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10,068,741
29,528,426
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Respiratory distress Major Surgical or Invasive Procedur...
[ "J690", "I5033", "N179", "N390", "I313", "E870", "I110", "I083", "I4891", "R1310", "R0603", "R0902", "E861", "B961", "I2720", "D751", "K761", "N200", "D320", "R197", "E8809", "R791", "Z7902" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Respiratory distress Major Surgical or Invasive Procedure: None History of Present Illness: Pt is [MASKED] year old with HTN, afib on apixaban, diastolic CHF, valvular heart disease, and left cavernous sinus lesion who presented to cardiology clini...
[]
[ "N179", "N390", "I110", "I4891", "Z7902" ]
[ "J690: Pneumonitis due to inhalation of food and vomit", "I5033: Acute on chronic diastolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "N390: Urinary tract infection, site not specified", "I313: Pericardial effusion (noninflammatory)", "E870: Hyperosmolality and hypernatremia"...
10,068,843
21,200,388
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: Penicillins / Amoxicillin / Ultram / hydrocodone / meloxicam / omnipague 240 Attending: ___. Chief Complaint: left shoulder osteo...
[ "M19012", "D649", "E871", "S46212A", "X58XXXA", "Y929", "E785", "R42", "E039", "K219", "F329", "R911", "N990", "I9581", "R0902", "Z96653", "Z96611" ]
Allergies: Penicillins / Amoxicillin / Ultram / hydrocodone / meloxicam / omnipague 240 Chief Complaint: left shoulder osteoarthritis/pain Major Surgical or Invasive Procedure: [MASKED]: left total shoulder arthroplasty History of Present Illness: [MASKED] year old female w/left shoulder osteoarthritis/pain who failed ...
[]
[ "D649", "E871", "Y929", "E785", "E039", "K219", "F329" ]
[ "M19012: Primary osteoarthritis, left shoulder", "D649: Anemia, unspecified", "E871: Hypo-osmolality and hyponatremia", "S46212A: Strain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter", "X58XXXA: Exposure to other specified factors, initial encounter", "Y929: Unspecifie...
10,069,364
20,403,405
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: fever Major Surgical or Invasive Procedure: EGD ___ History of Present Illness: Mr. _...
[ "M353", "E871", "I959", "I10", "E785", "Z86718", "Z7901", "K219", "K224", "Z85828", "F419", "R911" ]
Allergies: Penicillins Chief Complaint: fever Major Surgical or Invasive Procedure: EGD [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] man with a history of hypertension & hyperlipidemia, who presents several months of arthralgias, fatigue, and fever of unknown origin. He was at his baseline state of h...
[]
[ "E871", "I10", "E785", "Z86718", "Z7901", "K219", "F419" ]
[ "M353: Polymyalgia rheumatica", "E871: Hypo-osmolality and hyponatremia", "I959: Hypotension, unspecified", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "Z86718: Personal history of other venous thrombosis and embolism", "Z7901: Long term (current) use of anticoagulants"...
10,069,637
27,682,379
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: prednisone Attending: ___. Chief Complaint: Scrotal cellulitis Major Surgical or Invasive Procedure: None History of Present Illn...
[ "N492", "G373", "N390", "Z6842", "N451", "E119", "I10", "E785", "K219", "F329", "F419", "M109", "N401", "N39498", "I739", "I878", "E6601" ]
Allergies: prednisone Chief Complaint: Scrotal cellulitis Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] w/ transverse myelitis, indwelling Foley (since [MASKED] for unclear reasons), BPH, who presented from home with scrotal erythema, fever, and hematuria in setting of Foley trauma app...
[]
[ "N390", "E119", "I10", "E785", "K219", "F329", "F419", "M109" ]
[ "N492: Inflammatory disorders of scrotum", "G373: Acute transverse myelitis in demyelinating disease of central nervous system", "N390: Urinary tract infection, site not specified", "Z6842: Body mass index [BMI] 45.0-49.9, adult", "N451: Epididymitis", "E119: Type 2 diabetes mellitus without complications...
10,069,692
23,743,248
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Weakness Major Surgical or Invasive Procedure: None...
[ "I21A1", "J189", "I2609", "E43", "I638", "I50811", "I2782", "E871", "I5082", "F05", "R042", "R404", "I951", "Z96641", "Z66", "Z515", "Z9181", "H5461", "D6489", "I081", "E861", "Z6820" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Weakness Major Surgical or Invasive Procedure: None History of Present Illness: Ms [MASKED] is a [MASKED] [MASKED] woman with no past medical history, s/p right hip hemiarthroplasty on [MASKED], who presents from home with diffuse weakness and bila...
[]
[ "E871", "Z66", "Z515" ]
[ "I21A1: Myocardial infarction type 2", "J189: Pneumonia, unspecified organism", "I2609: Other pulmonary embolism with acute cor pulmonale", "E43: Unspecified severe protein-calorie malnutrition", "I638: Other cerebral infarction", "I50811: Acute right heart failure", "I2782: Chronic pulmonary embolism",...
10,069,692
25,846,597
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 Major Surgical or Invasive Proce...
[ "S72031A", "F0391", "D62", "W010XXA", "Z9181", "Y92013", "Z781", "R339", "H5440", "R944", "R911", "E042" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Right Hip Pain Major Surgical or Invasive Procedure: R hip hemiarthroplasty [MASKED], [MASKED]. History of Present Illness: [MASKED] with no significant PMH p/w displaced right femoral neck fracture after an unwitnessed mechanical fall at home. The...
[]
[ "D62" ]
[ "S72031A: Displaced midcervical fracture of right femur, initial encounter for closed fracture", "F0391: Unspecified dementia with behavioral disturbance", "D62: Acute posthemorrhagic anemia", "W010XXA: Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initia...
10,069,780
22,777,795
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: asymptomatic high grade stenosis Major Surgical or Invasi...
[ "I6521", "I10", "E785", "E669", "Z6835", "F17210" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: asymptomatic high grade stenosis Major Surgical or Invasive Procedure: right carotid endarterectomy History of Present Illness: Mr. [MASKED] is a [MASKED] female smoker who was found to have a high-grade stenosis of the right internal carotid arter...
[]
[ "I10", "E785", "E669", "F17210" ]
[ "I6521: Occlusion and stenosis of right carotid artery", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "E669: Obesity, unspecified", "Z6835: Body mass index [BMI] 35.0-35.9, adult", "F17210: Nicotine dependence, cigarettes, uncomplicated" ]
10,069,864
24,251,829
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: PLASTIC Allergies: succinylcholine Attending: ___ Chief Complaint: right breast cancer Major Surgical or Invasive Procedure: Right wire localized lumpectomy...
[ "C50411", "C773", "N62", "N6489", "E119", "I10", "Z801" ]
Allergies: succinylcholine Chief Complaint: right breast cancer Major Surgical or Invasive Procedure: Right wire localized lumpectomy x 2, right axillary ultrasound localized dissection, right LVB, right oncoplastic reduction and left reduction for symmetry (essentially mastopexies). History of Present Illness: The pat...
[]
[ "E119", "I10" ]
[ "C50411: Malignant neoplasm of upper-outer quadrant of right female breast", "C773: Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes", "N62: Hypertrophy of breast", "N6489: Other specified disorders of breast", "E119: Type 2 diabetes mellitus without complications", "I10: ...
10,069,864
27,357,732
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: succinylcholine Attending: ___ ___ Complaint: Scheduled for R lumpectomy (for R breast cancer) and ALND with lymphovenous bypass but OR ca...
[ "T886XXA", "T508X5A", "Y92234", "C50911", "I10", "I952", "E119", "J45909", "Z5309", "Z171", "N62" ]
Allergies: succinylcholine [MASKED] Complaint: Scheduled for R lumpectomy (for R breast cancer) and ALND with lymphovenous bypass but OR case aborted due to apparent anaphylaxis Major Surgical or Invasive Procedure: OR case aborted. (scheduled for R lumpectomy and ALND) History of Present Illness: Patient is a [MASKED]...
[]
[ "I10", "E119", "J45909" ]
[ "T886XXA: Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, initial encounter", "T508X5A: Adverse effect of diagnostic agents, initial encounter", "Y92234: Operating room of hospital as the place of occurrence of the external cause", "C50911: Malignant neoplasm o...
10,069,871
26,257,265
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Zithromax / Zofran Attending: ___. Chief Complaint: SOB and chest pain, here for ___ opinion surgical evaluation Major Surgical or Invas...
[ "T826XXA", "I330", "I2690", "F1110", "B9561", "B954", "B1920", "F17210", "R8271", "F609", "Y838", "Y929" ]
Allergies: Zithromax / Zofran Chief Complaint: SOB and chest pain, here for [MASKED] opinion surgical evaluation Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with h/o opioid use disorder w/history of injection drug use, currently in remission since [MASKED], with complex history of TV...
[]
[ "F17210", "Y929" ]
[ "T826XXA: Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter", "I330: Acute and subacute infective endocarditis", "I2690: Septic pulmonary embolism without acute cor pulmonale", "F1110: Opioid abuse, uncomplicated", "B9561: Methicillin susceptible Staphylococcus aureus in...
10,069,992
28,478,673
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: hydrocodone Attending: ___. Chief Complaint: Fever, diarrhea, abdominal pain, dysuria Major Surgical or Invasive Procedure: None Hi...
[ "A4151", "R6521", "E43", "E1310", "D61811", "K521", "E874", "N12", "I8510", "F10288", "E871", "Z006", "N3080", "B9620", "B952", "B9689", "K7030", "R1310", "J449", "E1165", "Z794", "I10", "E785", "F17210", "F329", "F419", "K219", "R32", "E538", "E11649", "E...
Allergies: hydrocodone Chief Complaint: Fever, diarrhea, abdominal pain, dysuria Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with multiple medical problems including recurrent C. diff colitis, brittle diabetes mellitus, COPD, history of acute respiratory failure, EtOH abuse, status p...
[]
[ "E871", "J449", "E1165", "Z794", "I10", "E785", "F17210", "F329", "F419", "K219" ]
[ "A4151: Sepsis due to Escherichia coli [E. coli]", "R6521: Severe sepsis with septic shock", "E43: Unspecified severe protein-calorie malnutrition", "E1310: Other specified diabetes mellitus with ketoacidosis without coma", "D61811: Other drug-induced pancytopenia", "K521: Toxic gastroenteritis and coliti...
10,070,011
28,156,484
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: physohex Attending: ___. Chief Complaint: diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: The pat...
[ "N179", "J439", "J069", "E860", "E785", "I10", "D649", "Z888", "Z85118", "M810", "I959", "Z87891", "E861", "R197", "R000" ]
Allergies: physohex Chief Complaint: diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: The patient is a [MASKED] Year-Old Female with hx of emphysema, lung cancer s/p resection in [MASKED], COPD, HTN here w/ one week of cough, diarrhea and weakness. Since her lung resection she gets a bad ...
[]
[ "N179", "E785", "I10", "D649", "Z87891" ]
[ "N179: Acute kidney failure, unspecified", "J439: Emphysema, unspecified", "J069: Acute upper respiratory infection, unspecified", "E860: Dehydration", "E785: Hyperlipidemia, unspecified", "I10: Essential (primary) hypertension", "D649: Anemia, unspecified", "Z888: Allergy status to other drugs, medic...
10,070,024
26,398,294
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 made a mistake." Major Surgical or Invasive Procedu...
[ "F3189", "E559", "F1290", "Z7289", "Z915", "Z818" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I made a mistake." Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old female with a history of a mood disorder with psychotic features, discharged from [MASKED] inpatient psychiatry yesterday...
[]
[]
[ "F3189: Other bipolar disorder", "E559: Vitamin D deficiency, unspecified", "F1290: Cannabis use, unspecified, uncomplicated", "Z7289: Other problems related to lifestyle", "Z915: Personal history of self-harm", "Z818: Family history of other mental and behavioral disorders" ]
10,070,024
26,769,931
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 don't want to live anymore and I don't want to talk t...
[ "F323", "R45851", "F1290", "K5900", "Z915", "Z91410" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I don't want to live anymore and I don't want to talk to my family." Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] yo F, no formerly diagnosed PPHx, self-reported depression since age [MASKED], self-...
[]
[ "K5900" ]
[ "F323: Major depressive disorder, single episode, severe with psychotic features", "R45851: Suicidal ideations", "F1290: Cannabis use, unspecified, uncomplicated", "K5900: Constipation, unspecified", "Z915: Personal history of self-harm", "Z91410: Personal history of adult physical and sexual abuse" ]
10,070,201
29,368,106
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chest pain, shortness of breath Major Surgical or...
[ "I2510", "I214", "J9621", "N179", "J9811", "D62", "D4989", "J449", "E1140", "I10", "E669", "Z6836", "I340", "E8770" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain, shortness of breath Major Surgical or Invasive Procedure: [MASKED]: Coronary artery bypass grafting x 4, left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the first marginal branch, second m...
[]
[ "I2510", "N179", "D62", "J449", "I10", "E669" ]
[ "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "I214: Non-ST elevation (NSTEMI) myocardial infarction", "J9621: Acute and chronic respiratory failure with hypoxia", "N179: Acute kidney failure, unspecified", "J9811: Atelectasis", "D62: Acute posthemorrhagic anemi...
10,070,311
23,721,596
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Augmentin Attending: ___. Chief Complaint: Cough and dyspnea Major Surgical or Invasive Procedure: None History of Present Illness...
[ "J111", "J9601", "I21A1", "I5033", "K5190", "J918", "I2510", "Z951", "Z9114", "Z950", "Z87891", "I482", "Z7901", "N400", "I110", "I495", "D696", "R21" ]
Allergies: Augmentin Chief Complaint: Cough and dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] male, history of three-vessel coronary artery disease, status post CABG, most recent cath [MASKED], most recent stress echo [MASKED], PPM, afib on Coumadin, p/w cough and SOB x 1 week....
[]
[ "J9601", "I2510", "Z951", "Z87891", "Z7901", "N400", "I110", "D696" ]
[ "J111: Influenza due to unidentified influenza virus with other respiratory manifestations", "J9601: Acute respiratory failure with hypoxia", "I21A1: Myocardial infarction type 2", "I5033: Acute on chronic diastolic (congestive) heart failure", "K5190: Ulcerative colitis, unspecified, without complications"...
10,070,352
25,529,964
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Abnormal Labs - Leukocytosis and Transaminitis Major ...
[ "K7010", "D684", "F329", "G4700", "E83119", "D72829", "F1020" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abnormal Labs - Leukocytosis and Transaminitis Major Surgical or Invasive Procedure: None History of Present Illness: Patient was admitted to [MASKED] from [MASKED] - [MASKED] after presenting to [MASKED] with jaundice, found to have [MASKED] ~12 w...
[]
[ "F329", "G4700" ]
[ "K7010: Alcoholic hepatitis without ascites", "D684: Acquired coagulation factor deficiency", "F329: Major depressive disorder, single episode, unspecified", "G4700: Insomnia, unspecified", "E83119: Hemochromatosis, unspecified", "D72829: Elevated white blood cell count, unspecified", "F1020: Alcohol de...
10,070,352
25,639,901
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Alcoholic Hepatitis Major Surgical or Invasive Proced...
[ "K7010", "D684", "E83119", "F1010", "F329", "G4700" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Alcoholic Hepatitis Major Surgical or Invasive Procedure: None History of Present Illness: This is a [MASKED] year old man with history of EtOH use disorder previously in remission who presented to the [MASKED] with jaundice. He has a history of si...
[]
[ "F329", "G4700" ]
[ "K7010: Alcoholic hepatitis without ascites", "D684: Acquired coagulation factor deficiency", "E83119: Hemochromatosis, unspecified", "F1010: Alcohol abuse, uncomplicated", "F329: Major depressive disorder, single episode, unspecified", "G4700: Insomnia, unspecified" ]
10,070,539
21,243,910
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Major Surgical or Invasive Procedure: ERCP attach Pertinent Results: __...
[ "K9186", "K838", "I4891", "Z7902", "I129", "N183", "E669", "Z6833" ]
Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: ERCP attach Pertinent Results: [MASKED] 07:52AM BLOOD WBC-7.6 RBC-3.82* Hgb-12.0* Hct-35.8* MCV-94 MCH-31.4 MCHC-33.5 RDW-12.1 RDWSD-42.0 Plt [MASKED] [MASKED] 07:52AM BLOOD Glucose-81 UreaN-26* Creat-1.5* Na-141 K-4.3 Cl-104 H...
[]
[ "I4891", "Z7902", "I129", "E669" ]
[ "K9186: Retained cholelithiasis following cholecystectomy", "K838: Other specified diseases of biliary tract", "I4891: Unspecified atrial fibrillation", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney d...
10,070,594
20,956,461
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Fatigue Major Surgical or Invasive Procedure: ___ - Single...
[ "N390", "E43", "C7B02", "C7B01", "R188", "K766", "B9689", "T82868A", "I82721", "R627", "Z6828", "R5383", "C801", "K7581", "I4891", "I129", "N183", "E669", "N400", "M109", "R7303", "G510", "Z87891", "Y92018", "Z7902", "E8809", "K529", "G620", "T451X5A", "Y922...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fatigue Major Surgical or Invasive Procedure: [MASKED] - Single lumen port placement History of Present Illness: Mr. [MASKED] is a [MASKED] male with history of metastatic neuroendocrine tumor of unknown origin on [MASKED] who presents with fatigue...
[]
[ "N390", "I4891", "I129", "E669", "N400", "M109", "Z87891", "Z7902", "Y92230", "Z66" ]
[ "N390: Urinary tract infection, site not specified", "E43: Unspecified severe protein-calorie malnutrition", "C7B02: Secondary carcinoid tumors of liver", "C7B01: Secondary carcinoid tumors of distant lymph nodes", "R188: Other ascites", "K766: Portal hypertension", "B9689: Other specified bacterial age...
10,070,594
24,108,690
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: pancytopenia Major Surgical or Invasive Procedure: None ...
[ "D61810", "C7A8", "E870", "C7B8", "K766", "I82729", "C220", "K529", "K7581", "I4891", "I129", "N189", "E669", "Z6826", "N400", "M109", "R7303", "G510", "Z87891", "Z66", "Z7902" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: pancytopenia Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with hx of neuroendocrine tumor of unknown origin C1D11 of [MASKED] and recent admission for syncope who presents from clinic with pancytopenia. The patien...
[]
[ "I4891", "I129", "N189", "E669", "N400", "M109", "Z87891", "Z66", "Z7902" ]
[ "D61810: Antineoplastic chemotherapy induced pancytopenia", "C7A8: Other malignant neuroendocrine tumors", "E870: Hyperosmolality and hypernatremia", "C7B8: Other secondary neuroendocrine tumors", "K766: Portal hypertension", "I82729: Chronic embolism and thrombosis of deep veins of unspecified upper extr...
10,070,594
29,430,934
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Syncope Major Surgical or Invasive Procedure: Liver biops...
[ "I952", "E43", "C7B8", "K766", "K7469", "I4891", "E860", "T82868A", "K7581", "E669", "N400", "M109", "R7303", "Z87891", "Z8052", "Z800", "Z803", "Z807", "E861", "D181", "E806", "R8271", "G510", "I129", "T461X5A", "Y92009", "Z6826", "K4090", "N183", "Y848", ...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Syncope Major Surgical or Invasive Procedure: Liver biopsy [MASKED] History of Present Illness: [MASKED] is a [MASKED] man with metastatic neurodendocrine tumor, unknown primary, who is admitted from the ED with a sycnopal episode. Patient has had ...
[]
[ "I4891", "E669", "N400", "M109", "Z87891", "I129", "Y92230" ]
[ "I952: Hypotension due to drugs", "E43: Unspecified severe protein-calorie malnutrition", "C7B8: Other secondary neuroendocrine tumors", "K766: Portal hypertension", "K7469: Other cirrhosis of liver", "I4891: Unspecified atrial fibrillation", "E860: Dehydration", "T82868A: Thrombosis due to vascular p...
10,070,614
21,993,779
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Keflex / Ciprofloxacin / lisinopril Attending: ___. Chief Complaint: anemia Major Surgical or Invasive Procedure: ___: EGD, colonosc...
[ "D62", "I5032", "K7460", "R188", "I080", "I4891", "D509", "K2960", "R5383", "E119", "I2510", "I10", "I252", "Z951", "E785", "Z9114", "R040", "N402", "D123", "Z87891", "Z8619" ]
Allergies: Keflex / Ciprofloxacin / lisinopril Chief Complaint: anemia Major Surgical or Invasive Procedure: [MASKED]: EGD, colonoscopy, diagnostic and therapeutic paracentesis History of Present Illness: [MASKED] [MASKED] with a history of DMII, CAD s/p MI and CABG, diastolic heart failure (TTE [MASKED] with EF 55%), ...
[]
[ "D62", "I5032", "I4891", "D509", "E119", "I2510", "I10", "I252", "Z951", "E785", "Z87891" ]
[ "D62: Acute posthemorrhagic anemia", "I5032: Chronic diastolic (congestive) heart failure", "K7460: Unspecified cirrhosis of liver", "R188: Other ascites", "I080: Rheumatic disorders of both mitral and aortic valves", "I4891: Unspecified atrial fibrillation", "D509: Iron deficiency anemia, unspecified",...
10,070,735
24,800,766
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Amoxicillin / tramadol / donepezil / Aricept / Keflex Attending: ___. Chief Complaint: altered mental status Major Surgical or Invasi...
[ "L03116", "G92", "F0390", "I10", "K219", "Z66", "K5900", "F329", "H4010X2", "F419", "G4700", "R935" ]
Allergies: Amoxicillin / tramadol / donepezil / Aricept / Keflex Chief Complaint: altered mental status Major Surgical or Invasive Procedure: None History of Present Illness: Ms [MASKED] is a [MASKED] yo F with urinary frequency, GERD, osteoarthritis and constipation who presented to the [MASKED] ED on [MASKED] with al...
[]
[ "I10", "K219", "Z66", "K5900", "F329", "F419", "G4700" ]
[ "L03116: Cellulitis of left lower limb", "G92: Toxic encephalopathy", "F0390: Unspecified dementia without behavioral disturbance", "I10: Essential (primary) hypertension", "K219: Gastro-esophageal reflux disease without esophagitis", "Z66: Do not resuscitate", "K5900: Constipation, unspecified", "F32...
10,070,850
23,483,897
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: Halothane Attending: ___. Chief Complaint: right knee OA Major Surgical or Invasive Procedure: right knee replacement ___, ___ H...
[ "M1711", "E669", "I4891", "Z6841", "J449", "M24561", "E785", "I959", "H8109", "Z87891", "Z6838", "G4733", "I10", "Z7902" ]
Allergies: Halothane Chief Complaint: right knee OA Major Surgical or Invasive Procedure: right knee replacement [MASKED], [MASKED] History of Present Illness: [MASKED] year old male with right knee OA s/p R TKR. Past Medical History: BMI 38.46, dyslipidemia, atrial fibrillation, hypertension, shortness of breath, COPD...
[]
[ "E669", "I4891", "J449", "E785", "Z87891", "G4733", "I10", "Z7902" ]
[ "M1711: Unilateral primary osteoarthritis, right knee", "E669: Obesity, unspecified", "I4891: Unspecified atrial fibrillation", "Z6841: Body mass index [BMI]40.0-44.9, adult", "J449: Chronic obstructive pulmonary disease, unspecified", "M24561: Contracture, right knee", "E785: Hyperlipidemia, unspecifie...
10,070,932
24,727,163
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Attending: ___. Chief Complaint: fever, L flank pain Major Surgical or Invasive Procedu...
[ "A4151", "R6521", "E43", "A0471", "Z681", "N390", "K909", "A4189", "Z90710", "Z90721", "Z8542", "N319", "R5382", "R011", "I959", "R110", "I890", "Z881", "Z885", "Z888", "G901", "G629", "Z86711", "D696", "K5909" ]
Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Chief Complaint: fever, L flank pain Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] with a history of chronic abdominal pain/nausea/constipation, ileus and SBO, recurrent C diff colitis s/p FMT transplant on [MASKED], multiple ...
[]
[ "N390", "D696" ]
[ "A4151: Sepsis due to Escherichia coli [E. coli]", "R6521: Severe sepsis with septic shock", "E43: Unspecified severe protein-calorie malnutrition", "A0471: Enterocolitis due to Clostridium difficile, recurrent", "Z681: Body mass index [BMI] 19.9 or less, adult", "N390: Urinary tract infection, site not s...
10,070,932
25,110,555
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Attending: ___. Chief Complaint: Fevers Major Surgical or Invasive Procedure: None H...
[ "A0471", "E43", "N390", "K909", "Z681", "R000", "N319", "G629", "R5382", "Z86711", "F419" ]
Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Chief Complaint: Fevers Major Surgical or Invasive Procedure: None History of Present Illness: HPI(4): Ms. [MASKED] is a [MASKED] female with history of mitochondrial disorder, POTS, chronic abdominal pain, severe endometriosis, neurogenic bladder s/p stimulat...
[]
[ "N390", "F419" ]
[ "A0471: Enterocolitis due to Clostridium difficile, recurrent", "E43: Unspecified severe protein-calorie malnutrition", "N390: Urinary tract infection, site not specified", "K909: Intestinal malabsorption, unspecified", "Z681: Body mass index [BMI] 19.9 or less, adult", "R000: Tachycardia, unspecified", ...
10,070,932
25,124,281
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Attending: ___. Chief Complaint: Fever, SOB, Abdominal Pain Major Surgical or Invasive ...
[ "T80211A", "A4159", "R6521", "E43", "Z681", "A0472", "Y848", "Y92018", "R000", "I951", "R1032", "R1031", "N319", "N39498", "Z9049", "Z90710", "Z90722", "Z9079", "G629", "I890", "R5382", "Z86711", "Z87891", "R110", "I441", "D6959", "F4323" ]
Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Chief Complaint: Fever, SOB, Abdominal Pain Major Surgical or Invasive Procedure: [MASKED] Central venous line placement in right IJ [MASKED] EGD with biopsy [MASKED] PICC placement [MASKED] EGD-guided NJ tube placement History of Present Illness: Ms. [MASKED]...
[]
[ "Z87891" ]
[ "T80211A: Bloodstream infection due to central venous catheter, initial encounter", "A4159: Other Gram-negative sepsis", "R6521: Severe sepsis with septic shock", "E43: Unspecified severe protein-calorie malnutrition", "Z681: Body mass index [BMI] 19.9 or less, adult", "A0472: Enterocolitis due to Clostri...
10,070,932
28,249,049
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Attending: ___. Chief Complaint: fever Major Surgical or Invasive Procedure: PICC remo...
[ "T80211A", "A4150", "E43", "Z681", "E8840", "A0471", "K909", "Y838", "D696", "D721", "N319", "G8929", "R109", "G629", "F419", "Z792", "Z7901", "Z79899", "I498", "R5382", "K5900", "N809", "I890", "Z832", "B353", "Z86711" ]
Allergies: Demerol / ciprofloxacin / morphine / hydroxyzine Chief Complaint: fever Major Surgical or Invasive Procedure: PICC removal PICC placement [MASKED] History of Present Illness: Ms. [MASKED] is a [MASKED] female with a PMH of a possible mitochondrial disorder, POTS, chronic abdominal pain, severe endometriosis,...
[]
[ "D696", "G8929", "F419", "Z7901", "K5900" ]
[ "T80211A: Bloodstream infection due to central venous catheter, initial encounter", "A4150: Gram-negative sepsis, unspecified", "E43: Unspecified severe protein-calorie malnutrition", "Z681: Body mass index [BMI] 19.9 or less, adult", "E8840: Mitochondrial metabolism disorder, unspecified", "A0471: Entero...
10,071,302
20,101,596
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Acute hypercarbic respiratory failure Major Surgical or I...
[ "J441", "J9621", "J9622", "J189", "T8549XA", "I5032", "J440", "I110", "I2720", "Z9981", "E860", "E611", "F1011", "F909", "F419", "J920", "F329", "K219", "R918", "K5900", "Y831", "Y92009" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Acute hypercarbic respiratory failure Major Surgical or Invasive Procedure: None History of Present Illness: HPI: [MASKED] female with history of COPD on home 2L NC, history of asbesteosis and known loculated left pleural effusion, presenting as a ...
[]
[ "I5032", "I110", "F419", "F329", "K219", "K5900" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "J9621: Acute and chronic respiratory failure with hypoxia", "J9622: Acute and chronic respiratory failure with hypercapnia", "J189: Pneumonia, unspecified organism", "T8549XA: Other mechanical complication of breast prosthesis and imp...
10,071,435
23,745,288
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Allergies/ADRs on File Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: ___: Urgent coronary ar...
[ "I214", "D62", "I2510", "E785", "I714", "I723", "Z781", "F17210", "Z590", "Y832", "Y92239" ]
Allergies: No Allergies/ADRs on File Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [MASKED]: Urgent coronary artery bypass grafting x3, left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the ramus intermedius branch and diagonal branch. History of Present...
[]
[ "D62", "I2510", "E785", "F17210" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "D62: Acute posthemorrhagic anemia", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "E785: Hyperlipidemia, unspecified", "I714: Abdominal aortic aneurysm, without rupture", "I723: Aneurysm of iliac artery",...
10,071,611
27,474,298
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: hot pepper Attending: ___. Chief Complaint: acute situational anxiety to pregnancy, hemorrhagic shock Major Surgical or Invasi...
[ "Z332", "J9690", "T8119XA", "E222", "O4402", "N9961", "O99342", "F419", "O99282", "N736", "Z3A18", "Y838" ]
Allergies: hot pepper Chief Complaint: acute situational anxiety to pregnancy, hemorrhagic shock Major Surgical or Invasive Procedure: dilation and evacuation complicated by intraoperative hemorrhage requiring exploratory laparotomy, total abdominal hysterectomy History of Present Illness: Ms. [MASKED] is a [MASKED], o...
[]
[ "F419" ]
[ "Z332: Encounter for elective termination of pregnancy", "J9690: Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia", "T8119XA: Other postprocedural shock, initial encounter", "E222: Syndrome of inappropriate secretion of antidiuretic hormone", "O4402: Complete placenta previa...
10,071,690
23,009,762
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: Lisinopril / Univasc Attending: ___. Chief Complaint: Left tibiotalar arthritis Major Surgical or Invasive Procedure: left tibiotala...
[ "M19172", "M21372", "J45909", "I10", "D649", "E669", "E785", "D573", "T1490XS", "W3400XS", "Z6830" ]
Allergies: Lisinopril / Univasc Chief Complaint: Left tibiotalar arthritis Major Surgical or Invasive Procedure: left tibiotalar fusion [MASKED] [MASKED] History of Present Illness: She is a pleasant [MASKED] yr old female with left ankle pain and swelling. Notably, she was involved in a traumatic gunshot injury in the...
[]
[ "J45909", "I10", "D649", "E669", "E785" ]
[ "M19172: Post-traumatic osteoarthritis, left ankle and foot", "M21372: Foot drop, left foot", "J45909: Unspecified asthma, uncomplicated", "I10: Essential (primary) hypertension", "D649: Anemia, unspecified", "E669: Obesity, unspecified", "E785: Hyperlipidemia, unspecified", "D573: Sickle-cell trait",...
10,071,795
20,675,745
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: Latex / Percocet / Neosporin / Levaquin / Bacitracin / oxycodone / levofloxacin / Dilaudid Attending: ___. Chief Complaint...
[ "N7093", "N390", "B373", "D251", "J45909" ]
Allergies: Latex / Percocet / Neosporin / Levaquin / Bacitracin / oxycodone / levofloxacin / Dilaudid Chief Complaint: lower abdominal pain/bloating Major Surgical or Invasive Procedure: none Physical Exam: Gen NAD, comfortable CV regular rate Pulm nl respiratory effort Abd soft, nondistended, minimally TTP in RLQ. no ...
[]
[ "N390", "J45909" ]
[ "N7093: Salpingitis and oophoritis, unspecified", "N390: Urinary tract infection, site not specified", "B373: Candidiasis of vulva and vagina", "D251: Intramural leiomyoma of uterus", "J45909: Unspecified asthma, uncomplicated" ]
10,071,795
24,331,732
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: Latex / Percocet / Neosporin / Levaquin / Bacitracin / oxycodone / levofloxacin / Dilaudid Attending: ___. Chief Complaint...
[ "N7093", "J45909", "T7840XA", "X58XXXA", "Y92239" ]
Allergies: Latex / Percocet / Neosporin / Levaquin / Bacitracin / oxycodone / levofloxacin / Dilaudid Chief Complaint: abdominal pain, fever Major Surgical or Invasive Procedure: [MASKED] aspiration of tubo-ovarian abscess History of Present Illness: [MASKED] [MASKED] presenting with 10 day history of abdominal pain as...
[]
[ "J45909" ]
[ "N7093: Salpingitis and oophoritis, unspecified", "J45909: Unspecified asthma, uncomplicated", "T7840XA: Allergy, unspecified, initial encounter", "X58XXXA: Exposure to other specified factors, initial encounter", "Y92239: Unspecified place in hospital as the place of occurrence of the external cause" ]
10,071,795
26,270,837
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: Latex / Percocet / Neosporin / Levaquin / Bacitracin / levofloxacin / Dilaudid / paper tape / shellfish derived / tree nuts /...
[ "D259", "N736", "F329", "F419" ]
Allergies: Latex / Percocet / Neosporin / Levaquin / Bacitracin / levofloxacin / Dilaudid / paper tape / shellfish derived / tree nuts / environmental Chief Complaint: Uterine fibroids and right ovarian mass Major Surgical or Invasive Procedure: Abdominal myomectomy History of Present Illness: Ms. [MASKED] is a [MASKED...
[]
[ "F329", "F419" ]
[ "D259: Leiomyoma of uterus, unspecified", "N736: Female pelvic peritoneal adhesions (postinfective)", "F329: Major depressive disorder, single episode, unspecified", "F419: Anxiety disorder, unspecified" ]
10,071,847
22,771,062
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: s/p fall Major Surgical or Invasive Procedure: ___ Plac...
[ "I442", "I462", "S12000A", "N179", "S2241XA", "M8088XA", "I10", "W1839XA", "Y92480", "R55", "E785", "E559" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: s/p fall Major Surgical or Invasive Procedure: [MASKED] Placement of DUAL CHAMBER [MASKED] PACEMAKER History of Present Illness: [MASKED] s/p mechanical fall, transferred from [MASKED] w/ R [MASKED] rib fractures. Patient reports that she was sweep...
[]
[ "N179", "I10", "E785" ]
[ "I442: Atrioventricular block, complete", "I462: Cardiac arrest due to underlying cardiac condition", "S12000A: Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture", "N179: Acute kidney failure, unspecified", "S2241XA: Multiple fractures of ribs, right side, init...
10,071,869
20,895,291
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: hypoxemia Major Surgical or Invasive Procedure: none ...
[ "J122", "J9601", "I5033", "E870", "J90", "D469", "I82411", "E872", "E871", "M868X8", "I4891", "M069", "F0390", "Z7952", "Z8546", "Z96652", "D539", "B952", "Z87891", "Z7901", "Z515", "Z66", "J8410" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: hypoxemia Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] who has chart history of dementia, recent diagnosis of Enterococcus bacteremia and Osteomyelitis on Ampicillin until [MASKED], Afib on Coumadin who is transfe...
[]
[ "J9601", "E872", "E871", "I4891", "Z87891", "Z7901", "Z515", "Z66" ]
[ "J122: Parainfluenza virus pneumonia", "J9601: Acute respiratory failure with hypoxia", "I5033: Acute on chronic diastolic (congestive) heart failure", "E870: Hyperosmolality and hypernatremia", "J90: Pleural effusion, not elsewhere classified", "D469: Myelodysplastic syndrome, unspecified", "I82411: Ac...
10,072,214
29,071,979
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: left arm/leg numbness and weakness on awakening Major Su...
[ "I638", "G8194", "I10", "N390", "R471", "R29810", "E119", "I6522", "E785", "E669", "Z6836", "Z794", "Z8673" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: left arm/leg numbness and weakness on awakening Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] left-handed female with a PMHx of DM, HTN, and prior stroke (right-sided numbness and weakness [MASKED] ye...
[]
[ "I10", "N390", "E119", "E785", "E669", "Z794", "Z8673" ]
[ "I638: Other cerebral infarction", "G8194: Hemiplegia, unspecified affecting left nondominant side", "I10: Essential (primary) hypertension", "N390: Urinary tract infection, site not specified", "R471: Dysarthria and anarthria", "R29810: Facial weakness", "E119: Type 2 diabetes mellitus without complica...
10,072,264
28,943,956
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Weakness Major Surgical or Invasive Procedure: ___ Lar...
[ "K7469", "N186", "E1310", "R188", "K521", "I120", "I5032", "E871", "E559", "T39315A", "E785", "K429", "W19XXXA", "D649", "E876", "Z992", "Z794" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Weakness Major Surgical or Invasive Procedure: [MASKED] Large Volume Paracentesis History of Present Illness: Ms. [MASKED] is a [MASKED] woman with a history of Child B, MELD 20 cirrhosis of unclear etiology (cholestatic injury, dx'd [MASKED] c/b p...
[]
[ "I5032", "E871", "E785", "D649", "Z794" ]
[ "K7469: Other cirrhosis of liver", "N186: End stage renal disease", "E1310: Other specified diabetes mellitus with ketoacidosis without coma", "R188: Other ascites", "K521: Toxic gastroenteritis and colitis", "I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal...
10,072,799
24,733,519
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Headache, left arm and leg pain and numbness. Major S...
[ "G4489", "M4802", "H538", "R200", "K5900", "L709", "K2950", "G971", "Y844", "Y92230" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Headache, left arm and leg pain and numbness. Major Surgical or Invasive Procedure: Epidural blood patch. History of Present Illness: Ms. [MASKED] is a [MASKED] left-handed woman with a remote history of migraine, also gastritis, chronic constipati...
[]
[ "K5900", "Y92230" ]
[ "G4489: Other headache syndrome", "M4802: Spinal stenosis, cervical region", "H538: Other visual disturbances", "R200: Anesthesia of skin", "K5900: Constipation, unspecified", "L709: Acne, unspecified", "K2950: Unspecified chronic gastritis without bleeding", "G971: Other reaction to spinal and lumbar...
10,072,799
28,944,995
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Right arm movement, facial twitching, stuttering speech...
[ "F39", "F419", "F410", "G43809", "R112", "K5909" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Right arm movement, facial twitching, stuttering speech. Major Surgical or Invasive Procedure: None. History of Present Illness: The patient is a [MASKED] year-old left-handed woman with history of migraine, gastritis, chronic constipation and rece...
[]
[ "F419" ]
[ "F39: Unspecified mood [affective] disorder", "F419: Anxiety disorder, unspecified", "F410: Panic disorder [episodic paroxysmal anxiety]", "G43809: Other migraine, not intractable, without status migrainosus", "R112: Nausea with vomiting, unspecified", "K5909: Other constipation" ]
10,073,239
28,901,382
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: CAD, volume overload Major Surgical or Invasive Pro...
[ "I130", "I5023", "K7200", "F05", "E871", "N390", "N179", "I97638", "D684", "R570", "I2582", "I340", "E1122", "I2510", "I255", "N183", "I361", "I480", "I350", "E785", "Z515", "Z794", "Z7901", "Z87891", "E1142", "L989", "I952", "T501X5A", "Y92230", "N401", "...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: CAD, volume overload Major Surgical or Invasive Procedure: Transesophageal echocardiogram History of Present Illness: Mr. [MASKED] is a [MASKED] man with CAD (3v disease, previously declined CABG), ischemic cardiomyopathy, HFrEF (LVEF 35%), Atrial ...
[]
[ "I130", "E871", "N390", "N179", "E1122", "I2510", "I480", "E785", "Z515", "Z794", "Z7901", "Z87891", "Y92230" ]
[ "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "I5023: Acute on chronic systolic (congestive) heart failure", "K7200: Acute and subacute hepatic failure without coma", "F05: Delirium due to kno...
10,073,247
25,584,602
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Neosporin AF / adhesive tape Attending: ___. Chief Complaint: Nausea, vomiting, diarrhea Major Surgical or Invasive Procedur...
[ "D61810", "B370", "C7951", "C787", "N179", "R112", "R197", "R1310", "Z66", "G510", "E860", "Z853", "G622" ]
Allergies: Penicillins / Neosporin AF / adhesive tape Chief Complaint: Nausea, vomiting, diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] PMH metastatic breast CA currently on immunotherapy, bell's palsy with left-sided facial droop, vasovagal episodes with significant bradycardi...
[]
[ "N179", "Z66" ]
[ "D61810: Antineoplastic chemotherapy induced pancytopenia", "B370: Candidal stomatitis", "C7951: Secondary malignant neoplasm of bone", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "N179: Acute kidney failure, unspecified", "R112: Nausea with vomiting, unspecified", "R197: D...
10,073,248
20,220,513
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: anasarca, proteinuria, hematuria Major Surgical or Invasive ...
[ "N049", "N179", "T39391A", "Y929", "G4440", "E7800", "K219", "E039", "E785", "Z8546", "I160" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: anasarca, proteinuria, hematuria Major Surgical or Invasive Procedure: None performed. History of Present Illness: HISTORY OF THE PRESENTING ILLNESS: Mr [MASKED] is a [MASKED] year old man with a history of prostate cancer s/p radical prostatectomy...
[]
[ "N179", "Y929", "K219", "E039", "E785" ]
[ "N049: Nephrotic syndrome with unspecified morphologic changes", "N179: Acute kidney failure, unspecified", "T39391A: Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], accidental (unintentional), initial encounter", "Y929: Unspecified place or not applicable", "G4440: Drug-induced headache, n...
10,074,474
26,500,750
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: codeine / Sulfa (Sulfonamide Antibiotics) / naproxen Attending: ___. Chief Complaint: fatigue, altered mental status Major Surgical...
[ "A419", "R6521", "J9601", "E872", "D684", "J189", "E46", "D6959", "C8330", "L97429", "F17210", "K7460", "B182", "D701", "T451X5A", "R5081", "Y929", "D6481", "I10", "F419", "Z590", "Z66", "Z6821" ]
Allergies: codeine / Sulfa (Sulfonamide Antibiotics) / naproxen Chief Complaint: fatigue, altered mental status Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with PMH significant for indolent non-Hodgkin B cell lymphoma that transformed into DLBCL for which he is on R-CHO...
[]
[ "J9601", "E872", "F17210", "Y929", "I10", "F419", "Z66" ]
[ "A419: Sepsis, unspecified organism", "R6521: Severe sepsis with septic shock", "J9601: Acute respiratory failure with hypoxia", "E872: Acidosis", "D684: Acquired coagulation factor deficiency", "J189: Pneumonia, unspecified organism", "E46: Unspecified protein-calorie malnutrition", "D6959: Other sec...
10,074,556
21,313,821
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___ ___ Complaint: admission for cycle #4 of EPOCH Major Surgical or Invasive Procedure: None History of Pr...
[ "Z5111", "C8529", "K863", "K861", "Q453", "K219", "K1230", "K5900" ]
Allergies: Penicillins [MASKED] Complaint: admission for cycle #4 of EPOCH Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] year old male with recent diagnosis of primary mediastinal lymphoma who is admitted for planned fourth cycle of DA-EPOCH-R. He originally presented for...
[]
[ "K219", "K5900" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C8529: Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites", "K863: Pseudocyst of pancreas", "K861: Other chronic pancreatitis", "Q453: Other congenital malformations of pancreas and pancreatic duct", "K219: Gastro-esophageal re...
10,074,556
21,972,840
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: Abdominal pain, nausea, chills Major Surgical or Invasive Procedure: None History of P...
[ "D701", "J189", "C8522", "K861", "K219", "G4700", "K5900", "K1230", "R6883" ]
Allergies: Penicillins Chief Complaint: Abdominal pain, nausea, chills Major Surgical or Invasive Procedure: None History of Present Illness: Patient is a [MASKED] hx DLBCL s/p 5 cycles EPOCH (C5D12) presented to clinic for routine follow-up and reported there that he is feeling unwell. Since midnight he had intermitte...
[]
[ "K219", "G4700", "K5900" ]
[ "D701: Agranulocytosis secondary to cancer chemotherapy", "J189: Pneumonia, unspecified organism", "C8522: Mediastinal (thymic) large B-cell lymphoma, intrathoracic lymph nodes", "K861: Other chronic pancreatitis", "K219: Gastro-esophageal reflux disease without esophagitis", "G4700: Insomnia, unspecified...
10,074,556
22,210,939
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___ Chief Complaint: lymphoma Major Surgical or Invasive Procedure: ___: Successful placement of a double lume...
[ "Z5111", "C8332", "K863", "Q453", "K861", "I493", "K5900", "K649", "K219", "L271", "T370X5A", "Y92230" ]
Allergies: Penicillins Chief Complaint: lymphoma Major Surgical or Invasive Procedure: [MASKED]: Successful placement of a double lumen chest power Port-a-cath via the right internal jugular venous approach. History of Present Illness: ============================================================= ONCOLOGY HOSPITALIST A...
[]
[ "K5900", "K219", "Y92230" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C8332: Diffuse large B-cell lymphoma, intrathoracic lymph nodes", "K863: Pseudocyst of pancreas", "Q453: Other congenital malformations of pancreas and pancreatic duct", "K861: Other chronic pancreatitis", "I493: Ventricular premature depolarization", ...
10,074,556
22,281,978
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: admission for C1 ICE Major Surgical or Invasive Procedure: none History of Present Il...
[ "Z5111", "C8528", "K861", "F419", "K219", "G4701" ]
Allergies: Penicillins Chief Complaint: admission for C1 ICE Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a pleasant [MASKED] originally diagnosed w/ primary mediastinal lymphoma s/p 6C of da-EPOCH with restaging consistent with persistent mediastinal mass. Patient underwent bx...
[]
[ "F419", "K219" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C8528: Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites", "K861: Other chronic pancreatitis", "F419: Anxiety disorder, unspecified", "K219: Gastro-esophageal reflux disease without esophagitis", "G4701: Insomnia due to medical c...
10,074,556
23,686,717
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: Scheduled chemotherapy Major Surgical or Invasive Procedure: None History of Present ...
[ "Z5111", "C8332", "Q453", "K861", "K219", "G4700" ]
Allergies: Penicillins Chief Complaint: Scheduled chemotherapy Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a pleasant [MASKED] w/ primary mediastinal lymphoma who is admitted for C6 DA-EPOCH-R. He originally presented for 6 months of symptoms including weight loss night sweats...
[]
[ "K219", "G4700" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C8332: Diffuse large B-cell lymphoma, intrathoracic lymph nodes", "Q453: Other congenital malformations of pancreas and pancreatic duct", "K861: Other chronic pancreatitis", "K219: Gastro-esophageal reflux disease without esophagitis", "G4700: Insomnia,...
10,074,556
23,864,934
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: Chills Major Surgical or Invasive Procedure: None History of Present Illness: ___ yea...
[ "J0190", "B9789", "C8332", "C8190", "R000", "K8689" ]
Allergies: Penicillins Chief Complaint: Chills Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with primary mediastinal lymphoma s/p 6 cycles of dose adjusted R-EPOCH in [MASKED] with residual disease (CHL) now s/p ICE who is admitted from the ED with chills, low grade temp...
[]
[]
[ "J0190: Acute sinusitis, unspecified", "B9789: Other viral agents as the cause of diseases classified elsewhere", "C8332: Diffuse large B-cell lymphoma, intrathoracic lymph nodes", "C8190: Hodgkin lymphoma, unspecified, unspecified site", "R000: Tachycardia, unspecified", "K8689: Other specified diseases ...
10,074,556
24,049,696
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: Mediastinal Mass Major Surgical or Invasive Procedure: none History of Present Illnes...
[ "C8332", "I96", "K861", "K219", "Z800" ]
Allergies: Penicillins Chief Complaint: Mediastinal Mass Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] year old male, with past history of acute pancreatitis c/b necrosis requiring necrosectomy in [MASKED], GERD, who is presenting today for expedited workup of a chest...
[]
[ "K219" ]
[ "C8332: Diffuse large B-cell lymphoma, intrathoracic lymph nodes", "I96: Gangrene, not elsewhere classified", "K861: Other chronic pancreatitis", "K219: Gastro-esophageal reflux disease without esophagitis", "Z800: Family history of malignant neoplasm of digestive organs" ]
10,074,556
25,566,058
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / Bactrim Attending: ___. Chief Complaint: C3 da-EPOCH Major Surgical or Invasive Procedure: none History of Present I...
[ "Z5111", "C8332", "K863", "K861", "K219", "K1231", "T451X5A", "K5900", "Y929" ]
Allergies: Penicillins / Bactrim Chief Complaint: C3 da-EPOCH Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] man with recent diagnosis of primary mediastinal lymphoma who is admitted for planned third cycle of DA-EPOCH. He originally presented for 6 months of symptoms incl...
[]
[ "K219", "K5900", "Y929" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C8332: Diffuse large B-cell lymphoma, intrathoracic lymph nodes", "K863: Pseudocyst of pancreas", "K861: Other chronic pancreatitis", "K219: Gastro-esophageal reflux disease without esophagitis", "K1231: Oral mucositis (ulcerative) due to antineoplastic...
10,074,556
27,273,088
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___ Chief Complaint: autologous stem cell transplant Major Surgical or Invasive Procedure: tunneled line remov...
[ "C8172", "C8334", "D701", "K521", "K8689", "Y92230", "E869", "T451X5A", "R000", "I493", "R5081", "R110", "K1231", "G4700", "F419", "G8929", "Z006" ]
Allergies: Penicillins Chief Complaint: autologous stem cell transplant Major Surgical or Invasive Procedure: tunneled line removal prior to discharge History of Present Illness: [MASKED] with composite primary mediastinal and classical hodgkin's lymphoma s/p chemotherapy as per oncologic history who is admitted for pl...
[]
[ "Y92230", "G4700", "F419", "G8929" ]
[ "C8172: Other Hodgkin lymphoma, intrathoracic lymph nodes", "C8334: Diffuse large B-cell lymphoma, lymph nodes of axilla and upper limb", "D701: Agranulocytosis secondary to cancer chemotherapy", "K521: Toxic gastroenteritis and colitis", "K8689: Other specified diseases of pancreas", "Y92230: Patient roo...
10,074,556
28,422,591
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: admission for cycle #5 of EPOCH-R Major Surgical or Invasive Procedure: None History...
[ "Z5111", "C8332", "K863", "Q453", "K861", "K5900", "R300", "K1230", "K219" ]
Allergies: Penicillins Chief Complaint: admission for cycle #5 of EPOCH-R Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] year old male with a recent diagnosis of primary mediastinal lymphoma who is admitted for planned fifth cycle of DA-EPOCH-R. He originally presented for...
[]
[ "K5900", "K219" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C8332: Diffuse large B-cell lymphoma, intrathoracic lymph nodes", "K863: Pseudocyst of pancreas", "Q453: Other congenital malformations of pancreas and pancreatic duct", "K861: Other chronic pancreatitis", "K5900: Constipation, unspecified", "R300: Dy...
10,074,556
28,530,417
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: Scheduled chemotherapy Major Surgical or Invasive Procedure: None History of Present ...
[ "Z5111", "C8198", "K219" ]
Allergies: Penicillins Chief Complaint: Scheduled chemotherapy Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] PMH of Primary mediastinal lymphoma now classical hodgkin's (s/p 6 cycles of dose adjusted R-EPOCH in [MASKED] with residual disease (CHL) now s/p C1 ICE) who presents for Cycle...
[]
[ "K219" ]
[ "Z5111: Encounter for antineoplastic chemotherapy", "C8198: Hodgkin lymphoma, unspecified, lymph nodes of multiple sites", "K219: Gastro-esophageal reflux disease without esophagitis" ]
10,074,611
20,663,793
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: cephalexin / Influenza Virus Vaccines Attending: ___. Chief Complaint: back pain Major Surgical or Invasive Procedure: ___ thoracic posterior fu...
[ "M4014", "S22041G", "V499XXD", "Z720", "I10", "Z8541", "F329", "F419" ]
Allergies: cephalexin / Influenza Virus Vaccines Chief Complaint: back pain Major Surgical or Invasive Procedure: [MASKED] thoracic posterior fusion from T1-T9 for correction of kyphosis with corpectomy at T4 and cement History of Present Illness: Ms. [MASKED] presents to the office for evaluation. She was seen on [MAS...
[]
[ "I10", "F329", "F419" ]
[ "M4014: Other secondary kyphosis, thoracic region", "S22041G: Stable burst fracture of fourth thoracic vertebra, subsequent encounter for fracture with delayed healing", "V499XXD: Car occupant (driver) (passenger) injured in unspecified traffic accident, subsequent encounter", "Z720: Tobacco use", "I10: Ess...
10,074,611
23,494,296
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: cephalexin / Influenza Virus Vaccines Attending: ___. Chief Complaint: MVC resulting in T4 burst Fx, T5 osteophyte Fx,T1-T4 SP fx, Rt 1st rib Fx with d...
[ "S22041A", "S140XXA", "R402212", "S06890A", "S240XXA", "J9600", "J158", "S2231XA", "D62", "F10239", "F10221", "N390", "S22018A", "S22028A", "S22038A", "S22058A", "S42031A", "V892XXA", "Y92410", "S0101XA", "F17210", "R402142", "R402362", "E669", "I10", "F329", "D69...
Allergies: cephalexin / Influenza Virus Vaccines Chief Complaint: MVC resulting in T4 burst Fx, T5 osteophyte Fx,T1-T4 SP fx, Rt 1st rib Fx with displacement, extensive scalp lac, right distal clavicular fx Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old female [MASKED] presente...
[]
[ "D62", "N390", "F17210", "E669", "I10", "F329", "D696", "G4700" ]
[ "S22041A: Stable burst fracture of fourth thoracic vertebra, initial encounter for closed fracture", "S140XXA: Concussion and edema of cervical spinal cord, initial encounter", "R402212: Coma scale, best verbal response, none, at arrival to emergency department", "S06890A: Other specified intracranial injury ...
10,074,649
28,167,262
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: heavy vaginal bleeding Major Surgical or Invasiv...
[ "N920", "N800", "N879", "G43909", "E663", "Z6828", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: heavy vaginal bleeding Major Surgical or Invasive Procedure: Total vaginal hysterectomy, bilateral partial salpingectomy, cystoscopy Physical Exam: Gen: NAD CV: RRR Pulm: breathing comfortably on RA Abd: soft, appropriately mildly TTP, no rebound o...
[]
[ "Z87891" ]
[ "N920: Excessive and frequent menstruation with regular cycle", "N800: Endometriosis of uterus", "N879: Dysplasia of cervix uteri, unspecified", "G43909: Migraine, unspecified, not intractable, without status migrainosus", "E663: Overweight", "Z6828: Body mass index [BMI] 28.0-28.9, adult", "Z87891: Per...
10,074,869
28,600,840
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: ___...
[ "I2510", "D62", "I2582", "I4891", "I10", "E785", "E119", "D72829", "Z8546", "Z8249" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [MASKED] Coronary artery bypass grafting x 5 with the left internal mammary artery to left anterior descending artery, reverse saphenous vein graft to the posterolateral branch artery, a diagonal art...
[]
[ "I2510", "D62", "I4891", "I10", "E785", "E119" ]
[ "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "D62: Acute posthemorrhagic anemia", "I2582: Chronic total occlusion of coronary artery", "I4891: Unspecified atrial fibrillation", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "E11...
10,074,908
27,875,313
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROSURGERY Allergies: seafood Attending: ___. Chief Complaint: Hydrocephalus Major Surgical or Invasive Procedure: ___ - Placement of VP Shunt by Dr _...
[ "G912", "F0390", "E119", "I10", "E785", "M810", "R269", "Z794" ]
Allergies: seafood Chief Complaint: Hydrocephalus Major Surgical or Invasive Procedure: [MASKED] - Placement of VP Shunt by Dr [MASKED] [MASKED] of Present Illness: Mr. [MASKED] is a [MASKED] y/o female with hydrocephalus who presents for elective placement of a VP shunt. The risks and benefits of VP shunt placement we...
[]
[ "E119", "I10", "E785", "Z794" ]
[ "G912: (Idiopathic) normal pressure hydrocephalus", "F0390: Unspecified dementia without behavioral disturbance", "E119: Type 2 diabetes mellitus without complications", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "M810: Age-related osteoporosis without current pathologic...
10,074,908
29,170,411
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: seafood Attending: ___. Chief Complaint: Weakness, Jaw Pain Major Surgical or Invasive Procedure: ___: Extraoral L parapharyngeal a...
[ "J390", "K658", "G20", "J384", "G8191", "E8339", "K122", "B9561", "Z1623", "Z1629", "F0280", "D320", "I10", "Z9181", "W06XXXA", "Y92230", "E8351", "E876", "Z982" ]
Allergies: seafood Chief Complaint: Weakness, Jaw Pain Major Surgical or Invasive Procedure: [MASKED]: Extraoral L parapharyngeal abscess I&D with [MASKED] drain placement; Extraction of teeth 3, 9, 12, 18 Endotracheal Intubation History of Present Illness: [MASKED] year old [MASKED] speaking female with DMII, dementia...
[]
[ "I10", "Y92230" ]
[ "J390: Retropharyngeal and parapharyngeal abscess", "K658: Other peritonitis", "G20: Parkinson's disease", "J384: Edema of larynx", "G8191: Hemiplegia, unspecified affecting right dominant side", "E8339: Other disorders of phosphorus metabolism", "K122: Cellulitis and abscess of mouth", "B9561: Methic...
10,075,035
27,908,665
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: chloroquine Attending: ___. Chief Complaint: right scapula GCT Major Surgical or Invasive Procedure: right partial scapulectomy __...
[ "D480", "D62", "G893", "I9581" ]
Allergies: chloroquine Chief Complaint: right scapula GCT Major Surgical or Invasive Procedure: right partial scapulectomy [MASKED] History of Present Illness: Mr. [MASKED] is a very pleasant [MASKED] right-hand dominant gentleman who started having pain in his scapular region back in after a fall in [MASKED]. He had a...
[]
[ "D62" ]
[ "D480: Neoplasm of uncertain behavior of bone and articular cartilage", "D62: Acute posthemorrhagic anemia", "G893: Neoplasm related pain (acute) (chronic)", "I9581: Postprocedural hypotension" ]
10,075,053
26,259,455
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: generalized pain s/p MVC with rollover Major Surgical or ...
[ "S27322A", "S52611A", "V892XXA", "Y92410", "Z23", "F10129" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: generalized pain s/p MVC with rollover Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] with no PMHx presents to the ED intoxicated (EtOH) and s/p MVC. The patient was the unrestrained passenger involved in an MVC wit...
[]
[]
[ "S27322A: Contusion of lung, bilateral, initial encounter", "S52611A: Displaced fracture of right ulna styloid process, initial encounter for closed fracture", "V892XXA: Person injured in unspecified motor-vehicle accident, traffic, initial encounter", "Y92410: Unspecified street and highway as the place of o...
10,075,148
22,304,013
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Flagyl / metformin / Statins-Hmg-Coa Reductase Inhibitors / lisinopril / atenolol / hayfever Attending: ___ Chief Complaint: Hypertens...
[ "I25110", "Z87891", "E785", "K219", "G4733", "Z8673", "E1122", "I129", "I160", "Z7982", "N182", "Z794" ]
Allergies: Flagyl / metformin / Statins-Hmg-Coa Reductase Inhibitors / lisinopril / atenolol / hayfever Chief Complaint: Hypertension chest pain Major Surgical or Invasive Procedure: Coronary angiogram with drug-eluting stent x1 to the OM. History of Present Illness: Brief HPI: [MASKED] w/hx of hypertension, hyperlipid...
[]
[ "Z87891", "E785", "K219", "G4733", "Z8673", "E1122", "I129", "Z794" ]
[ "I25110: Atherosclerotic heart disease of native coronary artery with unstable angina pectoris", "Z87891: Personal history of nicotine dependence", "E785: Hyperlipidemia, unspecified", "K219: Gastro-esophageal reflux disease without esophagitis", "G4733: Obstructive sleep apnea (adult) (pediatric)", "Z867...
10,075,709
20,137,578
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Cephalosporins Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Present Ill...
[ "A09", "E039", "D72829", "I10", "J45998", "K219", "L80", "J302", "M25561", "E876", "R1084", "R112", "R42", "R55", "Z87891" ]
Allergies: Penicillins / Cephalosporins Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] with mild asthma, HTN, hypothyroidism, GERD, vitiligo, allergies, who presented with an episode of lightheadedness and syncope on background of N/V/D ...
[]
[ "E039", "I10", "K219", "Z87891" ]
[ "A09: Infectious gastroenteritis and colitis, unspecified", "E039: Hypothyroidism, unspecified", "D72829: Elevated white blood cell count, unspecified", "I10: Essential (primary) hypertension", "J45998: Other asthma", "K219: Gastro-esophageal reflux disease without esophagitis", "L80: Vitiligo", "J302...
10,075,900
23,749,709
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: latex Attending: ___. Chief Complaint: seizure, hyponatremia Major Surgical or Invasive Procedure: RIJ line placement ___ History of Pres...
[ "E222", "G4089", "F329", "F419" ]
Allergies: latex Chief Complaint: seizure, hyponatremia Major Surgical or Invasive Procedure: RIJ line placement [MASKED] History of Present Illness: This is a [MASKED] female who presents with concern for hyponatremic seizures. Per her family, she has had [MASKED] witnessed episodes of staring off + chewing repeating,...
[]
[ "F329", "F419" ]
[ "E222: Syndrome of inappropriate secretion of antidiuretic hormone", "G4089: Other seizures", "F329: Major depressive disorder, single episode, unspecified", "F419: Anxiety disorder, unspecified" ]
10,075,925
20,739,229
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Lisinopril / Iodinated Contrast- Oral and IV Dye Attending: ___. Chief Complaint: dysuria Major Surgical or Invasive Procedure: Non...
[ "N390", "N179", "C3401", "C7931", "E1022", "I132", "I5032", "N186", "Z940", "I313", "Z993", "E1065", "R441", "H318", "D649", "G4700", "Z23", "Z66", "Z794", "E669", "Z6832", "E10319", "H409" ]
Allergies: Lisinopril / Iodinated Contrast- Oral and IV Dye Chief Complaint: dysuria Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] PMH HTN, HFpEF, IDDM, ESRD due to DM s/p LURT [MASKED] (living donor: husband), with recent diagnosis of adenocarcinoma of the lung during her prior hospit...
[]
[ "N390", "N179", "I5032", "D649", "G4700", "Z66", "Z794", "E669" ]
[ "N390: Urinary tract infection, site not specified", "N179: Acute kidney failure, unspecified", "C3401: Malignant neoplasm of right main bronchus", "C7931: Secondary malignant neoplasm of brain", "E1022: Type 1 diabetes mellitus with diabetic chronic kidney disease", "I132: Hypertensive heart and chronic ...
10,075,925
21,574,077
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Lisinopril Attending: ___ Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: ___ yo...
[ "I130", "I5033", "J9621", "J9622", "Z940", "E872", "J9811", "E669", "E1122", "G4733", "I2510", "E1165", "E785", "N189", "Z87891", "E875", "D649", "Z794", "H409" ]
Allergies: Lisinopril Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] yo F with h/o HTN, HFpEF, DM2, s/p Living donor renal transplant [MASKED], who presented with one week of worsening dyspnea and leg edema, found to be hypoxemic to 70% on RA in ED. Patient note...
[]
[ "I130", "E872", "E669", "E1122", "G4733", "I2510", "E1165", "E785", "N189", "Z87891", "D649", "Z794" ]
[ "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "I5033: Acute on chronic diastolic (congestive) heart failure", "J9621: Acute and chronic respiratory failure with hypoxia", "J9622: Acute and chr...
10,075,925
23,788,833
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Lisinopril / Iodinated Contrast- Oral and IV Dye Attending: ___. Chief Complaint: Shortness of Breath and fatigue Major Surgical o...
[ "C3411", "I5033", "N170", "J189", "J9601", "I130", "I313", "C787", "Z940", "E871", "N390", "D62", "J9811", "J90", "C7951", "H31421", "K269", "N189", "Z794", "E669", "Z6837", "R2681", "G4733", "E1021", "K2960", "E10319", "E860", "E875", "E1022" ]
Allergies: Lisinopril / Iodinated Contrast- Oral and IV Dye Chief Complaint: Shortness of Breath and fatigue Major Surgical or Invasive Procedure: Esophagogastroduodenoscopy (EGD) - [MASKED] Colonoscopy - [MASKED] Bronchoscopy with transbronchial biopsy - [MASKED] Right chest tube [MASKED] TPC Placement [MASKED] Histor...
[]
[ "J9601", "I130", "E871", "N390", "D62", "N189", "Z794", "E669", "G4733" ]
[ "C3411: Malignant neoplasm of upper lobe, right bronchus or lung", "I5033: Acute on chronic diastolic (congestive) heart failure", "N170: Acute kidney failure with tubular necrosis", "J189: Pneumonia, unspecified organism", "J9601: Acute respiratory failure with hypoxia", "I130: Hypertensive heart and chr...
10,075,925
24,184,489
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Lisinopril Attending: ___. Chief Complaint: SOB Major Surgical or Invasive Procedure: None. History of Present Illness: ___ yo F ...
[ "I110", "J9601", "I21A1", "E861", "E873", "I313", "J189", "E1121", "Z940", "I5033", "Z794", "G4733", "Z9181", "E11319" ]
Allergies: Lisinopril Chief Complaint: SOB Major Surgical or Invasive Procedure: None. History of Present Illness: [MASKED] yo F with h/o HTN, dCHF, DM2, s/p renal transplant, admitted on [MASKED] with a several day h/o dyspnea with exertion, progressive, called EMS and found to have hypoxemia to the 50's. Pt with mild...
[]
[ "I110", "J9601", "Z794", "G4733" ]
[ "I110: Hypertensive heart disease with heart failure", "J9601: Acute respiratory failure with hypoxia", "I21A1: Myocardial infarction type 2", "E861: Hypovolemia", "E873: Alkalosis", "I313: Pericardial effusion (noninflammatory)", "J189: Pneumonia, unspecified organism", "E1121: Type 2 diabetes mellit...
10,075,925
25,211,602
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Lisinopril / Iodinated Contrast- Oral and IV Dye Attending: ___. Chief Complaint: R arm fracture, respiratory failure, metastatic can...
[ "S42331A", "W06XXXA", "Y92009", "C3490", "C787", "C7951", "J9690", "I132", "I5032", "N186", "E1022", "Z940", "Z794", "Z66", "E1021", "E10319", "E785" ]
Allergies: Lisinopril / Iodinated Contrast- Oral and IV Dye Chief Complaint: R arm fracture, respiratory failure, metastatic cancer Major Surgical or Invasive Procedure: none History of Present Illness: Ms. [MASKED] is a [MASKED] woman with a past medical history pertinent for HTN, HFpEF, IDDM, ESRD due to DM s/p LURT ...
[]
[ "I5032", "Z794", "Z66", "E785" ]
[ "S42331A: Displaced oblique fracture of shaft of humerus, right arm, initial encounter for closed fracture", "W06XXXA: Fall from bed, initial encounter", "Y92009: Unspecified place in unspecified non-institutional (private) residence as the place of occurrence of the external cause", "C3490: Malignant neoplas...
10,075,925
26,160,109
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Lisinopril Attending: ___. Chief Complaint: B/L Leg Swelling Major Surgical or Invasive Procedure: None History of Present Illn...
[ "I5033", "J811", "I313", "I120", "N186", "Z940", "Z992", "E119", "Z794", "E669", "Z6841", "H409", "I272", "Z87440", "Z9111" ]
Allergies: Lisinopril Chief Complaint: B/L Leg Swelling Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] hx renal transplant [MASKED], living unrelated donor) on MMF, tacrolimus who presented with acute onset of R>L lower extremity swelling overnight. Patient reports non...
[]
[ "E119", "Z794", "E669" ]
[ "I5033: Acute on chronic diastolic (congestive) heart failure", "J811: Chronic pulmonary edema", "I313: Pericardial effusion (noninflammatory)", "I120: Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease", "N186: End stage renal disease", "Z940: Kidney transp...
10,075,925
29,287,496
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Lisinopril Attending: ___ Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: Ms. ___...
[ "A4159", "I5033", "J9601", "G92", "J9602", "I130", "N3000", "Z940", "E874", "I313", "N179", "Z1611", "Z1629", "N189", "E1122", "E1165", "Z794", "Z87891", "G4733", "E669", "E785", "Z781", "B961", "E875" ]
Allergies: Lisinopril Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] female with history of hypertension, HFpEF, DM2, ESRD [MASKED] DM s/p LURT ([MASKED]) maintained on cellcept and tacrolimus who presents from home with dyspnea for 7 days, adm...
[]
[ "J9601", "I130", "N179", "N189", "E1122", "E1165", "Z794", "Z87891", "G4733", "E669", "E785" ]
[ "A4159: Other Gram-negative sepsis", "I5033: Acute on chronic diastolic (congestive) heart failure", "J9601: Acute respiratory failure with hypoxia", "G92: Toxic encephalopathy", "J9602: Acute respiratory failure with hypercapnia", "I130: Hypertensive heart and chronic kidney disease with heart failure an...
10,076,144
20,119,544
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / Fosamax / Peach / cherries / fresh fruit Attending: ___. Chief Complaint: constipation Major Surgical or Invasive Proc...
[ "K5900", "I509", "Z8546", "K603", "K219", "E785", "I129", "N189", "K529" ]
Allergies: Penicillins / Fosamax / Peach / cherries / fresh fruit Chief Complaint: constipation Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] h/o CHF, prostate ca s/p resection and chemo (remote) and fistula-in-ano presents with constipation x3 weeks. Patient reports that approximately...
[]
[ "K5900", "K219", "E785", "I129", "N189" ]
[ "K5900: Constipation, unspecified", "I509: Heart failure, unspecified", "Z8546: Personal history of malignant neoplasm of prostate", "K603: Anal fistula", "K219: Gastro-esophageal reflux disease without esophagitis", "E785: Hyperlipidemia, unspecified", "I129: Hypertensive chronic kidney disease with st...
10,076,144
23,965,952
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / Fosamax / Peach / cherries / fresh fruit / cats Attending: ___. Chief Complaint: Hand swelling, pain, erythema Major Sur...
[ "T814XXA", "L03114", "I10", "K219", "E785", "Z8546", "Y848", "Y929", "J45909" ]
Allergies: Penicillins / Fosamax / Peach / cherries / fresh fruit / cats Chief Complaint: Hand swelling, pain, erythema Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old male with chief complaint of cellulitis. He was recently seen in ED for cellulitis of his hand. It developed fo...
[]
[ "I10", "K219", "E785", "Y929", "J45909" ]
[ "T814XXA: Infection following a procedure", "L03114: Cellulitis of left upper limb", "I10: Essential (primary) hypertension", "K219: Gastro-esophageal reflux disease without esophagitis", "E785: Hyperlipidemia, unspecified", "Z8546: Personal history of malignant neoplasm of prostate", "Y848: Other medic...
10,076,144
24,347,474
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / Fosamax / Peach / cherries / fresh fruit / cats Attending: ___. Chief Complaint: Shortness of Breath Major Surgical or ...
[ "J441", "J189", "I5033", "I21A1", "J440", "K219", "E785", "I4891", "I110", "Z8546", "Z7722", "Z808", "Z7901" ]
Allergies: Penicillins / Fosamax / Peach / cherries / fresh fruit / cats Chief Complaint: Shortness of Breath Major Surgical or Invasive Procedure: None TTE - The left atrium is mildly dilated. The left atrial volume index is moderately increased. Left ventricular wall thicknesses and cavity size are normal. Overall le...
[]
[ "K219", "E785", "I4891", "I110", "Z7901" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "J189: Pneumonia, unspecified organism", "I5033: Acute on chronic diastolic (congestive) heart failure", "I21A1: Myocardial infarction type 2", "J440: Chronic obstructive pulmonary disease with (acute) lower respiratory infection", "...
10,076,263
25,448,079
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril Attending: ___ Chief Complaint: Abdominal Pain Major Surgical or Invasive Procedure: R IJ placement (___) Diagnostic Par...
[ "K7290", "K651", "I2699", "E43", "E8342", "K766", "E8352", "K567", "Z781", "F17210", "K7031", "R627", "Z6820", "F1020", "J45909", "I10", "F329", "R339", "G8929", "E876", "K3189", "D638", "N7093", "Z7902", "R0789" ]
Allergies: lisinopril Chief Complaint: Abdominal Pain Major Surgical or Invasive Procedure: R IJ placement ([MASKED]) Diagnostic Paracentesis ([MASKED]) Upper Endoscopy ([MASKED]) R PICC Placement ([MASKED]) History of Present Illness: [MASKED] history of EtOH abuse, EtOH pancreatitis, and recently diagnosed cirrhosis ...
[]
[ "F17210", "J45909", "I10", "F329", "G8929", "Z7902" ]
[ "K7290: Hepatic failure, unspecified without coma", "K651: Peritoneal abscess", "I2699: Other pulmonary embolism without acute cor pulmonale", "E43: Unspecified severe protein-calorie malnutrition", "E8342: Hypomagnesemia", "K766: Portal hypertension", "E8352: Hypercalcemia", "K567: Ileus, unspecified...
10,076,263
25,634,900
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril Attending: ___ Chief Complaint: Right sided abdominal pain Major Surgical or Invasive Procedure: ___ drainage of tubo-ov...
[ "A419", "E43", "J9601", "K7200", "R6521", "G92", "J189", "I5031", "K8520", "N12", "I110", "K7681", "K7031", "J45909", "F17210" ]
Allergies: lisinopril Chief Complaint: Right sided abdominal pain Major Surgical or Invasive Procedure: [MASKED] drainage of tubo-ovarian and intra-abdominal abscesses [MASKED] Diagnostic and therapeutic paracentesis [MASKED] and [MASKED] History of Present Illness: [MASKED] year old woman with PMHx of EtOH abuse, EtOH...
[]
[ "J9601", "I110", "J45909", "F17210" ]
[ "A419: Sepsis, unspecified organism", "E43: Unspecified severe protein-calorie malnutrition", "J9601: Acute respiratory failure with hypoxia", "K7200: Acute and subacute hepatic failure without coma", "R6521: Severe sepsis with septic shock", "G92: Toxic encephalopathy", "J189: Pneumonia, unspecified or...
10,076,263
29,064,377
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril / Risperdal Attending: ___ Chief Complaint: Abd pain, ETOH Major Surgical or Invasive Procedure: None History of Pres...
[ "K2920", "K7031", "N7093", "F419", "Z86711", "F17210", "M549", "J45909", "F329", "A429", "Z7902" ]
Allergies: lisinopril / Risperdal Chief Complaint: Abd pain, ETOH Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] w/ ETOH abuse, h/o ETOH pancreatitis, ETOH cirrhosis, recent hospitalization for intra-abdominal infection and b/l [MASKED] with Actinomyces, [MASKED], and other polymicrobia...
[]
[ "F419", "F17210", "J45909", "F329", "Z7902" ]
[ "K2920: Alcoholic gastritis without bleeding", "K7031: Alcoholic cirrhosis of liver with ascites", "N7093: Salpingitis and oophoritis, unspecified", "F419: Anxiety disorder, unspecified", "Z86711: Personal history of pulmonary embolism", "F17210: Nicotine dependence, cigarettes, uncomplicated", "M549: D...
10,076,272
21,537,202
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: aspirin / Sulfa (Sulfonamide Antibiotics) / ciprofloxacin / lisinopril / Penicillins / metoprolol Attending: ___. Chief Complaint: recta...
[ "K5120", "K625", "R710", "K6289", "Z9049", "M1389", "Z932", "M25579", "M11279", "I10", "R350", "R7611", "Z85828", "Z86718" ]
Allergies: aspirin / Sulfa (Sulfonamide Antibiotics) / ciprofloxacin / lisinopril / Penicillins / metoprolol Chief Complaint: rectal pain Major Surgical or Invasive Procedure: None History of Present Illness: PCP: Location: [MASKED] Address: [MASKED], [MASKED] Phone: [MASKED] Fax: [MASKED] HPI: [MASKED] yo F s/p laparo...
[]
[ "I10", "Z86718" ]
[ "K5120: Ulcerative (chronic) proctitis without complications", "K625: Hemorrhage of anus and rectum", "R710: Precipitous drop in hematocrit", "K6289: Other specified diseases of anus and rectum", "Z9049: Acquired absence of other specified parts of digestive tract", "M1389: Other specified arthritis, mult...
10,076,272
28,524,353
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: aspirin / Sulfa (Sulfonamide Antibiotics) / ciprofloxacin / lisinopril / Penicillins / metoprolol Attending: ___ ___ Complaint: Ulcerativ...
[ "K51211", "I10", "Z9049", "R350", "R7611", "Z85828", "Z86711", "Z86718", "Z87891" ]
Allergies: aspirin / Sulfa (Sulfonamide Antibiotics) / ciprofloxacin / lisinopril / Penicillins / metoprolol [MASKED] Complaint: Ulcerative Colitis, retained rectum after colectomy with on going pain and bleeding Major Surgical or Invasive Procedure: Completion Proctectomy History of Present Illness: [MASKED] year old ...
[]
[ "I10", "Z86718", "Z87891" ]
[ "K51211: Ulcerative (chronic) proctitis with rectal bleeding", "I10: Essential (primary) hypertension", "Z9049: Acquired absence of other specified parts of digestive tract", "R350: Frequency of micturition", "R7611: Nonspecific reaction to tuberculin skin test without active tuberculosis", "Z85828: Perso...
10,076,362
24,641,199
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril / Losartan Attending: ___. Chief Complaint: Chest pain Major Surgical or Invasive Procedure: ___ Cardiac catheterization ...
[ "I25110", "D509", "F419", "N390", "F329", "E669", "Z8249", "Z6838" ]
Allergies: lisinopril / Losartan Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [MASKED] Cardiac catheterization History of Present Illness: [MASKED] with history of HTN, anxiety and significant family history of CAD who is transferred from [MASKED] with unstable angina. She has had similar anginal s...
[]
[ "D509", "F419", "N390", "F329", "E669" ]
[ "I25110: Atherosclerotic heart disease of native coronary artery with unstable angina pectoris", "D509: Iron deficiency anemia, unspecified", "F419: Anxiety disorder, unspecified", "N390: Urinary tract infection, site not specified", "F329: Major depressive disorder, single episode, unspecified", "E669: O...
10,076,506
20,946,164
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: codeine Attending: ___. Chief Complaint: CC: fever; malaise REASON FOR MICU: respiratory failure Major Surgical or Invasive Procedur...
[ "T8059XA", "J9601", "M6282", "K521", "F419", "R509", "R918", "T368X5A", "Y92230", "T50A95A", "Y929" ]
Allergies: codeine Chief Complaint: CC: fever; malaise REASON FOR MICU: respiratory failure Major Surgical or Invasive Procedure: none History of Present Illness: This is a [MASKED] female with no significant PMH presenting as a transfer from [MASKED] in the setting of acute respiratory failure. Patient had plans to tr...
[]
[ "J9601", "F419", "Y92230", "Y929" ]
[ "T8059XA: Anaphylactic reaction due to other serum, initial encounter", "J9601: Acute respiratory failure with hypoxia", "M6282: Rhabdomyolysis", "K521: Toxic gastroenteritis and colitis", "F419: Anxiety disorder, unspecified", "R509: Fever, unspecified", "R918: Other nonspecific abnormal finding of lun...
10,076,617
20,459,993
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Clindamycin / dapsone Attending: ___. Chief Complaint: Right ___ toe pain Major Surgical or Invasive Procedure: I&D of R ___ toe abscess (_...
[ "L03031", "L02611", "B951", "L982", "D696", "I129", "E1122", "N183", "G4733", "Z9981", "I2720", "E785", "F329", "N3281", "Z87891", "Z8542", "E669", "Z6836", "S90822A", "M06042", "M06041", "R197", "Z794" ]
Allergies: Clindamycin / dapsone Chief Complaint: Right [MASKED] toe pain Major Surgical or Invasive Procedure: I&D of R [MASKED] toe abscess ([MASKED]) History of Present Illness: CC: Right [MASKED] [MASKED] Swelling HISTORY OF PRESENT ILLNESS: Mrs [MASKED] is [MASKED] year old woman with a history of IDDM2, pHTN, Swe...
[]
[ "D696", "I129", "E1122", "G4733", "E785", "F329", "Z87891", "E669", "Z794" ]
[ "L03031: Cellulitis of right toe", "L02611: Cutaneous abscess of right foot", "B951: Streptococcus, group B, as the cause of diseases classified elsewhere", "L982: Febrile neutrophilic dermatosis [Sweet]", "D696: Thrombocytopenia, unspecified", "I129: Hypertensive chronic kidney disease with stage 1 throu...
10,076,617
20,598,574
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ___ Allergies: Clindamycin / dapsone Attending: ___ Chief Complaint: Dizziness, hyperglycemia, sweets syndrome worsening Major Surgical or Invasive Procedure: ...
[ "E1165", "N390", "N179", "L982", "B9620", "I2720", "I129", "E1122", "N183", "J449", "G4733", "E785", "I951", "D696", "N3281", "F329", "M1990", "Z9981", "Z87891", "Z8542" ]
Allergies: Clindamycin / dapsone Chief Complaint: Dizziness, hyperglycemia, sweets syndrome worsening Major Surgical or Invasive Procedure: Bedside debridement of sweets lesions over fingers by dermatology History of Present Illness: As per HPI in H&P by Dr. [MASKED] [MASKED]: [MASKED] female with history of sweet synd...
[]
[ "E1165", "N390", "N179", "I129", "E1122", "J449", "G4733", "E785", "D696", "F329", "Z87891" ]
[ "E1165: Type 2 diabetes mellitus with hyperglycemia", "N390: Urinary tract infection, site not specified", "N179: Acute kidney failure, unspecified", "L982: Febrile neutrophilic dermatosis [Sweet]", "B9620: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere", "I2720: Pulm...
10,076,617
21,474,221
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Clindamycin Attending: ___. Chief Complaint: fever, weakness, UTI Major Surgical or Invasive Procedure: None History of Present Illnes...
[ "N3090", "N179", "E1122", "I130", "I509", "I272", "B9620", "B349", "L982", "N183", "Z9981", "J069", "M170", "Z23", "J449", "I350", "Z87891", "E785", "Z9114", "N3281", "G4733", "F329", "M779" ]
Allergies: Clindamycin Chief Complaint: fever, weakness, UTI Major Surgical or Invasive Procedure: None History of Present Illness: Ms [MASKED] is a [MASKED] yo F with history of Sweets Syndrome, Type 2 DM, pulmonary hypertension on home oxygen, who presented to the ED on [MASKED] with urinary tract infection and was d...
[]
[ "N179", "E1122", "I130", "J449", "Z87891", "E785", "G4733", "F329" ]
[ "N3090: Cystitis, unspecified without hematuria", "N179: Acute kidney failure, unspecified", "E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chroni...
10,076,617
21,631,538
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Clindamycin Attending: ___. Chief Complaint: Right hand swelling/erythema Major Surgical or Invasive Procedure: Incision and drainage of ri...
[ "L02511", "I5031", "N179", "K521", "E872", "E1140", "D594", "L03113", "I272", "Z9981", "I129", "B9561", "N183", "E785", "Z8542", "G4733", "J449", "Z87891", "L982", "N3941", "N3090", "G510", "M659", "B9620", "T3695XA", "Y92239", "J069", "R110", "R232" ]
Allergies: Clindamycin Chief Complaint: Right hand swelling/erythema Major Surgical or Invasive Procedure: Incision and drainage of right hand collar button abscess. History of Present Illness: [MASKED] female with PMHx of sweets syndrome and pulmonary hypertension on home O2 presents with right hand swelling since for...
[]
[ "N179", "E872", "I129", "E785", "G4733", "J449", "Z87891" ]
[ "L02511: Cutaneous abscess of right hand", "I5031: Acute diastolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "K521: Toxic gastroenteritis and colitis", "E872: Acidosis", "E1140: Type 2 diabetes mellitus with diabetic neuropathy, unspecified", "D594: Other nonautoimmune hemo...
10,076,617
23,299,601
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Clindamycin Attending: ___. Chief Complaint: Weakness Major Surgical or Invasive Procedure: None History of Present Illness: Ms. ___ is ...
[ "N390", "N179", "J9611", "E1122", "L88", "Z9981", "I350", "E785", "L982", "Z8542", "N3281", "I129", "N183", "G4733", "J449", "Z87891", "B9620", "R531", "R2681", "E861" ]
Allergies: Clindamycin Chief Complaint: Weakness Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] with pulmonary HTN, likely OSA, moderate AS, resultant chronic hypoxic respiratory failure on intermittent home O2, DM2, HL, Sweet's syndrome, pyoderma gangrenosum, remote e...
[]
[ "N390", "N179", "E1122", "E785", "I129", "G4733", "J449", "Z87891" ]
[ "N390: Urinary tract infection, site not specified", "N179: Acute kidney failure, unspecified", "J9611: Chronic respiratory failure with hypoxia", "E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease", "L88: Pyoderma gangrenosum", "Z9981: Dependence on supplemental oxygen", "I350: Nonrh...
10,076,617
25,575,063
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Clindamycin Attending: ___. Chief Complaint: Dyspnea, leg swelling Major Surgical or Invasive Procedure: None History of Present Illness:...
[ "J849", "L88", "D589", "E1122", "I129", "N183", "G4733", "I350", "L982", "I2720", "E785", "E669", "F329", "N3281", "Z9641", "Z9981", "Z8542", "Z87891", "Z6839" ]
Allergies: Clindamycin Chief Complaint: Dyspnea, leg swelling Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] woman CKD stage III, hypertension, anxiety, type 2 diabetes, anemia, mild moderate pulmonary hypertension on home oxygen, and a history of Sweet's syndrome who ...
[]
[ "E1122", "I129", "G4733", "E785", "E669", "F329", "Z87891" ]
[ "J849: Interstitial pulmonary disease, unspecified", "L88: Pyoderma gangrenosum", "D589: Hereditary hemolytic anemia, unspecified", "E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease", "I129: Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspe...
10,076,617
26,439,893
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: Clindamycin Attending: ___ Chief Complaint: Left facial droop Major Surgical or Invasive Procedure: None History of Present Illness: Ms...
[ "G510", "N390", "E119", "I129", "N183", "E785", "N3941", "G4733", "L982", "J449", "Z23", "Z87891", "Z8542" ]
Allergies: Clindamycin Chief Complaint: Left facial droop Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] F w PMHx of DM, HTN, and HLD who presents to [MASKED] with almost 24hrs of left facial droop. Ms. [MASKED] reports that she noticed her deficits yesterday ([MASKED]...
[]
[ "N390", "E119", "I129", "E785", "G4733", "J449", "Z87891" ]
[ "G510: Bell's palsy", "N390: Urinary tract infection, site not specified", "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", "N183: Chronic kidney disease, stage 3 (m...
10,076,958
21,089,161
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Attending: ___. Chief Complaint: nausea and vomiting Major Surgical or Invasive Procedure: ...
[ "K910", "E440", "Z681", "I10", "E785", "Z8501", "Z87891", "Z800", "Y832", "Y929", "I252", "M19042", "M19041", "Z9049" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Chief Complaint: nausea and vomiting Major Surgical or Invasive Procedure: [MASKED], laparoscopic jejunostomy tube placement History of Present Illness: [MASKED] is a [MASKED] with a PMH pertinent for a laparoscopic pyloroplasty [MASKED] and esophagectomy for stage T1b...
[]
[ "I10", "E785", "Z87891", "Y929", "I252" ]
[ "K910: Vomiting following gastrointestinal surgery", "E440: Moderate protein-calorie malnutrition", "Z681: Body mass index [BMI] 19.9 or less, adult", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "Z8501: Personal history of malignant neoplasm of esophagus", "Z87891: Pers...
10,076,958
24,463,507
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Attending: ___. Chief Complaint: nausea and vomiting Major Surgical or Invasive Procedure: ...
[ "K311", "I480", "Z9049", "E785", "I252", "Z8501", "K219", "Z87891", "F329", "F419", "Z800", "I10" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Chief Complaint: nausea and vomiting Major Surgical or Invasive Procedure: [MASKED] 1. Esophagogastroduodenoscopy. 2. Laparoscopic pyloroplasty. History of Present Illness: Mrs. [MASKED] is a [MASKED] yo F with persistent nausea and vomiting, which have been a problem ...
[]
[ "I480", "E785", "I252", "K219", "Z87891", "F329", "F419", "I10" ]
[ "K311: Adult hypertrophic pyloric stenosis", "I480: Paroxysmal atrial fibrillation", "Z9049: Acquired absence of other specified parts of digestive tract", "E785: Hyperlipidemia, unspecified", "I252: Old myocardial infarction", "Z8501: Personal history of malignant neoplasm of esophagus", "K219: Gastro-...
10,076,958
24,692,372
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Attending: ___. Chief Complaint: nausea/retching Major Surgical or Invasive Procedure: none...
[ "R110", "E440", "Z681", "I5181", "I10", "E785", "F329", "Z8501", "Z87891" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Chief Complaint: nausea/retching Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] with a PMH pertinent for a laparoscopic pyloroplasty [MASKED] and esophagectomy for stage T1b esophageal cancer in [MASKED] now p/w intractabl...
[]
[ "I10", "E785", "F329", "Z87891" ]
[ "R110: Nausea", "E440: Moderate protein-calorie malnutrition", "Z681: Body mass index [BMI] 19.9 or less, adult", "I5181: Takotsubo syndrome", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "F329: Major depressive disorder, single episode, unspecified", "Z8501: Personal ...
10,076,958
24,892,669
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Attending: ___. Chief Complaint: nausea and vomiting Major Surgical or Invasive Procedure: ...
[ "R112", "I4891", "I5181", "I2510", "F329", "I10", "E785", "D72829", "I252", "Z90710", "Z8501" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Chief Complaint: nausea and vomiting Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] is a [MASKED] with a PMH pertinent for a laparoscopic pyloroplasty [MASKED] and esophagectomy in [MASKED] for stage T1b esophageal cancer now p/w intrac...
[]
[ "I4891", "I2510", "F329", "I10", "E785", "I252" ]
[ "R112: Nausea with vomiting, unspecified", "I4891: Unspecified atrial fibrillation", "I5181: Takotsubo syndrome", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "F329: Major depressive disorder, single episode, unspecified", "I10: Essential (primary) hypertension...
10,076,958
28,621,351
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Attending: ___. Chief Complaint: nausea and dry heaving Major Surgical or Invasive Procedur...
[ "R112", "K550", "A419", "E440", "E222", "E872", "R64", "I480", "S0990XA", "I10", "Z681", "E785", "I252", "K219", "Z87891", "F329", "F419", "Z8501", "Z934", "Z9049", "R339", "Z515", "Z66", "K6389", "R627", "Z800", "I714", "W1830XA", "Y92230" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / Imdur Chief Complaint: nausea and dry heaving Major Surgical or Invasive Procedure: Exploratory laparotomy, [MASKED] History of Present Illness: Ms. [MASKED] is a [MASKED] year old female s/p MIE in [MASKED] for stage T1b esophageal adenocarcinoma and subsequent pyloroplasty...
[]
[ "E872", "I480", "I10", "E785", "I252", "K219", "Z87891", "F329", "F419", "Z515", "Z66", "Y92230" ]
[ "R112: Nausea with vomiting, unspecified", "K550: Acute vascular disorders of intestine", "A419: Sepsis, unspecified organism", "E440: Moderate protein-calorie malnutrition", "E222: Syndrome of inappropriate secretion of antidiuretic hormone", "E872: Acidosis", "R64: Cachexia", "I480: Paroxysmal atria...
10,077,365
20,742,447
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 Major Surgical or Invasive Procedure: EGD ___...
[ "K5080", "E559", "R1013" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: EGD [MASKED] Colonoscopy [MASKED] History of Present Illness: Patient is a [MASKED] year old man with history of [MASKED] fistulas s/p perianal fistulotomy @ OSH 2 weeks pta who is presenting wit...
[]
[]
[ "K5080: Crohn's disease of both small and large intestine without complications", "E559: Vitamin D deficiency, unspecified", "R1013: Epigastric pain" ]
10,077,370
21,019,625
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Mintezol / codeine Attending: ___. Chief Complaint: Dysphagia Major Surgical or Invasive Procedure: ___: ESOPHAGOGASTRODUODENOSCOPY ___: EN...
[ "D869", "R1312", "K449", "K319", "K219", "E785", "R000", "R591", "R911", "R200", "E041", "H2589", "H4010X0", "R7303", "Z8619" ]
Allergies: Mintezol / codeine Chief Complaint: Dysphagia Major Surgical or Invasive Procedure: [MASKED]: ESOPHAGOGASTRODUODENOSCOPY [MASKED]: ENDOBRONCHIAL ULTRASOUND, BIOPSY OF HILAR LYMPH NODES History of Present Illness: Mrs. [MASKED] is a [MASKED] year old female with past medical history of pre-diabetes and dyslip...
[]
[ "K219", "E785" ]
[ "D869: Sarcoidosis, unspecified", "R1312: Dysphagia, oropharyngeal phase", "K449: Diaphragmatic hernia without obstruction or gangrene", "K319: Disease of stomach and duodenum, unspecified", "K219: Gastro-esophageal reflux disease without esophagitis", "E785: Hyperlipidemia, unspecified", "R000: Tachyca...
10,077,499
24,881,119
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Juxtarenal abdominal aortic aneurysm Major Surgical or In...
[ "I714", "I7777", "N170", "N390", "I10", "E785", "I2510", "Z951", "Z87891", "I959", "Z85820", "Z8673", "E861", "N990", "E8351", "Y92239" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Juxtarenal abdominal aortic aneurysm Major Surgical or Invasive Procedure: S/p Open juxtarenal aneurysm repair via retroperitoneal approach. History of Present Illness: This is a [MASKED] gentleman with a strong family history of abdominal aortic a...
[]
[ "N390", "I10", "E785", "I2510", "Z951", "Z87891", "Z8673" ]
[ "I714: Abdominal aortic aneurysm, without rupture", "I7777: Dissection of artery of lower extremity", "N170: Acute kidney failure with tubular necrosis", "N390: Urinary tract infection, site not specified", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "I2510: Atheroscler...