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10,000,084
23,052,089
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Visual hallucinations Major Surgical or Invasive Proced...
[ "G3183", "F0280", "R441", "R296", "E785", "Z8546" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Visual hallucinations Major Surgical or Invasive Procedure: N/A History of Present Illness: [MASKED] male with [MASKED] disease, dyslipidemia, and a history of prostate cancer (s/p prostatectomy) who was referred to the ED by his neurologist for wo...
[]
[ "E785" ]
[ "G3183: Dementia with Lewy bodies", "F0280: Dementia in other diseases classified elsewhere without behavioral disturbance", "R441: Visual hallucinations", "R296: Repeated falls", "E785: Hyperlipidemia, unspecified", "Z8546: Personal history of malignant neoplasm of prostate" ]
10,000,117
22,927,623
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: omeprazole Attending: ___. Chief Complaint: dysphagia Major Surgical or Invasive Procedure: Upper endoscopy ___ History of Present ...
[ "R1310", "R0989", "K31819", "K219", "K449", "F419", "I341", "M810", "Z87891" ]
Allergies: omeprazole Chief Complaint: dysphagia Major Surgical or Invasive Procedure: Upper endoscopy [MASKED] History of Present Illness: [MASKED] w/ anxiety and several years of dysphagia who p/w worsened foreign body sensation. She describes feeling as though food gets stuck in her neck when she eats. She put herse...
[]
[ "K219", "F419", "Z87891" ]
[ "R1310: Dysphagia, unspecified", "R0989: Other specified symptoms and signs involving the circulatory and respiratory systems", "K31819: Angiodysplasia of stomach and duodenum without bleeding", "K219: Gastro-esophageal reflux disease without esophagitis", "K449: Diaphragmatic hernia without obstruction or ...
10,000,117
27,988,844
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: omeprazole / Iodine and Iodide Containing Products / hallucinogens Attending: ___. Chief Complaint: Left hip pain Major Surgical ...
[ "S72012A", "W010XXA", "Y93K1", "Y92480", "K219", "E7800", "I341", "G43909", "Z87891", "Z87442", "F419", "M810", "Z7901" ]
Allergies: omeprazole / Iodine and Iodide Containing Products / hallucinogens Chief Complaint: Left hip pain Major Surgical or Invasive Procedure: Status post left CRPP [MASKED], [MASKED] History of Present Illness: REASON FOR CONSULT: Femur fracture HPI: [MASKED] female presents with the above fracture s/p mechanical ...
[]
[ "K219", "Z87891", "F419", "Z7901" ]
[ "S72012A: Unspecified intracapsular fracture of left femur, initial encounter for closed fracture", "W010XXA: Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter", "Y93K1: Activity, walking an animal", "Y92480: Sidewalk as the place of occurre...
10,000,980
20,897,796
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: None ...
[ "I130", "I5033", "E872", "N184", "E1122", "N2581", "I2510", "E11319", "D6489", "E785", "Z955", "Z86718", "I252", "Z2239", "G4700", "M1A9XX0", "R0902", "E1151", "Z794", "E669", "Z6831" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: None History of Present Illness: Patient is a [MASKED] with history of coronary artery disease c/b ischemic MR [MASKED] DES to LCX [MASKED], TTE [MASKED] with mild regional LV systolic dysfu...
[]
[ "I130", "E872", "E1122", "I2510", "E785", "Z955", "Z86718", "I252", "G4700", "Z794", "E669" ]
[ "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", "E872: Acidosis", "N184: Chronic kidney disease, stage 4 (severe)", "E1122: Type...
10,000,980
25,911,675
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: fatigue, anemia Major Surgical or Invasive Procedure: None His...
[ "D500", "I5023", "N184", "E118", "K2970", "Z23", "K259", "K5730", "I2510", "Z87891", "I252", "Z955", "I129", "Z794", "Z8673", "R0789", "Z86718", "R791", "T45515A", "I70218", "K222", "K219" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: fatigue, anemia Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with a past medical history of type-2 DM, hypertension, stage IV CKD, CAD s/p distant MI and bare metal stent, stroke, ...
[]
[ "I2510", "Z87891", "I252", "Z955", "I129", "Z794", "Z8673", "Z86718", "K219" ]
[ "D500: Iron deficiency anemia secondary to blood loss (chronic)", "I5023: Acute on chronic systolic (congestive) heart failure", "N184: Chronic kidney disease, stage 4 (severe)", "E118: Type 2 diabetes mellitus with unspecified complications", "K2970: Gastritis, unspecified, without bleeding", "Z23: Encou...
10,000,980
29,659,838
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: dyspnea on exertion Major Surgical or Invasive Procedure: None ...
[ "I5023", "N184", "D631", "E1121", "Z86718", "I129", "Z955", "I2510", "Z7901", "Z794", "I340", "I252", "Z8673", "Z87891", "Z91128", "E785" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: dyspnea on exertion Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] with a history of of HTN, CAD s/p DES with ischemic MR and systolic dysfunction, [MASKED] on torsemide, hx of DVT, who presents with 4 days of dyspn...
[]
[ "Z86718", "I129", "Z955", "I2510", "Z7901", "Z794", "I252", "Z8673", "Z87891", "E785" ]
[ "I5023: Acute on chronic systolic (congestive) heart failure", "N184: Chronic kidney disease, stage 4 (severe)", "D631: Anemia in chronic kidney disease", "E1121: Type 2 diabetes mellitus with diabetic nephropathy", "Z86718: Personal history of other venous thrombosis and embolism", "I129: Hypertensive ch...
10,001,401
21,544,441
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: UROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Bladder cancer Major Surgical or Invasive Procedure: robotic a...
[ "C675", "I10", "D259", "Z87891", "E785", "E890" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Bladder cancer Major Surgical or Invasive Procedure: robotic anterior exenteration and open ileal conduit History of Present Illness: [MASKED] with invasive bladder cancer, pelvic MRI concerning for invasion into anterior vaginal wall, now s/p robo...
[]
[ "I10", "Z87891", "E785" ]
[ "C675: Malignant neoplasm of bladder neck", "I10: Essential (primary) hypertension", "D259: Leiomyoma of uterus, unspecified", "Z87891: Personal history of nicotine dependence", "E785: Hyperlipidemia, unspecified", "E890: Postprocedural hypothyroidism" ]
10,001,401
24,818,636
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: dyspnea on exertion Major Surgical or Invasive Procedure: No...
[ "I2699", "I82412", "N390", "I471", "I10", "I872", "R918", "B952", "E039", "E785", "E876", "E8342", "G4700", "K5900", "Z66", "N63", "D509", "D638", "Z7901", "Z8551", "Z906", "Z87891", "Z96652" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: dyspnea on exertion Major Surgical or Invasive Procedure: None History of Present Illness: Patient is a [MASKED] year old woman s/p robotic radical cystectomy [MASKED] (with ileal conduit creation) with postop course complicated by bacteremia and a...
[]
[ "N390", "I10", "E039", "E785", "G4700", "K5900", "Z66", "D509", "Z7901", "Z87891" ]
[ "I2699: Other pulmonary embolism without acute cor pulmonale", "I82412: Acute embolism and thrombosis of left femoral vein", "N390: Urinary tract infection, site not specified", "I471: Supraventricular tachycardia", "I10: Essential (primary) hypertension", "I872: Venous insufficiency (chronic) (peripheral...
10,001,401
26,840,593
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: UROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Abdominal pain, distention, nausea Major Surgical or Invasive ...
[ "T814XXA", "K651", "N179", "I82412", "C679", "I10", "B966", "R7881", "Y838", "Y9289", "F17210", "Z436", "Z90710", "D72829", "Z96652" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abdominal pain, distention, nausea Major Surgical or Invasive Procedure: Interventional radiology placement of abdominal abscess drain History of Present Illness: [MASKED] F with h/o muscle invasive bladder cancer, returning to the ED POD 15 with a...
[]
[ "N179", "I10", "F17210" ]
[ "T814XXA: Infection following a procedure", "K651: Peritoneal abscess", "N179: Acute kidney failure, unspecified", "I82412: Acute embolism and thrombosis of left femoral vein", "C679: Malignant neoplasm of bladder, unspecified", "I10: Essential (primary) hypertension", "B966: Bacteroides fragilis [B. fr...
10,001,401
27,012,892
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Fevers and chills Major Surgical or Invasive Procedure: ___ -...
[ "T8140XA", "A4181", "R6520", "N179", "N1330", "N12", "T8144XA", "Z936", "I10", "E785", "E039", "Z87891", "Z8551", "Z86718", "Y848", "Y92239" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Fevers and chills Major Surgical or Invasive Procedure: [MASKED] -- stent exchange History of Present Illness: Ms. [MASKED] is a [MASKED] female with the past medical history notable for history of bladder cancer status post robotic TAH-BSO, lap ra...
[]
[ "N179", "I10", "E785", "E039", "Z87891", "Z86718" ]
[ "T8140XA: Infection following a procedure, unspecified, initial encounter", "A4181: Sepsis due to Enterococcus", "R6520: Severe sepsis without septic shock", "N179: Acute kidney failure, unspecified", "N1330: Unspecified hydronephrosis", "N12: Tubulo-interstitial nephritis, not specified as acute or chron...
10,001,401
27,060,146
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: subjective fevers, lethargy, and bloody drain output Major S...
[ "T814XXA", "A419", "K651", "N179", "N1330", "D62", "I2782", "N138", "C679", "I10", "E785", "E039", "K439", "K435", "E876", "Y838", "Y929", "Z96652", "Z86718", "N63", "Z7901", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: subjective fevers, lethargy, and bloody drain output Major Surgical or Invasive Procedure: [MASKED]: For the large pelvic fluid collections, CT-guided repositioning of existing drain and placement of an additional drain. [MASKED]: Removal of more r...
[]
[ "N179", "D62", "I10", "E785", "E039", "Y929", "Z86718", "Z7901", "Z87891" ]
[ "T814XXA: Infection following a procedure", "A419: Sepsis, unspecified organism", "K651: Peritoneal abscess", "N179: Acute kidney failure, unspecified", "N1330: Unspecified hydronephrosis", "D62: Acute posthemorrhagic anemia", "I2782: Chronic pulmonary embolism", "N138: Other obstructive and reflux ur...
10,001,401
28,058,085
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Hematuria, weakness Major Surgical or Invasive Procedure: Non...
[ "N99820", "E43", "R310", "N131", "D62", "R8271", "E039", "E785", "N9989", "I10", "Z86718", "Z936", "Z7902", "Z86711", "Z87891", "Z6822", "Z8551", "Z96652", "Y848", "Y833", "Y929" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Hematuria, weakness Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] y/o female with h/o PE (on lovenox), bladder cancer s/p Robotic TAH-BSO, lap radical cystectomy with ileal loop diversion and anterior vaginectomy i...
[]
[ "D62", "E039", "E785", "I10", "Z86718", "Z7902", "Z87891", "Y929" ]
[ "N99820: Postprocedural hemorrhage of a genitourinary system organ or structure following a genitourinary system procedure", "E43: Unspecified severe protein-calorie malnutrition", "R310: Gross hematuria", "N131: Hydronephrosis with ureteral stricture, not elsewhere classified", "D62: Acute posthemorrhagic ...
10,001,667
22,672,901
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: slurred speech Major Surgical or Invasive Procedure: None ...
[ "R471", "I5030", "E538", "Z66", "I4891", "Z7902", "I110", "E7849", "K5790", "Z87891", "R946", "I455", "R413" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: slurred speech Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] year old right-handed woman with hx of Atrial fibrillation on Eliquis (only once daily), hypertension, hyperlipidemia, CHF presents as transfer from OSH ...
[]
[ "Z66", "I4891", "Z7902", "I110", "Z87891" ]
[ "R471: Dysarthria and anarthria", "I5030: Unspecified diastolic (congestive) heart failure", "E538: Deficiency of other specified B group vitamins", "Z66: Do not resuscitate", "I4891: Unspecified atrial fibrillation", "Z7902: Long term (current) use of antithrombotics/antiplatelets", "I110: Hypertensive...
10,001,884
24,746,267
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___. Chief Complaint: Shortness of breath Major...
[ "J441", "N179", "Z9981", "I4891", "D649", "I10", "E785", "G5622", "I2510", "M1990", "Z96649", "Z87891", "J45909", "F419", "G4700", "R040", "I739" ]
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] with hx COPD on home O2, atrial fibrillation on apixaban, hypertension, CAD, and hyperlipidemi...
[]
[ "N179", "I4891", "D649", "I10", "E785", "I2510", "Z87891", "J45909", "F419", "G4700" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "N179: Acute kidney failure, unspecified", "Z9981: Dependence on supplemental oxygen", "I4891: Unspecified atrial fibrillation", "D649: Anemia, unspecified", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecifi...
10,001,884
24,962,904
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___. Chief Complaint: Shortness of Breath Majo...
[ "J441", "Z9981", "I4891", "J45909", "Z7901", "I10", "I2510", "E785", "M1990", "F419", "I739", "G4700", "D649", "Z96649", "Z87891" ]
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: Shortness of Breath Major Surgical or Invasive Procedure: N/A History of Present Illness: Ms. [MASKED] is a [MASKED] female with history of COPD on home O2, atrial fibrillation on apixaban, hypertension, CAD, and...
[]
[ "I4891", "J45909", "Z7901", "I10", "I2510", "E785", "F419", "G4700", "D649", "Z87891" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "Z9981: Dependence on supplemental oxygen", "I4891: Unspecified atrial fibrillation", "J45909: Unspecified asthma, uncomplicated", "Z7901: Long term (current) use of anticoagulants", "I10: Essential (primary) hypertension", "I2510:...
10,001,884
26,184,834
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: CARDIOTHORACIC Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___. Chief Complaint: Shortness of breath ...
[ "J441", "K7200", "R579", "J9602", "J9601", "I442", "I82621", "I4891", "D696", "I469", "I10", "E785", "Z7901", "M47892", "I7389", "I2510", "Z87891", "Z96641", "J0190", "F419", "G4700", "R609", "D509", "R509", "M1990", "Y92239", "Z7952", "Z825", "Z781", "Z515"...
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: Intubation & Mechanical Ventilation (Extubated) Temporary Pacer Placement CVL Insertion History of Present Illness: [MASKED] with COPD who has been admitt...
[]
[ "J9601", "I4891", "D696", "I10", "E785", "Z7901", "I2510", "Z87891", "F419", "G4700", "D509", "Z515", "Z66", "J45909" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "K7200: Acute and subacute hepatic failure without coma", "R579: Shock, unspecified", "J9602: Acute respiratory failure with hypercapnia", "J9601: Acute respiratory failure with hypoxia", "I442: Atrioventricular block, complete", "...
10,001,884
26,202,981
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___. Chief Complaint: Anemia, Melena, SOB Major...
[ "K921", "D62", "I4891", "J449", "I10", "F17210", "D649", "I2510", "F419", "E785", "I739", "M47892", "R0602", "G4700", "H409", "K449", "K2970", "Z7982", "Z7901", "Z96649" ]
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: Anemia, Melena, SOB Major Surgical or Invasive Procedure: Upper endoscopy [MASKED] History of Present Illness: [MASKED] yo female with history of Afib on Xarelto, COPD, HTN, PAD who presents for abnormal labs. Sh...
[]
[ "D62", "I4891", "J449", "I10", "F17210", "D649", "I2510", "F419", "E785", "G4700", "Z7901" ]
[ "K921: Melena", "D62: Acute posthemorrhagic anemia", "I4891: Unspecified atrial fibrillation", "J449: Chronic obstructive pulmonary disease, unspecified", "I10: Essential (primary) hypertension", "F17210: Nicotine dependence, cigarettes, uncomplicated", "D649: Anemia, unspecified", "I2510: Atheroscler...
10,001,884
27,507,515
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___. Chief Complaint: Shortness of breath Major...
[ "J441", "J45909", "H6991", "F419", "G4700", "I4891", "Z7901", "I10", "I2510", "D649", "E785", "Z87891", "Z006" ]
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] with hx COPD on home O2, atrial fibrillation on apixaban, hypertension, CAD, and hyperlipidemi...
[]
[ "J45909", "F419", "G4700", "I4891", "Z7901", "I10", "I2510", "D649", "E785", "Z87891" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "J45909: Unspecified asthma, uncomplicated", "H6991: Unspecified Eustachian tube disorder, right ear", "F419: Anxiety disorder, unspecified", "G4700: Insomnia, unspecified", "I4891: Unspecified atrial fibrillation", "Z7901: Long te...
10,001,884
28,475,784
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___. Chief Complaint: cough, dyspnea Major Surg...
[ "J441", "I4892", "Z9981", "I480", "J45998", "Z87891", "I2510", "Z96649", "I10", "E785", "D509", "I739", "F419", "K5900", "M1990", "Z825", "Z8249", "Z7901" ]
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: cough, dyspnea Major Surgical or Invasive Procedure: None History of Present Illness: HPI: [MASKED] year old female with history of COPD (on home O2), HTN, Afib admitted with dyspnea and cough. Pt states inc dysp...
[]
[ "I480", "Z87891", "I2510", "I10", "E785", "D509", "F419", "K5900", "Z7901" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "I4892: Unspecified atrial flutter", "Z9981: Dependence on supplemental oxygen", "I480: Paroxysmal atrial fibrillation", "J45998: Other asthma", "Z87891: Personal history of nicotine dependence", "I2510: Atherosclerotic heart disea...
10,001,884
28,664,981
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___. Chief Complaint: Shortness of breath Major...
[ "J441", "I4892", "I248", "J45909", "Z87891", "I4891", "F419", "G4700", "E780", "I2510", "E876", "R312", "I739", "Z7952", "Z9981" ]
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] yo woman with a PMH notable for COPD on home O2(hospitalized [MASKED], multiple recent ED visi...
[]
[ "J45909", "Z87891", "I4891", "F419", "G4700", "I2510" ]
[ "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "I4892: Unspecified atrial flutter", "I248: Other forms of acute ischemic heart disease", "J45909: Unspecified asthma, uncomplicated", "Z87891: Personal history of nicotine dependence", "I4891: Unspecified atrial fibrillation", "F4...
10,001,884
29,678,536
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Attending: ___ Chief Complaint: Dyspnea, Atrial Fibrillation...
[ "I4891", "J441", "Z9981", "Z7901", "I10", "E785", "F419", "I739", "I2510", "Z87891", "D509", "R079", "G4700", "H409" ]
Allergies: IV Dye, Iodine Containing Contrast Media / Oxycodone / cilostazol / Varenicline Chief Complaint: Dyspnea, Atrial Fibrillation Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] F with pmhx of COPD (nighttime O2), htn, afib who presents with dyspnea, currently being treated for CO...
[]
[ "I4891", "Z7901", "I10", "E785", "F419", "I2510", "Z87891", "D509", "G4700" ]
[ "I4891: Unspecified atrial fibrillation", "J441: Chronic obstructive pulmonary disease with (acute) exacerbation", "Z9981: Dependence on supplemental oxygen", "Z7901: Long term (current) use of anticoagulants", "I10: Essential (primary) hypertension", "E785: Hyperlipidemia, unspecified", "F419: Anxiety ...
10,001,919
29,897,682
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Locally advanced gastric carcinoma Major Surgical or Invas...
[ "C169", "C786", "I82621", "K9171", "Y838", "Y92234", "N359", "E039", "K219", "Z7901", "Z8546" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Locally advanced gastric carcinoma Major Surgical or Invasive Procedure: Cystoscopy for foley catheter placement; Laparoscopy with biopsy; Gastroscopy History of Present Illness: Mr. [MASKED] is a [MASKED] year old male with locally advanced gastri...
[]
[ "E039", "K219", "Z7901" ]
[ "C169: Malignant neoplasm of stomach, unspecified", "C786: Secondary malignant neoplasm of retroperitoneum and peritoneum", "I82621: Acute embolism and thrombosis of deep veins of right upper extremity", "K9171: Accidental puncture and laceration of a digestive system organ or structure during a digestive sys...
10,002,013
21,763,296
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Cardiac cath (___) Past Medical History:...
[ "I25110", "E1110", "E1122", "E11319", "M869", "I5032", "I130", "T82855A", "E11621", "E1142", "E1165", "E1169", "L97529", "N183", "J449", "B961", "B951", "F329", "K219", "G4733", "Z87891", "Z951", "Z794", "Z9114", "G2581", "Z955", "Y840", "Y929" ]
Allergies: lisinopril Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Cardiac cath ([MASKED]) Past Medical History: -COPD -CAD s/p BMS proximal-LAD [MASKED], DES to mid LAD [MASKED], DES to edge ISR of mid LAD DES and stenosis distal to stent [MASKED], DES to OM1 [MASKED], s/p 3 v CABG LIMA-LAD, SVG-O...
[]
[ "E1122", "I5032", "I130", "E1165", "J449", "F329", "K219", "G4733", "Z87891", "Z951", "Z794", "Z955", "Y929" ]
[ "I25110: Atherosclerotic heart disease of native coronary artery with unstable angina pectoris", "E1110: Type 2 diabetes mellitus with ketoacidosis without coma", "E1122: Type 2 diabetes mellitus with diabetic chronic kidney disease", "E11319: Type 2 diabetes mellitus with unspecified diabetic retinopathy wit...
10,002,013
25,442,395
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril Attending: ___. Chief Complaint: Left diabetic foot ulcer Major Surgical or Invasive Procedure: Left partial hallux amputati...
[ "A419", "M86672", "M86172", "N179", "L03116", "J9811", "I5032", "I130", "E1152", "I96", "E1169", "L97524", "E11621", "B9561", "J449", "E11319", "E1142", "E1165", "I2510", "I252", "G4733", "K219", "G2581", "N189", "E1122", "Z794", "Z951", "Z955", "Z87891" ]
Allergies: lisinopril Chief Complaint: Left diabetic foot ulcer Major Surgical or Invasive Procedure: Left partial hallux amputation History of Present Illness: [MASKED] with poorly controlled diabetes (complicated by retinopathy, neuropathy, PAD, foot ulcer L hallux), CAD with [MASKED] s/p CABG, and narcotics agreemen...
[]
[ "N179", "I5032", "I130", "J449", "E1165", "I2510", "I252", "G4733", "K219", "N189", "E1122", "Z794", "Z951", "Z955", "Z87891" ]
[ "A419: Sepsis, unspecified organism", "M86672: Other chronic osteomyelitis, left ankle and foot", "M86172: Other acute osteomyelitis, left ankle and foot", "N179: Acute kidney failure, unspecified", "L03116: Cellulitis of left lower limb", "J9811: Atelectasis", "I5032: Chronic diastolic (congestive) hea...
10,002,013
27,574,273
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: lisinopril Attending: ___ Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. ___ ...
[ "R0789", "E876", "I25119", "I25709", "Z951", "Z955", "E1122", "E1165", "I129", "N183", "E785", "J449", "K219", "E1140", "F329", "E669", "Z6837", "G8929", "M25519", "G4733", "Z794", "I252", "Z87891" ]
Allergies: lisinopril Chief Complaint: Chest pain Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old woman with extensive cardiac history including multivessel vessel CAD S/P stenting of the LAD with in-stent restenosis and stenting of the CX, S/P CABG in [MASKED]...
[]
[ "Z951", "Z955", "E1122", "E1165", "I129", "E785", "J449", "K219", "F329", "E669", "G8929", "G4733", "Z794", "I252", "Z87891" ]
[ "R0789: Other chest pain", "E876: Hypokalemia", "I25119: Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris", "I25709: Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris", "Z951: Presence of aortocoronary bypass graft", "...
10,002,131
24,065,018
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Penicillins / Dilantin Kapseal / Zofran (as hydrochloride) Attending: ___. Chief Complaint: Right hip pain Major Surgical or Invasi...
[ "I82412", "I5033", "E873", "E46", "I482", "G309", "I82432", "F0280", "I10", "E876", "M810", "Z66", "Z515", "Z993", "H9192", "H409", "M25551", "K5900", "Z6827", "Z85828" ]
Allergies: Penicillins / Dilantin Kapseal / Zofran (as hydrochloride) Chief Complaint: Right hip pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] y/o F with PMHx CHF, Afib not on anticoagulation, severe advanced Alzheimer's dementia, osteoporosis, HTN, who presents from...
[]
[ "I10", "Z66", "Z515", "K5900" ]
[ "I82412: Acute embolism and thrombosis of left femoral vein", "I5033: Acute on chronic diastolic (congestive) heart failure", "E873: Alkalosis", "E46: Unspecified protein-calorie malnutrition", "I482: Chronic atrial fibrillation", "G309: Alzheimer's disease, unspecified", "I82432: Acute embolism and thr...
10,002,221
20,195,471
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: Codeine / Augmentin / Topamax Attending: ___. Chief Complaint: left knee osteoarthritis/pain Major Surgical or Invasive Procedure: _...
[ "M1712", "D6861", "J449", "G4733", "F329", "E119", "M4696", "E785", "K219", "E669", "Z7901", "Z87891", "Z6837", "Z86711" ]
Allergies: Codeine / Augmentin / Topamax Chief Complaint: left knee osteoarthritis/pain Major Surgical or Invasive Procedure: [MASKED]: left total knee arthroplasty History of Present Illness: [MASKED] year old female w/left knee osteoarthritis/pain who failed conservative measures, now admitted for left total knee art...
[]
[ "J449", "G4733", "F329", "E119", "E785", "K219", "E669", "Z7901", "Z87891" ]
[ "M1712: Unilateral primary osteoarthritis, left knee", "D6861: Antiphospholipid syndrome", "J449: Chronic obstructive pulmonary disease, unspecified", "G4733: Obstructive sleep apnea (adult) (pediatric)", "F329: Major depressive disorder, single episode, unspecified", "E119: Type 2 diabetes mellitus witho...
10,002,221
20,237,862
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Codeine / Augmentin / Topamax Attending: ___. Chief Complaint: RLE pain and swelling Major Surgical or Invasive Procedure: Ultrasound gu...
[ "M7061", "D6861", "D509", "E559", "Z87891", "Z86711", "Z7901", "C50912", "G4733", "E785", "E119", "K219", "K5790", "F329", "J449", "I83811" ]
Allergies: Codeine / Augmentin / Topamax Chief Complaint: RLE pain and swelling Major Surgical or Invasive Procedure: Ultrasound guided steroid injection of the right trochanteric bursa (right hip) History of Present Illness: This is a [MASKED] woman with a history of breast cancer with BRCA1 gene mutation, COPD, cereb...
[]
[ "D509", "Z87891", "Z7901", "G4733", "E785", "E119", "K219", "F329", "J449" ]
[ "M7061: Trochanteric bursitis, right hip", "D6861: Antiphospholipid syndrome", "D509: Iron deficiency anemia, unspecified", "E559: Vitamin D deficiency, unspecified", "Z87891: Personal history of nicotine dependence", "Z86711: Personal history of pulmonary embolism", "Z7901: Long term (current) use of a...
10,002,221
21,729,093
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Codeine / Augmentin / Topamax Attending: ___ ___ Complaint: left breast swelling and pain Major Surgical or Invasive Procedure: Evacuatio...
[ "L7632", "C50912", "D6861", "K760", "K219", "G4733", "E785", "I671", "J449", "E119", "Y838", "F329", "Z7901", "Z86711", "Z87891", "Z803", "Z8041", "Z9012" ]
Allergies: Codeine / Augmentin / Topamax [MASKED] Complaint: left breast swelling and pain Major Surgical or Invasive Procedure: Evacuation of hematoma History of Present Illness: [MASKED] woman on anticoagulation with L breast IDC Grade 3 now s/p L breast lumpectomy and SLNB with left breast swelling and pain concerni...
[]
[ "K219", "G4733", "E785", "J449", "E119", "F329", "Z7901", "Z87891" ]
[ "L7632: Postprocedural hematoma of skin and subcutaneous tissue following other procedure", "C50912: Malignant neoplasm of unspecified site of left female breast", "D6861: Antiphospholipid syndrome", "K760: Fatty (change of) liver, not elsewhere classified", "K219: Gastro-esophageal reflux disease without e...
10,002,221
29,399,017
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: ORTHOPAEDICS Allergies: Codeine / Augmentin / Topamax Attending: ___. Chief Complaint: Low back pain with radiation down the right leg Major Surgical or In...
[ "M5116", "D6861", "N390", "D62", "I83811", "D509", "Z87891", "Z86711", "Z7901", "E559", "C50912", "E785", "G4733", "E119", "K219", "K5790", "F329", "J449", "I671", "M48061", "K5900", "E876" ]
Allergies: Codeine / Augmentin / Topamax Chief Complaint: Low back pain with radiation down the right leg Major Surgical or Invasive Procedure: DECOMPRESSION L2-S1, FUSION L4-L5, DURAPLASTY on [MASKED] History of Present Illness: Ms. [MASKED] is a [MASKED] female with a past medical history significant for cerebral ane...
[]
[ "N390", "D62", "D509", "Z87891", "Z7901", "E785", "G4733", "E119", "K219", "F329", "J449", "K5900" ]
[ "M5116: Intervertebral disc disorders with radiculopathy, lumbar region", "D6861: Antiphospholipid syndrome", "N390: Urinary tract infection, site not specified", "D62: Acute posthemorrhagic anemia", "I83811: Varicose veins of right lower extremity with pain", "D509: Iron deficiency anemia, unspecified", ...
10,002,348
22,725,460
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROSURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Headaches Major Surgical or Invasive Procedure: ___ ...
[ "C7931", "G935", "G936", "G911", "C3490", "F05", "I10", "F17210", "G510", "M21372", "E039", "M810", "Z781", "R001", "R739", "T380X5A", "Y92239", "D72829", "R3915" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Headaches Major Surgical or Invasive Procedure: [MASKED] - Suboccipital craniotomy for resection of cerebellar lesion History of Present Illness: [MASKED] is a [MASKED] female with hx cerebral aneurysm clipping in [MASKED] who presents from OSH wit...
[]
[ "I10", "F17210", "E039" ]
[ "C7931: Secondary malignant neoplasm of brain", "G935: Compression of brain", "G936: Cerebral edema", "G911: Obstructive hydrocephalus", "C3490: Malignant neoplasm of unspecified part of unspecified bronchus or lung", "F05: Delirium due to known physiological condition", "I10: Essential (primary) hypert...
10,002,428
28,295,257
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: meropenem / Penicillins Attending: ___. Chief Complaint: BRBPR Major Surgical or Invasive Procedure: aborted flexible sigmoidoscopy attemp...
[ "K922", "E43", "M8008XA", "F0390", "Z681", "R000", "I10", "F329", "E039", "Z66", "Z931", "M3500", "Z5309", "I340" ]
Allergies: meropenem / Penicillins Chief Complaint: BRBPR Major Surgical or Invasive Procedure: aborted flexible sigmoidoscopy attempt (due to stool in vault) [MASKED] Flexible sigmoidoscopy [MASKED] History of Present Illness: This is an [MASKED] year old female with past medical history of sjogrens, hypothyroidism, r...
[]
[ "I10", "F329", "E039", "Z66" ]
[ "K922: Gastrointestinal hemorrhage, unspecified", "E43: Unspecified severe protein-calorie malnutrition", "M8008XA: Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture", "F0390: Unspecified dementia without behavioral disturbance", "Z681: Body mass index ...
10,002,430
24,513,842
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Corgard / Vasotec Attending: ___ Chief Complaint: leg edema Major Surgical or Invasive Procedure: None History of Present Illness: HIST...
[ "I5033", "I281", "I272", "I480", "E871", "J449", "I2781", "I2510", "K219", "I10", "N400", "E785", "Z902", "Z7982", "Z9861", "Z87891" ]
Allergies: Corgard / Vasotec Chief Complaint: leg edema Major Surgical or Invasive Procedure: None History of Present Illness: HISTORY OF PRESENTING ILLNESS: Mr. [MASKED] is an [MASKED] year old gentleman with history of CAD (s/p 3V CABG [MASKED], LM PCI [MASKED], pulmonary HTN, AFib on anticoagulation, [MASKED] (EF 50...
[]
[ "I480", "E871", "J449", "I2510", "K219", "I10", "N400", "E785", "Z87891" ]
[ "I5033: Acute on chronic diastolic (congestive) heart failure", "I281: Aneurysm of pulmonary artery", "I272: Other secondary pulmonary hypertension", "I480: Paroxysmal atrial fibrillation", "E871: Hypo-osmolality and hyponatremia", "J449: Chronic obstructive pulmonary disease, unspecified", "I2781: Cor ...
10,002,430
24,648,311
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Corgard / Vasotec Attending: ___. Chief Complaint: Dyspnea on Exertion Major Surgical or Invasive Procedure: None History of Present Il...
[ "I130", "I5023", "N179", "C799", "N183", "Z87891", "J439", "Z951", "Z955", "I071", "I2720", "I480", "Z7902", "Z8673", "C439", "I6523", "K219", "I4510", "N400", "E7849", "Z902", "R740", "I255" ]
Allergies: Corgard / Vasotec Chief Complaint: Dyspnea on Exertion Major Surgical or Invasive Procedure: None History of Present Illness: ======================================================= [MASKED] FAILURE ADMISSION NOTE ======================================================= OUTPATIENT CARDIOLOGIST: [MASKED]., MD ...
[]
[ "I130", "N179", "Z87891", "Z951", "Z955", "I480", "Z7902", "Z8673", "K219", "N400" ]
[ "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", "N179: Acute kidney failure, unspecified", "C799: Secondary malignant neoplasm of u...
10,002,430
26,295,318
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Corgard / ___ Attending: ___. Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION LABS: =============== ___ 12...
[ "I5023", "J189", "J9691", "C7951", "J90", "N179", "I255", "I480", "Z7902", "I2720", "I079", "I2510", "Z951", "N183", "D638", "D696", "C439", "Z87891" ]
Allergies: Corgard / [MASKED] Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION LABS: =============== [MASKED] 12:48AM BLOOD WBC-10.3* RBC-3.71* Hgb-10.6* Hct-36.6* MCV-99* MCH-28.6 MCHC-29.0* RDW-18.6* RDWSD-55.8* Plt [MASKED] [MASKED] 12:48AM BLOOD [MASKED] PTT-82.4* [MASKED] [MASKED] 12:...
[]
[ "N179", "I480", "Z7902", "I2510", "Z951", "D696", "Z87891" ]
[ "I5023: Acute on chronic systolic (congestive) heart failure", "J189: Pneumonia, unspecified organism", "J9691: Respiratory failure, unspecified with hypoxia", "C7951: Secondary malignant neoplasm of bone", "J90: Pleural effusion, not elsewhere classified", "N179: Acute kidney failure, unspecified", "I2...
10,002,430
27,218,502
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Corgard / Vasotec Attending: ___. Chief Complaint: incarcerated inguinal hernia Major Surgical or Invasive Procedure: Left inguinal hernia ...
[ "K4030", "I480", "I272", "I509", "I2510", "I10", "K219", "N400", "E785", "J439", "I4510", "Z7982", "Z951", "Z87891" ]
Allergies: Corgard / Vasotec Chief Complaint: incarcerated inguinal hernia Major Surgical or Invasive Procedure: Left inguinal hernia repair History of Present Illness: [MASKED] with afib on apixiban, CAD s/p CABG, b/l carotid disease, COPD/emphysema with recent pneumonia presents for elective left inguinal hernia repa...
[]
[ "I480", "I2510", "I10", "K219", "N400", "E785", "Z951", "Z87891" ]
[ "K4030: Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent", "I480: Paroxysmal atrial fibrillation", "I272: Other secondary pulmonary hypertension", "I509: Heart failure, unspecified", "I2510: Atherosclerotic heart disease of native coronary artery without angina pect...
10,002,443
21,329,021
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Allergies/ADRs on File Attending: ___. Chief Complaint: chest pain Major Surgical or Invasive Procedure: ___ - bedside pericar...
[ "I309", "J9602", "I314", "I480", "E119", "Z66", "I10", "M069", "E785", "Z86718", "Z87891" ]
Allergies: No Allergies/ADRs on File Chief Complaint: chest pain Major Surgical or Invasive Procedure: [MASKED] - bedside pericardiocentesis at [MASKED] History of Present Illness: HISTORY OF PRESENTING ILLNESS: Mr. [MASKED] is a [MASKED] male with rheumatoid arthritis, DMARD holiday, and recent, brief hospitalization ...
[]
[ "I480", "E119", "Z66", "I10", "E785", "Z86718", "Z87891" ]
[ "I309: Acute pericarditis, unspecified", "J9602: Acute respiratory failure with hypercapnia", "I314: Cardiac tamponade", "I480: Paroxysmal atrial fibrillation", "E119: Type 2 diabetes mellitus without complications", "Z66: Do not resuscitate", "I10: Essential (primary) hypertension", "M069: Rheumatoid...
10,002,495
24,982,426
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: cardiogenic ___, NSTEMI Major Surgical or Invasive Proced...
[ "I214", "R570", "I509", "R578", "A047", "N179", "S3730XA", "I2510", "E118", "X58XXXA", "Y92239", "I10", "E785", "T45515A", "Z86718", "Z7901", "R310", "Z7902", "I480", "Z23", "K2960", "B9681", "Z87891", "I252", "R410", "K219" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: cardiogenic [MASKED], NSTEMI Major Surgical or Invasive Procedure: - cardiac catheterization with DES to mid-LAD occlusion via R radial access - IABP placement and removal History of Present Illness: Mr. [MASKED] is a [MASKED] M with HTN, HLD, DMII...
[]
[ "N179", "I2510", "I10", "E785", "Z86718", "Z7901", "Z7902", "I480", "Z87891", "I252", "K219" ]
[ "I214: Non-ST elevation (NSTEMI) myocardial infarction", "R570: Cardiogenic shock", "I509: Heart failure, unspecified", "R578: Other shock", "A047: Enterocolitis due to Clostridium difficile", "N179: Acute kidney failure, unspecified", "S3730XA: Unspecified injury of urethra, initial encounter", "I251...
10,002,528
23,193,578
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: amoxicillin Attending: ___. Chief Complaint: Weakness and lethargy Major Surgical or Invasive Procedure: None History of Present I...
[ "F4489", "R29818", "I7300", "I951", "R000", "F410", "E869", "K219", "D509", "D519", "F329" ]
Allergies: amoxicillin Chief Complaint: Weakness and lethargy Major Surgical or Invasive Procedure: None History of Present Illness: Patient is a [MASKED] year old female with history of chronic abdominal pain and anemia w/ recent Fe sucrose infusion ([MASKED]) complicated by infusion reaction (mottling and discolorati...
[]
[ "K219", "D509", "F329" ]
[ "F4489: Other dissociative and conversion disorders", "R29818: Other symptoms and signs involving the nervous system", "I7300: Raynaud's syndrome without gangrene", "I951: Orthostatic hypotension", "R000: Tachycardia, unspecified", "F410: Panic disorder [episodic paroxysmal anxiety]", "E869: Volume depl...
10,002,528
28,605,730
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: amoxicillin / iron Attending: ___. Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION LABS: ==============...
[ "R29818", "F411", "F329", "F4310", "F5082", "Z6822", "D649" ]
Allergies: amoxicillin / iron Major Surgical or Invasive Procedure: None attach Pertinent Results: ADMISSION LABS: =============== [MASKED] 10:45PM PLT COUNT-244 [MASKED] 10:45PM NEUTS-55.7 [MASKED] MONOS-10.8 EOS-0.7* BASOS-0.9 IM [MASKED] AbsNeut-2.99 AbsLymp-1.70 AbsMono-0.58 AbsEos-0.04 AbsBaso-0.05 [MASKED] 10:45P...
[]
[ "F329", "D649" ]
[ "R29818: Other symptoms and signs involving the nervous system", "F411: Generalized anxiety disorder", "F329: Major depressive disorder, single episode, unspecified", "F4310: Post-traumatic stress disorder, unspecified", "F5082: Avoidant/restrictive food intake disorder", "Z6822: Body mass index [BMI] 22....
10,002,800
20,798,638
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: Percocet / cucumber / Tegaderm Attending: ___. Chief Complaint: cracked tooth, s/p fall Major Surgical or Invasive Proce...
[ "O99613", "K029", "Z3A34", "O99513", "J45998", "O9989", "O99013", "O99283", "E890", "Y836", "M170", "M479", "Z853", "Z85850", "Z87891", "K219" ]
Allergies: Percocet / cucumber / Tegaderm Chief Complaint: cracked tooth, s/p fall Major Surgical or Invasive Procedure: tooth extraction History of Present Illness: Patient is a [MASKED] year old G1P0 at [MASKED] by U/S w/ h/o breast CA on DDAC chemotherapy in pregnancy and thyroid CA who presents after transfer from ...
[]
[ "Z87891", "K219" ]
[ "O99613: Diseases of the digestive system complicating pregnancy, third trimester", "K029: Dental caries, unspecified", "Z3A34: 34 weeks gestation of pregnancy", "O99513: Diseases of the respiratory system complicating pregnancy, third trimester", "J45998: Other asthma", "O9989: Other specified diseases a...
10,002,800
22,634,923
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Percocet / cucumber Attending: ___ Chief Complaint: Left breast invasive ductal carcinoma Major Surgical or Invasive Procedure: LEFT B...
[ "O9A112", "C50412", "O99512", "Y836", "E890", "O99282", "O26852", "Z3A14", "Z170", "J45909", "Z85850", "Z87891" ]
Allergies: Percocet / cucumber Chief Complaint: Left breast invasive ductal carcinoma Major Surgical or Invasive Procedure: LEFT BREAST TOTAL MASTECTOMY W/ SENTINEL LYMPH NODE BIOPSY [MASKED] History of Present Illness: Ms [MASKED] is a [MASKED] year old pregnant female with breast cancer. She had a palpable left breas...
[]
[ "J45909", "Z87891" ]
[ "O9A112: Malignant neoplasm complicating pregnancy, second trimester", "C50412: Malignant neoplasm of upper-outer quadrant of left female breast", "O99512: Diseases of the respiratory system complicating pregnancy, second trimester", "Y836: Removal of other organ (partial) (total) as the cause of abnormal rea...
10,002,800
26,199,514
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: PLASTIC Allergies: cucumber / Tegaderm Attending: ___ Chief Complaint: Surgical absence of L breast Major Surgical or Invasive Procedure: 1) ___ - Right ...
[ "Z421", "Z4001", "T85898A", "Y834", "Y92238", "J4520", "E890", "F329", "R509", "Z9012", "Z853", "Z85850" ]
Allergies: cucumber / Tegaderm Chief Complaint: Surgical absence of L breast Major Surgical or Invasive Procedure: 1) [MASKED] - Right prophylactic mastectomy, bilateral [MASKED] reconstruction 2) [MASKED] - take back to OR for exploration of left flap vessels History of Present Illness: [MASKED] is a [MASKED] year old...
[]
[ "F329" ]
[ "Z421: Encounter for breast reconstruction following mastectomy", "Z4001: Encounter for prophylactic removal of breast", "T85898A: Other specified complication of other internal prosthetic devices, implants and grafts, initial encounter", "Y834: Other reconstructive surgery as the cause of abnormal reaction o...
10,002,930
22,733,922
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'm still hearing the voices" Major Surgical or Invasi...
[ "F1994", "B20", "F1490", "F1099", "F209", "Z87820", "B1920", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: "I'm still hearing the voices" Major Surgical or Invasive Procedure: None History of Present Illness: Please see psychiatry consult notes by Drs [MASKED], and [MASKED] dated [MASKED] for details of HPI, past psychiatric, medical, family, and social...
[]
[ "Z87891" ]
[ "F1994: Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder", "B20: Human immunodeficiency virus [HIV] disease", "F1490: Cocaine use, unspecified, uncomplicated", "F1099: Alcohol use, unspecified with unspecified alcohol-induced disorder", "F209: Schizophrenia, un...
10,002,930
25,922,998
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: alcohol intoxication Major Surgical or Invasive Procedure...
[ "F10239", "F1110", "R45851", "Z87820", "B1920", "Z23", "Z590", "F1410", "R509", "F29", "Z21", "Z9114", "D72819" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: alcohol intoxication Major Surgical or Invasive Procedure: none History of Present Illness: [MASKED] y/o [MASKED] homeless F with PMH of TBI, HIV+, HCV, polysubstance abuse (alcohol, crack cocaine, and heroin), unspecified mood disorder (MDD with p...
[]
[]
[ "F10239: Alcohol dependence with withdrawal, unspecified", "F1110: Opioid abuse, uncomplicated", "R45851: Suicidal ideations", "Z87820: Personal history of traumatic brain injury", "B1920: Unspecified viral hepatitis C without hepatic coma", "Z23: Encounter for immunization", "Z590: Homelessness", "F1...
10,003,019
28,836,362
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Ragweed Attending: ___. Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: s/p TRANSCATHETER MITRAL VALVE REPA...
[ "I340", "I5032", "Z006", "D8689", "E785", "J45909", "K219", "N400", "Z8042", "G4733", "Z8572", "Z87891", "Z9621", "H9190" ]
Allergies: Ragweed Chief Complaint: shortness of breath Major Surgical or Invasive Procedure: s/p TRANSCATHETER MITRAL VALVE REPAIR on [MASKED] History of Present Illness: [MASKED] year old male with a past medical history of hyperlipidemia, congestive heart failure (EF 61%), mitral regurgitation, lymphoma, sarcoidosis...
[]
[ "I5032", "E785", "J45909", "K219", "N400", "G4733", "Z87891" ]
[ "I340: Nonrheumatic mitral (valve) insufficiency", "I5032: Chronic diastolic (congestive) heart failure", "Z006: Encounter for examination for normal comparison and control in clinical research program", "D8689: Sarcoidosis of other sites", "E785: Hyperlipidemia, unspecified", "J45909: Unspecified asthma,...
10,003,299
20,940,957
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Iodine-Iodine Containing Attending: ___. Chief Complaint: difficulty with swallowing painful swallowing diarrhea Major Surgical or Inva...
[ "K208", "E870", "C342", "E46", "Y842", "Y92009", "D519", "E876", "R197", "F17210", "Z85038", "E119", "Z8673", "E785", "Z6822", "R32", "R1310" ]
Allergies: Iodine-Iodine Containing Chief Complaint: difficulty with swallowing painful swallowing diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] female with history of stage IIIA squamous cell carcinoma of lung undergoing chemoradiation completed at end of [M...
[]
[ "F17210", "E119", "Z8673", "E785" ]
[ "K208: Other esophagitis", "E870: Hyperosmolality and hypernatremia", "C342: Malignant neoplasm of middle lobe, bronchus or lung", "E46: Unspecified protein-calorie malnutrition", "Y842: Radiological procedure and radiotherapy as the cause of abnormal reaction of the patient, or of later complication, witho...
10,003,299
21,476,780
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Iodine-Iodine Containing Attending: ___. Chief Complaint: hematemesis Major Surgical or Invasive Procedure: None. History of Present...
[ "R042", "E210", "R918", "Z8673", "E119", "E785", "F17210", "I252", "Z85038", "J9819" ]
Allergies: Iodine-Iodine Containing Chief Complaint: hematemesis Major Surgical or Invasive Procedure: None. History of Present Illness: Ms. [MASKED] is a [MASKED] female with medical history notable for DM2, HTN, HLD, multiple strokes on Plavix and aspirin, inferior MI, tobacco use, primary hyperparathyroidism, and co...
[]
[ "Z8673", "E119", "E785", "F17210", "I252" ]
[ "R042: Hemoptysis", "E210: Primary hyperparathyroidism", "R918: Other nonspecific abnormal finding of lung field", "Z8673: Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits", "E119: Type 2 diabetes mellitus without complications", "E785: Hyperlipidemia,...
10,003,299
27,373,340
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Iodine-Iodine Containing Attending: ___. Chief Complaint: Throat Pain, confusion, worsening L hemiparesis Major Surgical or Invasive P...
[ "K208", "E43", "I82C11", "C342", "D6869", "E512", "I69354", "R627", "K2950", "B9681", "E860", "K222", "I10", "K224", "K449", "K2980", "F17210", "Z66", "Z6822", "Y842", "Y92009", "Z9221", "Z7901", "Z85038", "Z9049" ]
Allergies: Iodine-Iodine Containing Chief Complaint: Throat Pain, confusion, worsening L hemiparesis Major Surgical or Invasive Procedure: [MASKED] and biopsy History of Present Illness: Ms. [MASKED] is a [MASKED] w/ stage IIIA squamous cell carcinoma of lung, s/p completion of concurrent [MASKED] [MASKED], also w/ a h...
[]
[ "I10", "F17210", "Z66", "Z7901" ]
[ "K208: Other esophagitis", "E43: Unspecified severe protein-calorie malnutrition", "I82C11: Acute embolism and thrombosis of right internal jugular vein", "C342: Malignant neoplasm of middle lobe, bronchus or lung", "D6869: Other thrombophilia", "E512: Wernicke's encephalopathy", "I69354: Hemiplegia and...
10,003,299
29,323,205
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: NEUROLOGY Allergies: Iodine-Iodine Containing Attending: ___. Chief Complaint: left leg weakness, falls Major Surgical or Invasive Procedure: None Histo...
[ "I639", "G8194", "E119", "I672", "Z8673", "I10", "E785", "I252", "Z85038", "E538", "Z9181", "F17210", "I6529", "I2510", "R32", "R159", "M8580", "Z7902" ]
Allergies: Iodine-Iodine Containing Chief Complaint: left leg weakness, falls Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] RH female with a PMHx of paramedian pontine infarct ([MASKED]), right-sided lenticulostriate territory infarct ([MASKED]), multiple strokes in the r...
[]
[ "E119", "Z8673", "I10", "E785", "I252", "F17210", "I2510", "Z7902" ]
[ "I639: Cerebral infarction, unspecified", "G8194: Hemiplegia, unspecified affecting left nondominant side", "E119: Type 2 diabetes mellitus without complications", "I672: Cerebral atherosclerosis", "Z8673: Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits...
10,003,372
22,448,043
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: UROLOGY Allergies: Celexa Attending: ___. Chief Complaint: Adrenal Mass Major Surgical or Invasive Procedure: 1. Laparoscopic right adrenalectomy with removal of larg...
[ "D497", "K740", "I10", "K219", "K660", "Z87891" ]
Allergies: Celexa Chief Complaint: Adrenal Mass Major Surgical or Invasive Procedure: 1. Laparoscopic right adrenalectomy with removal of large adrenal mass (12cm). 2. Percutaneous liver biopsy. History of Present Illness: [MASKED] yo F with right 10 cm nonfunctional adrenal mass. Past Medical History: Past medical his...
[]
[ "I10", "K219", "Z87891" ]
[ "D497: Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system", "K740: Hepatic fibrosis", "I10: Essential (primary) hypertension", "K219: Gastro-esophageal reflux disease without esophagitis", "K660: Peritoneal adhesions (postprocedural) (postinfection)", "Z87891: Personal ...
10,003,385
23,040,642
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: ___ / ___ Attending: ___ Chief Complaint: perianal pain Major Surgical or Invasive Procedure: None History of Present Illness: Patien...
[ "K629", "L910", "I10", "D573", "E669", "Z6831", "Z87891" ]
Allergies: [MASKED] / [MASKED] Chief Complaint: perianal pain Major Surgical or Invasive Procedure: None History of Present Illness: Patient is a [MASKED] man with history of hypertension who presents with perianal pain and purulent discharge. Patient states that he has had longstanding problems with "hemorrhoids". He ...
[]
[ "I10", "E669", "Z87891" ]
[ "K629: Disease of anus and rectum, unspecified", "L910: Hypertrophic scar", "I10: Essential (primary) hypertension", "D573: Sickle-cell trait", "E669: Obesity, unspecified", "Z6831: Body mass index [BMI] 31.0-31.9, adult", "Z87891: Personal history of nicotine dependence" ]
10,003,400
23,559,586
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Sacral ulcer Major Surgical or Invasive Procedure: Uretrop...
[ "T8131XA", "R6521", "J9601", "N179", "A419", "G9340", "C9000", "J910", "K5660", "C786", "C7889", "C211", "E46", "Q620", "T814XXA", "T8359XA", "N12", "B3749", "K311", "I5032", "D62", "Z66", "Z515", "E8809", "I482", "Z7901", "M179", "I129", "B9562", "N183", ...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Sacral ulcer Major Surgical or Invasive Procedure: Uretropelvic junction stent replacement Intubation PICC line placement Right Chest tube placement History of Present Illness: Ms. [MASKED] is a [MASKED] year-old woman a PMH significant for AFib on...
[]
[ "J9601", "N179", "I5032", "D62", "Z66", "Z515", "Z7901", "I129", "E669", "D696" ]
[ "T8131XA: Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter", "R6521: Severe sepsis with septic shock", "J9601: Acute respiratory failure with hypoxia", "N179: Acute kidney failure, unspecified", "A419: Sepsis, unspecified organism", "G9340: Encephalopathy, uns...
10,003,412
28,884,815
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROSURGERY Allergies: Chloroquine Attending: ___ Chief Complaint: L2 fracture, back pain Major Surgical or Invasive Procedure: ___: L2 corpectomy (retroperit...
[ "M4856XA", "K913", "T8489XA", "M5136", "Y831", "Y92239", "Y838", "Y92009" ]
Allergies: Chloroquine Chief Complaint: L2 fracture, back pain Major Surgical or Invasive Procedure: [MASKED]: L2 corpectomy (retroperitoneal approach) and revision of posterior L1-L3 fusion History of Present Illness: Mr. [MASKED] is a [MASKED] Ph.D. researcher at [MASKED] who was in [MASKED] for research projects in ...
[]
[]
[ "M4856XA: Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture", "K913: Postprocedural intestinal obstruction", "T8489XA: Other specified complication of internal orthopedic prosthetic devices, implants and grafts, initial encounter", "M5136: Other intervertebral disc de...
10,003,502
29,011,269
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: nifedipine / Amitriptyline / Prilosec OTC / Terazosin / Amlodipine / Atenolol / Oxybutynin / Hydrochlorothiazide / spironolactone / furosem...
[ "R001", "I5033", "F0391", "I2582", "E871", "Z9181", "I2510", "I252", "I10", "I350", "I4891", "Z7902", "E785", "Z66" ]
Allergies: nifedipine / Amitriptyline / Prilosec OTC / Terazosin / Amlodipine / Atenolol / Oxybutynin / Hydrochlorothiazide / spironolactone / furosemide Chief Complaint: Fall, bradycardia. Major Surgical or Invasive Procedure: None. History of Present Illness: [MASKED] YO F w/ PMH significant for CAD, mild AS, afib/fl...
[]
[ "E871", "I2510", "I252", "I10", "I4891", "Z7902", "E785", "Z66" ]
[ "R001: Bradycardia, unspecified", "I5033: Acute on chronic diastolic (congestive) heart failure", "F0391: Unspecified dementia with behavioral disturbance", "I2582: Chronic total occlusion of coronary artery", "E871: Hypo-osmolality and hyponatremia", "Z9181: History of falling", "I2510: Atherosclerotic...
10,003,637
22,082,422
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: lisinopril Attending: ___. Chief Complaint: Hypotension Major Surgical or Invasive Procedure: None History of Present Illness: ___ h...
[ "N179", "I5022", "I959", "E8339", "I2510", "Z951", "Z950", "Z8673", "D649", "F17210", "I10", "E785", "I255" ]
Allergies: lisinopril Chief Complaint: Hypotension Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] hx of ischemic cardiomyopathy sent from [MASKED] clinic when his BP was noted to be systolic [MASKED]. Patient reports that at 9am his vision was a little blurry and he felt diffusely weak ...
[]
[ "N179", "I2510", "Z951", "Z8673", "D649", "F17210", "I10", "E785" ]
[ "N179: Acute kidney failure, unspecified", "I5022: Chronic systolic (congestive) heart failure", "I959: Hypotension, unspecified", "E8339: Other disorders of phosphorus metabolism", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "Z951: Presence of aortocoronary b...
10,003,637
23,487,925
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: lisinopril Attending: ___. Chief Complaint: perianal fistula and abscess Major Surgical or Invasive Procedure: Examination under anesth...
[ "K611", "I2582", "I509", "I2510", "I252", "Z950", "Z951", "Z8673", "E785", "I255", "F17210" ]
Allergies: lisinopril Chief Complaint: perianal fistula and abscess Major Surgical or Invasive Procedure: Examination under anesthesia, incision and drainage of abscess, placement of Malecot drain History of Present Illness: [MASKED] with PMH significant for fistula in ano with rectal abscess s/p 3 OR drainages, CAD, C...
[]
[ "I2510", "I252", "Z951", "Z8673", "E785", "F17210" ]
[ "K611: Rectal abscess", "I2582: Chronic total occlusion of coronary artery", "I509: Heart failure, unspecified", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "I252: Old myocardial infarction", "Z950: Presence of cardiac pacemaker", "Z951: Presence of aortocor...
10,003,637
28,484,061
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: lisinopril Attending: ___ Major Surgical or Invasive Procedure: ___: Right heart catheterization ___: Anal exam under anesthesia with an...
[ "K603", "I130", "I5022", "N179", "N183", "E785", "I2510", "I480", "Z7682", "I255", "R590", "I2722", "I252", "Z7901", "Z8673", "Z95810", "Z951", "Z955", "Z87891" ]
Allergies: lisinopril Major Surgical or Invasive Procedure: [MASKED]: Right heart catheterization [MASKED]: Anal exam under anesthesia with anal fistuolotomy [MASKED]: Bronchoscopy with EBUS and lymph node biopsies attach Pertinent Results: ADMISSION LABS: =============== [MASKED] 05:49PM BLOOD WBC-9.0 RBC-3.71* Hgb-11...
[]
[ "I130", "N179", "E785", "I2510", "I480", "I252", "Z7901", "Z8673", "Z951", "Z955", "Z87891" ]
[ "K603: Anal fistula", "I130: Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease", "I5022: Chronic systolic (congestive) heart failure", "N179: Acute kidney failure, unspecified", "N183: Chronic kidney dis...
10,003,757
26,829,618
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Sulfa (Sulfonamide Antibiotics) / nitrofurantoin Attending: ___. Chief Complaint: Fall from wheelchair Major Surgical or Invasive Procedu...
[ "S066X0A", "G92", "N390", "W050XXA", "Y92009", "I2510", "I10", "I739", "J439", "Z96641", "B9620", "F0390", "I350", "D649", "D469", "S0181XA", "M4854XD", "J8410", "Z66", "M8448XD", "S7002XA", "R402142", "R402362", "R402252" ]
Allergies: Sulfa (Sulfonamide Antibiotics) / nitrofurantoin Chief Complaint: Fall from wheelchair Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] female with a history of peripheral vascular disease, hypertension, coronary artery disease, emphysema, pelvic fracture s/p hip replacement pr...
[]
[ "N390", "I2510", "I10", "D649", "Z66" ]
[ "S066X0A: Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter", "G92: Toxic encephalopathy", "N390: Urinary tract infection, site not specified", "W050XXA: Fall from non-moving wheelchair, initial encounter", "Y92009: Unspecified place in unspecified non-institutional (private...
10,004,113
29,879,900
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: NEUROSURGERY Allergies: Penicillins Attending: ___. Chief Complaint: Seizures, Headaches, left frontal cavernous Malformation Major Surgical or Invas...
[ "D1802", "I619", "G40909" ]
Allergies: Penicillins Chief Complaint: Seizures, Headaches, left frontal cavernous Malformation Major Surgical or Invasive Procedure: [MASKED] craniotomy for RSX of Cavernous malformation History of Present Illness: Mr. [MASKED] is a very pleasant [MASKED] Caucasian male who was diagnosed with a left inferolateral fro...
[]
[]
[ "D1802: Hemangioma of intracranial structures", "I619: Nontraumatic intracerebral hemorrhage, unspecified", "G40909: Epilepsy, unspecified, not intractable, without status epilepticus" ]
10,004,296
21,736,479
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: OBSTETRICS/GYNECOLOGY Allergies: Sulfamethoxazole / Penicillins Attending: ___. Chief Complaint: arrest of descent, gHTN, incisional cellulitis with wound...
[ "O133", "O722", "O8612", "O639", "L03311", "L02211", "O324XX0", "O99334", "O9952", "R609", "J45909", "O860", "Z3A37", "Z370" ]
Allergies: Sulfamethoxazole / Penicillins Chief Complaint: arrest of descent, gHTN, incisional cellulitis with wound abscess Major Surgical or Invasive Procedure: primary low transverse cesarean section History of Present Illness: Patient is a [MASKED] year-old G3P0 with EDC = [MASKED] (EGA = 37w1d on [MASKED] with ele...
[]
[ "J45909" ]
[ "O133: Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester", "O722: Delayed and secondary postpartum hemorrhage", "O8612: Endometritis following delivery", "O639: Long labor, unspecified", "L03311: Cellulitis of abdominal wall", "L02211: Cutaneous abscess of abdom...
10,004,322
20,356,134
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ Chief Complaint: Altered Mental Status Major Surgical or Invasive Procedure:...
[ "T83511A", "G92", "I10", "B9620", "J449", "E119", "F200", "N390", "Y846", "Y929", "Z87891", "K210", "I2510", "E785", "D649" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Altered Mental Status Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] is a [MASKED] year old male with history of schizophrenia with most recent ED visit [MASKED], COPD, DM, mechanical falls most recently in [MASKED]...
[]
[ "I10", "J449", "E119", "N390", "Y929", "Z87891", "I2510", "E785", "D649" ]
[ "T83511A: Infection and inflammatory reaction due to indwelling urethral catheter, initial encounter", "G92: Toxic encephalopathy", "I10: Essential (primary) hypertension", "B9620: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere", "J449: Chronic obstructive pulmonary dis...
10,004,322
22,602,599
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: WEAKNESS Major Surgical or Invasive Procedure: N/A Histo...
[ "J189", "F200", "N179", "E1143", "J449", "Z794", "Z87891", "I951", "K219", "I2510", "I10", "E785", "Z9181" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: WEAKNESS Major Surgical or Invasive Procedure: N/A History of Present Illness: [MASKED] is a [MASKED] year-old M (poor historian) with a PMH of psychosis, mechanical falls with negative syncope w/u in [MASKED], T2DM (last HbA1c unknown, on metformi...
[]
[ "N179", "J449", "Z794", "Z87891", "K219", "I2510", "I10", "E785" ]
[ "J189: Pneumonia, unspecified organism", "F200: Paranoid schizophrenia", "N179: Acute kidney failure, unspecified", "E1143: Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy", "J449: Chronic obstructive pulmonary disease, unspecified", "Z794: Long term (current) use of insulin", "Z87891:...
10,004,457
28,108,313
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Penicillins / Tetracycline Analogues / Amoxicillin / IV Dye, Iodine Containing Contrast Media / Lactose / Statins-Hmg-Coa Reductase Inhibitors ...
[ "I6521", "I2510", "Z955", "Z8546", "Z8571", "E785", "Z951", "I081", "Z952", "G4733" ]
Allergies: Penicillins / Tetracycline Analogues / Amoxicillin / IV Dye, Iodine Containing Contrast Media / Lactose / Statins-Hmg-Coa Reductase Inhibitors / metoprolol Chief Complaint: Asymptomatic carotid stenosis Major Surgical or Invasive Procedure: [MASKED] RIGHT CAROTID ENDARTERECTOMY History of Present Illness: Th...
[]
[ "I2510", "Z955", "E785", "Z951", "G4733" ]
[ "I6521: Occlusion and stenosis of right carotid artery", "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "Z955: Presence of coronary angioplasty implant and graft", "Z8546: Personal history of malignant neoplasm of prostate", "Z8571: Personal history of Hodgkin lymp...
10,004,606
23,517,634
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 Hi...
[ "N390", "K2971", "N179", "F05", "I701", "G40409", "I10", "D500", "I739", "Z720", "K219", "B9620", "K5903", "T402X5A", "Y92230", "Z86718" ]
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] female with past medical history notable for hypertension, prior small intestinal bleed (sounds like distal upper AVM), recent hospitalizatio...
[]
[ "N390", "N179", "I10", "K219", "Y92230", "Z86718" ]
[ "N390: Urinary tract infection, site not specified", "K2971: Gastritis, unspecified, with bleeding", "N179: Acute kidney failure, unspecified", "F05: Delirium due to known physiological condition", "I701: Atherosclerosis of renal artery", "G40409: Other generalized epilepsy and epileptic syndromes, not in...
10,004,606
28,691,361
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Presyncope, Fall Major Surgical or Invasive Procedure: EG...
[ "K31811", "B1910", "S0990XA", "G629", "D62", "F1120", "I452", "I6523", "G40909", "I951", "F319", "Q2733", "I10", "W01198A", "Y92008", "I701", "M5416", "E039", "E785", "J449", "K219", "Z86718", "Z87891", "K2270", "R110", "T402X5A", "Y929", "I739", "I69398", "...
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Presyncope, Fall Major Surgical or Invasive Procedure: EGD [MASKED] Capsule endoscopy [MASKED] Colonoscopy [MASKED] History of Present Illness: [MASKED] with history of CVA, seizures, upper GI AVM's with chronic anemia, HTN, presents after presynco...
[]
[ "D62", "I10", "E039", "E785", "J449", "K219", "Z86718", "Z87891", "Y929", "K5900" ]
[ "K31811: Angiodysplasia of stomach and duodenum with bleeding", "B1910: Unspecified viral hepatitis B without hepatic coma", "S0990XA: Unspecified injury of head, initial encounter", "G629: Polyneuropathy, unspecified", "D62: Acute posthemorrhagic anemia", "F1120: Opioid dependence, uncomplicated", "I45...
10,004,606
28,731,738
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: GI bleed Major Surgical or Invasive Procedure: Endoscopy ...
[ "K31811", "E440", "R569", "D62", "I150", "Z681", "N390", "E785", "I739", "I69398", "R531", "R2681", "R51", "R001", "T448X5A", "Y92230", "R109", "F1011", "Z86718", "Z87891" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: GI bleed Major Surgical or Invasive Procedure: Endoscopy [MASKED] Capsule Endoscopy [MASKED] History of Present Illness: [MASKED] with history of GI bleed with unidentified etiology, gallstone pancreatitis requiring lap CCY (course c/b seizures tho...
[]
[ "D62", "N390", "E785", "Y92230", "Z86718", "Z87891" ]
[ "K31811: Angiodysplasia of stomach and duodenum with bleeding", "E440: Moderate protein-calorie malnutrition", "R569: Unspecified convulsions", "D62: Acute posthemorrhagic anemia", "I150: Renovascular hypertension", "Z681: Body mass index [BMI] 19.9 or less, adult", "N390: Urinary tract infection, site ...
10,004,606
29,242,151
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: seizures, abdominal pain Major Surgical or Invasive Proce...
[ "G40409", "K8510", "G9340", "K8064", "E871", "I701", "I10", "I160", "K219", "I739", "E785", "F17210", "Z95820", "Z86718", "Z8673" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: seizures, abdominal pain Major Surgical or Invasive Procedure: mechanical intubation History of Present Illness: Ms. [MASKED] is a [MASKED] woman with HTN who presents with seizure. Around [MASKED] on [MASKED], daughter received a text from her cou...
[]
[ "E871", "I10", "K219", "E785", "F17210", "Z86718", "Z8673" ]
[ "G40409: Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus", "K8510: Biliary acute pancreatitis without necrosis or infection", "G9340: Encephalopathy, unspecified", "K8064: Calculus of gallbladder and bile duct with chronic cholecystitis without obstruction", "...
10,004,719
21,197,153
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: Percocet Attending: ___. Chief Complaint: Right leg/foot pain Major Surgical or Invasive Procedure: ___ Right lower extremity angiogram,...
[ "T82868A", "I82441", "Y832", "Y92009", "I70411", "Z86718", "J45909" ]
Allergies: Percocet Chief Complaint: Right leg/foot pain Major Surgical or Invasive Procedure: [MASKED] Right lower extremity angiogram, angioJet mechanical thrombectomy of occluded bypass graft, balloon angioplasty of outflow stenosis. [MASKED] Right lower extremity angiogram, angioJet mechanical thrombectomy of occlu...
[]
[ "Z86718", "J45909" ]
[ "T82868A: Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter", "I82441: Acute embolism and thrombosis of right tibial vein", "Y832: Surgical operation with anastomosis, bypass or graft as the cause of abnormal reaction of the patient, or of later complication, without mention ...
10,004,720
22,081,550
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins / Haldol Attending: ___ ___ Complaint: s/p cardiac arrest Major Surgical or Invasive Procedure: chest thoracostomy tube pla...
[ "J690", "G931", "I82621", "Z8674", "J95811", "I959", "J9600", "I10", "D638", "Y848", "Y92238", "Z66", "Z515", "Z781", "F209", "S42291D", "W1830XD", "Z9181", "Z85828", "H269", "Z720", "L409", "M810", "L570", "M720", "J309", "F1021", "Z7902", "H6120" ]
Allergies: Penicillins / Haldol [MASKED] Complaint: s/p cardiac arrest Major Surgical or Invasive Procedure: chest thoracostomy tube placement intubation central venous catheter placement History of Present Illness: [MASKED] with PMHx significant for schizophrenia, hypertension and anemia who p/w from nursing home with...
[]
[ "I10", "Z66", "Z515", "Z7902" ]
[ "J690: Pneumonitis due to inhalation of food and vomit", "G931: Anoxic brain damage, not elsewhere classified", "I82621: Acute embolism and thrombosis of deep veins of right upper extremity", "Z8674: Personal history of sudden cardiac arrest", "J95811: Postprocedural pneumothorax", "I959: Hypotension, uns...
10,004,764
24,817,563
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: ___ Ur...
[ "I2510", "I959", "I4891", "D649", "I10", "E7800", "Z955", "Z87891", "R0902" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [MASKED] Urgent coronary artery bypass graft x3, left internal mammary artery to left anterior descending artery, saphenous vein graft to diagonal and distal right coronary arteries. 2. Endoscopic ha...
[]
[ "I2510", "I4891", "D649", "I10", "Z955", "Z87891" ]
[ "I2510: Atherosclerotic heart disease of native coronary artery without angina pectoris", "I959: Hypotension, unspecified", "I4891: Unspecified atrial fibrillation", "D649: Anemia, unspecified", "I10: Essential (primary) hypertension", "E7800: Pure hypercholesterolemia, unspecified", "Z955: Presence of ...
10,005,001
23,954,664
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: Malignant transformation of endometriosis - final...
[ "C562", "C786", "C772", "C787", "E669", "F419", "F329", "Z6836" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Malignant transformation of endometriosis - final pathology report pending. Major Surgical or Invasive Procedure: exploratory laparotomy, total abdominal hysterectomy, left salingo-oophrectomy, omentectomy, para-aortic lymph node biopsy, liver rese...
[]
[ "E669", "F419", "F329" ]
[ "C562: Malignant neoplasm of left ovary", "C786: Secondary malignant neoplasm of retroperitoneum and peritoneum", "C772: Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "E669: Obesity, unspecified", "F4...
10,005,001
25,115,899
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: symptomatic fibroid uterus, left ovarian cyst Ma...
[ "D259", "E8809", "N3289", "N8320", "N736", "Z90721", "Z9079", "N393", "Z975", "J309", "F329", "Z800", "Z8042" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: symptomatic fibroid uterus, left ovarian cyst Major Surgical or Invasive Procedure: exploratory laparotomy, lysis of adhesions, multiple myomectomy, left ovarian cystectomy History of Present Illness: Ms. [MASKED] is a [MASKED] gravida 0 with a lon...
[]
[ "F329" ]
[ "D259: Leiomyoma of uterus, unspecified", "E8809: Other disorders of plasma-protein metabolism, not elsewhere classified", "N3289: Other specified disorders of bladder", "N8320: Unspecified ovarian cysts", "N736: Female pelvic peritoneal adhesions (postinfective)", "Z90721: Acquired absence of ovaries, un...
10,005,123
20,470,681
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___ ___ Surgical or Invasive Procedure: ___: Redo TIPS ___: Redo TIPS attach P...
[ "J95821", "I81", "T82868A", "K766", "I8510", "K740", "I864", "D6959", "E785", "Y838", "K7460", "Y92238" ]
Allergies: No Known Allergies / Adverse Drug Reactions [MASKED] Surgical or Invasive Procedure: [MASKED]: Redo TIPS [MASKED]: Redo TIPS attach Pertinent Results: ADMISSION LABS: [MASKED] 07:30AM BLOOD WBC-4.2 RBC-4.29* Hgb-12.1* Hct-37.9* MCV-88 MCH-28.2 MCHC-31.9* RDW-14.7 RDWSD-47.1* Plt Ct-63* [MASKED] 07:30AM BLOOD...
[]
[ "E785" ]
[ "J95821: Acute postprocedural respiratory failure", "I81: Portal vein thrombosis", "T82868A: Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter", "K766: Portal hypertension", "I8510: Secondary esophageal varices without bleeding", "K740: Hepatic fibrosis", "I864: Gastr...
10,005,123
24,274,954
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: post TIPS monitoring Major Surgical or Invasive Procedure...
[ "K7460", "I81", "N179", "K766", "I8510", "K740", "D6959", "E785", "I864" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: post TIPS monitoring Major Surgical or Invasive Procedure: TIPS [MASKED] History of Present Illness: Mr. [MASKED] is a [MASKED] male with congenital hepatic fibrosis complicated by portal hypertension and variceal bleeding who presents to the medic...
[]
[ "N179", "E785" ]
[ "K7460: Unspecified cirrhosis of liver", "I81: Portal vein thrombosis", "N179: Acute kidney failure, unspecified", "K766: Portal hypertension", "I8510: Secondary esophageal varices without bleeding", "K740: Hepatic fibrosis", "D6959: Other secondary thrombocytopenia", "E785: Hyperlipidemia, unspecifie...
10,005,236
23,384,508
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: morphine / Demerol Attending: ___. Chief Complaint: Right femoral neck fracture Major Surgical or Invasive Procedure: Closed red...
[ "S72001A", "E119", "J449", "I10", "W1839XA", "Y92009", "Z87891", "I70209", "Z23" ]
Allergies: morphine / Demerol Chief Complaint: Right femoral neck fracture Major Surgical or Invasive Procedure: Closed reduction, internal fixation with cannulated screws of Right femoral neck fracture History of Present Illness: [MASKED] M presents with right femoral neck fracture s/p mechanical fall. He fell on his ...
[]
[ "E119", "J449", "I10", "Z87891" ]
[ "S72001A: Fracture of unspecified part of neck of right femur, initial encounter for closed fracture", "E119: Type 2 diabetes mellitus without complications", "J449: Chronic obstructive pulmonary disease, unspecified", "I10: Essential (primary) hypertension", "W1839XA: Other fall on same level, initial enco...
10,005,308
20,445,854
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 ankle fracture dislocation Major Surgical or Inva...
[ "S82851A", "W108XXA", "Y92009" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: right ankle fracture dislocation Major Surgical or Invasive Procedure: right ankle surgical fixation History of Present Illness: [MASKED] healthy female who sustained a right ankle injury following a mechanical slip and fall down stairs. She states...
[]
[]
[ "S82851A: Displaced trimalleolar fracture of right lower leg, initial encounter for closed fracture", "W108XXA: Fall (on) (from) other stairs and steps, initial encounter", "Y92009: Unspecified place in unspecified non-institutional (private) residence as the place of occurrence of the external cause" ]
10,005,606
22,751,751
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Nausea, Vomiting Major Surgical or Invasive Procedure: None ...
[ "K920", "N179", "F1010", "I10", "F17200", "E8352", "E876", "E8342", "K7030", "D6959" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Nausea, Vomiting Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] male, history of cervical fusion in [MASKED], ETOH abuse, and HTN presenting with nausea, hematemesis/coffee-ground emesis and ? melena. He was in his ...
[]
[ "N179", "I10" ]
[ "K920: Hematemesis", "N179: Acute kidney failure, unspecified", "F1010: Alcohol abuse, uncomplicated", "I10: Essential (primary) hypertension", "F17200: Nicotine dependence, unspecified, uncomplicated", "E8352: Hypercalcemia", "E876: Hypokalemia", "E8342: Hypomagnesemia", "K7030: Alcoholic cirrhosis...
10,005,606
29,646,384
Name: ___ ___ No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: ORTHOPAEDICS Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: neck fracture Major Surgical or Invasive Procedure: ___ C5...
[ "S12390A", "J9690", "S27321A", "S14109A", "S2220XA", "F10121", "A0472", "G960", "S22020A", "S12490A", "S12590A", "S12690A", "S93409A", "W109XXA", "Y9289", "S0101XA", "F17210", "F1290", "D649", "M5382" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: neck fracture Major Surgical or Invasive Procedure: [MASKED] C5/6 corpectomy, C4-C7 ACDF [MASKED] C2-T2 posterior cervical fusion, C4-6 cervical laminectomy History of Present Illness: [MASKED] year-old male who presents s/p intoxicated fall from [...
[]
[ "F17210", "D649" ]
[ "S12390A: Other displaced fracture of fourth cervical vertebra, initial encounter for closed fracture", "J9690: Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia", "S27321A: Contusion of lung, unilateral, initial encounter", "S14109A: Unspecified injury at unspecified level of ...
10,005,749
24,015,009
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: High blood sugars, labs showing acute on chronic kidney ...
[ "E1165", "N179", "E1122", "I130", "N189", "I5022", "N390", "E871", "E876", "I482", "F419", "Z940", "Z794", "Z7901", "E785" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: High blood sugars, labs showing acute on chronic kidney injury Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] with a h/o renal transplant, CHF, AFib on Coumadin, DM who presented to the ED on [MASK...
[]
[ "E1165", "N179", "E1122", "I130", "N189", "N390", "E871", "F419", "Z794", "Z7901", "E785" ]
[ "E1165: Type 2 diabetes mellitus with hyperglycemia", "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 ch...
10,005,817
28,661,809
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Penicillins Attending: ___. Chief Complaint: weakness, hypoxia secondary to superior vena cava syndrome Major Surgical or Invasive Pr...
[ "J9621", "J910", "J189", "N170", "E883", "I82412", "C7B8", "I5022", "I871", "C7A8", "J449", "I2510", "F17210", "Z951", "Z955", "E119", "Z85048", "F4310", "I4891", "Z515", "I129", "N189", "R410", "Z9981", "Z7902" ]
Allergies: Penicillins Chief Complaint: weakness, hypoxia secondary to superior vena cava syndrome Major Surgical or Invasive Procedure: intubation [MASKED] Left femoral line placement [MASKED] R femoral line placement Left chest tube placement Radiation Therapy Left PICC placement History of Present Illness: [MASKED] ...
[]
[ "J449", "I2510", "F17210", "Z951", "Z955", "E119", "I4891", "Z515", "I129", "N189", "Z7902" ]
[ "J9621: Acute and chronic respiratory failure with hypoxia", "J910: Malignant pleural effusion", "J189: Pneumonia, unspecified organism", "N170: Acute kidney failure with tubular necrosis", "E883: Tumor lysis syndrome", "I82412: Acute embolism and thrombosis of left femoral vein", "C7B8: Other secondary...
10,005,858
24,193,796
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: PLASTIC Allergies: Aspirin / Adhesive Tape / Percocet / Erythromycin Base / Bee Sting Kit / adhesive bandage / Caffeine Attending: ___. Chief Complaint: Sy...
[ "N62", "N6082", "N6081", "E6601", "Z6842", "E039", "E042", "G8929", "D869", "I10", "G4733", "M4802", "K589", "M170", "M545", "F329", "M25531", "R7303", "Z96653", "Z8679", "Z833", "Z8249", "Z803" ]
Allergies: Aspirin / Adhesive Tape / Percocet / Erythromycin Base / Bee Sting Kit / adhesive bandage / Caffeine Chief Complaint: Symptomatic macromastia Major Surgical or Invasive Procedure: MAMMOPLASTY REDUCTION BILATERAL History of Present Illness: [MASKED] yo morbidly obese woman with multinodular goiter, sarcoid, H...
[]
[ "E039", "G8929", "I10", "G4733", "F329" ]
[ "N62: Hypertrophy of breast", "N6082: Other benign mammary dysplasias of left breast", "N6081: Other benign mammary dysplasias of right breast", "E6601: Morbid (severe) obesity due to excess calories", "Z6842: Body mass index [BMI] 45.0-49.9, adult", "E039: Hypothyroidism, unspecified", "E042: Nontoxic ...
10,005,858
29,569,314
Name: ___. Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: Aspirin / Adhesive Tape / Percocet / Erythromycin Base / Bee Sting Kit / adhesive bandage / Caffeine Attending: ___. Chief Complaint: 2...
[ "I5031", "Z6843", "R079", "D649", "E669", "E039", "R413", "K219", "G2581", "G4700", "H04129", "R3915" ]
Allergies: Aspirin / Adhesive Tape / Percocet / Erythromycin Base / Bee Sting Kit / adhesive bandage / Caffeine Chief Complaint: 20 lb weight gain, DOE Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] year old F w/ history of hypertension, obesity, osteoarthritis, hypoth...
[]
[ "D649", "E669", "E039", "K219", "G4700" ]
[ "I5031: Acute diastolic (congestive) heart failure", "Z6843: Body mass index [BMI] 50.0-59.9, adult", "R079: Chest pain, unspecified", "D649: Anemia, unspecified", "E669: Obesity, unspecified", "E039: Hypothyroidism, unspecified", "R413: Other amnesia", "K219: Gastro-esophageal reflux disease without ...
10,005,866
20,364,112
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Neurontin Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: ___ Exploratory laparotomy ___ EGD ...
[ "K265", "E43", "J811", "D688", "K766", "D6959", "D62", "I471", "I959", "K255", "I4891", "K209", "B182", "K7031", "F1011", "K660", "K3189", "Z5309", "G8929", "I8510", "Z66", "Z515", "R0902", "D638", "Z590", "Z6824", "K449", "Z720" ]
Allergies: Neurontin Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: [MASKED] Exploratory laparotomy [MASKED] EGD [MASKED] EGD nasojejeunal placed and bridled (removed [MASKED] CT-guided placement of an [MASKED] pigtail catheter into the lesser sac collection. (removed [MASKED] PICC placement. His...
[]
[ "D62", "I4891", "G8929", "Z66", "Z515" ]
[ "K265: Chronic or unspecified duodenal ulcer with perforation", "E43: Unspecified severe protein-calorie malnutrition", "J811: Chronic pulmonary edema", "D688: Other specified coagulation defects", "K766: Portal hypertension", "D6959: Other secondary thrombocytopenia", "D62: Acute posthemorrhagic anemia...
10,005,866
21,636,229
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Tylenol / Neurontin Attending: ___. Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Presen...
[ "K660", "E43", "K766", "Z720", "K7031", "Z6820", "R1084" ]
Allergies: Tylenol / Neurontin Chief Complaint: Abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] man presents for evaluation of abdominal pain. Patient recently hospitalized for acute exacerbation of his chronic abdominal pain, likely partial bowel obstruction. Discharged y...
[]
[]
[ "K660: Peritoneal adhesions (postprocedural) (postinfection)", "E43: Unspecified severe protein-calorie malnutrition", "K766: Portal hypertension", "Z720: Tobacco use", "K7031: Alcoholic cirrhosis of liver with ascites", "Z6820: Body mass index [BMI] 20.0-20.9, adult", "R1084: Generalized abdominal pain...
10,005,866
22,589,518
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: Tylenol / Neurontin Attending: ___ Chief Complaint: RUQ abdominal pain, vomiting, diarrhea Major Surgical or Invasive Procedure: -d...
[ "A084", "I81", "R188", "E872", "K766", "E871", "K7469", "K7290", "Z720" ]
Allergies: Tylenol / Neurontin Chief Complaint: RUQ abdominal pain, vomiting, diarrhea Major Surgical or Invasive Procedure: -diagnostic para [MASKED] History of Present Illness: Mr [MASKED] is a [MASKED] year old man with cirrhosis (EtOH/HCV untreated, genotype 3)Child Class C, complicated by esophageal varices, ascit...
[]
[ "E872", "E871" ]
[ "A084: Viral intestinal infection, unspecified", "I81: Portal vein thrombosis", "R188: Other ascites", "E872: Acidosis", "K766: Portal hypertension", "E871: Hypo-osmolality and hyponatremia", "K7469: Other cirrhosis of liver", "K7290: Hepatic failure, unspecified without coma", "Z720: Tobacco use" ]
10,005,866
23,514,107
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Tylenol / Neurontin Attending: ___. Chief Complaint: Acute Abdominal pain Major Surgical or Invasive Procedure: None History of P...
[ "K565", "K7031", "I8510", "K766", "F17210", "Z6823", "B1920", "I81", "E43" ]
Allergies: Tylenol / Neurontin Chief Complaint: Acute Abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: This patient is a [MASKED] year old male, with ETOH and Hep C cirrhosis, child's class B (MELD 16) presenting to the ED with acute abdominal pain concerning for recurrent bowel obs...
[]
[ "F17210" ]
[ "K565: Intestinal adhesions [bands] with obstruction (postinfection)", "K7031: Alcoholic cirrhosis of liver with ascites", "I8510: Secondary esophageal varices without bleeding", "K766: Portal hypertension", "F17210: Nicotine dependence, cigarettes, uncomplicated", "Z6823: Body mass index [BMI] 23.0-23.9,...
10,005,866
26,134,779
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: Tylenol / Neurontin Attending: ___. Chief Complaint: Abdominal pain, nausea, vomiting Major Surgical or Invasive Procedure: Paracent...
[ "K56600", "K766", "I8510", "K7031", "F17210", "M47818" ]
Allergies: Tylenol / Neurontin Chief Complaint: Abdominal pain, nausea, vomiting Major Surgical or Invasive Procedure: Paracentesis, [MASKED] History of Present Illness: [MASKED] year old male, with ETOH and Hep C cirrhosis, child's class B (MELD 16) presenting to the ED with acute abdominal pain concerning for recurre...
[]
[ "F17210" ]
[ "K56600: Partial intestinal obstruction, unspecified as to cause", "K766: Portal hypertension", "I8510: Secondary esophageal varices without bleeding", "K7031: Alcoholic cirrhosis of liver with ascites", "F17210: Nicotine dependence, cigarettes, uncomplicated", "M47818: Spondylosis without myelopathy or r...
10,005,866
27,167,814
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending: ___. Chief Complaint: Abd pain Major Surgical or Invasive Procedure: ___: ex-...
[ "K565", "E43", "J189", "J952", "K766", "M96831", "D62", "T814XXA", "L03311", "K7031", "M47817", "Z6823", "F17210", "D696", "Y838", "Y92239", "T17990A", "R339" ]
Allergies: No Known Allergies / Adverse Drug Reactions Chief Complaint: Abd pain Major Surgical or Invasive Procedure: [MASKED]: ex-lap and LOA [MASKED]: hematoma evacuation [MASKED]: Incision opened and VAC placed History of Present Illness: [MASKED] with HCV, ETOH cirrhosis (MELD 13, MELD-Na 18)p/w 5 days of nausea, ...
[]
[ "D62", "F17210", "D696" ]
[ "K565: Intestinal adhesions [bands] with obstruction (postinfection)", "E43: Unspecified severe protein-calorie malnutrition", "J189: Pneumonia, unspecified organism", "J952: Acute pulmonary insufficiency following nonthoracic surgery", "K766: Portal hypertension", "M96831: Postprocedural hemorrhage of a ...
10,005,909
20,199,380
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: SURGERY Allergies: amoxicillin Attending: ___. Chief Complaint: ___ Syndrome Major Surgical or Invasive Procedure: ___ Thrombolysis, mechanical thrombectom...
[ "I82422", "I871", "I9751", "Y838", "Y92234" ]
Allergies: amoxicillin Chief Complaint: [MASKED] Syndrome Major Surgical or Invasive Procedure: [MASKED] Thrombolysis, mechanical thrombectomy [MASKED] IVC filter placement Repeat mechanical thrombectomy, angiojet Common iliac wall stent x2 History of Present Illness: Ms. [MASKED] is a [MASKED] with hx of hypothyroidis...
[]
[]
[ "I82422: Acute embolism and thrombosis of left iliac vein", "I871: Compression of vein", "I9751: Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure", "Y838: Other surgical procedures as the cause of abnormal reaction of the patient, or of later ...
10,006,029
20,850,584
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: ___ Attending: ___ Chief Complaint: Hypotension, ___ on CKD Major Surgical or Invasive Procedure: none History of Present Illnes...
[ "N179", "C221", "C259", "C7802", "C7801", "I10", "E785", "F419", "N400", "I129", "E1122", "N189", "Z7984", "Z87891", "T464X5A", "Y929", "D6481", "T451X5A", "E039", "Z794", "Z905", "I959", "E860", "Z7901" ]
Allergies: [MASKED] Chief Complaint: Hypotension, [MASKED] on CKD Major Surgical or Invasive Procedure: none History of Present Illness: Mr. [MASKED] is a [MASKED] male with history metastatic RCC, locally advanced cholangiocarcinoma s/p six months of gemcitabine and cisplatin, and recent diagnosis of pancreatic acinar...
[]
[ "N179", "I10", "E785", "F419", "N400", "I129", "E1122", "N189", "Z87891", "Y929", "E039", "Z794", "Z7901" ]
[ "N179: Acute kidney failure, unspecified", "C221: Intrahepatic bile duct carcinoma", "C259: Malignant neoplasm of pancreas, unspecified", "C7802: Secondary malignant neoplasm of left lung", "C7801: Secondary malignant neoplasm of right lung", "I10: Essential (primary) hypertension", "E785: Hyperlipidemi...
10,006,029
25,426,298
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: mirtazapine Attending: ___. Chief Complaint: Nausea and vomiting Major Surgical or Invasive Procedure: None History of Present I...
[ "C786", "E43", "C250", "C787", "C781", "C771", "N179", "E871", "G893", "K8681", "Z85528", "Z8589", "Z905", "Z66", "Z515", "E1122", "I129", "N189", "Z794", "E7849", "N400", "K529", "Z87891", "K117", "D630", "E860", "Z6826", "Z7902", "B001", "F419", "G4700",...
Allergies: mirtazapine Chief Complaint: Nausea and vomiting Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [MASKED] is a pleasant [MASKED] w/ ID-T2DM, HTN, DL, BPH, and three concurrent cancers (1) metastatic clear cell RCC, s/p radical L nephrectomy in [MASKED], found to have pulmonary, med...
[]
[ "N179", "E871", "Z66", "Z515", "E1122", "I129", "N189", "Z794", "N400", "Z87891", "Z7902", "F419", "G4700", "Y92230", "K5900" ]
[ "C786: Secondary malignant neoplasm of retroperitoneum and peritoneum", "E43: Unspecified severe protein-calorie malnutrition", "C250: Malignant neoplasm of head of pancreas", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "C781: Secondary malignant neoplasm of mediastinum", "C7...
10,006,029
27,104,518
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: ___ Attending: ___. Chief Complaint: Fatigue Major Surgical or Invasive Procedure: ___: ERCP and EUS History of Present Illness: ...
[ "A408", "K831", "I81", "J189", "K830", "C7802", "C7801", "C771", "N179", "C249", "R6520", "F419", "N400", "Z85528", "E785", "Z87891", "D539", "F329", "E039", "E1122", "I129", "N189", "Z794" ]
Allergies: [MASKED] Chief Complaint: Fatigue Major Surgical or Invasive Procedure: [MASKED]: ERCP and EUS History of Present Illness: Mr. [MASKED] is a [MASKED] male with IDDM, HTN, BPH, and clear cell RCC s/p radical L nephrectomy ([MASKED]) metastatic to the lungs, mediastinum, and hilum currently on chemotherapy (ex...
[]
[ "N179", "F419", "N400", "E785", "Z87891", "F329", "E039", "E1122", "I129", "N189", "Z794" ]
[ "A408: Other streptococcal sepsis", "K831: Obstruction of bile duct", "I81: Portal vein thrombosis", "J189: Pneumonia, unspecified organism", "K830: Cholangitis", "C7802: Secondary malignant neoplasm of left lung", "C7801: Secondary malignant neoplasm of right lung", "C771: Secondary and unspecified m...
10,006,029
29,107,716
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: M Service: MEDICINE Allergies: ___ Attending: ___ Chief Complaint: anbormal lfts Major Surgical or Invasive Procedure: ERCP ___ History of Present Illness: PRI...
[ "K831", "I81", "C7800", "K862", "C771", "E785", "I129", "E1122", "N189", "F419", "N400", "D539", "F329", "E039", "Z85528", "Z905", "Z87891", "Z800", "Z807", "Z8041" ]
Allergies: [MASKED] Chief Complaint: anbormal lfts Major Surgical or Invasive Procedure: ERCP [MASKED] History of Present Illness: PRIMARY ONCOLOGIST: Dr [MASKED] [MASKED]: Metastatic clear cell renal cell carcinoma TREATMENT: [MASKED], randomized to sunitinib 50 mg PO daily x 4 weeks followed by 2 weeks off. Dose redu...
[]
[ "E785", "I129", "E1122", "N189", "F419", "N400", "F329", "E039", "Z87891" ]
[ "K831: Obstruction of bile duct", "I81: Portal vein thrombosis", "C7800: Secondary malignant neoplasm of unspecified lung", "K862: Cyst of pancreas", "C771: Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes", "E785: Hyperlipidemia, unspecified", "I129: Hypertensive chronic kidney...
10,006,269
27,357,430
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: EGD Colonoscopy Biopsy during colonosc...
[ "B003", "C20", "K626", "K2960", "K2980", "I10", "F329", "D508" ]
Allergies: No Known Allergies / Adverse Drug Reactions Major Surgical or Invasive Procedure: EGD Colonoscopy Biopsy during colonoscopy Lumbar puncture attach Pertinent Results: ADMISSION LABS: [MASKED] 11:00AM WBC-10.0 RBC-4.66 HGB-8.4* HCT-30.9* MCV-66* MCH-18.0* MCHC-27.2* RDW-20.1* RDWSD-45.3 [MASKED] 11:00AM NEUTS-...
[]
[ "I10", "F329" ]
[ "B003: Herpesviral meningitis", "C20: Malignant neoplasm of rectum", "K626: Ulcer of anus and rectum", "K2960: Other gastritis without bleeding", "K2980: Duodenitis without bleeding", "I10: Essential (primary) hypertension", "F329: Major depressive disorder, single episode, unspecified", "D508: Other ...
10,006,431
24,638,489
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: latex Attending: ___ Chief Complaint: abd pain Major Surgical or Invasive Procedure: ___: EUS was performed using a linear echoendosco...
[ "G893", "Z66", "K8580", "E43", "C250", "C787", "C7900", "I959", "K219", "Z681", "I10", "E049", "E7800", "K5900" ]
Allergies: latex Chief Complaint: abd pain Major Surgical or Invasive Procedure: [MASKED]: EUS was performed using a linear echoendoscope at [MASKED] MHz frequency. Celiac Plexus Neurolysis was performed. The take-off of the celiac artery was identified. A 22-gauge EUS needle was primed with saline and advanced adjacen...
[]
[ "Z66", "K219", "I10", "K5900" ]
[ "G893: Neoplasm related pain (acute) (chronic)", "Z66: Do not resuscitate", "K8580: Other acute pancreatitis without necrosis or infection", "E43: Unspecified severe protein-calorie malnutrition", "C250: Malignant neoplasm of head of pancreas", "C787: Secondary malignant neoplasm of liver and intrahepatic...
10,006,431
25,086,012
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: latex Attending: ___. Chief Complaint: Nausea, anorexia, abdominal pain Major Surgical or Invasive Procedure: None History of Prese...
[ "C250", "C787", "E860", "H903", "K219", "I10", "D473", "D72829", "E861", "R112", "Z66", "G893", "Z800", "R634", "Z6821" ]
Allergies: latex Chief Complaint: Nausea, anorexia, abdominal pain Major Surgical or Invasive Procedure: None History of Present Illness: [MASKED] PMH of Deafness (uses ASL), GERD, HTN, Metastatic Pancreatic Cancer (mets to liver, recently on palliative gemcitabine), CBD obstruction (s/p sphincerotomy and metal stent p...
[]
[ "K219", "I10", "Z66" ]
[ "C250: Malignant neoplasm of head of pancreas", "C787: Secondary malignant neoplasm of liver and intrahepatic bile duct", "E860: Dehydration", "H903: Sensorineural hearing loss, bilateral", "K219: Gastro-esophageal reflux disease without esophagitis", "I10: Essential (primary) hypertension", "D473: Esse...
10,006,431
25,589,898
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: latex Attending: ___ Chief Complaint: Painless jaundice, nausea Major Surgical or Invasive Procedure: EUS History of Present Illnes...
[ "C250", "H905", "I10", "E042", "K838", "L298", "K219", "D509", "G4700", "Z800" ]
Allergies: latex Chief Complaint: Painless jaundice, nausea Major Surgical or Invasive Procedure: EUS History of Present Illness: Ms. [MASKED] is a [MASKED] PMHx HTN and congenital deafness who was initially admitted to [MASKED] on [MASKED] for painless jaundice/biliary obstruction associated with n/v, post-prandial ab...
[]
[ "I10", "K219", "D509", "G4700" ]
[ "C250: Malignant neoplasm of head of pancreas", "H905: Unspecified sensorineural hearing loss", "I10: Essential (primary) hypertension", "E042: Nontoxic multinodular goiter", "K838: Other specified diseases of biliary tract", "L298: Other pruritus", "K219: Gastro-esophageal reflux disease without esopha...
10,006,431
27,715,811
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: latex Attending: ___. Chief Complaint: diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: Ms. ___ is a...
[ "K521", "K831", "C250", "D6959", "E860", "I10", "K219", "R110", "T451X5A", "Y929" ]
Allergies: latex Chief Complaint: diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a pleasant [MASKED] w/ HTN, DL, congenital deafness, and recently diagnosed borderline resectable pancreatic head adenocarcinoma, on neoadjuvant C1D21 Folfirinox who presents for diarrhea fo...
[]
[ "I10", "K219", "Y929" ]
[ "K521: Toxic gastroenteritis and colitis", "K831: Obstruction of bile duct", "C250: Malignant neoplasm of head of pancreas", "D6959: Other secondary thrombocytopenia", "E860: Dehydration", "I10: Essential (primary) hypertension", "K219: Gastro-esophageal reflux disease without esophagitis", "R110: Nau...
10,006,431
28,771,670
Name: ___ Unit No: ___ Admission Date: ___ Discharge Date: ___ Date of Birth: ___ Sex: F Service: MEDICINE Allergies: latex Attending: ___. Chief Complaint: Nausea/vomting, diarrhea Major Surgical or Invasive Procedure: None History of Present Illne...
[ "E860", "C250", "K521", "D701", "H905", "I10", "K219", "R112", "T451X5A", "Z6823", "R630", "E7800", "F419", "Y929" ]
Allergies: latex Chief Complaint: Nausea/vomting, diarrhea Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [MASKED] is a [MASKED] female with with HTN, DL, congenital deafness, and borderline resectable pancreatic head adenocarcinoma on neoadjuvant C2D12 Folfirinox who presents with nausea/vo...
[]
[ "I10", "K219", "F419", "Y929" ]
[ "E860: Dehydration", "C250: Malignant neoplasm of head of pancreas", "K521: Toxic gastroenteritis and colitis", "D701: Agranulocytosis secondary to cancer chemotherapy", "H905: Unspecified sensorineural hearing loss", "I10: Essential (primary) hypertension", "K219: Gastro-esophageal reflux disease witho...