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Myocardial infarction (1)
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Angina pectoris ( 2)
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Cardiac arrhythmia ( 3)
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Heart failure requiring drug treatment ( 4)
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Dyspnea on moderate activity ( 5)
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Psychiatric disturbance ( 6)
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Infection (see "Infection" below) ( 9)
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Lens opacities ( 10)
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Macular degeneration ( 11)
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Other ophtalmic Disease (please specify) ( 12)
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Hearing Impairment ( 13)
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Diabetes mellitus ( 14)
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Thyroid disease ( 15)
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Pituitary dysfunction ( 16)
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Gonadal dysfunction ( 17)
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Adrenal dysfunction ( 18)
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Renal disease ( 19)
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Hepatic disease ( 20)
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Malignant disease ( 21)
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Inflammatory Bowel disease ( 22)
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Cerebro-vascular disease ( 23)
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Rheumatological disease ( 24)
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Peptic ulcer ( 25)
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Auto-immune disease ( 26)
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Organ Transplant ( 27)
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Alcohol abuse ( 28)
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Positive HIV Status ( 29)
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Enlargement of lymph-nodes ( 30)
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Splenomegaly ( 31)
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Other (please specify)[text] ( 32)