HISTORY OF PRESENT ILLNESS:  This is a 63 year old primarily Spanish speaking male with a history of end-stage renal disease secondary to diabetes mellitus on dialysis.
 The patient has an elevated creatinine. 
(ROOT (NP (NP (NP (NN HISTORY)) (PP (IN OF) (NP (JJ PRESENT) (NNS ILLNESS)))) (: :) (S (NP (DT This)) (VP (VBZ is) (NP (NP (DT a) (ADJP (ADJP (CD 63) (NN year) (JJ old)) (ADJP (RB primarily) (JJ Spanish))) (NN speaking) (NN male)) (PP (IN with) (NP (NP (DT a) (NN history)) (PP (IN of) (NP (NP (JJ end-stage) (JJ renal) (NN disease)) (ADJP (JJ secondary) (PP (TO to) (NP (NP (NN diabetes) (NN mellitus)) (PP (IN on) (NP (NN dialysis))))))))))))) (. .)))
(ROOT (S (NP (DT The) (NN patient)) (VP (VBZ has) (NP (DT an) (JJ elevated) (NN creatinine))) (. .)))
( ( ( ( HISTORY ( OF ( PRESENT ILLNESS ) ) ) : ) ( This ( is ( ( a ( ( ( 63 ( year old ) ) ( primarily Spanish ) ) ( speaking male ) ) ) ( with ( ( a history ) ( of ( ( end-stage ( renal disease ) ) ( secondary ( to ( ( diabetes mellitus ) ( on dialysis ) ) ) ) ) ) ) ) ) ) ) ) . )
( ( The patient ) ( ( has ( an ( elevated creatinine ) ) ) . ) )