CHIEF COMPLAINT: Respiratory distress

PRESENT ILLNESS: 63 yo female with polycystic kidney/liver with ESLD and ESRD on
HD, h/o budd chiari, h/o ICH from ruptured [**Doctor Last Name **] aneurysm,
discharged on [**12-5**] after a prolonged hospitalization for anemia,
SBP, now presents from rehab after a witnessed episode of
aspiration this morning during breakfast leading to tachypnea
and
dyspnea.  She was transported to ED and was intubated in ED
because she respiratory rate was 40-50.  Meanwhile, she had 100
degree in her rectum temp.

MEDICAL HISTORY: - [**Month/Day (4) 18048**] (autosomal dominant w renal/liver involvement, c/b [**Doctor Last Name **]
aneurysmal bleed and ESRD)
- ESLD with recent MELD in high 20s
- multiple liver cysts
- ESRD [**12-31**] [**Month/Day (2) 18048**] now s/p bilateral nephrectomies
-Liver & Kidney [**Month/Day (2) 1326**] [**2148-12-10**]
- subarachnoid hemorrhage 2/2 L MCA [**Doctor Last Name **] aneurysm s/p surgical
clipping c/b peri-operative hemorrhagic stroke resulting in
right hemiparesis([**2136**])
- HTN
- secondary hyperparathyroidism
- anemia
- acidosis
- nephrolithiasis
- stress fracture of the right ankle.
- seizure disorder

MEDICATION ON ADMISSION: 1. Atorvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
2. Clotrimazole 10 mg Troche Sig: One (1) Troche Mucous membrane

ALLERGIES: Iodine; Iodine Containing / Trileptal / Dilantin

PHYSICAL EXAM: Pt is sedated and intubated and on pressers
T99 P105-119 R 16-17 BP 62-69/39 SaO2 96%40%
HEENT: PREEAL, oral dry
NECK: supple, no JVD, no LN
Chest: clear, no wheezing
CVS: regular, no murmur
Abd: distent, I was unable to appreciate if pt has tender or not
because pt is sedated. BS present. liver enlarged significantly.

FAMILY HISTORY: Father and son with [**Name (NI) 18048**].
F - died in his 80s, [**Name (NI) 18048**] and prostate cancer
M - died at [**Age over 90 **] yrs of old age
Sister w [**Name (NI) 11398**].

SOCIAL HISTORY: Had been at rehab prior to admission. At baseline, she lives
with her husband in [**Name (NI) 86**]. Ambulates with a cane (more recently
from rehab with walker). Worked as a city planner.  She was
transferred directly from rehab today.
Smoking: denies
EtOH: 1 glass of wine/day
Drugs: denies
Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,End stage renal disease,Acute kidney failure with lesion of tubular necrosis,Congenital cystic disease of liver,Polycystic kidney, autosomal dominant,Acquired coagulation factor deficiency,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Late effects of cerebrovascular disease, hemiplegia affecting unspecified side,Hyposmolality and/or hyponatremia,Complications of transplanted kidney,Unspecified pleural effusion,Other and unspecified infection due to central venous catheter,Other sequelae of chronic liver disease,Unspecified acquired hypothyroidism,Cirrhosis of liver without mention of alcohol,Other iatrogenic hypotension,Other drugs and medicinal substances causing adverse effects in therapeutic use,Anemia in chronic kidney disease,Surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation,Urinary complications, not elsewhere classified,Pneumonia due to other gram-negative bacteria,Hematuria, unspecified,Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure
Food/vomit pneumonitis,Acute respiratry failure,End stage renal disease,Ac kidny fail, tubr necr,Cong cystic liver dis,Polycyst kid-autosom dom,Acq coagul factor defic,Hyp kid NOS w cr kid V,Late ef-hemplga side NOS,Hyposmolality,Compl kidney transplant,Pleural effusion NOS,Oth/uns inf-cen ven cath,Oth sequela, chr liv dis,Hypothyroidism NOS,Cirrhosis of liver NOS,Iatrogenc hypotnsion NEC,Adv eff medicinal NEC,Anemia in chr kidney dis,Abn react-org transplant,Surg compl-urinary tract,Pneumo oth grm-neg bact,Hematuria NOS,Abn react-procedure NEC
Admission Date:  [**2148-12-7**]              Discharge Date:   [**2149-1-2**]

Date of Birth:  [**2085-7-5**]             Sex:   F

Service: SURGERY

Allergies:
Iodine; Iodine Containing / Trileptal / Dilantin

Attending:[**First Name3 (LF) 668**]
Chief Complaint:
Respiratory distress

Major Surgical or Invasive Procedure:
[**2148-12-10**]: Simultaneous liver and kidney [**Month/Day/Year **]
[**2148-12-11**]: Bronchoscopy
[**2148-12-24**]: Ultrasound-guided right thoracentesis
[**2148-12-25**]: Ultrasound-guided left thoracentesis.


History of Present Illness:
63 yo female with polycystic kidney/liver with ESLD and ESRD on
HD, h/o budd chiari, h/o ICH from ruptured [**Doctor Last Name **] aneurysm,
discharged on [**12-5**] after a prolonged hospitalization for anemia,
SBP, now presents from rehab after a witnessed episode of
aspiration this morning during breakfast leading to tachypnea
and
dyspnea.  She was transported to ED and was intubated in ED
because she respiratory rate was 40-50.  Meanwhile, she had 100
degree in her rectum temp.

ROS:: unobtainable because of sedation

Past Medical History:
- [**Month/Day (4) 18048**] (autosomal dominant w renal/liver involvement, c/b [**Doctor Last Name **]
aneurysmal bleed and ESRD)
- ESLD with recent MELD in high 20s
- multiple liver cysts
- ESRD [**12-31**] [**Month/Day (2) 18048**] now s/p bilateral nephrectomies
-Liver & Kidney [**Month/Day (2) 1326**] [**2148-12-10**]
- subarachnoid hemorrhage 2/2 L MCA [**Doctor Last Name **] aneurysm s/p surgical
clipping c/b peri-operative hemorrhagic stroke resulting in
right hemiparesis([**2136**])
- HTN
- secondary hyperparathyroidism
- anemia
- acidosis
- nephrolithiasis
- stress fracture of the right ankle.
- seizure disorder

Social History:
Had been at rehab prior to admission. At baseline, she lives
with her husband in [**Name (NI) 86**]. Ambulates with a cane (more recently
from rehab with walker). Worked as a city planner.  She was
transferred directly from rehab today.
Smoking: denies
EtOH: 1 glass of wine/day
Drugs: denies


Family History:
Father and son with [**Name (NI) 18048**].
F - died in his 80s, [**Name (NI) 18048**] and prostate cancer
M - died at [**Age over 90 **] yrs of old age
Sister w [**Name (NI) 11398**].


Physical Exam:
Pt is sedated and intubated and on pressers
T99 P105-119 R 16-17 BP 62-69/39 SaO2 96%40%
HEENT: PREEAL, oral dry
NECK: supple, no JVD, no LN
Chest: clear, no wheezing
CVS: regular, no murmur
Abd: distent, I was unable to appreciate if pt has tender or not
because pt is sedated. BS present. liver enlarged significantly.

The skin in her low abd was significant red.
Ext: pitting edema

Lab:

129  93  51  86   AGap=19

5.6  23  2.9

CK: 65
 96
16.1  8.8  321

 29.8
 N:84.9 L:6.2 M:6.8 E:1.6 Bas:0.5

PT: 37.9  PTT: 39.3  INR: 3.9


Pertinent Results:
[**2149-1-2**] 07:15AM BLOOD WBC-10.6 RBC-3.40* Hgb-10.3* Hct-31.7*
MCV-93 MCH-30.4 MCHC-32.5 RDW-17.3* Plt Ct-428
[**2148-12-30**] 05:49AM BLOOD PT-10.8 PTT-26.2 INR(PT)-0.9
[**2148-12-31**] 07:57AM BLOOD Glucose-119* UreaN-91* Creat-2.0* Na-135
K-4.9 Cl-101 HCO3-23 AnGap-16
[**2149-1-1**] 05:40AM BLOOD Glucose-95 UreaN-95* Creat-1.9* Na-135
K-5.1 Cl-102 HCO3-23 AnGap-15
[**2149-1-2**] 07:15AM BLOOD Glucose-95 UreaN-95* Creat-1.8* Na-140
K-5.6* Cl-107 HCO3-22 AnGap-17
[**2149-1-1**] 05:40AM BLOOD ALT-11 AST-16 AlkPhos-111* TotBili-0.9
[**2149-1-2**] 07:15AM BLOOD ALT-9 AST-17 AlkPhos-110* TotBili-0.9
[**2149-1-2**] 07:15AM BLOOD Calcium-8.8 Phos-4.1 Mg-1.9
[**2148-12-30**] 05:49AM BLOOD calTIBC-166* Ferritn-GREATER TH TRF-128*
[**2148-12-19**] 02:15AM BLOOD TSH-27*
[**2148-12-19**] 02:15AM BLOOD T4-3.0* T3-61*

Brief Hospital Course:
Hypotension and respiratory distress were most likely 2nd to
aspiration vs sepsis vs pulmonary edema.  Pt was intubated and
on started on antibiotics. She was treated with improvement in
the MICU.

On [**2148-12-10**], a liver and kidney donor became available. She was
cleared for surgery. On [**12-10**], a liver was transplanted by Dr.
[**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **]. Attempt was made to do a splenectomy prior to the
renal [**Last Name (NamePattern1) **], but this was too difficult secondary to the
extremely large polycystic liver wrapped around the spleen. She
was very coagulopathic. Bleeding was controlled then a renal
[**Last Name (NamePattern1) **] was performed by Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] with a 6-French
double-J stent inserted into the ureter and a JP drain. Drains
were also placed posterior to the liver and at the hilum as well
as in the splenic bed.

Induction immunosuppression was administered consiting of ATG,
cellcept and steroids. Postop, she was transferred to the SICU
for management. Postop course was complicated requirining CVVH
for delayed renal graft function. LFTs trended down immediately.
Duplex of the liver was appropriate. Renal duplex US
demonstrated lack of diastolic flow of the interpolar arteries,
with an RI of 1. There was flow within the main renal vein. She
experienced ATN.

She failed to extubate and a trache was considered, but
eventually with improving renal/liver function, she managed to
extubate on *****. Of note, on [**12-19**], TSH was noted to be 27, T3
61 and T4 3.0. Levothyroxine was increased. She remained
tachypneic and short of breath. On [**12-11**], a bronchoscopy was
performed as she has aspirated bilious appearing emesis. BAL was
performed in the anterior segment of the left upper lobe.
Twenty ml of greenish aspirate was obtained. Culture grew
10-100,000 colonies of Enterobacter Cloacae. She was treated
with Cipro for 14 days from [**Date range (1) **]. Vancomycin was
administered from [**12-10**] thru [**12-17**]. Micafungin was administered
from [**12-11**] trough [**12-25**] for antifungal coverage per [**Month/Year (2) **]
protocol. On [**12-15**], a CVL was removed to simplify lines. Tip was
sent for culture and grew VRE. Linezolid was started on [**12-18**]
until stop date [**12-30**].

CXR demonstrated bilateral pleural effusions with right greater
than left. On [**12-24**], a right thoracentesis was done removing 1.5
liters. This fluid was cultured and had no growth. A left
thoracentesis was done on [**12-25**] for 1100ml. This also had no
growth on culture. Respiratory status improved with room air
sats of 99%. Respiratory rate averaged 20 bpm. BP ranged between
130/90-145/100. She was mantained on lopressor.

CVVHD was continued during most of her SICU stay. As urine
output increased, CVVHD was stopped on [**12-26**]. Creatinine averaged
0.6 on dialysis. Once off CVVHD, creatinine increased to 2.0 on
[**12-30**]. By [**1-2**], creatinine had decreased to 1.8 with daily urine
output averaging 2.9 liters/day on Lasix. A daily dose of oral
Lasix was prescribed. Florinef was added on [**12-30**] for
hyperkalemia. On [**12-30**], she was transfused with 2 units of PRBC
for a hct of 23.3.

Immunosuppression consisted of ATG (75mg each dose x3 doses),
cellcept and steroid taper. Prograf was initiated on postop day
2 and adjusted daily per trough levels with goal achieved. Goal
prograf was 10.

On [**12-28**], she transferred out of the SICU to the Med [**Doctor First Name **] Unit.

Preop, she was very debilitated with muscle wasting. Postop, she
was more so and required PT. A [**Doctor Last Name **] lift was recommended for
transfers. Rehab was recommended. Diet was poorly tolerated and
nasojejeunal tube feedings were administered using Novasource
Renal. She did have some diarrhea. Stools were negative for
C.diff. Cellcept dosing was adjusted to qid with decreased GI
side effects.

On [**12-26**], a speech and swallow evaluation was completed without
s/sx of aspiration at bedside.  She appeared safe for initiation
of regular diet, thin liquids, pills whole with thin.

Energy level improved overall although she is still very
debilitated. She will transfer to [**Hospital3 **] in [**Hospital1 8**]
with twice weekly lab monitoring. Tunnelled HD line should be
flushed with saline/heparin every 2-3 days as she is currently
off dialysis. Immunosuppression should be managed only by the
[**Hospital1 1326**] Service at [**Hospital1 18**]. A TSH should be repeated in [**3-4**]
weeks as Levoxyl was increased on [**12-19**].


Medications on Admission:
1. Atorvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
2. Clotrimazole 10 mg Troche Sig: One (1) Troche Mucous membrane

QID (4 times a day).
3. Ascorbic Acid 500 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. Metoclopramide 10 mg Tablet Sig: 0.5 Tablet PO TID (3 times a

day).
5. Levothyroxine 112 mcg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
6. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap
PO DAILY (Daily).
7. Midodrine 5 mg Tablet Sig: Two (2) Tablet PO BID (2 times a
day).
8. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1)
Tablet PO DAILY (Daily).
9. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical QID
(4 times a day) as needed for diaper rash.
10. Clotrimazole 1 % Cream Sig: One (1) Appl Topical TID (3
times a day) as needed for diaper rash .
11. Ipratropium Bromide 0.02 % Solution Sig: One (1) inhalation
Inhalation Q6H (every 6 hours): Must give standing, and even
wake out of bed for this overnight.
12. Rifaximin 200 mg Tablet Sig: Two (2) Tablet PO TID (3 times
a day).
13. Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig: One (1)
Tablet PO DAILY (Daily).
14. Lactulose 10 gram/15 mL Syrup Sig: 15-30 MLs PO DAILY
(Daily): Please titrate to [**1-31**] bowel movements daily.
15. Sevelamer HCl 400 mg Tablet Sig: Two (2) Tablet PO TID
W/MEALS (3 TIMES A DAY WITH MEALS).
16. Warfarin 1 mg Tablet Sig: Four (4) Tablet PO Once Daily at 4

PM: Monitor INR at least once weekly while taking this
medication.
17. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2)

Capsule, Delayed Release(E.C.) PO DAILY (Daily).
18. Acetylcysteine 20 % (200 mg/mL) Solution Sig: One (1) ML
Miscellaneous Q 8H (Every 8 Hours): Must give standing, and even

wake out of bed for this overnight.
19. Levalbuterol HCl 0.63 mg/3 mL Solution for Nebulization Sig:

One (1) neb Inhalation Q6H (every 6 hours): Patient has been
receiving this standing in the days prior to discharge, as has
been frequently SOB. Must give standing, and even wake out of
bed for this overnight.
20. Heparin (Porcine) 1,000 unit/mL Solution Sig: One (1) flush
Injection PRN (as needed) as needed for line flush: Withdraw 4
ml prior to flushing with 10 mL NS followed by heparin as above.


21. Medication
Critic-Aid - apply in morning to buttocks and prn throughout the

day as needed to maintain seal


Discharge Medications:
1. Tacrolimus 1 mg Capsule Sig: Three (3) Capsule PO twice a
day.
2. Tacrolimus 0.5 mg Capsule Sig: One (1) Capsule PO twice a
day.
3. Florinef 0.1 mg Tablet Sig: One (1) Tablet PO
Monday-Weds-[**Month/Day (1) 2974**].
4. Lasix 40 mg Tablet Sig: One (1) Tablet PO once a day.
5. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1)
Injection TID (3 times a day).
6. White Petrolatum-Mineral Oil 42.5-56.8 % Ointment Sig: One
(1) Appl Ophthalmic PRN (as needed) as needed for dry eyes.
7. Insulin Regular Human 100 unit/mL Solution Sig: follow
sliding scale  Injection ASDIR (AS DIRECTED): see printed scale.

8. Glucagon (Human Recombinant) 1 mg Recon Soln Sig: One (1)
Recon Soln Injection Q15MIN () as needed for hypoglycemia
protocol.
9. Fluconazole 200 mg Tablet Sig: One (1) Tablet PO Q24H (every
24 hours).
10. Albuterol Sulfate 90 mcg/Actuation HFA Aerosol Inhaler Sig:
1-2 Puffs Inhalation Q4H (every 4 hours) as needed for
wheezing/SOB.
11. Oxycodone 5 mg Tablet Sig: One (1) Tablet PO Q4H (every 4
hours) as needed for pain.
12. Valganciclovir 450 mg Tablet Sig: One (1) Tablet PO EVERY
OTHER DAY (Every Other Day).
13. Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig: One (1)
Tablet PO DAILY (Daily).
14. Prednisone 5 mg Tablet Sig: 3.5 Tablets PO DAILY (Daily):
follow taper.
15. Mycophenolate Mofetil 500 mg Tablet Sig: One (1) Tablet PO
QID (4 times a day).
16. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q12H (every 12 hours).
17. Levothyroxine 150 mcg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
18. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day): hold for sbp <110 or HR <60.
19. Ondansetron HCl (PF) 4 mg/2 mL Solution Sig: Four (4) mg
Injection Q8H (every 8 hours) as needed for nausea/vomiting.
20. Dextrose 50% in Water (D50W)     Syringe Sig: 12.5 gm
Intravenous PRN (as needed) as needed for hypoglycemia protocol.



Discharge Disposition:
Extended Care

Facility:
[**Hospital1 **] - [**Hospital1 8**]

Discharge Diagnosis:
[**Hospital1 18048**] s/p liver/kidney txp
Delayed renal graft function [**12-31**] ATN
Hypothyroidism
Pleural effusions


Discharge Condition:
Stable/Fair
A+Ox3
Ambulatory status: requires intensive rehab


Discharge Instructions:
Please call the [**Month/Day (2) **] clinic at [**Telephone/Fax (1) 673**] for fever,
chills, nausea, vomiting, diarrhea, constipation, inability to
take or keep down food, fluids or medications, jaundice,
decreased urine output, weight gain of 3 pounds in a day, pain
over liver/kidney [**Telephone/Fax (1) **].
Call if there are problems with the post pyloric feeding tube or
intolerance to the tube feeds such as diarrhea
Labwork every Monday and Thursday with results faxed to
[**Telephone/Fax (1) **] clinic at [**Telephone/Fax (1) 697**]. Monitor the incision for
redness, drainage or bleeding
Monitor urine output daily and keep record to send with patient
to clinic.


Followup Instructions:
[**Last Name (LF) **],[**First Name3 (LF) 156**] [**First Name3 (LF) **] SOCIAL WORK Date/Time:[**2149-1-9**] 2:30
[**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 1330**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2149-1-9**] 3:20
[**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 1330**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2149-1-16**] 3:40



Completed by:[**2149-1-2**]
{'Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,End stage renal disease,Acute kidney failure with lesion of tubular necrosis,Congenital cystic disease of liver,Polycystic kidney, autosomal dominant,Acquired coagulation factor deficiency,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Late effects of cerebrovascular disease, hemiplegia affecting unspecified side,Hyposmolality and/or hyponatremia,Complications of transplanted kidney,Unspecified pleural effusion,Other and unspecified infection due to central venous catheter,Other sequelae of chronic liver disease,Unspecified acquired hypothyroidism,Cirrhosis of liver without mention of alcohol,Other iatrogenic hypotension,Other drugs and medicinal substances causing adverse effects in therapeutic use,Anemia in chronic kidney disease,Surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation,Urinary complications, not elsewhere classified,Pneumonia due to other gram-negative bacteria,Hematuria, unspecified,Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure'}


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: Respiratory distress

PRESENT ILLNESS: 63 yo female with polycystic kidney/liver with ESLD and ESRD on
HD, h/o budd chiari, h/o ICH from ruptured [**Doctor Last Name **] aneurysm,
discharged on [**12-5**] after a prolonged hospitalization for anemia,
SBP, now presents from rehab after a witnessed episode of
aspiration this morning during breakfast leading to tachypnea
and
dyspnea.  She was transported to ED and was intubated in ED
because she respiratory rate was 40-50.  Meanwhile, she had 100
degree in her rectum temp.

MEDICAL HISTORY: - [**Month/Day (4) 18048**] (autosomal dominant w renal/liver involvement, c/b [**Doctor Last Name **]
aneurysmal bleed and ESRD)
- ESLD with recent MELD in high 20s
- multiple liver cysts
- ESRD [**12-31**] [**Month/Day (2) 18048**] now s/p bilateral nephrectomies
-Liver & Kidney [**Month/Day (2) 1326**] [**2148-12-10**]
- subarachnoid hemorrhage 2/2 L MCA [**Doctor Last Name **] aneurysm s/p surgical
clipping c/b peri-operative hemorrhagic stroke resulting in
right hemiparesis([**2136**])
- HTN
- secondary hyperparathyroidism
- anemia
- acidosis
- nephrolithiasis
- stress fracture of the right ankle.
- seizure disorder

MEDICATION ON ADMISSION: 1. Atorvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
2. Clotrimazole 10 mg Troche Sig: One (1) Troche Mucous membrane

ALLERGIES: Iodine; Iodine Containing / Trileptal / Dilantin

PHYSICAL EXAM: Pt is sedated and intubated and on pressers
T99 P105-119 R 16-17 BP 62-69/39 SaO2 96%40%
HEENT: PREEAL, oral dry
NECK: supple, no JVD, no LN
Chest: clear, no wheezing
CVS: regular, no murmur
Abd: distent, I was unable to appreciate if pt has tender or not
because pt is sedated. BS present. liver enlarged significantly.

FAMILY HISTORY: Father and son with [**Name (NI) 18048**].
F - died in his 80s, [**Name (NI) 18048**] and prostate cancer
M - died at [**Age over 90 **] yrs of old age
Sister w [**Name (NI) 11398**].

SOCIAL HISTORY: Had been at rehab prior to admission. At baseline, she lives
with her husband in [**Name (NI) 86**]. Ambulates with a cane (more recently
from rehab with walker). Worked as a city planner.  She was
transferred directly from rehab today.
Smoking: denies
EtOH: 1 glass of wine/day
Drugs: denies 

### Response:
{'Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,End stage renal disease,Acute kidney failure with lesion of tubular necrosis,Congenital cystic disease of liver,Polycystic kidney, autosomal dominant,Acquired coagulation factor deficiency,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Late effects of cerebrovascular disease, hemiplegia affecting unspecified side,Hyposmolality and/or hyponatremia,Complications of transplanted kidney,Unspecified pleural effusion,Other and unspecified infection due to central venous catheter,Other sequelae of chronic liver disease,Unspecified acquired hypothyroidism,Cirrhosis of liver without mention of alcohol,Other iatrogenic hypotension,Other drugs and medicinal substances causing adverse effects in therapeutic use,Anemia in chronic kidney disease,Surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation,Urinary complications, not elsewhere classified,Pneumonia due to other gram-negative bacteria,Hematuria, unspecified,Other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure'}
