PAST MEDICAL HISTORY:  Significant for sacral decubitus Stage IV ulcer since [**3436-2-2**], he is a para[** Location **] times nine years which occurred after a thoracotomy procedure, bladder rupture, recurrent urinary tract infections, diabetes mellitus Type 2 with neuropathy, osteomyelitis and history of Clostridium difficile colitis, scrotal fissure/gangrene, congenital nystagmus, depression with suicidal ideations, hypoaldosteronism, hypomania and questionable history of gastrointestinal bleed.
 Patient is on long term antibiotics.
(ROOT (FRAG (ADVP (NP (NP (JJ PAST) (JJ MEDICAL) (NN HISTORY)) (: :) (NP (ADJP (JJ Significant) (PP (IN for) (NP (JJ sacral) (NN decubitus) (NN Stage) (CD IV) (NN ulcer)))) (SBAR (IN since) (S (-LRB- -LSB-) (WHADJP (SYM **) (QP (CD 3436-2-2)) (X (SYM **))))))) (-RRB- -RSB-)) (, ,) (NP (PRP he)) (VBZ is) (NP (DT a) (NN para)) (-LRB- -LSB-) (PP (SYM **) (NP (NP (NNP Location)) (PP (X (SYM **)) (NP (NP (QP (-RRB- -RSB-) (NNS times)) (CD nine) (NNS years)) (SBAR (WHNP (WDT which)) (S (VP (VBD occurred) (PP (IN after) (NP (NP (DT a) (NN thoracotomy) (NN procedure)) (, ,) (NP (NN bladder) (NN rupture)) (, ,) (NP (JJ recurrent) (JJ urinary) (NN tract) (NNS infections)) (, ,) (NP (NP (NN diabetes) (NN mellitus) (NN Type) (CD 2)) (PP (IN with) (NP (NP (NN neuropathy)) (, ,) (NP (NN osteomyelitis)) (CC and) (NP (NP (NN history)) (PP (IN of) (NP (NN Clostridium) (NN difficile) (NN colitis)))) (, ,) (NP (JJ scrotal) (NN fissure/gangrene)) (, ,) (NP (JJ congenital) (NN nystagmus)) (, ,) (NP (NP (NN depression)) (PP (IN with) (NP (NP (JJ suicidal) (NNS ideations)) (, ,) (NP (NN hypoaldosteronism)) (, ,) (NP (NN hypomania)) (CC and) (NP (NP (JJ questionable) (NN history)) (PP (IN of) (NP (JJ gastrointestinal) (VB bleed))))))))))))))))))) (. .)))
(ROOT (S (NP (NN Patient)) (VP (VBZ is) (PP (IN on) (NP (JJ long) (NN term) (NNS antibiotics)))) (. .)))
( ( ( ( ( PAST ( MEDICAL HISTORY ) ) : ) ( ( Significant ( for ( sacral ( decubitus ( Stage ( IV ulcer ) ) ) ) ) ) ( since ( -LSB- ( ( ** 3436-2-2 ) ** ) ) ) ) ) -RSB- ) ( , ( he ( is ( ( a para ) ( -LSB- ( ( ** ( Location ( ** ( ( ( -RSB- times ) ( nine years ) ) ( which ( occurred ( after ( ( ( ( ( ( ( a ( thoracotomy procedure ) ) , ) ( bladder rupture ) ) , ) ( recurrent ( urinary ( tract infections ) ) ) ) , ) ( ( diabetes ( mellitus ( Type 2 ) ) ) ( with ( ( ( ( ( ( ( ( ( ( neuropathy , ) osteomyelitis ) and ) ( history ( of ( Clostridium ( difficile colitis ) ) ) ) ) , ) ( scrotal fissure/gangrene ) ) , ) ( congenital nystagmus ) ) , ) ( depression ( with ( ( ( ( ( ( ( suicidal ideations ) , ) hypoaldosteronism ) , ) hypomania ) and ) ( ( questionable history ) ( of ( gastrointestinal bleed ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) . ) ) ) ) ) ) )
( Patient ( ( is ( on ( long ( term antibiotics ) ) ) ) . ) )