CHIEF COMPLAINT: Shortness of breath

PRESENT ILLNESS: Ms. [**Known lastname 32737**] is a 74 year old female s/p coronary atrtery bypass
grafting in  [**2190**] now with severe aortic stenosis, moderate to
severe mitral regurgitation. She was recently admitted for
congestive heart failure and underwent extensive preoperative
evaluation for high risk redo operation.

MEDICAL HISTORY: Coronary artery disease s/p coronary artery bypass
graft in [**2190**], (stress test [**2199-8-12**] @[**Hospital3 **], under Dr.
[**First Name (STitle) 2031**] [**Telephone/Fax (1) 98231**] shows mild ischemia LV RCA distribution
consistent with old finding.)
2. Carcinoid tumor of right middle lobe s/p resection.
3. Diabetes mellitus, type 2, HbA1c=8.8 ([**6-/2198**])
4. Obesity.
5. Deep venous thrombosis, [**2176**], on Coumadin X6 months. Stopped
Coumadin, had another DVT,[**2176**] placed on Coumadin since, s/p IVC
filter, [**2197**]
6. Oxygen dependent since lung surgery and for obstructive sleep
apnea, uses 2L nasal cannula 02 at night at home. NO Bpap
7. obstructive sleep apnea.
8. restrictive lung disease
9. carpel tunnel syndrome b/l, [**2179**]
10. congestive heart failure (left atrium is mildly dilated.
LVEF 67%/[**2199**])
11.Anemia of Chronic disease, baseline Hct=30-33.0/Hb=10.
12.HTN
13.hypercholesterolemia

MEDICATION ON ADMISSION: ATORVASTATIN [LIPITOR] -  (Prescribed by Other Provider) - 40 mg
Tablet - one Tablet(s) by mouth twice daily
COMMODE LIFT -
FUROSEMIDE -  (Prescribed by Other Provider) - 20 mg Tablet - 2
Tablet(s) by mouth once daily in a.m.
ISOSORBIDE DINITRATE -  (Prescribed by Other Provider) - Dosage
uncertain
MANUAL WHEEL CHAIR -
METFORMIN -  (Prescribed by Other Provider) - 500 mg Tablet -
two
Tablet(s) by mouth twice daily
POTASSIUM CHLORIDE [KLOR-CON] -  (Prescribed by Other Provider)
-
8 mEq Tablet Sustained Release - one Tablet(s) by mouth twice
daily
QUINAPRIL - 10 mg Tablet - 0.5 (One half) Tablet(s) by mouth at
bedtime do not take if systolic blood pressure is less than 100
QUINAPRIL -  (Prescribed by Other Provider) - 20 mg Tablet - one
Tablet(s) by mouth once daily
RISEDRONATE [ACTONEL] -  (Prescribed by Other Provider) - 35 mg
Tablet - one Tablet(s) by mouth once weekly on Sunday
ASCORBIC ACID [VITAMIN C] -  (Prescribed by Other Provider) -
500
mg Tablet - one Tablet(s) by mouth twice daily
ASPIRIN - 81 mg Tablet, Delayed Release (E.C.) - 1 Tablet(s) by
mouth DAILY (Daily)
CALCIUM CARBONATE-VITAMIN D3 [CALCIUM 500 + D] -  (Prescribed by
Other Provider) - 500 mg (1,250 mg)-400 unit Tablet, Chewable -
one Tablet(s) by mouth in a.m., 2 tablets in p.m.
CYANOCOBALAMIN (VITAMIN B-12) [VITAMIN B-12] -  (Prescribed by
Other Provider) - 1,000 mcg Tablet - one Tablet(s) by mouth once
daily in a.m.
DOCUSATE SODIUM [COLACE] -  (Prescribed by Other Provider) - 100
mg Capsule - 1 to 2 Capsule(s) by mouth daily as needed for
constipation
FERROUS SULFATE -  (Prescribed by Other Provider) - 325 mg (65
mg
Iron) Tablet - 1 Tablet(s) by mouth twice a day
MULTIVITAMIN -  (Prescribed by Other Provider) -   Tablet - one
Tablet(s) by mouth once daily
NPH INSULIN HUMAN RECOMB [HUMULIN N] -  (Prescribed by Other
Provider) - 100 unit/mL Suspension - sliding scale by blood
glucose
VITAMIN E -  (Prescribed by Other Provider) - 400 unit Capsule -
one Capsule(s) by mouth once daily in a.m.

ALLERGIES: Ampicillin / Ceftin / Bactrim / Zocor / Lopressor

PHYSICAL EXAM: Pulse:84  Resp: 28  O2 sat: 99%4L
B/P  Right: 90/50   Left:
Height: 4'[**04**]"    Weight:83.9 kgs

FAMILY HISTORY: Her mother was diagnosed with diabetes.

SOCIAL HISTORY: She denies [**Year (4 digits) **] or alchohol use.
She is married, lives with her husband, daughter and 1 of her
sons.  [**Name (NI) **] 2 other children.
She
Acute on chronic diastolic heart failure,Other pulmonary insufficiency, not elsewhere classified,Acute posthemorrhagic anemia,Nonunion of fracture,Coronary atherosclerosis of autologous vein bypass graft,Mitral valve insufficiency and aortic valve stenosis,Obstructive sleep apnea (adult)(pediatric),Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other dependence on machines, supplemental oxygen,Thrombocytopenia, unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Obesity, unspecified,Late effects of accidental fall,Personal history of venous thrombosis and embolism,Long-term (current) use of insulin,Late effect of fracture of spine and trunk without mention of spinal cord lesion,History of fall
Ac on chr diast hrt fail,Other pulmonary insuff,Ac posthemorrhag anemia,Nonunion of fracture,Crn ath atlg vn bps grft,Mitral insuf/aort stenos,Obstructive sleep apnea,DMII wo cmp nt st uncntr,Depend-supplement oxygen,Thrombocytopenia NOS,Hypertension NOS,Hyperlipidemia NEC/NOS,Obesity NOS,Late eff accidental fall,Hx-ven thrombosis/embols,Long-term use of insulin,Late eff spine/trunk fx,Personal history of fall
Admission Date:  [**2204-1-2**]              Discharge Date:   [**2204-1-13**]

Date of Birth:  [**2129-3-14**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Ampicillin / Ceftin / Bactrim / Zocor / Lopressor

Attending:[**First Name3 (LF) 1505**]
Chief Complaint:
Shortness of breath


Major Surgical or Invasive Procedure:
[**2204-1-9**] Repair of sternal separation with five plates on
ribs 2, 3, 4 and 5 and bilateral pectoralis musculocutaneous
advancement flap.
[**2204-1-9**] Redosternotomy, Aortic valve replacement (19mm [**Doctor Last Name **]
pericardial)


History of Present Illness:
Ms. [**Known lastname 32737**] is a 74 year old female s/p coronary atrtery bypass
grafting in  [**2190**] now with severe aortic stenosis, moderate to
severe mitral regurgitation. She was recently admitted for
congestive heart failure and underwent extensive preoperative
evaluation for high risk redo operation.

Past Medical History:
 Coronary artery disease s/p coronary artery bypass
graft in [**2190**], (stress test [**2199-8-12**] @[**Hospital3 **], under Dr.
[**First Name (STitle) 2031**] [**Telephone/Fax (1) 98231**] shows mild ischemia LV RCA distribution
consistent with old finding.)
2. Carcinoid tumor of right middle lobe s/p resection.
3. Diabetes mellitus, type 2, HbA1c=8.8 ([**6-/2198**])
4. Obesity.
5. Deep venous thrombosis, [**2176**], on Coumadin X6 months. Stopped
Coumadin, had another DVT,[**2176**] placed on Coumadin since, s/p IVC
filter, [**2197**]
6. Oxygen dependent since lung surgery and for obstructive sleep
apnea, uses 2L nasal cannula 02 at night at home. NO Bpap
7. obstructive sleep apnea.
8. restrictive lung disease
9. carpel tunnel syndrome b/l, [**2179**]
10. congestive heart failure (left atrium is mildly dilated.
LVEF 67%/[**2199**])
11.Anemia of Chronic disease, baseline Hct=30-33.0/Hb=10.
12.HTN
13.hypercholesterolemia


Social History:
She denies [**Year (4 digits) **] or alchohol use.
She is married, lives with her husband, daughter and 1 of her
sons.  [**Name (NI) **] 2 other children.
She


Family History:
Her mother was diagnosed with diabetes.

Physical Exam:
Pulse:84  Resp: 28  O2 sat: 99%4L
B/P  Right: 90/50   Left:
Height: 4'[**04**]"    Weight:83.9 kgs

General:A&O x 3, NAD
Skin: Dry [x] intact [x]
HEENT: PERRLA [] EOMI [x] extensive bilateral orbital ecchymosis
Neck:  Supple [x] Full ROM [x]
Chest: Lungs clear bilaterally [] crackles bases and mid
bilaterally
Heart: RRR [x]  Irregular []  Murmur SEM IV/VI
Abdomen: Soft [x] non-distended [x] non-tender [x]  bowel sounds
+ [x] obese
Extremities: Warm [x], well-perfused [x]  Edema Varicosities:
(R)LE varicosities noted. (L)LE well healed vein harvest site []
Neuro: Grossly intact
Pulses:
Femoral      Right:   Left:
DP           Right:  Left:
PT           [**Name (NI) 167**]: 1+   Left: 1+
Radial       Right:   Left:

Carotid Bruit bruits (B)->likely AS radiation, carotid pulses
Right: 2+   Left:2+

Pertinent Results:
[**2204-1-13**] 04:15AM BLOOD WBC-7.3 RBC-3.48* Hgb-9.6* Hct-28.6*
MCV-82 MCH-27.7 MCHC-33.7 RDW-16.1* Plt Ct-142*
[**2204-1-9**] 04:03PM BLOOD PT-14.4* PTT-37.9* INR(PT)-1.3*
[**2204-1-13**] 04:15AM BLOOD Glucose-151* UreaN-28* Creat-0.8 Na-133
K-4.6 Cl-97 HCO3-29 AnGap-12

Brief Hospital Course:
Ms. [**Known lastname 32737**] was admitted for heart failure.  During this
admission he underwent a redo sternotomy, aortic valve
replacement, sternal plating with synthes plating on [**2204-1-9**].
Please see the operative note for details.  She tolerated this
procedure well and was transferred in critical but stable
condition to the surgical intensive care unit. She was extubated
by the following day and ready for transfer to the step down
unit.  Plastics continued to follow her [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] drains and
incision post-operatively.  Chest tubes and epicardial wires
were removed. She was initially on lantus for glucose control
but transitioned to her home dose of metformin.  By
post-operative day four she was ready for transfer to [**Hospital1 **]
Therapy and Rehab Center in [**Location 1268**].  All follow-up
appointments were advised.

Medications on Admission:
ATORVASTATIN [LIPITOR] -  (Prescribed by Other Provider) - 40 mg
Tablet - one Tablet(s) by mouth twice daily
COMMODE LIFT -
FUROSEMIDE -  (Prescribed by Other Provider) - 20 mg Tablet - 2
Tablet(s) by mouth once daily in a.m.
ISOSORBIDE DINITRATE -  (Prescribed by Other Provider) - Dosage
uncertain
MANUAL WHEEL CHAIR -
METFORMIN -  (Prescribed by Other Provider) - 500 mg Tablet -
two
Tablet(s) by mouth twice daily
POTASSIUM CHLORIDE [KLOR-CON] -  (Prescribed by Other Provider)
-
8 mEq Tablet Sustained Release - one Tablet(s) by mouth twice
daily
QUINAPRIL - 10 mg Tablet - 0.5 (One half) Tablet(s) by mouth at
bedtime do not take if systolic blood pressure is less than 100
QUINAPRIL -  (Prescribed by Other Provider) - 20 mg Tablet - one
Tablet(s) by mouth once daily
RISEDRONATE [ACTONEL] -  (Prescribed by Other Provider) - 35 mg
Tablet - one Tablet(s) by mouth once weekly on Sunday
ASCORBIC ACID [VITAMIN C] -  (Prescribed by Other Provider) -
500
mg Tablet - one Tablet(s) by mouth twice daily
ASPIRIN - 81 mg Tablet, Delayed Release (E.C.) - 1 Tablet(s) by
mouth DAILY (Daily)
CALCIUM CARBONATE-VITAMIN D3 [CALCIUM 500 + D] -  (Prescribed by
Other Provider) - 500 mg (1,250 mg)-400 unit Tablet, Chewable -
one Tablet(s) by mouth in a.m., 2 tablets in p.m.
CYANOCOBALAMIN (VITAMIN B-12) [VITAMIN B-12] -  (Prescribed by
Other Provider) - 1,000 mcg Tablet - one Tablet(s) by mouth once
daily in a.m.
DOCUSATE SODIUM [COLACE] -  (Prescribed by Other Provider) - 100
mg Capsule - 1 to 2 Capsule(s) by mouth daily as needed for
constipation
FERROUS SULFATE -  (Prescribed by Other Provider) - 325 mg (65
mg
Iron) Tablet - 1 Tablet(s) by mouth twice a day
MULTIVITAMIN -  (Prescribed by Other Provider) -   Tablet - one
Tablet(s) by mouth once daily
NPH INSULIN HUMAN RECOMB [HUMULIN N] -  (Prescribed by Other
Provider) - 100 unit/mL Suspension - sliding scale by blood
glucose
VITAMIN E -  (Prescribed by Other Provider) - 400 unit Capsule -
one Capsule(s) by mouth once daily in a.m.


Discharge Medications:
1. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
2. atorvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. ascorbic acid 500 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
4. vitamin E 400 unit Tablet Sig: One (1) Tablet PO DAILY
(Daily).
5. sucralfate 1 gram Tablet Sig: One (1) Tablet PO BID (2 times
a day).
6. esomeprazole magnesium 40 mg Capsule, Delayed Release(E.C.)
Sig: One (1) Capsule, Delayed Release(E.C.) PO twice a day.
7. ferrous sulfate 300  mg (60 mg Iron) Tablet Sig: One (1)
Tablet PO DAILY (Daily).
8. magnesium oxide 400 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
9. polyethylene glycol 3350 17 gram/dose Powder Sig: One (1)  PO
DAILY (Daily).
10. aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
11. spironolactone 25 mg Tablet Sig: One (1) Tablet PO once a
day.
12. carvedilol 3.125 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
Disp:*60 Tablet(s)* Refills:*2*
13. Lasix 20 mg Tablet Sig: Two (2) Tablet PO twice a day for 10
days: after 10 days, taper to home dose of 40mg daily.
Disp:*40 Tablet(s)* Refills:*2*
14. hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3H (every 3
hours) as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*
15. metformin 500 mg Tablet Sig: Two (2) Tablet PO BID (2 times
a day).
Disp:*60 Tablet(s)* Refills:*2*
16. acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO q6 HOURS
as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*
17. potassium chloride 20 mEq Tab Sust.Rel. Particle/Crystal
Sig: One (1) Tab Sust.Rel. Particle/Crystal PO DAILY (Daily).
Disp:*30 Tab Sust.Rel. Particle/Crystal(s)* Refills:*2*
18. XIBROM 0.09 % Drops Sig: One (1) gtt Ophthalmic [**Hospital1 **] (2 times
a day): OD.
Disp:*60 gtt* Refills:*2*
19. Actonel  Oral
20. Actonel 35 mg Tablet Sig: One (1) Tablet PO QSun.
Disp:*30 Tablet(s)* Refills:*2*
21. sliding scale insulin

Fingerstick QACHSInsulin SC Sliding Scale
  Breakfast Lunch Dinner Bedtime
Regular Regular Regular Regular
Glucose Insulin Dose Insulin Dose Insulin Dose Insulin Dose
0-70   mg/dL Proceed with hypoglycemia protocol Proceed with
hypoglycemia protocol Proceed with hypoglycemia protocol Proceed
with hypoglycemia protocol
71-90   mg/dL 0   Units 0   Units 0   Units 0   Units
91-130   mg/dL 5   Units 5   Units 5   Units 0   Units
131-160   mg/dL 8   Units 8   Units 8   Units 0   Units
161-200   mg/dL 12   Units 12   Units 12   Units 2   Units
201-250   mg/dL 15   Units 15   Units 15   Units 4   Units
251-300   mg/dL 18   Units 18   Units 18   Units 6   Units
301-361   mg/dL 20   Units 20   Units 20   Units 8   Units


Discharge Disposition:
Extended Care

Facility:
[**Hospital1 **] Nursing & Therapy Center - [**Location 1268**] ([**Location (un) 86**] Center
for Rehabilitation and Sub-Acute Care)

Discharge Diagnosis:
Severe Aortic Stenosis s/p AVR
Diabetes mellitus
Acute on chronic diastolic heart failure
Obstructive sleep apnea on cpap
Anemia
Restrictive lung disease
Hypertension
Obesity


Discharge Condition:
Alert and oriented x3 nonfocal
Ambulates short distance with walker and assistance
Incisional pain managed with dilaudid and tylenol
Incisions:
Sternal - healing well, no erythema or drainage
Edema +1


Discharge Instructions:
Please shower daily including washing incisions gently with mild
soap, no baths or swimming until cleared by surgeon. Look at
your incisions daily for redness or drainage
Please NO lotions, cream, powder, or ointments to incisions
Each morning you should weigh yourself and then in the evening
take your temperature, these should be written down on the chart

No driving for approximately one month and while taking
narcotics, will be discussed at follow up appointment with
surgeon when you will be able to drive
No lifting more than 10 pounds for 10 weeks
Please call with any questions or concerns [**Telephone/Fax (1) 170**]
Females: Please wear bra to reduce pulling on incision, avoid
rubbing on lower edge
**Please call cardiac surgery office with any questions or
concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call
person during off hours**
Record and drain JP drainage [**Hospital1 **].

Followup Instructions:
You are scheduled for the following appointments
Surgeon: Dr [**Last Name (STitle) **] [**Telephone/Fax (1) 170**] Thrus [**2-9**] at 1:15pm
Cardiologist/PCP: [**Name10 (NameIs) **] [**First Name (STitle) 2031**] [**Telephone/Fax (1) 77385**] Tues [**2-7**] at 2:00pm
Plastic Surgery: Please see Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] in 2 weeks.  ([**Telephone/Fax (1) 14596**]
**Please call cardiac surgery office with any questions or
concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call
person during off hours**



Completed by:[**2204-1-13**]

Name:  [**Known lastname 15666**],[**Known firstname **] J                Unit No:   [**Numeric Identifier 15667**]

Admission Date:  [**2204-1-2**]              Discharge Date:   [**2204-1-13**]

Date of Birth:  [**2129-3-14**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Ampicillin / Ceftin / Bactrim / Zocor / Lopressor

Attending:[**First Name3 (LF) 741**]
Addendum:
Added: Lantus Insulin 40 units at breakfast daily.

Discharge Disposition:
Extended Care

Facility:
[**Hospital1 **] Nursing & Therapy Center - [**Location 205**] ([**Location (un) 42**] Center
for Rehabilitation and Sub-Acute Care)

                             [**Name6 (MD) **] [**Name8 (MD) 747**] MD [**MD Number(2) 748**]

Completed by:[**2204-1-13**]
{'Acute on chronic diastolic heart failure,Other pulmonary insufficiency, not elsewhere classified,Acute posthemorrhagic anemia,Nonunion of fracture,Coronary atherosclerosis of autologous vein bypass graft,Mitral valve insufficiency and aortic valve stenosis,Obstructive sleep apnea (adult)(pediatric),Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other dependence on machines, supplemental oxygen,Thrombocytopenia, unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Obesity, unspecified,Late effects of accidental fall,Personal history of venous thrombosis and embolism,Long-term (current) use of insulin,Late effect of fracture of spine and trunk without mention of spinal cord lesion,History of fall'}


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: Shortness of breath

PRESENT ILLNESS: Ms. [**Known lastname 32737**] is a 74 year old female s/p coronary atrtery bypass
grafting in  [**2190**] now with severe aortic stenosis, moderate to
severe mitral regurgitation. She was recently admitted for
congestive heart failure and underwent extensive preoperative
evaluation for high risk redo operation.

MEDICAL HISTORY: Coronary artery disease s/p coronary artery bypass
graft in [**2190**], (stress test [**2199-8-12**] @[**Hospital3 **], under Dr.
[**First Name (STitle) 2031**] [**Telephone/Fax (1) 98231**] shows mild ischemia LV RCA distribution
consistent with old finding.)
2. Carcinoid tumor of right middle lobe s/p resection.
3. Diabetes mellitus, type 2, HbA1c=8.8 ([**6-/2198**])
4. Obesity.
5. Deep venous thrombosis, [**2176**], on Coumadin X6 months. Stopped
Coumadin, had another DVT,[**2176**] placed on Coumadin since, s/p IVC
filter, [**2197**]
6. Oxygen dependent since lung surgery and for obstructive sleep
apnea, uses 2L nasal cannula 02 at night at home. NO Bpap
7. obstructive sleep apnea.
8. restrictive lung disease
9. carpel tunnel syndrome b/l, [**2179**]
10. congestive heart failure (left atrium is mildly dilated.
LVEF 67%/[**2199**])
11.Anemia of Chronic disease, baseline Hct=30-33.0/Hb=10.
12.HTN
13.hypercholesterolemia

MEDICATION ON ADMISSION: ATORVASTATIN [LIPITOR] -  (Prescribed by Other Provider) - 40 mg
Tablet - one Tablet(s) by mouth twice daily
COMMODE LIFT -
FUROSEMIDE -  (Prescribed by Other Provider) - 20 mg Tablet - 2
Tablet(s) by mouth once daily in a.m.
ISOSORBIDE DINITRATE -  (Prescribed by Other Provider) - Dosage
uncertain
MANUAL WHEEL CHAIR -
METFORMIN -  (Prescribed by Other Provider) - 500 mg Tablet -
two
Tablet(s) by mouth twice daily
POTASSIUM CHLORIDE [KLOR-CON] -  (Prescribed by Other Provider)
-
8 mEq Tablet Sustained Release - one Tablet(s) by mouth twice
daily
QUINAPRIL - 10 mg Tablet - 0.5 (One half) Tablet(s) by mouth at
bedtime do not take if systolic blood pressure is less than 100
QUINAPRIL -  (Prescribed by Other Provider) - 20 mg Tablet - one
Tablet(s) by mouth once daily
RISEDRONATE [ACTONEL] -  (Prescribed by Other Provider) - 35 mg
Tablet - one Tablet(s) by mouth once weekly on Sunday
ASCORBIC ACID [VITAMIN C] -  (Prescribed by Other Provider) -
500
mg Tablet - one Tablet(s) by mouth twice daily
ASPIRIN - 81 mg Tablet, Delayed Release (E.C.) - 1 Tablet(s) by
mouth DAILY (Daily)
CALCIUM CARBONATE-VITAMIN D3 [CALCIUM 500 + D] -  (Prescribed by
Other Provider) - 500 mg (1,250 mg)-400 unit Tablet, Chewable -
one Tablet(s) by mouth in a.m., 2 tablets in p.m.
CYANOCOBALAMIN (VITAMIN B-12) [VITAMIN B-12] -  (Prescribed by
Other Provider) - 1,000 mcg Tablet - one Tablet(s) by mouth once
daily in a.m.
DOCUSATE SODIUM [COLACE] -  (Prescribed by Other Provider) - 100
mg Capsule - 1 to 2 Capsule(s) by mouth daily as needed for
constipation
FERROUS SULFATE -  (Prescribed by Other Provider) - 325 mg (65
mg
Iron) Tablet - 1 Tablet(s) by mouth twice a day
MULTIVITAMIN -  (Prescribed by Other Provider) -   Tablet - one
Tablet(s) by mouth once daily
NPH INSULIN HUMAN RECOMB [HUMULIN N] -  (Prescribed by Other
Provider) - 100 unit/mL Suspension - sliding scale by blood
glucose
VITAMIN E -  (Prescribed by Other Provider) - 400 unit Capsule -
one Capsule(s) by mouth once daily in a.m.

ALLERGIES: Ampicillin / Ceftin / Bactrim / Zocor / Lopressor

PHYSICAL EXAM: Pulse:84  Resp: 28  O2 sat: 99%4L
B/P  Right: 90/50   Left:
Height: 4'[**04**]"    Weight:83.9 kgs

FAMILY HISTORY: Her mother was diagnosed with diabetes.

SOCIAL HISTORY: She denies [**Year (4 digits) **] or alchohol use.
She is married, lives with her husband, daughter and 1 of her
sons.  [**Name (NI) **] 2 other children.
She 

### Response:
{'Acute on chronic diastolic heart failure,Other pulmonary insufficiency, not elsewhere classified,Acute posthemorrhagic anemia,Nonunion of fracture,Coronary atherosclerosis of autologous vein bypass graft,Mitral valve insufficiency and aortic valve stenosis,Obstructive sleep apnea (adult)(pediatric),Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other dependence on machines, supplemental oxygen,Thrombocytopenia, unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Obesity, unspecified,Late effects of accidental fall,Personal history of venous thrombosis and embolism,Long-term (current) use of insulin,Late effect of fracture of spine and trunk without mention of spinal cord lesion,History of fall'}
