CHIEF COMPLAINT: Dyspnea on exertion

PRESENT ILLNESS: Ms. [**Known lastname **] is a 73 year old woman who has a history of chest
coronary artery disease s/p a myocardial infarction in [**2131**] and
a large abdominal aortic aneurysm. A recent cardiac
catheterization revealed 3VD. Admitted for CABG last month but
was unable to tolerate placement on bypass. In her cardiologists
office today, she was unable to walk 10 feet and had no breath
sounds in her left lung base, thus she is admitted for ?pleural
effusion and for possible coronary catheterization as she could
not tolerate CABG.
.
ROS: as above. Also, pt has had syncope while straining to have
a bowel movement on several occasions.  Pt does c/o black stools
which she attributes to taking iron supplements.
.
Pt denies chest pain, PND, HA, fevers, night sweats, joint pain,
myalgias, bloody stool, dysuria.

MEDICAL HISTORY: Abdominal aortic aneurysm, diabetes mellitus, myocardial
infarction in [**2131**], Diverticulitis, Neuropathy, Sciatica,
Asthmatic, Bronchitis, Bursitis Rt shoulder, Rotator cuff tear,
Dry eyes

MEDICATION ON ADMISSION: Formoterol Fumarate 12 mcg Capsule, w/Inhalation Device Sig:
One (1)  Inhalation twice a day.
 loratidine  Sig: One (1) 10mg  once a day.
Polyvinyl Alcohol-Povidone 1.4-0.6 % Dropperette Sig: 1-2 Drops
Ophthalmic PRN (as needed) as needed for dry eyes.
 Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
 Rosiglitazone 2 mg Tablet Sig: Two (2) Tablet PO once a day.
 Duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO DAILY (Daily).
 Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: Two
(2)  Inhalation every four (4) hours as needed for shortness of
breath or wheezing.
Nizatidine 150 mg Capsule Sig: One (1) Capsule PO once a day.
Budesonide 180 mcg/Inhalation Aerosol Powdr Breath Activated
Sig: [**1-31**]  Inhalation at bedtime.
 Metoprolol Tartrate 25 mg [**Hospital1 **]
 Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO
DAILY (Daily).
 Rosuvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

ALLERGIES: Sulfa (Sulfonamide Antibiotics) / Flagyl

PHYSICAL EXAM: PHYSICAL EXAMINATION:
VS: T=99.4...BP=98/58 (R), 130s systolic on L
...HR=102...RR=20...O2 sat= 99% RA
GENERAL: 73F in NAD. Oriented x3. Mood, affect appropriate.
HEENT: NCAT. Sclera anicteric. EOMI. Conjunctiva were pink, no
pallor or cyanosis of the oral mucosa. No xanthalesma.
NECK: Supple, JVP does not appear elevated.
CARDIAC: RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3
or S4.
LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp
were mildly labored, no accessory muscle use. Reduced breath
sounds at L base.
ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not
palpable. EXTREMITIES: No c/c. No femoral bruits. Mild pitting
edema L>R (s/p recent L saphenous v removal). c/o some numbness
on the lateral side of her L leg. feet cool
SKIN: thoracotomy site and saphenous v site healing well.
PULSES:
Right: Carotid 2+ DP 2+
Left: Carotid 2+ DP 2+

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: Ms. [**Known lastname **] is a former smoker who quit 17 yrs ago, with an 80
pack/yr history. She denies drinking alcohol or illicits. She
lives with her daughter.
Coronary atherosclerosis of native coronary artery,Chronic systolic heart failure,Unspecified pleural effusion,Accidental puncture or laceration during a procedure, not elsewhere classified,Urinary tract infection, site not specified,Cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Other iatrogenic hypotension,Anemia, unspecified,Disorder of bone and cartilage, unspecified,Old myocardial infarction,Abdominal aneurysm without mention of rupture,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Chronic obstructive asthma, unspecified
Crnry athrscl natve vssl,Chr systolic hrt failure,Pleural effusion NOS,Accidental op laceration,Urin tract infection NOS,Abn react-cardiac cath,Iatrogenc hypotnsion NEC,Anemia NOS,Bone & cartilage dis NOS,Old myocardial infarct,Abdom aortic aneurysm,DMII wo cmp nt st uncntr,Chronic obst asthma NOS
Admission Date:  [**2155-7-23**]              Discharge Date:   [**2155-7-31**]

Date of Birth:  [**2081-12-1**]             Sex:   F

Service: MEDICINE

Allergies:
Sulfa (Sulfonamide Antibiotics) / Flagyl

Attending:[**First Name3 (LF) 2387**]
Chief Complaint:
Dyspnea on exertion

Major Surgical or Invasive Procedure:
cardiac catheterization


History of Present Illness:
Ms. [**Known lastname **] is a 73 year old woman who has a history of chest
coronary artery disease s/p a myocardial infarction in [**2131**] and
a large abdominal aortic aneurysm. A recent cardiac
catheterization revealed 3VD. Admitted for CABG last month but
was unable to tolerate placement on bypass. In her cardiologists
office today, she was unable to walk 10 feet and had no breath
sounds in her left lung base, thus she is admitted for ?pleural
effusion and for possible coronary catheterization as she could
not tolerate CABG.
.
ROS: as above. Also, pt has had syncope while straining to have
a bowel movement on several occasions.  Pt does c/o black stools
which she attributes to taking iron supplements.
.
Pt denies chest pain, PND, HA, fevers, night sweats, joint pain,
myalgias, bloody stool, dysuria.


Past Medical History:
Abdominal aortic aneurysm, diabetes mellitus, myocardial
infarction in [**2131**], Diverticulitis, Neuropathy, Sciatica,
Asthmatic, Bronchitis, Bursitis Rt shoulder, Rotator cuff tear,
Dry eyes


Social History:
Ms. [**Known lastname **] is a former smoker who quit 17 yrs ago, with an 80
pack/yr history. She denies drinking alcohol or illicits. She
lives with her daughter.


Family History:
noncontributory

Physical Exam:
PHYSICAL EXAMINATION:
VS: T=99.4...BP=98/58 (R), 130s systolic on L
...HR=102...RR=20...O2 sat= 99% RA
GENERAL: 73F in NAD. Oriented x3. Mood, affect appropriate.
HEENT: NCAT. Sclera anicteric. EOMI. Conjunctiva were pink, no
pallor or cyanosis of the oral mucosa. No xanthalesma.
NECK: Supple, JVP does not appear elevated.
CARDIAC: RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3
or S4.
LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp
were mildly labored, no accessory muscle use. Reduced breath
sounds at L base.
ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not
palpable. EXTREMITIES: No c/c. No femoral bruits. Mild pitting
edema L>R (s/p recent L saphenous v removal). c/o some numbness
on the lateral side of her L leg. feet cool
SKIN: thoracotomy site and saphenous v site healing well.
PULSES:
Right: Carotid 2+ DP 2+
Left: Carotid 2+ DP 2+


Pertinent Results:
on discharge:
140 | 102 | 15
---------------136
4.3 | 30  | 0.9

5.3>29.7<463

INR 1

albumin 3.3

Pleural fluid: WBC 400, RBC [**Numeric Identifier **], PMNs 15, lymphs 30, monos 19,
eos 16, macrophages 14. tot prot 3.6 (blood tpro 5), glucose
117, LDH 193 (blood LDH 250), amylase 47, alb 2.5

Cath [**2155-7-24**]: "1.  Planned PCI.  Access was quite difficult.  We
used a
micropuncture set to get access in RFA but had to use a
Glidewire to
negotiate the tortuous iliacs and aorta.  We ultimated were able
to get
into ascending aorta and exchanged for a Amplatz wire and then
put up a
6F 90cm Shuttle sheath.
2.  Limited hemodynamics with BP 123/67 with HR 82 in sinus.
3.  POBA of OM1 with 2.25mm balloon resulting in dissection with
good
flow.
  FINAL DIAGNOSIS:
1. Three vessel coronary artery disease.
2. POBA of OM1"


Brief Hospital Course:
73F c 3VD and AAA, as well as DM, COPD and MMP now p/w
increasing DOE. Pt does have large L pleural effusion s/p cabg
which was drained on [**2155-7-24**], but has been reaccumulating since
then. Pt also had cath on [**7-25**] which resulted in a dissected
Lcx. She was admitted to the unit for hypotension on [**7-25**], rp
bleed and pericardial effusion ruled out and hypotension
resolved c IVF and decreased bblocker. c/o L shoulder pain which
seems msk in origin (reproducible by pressing on her shoulder
and reproducible with abduction of shoulder)
.
# CORONARIES: 3VD on cath from [**5-8**], attempted CABG but pt could
not tolerate bypass. Now s/p cath on [**7-25**] c no stents,
dissection of left circumflex. She was ruled out for MI. She was
continued on aspirin and started on plavix, but the plavix was
discontinued as patient did not recieves stents and may need
thoracentesis or pleurex tube in the next few weeks. Pt had
episode of nausea and lightheadedness which was similar to her
prior MI in [**2130**] on [**2155-7-30**] depressions in V4-V6.
She was ruled out for MI, and the EKG had normalized by the next
day. The ST depressions were attributed to demand [**3-3**]
tachycardia. Pt was continued on rosuvastatin.
.
# PUMP: Pt c systolic CHF c EF of ~40%. Her metoprolol was
decreased from 25 [**Hospital1 **] to 12.5 [**Hospital1 **] as her blood pressures were
consistently in the 90s on the higher dose. Of note, pt has
hypotensive for several hours on the day following her first
thoracentesis (pericardial eff and RP bleed were ruled out) and
pt responded well to 1LNS.
.
# RHYTHM: Pt was in sinus rhythm and monitored on telemetry
throughout her admission. Her rate was usually in the high 90s.
.
# L PLEURAL EFFUSION: Pt was found to have a large left pleural
effusion believed to be [**3-3**] her recent CABG. She received
diagnostic/therapeutic thoracentesis on admission which
reaccumulated over ~36 hours. Pt recieved a second thoracentesis
on [**7-28**] with a small amount of reaccumulation, but less than the
first time. Both samples were sent for analysis and were found
to be exudative which is consistent with post-cabg pleural
effusion. Fluid was also sent for cytology, which is pending. Pt
was started on lasix 20 to try to limit reaccumulation, which
she tolerated well.
.
# COPD/asthma-continued home COPD/asthma medicines. Pt did
occasionally recieve albuterol nebs with good result.
.
# L SHOULDER PAIN: Pt had some left shoulder pain which
developed after her first thoracentesis and radiated to her
elbow, likely musculoskeletal in origin (though pt was ruled out
for MI again when she had this pain). She will follow up with
her PCP [**Last Name (NamePattern4) **] 1 week.
.
# OSTEOPENIA: Pt was found to be osteopenic by cxr, and was
started on calcium and vitamin D. She may benefit from a dexa
scan as an oupatient.
.
# ANEMIA: improved from baseline, trended throughout her
admission. Felt to likely be [**3-3**] her MMP.
.
# continued rest of home meds (allergy meds, neuropathic pain
meds)
.
# DM: d/ced rosiglitazone and started on ISS as inpt. Her blood
sugars were found to be in the 140s to 150s so rarely recieved
coverage with humalog. She can restart her rosiglitizone.
.
#PT consulted and believed she would benefit from [**Hospital 98**] rehab.
.
FEN: diabetic cardiac diet
.
PROPHYLAXIS: heparin sc 5000 TID, colace, senna prn
.
Daughter's cell is [**Telephone/Fax (1) 82228**]
CODE: full




Medications on Admission:
 Formoterol Fumarate 12 mcg Capsule, w/Inhalation Device Sig:
One (1)  Inhalation twice a day.
 loratidine  Sig: One (1) 10mg  once a day.
Polyvinyl Alcohol-Povidone 1.4-0.6 % Dropperette Sig: 1-2 Drops
Ophthalmic PRN (as needed) as needed for dry eyes.
 Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
 Rosiglitazone 2 mg Tablet Sig: Two (2) Tablet PO once a day.
 Duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO DAILY (Daily).
 Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: Two
(2)  Inhalation every four (4) hours as needed for shortness of
breath or wheezing.
Nizatidine 150 mg Capsule Sig: One (1) Capsule PO once a day.
Budesonide 180 mcg/Inhalation Aerosol Powdr Breath Activated
Sig: [**1-31**]  Inhalation at bedtime.
 Metoprolol Tartrate 25 mg [**Hospital1 **]
 Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO
DAILY (Daily).
 Rosuvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

 Gabapentin 300 mg Capsule Sig: One (1) Capsule PO Q12H (every
12 hours).
 Tyelenol #3




Discharge Medications:
1. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: One
(1) Capsule, Sustained Release PO once a day.
Disp:*30 Capsule, Sustained Release(s)* Refills:*2*
2. Formoterol Fumarate 12 mcg Capsule, w/Inhalation Device Sig:
One (1)  Inhalation twice a day.
3. loratidine  Sig: One (1) 10mg  once a day.
4. Polyvinyl Alcohol-Povidone 1.4-0.6 % Dropperette Sig: [**1-31**]
Drops Ophthalmic PRN (as needed) as needed for dry eyes.
5. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
6. Rosiglitazone 2 mg Tablet Sig: Two (2) Tablet PO once a day.

7. Duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO DAILY (Daily).
8. Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig:
Two (2)  Inhalation every four (4) hours as needed for shortness
of breath or wheezing.
9. Nizatidine 150 mg Capsule Sig: One (1) Capsule PO once a day.

10. Budesonide 180 mcg/Inhalation Aerosol Powdr Breath Activated
Sig: [**1-31**]  Inhalation at bedtime.
11. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
Disp:*30 Tablet(s)* Refills:*2*
12. Aspirin 81 mg Tablet Enteric coated, Chewable Sig: One (1)
Tablet, Chewable PO DAILY (Daily).
13. Rosuvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
14. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO Q12H
(every 12 hours).
15. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q6H (every 6 hours) as needed for pain for 7 days.
Disp:*25 Tablet(s)* Refills:*0*
16. Furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*2*
17. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed for constipation.
18. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)
Tablet, Chewable PO BID (2 times a day).
19. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2)
Tablet PO DAILY (Daily).
20. Tylenol #3 300/30 1-2 tabs PO q6h prn pain
21. Ranitidine 150 [**Hospital1 **]


Discharge Disposition:
Extended Care

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

Discharge Diagnosis:
Primary diagnoses: pleural effusion, coronary artery disease,
CHF

Secondary diagnoses: AAA, diabetes, dyslipidemia, neuropathy,
sciatica, asthma, COPD, seasonal allergies, GERD


Discharge Condition:
fair


Discharge Instructions:
You were admitted to the hospital because of shortness of
breath. We found that you had a fluid accumulation in your chest
(called a pleural effusion) which can happen after heart
surgery. We drained it twice and will continue to watch it. You
also have some coronary disease. We tried to put a stent in one
of your coronary arteries during a procedure called coronary
catheterization, but we were not able to do that. Lastly, you
had some left arm pain after the procedures to drain fluid in
your lungs, this was treated with percocet. Please mention this
to Dr [**Last Name (STitle) **] if it has not resolved by your appointment.

AT REHAB (these instructions are for REHAB not for PATIENT):
Please monitor vital signs at least 4 times daily. Please
contact Dr [**Name (NI) **] at [**Telephone/Fax (1) 17382**] for SBP < 90. Please keep O2
saturations >90%.

Please check chem-7 on on [**8-1**]. Please also check a chest
xray on Friday [**8-1**]. Please fax results to Dr [**Last Name (STitle) **] at
[**Telephone/Fax (1) 17382**].

ONCE YOU GO HOME (FOR PATIENT):
Please adhere to the medicine list that they give you when you
go. You will go to rehab on a water pill (called lasix) but you
may not need it by the time you go home. We did start you on
calcium and vitamin D for your bones, please do continue to take
those when you are at home.

Please weigh yourself every morning, call your doctor if your
weight changes by > 3 lbs.
Adhere to 2 gm sodium diet
Please do not drink more than 2 liters of fluid per day.

Followup Instructions:
Please see your primary care doctor, Dr [**Last Name (STitle) **], on Wednesday
[**8-6**] at 11:45am

You have an appointment to see your lung doctor, Dr [**Last Name (STitle) 70216**], on
Tuesday [**8-26**] at 4:15pm

You have an appointment to see your cardiologist, Dr [**Last Name (STitle) **], at
1:45 on Wednesday, [**8-13**]

You have an appointment to see your cardiac surgeon at [**Hospital1 18**], Dr
[**First Name (STitle) **] R. [**Doctor Last Name **] Phone:[**Telephone/Fax (1) 170**] Date/Time:[**2155-8-7**] 2:30

You have an appointment to see your vascular surgeon at [**Hospital1 18**],
Dr [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) **] Phone:[**Telephone/Fax (1) 1237**] Date/Time:[**2155-8-22**] 10:45



Completed by:[**2155-7-31**]
{'Coronary atherosclerosis of native coronary artery,Chronic systolic heart failure,Unspecified pleural effusion,Accidental puncture or laceration during a procedure, not elsewhere classified,Urinary tract infection, site not specified,Cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Other iatrogenic hypotension,Anemia, unspecified,Disorder of bone and cartilage, unspecified,Old myocardial infarction,Abdominal aneurysm without mention of rupture,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Chronic obstructive asthma, unspecified'}


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: Dyspnea on exertion

PRESENT ILLNESS: Ms. [**Known lastname **] is a 73 year old woman who has a history of chest
coronary artery disease s/p a myocardial infarction in [**2131**] and
a large abdominal aortic aneurysm. A recent cardiac
catheterization revealed 3VD. Admitted for CABG last month but
was unable to tolerate placement on bypass. In her cardiologists
office today, she was unable to walk 10 feet and had no breath
sounds in her left lung base, thus she is admitted for ?pleural
effusion and for possible coronary catheterization as she could
not tolerate CABG.
.
ROS: as above. Also, pt has had syncope while straining to have
a bowel movement on several occasions.  Pt does c/o black stools
which she attributes to taking iron supplements.
.
Pt denies chest pain, PND, HA, fevers, night sweats, joint pain,
myalgias, bloody stool, dysuria.

MEDICAL HISTORY: Abdominal aortic aneurysm, diabetes mellitus, myocardial
infarction in [**2131**], Diverticulitis, Neuropathy, Sciatica,
Asthmatic, Bronchitis, Bursitis Rt shoulder, Rotator cuff tear,
Dry eyes

MEDICATION ON ADMISSION: Formoterol Fumarate 12 mcg Capsule, w/Inhalation Device Sig:
One (1)  Inhalation twice a day.
 loratidine  Sig: One (1) 10mg  once a day.
Polyvinyl Alcohol-Povidone 1.4-0.6 % Dropperette Sig: 1-2 Drops
Ophthalmic PRN (as needed) as needed for dry eyes.
 Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
 Rosiglitazone 2 mg Tablet Sig: Two (2) Tablet PO once a day.
 Duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO DAILY (Daily).
 Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig: Two
(2)  Inhalation every four (4) hours as needed for shortness of
breath or wheezing.
Nizatidine 150 mg Capsule Sig: One (1) Capsule PO once a day.
Budesonide 180 mcg/Inhalation Aerosol Powdr Breath Activated
Sig: [**1-31**]  Inhalation at bedtime.
 Metoprolol Tartrate 25 mg [**Hospital1 **]
 Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO
DAILY (Daily).
 Rosuvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

ALLERGIES: Sulfa (Sulfonamide Antibiotics) / Flagyl

PHYSICAL EXAM: PHYSICAL EXAMINATION:
VS: T=99.4...BP=98/58 (R), 130s systolic on L
...HR=102...RR=20...O2 sat= 99% RA
GENERAL: 73F in NAD. Oriented x3. Mood, affect appropriate.
HEENT: NCAT. Sclera anicteric. EOMI. Conjunctiva were pink, no
pallor or cyanosis of the oral mucosa. No xanthalesma.
NECK: Supple, JVP does not appear elevated.
CARDIAC: RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3
or S4.
LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp
were mildly labored, no accessory muscle use. Reduced breath
sounds at L base.
ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not
palpable. EXTREMITIES: No c/c. No femoral bruits. Mild pitting
edema L>R (s/p recent L saphenous v removal). c/o some numbness
on the lateral side of her L leg. feet cool
SKIN: thoracotomy site and saphenous v site healing well.
PULSES:
Right: Carotid 2+ DP 2+
Left: Carotid 2+ DP 2+

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: Ms. [**Known lastname **] is a former smoker who quit 17 yrs ago, with an 80
pack/yr history. She denies drinking alcohol or illicits. She
lives with her daughter. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Chronic systolic heart failure,Unspecified pleural effusion,Accidental puncture or laceration during a procedure, not elsewhere classified,Urinary tract infection, site not specified,Cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Other iatrogenic hypotension,Anemia, unspecified,Disorder of bone and cartilage, unspecified,Old myocardial infarction,Abdominal aneurysm without mention of rupture,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Chronic obstructive asthma, unspecified'}
