CHIEF COMPLAINT: s/p fall with femur fracture

PRESENT ILLNESS: Mr. [**Name13 (STitle) **] is a 60 y/o male with PMH significant for CHF (EF 15%
per outside report), hepatitis C, dementia [**2-26**] ETOH abuse, and
known CAD who presents from his rehab facility today following
an unwitnessed fall. The patient is not a reliable historian.
Basically, it appears as though he fell sometime yesterday.
There is no clear neurologic or cardiac etiology of this fall.
This morning, he could not bear weight, and the NP[**MD Number(3) 31663**]
facility sent him to the ED. In the ED, he was found to have a
mildly displaced intertrochanteric proximal right femur fracture
as well as questionable fractures of the left superior and
inferior pubic rami. He was seen by orthopedics in the ED whose
recommendations are in the chart. He is being admitted to
medicine for pre-op cardiac evaluation as well as monitoring for
alcohol withdrawal.
.
At the present time, the patient is not complaining of pain. He
does not know what happened yesterday and cannot give coherent
answers to most questions. In the ED, he admitted to recent
cocaine use, but per his PCP, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 5762**], the patient is totally
unreliable due to his underlying dementia due to alcohol. He has
been at rehab for greater than one month so it is unlikely that
he has been using alcohol or drugs at this facility.
.

MEDICAL HISTORY: * 3V CAD per outside cath ([**Hospital2 **] [**Hospital3 6783**], [**2184-7-24**]): 75%
mid-shaft LAD stenosis, dominant RCA with 50-70% stenosis in
mid-segment, diffuse hypokinesis on ventriculogram with
estimated EF 15%
* Chronic renal insufficiency (Cr ~ 1.9 at outside facility)
* Diabetes requiring insulin
* Hepatitis C
* Hypertension
* Seizure disorder, on dilantin
* Alcohol abuse, with history of withdrawal issues
* Prior cocaine abuse

MEDICATION ON ADMISSION: Lantus 10 U QHS
SSI
Spironolactone 12.5 daily
lasix 80 mg daily
lisinopril 20 mg daily
metoprolol 75 mg [**Hospital1 **]
dilantin 200 mg [**Hospital1 **]
reglan 10 mg TID
NTG 2.5 mg daily
omeprazole 20 mg daily
ASA 81 daily
folic acid 1 mg daily
Colace 100 mg [**Hospital1 **]
Glucerna 240 mL TID

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Vitals T 98, HR 96, BP 160/100, RR 20 with O2 sats 98% on RA
Gen Pleasant gentleman in no acute distress.
HEENT Normocephalic. No signs of trauma. PERRL, EOMI. Poor
dentition.
Neck No JVD. No lymphadenopathy or thyromegaly.
Chest Clear to auscultation bilaterally.
CV RRR with 2/6 systolic murmur
Abd Soft, nontender, nondistended. Positive bowel sounds.
Ext RLE externally rotated and shortened compared to LLE. DP
pulses 2+ bilaterally. No peripheral edema.
Skin Sclera injected bilaterally.
Neuro Not oriented to time or place. At times pauses prior to
answering questions. Moving both upper extremities without
problem.

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Was previously living with sister prior to hospitalization in
[**2184-7-24**]. Since then, has been at rehab center. The patient's
POA is [**Name (NI) 1785**] [**Name (NI) 21822**] - ([**Telephone/Fax (1) 68256**].
Closed fracture of intertrochanteric section of neck of femur,Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,Congestive heart failure, unspecified,Other convulsions,Alcohol-induced persisting dementia,Unspecified viral hepatitis C without hepatic coma,Hyposmolality and/or hyponatremia,Alcohol abuse, unspecified,Chronic kidney disease, unspecified,Other primary cardiomyopathies,Acute kidney failure, unspecified,Thrombocytopenia, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery,Anemia in chronic kidney disease,Precipitous drop in hematocrit,Fall from other slipping, tripping, or stumbling,Long-term (current) use of insulin
Intertrochanteric fx-cl,Food/vomit pneumonitis,Acute respiratry failure,CHF NOS,Convulsions NEC,Alcohol persist dementia,Hpt C w/o hepat coma NOS,Hyposmolality,Alcohol abuse-unspec,Chronic kidney dis NOS,Prim cardiomyopathy NEC,Acute kidney failure NOS,Thrombocytopenia NOS,Hypertension NOS,DMII wo cmp nt st uncntr,Crnry athrscl natve vssl,Anemia in chr kidney dis,Drop, hematocrit, precip,Fall from slipping NEC,Long-term use of insulin
Name:  [**Known lastname 1937**],[**Known firstname **]                  Unit No:   [**Numeric Identifier 11737**]

Admission Date:  [**2184-9-28**]              Discharge Date:   [**2184-10-18**]

Date of Birth:  [**2124-9-2**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 4709**]
Addendum:
On Friday prior to discharge, the patient had an acute hct drop
from 28 to 22. This was concerning for bleeding into the PEG
site.  Therefore the patient had a CT scan that showed no signs
of bleeding.  Given that the patient was on lovenox and there
was some blood at the time of the PEG placement, it was thought
that there was a small amount of bleeding into the site caused
by anticoagulation.  Therefore the hct was closely monitored and
the patient was given a transfusion of PRBCs.  Following the
transfusion, the patient had increased hct that remained stable
for 24 hours.  Therefore the patient was thought to be stable to
be transferred to the outside hospital.  The lovenox was held
after hct decrease, but should be restarted as the patient is at
significant risk for DVT after hip fracture.
See CT results below:
CT Abdomen/Pelvis [**10-16**]
IMPRESSION:
1. No evidence of intra-abdominal hemorrhage, as clinically
questioned.
2. Bilateral lower lobe pulmonary opacities, suspicious for
aspiration.
3. Mesenteric and subcutaneous edema, likely secondary to
anasarca in this patient with cirrhosis.

Discharge Disposition:
Extended Care

Facility:
[**First Name4 (NamePattern1) 419**] [**Last Name (NamePattern1) **] Rehabilitation & Nursing Center - [**Location (un) 164**]

                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 4710**] MD [**MD Number(1) 4274**]

Completed by:[**2184-10-18**]

Admission Date:  [**2184-9-28**]              Discharge Date:   [**2184-10-18**]

Date of Birth:  [**2124-9-2**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 14037**]
Chief Complaint:
s/p fall with femur fracture

Major Surgical or Invasive Procedure:
1) Right femur ORIF

History of Present Illness:
Mr. [**Name13 (STitle) **] is a 60 y/o male with PMH significant for CHF (EF 15%
per outside report), hepatitis C, dementia [**2-26**] ETOH abuse, and
known CAD who presents from his rehab facility today following
an unwitnessed fall. The patient is not a reliable historian.
Basically, it appears as though he fell sometime yesterday.
There is no clear neurologic or cardiac etiology of this fall.
This morning, he could not bear weight, and the NP[**MD Number(3) 31663**]
facility sent him to the ED. In the ED, he was found to have a
mildly displaced intertrochanteric proximal right femur fracture
as well as questionable fractures of the left superior and
inferior pubic rami. He was seen by orthopedics in the ED whose
recommendations are in the chart. He is being admitted to
medicine for pre-op cardiac evaluation as well as monitoring for
alcohol withdrawal.
.
At the present time, the patient is not complaining of pain. He
does not know what happened yesterday and cannot give coherent
answers to most questions. In the ED, he admitted to recent
cocaine use, but per his PCP, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 5762**], the patient is totally
unreliable due to his underlying dementia due to alcohol. He has
been at rehab for greater than one month so it is unlikely that
he has been using alcohol or drugs at this facility.
.


Past Medical History:
* 3V CAD per outside cath ([**Hospital2 **] [**Hospital3 6783**], [**2184-7-24**]): 75%
mid-shaft LAD stenosis, dominant RCA with 50-70% stenosis in
mid-segment, diffuse hypokinesis on ventriculogram with
estimated EF 15%
* Chronic renal insufficiency (Cr ~ 1.9 at outside facility)
* Diabetes requiring insulin
* Hepatitis C
* Hypertension
* Seizure disorder, on dilantin
* Alcohol abuse, with history of withdrawal issues
* Prior cocaine abuse


Social History:
Was previously living with sister prior to hospitalization in
[**2184-7-24**]. Since then, has been at rehab center. The patient's
POA is [**Name (NI) 1785**] [**Name (NI) 21822**] - ([**Telephone/Fax (1) 68256**].

Family History:
Noncontributory

Physical Exam:
Vitals T 98, HR 96, BP 160/100, RR 20 with O2 sats 98% on RA
Gen Pleasant gentleman in no acute distress.
HEENT Normocephalic. No signs of trauma. PERRL, EOMI. Poor
dentition.
Neck No JVD. No lymphadenopathy or thyromegaly.
Chest Clear to auscultation bilaterally.
CV RRR with 2/6 systolic murmur
Abd Soft, nontender, nondistended. Positive bowel sounds.
Ext RLE externally rotated and shortened compared to LLE. DP
pulses 2+ bilaterally. No peripheral edema.
Skin Sclera injected bilaterally.
Neuro Not oriented to time or place. At times pauses prior to
answering questions. Moving both upper extremities without
problem.


Pertinent Results:
[**2184-9-28**] 03:30PM   K+-5.2
[**2184-9-28**] 01:30PM   GLUCOSE-203* UREA N-42* CREAT-1.4*
SODIUM-130* POTASSIUM-5.3* CHLORIDE-97 TOTAL CO2-23 ANION GAP-15
[**2184-9-28**] 01:30PM   PHENYTOIN-3.2*
[**2184-9-28**] 01:30PM   WBC-8.9 RBC-3.53* HGB-11.0* HCT-31.7* MCV-90
MCH-31.1 MCHC-34.7 RDW-14.0
[**2184-9-28**] 01:30PM   PT-12.1 PTT-26.4 INR(PT)-1.0
.
   RADIOLOGY  Final Report

CHEST (SINGLE VIEW)  [**2184-9-28**] 2:02 PM

CHEST (SINGLE VIEW)

Reason: eval for cardiopulmonary process

[**Hospital 93**] MEDICAL CONDITION:
60 year old man s/p fall
REASON FOR THIS EXAMINATION:
eval for cardiopulmonary process
CHEST, AP SINGLE VIEW

INDICATION: Status post fall, evaluate for cardiopulmonary
abnormalities.

FINDINGS: AP single view of the chest obtained with patient in
semi-upright position demonstrates normal heart size without
typical configurational abnormality. Thoracic aorta mildly
widened and slightly elongated, but not excessive for age. No
suspicious local aortic contour abnormalities identified. Upper
mediastinum unremarkable. No pneumothorax seen. The pulmonary
vasculature is normal. No signs of acute or chronic parenchymal
infiltrates are present, and the lateral pleural sinuses are
free. Skeletal structures grossly within normal limits, but mild
asymmetric appearance of vertebral body Th12 being slightly
lower on the left than on the right.

Our records do not include a previous chest examination
available for comparison.

IMPRESSION: No evidence of CHF, pneumothorax, or acute
infiltrates. Chest examination is limited to AP single view.
Telephone report delivered to referring physician, [**Last Name (NamePattern4) **]. [**First Name8 (NamePattern2) 2270**]
[**Last Name (NamePattern1) 68257**].

DR. [**First Name (STitle) **] [**Initials (NamePattern5) 3250**] [**Last Name (NamePattern5) 3251**]
Approved: WED [**2184-9-29**] 9:25 AM
.
   RADIOLOGY  Final Report

HIP UNILAT MIN 2 VIEWS RIGHT  [**2184-9-28**] 2:02 PM

HIP UNILAT MIN 2 VIEWS RIGHT

Reason: eval for fx

[**Hospital 93**] MEDICAL CONDITION:
60 year old man s/p fall, right hip pain, shortening on exam
REASON FOR THIS EXAMINATION:
eval for fx
PELVIS AND RIGHT HIP, THREE VIEWS:

INDICATION: 60-year-old man status post fall with right hip
pain. Evaluate for fracture.

FINDINGS: No comparisons. There is a displaced intertrochanteric
fracture of the proximal right femur. Mild displacement of the
distal fracture fragment with respect to the proximal fracture
fragment is seen. There is moderate degenerative change of the
right hip. There is also a suggestion of fractures of the left
superior and inferior pubic rami; this could be better evaluated
with CT. The left hip is intact. Degenerative changes of the
left hip are also noted. Evaluation of the sacrum is obscured by
overlying bowel gas. The soft tissues are otherwise
unremarkable.

IMPRESSION:

1) Mildly displaced intertrochanteric proximal right femur
fracture.

2) Possible additional fractures of the left superior and
inferior pubic rami. These would be better evaluated with CT if
clinically necessary.

Findings discussed with Dr. [**Last Name (STitle) 68257**] at the time of this
dictation.
DR. [**First Name (STitle) **] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **]
DR. [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 4343**]
Approved: TUE [**2184-9-28**] 5:00 PM








Brief Hospital Course:
A/P: 60 y/o M with history of CAD, CHF, and dementia secondary
to EtOH presents to the floor from the MICU s/p extubation from
aspiration event.
.
1. Right Femur Fracture
Patient was admitted s/p an unwitnessed fall at his nursing
home. He was found to have a right femur fracture and was
admitted for right femur fracture repair by orthopedic surgery.
While awaiting surgery, patient was found to have vital signs of
HO was called to evaluate and found the pt as described with
fever to 104, BP 180/90, HR 120s, rr 50s-60s and had aspirated
on chicken. He was intubated and transferred to the MICU. After
extubation in the MICU, patient underwent right femur ORIF
without complication. His wound was healing without any signs of
inflammation and patient is to have follow-up with orthopedic
surgery. Patient was maintained on lovenox after ORIF. Pt should
receive 4 weeks total of lovenox after surgery.  Therefore, the
patient should have an additional 1-2 weeks.  Therewas some
concern that the patient may have had bleeding after PEG tube
placement, but based on ortho recommendations, the patient
should remain on the lovenox as the risk of PE is high after
ORIF.
.
2. Altered Mental Status
While awaiting right femur ORIF by orthopedic surgery, the
patient was found to have a fever to 104, BP 180/90, HR 120s, rr
50s-60s and had aspirated on chicken.
Unclear what precipitated this event. Differential diagnosis
included a seizure given patient's history of a seizure
disorder, infection, or stroke. To help treat possible seizure,
patient was given 2mg ativan with no improvement in mental
status. As for infectious etiology, patient found to have
pneumonia on CXR and exam and was started on vancomycin and
zosyn to cover hospital-acquired pneumonia since patient had
been living in nursing home. CT head was not suggestive of
stroke. Patient's mental status slowly returned to baseline.
Altered mental status somewhat difficult to assess given
patient's baseline dementia secondary to alcohol use.
.
3. Anemia
Stable. Goal Hct of 28 given patient's cardiac disease.
However, the patient had hct drop after PEG placement.  The
patient was given transfusion of PRBCs that improved hct and was
stable x 48 hours after.  The anticoagulation meds were held,
but based on ortho recommendations should be continued for a
total of 4 weeks after surgery.
.
4. HTN
BP meds converted to PO hydral 25 q6h, isosorbide dinitrate 20mg
tid, metoprolol 75 mg PO tid
- increase metoprolol
.
5. Coronary Artery Disease
Patient was continued on home doses of aspirin, beta blocker,
and nitroglycerine.
.
6. Diabetes mellitus
Home regimen of lantus 10U, but will give 1/2 dose while NPO and
cover with insulin sliding scale.
.
7.  Nutrition
Given patient's aspiration on chicken while awaiting ORIF,
patient was made NPO and failed subsequent speech and swallow
evaluations. A nasogastric tube was placed temporarily for tube
feedings, but the patient could not tolerate the NG tube and
pulled the tube out. Surgery was consulted for J tube placement,
consent was obtained from patient's daughter, and the patient
has successful placement of the PEG.  Should continue tube
feeds.


Medications on Admission:
Lantus 10 U QHS
SSI
Spironolactone 12.5 daily
lasix 80 mg daily
lisinopril 20 mg daily
metoprolol 75 mg [**Hospital1 **]
dilantin 200 mg [**Hospital1 **]
reglan 10 mg TID
NTG 2.5 mg daily
omeprazole 20 mg daily
ASA 81 daily
folic acid 1 mg daily
Colace 100 mg [**Hospital1 **]
Glucerna 240 mL TID


Discharge Medications:
1. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every
4 to 6 hours) as needed.
2. Docusate Sodium 150 mg/15 mL Liquid Sig: One (1)  PO BID (2
times a day).
3. Polyvinyl Alcohol-Povidone 1.4-0.6 % Dropperette Sig: [**1-26**]
Drops Ophthalmic  PRN (as needed).
4. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
5. Metoprolol Tartrate 50 mg Tablet Sig: 1.5 Tablets PO QID (4
times a day).
6. Hydralazine 25 mg Tablet Sig: One (1) Tablet PO Q6H (every 6
hours).
7. Isosorbide Dinitrate 10 mg Tablet Sig: Three (3) Tablet PO
TID (3 times a day).
8. Phenytoin 50 mg Tablet, Chewable Sig: Three (3) Tablet,
Chewable PO BID (2 times a day).
9. Phenytoin 50 mg Tablet, Chewable Sig: Two (2) Tablet,
Chewable PO DAILY (Daily).
10. Lansoprazole 30 mg Susp,Delayed Release for Recon Sig:
Thirty (30) mg PO DAILY (Daily).
11. Enoxaparin 30 mg/0.3 mL Syringe Sig: One (1) syringe
Subcutaneous once a day for 2 weeks: DVT prophylaxis after ORIF.

12. Morphine Sulfate 1-2 mg IV Q4H:PRN pain

PLEASE NOTE THAT THE LOVENOX WAS HELD FOR CONCERN THAT THE PEG
SITE WAS BLEEDING, HOWEVER THE HCT WAS STABLE X 48 HOURS AND THE
LOVENOX SHOULD BE RESTARTED PER RECOMMENDATIONS OF ORTHOPAEDICS
AND CONTINUED FOR 1-2 WEEKS (RISK OF DVT AFTER ORIF)

Discharge Disposition:
Extended Care

Facility:
[**First Name4 (NamePattern1) 3504**] [**Last Name (NamePattern1) **] Rehabilitation & Nursing Center - [**Location (un) 538**]

Discharge Diagnosis:
PRIMARY DIAGNOSIS:
1) Right Femur Fracture
2) Altered Mental Status
3) Aspiration Pneumonia
.
SECONDARY DIAGNOSIS:
1) Coronary Artery Disease
2) Chronic Renal Insufficiency
3) Diabetes Mellitus
4) Hepatitis C
5) Hypertension
6) Seizure disorder, on dilantin
7) Alcohol abuse, with history of withdrawal issues
8) Prior cocaine abuse


Discharge Condition:
Fair - Patient is tolerating intake via his PEG tube.


Discharge Instructions:
- Please take all medications as prescribed.
- If you have any symptoms of fevers, chills, night sweats,
drainage or tenderness at site of right femur repair, increased
confusion, abdominal pain or drainage at the site of the J tube
site, please seek immediate medical attention.

Followup Instructions:
Please call Dr.[**Name (NI) 14038**] office at [**Telephone/Fax (1) 608**] for an
appointment in the next 2-3 weeks or sooner if needed.
Please follow up with Dr. [**First Name (STitle) **] [**10-26**] at 9:05 PM. [**Hospital Ward Name 23**] bld
[**Location (un) **].
{'Closed fracture of intertrochanteric section of neck of femur,Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,Congestive heart failure, unspecified,Other convulsions,Alcohol-induced persisting dementia,Unspecified viral hepatitis C without hepatic coma,Hyposmolality and/or hyponatremia,Alcohol abuse, unspecified,Chronic kidney disease, unspecified,Other primary cardiomyopathies,Acute kidney failure, unspecified,Thrombocytopenia, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery,Anemia in chronic kidney disease,Precipitous drop in hematocrit,Fall from other slipping, tripping, or stumbling,Long-term (current) use of insulin'}


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: s/p fall with femur fracture

PRESENT ILLNESS: Mr. [**Name13 (STitle) **] is a 60 y/o male with PMH significant for CHF (EF 15%
per outside report), hepatitis C, dementia [**2-26**] ETOH abuse, and
known CAD who presents from his rehab facility today following
an unwitnessed fall. The patient is not a reliable historian.
Basically, it appears as though he fell sometime yesterday.
There is no clear neurologic or cardiac etiology of this fall.
This morning, he could not bear weight, and the NP[**MD Number(3) 31663**]
facility sent him to the ED. In the ED, he was found to have a
mildly displaced intertrochanteric proximal right femur fracture
as well as questionable fractures of the left superior and
inferior pubic rami. He was seen by orthopedics in the ED whose
recommendations are in the chart. He is being admitted to
medicine for pre-op cardiac evaluation as well as monitoring for
alcohol withdrawal.
.
At the present time, the patient is not complaining of pain. He
does not know what happened yesterday and cannot give coherent
answers to most questions. In the ED, he admitted to recent
cocaine use, but per his PCP, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 5762**], the patient is totally
unreliable due to his underlying dementia due to alcohol. He has
been at rehab for greater than one month so it is unlikely that
he has been using alcohol or drugs at this facility.
.

MEDICAL HISTORY: * 3V CAD per outside cath ([**Hospital2 **] [**Hospital3 6783**], [**2184-7-24**]): 75%
mid-shaft LAD stenosis, dominant RCA with 50-70% stenosis in
mid-segment, diffuse hypokinesis on ventriculogram with
estimated EF 15%
* Chronic renal insufficiency (Cr ~ 1.9 at outside facility)
* Diabetes requiring insulin
* Hepatitis C
* Hypertension
* Seizure disorder, on dilantin
* Alcohol abuse, with history of withdrawal issues
* Prior cocaine abuse

MEDICATION ON ADMISSION: Lantus 10 U QHS
SSI
Spironolactone 12.5 daily
lasix 80 mg daily
lisinopril 20 mg daily
metoprolol 75 mg [**Hospital1 **]
dilantin 200 mg [**Hospital1 **]
reglan 10 mg TID
NTG 2.5 mg daily
omeprazole 20 mg daily
ASA 81 daily
folic acid 1 mg daily
Colace 100 mg [**Hospital1 **]
Glucerna 240 mL TID

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Vitals T 98, HR 96, BP 160/100, RR 20 with O2 sats 98% on RA
Gen Pleasant gentleman in no acute distress.
HEENT Normocephalic. No signs of trauma. PERRL, EOMI. Poor
dentition.
Neck No JVD. No lymphadenopathy or thyromegaly.
Chest Clear to auscultation bilaterally.
CV RRR with 2/6 systolic murmur
Abd Soft, nontender, nondistended. Positive bowel sounds.
Ext RLE externally rotated and shortened compared to LLE. DP
pulses 2+ bilaterally. No peripheral edema.
Skin Sclera injected bilaterally.
Neuro Not oriented to time or place. At times pauses prior to
answering questions. Moving both upper extremities without
problem.

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Was previously living with sister prior to hospitalization in
[**2184-7-24**]. Since then, has been at rehab center. The patient's
POA is [**Name (NI) 1785**] [**Name (NI) 21822**] - ([**Telephone/Fax (1) 68256**]. 

### Response:
{'Closed fracture of intertrochanteric section of neck of femur,Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,Congestive heart failure, unspecified,Other convulsions,Alcohol-induced persisting dementia,Unspecified viral hepatitis C without hepatic coma,Hyposmolality and/or hyponatremia,Alcohol abuse, unspecified,Chronic kidney disease, unspecified,Other primary cardiomyopathies,Acute kidney failure, unspecified,Thrombocytopenia, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery,Anemia in chronic kidney disease,Precipitous drop in hematocrit,Fall from other slipping, tripping, or stumbling,Long-term (current) use of insulin'}
