CHIEF COMPLAINT: s/p fall, not found for 2 days, eval for LE weakness

PRESENT ILLNESS: 88y/o RHF with PMH sig for HTN and HLD that pres from OSH
([**Hospital1 1474**]) after being foundby nephew at home  on [**2166-8-13**] x48hrs
s/p fall. Pt was in normal state of health. Staying alone with
full ADLs when she awoke to go to the bathroom. Based on her
description she transferred over to a bedside commode. During
the
transfer "something happened," "I had a quick faint." She is
unsure of a LOC but think that she fainted. She did not hir her
head on the way down. Her back and buttocks hit first. She
attempted to get up using her elbows and arms but was unable to
did so. She does question if at this time she had bilateral leg
weakness.

MEDICAL HISTORY: HTN
HLD
Vertigo
Osteoporosis
NO hx of cardiac problems, strokes
Hysterectomy
R knee [**Doctor First Name **]

MEDICATION ON ADMISSION: Perocet 1 tab q4 PRN pain
Toradol 15mg IV q6 PRN pain
Unasyn 3gm IV q6
Nystatin powder
Lovenox 30 mg SC qday

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VS: AF T 96.6 89 124/74 20 98% glc 94
Gen: Alert, awake, cooperative in pain secondary to transferring
beds with back sores
HEENT: dry mm, NCAT no bruising or tenderness noted
Neck: Supple, FROM
CV:NSR, RRR, S1, S2 no murmurs rubs or gallops
Chest: sym chest rise, CTAB
Abd: distended, NT, +BS, healed scar, no bruising
Ext: minimally limited ROM secondary to pain,
SPINE: slight inconsistent pain to deep palp in the lower
thoracic spine, over the areas of nuded skin and early decubitus
ulcer

FAMILY HISTORY: father - leukemia
brother - prostate ca
Mother died in 90s and has sister living now in her 90s
NO FMH of strokes, no cardiac issues

SOCIAL HISTORY: Lives alone uses a walker for ADLS. ADLS Full. Has a nephew that
visits her name [**First Name8 (NamePattern2) **] [**Name (NI) **] [**Telephone/Fax (1) 79240**] or [**Telephone/Fax (1) 79241**]. NO
EtOH,
NO Tobacco, NO Illicit drugs
Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury,Pressure ulcer, buttock,Urinary tract infection, site not specified,Other accident resulting from conflagration in other and unspecified building or structure,Tachycardia, unspecified,Syncope and collapse,Osteoporosis, unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Scoliosis [and kyphoscoliosis], idiopathic
Fx dorsal vertebra-close,Pressure ulcer, buttock,Urin tract infection NOS,Fire in bldg-accid NEC,Tachycardia NOS,Syncope and collapse,Osteoporosis NOS,Hypertension NOS,Hyperlipidemia NEC/NOS,Idiopathic scoliosis
Admission Date:  [**2166-8-17**]              Discharge Date:   [**2166-8-25**]


Service: NEUROLOGY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 20506**]
Chief Complaint:
s/p fall, not found for 2 days, eval for LE weakness

Major Surgical or Invasive Procedure:
Spine surgery [**2166-8-20**]: T8-L2 fusion.


History of Present Illness:
88y/o RHF with PMH sig for HTN and HLD that pres from OSH
([**Hospital1 1474**]) after being foundby nephew at home  on [**2166-8-13**] x48hrs
s/p fall. Pt was in normal state of health. Staying alone with
full ADLs when she awoke to go to the bathroom. Based on her
description she transferred over to a bedside commode. During
the
transfer "something happened," "I had a quick faint." She is
unsure of a LOC but think that she fainted. She did not hir her
head on the way down. Her back and buttocks hit first. She
attempted to get up using her elbows and arms but was unable to
did so. She does question if at this time she had bilateral leg
weakness.

Pt does mention that she lost her urine on the way to the
commode
and mention that she has a history of "bladder prolapse" and it
had been out over the last few days and she mentions a history
of
constipation yet worse this week than others.

Pt denies palpitations, chest pain, slipping, a loss of footing,
no numbness, tingling, slurred speech, facial droop noted.


Past Medical History:
HTN
HLD
Vertigo
Osteoporosis
NO hx of cardiac problems, strokes
Hysterectomy
R knee [**Doctor First Name **]


Social History:
Lives alone uses a walker for ADLS. ADLS Full. Has a nephew that
visits her name [**First Name8 (NamePattern2) **] [**Name (NI) **] [**Telephone/Fax (1) 79240**] or [**Telephone/Fax (1) 79241**]. NO
EtOH,
NO Tobacco, NO Illicit drugs

Family History:
father - leukemia
brother - prostate ca
Mother died in 90s and has sister living now in her 90s
NO FMH of strokes, no cardiac issues

Physical Exam:
VS: AF T 96.6 89 124/74 20 98% glc 94
Gen: Alert, awake, cooperative in pain secondary to transferring
beds with back sores
HEENT: dry mm, NCAT no bruising or tenderness noted
Neck: Supple, FROM
CV:NSR, RRR, S1, S2 no murmurs rubs or gallops
Chest: sym chest rise, CTAB
Abd: distended, NT, +BS, healed scar, no bruising
Ext: minimally limited ROM secondary to pain,
SPINE: slight inconsistent pain to deep palp in the lower
thoracic spine, over the areas of nuded skin and early decubitus
ulcer

Neurologic examination:
Mental status: Awake and alert, cooperative with exam, normal
affect. Oriented to person, and date. For location pt states a
research bldg. Attentive, says [**Doctor Last Name 1841**] backwards only skipping
[**Month (only) 958**].
Speech is fluent with normal comprehension and repetition;
naming
intact. No dysarthria. Registers [**3-10**], recalls [**3-10**] in 5 minutes.
No right-left confusion. No evidence of apraxia or neglect.

Cranial Nerves:  Pupils equally round and reactive to light, 3-2
mm bilaterally. Visual fields are full to confrontation.
Extraocular movements intact bilaterally. Horizontal nystagmus
1-3beats. Sensation intact V1-V3. Facial movement symmetric.
Palate elevation symmetric. Sternocleidomastoid and trapezius
full strength bilaterally. Tongue midline, movements intact.

Motor: Reduced secondary to aging bulk yet symmetric and tone
bilaterally. No observed myoclonus, asterixis, or tremor. No
pronator drift.
  [**Doctor First Name **] Tri [**Hospital1 **]  WE  FE  FF   IP  H   Q   DF PF TE
R  4+   5   5  5  4+  4+   4+  4+  4+  5  5  5
L  5   5   5  5  5  5   5   5  5  5  5  5

Sensation: Intact to light touch, position sense. No extinction
to DSS.

Reflexes: 2+ and symmetric throughout. Toes downgoing
bilaterally.

Coordination: finger-nose-finger, finger-to-nose, Gait: not
assessed.   Romberg negative.


Pertinent Results:
[**2166-8-25**] 05:59AM BLOOD WBC-10.6 RBC-2.84* Hgb-8.0* Hct-24.5*
MCV-86 MCH-28.3 MCHC-32.8 RDW-14.9 Plt Ct-175
[**2166-8-24**] 02:35AM BLOOD WBC-9.7 RBC-2.78* Hgb-7.9* Hct-23.7*
MCV-85 MCH-28.3 MCHC-33.1 RDW-15.0 Plt Ct-153
[**2166-8-23**] 01:39PM BLOOD WBC-10.2 RBC-2.76* Hgb-8.1* Hct-23.8*
MCV-86 MCH-29.3 MCHC-34.0 RDW-15.7* Plt Ct-168
[**2166-8-23**] 02:59AM BLOOD Hct-23.8*
[**2166-8-23**] 01:40AM BLOOD WBC-9.9 RBC-2.63* Hgb-7.7* Hct-22.5*
MCV-86 MCH-29.4 MCHC-34.4 RDW-15.7* Plt Ct-162
[**2166-8-22**] 02:52AM BLOOD WBC-12.1* RBC-3.02* Hgb-8.6* Hct-25.7*
MCV-85 MCH-28.4 MCHC-33.4 RDW-15.0 Plt Ct-175
[**2166-8-21**] 08:03AM BLOOD WBC-9.9 RBC-3.30* Hgb-9.5* Hct-28.2*
MCV-86 MCH-29.0 MCHC-33.9 RDW-15.2 Plt Ct-169
[**2166-8-21**] 12:55AM BLOOD WBC-9.5 RBC-3.65* Hgb-10.3* Hct-31.1*
MCV-85 MCH-28.1 MCHC-32.9 RDW-14.5 Plt Ct-145*
[**2166-8-20**] 09:00AM BLOOD WBC-10.1 RBC-3.93* Hgb-11.2* Hct-33.9*
MCV-86 MCH-28.4 MCHC-32.9 RDW-15.4 Plt Ct-152
[**2166-8-19**] 06:30AM BLOOD WBC-9.7 RBC-4.00* Hgb-11.3* Hct-34.9*
MCV-87 MCH-28.2 MCHC-32.3 RDW-15.5 Plt Ct-143*
[**2166-8-18**] 06:20AM BLOOD WBC-9.8 RBC-4.14* Hgb-12.0 Hct-36.2
MCV-88 MCH-28.9 MCHC-33.0 RDW-15.3 Plt Ct-133*
[**2166-8-17**] 08:05PM BLOOD WBC-10.8 RBC-4.32 Hgb-12.3 Hct-36.7
MCV-85 MCH-28.5 MCHC-33.6 RDW-14.7 Plt Ct-133*
[**2166-8-17**] 08:05PM BLOOD Neuts-84.1* Lymphs-9.2* Monos-5.5 Eos-1.1
Baso-0.1
[**2166-8-25**] 05:59AM BLOOD Plt Ct-175
[**2166-8-24**] 02:35AM BLOOD Plt Ct-153
[**2166-8-23**] 01:39PM BLOOD Plt Ct-168
[**2166-8-23**] 01:40AM BLOOD Plt Ct-162
[**2166-8-22**] 02:52AM BLOOD Plt Ct-175
[**2166-8-21**] 08:03AM BLOOD Plt Ct-169
[**2166-8-21**] 12:55AM BLOOD Plt Ct-145*
[**2166-8-21**] 12:55AM BLOOD PT-14.9* PTT-37.2* INR(PT)-1.3*
[**2166-8-20**] 09:00AM BLOOD Plt Ct-152
[**2166-8-20**] 09:00AM BLOOD PT-14.3* PTT-30.9 INR(PT)-1.2*
[**2166-8-19**] 06:30AM BLOOD Plt Ct-143*
[**2166-8-19**] 06:30AM BLOOD PT-14.1* PTT-33.9 INR(PT)-1.2*
[**2166-8-18**] 06:20AM BLOOD Plt Ct-133*
[**2166-8-18**] 06:20AM BLOOD PT-13.8* PTT-33.3 INR(PT)-1.2*
[**2166-8-17**] 08:05PM BLOOD Plt Ct-133*
[**2166-8-25**] 05:59AM BLOOD Glucose-90 UreaN-9 Creat-0.3* Na-139
K-3.7 Cl-100 HCO3-38* AnGap-5*
[**2166-8-24**] 02:35AM BLOOD Glucose-100 UreaN-8 Creat-0.3* Na-139
K-3.7 Cl-102 HCO3-35* AnGap-6*
[**2166-8-23**] 01:40AM BLOOD Glucose-119* UreaN-11 Creat-0.3* Na-140
K-3.6 Cl-106 HCO3-30 AnGap-8
[**2166-8-22**] 02:52AM BLOOD Glucose-116* UreaN-12 Creat-0.4 Na-140
K-3.9 Cl-109* HCO3-27 AnGap-8
[**2166-8-21**] 12:55AM BLOOD Glucose-135* UreaN-9 Creat-0.2* Na-139
K-3.7 Cl-108 HCO3-24 AnGap-11
[**2166-8-20**] 09:00AM BLOOD Glucose-97 UreaN-12 Na-139 K-3.5 Cl-105
HCO3-28 AnGap-10
[**2166-8-19**] 06:30AM BLOOD Glucose-91 UreaN-22* Creat-0.4 Na-142
K-3.7 Cl-107 HCO3-28 AnGap-11
[**2166-8-18**] 06:20AM BLOOD Glucose-93 UreaN-31* Creat-0.4 Na-142
K-4.3 Cl-109* HCO3-25 AnGap-12
[**2166-8-17**] 08:05PM BLOOD Glucose-101 UreaN-39* Creat-0.5 Na-139
K-3.9 Cl-105 HCO3-27 AnGap-11
[**2166-8-18**] 06:20AM BLOOD CK(CPK)-266*
[**2166-8-17**] 08:57PM BLOOD CK(CPK)-408*
[**2166-8-18**] 06:20AM BLOOD CK-MB-6 cTropnT-0.02*
[**2166-8-17**] 08:57PM BLOOD CK-MB-6 cTropnT-<0.01
[**2166-8-25**] 05:59AM BLOOD Calcium-7.7* Phos-3.3 Mg-2.0
[**2166-8-24**] 02:35AM BLOOD Calcium-8.0* Phos-3.5 Mg-1.8
[**2166-8-23**] 01:40AM BLOOD Calcium-7.6* Phos-2.8 Mg-1.7
[**2166-8-22**] 02:52AM BLOOD Calcium-7.8* Phos-3.1 Mg-2.1
[**2166-8-21**] 10:00AM BLOOD Mg-1.9
[**2166-8-21**] 12:55AM BLOOD Phos-3.7 Mg-1.4*
[**2166-8-20**] 09:00AM BLOOD Calcium-7.9* Phos-2.8 Mg-1.8
[**2166-8-19**] 06:30AM BLOOD Calcium-7.9* Phos-2.5* Mg-2.1
[**2166-8-18**] 06:20AM BLOOD Calcium-7.8* Phos-2.8 Mg-2.1 Cholest-160
[**2166-8-17**] 08:05PM BLOOD Calcium-8.2* Phos-2.7 Mg-2.2
[**2166-8-18**] 06:20AM BLOOD %HbA1c-5.6
[**2166-8-18**] 06:20AM BLOOD Triglyc-163* HDL-26 CHOL/HD-6.2
LDLcalc-101
[**2166-8-17**] 08:57PM BLOOD TSH-3.4
[**2166-8-17**] 08:57PM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG
Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
[**2166-8-23**] 01:54AM BLOOD Type-ART pO2-73* pCO2-47* pH-7.43
calTCO2-32* Base XS-5
[**2166-8-21**] 10:09AM BLOOD Type-ART pO2-149* pCO2-38 pH-7.42
calTCO2-25 Base XS-0
[**2166-8-21**] 05:50AM BLOOD Type-ART pO2-130* pCO2-36 pH-7.37
calTCO2-22 Base XS--3
[**2166-8-21**] 12:58AM BLOOD Type-ART pO2-136* pCO2-37 pH-7.42
calTCO2-25 Base XS-0
[**2166-8-20**] 11:07PM BLOOD Type-ART pO2-183* pCO2-40 pH-7.38
calTCO2-25 Base XS-0
[**2166-8-20**] 09:52PM BLOOD Type-ART pO2-194* pCO2-45 pH-7.37
calTCO2-27 Base XS-0 Intubat-INTUBATED
[**2166-8-20**] 08:18PM BLOOD Type-ART Temp-35.8 Rates-/8  Tidal V-500
pO2-94 pCO2-43 pH-7.44 calTCO2-30 Base XS-4 Intubat-INTUBATED
Vent-CONTROLLED
[**2166-8-23**] 01:54AM BLOOD Lactate-1.1
[**2166-8-21**] 10:09AM BLOOD Glucose-141* K-4.2
[**2166-8-21**] 05:50AM BLOOD K-3.6
[**2166-8-20**] 11:07PM BLOOD Glucose-100 Lactate-1.0 Na-138 K-3.3*
Cl-109
[**2166-8-20**] 09:52PM BLOOD Glucose-102 Lactate-1.6 Na-138 K-3.4*
Cl-103
[**2166-8-20**] 08:18PM BLOOD Glucose-90 Lactate-1.9 Na-137 K-3.4*
Cl-101
[**2166-8-21**] 10:09AM BLOOD O2 Sat-98
[**2166-8-21**] 05:50AM BLOOD O2 Sat-99
[**2166-8-21**] 12:58AM BLOOD O2 Sat-99
[**2166-8-20**] 11:07PM BLOOD Hgb-8.8* calcHCT-26
[**2166-8-20**] 09:52PM BLOOD Hgb-10.8* calcHCT-32
[**2166-8-20**] 08:18PM BLOOD Hgb-11.5* calcHCT-35
[**2166-8-23**] 01:54AM BLOOD freeCa-1.04*
[**2166-8-21**] 10:09AM BLOOD freeCa-1.12
[**2166-8-20**] 11:07PM BLOOD freeCa-1.03*
[**2166-8-20**] 09:52PM BLOOD freeCa-1.06*

Brief Hospital Course:
This 88 yo woman sustained trauma after a fall and was not found
for several days. She was evaluated at an OSH and, after being
stabilized, was thought to have some new LE weakness, and was
transferred to [**Hospital1 18**] neurology for evaluation. She arrived in
the night and was agitated/delerious, for which she was given
zyprexa, and also went into AF with RVR to the 190's. She was
given IV lopressor, IV diltiazem x 2 doses, and then a diltiazem
drip. During the night she converted to sinus rhythm and had a 6
second pause, which upon further discussion with the cardiology
team, was thought to be a conversion pause. Cardiology
recommended continuing lopressor PO, and she remained in sinus
rhythm for the remainder of her hospitalization.
   The initial assessment of her neurolocigal status by the
floor team was clouded by her lethargy, suspected to be likely
secondary to the zyprexa she had received overnight.
Nonetheless, in light of her trauma, she received an MRI/MRA of
her brain, which was read as showing extensive chronic small
vessel ischemic disease, a chronic lacunar infarction in the
right thalamus without acute infarction, and apparent occlusion
versus slow flow of the left posterior cerebral artery. She
received an EEG which was read as an abnormal portable EEG due
to the slow background  with occasional generalized slow
activity. This finding suggests a
widespread mild encephalopathy affecting both cortical and
subcortical
structures. There were no areas of prominent focal slowing and
no clear epileptiform features. Ultimately, her mental status
improved as the day passed, and consequently it was presumed
that her lethargy was indeed secondary to the zyprexa. The
remainder of her neurological exam was significant for a LE
paraparesis, but thought to be secondary to predominantly to
pain and perhaps old spondylosis. Cord compression was not
appreciated on imaging.
   At the OSH, imaging had suggested a T11 vertebral fx with
some sort of poorly visualized anterior mass, thought to be a
hematoma. She received an MRI of her C- and T-spine here which
showed acute fracture of the anterior portion of the T11
vertebral body which was presumably an unstable fracture with
recommended spinal surgical evaluation, and no evidence for cord
compression or cord encroachment. Subsequent CT of the C- and
T-spince confirmed unstable distraction fracture of the T11
vertebral body along with disruption of the anterior
longitudinal ligament, diffuse osteopenia with scoliosis, and
diffuse multilevel degenerative joint disease.
   She was transferred to the orthopedic service for spine
surgery which occurred [**2166-8-20**]. She underwent T10 to T12
posterior laminectomy decompression of T10-T11, T11-T12,
posterior spinal fusion T8-L2, posterior spinal instrumentation
segmental from T8-L2, application of local autograft, allograft
and BMP II, and open treatment of fracture dislocation T11.
   She was transferred back to the neurology service on the
night of [**2166-8-24**]. On the morning of [**8-25**] she was found to be in
a grumpy mood with many complaints about her environs, which,
according to family members is consistent with her baseline. She
was oriented to self, place, and "[**2166-8-8**]." Her LE
paraparesis was essentially unchanged compared to her admission
exam. She also had some mild weakness in her deltoids
bilaterally R>L. Her reflexes were diminished at the biceps and
otherwise were absent throughout. The remainder of her
neurological exam was normal.
   Per d/w orthopedics, her activity level is as tolerated and
she is able to work with PT/OT. She should continue her wound
care as prescribed, continue use of the First Step mattess, and
continue her bowel regimen as prescribed.



Medications on Admission:
Perocet 1 tab q4 PRN pain
Toradol 15mg IV q6 PRN pain
Unasyn 3gm IV q6
Nystatin powder
Lovenox 30 mg SC qday

Discharge Medications:
1. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
2. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
3. Papain-Urea 830,000-10 unit/g-% Ointment Sig: One (1) Appl
Topical [**Hospital1 **] (2 times a day).
4. Famotidine 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours).
5. Oxycodone 5 mg Tablet Sig: One (1) Tablet PO Q4H (every 4
hours) as needed.
6. Polyethylene Glycol 3350 100 % Powder Sig: Seventeen (17)
grams PO DAILY (Daily).
7. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO TID (3
times a day).
8. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6
hours) as needed.


Discharge Disposition:
Extended Care

Facility:
[**Hospital1 700**] - [**Location (un) 701**]

Discharge Diagnosis:
T11 vertebral fracture


Discharge Condition:
stable


Discharge Instructions:
You have sustained a T11 vertrbral fracture which was surgically
repaired via a T8-L2 fusion. Please return to the ER if you
expereince any sudden focal weakness, change in sensation,
vision, speech, or cognition, any severe headaches, vertigo, new
incontinence, or anything else that concerns you seriously.

Followup Instructions:
Orthopedic follow up with Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 1352**]: ([**Telephone/Fax (1) 2007**]

With PCP: [**Name10 (NameIs) **],[**Name11 (NameIs) **] [**Name Initial (NameIs) **]. [**Telephone/Fax (1) 10381**]



Completed by:[**2166-8-25**]
{'Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury,Pressure ulcer, buttock,Urinary tract infection, site not specified,Other accident resulting from conflagration in other and unspecified building or structure,Tachycardia, unspecified,Syncope and collapse,Osteoporosis, unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Scoliosis [and kyphoscoliosis], idiopathic'}


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, not found for 2 days, eval for LE weakness

PRESENT ILLNESS: 88y/o RHF with PMH sig for HTN and HLD that pres from OSH
([**Hospital1 1474**]) after being foundby nephew at home  on [**2166-8-13**] x48hrs
s/p fall. Pt was in normal state of health. Staying alone with
full ADLs when she awoke to go to the bathroom. Based on her
description she transferred over to a bedside commode. During
the
transfer "something happened," "I had a quick faint." She is
unsure of a LOC but think that she fainted. She did not hir her
head on the way down. Her back and buttocks hit first. She
attempted to get up using her elbows and arms but was unable to
did so. She does question if at this time she had bilateral leg
weakness.

MEDICAL HISTORY: HTN
HLD
Vertigo
Osteoporosis
NO hx of cardiac problems, strokes
Hysterectomy
R knee [**Doctor First Name **]

MEDICATION ON ADMISSION: Perocet 1 tab q4 PRN pain
Toradol 15mg IV q6 PRN pain
Unasyn 3gm IV q6
Nystatin powder
Lovenox 30 mg SC qday

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VS: AF T 96.6 89 124/74 20 98% glc 94
Gen: Alert, awake, cooperative in pain secondary to transferring
beds with back sores
HEENT: dry mm, NCAT no bruising or tenderness noted
Neck: Supple, FROM
CV:NSR, RRR, S1, S2 no murmurs rubs or gallops
Chest: sym chest rise, CTAB
Abd: distended, NT, +BS, healed scar, no bruising
Ext: minimally limited ROM secondary to pain,
SPINE: slight inconsistent pain to deep palp in the lower
thoracic spine, over the areas of nuded skin and early decubitus
ulcer

FAMILY HISTORY: father - leukemia
brother - prostate ca
Mother died in 90s and has sister living now in her 90s
NO FMH of strokes, no cardiac issues

SOCIAL HISTORY: Lives alone uses a walker for ADLS. ADLS Full. Has a nephew that
visits her name [**First Name8 (NamePattern2) **] [**Name (NI) **] [**Telephone/Fax (1) 79240**] or [**Telephone/Fax (1) 79241**]. NO
EtOH,
NO Tobacco, NO Illicit drugs 

### Response:
{'Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury,Pressure ulcer, buttock,Urinary tract infection, site not specified,Other accident resulting from conflagration in other and unspecified building or structure,Tachycardia, unspecified,Syncope and collapse,Osteoporosis, unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Scoliosis [and kyphoscoliosis], idiopathic'}
