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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)