED] who ...
[]
[ "J9601", "N179", "D62", "E872", "Z955", "I129", "Z87891", "E119", "E785" ]
[ "I2109: ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall", "A419: Sepsis, unspecified organism", "J9601: Acute respiratory failure with hypoxia", "K7200: Acute and subacute hepatic failure without coma", "I5033: Acute on chronic diastolic (congestive) heart failure...
10,055,595
29,749,985
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Fatigue, nausea, vomiting Major Surgical or Invasive Proc...
[ "A4151", "N179", "I959", "E1165", "N390", "B9629", "E213", "E861", "J449", "F329", "F419", "I10", "E785", "G2581", "Z794", "M5136", "M4806", "F17210", "G4700", "F1290", "M1990", "M25571", "G8929", "S99911S", "V892XXS", "T7840XA", "Z1624" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fatigue, nausea, vomiting Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with PMHx of chronic pain, COPD not on O2, Type 2 DM, frequent UTI (ESBL E.coli), who presented to [MASKED] hospital with 3 days of fatigue, n...
[]
[ "N179", "E1165", "N390", "J449", "F329", "F419", "I10", "E785", "Z794", "F17210", "G4700", "G8929" ]
[ "A4151: Sepsis due to Escherichia coli [E. coli]", "N179: Acute kidney failure, unspecified", "I959: Hypotension, unspecified", "E1165: Type 2 diabetes mellitus with hyperglycemia", "N390: Urinary tract infection, site not specified", "B9629: Other Escherichia coli [E. coli] as the cause of diseases class...
10,055,694
21,758,998
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors Attending: ___. Chief Complaint: Upper GI bleed Major Surgical or Invasive Pro...
[ "K921", "N186", "T8619", "I120", "I953", "D62", "I5032", "K259", "Z940", "I272", "Z992", "I4891", "J449", "K2960", "R160", "D649", "K635", "Z9981", "F17210", "Z8619", "K219" ]
Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors Chief Complaint: Upper GI bleed Major Surgical or Invasive Procedure: [MASKED] Upper GI endoscopy History of Present Illness: Ms. [MASKED] is a [MASKED] y/o woman with past history of ESRD s/p transplant on HD ([MASKED]), COPD, GERD (w/out PUD), atri...
[]
[ "D62", "I5032", "I4891", "J449", "D649", "F17210", "K219" ]
[ "K921: Melena", "N186: End stage renal disease", "T8619: Other complication of kidney transplant", "I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease", "I953: Hypotension of hemodialysis", "D62: Acute posthemorrhagic anemia", "I5032: Chronic diastol...
10,055,694
22,141,743
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors Attending: ___. Chief Complaint: Cough Major Surgical or Invasive Procedure: N...
[ "J09X2", "N186", "I120", "B370", "A047", "I5032", "D696", "Z940", "K921", "Z720", "R0902", "K761", "Z992", "J449", "J45909", "I4891", "E875", "I953", "K219", "M109", "D631", "N6002", "N6001", "R601" ]
Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors Chief Complaint: Cough Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] yo woman with past history of ESRD s/p transplant now on dialysis [MASKED] (anuric), last received dialsis on [MASKED], COPD on 3...
[]
[ "I5032", "D696", "J449", "J45909", "I4891", "K219", "M109" ]
[ "J09X2: Influenza due to identified novel influenza A virus with other respiratory manifestations", "N186: End stage renal disease", "I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease", "B370: Candidal stomatitis", "A047: Enterocolitis due to Clostridiu...
10,055,694
24,232,904
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors Attending: ___ Chief Complaint: Hypotension (SBP in ___ Major Surgical or Inva...
[ "K922", "N186", "T8612", "I120", "I5032", "I272", "D62", "I4891", "Z992", "K449", "J449", "K219", "F329", "Z7982", "F17210", "Z9981" ]
Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors Chief Complaint: Hypotension (SBP in [MASKED] Major Surgical or Invasive Procedure: EGD [MASKED] Capsule endoscopy [MASKED] History of Present Illness: Mrs. [MASKED] is a [MASKED] y/o woman with past history of ESRD from focal segmental glomeruloscle...
[]
[ "I5032", "D62", "I4891", "J449", "K219", "F329", "F17210" ]
[ "K922: Gastrointestinal hemorrhage, unspecified", "N186: End stage renal disease", "T8612: Kidney transplant failure", "I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease", "I5032: Chronic diastolic (congestive) heart failure", "I272: Other secondary p...
10,055,694
26,271,755
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors / lisinopril Attending: ___. Chief Complaint: fistula ulceration Major Surgic...
[ "T82898A", "N186", "I132", "T8612", "R188", "K766", "I272", "I5032", "I4892", "L98499", "D631", "D638", "F17210", "Z23", "Z992", "J449", "Z9981", "R234", "R161", "I4891", "K219", "K7469", "K449", "F40240", "F329", "Y832", "Y830", "Y929" ]
Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors / lisinopril Chief Complaint: fistula ulceration Major Surgical or Invasive Procedure: AV Fistula Revision [MASKED] [MASKED] guided paracentesis [MASKED] History of Present Illness: [MASKED] w/ PMH of ESRD s/p failed renal transplant on HD, AFib, COP...
[]
[ "I5032", "F17210", "J449", "I4891", "K219", "F329", "Y929" ]
[ "T82898A: Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter", "N186: End stage renal disease", "I132: Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease", "T8612: Kidney transpla...
10,055,694
27,416,032
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors / lisinopril Attending: ___. Chief Complaint: SOB Major Surgical or Invasive ...
[ "A419", "N186", "J9621", "R6521", "I132", "G9340", "J189", "T8612", "I5032", "R188", "N041", "Z515", "Z9981", "K7469", "G40901", "J449", "D649", "I482", "K219", "I071", "R001", "E162", "Z992", "Y830", "Y929", "F17210" ]
Allergies: Allopurinol And Derivatives / Penicillins / Ace Inhibitors / lisinopril Chief Complaint: SOB Major Surgical or Invasive Procedure: R femoral CVL Paracentesis History of Present Illness: [MASKED] w/ PMHx of ESRD s/p failed renal transplant now on HD, AFib, COPD on 3L O2, CHF, pulmonary HTN, cryptogenic cirrho...
[]
[ "I5032", "Z515", "J449", "D649", "K219", "Y929", "F17210" ]
[ "A419: Sepsis, unspecified organism", "N186: End stage renal disease", "J9621: Acute and chronic respiratory failure with hypoxia", "R6521: Severe sepsis with septic shock", "I132: Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal di...
10,055,729
20,488,889
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Statins-Hmg-Coa Reductase Inhibitors Attending: ___ Chief Complaint: Outpatient LFT abnormalities and planned liver biopsy. Major...
[ "R945", "Z944", "Z85528", "Z8505", "I129", "E1122", "N189", "Z87891", "Z905", "K5900", "Z8619", "R1012" ]
Allergies: Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: Outpatient LFT abnormalities and planned liver biopsy. Major Surgical or Invasive Procedure: Percutaneous Liver Biopsy [MASKED] History of Present Illness: [MASKED] with h/o RCC s/p L nephrectomy ([MASKED]), T2DM, HCV cirrhosis (MELD 10) c/b hepatic encep...
[]
[ "I129", "E1122", "N189", "Z87891", "K5900" ]
[ "R945: Abnormal results of liver function studies", "Z944: Liver transplant status", "Z85528: Personal history of other malignant neoplasm of kidney", "Z8505: Personal history of malignant neoplasm of liver", "I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or ...
10,055,729
20,864,666
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Statins-Hmg-Coa Reductase Inhibitors Attending: ___. Chief Complaint: HCV cirrhosis Major Surgical or Invasive Procedure: none ...
[ "K7469", "B1920", "Z5309", "E119", "Z794", "E669", "Z6837", "Z86718", "Z7901", "Z85528", "Z905", "Z87891" ]
Allergies: Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: HCV cirrhosis Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] with h/o RCC s/p L nephrectomy ([MASKED]), T2DM, HCV cirrhosis (MELD 22 [elevated INR on Coumadin]) c/b hepatic encephalopathy, portal HTN, HCC...
[]
[ "E119", "Z794", "E669", "Z86718", "Z7901", "Z87891" ]
[ "K7469: Other cirrhosis of liver", "B1920: Unspecified viral hepatitis C without hepatic coma", "Z5309: Procedure and treatment not carried out because of other contraindication", "E119: Type 2 diabetes mellitus without complications", "Z794: Long term (current) use of insulin", "E669: Obesity, unspecifie...
10,055,729
22,808,877
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Statins-Hmg-Coa Reductase Inhibitors Attending: ___. Chief Complaint: History of RCC s/p nephrectomy, ___ admitted for liver transp...
[ "B182", "N170", "J95821", "K766", "C220", "D62", "D684", "K91870", "F05", "K9161", "J9572", "K660", "E669", "Y830", "E8770", "Y92230", "Y92234", "I129", "N189", "E876", "E1165", "R509", "D72829", "G8929", "Z794", "Z905", "E1122", "Z85528", "Z86718", "Z7901",...
Allergies: Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: History of RCC s/p nephrectomy, [MASKED] admitted for liver transplant Major Surgical or Invasive Procedure: [MASKED]: Deceased donor liver transplant using piggyback technique, Temporary portacaval shunt, Donor iliac artery conduit from supraceliac aorta...
[]
[ "D62", "E669", "Y92230", "I129", "N189", "E1165", "G8929", "Z794", "E1122", "Z86718", "Z7901", "Z87891" ]
[ "B182: Chronic viral hepatitis C", "N170: Acute kidney failure with tubular necrosis", "J95821: Acute postprocedural respiratory failure", "K766: Portal hypertension", "C220: Liver cell carcinoma", "D62: Acute posthemorrhagic anemia", "D684: Acquired coagulation factor deficiency", "K91870: Postproced...
10,055,729
23,567,943
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Statins-Hmg-Coa Reductase Inhibitors Attending: ___. Chief Complaint: Possible DDLT Major Surgical or Invasive Procedure: None ...
[ "K7460", "I8510", "Z8505", "K8020", "Z7682", "Z538", "Z905", "I81", "K766", "K7290", "R188", "K862", "Z87891", "Z7901", "Z85528", "E119", "I10", "M79604", "G8929", "Z8619" ]
Allergies: Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: Possible DDLT Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with h/o HCV Child's class B9 cirrhosis c/b HCC in segment VIII s/p RFA ([MASKED]) now presenting for DDLT. Hep C eradicated with treatment. MELD score 21 as of ...
[]
[ "Z87891", "Z7901", "E119", "I10", "G8929" ]
[ "K7460: Unspecified cirrhosis of liver", "I8510: Secondary esophageal varices without bleeding", "Z8505: Personal history of malignant neoplasm of liver", "K8020: Calculus of gallbladder without cholecystitis without obstruction", "Z7682: Awaiting organ transplant status", "Z538: Procedure and treatment n...
10,055,729
27,856,085
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Statins-Hmg-Coa Reductase Inhibitors Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: ___: ER...
[ "K9189", "K831", "Y832", "Y929", "K7469", "B942", "Z944", "M109", "K5900", "I10", "G8929", "E1142", "Z794", "K766", "Z7901", "K7290", "E669", "Z6836", "Z86718", "Z85528", "Z87891" ]
Allergies: Statins-Hmg-Coa Reductase Inhibitors Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: [MASKED]: ERCP ith sphincterotomy and stent placement History of Present Illness: [MASKED] with h/o RCC s/p L nephrectomy ([MASKED]), T2DM, HCV cirrhosis (MELD xx) c/b hepatic encephalopathy, portal HTN...
[]
[ "Y929", "M109", "K5900", "I10", "G8929", "Z794", "Z7901", "E669", "Z86718", "Z87891" ]
[ "K9189: Other postprocedural complications and disorders of digestive system", "K831: Obstruction of bile duct", "Y832: Surgical operation with anastomosis, bypass or graft as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure", ...
10,055,939
26,362,706
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: hemothorax Major Surgical or Invasive Procedure: ___ ...
[ "A419", "J869", "R6521", "T8119XA", "J156", "J9601", "N170", "K7200", "I21A1", "J942", "J95830", "N179", "T17590A", "D62", "D684", "E872", "I472", "Z7902", "Z87891", "J449", "I739", "Z953", "Y92239", "I2510", "I10", "I701", "Z955", "R238", "E875" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: hemothorax Major Surgical or Invasive Procedure: [MASKED] Left VATS, evacuation of hemothorax and partial decortication, bronchoscopy with lavage [MASKED] Bronchoscopy [MASKED] Right PICC placement History of Present Illness: [MASKED] with PMH of s...
[]
[ "J9601", "N179", "D62", "E872", "Z7902", "Z87891", "J449", "I2510", "I10", "Z955" ]
[ "A419: Sepsis, unspecified organism", "J869: Pyothorax without fistula", "R6521: Severe sepsis with septic shock", "T8119XA: Other postprocedural shock, initial encounter", "J156: Pneumonia due to other Gram-negative bacteria", "J9601: Acute respiratory failure with hypoxia", "N170: Acute kidney failure...
10,055,939
29,166,650
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chronic abdominal pain and severe stenosis of the origin of th...
[ "K551", "I774", "I745", "I708", "Z7902", "E46", "Z6823", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chronic abdominal pain and severe stenosis of the origin of the celiac artery as well as the SMA. Major Surgical or Invasive Procedure: Superior Mesenteric Artery angioplasty and stent via left groin access. History of Present Illness: [MASKED] is ...
[]
[ "Z7902", "Z87891" ]
[ "K551: Chronic vascular disorders of intestine", "I774: Celiac artery compression syndrome", "I745: Embolism and thrombosis of iliac artery", "I708: Atherosclerosis of other arteries", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "E46: Unspecified protein-calorie malnutrition", "Z6...
10,056,612
20,434,122
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Influenza Virus Vaccines / latex Attending: ___. Chief Complaint: facial droop, facial weakness Major Surgical or Invasive Procedure:...
[ "I638", "E871", "G4089", "E861", "R55", "A084", "E890", "E876", "E785", "R29810", "I10", "F329", "I6789", "Y842", "G4489", "R200", "F419", "Z8521", "Z87891", "Z923", "Z66" ]
Allergies: Influenza Virus Vaccines / latex Chief Complaint: facial droop, facial weakness Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] [MASKED] female with a PMHx of laryngeal cancer s/p resection and radiation with R temporal lesion thought to be due to radiation necro...
[]
[ "E871", "E785", "I10", "F329", "F419", "Z87891", "Z66" ]
[ "I638: Other cerebral infarction", "E871: Hypo-osmolality and hyponatremia", "G4089: Other seizures", "E861: Hypovolemia", "R55: Syncope and collapse", "A084: Viral intestinal infection, unspecified", "E890: Postprocedural hypothyroidism", "E876: Hypokalemia", "E785: Hyperlipidemia, unspecified", ...
10,056,612
20,943,307
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: Influenza Virus Vaccines / latex / atorvastatin / Ativan / lisinopril / chlorthalidone Attending: ___ Chief Complaint: Headache and d...
[ "I6302", "G9340", "N179", "I6782", "I10", "R278", "R51", "I2510", "I69320", "I69398", "I69393", "H5340", "I252", "E039", "E785", "Z8541", "Z8521", "Z87891", "Y842", "Z9114", "Y92009" ]
Allergies: Influenza Virus Vaccines / latex / atorvastatin / Ativan / lisinopril / chlorthalidone Chief Complaint: Headache and dizziness Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] yo woman with history of laryngeal cancer and L temporal lesion as well as history o...
[]
[ "N179", "I10", "I2510", "I252", "E039", "E785", "Z87891" ]
[ "I6302: Cerebral infarction due to thrombosis of basilar artery", "G9340: Encephalopathy, unspecified", "N179: Acute kidney failure, unspecified", "I6782: Cerebral ischemia", "I10: Essential (primary) hypertension", "R278: Other lack of coordination", "R51: Headache", "I2510: Atherosclerotic heart dis...
10,056,612
23,069,501
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: Influenza Virus Vaccines Attending: ___. Chief Complaint: Episodes of confusion, dizziness, subjective lower extremity weakness and "...
[ "F410", "I6782", "D649", "F430", "Z91419", "F329", "I2510", "I10", "E780", "Z87891", "Y842", "Z8521", "Z801", "Z808", "Z8673" ]
Allergies: Influenza Virus Vaccines Chief Complaint: Episodes of confusion, dizziness, subjective lower extremity weakness and "out of body" experience Major Surgical or Invasive Procedure: None History of Present Illness: HPI: [MASKED] is a [MASKED] year-old right-handed woman with PMH significant for laryngeal cancer...
[]
[ "D649", "F329", "I2510", "I10", "Z87891", "Z8673" ]
[ "F410: Panic disorder [episodic paroxysmal anxiety]", "I6782: Cerebral ischemia", "D649: Anemia, unspecified", "F430: Acute stress reaction", "Z91419: Personal history of unspecified adult abuse", "F329: Major depressive disorder, single episode, unspecified", "I2510: Atherosclerotic heart disease of na...
10,056,612
24,412,612
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Influenza Virus Vaccines / latex / atorvastatin / Ativan / clopidogrel / lisinopril / chlorthalidone Attending: ___. Chief Complaint: ...
[ "I161", "I639", "E872", "Z87891", "G43901", "E039", "K219", "Z8673", "Z8521", "Z8541" ]
Allergies: Influenza Virus Vaccines / latex / atorvastatin / Ativan / clopidogrel / lisinopril / chlorthalidone Chief Complaint: headache Major Surgical or Invasive Procedure: N/A History of Present Illness: [MASKED] yo female with a history of laryngeal cancer and a right temporal mass who is admitted with headaches a...
[]
[ "E872", "Z87891", "E039", "K219", "Z8673" ]
[ "I161: Hypertensive emergency", "I639: Cerebral infarction, unspecified", "E872: Acidosis", "Z87891: Personal history of nicotine dependence", "G43901: Migraine, unspecified, not intractable, with status migrainosus", "E039: Hypothyroidism, unspecified", "K219: Gastro-esophageal reflux disease without e...
10,056,612
26,462,956
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Influenza Virus Vaccines Attending: ___. Chief Complaint: Headache, dizziness, nausea. Major Surgical or Invasive Procedure: There we...
[ "H8110", "I69859", "F4310", "I10", "E039", "F329", "Z66", "R269", "Z7982", "Z8701" ]
Allergies: Influenza Virus Vaccines Chief Complaint: Headache, dizziness, nausea. Major Surgical or Invasive Procedure: There were no major surgical or invasive procedures during hospitalization. History of Present Illness: [MASKED] year who was sent in by [MASKED] on [MASKED] after experiencing headache and emesis. Th...
[]
[ "I10", "E039", "F329", "Z66" ]
[ "H8110: Benign paroxysmal vertigo, unspecified ear", "I69859: Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side", "F4310: Post-traumatic stress disorder, unspecified", "I10: Essential (primary) hypertension", "E039: Hypothyroidism, unspecified", "F329: Major dep...
10,056,612
27,310,288
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Influenza Virus Vaccines / latex / atorvastatin / Ativan / clopidogrel / lisinopril / chlorthalidone Attending: ___. Chief Complaint: ...
[ "I161", "I6782", "F0390", "Z87891", "Z8673", "E785", "Z8521", "Z8541", "E890", "Y838", "F329", "Z9114" ]
Allergies: Influenza Virus Vaccines / latex / atorvastatin / Ativan / clopidogrel / lisinopril / chlorthalidone Chief Complaint: Headache, HTN Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] with a pmh of CVA/TIA, HLD, HTN, laryngeal cancer, brain lesion (likely radiation necrosis), caro...
[]
[ "Z87891", "Z8673", "E785", "F329" ]
[ "I161: Hypertensive emergency", "I6782: Cerebral ischemia", "F0390: Unspecified dementia without behavioral disturbance", "Z87891: Personal history of nicotine dependence", "Z8673: Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits", "E785: Hyperlipidemi...
10,057,009
28,491,028
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: cough, SOB Major Surgical or Invasive Procedure: None ...
[ "I4891", "I5021", "E871", "M4150", "I110", "R9431", "R740", "R7989", "Z7902", "E7800", "Z23", "E119", "M810" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: cough, SOB Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with PMH of HTN, HLD who presents with cough and SOB. This has been developing over several weeks. She denies fever, chills. Found to have an elevated BNP to...
[]
[ "I4891", "E871", "I110", "Z7902", "E119" ]
[ "I4891: Unspecified atrial fibrillation", "I5021: Acute systolic (congestive) heart failure", "E871: Hypo-osmolality and hyponatremia", "M4150: Other secondary scoliosis, site unspecified", "I110: Hypertensive heart disease with heart failure", "R9431: Abnormal electrocardiogram [ECG] [EKG]", "R740: Non...
10,057,070
20,793,141
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Apnea Major Surgical or Invasive Procedure: None Histo...
[ "J9622", "G9340", "I501", "E1165", "D751", "F10239", "Z720", "T424X5A", "Y929", "G4733", "I2510", "Z794", "Z23", "R0789" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Apnea Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with a history of sleep apnea, alcohol abuse, heart failure who presents from his [MASKED] facility for evaluation of episode of apnea. The facility reported that...
[]
[ "E1165", "Y929", "G4733", "I2510", "Z794" ]
[ "J9622: Acute and chronic respiratory failure with hypercapnia", "G9340: Encephalopathy, unspecified", "I501: Left ventricular failure, unspecified", "E1165: Type 2 diabetes mellitus with hyperglycemia", "D751: Secondary polycythemia", "F10239: Alcohol dependence with withdrawal, unspecified", "Z720: To...
10,057,126
29,269,663
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure: ___: Coronar...
[ "I25110", "C9000", "Z6841", "I350", "I252", "E785", "Z955", "G629", "R740", "Z7901", "F329", "G4733", "I129", "N182", "R197", "E669" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [MASKED]: Coronary angiography History of Present Illness: [MASKED] man with history of aortic stenosis, CAD with NSTEMI [MASKED] s/p bare metal stent to LAD, hypertension, multiple myeloma on lenali...
[]
[ "I252", "E785", "Z955", "Z7901", "F329", "G4733", "I129", "E669" ]
[ "I25110: Atherosclerotic heart disease of native coronary artery with unstable angina pectoris", "C9000: Multiple myeloma not having achieved remission", "Z6841: Body mass index [BMI]40.0-44.9, adult", "I350: Nonrheumatic aortic (valve) stenosis", "I252: Old myocardial infarction", "E785: Hyperlipidemia, ...
10,057,126
29,719,322
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: chest pain Major Surgical or Invasive Procedure: s/p ___ 3 T...
[ "I350", "I6340", "I5032", "C9000", "Z6841", "Z006", "Z23", "I2510", "I110", "Z955", "F329", "G629", "G4733", "E669", "K219" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: chest pain Major Surgical or Invasive Procedure: s/p [MASKED] 3 TAVR [MASKED] History of Present Illness: [MASKED] is a [MASKED] year old man with severe aortic stenosis, coronary artery disease, hypertension, multiple myeloma (well-controlled), an...
[]
[ "I5032", "I2510", "I110", "Z955", "F329", "G4733", "E669", "K219" ]
[ "I350: Nonrheumatic aortic (valve) stenosis", "I6340: Cerebral infarction due to embolism of unspecified cerebral artery", "I5032: Chronic diastolic (congestive) heart failure", "C9000: Multiple myeloma not having achieved remission", "Z6841: Body mass index [BMI]40.0-44.9, adult", "Z006: Encounter for ex...
10,057,482
25,331,549
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: sulfa drugs / Coumadin / lisinopril / Celebrex Attending: ___ Major Surgical or Invasive Procedure: None attach Pertinent Results: ADM...
[ "T827XXA", "G92", "I5033", "J151", "J9621", "I69354", "E854", "I110", "E039", "D638", "G8929", "M3500", "G629", "M1990", "Z7901", "Z8679", "Z8674", "M4646", "L98429", "Z781", "I680", "I480", "G40909", "Y832", "Y929", "J9809" ]
Allergies: sulfa drugs / Coumadin / lisinopril / Celebrex Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION LABS ============== [MASKED] 01:13AM BLOOD WBC-8.2 RBC-2.55* Hgb-7.2* Hct-23.5* MCV-92 MCH-28.2 MCHC-30.6* RDW-14.6 RDWSD-49.2* Plt [MASKED] [MASKED] 04:48AM BLOOD Neuts-63.5 Lymphs-1...
[]
[ "I110", "E039", "G8929", "Z7901", "I480", "Y929" ]
[ "T827XXA: Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter", "G92: Toxic encephalopathy", "I5033: Acute on chronic diastolic (congestive) heart failure", "J151: Pneumonia due to Pseudomonas", "J9621: Acute and chronic respiratory failure w...
10,057,482
25,416,257
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: sulfa drugs / Coumadin / lisinopril / Celebrex Attending: ___ Chief Complaint: Fatigue, weakness, dyspnea on exertion Major Surg...
[ "I7101", "I6340", "J9601", "T8111XA", "J690", "N170", "I314", "J95851", "I69954", "I82C12", "G9340", "B441", "D62", "I313", "J90", "K9172", "E873", "I7409", "E870", "J9819", "E854", "I97190", "G629", "M3500", "E8770", "R569", "D696", "I4581", "E8351", "I480"...
Allergies: sulfa drugs / Coumadin / lisinopril / Celebrex Chief Complaint: Fatigue, weakness, dyspnea on exertion Major Surgical or Invasive Procedure: [MASKED]: Emergent Right femoral cannulation, Emergent repair of type A dissection with 30mm straight gelweave graft with sidebranch. Repair of small liver laceration. ...
[]
[ "J9601", "D62", "D696", "I480", "I10" ]
[ "I7101: Dissection of thoracic aorta", "I6340: Cerebral infarction due to embolism of unspecified cerebral artery", "J9601: Acute respiratory failure with hypoxia", "T8111XA: Postprocedural cardiogenic shock, initial encounter", "J690: Pneumonitis due to inhalation of food and vomit", "N170: Acute kidney ...
10,057,731
26,763,521
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: abdominal pain, jaundice Major Surgical or Invasive Pro...
[ "C259", "K831", "I81", "K830", "I10", "F329", "G8929", "D3500", "Z86718", "F17210", "J45909", "Z7902" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: abdominal pain, jaundice Major Surgical or Invasive Procedure: ERCP/EUS with biopsies and Biliary stenting [MASKED] History of Present Illness: [MASKED] yo M with seizure disorder and chronic low back pain who presents with abdominal pain and jaund...
[]
[ "I10", "F329", "G8929", "Z86718", "F17210", "J45909", "Z7902" ]
[ "C259: Malignant neoplasm of pancreas, unspecified", "K831: Obstruction of bile duct", "I81: Portal vein thrombosis", "K830: Cholangitis", "I10: Essential (primary) hypertension", "F329: Major depressive disorder, single episode, unspecified", "G8929: Other chronic pain", "D3500: Benign neoplasm of un...
10,057,731
29,234,056
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Altered mental status Major Surgical or Invasive Proce...
[ "A419", "R6521", "J9601", "K830", "N179", "C787", "E872", "K831", "I8500", "C259", "E875", "Z515", "Z66", "I10", "F329", "F419", "Z86718", "D3500", "K209", "K2980", "G893" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Altered mental status Major Surgical or Invasive Procedure: Bilateral PTBD drain placement L JP drain placement Internal/external PTBD drain placement History of Present Illness: Mr. [MASKED] is a [MASKED] year old male with a history of mestastati...
[]
[ "J9601", "N179", "E872", "Z515", "Z66", "I10", "F329", "F419", "Z86718" ]
[ "A419: Sepsis, unspecified organism", "R6521: Severe sepsis with septic shock", "J9601: Acute respiratory failure with hypoxia", "K830: Cholangitis", "N179: Acute kidney failure, unspecified", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "E872: Acidosis", "K831: Obstructio...
10,058,150
23,585,194
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins Attending: ___ Chief Complaint: Syncope Major Surgical or Invasive Procedure: none History of Present Illness: This patie...
[ "E860", "E872", "N184", "E119", "I129", "D649", "E871", "E785", "I4510", "E210", "I491", "E875", "Z794", "R7989", "F329", "F419", "I890" ]
Allergies: Penicillins Chief Complaint: Syncope Major Surgical or Invasive Procedure: none History of Present Illness: This patient is a [MASKED] year old woman with DMII, HTN, HLD, depression/anxiety who presented to the ED after one episode of syncope that lasted minutes in duration while she was eating at a restaura...
[]
[ "E872", "E119", "I129", "D649", "E871", "E785", "Z794", "F329", "F419" ]
[ "E860: Dehydration", "E872: Acidosis", "N184: Chronic kidney disease, stage 4 (severe)", "E119: Type 2 diabetes mellitus without complications", "I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "D649: Anemia, unspecifie...
10,058,305
22,602,600
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: left lower extremity foot drop and numbness Major Surgica...
[ "M4807", "I429", "M48061", "M4316", "M4317", "M21372", "M5116", "R200", "M1611", "I10", "E785", "E119", "Z96642", "Z961", "M810" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: left lower extremity foot drop and numbness Major Surgical or Invasive Procedure: L4-S1 laminectomy and fusion on [MASKED] with Dr. [MASKED] [MASKED] of Present Illness: [MASKED] is a pleasant [MASKED] lady who is seen today with complaints of acut...
[]
[ "I10", "E785", "E119" ]
[ "M4807: Spinal stenosis, lumbosacral region", "I429: Cardiomyopathy, unspecified", "M48061: Spinal stenosis, lumbar region without neurogenic claudication", "M4316: Spondylolisthesis, lumbar region", "M4317: Spondylolisthesis, lumbosacral region", "M21372: Foot drop, left foot", "M5116: Intervertebral d...
10,058,341
22,465,789
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: oxycodone Attending: ___. Chief Complaint: LUE DVT - here for first rib resection Major Surgical or Invasive Procedure: Left 1st rib rese...
[ "G540", "I82B12", "Z7901", "F17210", "R112", "Y838", "Y92239" ]
Allergies: oxycodone Chief Complaint: LUE DVT - here for first rib resection Major Surgical or Invasive Procedure: Left 1st rib resection History of Present Illness: This patient is a [MASKED] woman, with a history of left subclavian occlusion. She underwent venous lysis and was noted to have occlusion at the junction ...
[]
[ "Z7901", "F17210" ]
[ "G540: Brachial plexus disorders", "I82B12: Acute embolism and thrombosis of left subclavian vein", "Z7901: Long term (current) use of anticoagulants", "F17210: Nicotine dependence, cigarettes, uncomplicated", "R112: Nausea with vomiting, unspecified", "Y838: Other surgical procedures as the cause of abno...
10,058,341
26,863,120
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: LUE arm swelling, pain Major Surgical or Invasive Procedure...
[ "I82B12", "G540", "F17210" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: LUE arm swelling, pain Major Surgical or Invasive Procedure: [MASKED]: thrombolysis of LUE DVT 1. Real-time ultrasound-guided access to the left basilic vein and placement of a [MASKED] sheath. 2. Selective catheterization of the SVC, [MASKED] orde...
[]
[ "F17210" ]
[ "I82B12: Acute embolism and thrombosis of left subclavian vein", "G540: Brachial plexus disorders", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,058,437
21,570,649
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Fall with headstrike Major Surgical or Invasive Procedu...
[ "S065X0A", "S22020A", "S22040A", "N179", "E872", "D6832", "I4820", "Z7901", "N189", "G309", "F0280", "R402143", "R402243", "R402363", "I4581", "K219", "R1110", "K5900", "E785", "Y92129", "W19XXXA", "E039", "I447", "T45525A", "F329", "R8281", "D72829" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fall with headstrike Major Surgical or Invasive Procedure: None History of Present Illness: Neurosurgery Admission: [MASKED] is a [MASKED] female who presents to [MASKED] on [MASKED] with a mild TBI. Patient has a PMH of AFib on coumadin, CKD, alzh...
[]
[ "N179", "E872", "Z7901", "N189", "K219", "K5900", "E785", "E039", "F329" ]
[ "S065X0A: Traumatic subdural hemorrhage without loss of consciousness, initial encounter", "S22020A: Wedge compression fracture of second thoracic vertebra, initial encounter for closed fracture", "S22040A: Wedge compression fracture of fourth thoracic vertebra, initial encounter for closed fracture", "N179: ...
10,058,575
22,995,646
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: fever, tachycardia Major Surgical or Invasive Procedure...
[ "J690", "T82524A", "E46", "Z930", "Z931", "B3749", "E039", "Y828", "Y929", "R32", "Z794", "S12000D", "S0240DD", "S062X0D", "V892XXD", "Z6830", "S0219XD", "S0281XD", "S2241XD", "S7291XE", "S82141D", "E119" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: fever, tachycardia Major Surgical or Invasive Procedure: Injury burden from prior admission s/p MVC: Right subdural hematoma Right traumatic subarachnoid hemorrhage C1 fracture Complete transection of the right internal carotid artery Right orbit l...
[]
[ "E039", "Y929", "Z794", "E119" ]
[ "J690: Pneumonitis due to inhalation of food and vomit", "T82524A: Displacement of infusion catheter, initial encounter", "E46: Unspecified protein-calorie malnutrition", "Z930: Tracheostomy status", "Z931: Gastrostomy status", "B3749: Other urogenital candidiasis", "E039: Hypothyroidism, unspecified", ...
10,058,575
26,633,991
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: s/p MVC Major Surgical or Invasive Procedure: ___: 1. Le...
[ "S066X9A", "J690", "S15021A", "S12001A", "J95851", "S72301A", "S2241XA", "E1165", "S0240DA", "S32018A", "I82421", "S82144A", "N390", "E46", "T80211A", "S0219XA", "V4949XA", "Y92410", "S065X9A", "S82832A", "S8252XA", "S0281XA", "E039", "Z781", "S062X9A", "B9620", "...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: s/p MVC Major Surgical or Invasive Procedure: [MASKED]: 1. Left iliac vein and IVC venogram. 2. Infrarenal retrievable (Denali) IVC filter deployment. 3. Post-filter placement venogram. [MASKED]: 1. Open reduction, internal fixation, right femur. 2...
[]
[ "E1165", "N390", "E039", "Y92230", "D649" ]
[ "S066X9A: Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter", "J690: Pneumonitis due to inhalation of food and vomit", "S15021A: Major laceration of right carotid artery, initial encounter", "S12001A: Unspecified nondisplaced fracture of first cervical ver...