CHIEF COMPLAINT: Presented with cervical spondylosis and disc degeneration who
presented for an elective Anterior cervical diskectomy C4-C5,
C5-C6 and C6-C7 and fusion C4-C7 [**2-13**].

PRESENT ILLNESS: 68 yo male with cervical spondylosis and disc degeneration for
elective Anterior cervical diskectomy C4-C5, C5-C6 and C6-C7 and

MEDICAL HISTORY: PMH:
- Cervical spondylosis and diskdegeneration.
- OSA not on CPAP.
- H/o partial empty sella syndrome.
- HTN
- Dyslipidemia
- Seasonal asthma
- Left sided CVA [**23**] years ago (right sided arm weakness)
- Migraines
- Back pain
- L5-S1 disc disease
- Hypothyroidism
- Colitis (hospitalized [**12/2190**] with ischemic colitis),
- H/o liver biopsy related to h/o
- Hemochromatosis
- h/o feeling cold "chattering" teeth, muscle/joint aches x 30
years (he has been followed by Dr. [**Last Name (STitle) 13059**]
- Retinal detachment [**2191**]
.
PSH:
- Carpal tunnel repair 20 yr ago
- liver bx
- [**2191-7-6**] Left shoulder arthroscopic subacromial decompression.
- Arthroscopic rotator cuff repair.
- [**2192-2-13**] Anterior cervical diskectomy C4-C5, C5-C6 and C6-C7.
Fusion C4-C7. Anterior instrumentation C4-C7. Structural
allograft.

MEDICATION ON ADMISSION: Medications at home:
- Cardizem
- Cozaar 100 mg daily
- Cymbalta
- HCTZ
- Lisinopril 40 mg daily
- Oxycodone Hydrochloride
- Synthroid
- Xanax prn
- Zocor 40 mg daily
- Other (testosterone daily)
- MVI

ALLERGIES: Penicillins / Norvasc / Nifedipine / Atenolol / Codeine

PHYSICAL EXAM: VS: 99.5/[140/82]/88/20/97%RA
General: This is a male NAD. On exam, he was nontoxic appearing.

FAMILY HISTORY: Family History:  His mother died from complications from a
cerebrovascular accident.  His father died from "old age."  He
has a sister with diabetes, another sister with MS, and a 62-
year-old brother who died from a myocardial infarction.

SOCIAL HISTORY: Social History:  The patient is married, a nonsmoker.  Drinks
one
6-pack of beer per week.  Has 2 cups of coffee a day.  Currently
works part time.
Infection and inflammatory reaction due to other vascular device, implant, and graft,Cellulitis and abscess of upper arm and forearm,Blood in stool,Degeneration of cervical intervertebral disc,Edema of pharynx or nasopharynx,Sulfonamides causing adverse effects in therapeutic use,Benign essential hypertension,Obstructive sleep apnea (adult)(pediatric),Unspecified fall,Accidents occurring in residential institution,Unspecified acquired hypothyroidism,Other late effects of cerebrovascular disease,Other disorders of muscle, ligament, and fascia,Other and unspecified hyperlipidemia,Phlebitis and thrombophlebitis of superficial veins of upper extremities,Hypovolemia,Cervical spondylosis without myelopathy,Acute kidney failure, unspecified,Other pulmonary insufficiency, not elsewhere classified,Urinary tract infection, site not specified,Alcohol withdrawal
React-oth vasc dev/graft,Cellulitis of arm,Blood in stool,Cervical disc degen,Edema pharynx/nasopharyx,Adv eff sulfonamides,Benign hypertension,Obstructive sleep apnea,Fall NOS,Accid in resident instit,Hypothyroidism NOS,Late effect CV dis NEC,Muscle/ligament dis NEC,Hyperlipidemia NEC/NOS,Phlbts sprfc vn up extrm,Hypovolemia,Cervical spondylosis,Acute kidney failure NOS,Other pulmonary insuff,Urin tract infection NOS,Alcohol withdrawal
Admission Date:  [**2192-2-13**]              Discharge Date:   [**2192-3-2**]

Date of Birth:  [**2123-8-14**]             Sex:   M

Service: MEDICINE

Allergies:
Penicillins / Norvasc / Nifedipine / Atenolol / Codeine

Attending:[**First Name3 (LF) 905**]
Chief Complaint:
Presented with cervical spondylosis and disc degeneration who
presented for an elective Anterior cervical diskectomy C4-C5,
C5-C6 and C6-C7 and fusion C4-C7 [**2-13**].


Major Surgical or Invasive Procedure:
Anterior cervical diskectomy C4-C5, C5-C6 and C6-C7
Fusion C4-C7 [**2-13**].

History of Present Illness:
68 yo male with cervical spondylosis and disc degeneration for
elective Anterior cervical diskectomy C4-C5, C5-C6 and C6-C7 and

Fusion C4-C7 [**2-13**].
.
[**Name (NI) **] pt increasingly agitated and placed on CIWA scale as
there was concern for ETOH withdrawal. CIWA >20 early [**2-14**] am.
He received total 8 mg ativan since midnight and 17 mg haldol.
Pt gradually more stridorous, Sat 96-98% on rebreather. ENT at
bedside 2pm [**2-14**] and examined pt airway (significant obstruction
of airway by posterior pharyngeal wall and notable edema). Code
blue called, anesthesia fiberoptically intubated pt orally. Pt
sats maintained and HD stable. Pt subsequently transferred to
SICU for further care.
.
In the SICU: The patient was started on a CIWA scale, and
intermittant ativan, in addition to decadron. Over the following
days, the decadron was tapered as was his sedation. A CTA of his
neck demonstrated no acute changes and resolving pharygeal
edema. he was extubated on [**2-21**], taken off the steroids. Despite
discontinuing the steroids, the patient continues to have a
significant leukocytosis, was febrile and, as a result, was
placed on Vanc/Cipro with cultures taken of blood, urine and
wound. Cipro and Vanc were started on the 19th.


Past Medical History:
PMH:
- Cervical spondylosis and diskdegeneration.
- OSA not on CPAP.
- H/o partial empty sella syndrome.
- HTN
- Dyslipidemia
- Seasonal asthma
- Left sided CVA [**23**] years ago (right sided arm weakness)
- Migraines
- Back pain
- L5-S1 disc disease
- Hypothyroidism
- Colitis (hospitalized [**12/2190**] with ischemic colitis),
- H/o liver biopsy related to h/o
- Hemochromatosis
- h/o feeling cold "chattering" teeth, muscle/joint aches x 30
years (he has been followed by Dr. [**Last Name (STitle) 13059**]
- Retinal detachment [**2191**]
.
PSH:
- Carpal tunnel repair 20 yr ago
- liver bx
- [**2191-7-6**] Left shoulder arthroscopic subacromial decompression.
- Arthroscopic rotator cuff repair.
- [**2192-2-13**] Anterior cervical diskectomy C4-C5, C5-C6 and C6-C7.
Fusion C4-C7. Anterior instrumentation C4-C7. Structural
allograft.


Social History:
Social History:  The patient is married, a nonsmoker.  Drinks
one
6-pack of beer per week.  Has 2 cups of coffee a day.  Currently
works part time.


Family History:
Family History:  His mother died from complications from a
cerebrovascular accident.  His father died from "old age."  He
has a sister with diabetes, another sister with MS, and a 62-
year-old brother who died from a myocardial infarction.


Physical Exam:
VS: 99.5/[140/82]/88/20/97%RA
General: This is a male NAD. On exam, he was nontoxic appearing.

Neuro: Patient's speech is intermitantly garbled, and
nonsensical, but resolves when he makes a point of speaking more
slowlly.
HEENT: EOMI, PERRL with 1mm difference in pupil diameter. NC/AT
Sclera anicteric. Clear OP, Trachea midline. Neck supple, with
surgical scar sutured and c/d/i.
Pulmonary: Symmetric, good expansion. Breath sounds CTAB. No
rales/ wheezes/rhonchi.
Cardiac: RRR, normal S1, S2. no r/g, Systolic ejection murmur
heard at the apex, harsh in character.
ABD: + BS, soft, NT/ND
EXT: RUE area of cellulitis, and area of drainage form right
anticubital fossa wound, with mild induration.
Skin: No rash/petechiae/ecchymoses.


Pertinent Results:
[**2192-3-2**] 09:10AM BLOOD WBC-6.9 RBC-3.27* Hgb-10.1* Hct-30.0*
MCV-92 MCH-31.0 MCHC-33.7 RDW-14.0 Plt Ct-335
[**2192-3-1**] 12:15PM BLOOD Hct-32.3*
[**2192-3-1**] 06:20AM BLOOD WBC-8.2 RBC-3.12* Hgb-10.0* Hct-29.0*
MCV-93 MCH-32.2* MCHC-34.6 RDW-13.8 Plt Ct-348
[**2192-2-29**] 09:30AM BLOOD WBC-10.1 RBC-3.58* Hgb-11.3* Hct-33.2*
MCV-93 MCH-31.4 MCHC-34.0 RDW-14.1 Plt Ct-377
[**2192-2-28**] 05:50AM BLOOD WBC-11.2* RBC-3.82* Hgb-11.9* Hct-34.8*
MCV-91 MCH-31.1 MCHC-34.1 RDW-14.0 Plt Ct-375
.
[**2192-2-29**] 09:30AM BLOOD Neuts-79.0* Lymphs-16.2* Monos-3.4
Eos-1.1 Baso-0.2
[**2192-2-25**] 07:30AM BLOOD Neuts-83.2* Lymphs-10.4* Monos-4.8
Eos-1.5 Baso-0.1
[**2192-2-23**] 01:36AM BLOOD Neuts-85.4* Lymphs-7.3* Monos-5.4 Eos-1.7
Baso-0.1
[**2192-2-15**] 04:20AM BLOOD Neuts-92.9* Lymphs-4.9* Monos-2.0 Eos-0.1
Baso-0
[**2192-2-14**] 11:20AM BLOOD Neuts-89.1* Lymphs-7.1* Monos-3.6 Eos-0
Baso-0.1
.
[**2192-3-2**] 09:10AM BLOOD Glucose-160* UreaN-19 Creat-1.6* Na-134
K-4.3 Cl-103 HCO3-25 AnGap-10
[**2192-3-1**] 06:20AM BLOOD Glucose-90 UreaN-23* Creat-1.8* Na-139
K-3.8 Cl-104 HCO3-23 AnGap-16
[**2192-2-29**] 03:10PM BLOOD Glucose-115* UreaN-29* Creat-2.3* Na-137
K-4.3 Cl-105 HCO3-24 AnGap-12
[**2192-2-29**] 09:30AM BLOOD Glucose-118* UreaN-26* Creat-2.3* Na-138
K-4.4 Cl-105 HCO3-22 AnGap-15
[**2192-2-28**] 12:15PM BLOOD Glucose-107* UreaN-22* Creat-2.0* Na-136
K-3.8 Cl-101 HCO3-24 AnGap-15
[**2192-2-28**] 05:50AM BLOOD Glucose-110* UreaN-19 Creat-1.4* Na-136
K-3.7 Cl-100 HCO3-27 AnGap-13
[**2192-2-27**] 06:45AM BLOOD Glucose-98 UreaN-12 Creat-0.9 Na-134
K-3.2* Cl-97 HCO3-26 AnGap-14
[**2192-2-26**] 06:30AM BLOOD Glucose-100 UreaN-12 Creat-0.9 Na-136
K-3.4 Cl-100 HCO3-26 AnGap-13
[**2192-2-25**] 07:30AM BLOOD Glucose-100 UreaN-16 Creat-0.9 Na-137
K-3.4 Cl-100 HCO3-26 AnGap-14
.
[**2192-2-15**] 04:20AM BLOOD CK(CPK)-315*
[**2192-2-14**] 02:26PM BLOOD ALT-26 AST-45* CK(CPK)-696*
[**2192-2-14**] 11:20AM BLOOD CK(CPK)-689*
[**2192-2-15**] 04:20AM BLOOD CK-MB-4 cTropnT-<0.01
[**2192-3-2**] 09:10AM BLOOD Calcium-8.4 Phos-3.2 Mg-1.9
[**2192-3-1**] 06:20AM BLOOD Calcium-8.4 Phos-3.4 Mg-2.0
[**2192-2-29**] 03:10PM BLOOD Calcium-8.5 Phos-3.5 Mg-2.2
[**2192-2-29**] 09:30AM BLOOD Calcium-8.3* Phos-3.7 Mg-2.2
[**2192-2-28**] 12:15PM BLOOD Calcium-8.8 Phos-4.4# Mg-2.2
.
   WOUND CULTURE (Final [**2192-2-26**]):
      STAPH AUREUS COAG +.    MODERATE GROWTH.
         Staphylococcus species may develop resistance during
prolonged
         therapy with quinolones.   Therefore, isolates that are
initially
         susceptible may become resistant within three to four
days after
         initiation of therapy.  Testing of repeat isolates may
be
         warranted.
      BETA STREPTOCOCCUS GROUP B.    MODERATE GROWTH.
.
                              SENSITIVITIES: MIC expressed in
MCG/ML
.
_________________________________________________________
                             STAPH AUREUS COAG +
                             |
CLINDAMYCIN-----------<=0.25 S
ERYTHROMYCIN----------<=0.25 S
GENTAMICIN------------ <=0.5 S
LEVOFLOXACIN----------  0.25 S
OXACILLIN-------------   0.5 S
TRIMETHOPRIM/SULFA---- <=0.5 S
.
   ANAEROBIC CULTURE (Final [**2192-2-28**]):    NO ANAEROBES ISOLATED.

.
[**2192-2-23**] 9:03 am URINE      Source: Catheter.
.
                            **FINAL REPORT [**2192-2-25**]**
.
   URINE CULTURE (Final [**2192-2-25**]):
      ESCHERICHIA COLI.    >100,000 ORGANISMS/ML..
         PRESUMPTIVE IDENTIFICATION.
.
                              SENSITIVITIES: MIC expressed in
MCG/ML
 .
_________________________________________________________
                             ESCHERICHIA COLI
                             |
AMPICILLIN------------   <=2 S
AMPICILLIN/SULBACTAM--   <=2 S
CEFAZOLIN-------------   <=4 S
CEFEPIME--------------   <=1 S
CEFTAZIDIME-----------   <=1 S
CEFTRIAXONE-----------   <=1 S
CEFUROXIME------------     4 S
CIPROFLOXACIN---------<=0.25 S
GENTAMICIN------------   <=1 S
MEROPENEM-------------<=0.25 S
NITROFURANTOIN--------  <=16 S
PIPERACILLIN----------   <=4 S
PIPERACILLIN/TAZO-----   <=4 S
TOBRAMYCIN------------   <=1 S
TRIMETHOPRIM/SULFA----   <=1 S
.
[**2192-2-23**] 09:03AM URINE RBC->50 WBC->50 Bacteri-MANY Yeast-NONE
Epi-0
[**2192-2-14**] 08:24AM URINE Blood-MOD Nitrite-NEG Protein-NEG
Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-NEG
[**2192-2-23**] 09:03AM URINE Blood-LG Nitrite-NEG Protein-30
Glucose-NEG Ketone-TR Bilirub-NEG Urobiln-1 pH-5.0 Leuks-SM
[**2192-2-29**] 06:39AM URINE Blood-NEG Nitrite-NEG Protein-NEG
Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.0 Leuks-NEG

Brief Hospital Course:
68 yo male with cervical spondylosis and disc degeneration for
elective anterior cervical diskectomy C4-C5, C5-C6 and C6-C7 and
fusion C4-C7 [**2-13**].  The immediate post-op course was complicated
by pharygeal edema and respiratory distress, for which the
patient was intubated and sent to the surgical ICU.  In the
SICU: The patient was started on a CIWA scale, and intermittant
ativan, in addition to decadron. Over the following days, the
decadron was tapered as was his sedation. A CTA of his neck
demonstrated no acute changes and resolving pharygeal edema. he
was extubated on [**2-21**], taken off the steroids. Despite
discontinuing the steroids, the patient continues to have a
significant leukocytosis, was febrile and, as a result, was
placed on Vanc/Cipro with cultures taken of blood, urine and
wound. Cipro and Vanc were started on the 19th.
.
On the floor the patient had the following problems and plans:
.
# Fall in the contect of recent Laminectomy: The patient had had
fluctuating mental status, exacerbated at night and had a fall
with head strike and no loss of consciousness.  The subsequent
head CT without contrast and XR of the neck demonstrated no
ICH/midline shift or broken or displaced bones. His infections
were treated and a bedalarm was placed to better monitor his
movements.  We attempted to provide patient with a soft collar,
which he refused.  PT/OT screened the patient for rehab and
worked with him while an inpatient.
.
# AMS: The patient has a difficult time speaking clearly, and is
intermittantly confused her his wife's report - these symptoms
are resolving. The AMS/difficulty speaking may be due to
resolving pharygeal edema, infection or may be associated with
previous sedation. The primary team re-oriented him each
morning, and followed his neuro exam. In addition, we treated
his UTI and soft tissue infections.  His mental status has
greatly improved and he is currently A+Ox3 at all times.
.
#ARF: The patient developed a rising creatine from 0.9 to 2.0 in
the setting of starting bactrim.  His Cr. now 1.6 represents
improvement in the setting of changing from Bactrim to Levoflox
and IVF supportive therapy.
.
# Infectious Disease - UTI and soft tissue infection: Fever 102
with a leukocytosis of WBC 16 Started Vancomycin and cipro [**2-23**].
Urine culture now positive for Ecoli (sensitive to Cipro and
bactrim) and his skin infections positive for MSSA (sensitive to
keflex and bactrim).  We administered Bactrim initially, which
was then transitioned to Levoflox for a 7 day course stated on
[**2-28**].
.
# Inability to swallow: Likely due to pharyngeal edema, though
may have had a hypoxic damage during initial intubation.  Follow
speach and swallow recommendations: observed meals of pureed
foods.
.
#HTN: Place on home medications (lisinopril, HCTZ, simvastatin,
diltiazem, losartan).
.
# Hypothyroid: Cont. home dose of synthroid.


Medications on Admission:
Medications at home:
- Cardizem
- Cozaar 100 mg daily
- Cymbalta
- HCTZ
- Lisinopril 40 mg daily
- Oxycodone Hydrochloride
- Synthroid
- Xanax prn
- Zocor 40 mg daily
- Other (testosterone daily)
- MVI


Discharge Medications:
1. Testosterone 1 % (25 mg/2.5 g) Gel in Packet Sig: One (1)
Appl Transdermal DAILY (Daily).
2. Levofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q24H (every
24 hours) for 5 days.
Disp:*5 Tablet(s)* Refills:*0*
3. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: One (1) Tablet
PO Q6H (every 6 hours) as needed. Tablet(s)
4. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
5. Camphor-Menthol 0.5-0.5 % Lotion Sig: One (1) Appl Topical
TID (3 times a day) as needed.
6. Polyethylene Glycol 3350 100 % Powder Sig: One (1)  PO once a
day as needed for constipation.
7. Duloxetine 20 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO DAILY (Daily).
8. Levothyroxine 100 mcg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
9. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
10. Fluticasone 50 mcg/Actuation Spray, Suspension Sig: One (1)
Spray Nasal [**Hospital1 **] (2 times a day).
11. Docusate Sodium 50 mg/5 mL Liquid Sig: One (1)  PO BID (2
times a day).
12. Thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
13. Clonazepam 0.5 mg Tablet Sig: One (1) Tablet PO TID (3 times
a day) as needed for muscle spasm.
14. Diltiazem HCl 90 mg Tablet Sig: One (1) Tablet PO QID (4
times a day).
15. Insulin sliding scale
Please follow the attached protocol.


Discharge Disposition:
Extended Care

Facility:
Academy Manor-[**Location (un) 7658**]

Discharge Diagnosis:
S/p laminectomy
Pharygeal edema
Respiratory distress
UTI
Soft tissue infection


Discharge Condition:
Good


Discharge Instructions:
You presented to the hospital for an elective laminectomy, which
was complicated by pharygeal edema and respiratory distress.
You were intubated and treated with steroids, and recovered.
While on the general floor you developed a urinary track
infection and a soft tissue infection, for which you were
treated with antibiotics.

Discharge instructions:  If you experience any of the following,
return to the Emergency Department.
- Fevers and chills
- Inability to use parts of your body.
- Worsening neck pain
- Weakness, dizziness or fainting
- Abdominal (belly) pain or vomiting
- New or worsening weakness, numbness

Followup Instructions:
Dr.[**Name (NI) 12040**] office on [**Hospital Ward Name 23**] [**Location (un) 1773**] with Orthospine:
- [**3-23**], at 11:30am
- [**5-3**] at 10:30am

PCP:
[**Name Initial (NameIs) **] Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 8244**], MD Phone:[**Telephone/Fax (1) 4775**]
Date/Time:[**2192-3-14**] 10:30


                             [**Name6 (MD) 251**] [**Name8 (MD) **] MD [**MD Number(1) 910**]

Completed by:[**2192-3-2**]
{'Infection and inflammatory reaction due to other vascular device, implant, and graft,Cellulitis and abscess of upper arm and forearm,Blood in stool,Degeneration of cervical intervertebral disc,Edema of pharynx or nasopharynx,Sulfonamides causing adverse effects in therapeutic use,Benign essential hypertension,Obstructive sleep apnea (adult)(pediatric),Unspecified fall,Accidents occurring in residential institution,Unspecified acquired hypothyroidism,Other late effects of cerebrovascular disease,Other disorders of muscle, ligament, and fascia,Other and unspecified hyperlipidemia,Phlebitis and thrombophlebitis of superficial veins of upper extremities,Hypovolemia,Cervical spondylosis without myelopathy,Acute kidney failure, unspecified,Other pulmonary insufficiency, not elsewhere classified,Urinary tract infection, site not specified,Alcohol withdrawal'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: Presented with cervical spondylosis and disc degeneration who
presented for an elective Anterior cervical diskectomy C4-C5,
C5-C6 and C6-C7 and fusion C4-C7 [**2-13**].

PRESENT ILLNESS: 68 yo male with cervical spondylosis and disc degeneration for
elective Anterior cervical diskectomy C4-C5, C5-C6 and C6-C7 and

MEDICAL HISTORY: PMH:
- Cervical spondylosis and diskdegeneration.
- OSA not on CPAP.
- H/o partial empty sella syndrome.
- HTN
- Dyslipidemia
- Seasonal asthma
- Left sided CVA [**23**] years ago (right sided arm weakness)
- Migraines
- Back pain
- L5-S1 disc disease
- Hypothyroidism
- Colitis (hospitalized [**12/2190**] with ischemic colitis),
- H/o liver biopsy related to h/o
- Hemochromatosis
- h/o feeling cold "chattering" teeth, muscle/joint aches x 30
years (he has been followed by Dr. [**Last Name (STitle) 13059**]
- Retinal detachment [**2191**]
.
PSH:
- Carpal tunnel repair 20 yr ago
- liver bx
- [**2191-7-6**] Left shoulder arthroscopic subacromial decompression.
- Arthroscopic rotator cuff repair.
- [**2192-2-13**] Anterior cervical diskectomy C4-C5, C5-C6 and C6-C7.
Fusion C4-C7. Anterior instrumentation C4-C7. Structural
allograft.

MEDICATION ON ADMISSION: Medications at home:
- Cardizem
- Cozaar 100 mg daily
- Cymbalta
- HCTZ
- Lisinopril 40 mg daily
- Oxycodone Hydrochloride
- Synthroid
- Xanax prn
- Zocor 40 mg daily
- Other (testosterone daily)
- MVI

ALLERGIES: Penicillins / Norvasc / Nifedipine / Atenolol / Codeine

PHYSICAL EXAM: VS: 99.5/[140/82]/88/20/97%RA
General: This is a male NAD. On exam, he was nontoxic appearing.

FAMILY HISTORY: Family History:  His mother died from complications from a
cerebrovascular accident.  His father died from "old age."  He
has a sister with diabetes, another sister with MS, and a 62-
year-old brother who died from a myocardial infarction.

SOCIAL HISTORY: Social History:  The patient is married, a nonsmoker.  Drinks
one
6-pack of beer per week.  Has 2 cups of coffee a day.  Currently
works part time. 

### Response:
{'Infection and inflammatory reaction due to other vascular device, implant, and graft,Cellulitis and abscess of upper arm and forearm,Blood in stool,Degeneration of cervical intervertebral disc,Edema of pharynx or nasopharynx,Sulfonamides causing adverse effects in therapeutic use,Benign essential hypertension,Obstructive sleep apnea (adult)(pediatric),Unspecified fall,Accidents occurring in residential institution,Unspecified acquired hypothyroidism,Other late effects of cerebrovascular disease,Other disorders of muscle, ligament, and fascia,Other and unspecified hyperlipidemia,Phlebitis and thrombophlebitis of superficial veins of upper extremities,Hypovolemia,Cervical spondylosis without myelopathy,Acute kidney failure, unspecified,Other pulmonary insufficiency, not elsewhere classified,Urinary tract infection, site not specified,Alcohol withdrawal'}
