CHIEF COMPLAINT: dyspnea

PRESENT ILLNESS: The patient is an 81y/o M with a PMH of non-small cell lung
cancer on chemotherapy with Alimta last given on [**1-31**],
presenting with 2 day history of worsening dyspnea. He reports
minimal cough with white sputum. He is on 2.5L home O2,
increased today to 3L. Recently admitted to MICU on [**4-1**]
with respiratory distress secondary to COPD exacerbation. He was
recently evaluated by Pulmonary as an outpatient and was started
on Advair.
.
In the ED, initial vitals: T 98.7, HR 109, BP 137/67, RR 24, O2
100% NRB. he was given levofloxacin 750 mg IV, Vancomycin 1g IV,
Ceftriaxone 1g IV, Solu-medrol 125mg IV, 1 LNS given. He
required near-continuous Albuterol and Atrovent nebs, RR
increased to 50s when off neb treatment. He was placed on NIPPV
8/5/100 with improvement in RR to 20s and sat 97%.

MEDICAL HISTORY: 1) CAD s/p MI in [**2140**] by EKG diagnosis, no admission, no
symptoms, ETT/MIBI [**2159**] showing partially reversible defect in
RCA distribution. No interventions performed.
2) HTN
3) Hyperlipidemia
4) COPD
5) DJD
6) Thoracic artery aneursym, stable
7) Nonsmall cell lung cancer (see below)

MEDICATION ON ADMISSION: ALBUTEROL 90MCG Aerosol 2 puff Q 4 PRN
Citalopram 40 mg Tablet daily
Dexamethasone 4 mg Tablet [**Hospital1 **]  with chemotherapy
Fluticasone-Salmeterol 100 mcg-50 mcg [**Hospital1 **]
Folic Acid 1 mg daily
Ipratropium-Albuterol 0.5 mg-2.5 mg/3 mL Neb Q4
Latanoprost [Xalatan] 0.005 % Drops QHS
Nitroglycerin 0.3 mg Tablet, Sublingual PRN
Prochlorperazine Maleate 10mg q8
Zolpidem 5 mg Tablet QHS PRN
Calcium Carbonate 500 mg Tablet [**Hospital1 **]
Multivitamin daily
Omeprazole 20mg [**Hospital1 **]

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VS: 96.8 120/69 94 97% on 2.5L
GEN: elderly male in NAD with slightly labored breathing,
although he feels comfortable, awake, alert
HEENT: EOMI, PERRL, sclera anicteric, conjunctivae clear, OP
moist and without lesion
NECK: Supple, no JVD
CV: irregularly irregular, normal S1, S2. No m/r/g.
CHEST: scarce wheezes, diminished breath sounds throughout
ABD: Soft, NT, ND, no HSM
EXT: No c/c/e
SKIN: No rash

FAMILY HISTORY: Father died at age 43 of unknown causes.
Mother died of breast cancer complications at age 53.
Sister had breast cancer and lung cancer and died at age 80

SOCIAL HISTORY: He lives in [**Location 3146**]. He is married and has a daughter and a son.
[**Name (NI) **] has two grandchildren. He is here today with his wife & son.
[**Name (NI) **] smoked for at least 50 years, stopped smoking 3-4 years ago.
He drinks occasional alcohol. He used to work as a carpenter, it
is unclear if he has had asbestos exposure.
Bacterial pneumonia, unspecified,Acute respiratory failure,Malignant neoplasm of lower lobe, bronchus or lung,Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb,Other and unspecified coagulation defects,Atrial fibrillation,Diarrhea,Chronic airway obstruction, not elsewhere classified,Thoracic aneurysm without mention of rupture,Coronary atherosclerosis of native coronary artery,Old myocardial infarction,Other abnormal glucose,Adrenal cortical steroids causing adverse effects in therapeutic use,Eosinophilia,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Anemia in neoplastic disease,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Depressive disorder, not elsewhere classified,Family history of malignant neoplasm of breast,Family history of malignant neoplasm of trachea, bronchus, and lung
Bacterial pneumonia NOS,Acute respiratry failure,Mal neo lower lobe lung,Mal neo lymph-axilla/arm,Coagulat defect NEC/NOS,Atrial fibrillation,Diarrhea,Chr airway obstruct NEC,Thoracic aortic aneurysm,Crnry athrscl natve vssl,Old myocardial infarct,Abnormal glucose NEC,Adv eff corticosteroids,Eosinophilia,Hypertension NOS,Hyperlipidemia NEC/NOS,Anemia in neoplastic dis,Osteoarthros NOS-unspec,Depressive disorder NEC,Family hx-breast malig,Fm hx-trach/bronchog mal
Admission Date:  [**2164-2-6**]              Discharge Date:   [**2164-2-10**]

Date of Birth:  [**2082-4-5**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 689**]
Chief Complaint:
dyspnea

Major Surgical or Invasive Procedure:
None


History of Present Illness:
The patient is an 81y/o M with a PMH of non-small cell lung
cancer on chemotherapy with Alimta last given on [**1-31**],
presenting with 2 day history of worsening dyspnea. He reports
minimal cough with white sputum. He is on 2.5L home O2,
increased today to 3L. Recently admitted to MICU on [**4-1**]
with respiratory distress secondary to COPD exacerbation. He was
recently evaluated by Pulmonary as an outpatient and was started
on Advair.
.
In the ED, initial vitals: T 98.7, HR 109, BP 137/67, RR 24, O2
100% NRB. he was given levofloxacin 750 mg IV, Vancomycin 1g IV,
Ceftriaxone 1g IV, Solu-medrol 125mg IV, 1 LNS given. He
required near-continuous Albuterol and Atrovent nebs, RR
increased to 50s when off neb treatment. He was placed on NIPPV
8/5/100 with improvement in RR to 20s and sat 97%.


Past Medical History:
1) CAD s/p MI in [**2140**] by EKG diagnosis, no admission, no
symptoms, ETT/MIBI [**2159**] showing partially reversible defect in
RCA distribution. No interventions performed.
2) HTN
3) Hyperlipidemia
4) COPD
5) DJD
6) Thoracic artery aneursym, stable
7) Nonsmall cell lung cancer (see below)

ONCOLOGIC HISTORY:
Mr. [**Known lastname 14194**] was in his USOH until [**2163-7-25**] when he
presented with hemoptysis and weight loss of 10 pounds over
previous 1-2 months. He had a CT scan of the chest on [**8-21**] and
it showed a 4.1 x 4.0 right hilar mass with subcarinal
lymphadenopathy, 19 mm right axillary lymph node as well as
multiple right lower lobe and left lower lobe nodules concerning
for lung cancer. On [**2163-8-28**], he was admitted to [**Hospital1 771**] with chest pain and ruled out for a
non-ST elevation MI. He was seen by the hematology-oncology
consult service while in the hospital and underwent FNA of the
right axillary lymph node, the pathology of which showed
nonsmall cell cancer, squamous cell type. He was discharged on
the third of [**Month (only) 359**] and then on [**2163-8-30**], he had a
bronchoscopy done for evaluation of his hemoptysis as well as
bronchial biopsy and the cytology confirmed metastatic nonsmall
cell lung cancer. He has subsequently completed 2 cycles of
Navelbine.

Social History:
He lives in [**Location 3146**]. He is married and has a daughter and a son.
[**Name (NI) **] has two grandchildren. He is here today with his wife & son.
[**Name (NI) **] smoked for at least 50 years, stopped smoking 3-4 years ago.
He drinks occasional alcohol. He used to work as a carpenter, it
is unclear if he has had asbestos exposure.


Family History:
Father died at age 43 of unknown causes.
Mother died of breast cancer complications at age 53.
Sister had breast cancer and lung cancer and died at age 80

Physical Exam:
VS: 96.8 120/69 94 97% on 2.5L
GEN: elderly male in NAD with slightly labored breathing,
although he feels comfortable, awake, alert
HEENT: EOMI, PERRL, sclera anicteric, conjunctivae clear, OP
moist and without lesion
NECK: Supple, no JVD
CV: irregularly irregular, normal S1, S2. No m/r/g.
CHEST: scarce wheezes, diminished breath sounds throughout
ABD: Soft, NT, ND, no HSM
EXT: No c/c/e
SKIN: No rash


Pertinent Results:
Admission labs:

[**2164-2-6**] 08:07PM BLOOD WBC-29.0* RBC-2.99* Hgb-9.3* Hct-26.5*
MCV-89 MCH-31.1 MCHC-35.1* RDW-18.1* Plt Ct-142*
[**2164-2-6**] 08:07PM BLOOD Neuts-61 Bands-3 Lymphs-3* Monos-7
Eos-22* Baso-0 Atyps-0 Metas-4* Myelos-0
[**2164-2-6**] 08:07PM BLOOD Hypochr-1+ Anisocy-1+ Poiklo-1+
Macrocy-NORMAL Microcy-1+ Polychr-1+ Spheroc-1+ Stipple-1+
[**2164-2-7**] 03:14AM BLOOD PT-19.0* PTT-29.3 INR(PT)-1.8*
[**2164-2-6**] 08:07PM BLOOD Glucose-192* UreaN-32* Creat-1.0 Na-133
K-4.7 Cl-98 HCO3-24 AnGap-16
[**2164-2-7**] 03:14AM BLOOD ALT-54* AST-19 LD(LDH)-519* CK(CPK)-12*
AlkPhos-270* TotBili-0.4
[**2164-2-6**] 08:07PM BLOOD CK-MB-NotDone proBNP-978*
[**2164-2-7**] 03:14AM BLOOD Albumin-2.9* Calcium-7.6* Phos-4.0 Mg-2.2
[**2164-2-7**] 12:09AM BLOOD Type-ART Temp-36.9 pO2-427* pCO2-36
pH-7.45 calTCO2-26 Base XS-2 Intubat-NOT INTUBA
[**2164-2-6**] 09:13PM BLOOD Lactate-1.8
.
Portable Chest ([**2-6**]): Heart size is top normal given technique.

Mediastinal and hilar contours are unchanged, but there is
prominence of the right hilum which, in comparison with the
chest CT of [**2164-1-13**], is suggestive of stable cancer. Decreased
ill-defined airspace opacification in the right upper lobe
abutting the horizontal fissure suggests resolving pneumonia.
There is no large pleural effusion or pneumothorax. Pulmonary
vasculature is within normal limits. Osseous structures are
grossly normal.
.
Portable Chest ([**2-7**]): Improving right upper lobe pneumonia.
.
Chest PA and lateral ([**2-8**]): Comparison is made to prior
examination from earlier the same day. The heart is normal in
size. The mediastinal and hilar contours are unremarkable. Again
noted is the opacity in the right upper lobe. This is unchanged.
There is no opacity in the left lower lobe.
.
Discharge labs:
[**2164-2-10**] 05:15AM BLOOD WBC-68.9* RBC-2.77* Hgb-8.6* Hct-25.4*
MCV-92 MCH-31.1 MCHC-33.8 RDW-17.8* Plt Ct-170
[**2164-2-10**] 05:15AM BLOOD Glucose-112* UreaN-40* Creat-0.9 Na-138
K-4.4 Cl-105 HCO3-25 AnGap-12
[**2164-2-8**] 05:10AM BLOOD Albumin-3.0* Calcium-8.3* Phos-3.4 Mg-2.4

Brief Hospital Course:
81y/o M with a PMH of moderate-sever COPD and non-small cell
lung cancer on chemotherapy with Alimta (last given on [**1-31**]) who
presented with a 2 day history of worsening dyspnea. He had been
in his usual state of health (sats 90's on 2.5L NC at home) when
he became more acutely SOB.
.
In the ED, initial vitals: T 98.7, HR 109, BP 137/67, RR 24, O2
100% NRB. He received levofloxacin 750 mg IV, Vancomycin 1g IV,
Ceftriaxone 1g IV, Solu-medrol 125mg IV, 1 LNS. He required
near-continuous Albuterol and Atrovent nebs, RR increased to 50s
when off neb treatment. He was placed on NIPPV 8/5/100 with
improvement in RR to 20s and sat 97%. He was admitted to the
MICU
.
In the ICU, he was gradually weaned off bipap and back down to
his home 2.5L NC with sats in the 89-91 range. Patient
symptomatically felt better. A chest X-ray showed RUL infiltrate
consistent with pneumonia. He continued solumedrol and Abx were
tapered to levaquin alone. In setting of steroids, he also had
FSBS to 470-493 and recived 36 units humalog with FS returning
to 200's.
.
He was called out to general medical floor on [**2-8**]. On floor he
had an episode of tachycardia to 130's, EKG showed new onset
atrial fibrillation. He was started on metoprolol with
improvement in heart rate to 80's. He was switched to diltiazem
and subsequently (~8 hours after episode started) converted to
normal sinus rhythm. After discussing risks vs benefits of
anti-coagulation with patient, he was started on full dose
aspirin.
.
He subsequently developed watery guaiac negative diarrhea, ~4
episodes daily. This combined with rising leukocytosis
(20-->60K) and recent quinolone exposure was initially
concerning for C Diff, but stool was negative for toxin.
Diarrhea was imprving at discharge therefore this was attributed
to side effect of the antibiotics.
.
His respiratory status returned to baseline. He was discharged
on a steroid taper. He was also discharge with Humalog insulin
to be administered per sliding scale until sugars returned to
baseline, had been 300-400's after steroids were intiated.

Medications on Admission:
ALBUTEROL 90MCG Aerosol 2 puff Q 4 PRN
Citalopram 40 mg Tablet daily
Dexamethasone 4 mg Tablet [**Hospital1 **]  with chemotherapy
Fluticasone-Salmeterol 100 mcg-50 mcg [**Hospital1 **]
Folic Acid 1 mg daily
Ipratropium-Albuterol 0.5 mg-2.5 mg/3 mL Neb Q4
Latanoprost [Xalatan] 0.005 % Drops QHS
Nitroglycerin 0.3 mg Tablet, Sublingual PRN
Prochlorperazine Maleate 10mg q8
Zolpidem 5 mg Tablet QHS PRN
Calcium Carbonate 500 mg Tablet [**Hospital1 **]
Multivitamin daily
Omeprazole 20mg [**Hospital1 **]


Discharge Medications:
1. Albuterol 90 mcg/Actuation Aerosol Sig: [**11-25**]  Inhalation every
four (4) hours as needed for shortness of breath or wheezing.
2. Citalopram 20 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).

3. Fluticasone-Salmeterol 250-50 mcg/Dose Disk with Device Sig:
One (1) Disk with Device Inhalation [**Hospital1 **] (2 times a day).
4. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

5. Combivent 18-103 mcg/Actuation Aerosol Sig: One (1)
Inhalation every four (4) hours as needed for shortness of
breath or wheezing.
6. Latanoprost 0.005 % Drops Sig: One (1) Drop Ophthalmic HS (at
bedtime).
7. Nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1)
Sublingual as needed as needed for chest pain.
8. Prochlorperazine Maleate 10 mg Tablet Sig: One (1) Tablet PO
every eight (8) hours as needed for nausea.
9. Ambien 5 mg Tablet Sig: One (1) Tablet PO at bedtime as
needed for insomnia.
10. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)
Tablet, Chewable PO BID (2 times a day).
11. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY
(Daily).
12. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO BID (2 times a day).
13. Levofloxacin 500 mg Tablet Sig: 1.5 Tablets PO DAILY (Daily)
for 2 days: Take 750mg on [**2-11**] and [**2-12**].
Disp:*3 Tablet(s)* Refills:*0*
14. Diltia XT 120 mg Capsule,Degradable Cnt Release Sig: One (1)
Capsule,Degradable Cnt Release PO once a day.
Disp:*30 Capsule,Degradable Cnt Release(s)* Refills:*0*
15. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*0*
16. Prednisone 10 mg Tablet Sig: Four (4) Tablet PO once a day
for 1 days: On [**2-11**].
Disp:*4 Tablet(s)* Refills:*0*
17. Prednisone 10 mg Tablet Sig: Three (3) Tablet PO once a day
for 2 days: Take on [**2-12**] and [**2-13**].
Disp:*6 Tablet(s)* Refills:*0*
18. Prednisone 10 mg Tablet Sig: Two (2) Tablet PO once a day
for 2 days: take on [**2-14**] and [**2-15**].
Disp:*4 Tablet(s)* Refills:*0*
19. Prednisone 10 mg Tablet Sig: One (1) Tablet PO once a day
for 2 days: take on [**2-16**] and [**2-17**].
Disp:*2 Tablet(s)* Refills:*0*
20. GlucoLab     Kit Sig: One (1)  Miscellaneous once a day.
Disp:*1 unit* Refills:*0*
21. Lancets,Ultra Thin     Misc Sig: qs qs for 14 days of QID
finger sticks Miscellaneous once a day.
Disp:*qs (14 days of QID testing) * Refills:*0*
22. Insulin Aspart 100 unit/mL Solution Sig: as dir
Subcutaneous four times a day: Please administer insulin prior
to breakfast, lunch, dinner and at bedtime per sliding scale.
Disp:*qs (14 days) * Refills:*0*
23. Insulin Syringes (Disposable) 1 mL   Syringe Sig: Sixty (60)
 Miscellaneous four times a day.
Disp:*qs (14 days) * Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Location (un) 86**] VNA

Discharge Diagnosis:
Primary:
Community acquired pneumonia, bacterial
Chronic Obstructive Pulmonary Disease
Atrial fibrillation, new onset
.
Secondary:
Non-small Cell Lung Cancer, metastatic
Hypertension


Discharge Condition:
Hemodynamically stable and afebrile. Baseline oxygen sats of 95%
on 2.5L.


Discharge Instructions:
You were admitted to the hospital with shortness of breath and
found to have a pneumonia. You were treated with antibiotics and
steroids and your breathing improved.

You also had an episode of a fast, irregular heart rhythm called
atrial fibrillation and were started on a new medication to
control your heart rate.

The following changes were made to your medications:
1) START diltiazem 120mg XR daily
2) START levofloxacin until [**2164-6-13**]
3) START aspirin 325mg daily
4) START prednisone taper 40mg on [**6-16**]; prednisone 30mg on
[**8-17**]; prednisone 20mg [**6-15**], [**6-16**]; prednisone 10mg [**6-17**],
[**6-18**]
5) Insulin as directed below
.
Your blood sugars have been elevated while the hospital,
probably due to the steroids you have been taking. You will need
to monitor your blood sugars four times daily and administer
insulin as directed.

Please call your PCP or return to the emergency department if
you experience increased shortness of breath, chest pain, low
oxygen levels, diarrhea, abdominal pain or any other symptoms
that are concerning to you.

Followup Instructions:
The following appointments have been made for you:

Provider: [**First Name4 (NamePattern1) 1575**] [**Last Name (NamePattern1) 1576**], MD Phone:[**Telephone/Fax (1) 1579**]
Date/Time:[**2164-2-20**] 9:10
Provider: [**Known firstname **] [**Last Name (NamePattern1) 593**], MD Phone:[**0-0-**]
Date/Time:[**2164-2-21**] 9:00
Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 10384**], RN Phone:[**Telephone/Fax (1) 22**]
Date/Time:[**2164-2-21**] 10:00

It is important that you attend all appointments as scheduled.



Completed by:[**2164-2-10**]
{'Bacterial pneumonia, unspecified,Acute respiratory failure,Malignant neoplasm of lower lobe, bronchus or lung,Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb,Other and unspecified coagulation defects,Atrial fibrillation,Diarrhea,Chronic airway obstruction, not elsewhere classified,Thoracic aneurysm without mention of rupture,Coronary atherosclerosis of native coronary artery,Old myocardial infarction,Other abnormal glucose,Adrenal cortical steroids causing adverse effects in therapeutic use,Eosinophilia,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Anemia in neoplastic disease,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Depressive disorder, not elsewhere classified,Family history of malignant neoplasm of breast,Family history of malignant neoplasm of trachea, bronchus, and lung'}


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

PRESENT ILLNESS: The patient is an 81y/o M with a PMH of non-small cell lung
cancer on chemotherapy with Alimta last given on [**1-31**],
presenting with 2 day history of worsening dyspnea. He reports
minimal cough with white sputum. He is on 2.5L home O2,
increased today to 3L. Recently admitted to MICU on [**4-1**]
with respiratory distress secondary to COPD exacerbation. He was
recently evaluated by Pulmonary as an outpatient and was started
on Advair.
.
In the ED, initial vitals: T 98.7, HR 109, BP 137/67, RR 24, O2
100% NRB. he was given levofloxacin 750 mg IV, Vancomycin 1g IV,
Ceftriaxone 1g IV, Solu-medrol 125mg IV, 1 LNS given. He
required near-continuous Albuterol and Atrovent nebs, RR
increased to 50s when off neb treatment. He was placed on NIPPV
8/5/100 with improvement in RR to 20s and sat 97%.

MEDICAL HISTORY: 1) CAD s/p MI in [**2140**] by EKG diagnosis, no admission, no
symptoms, ETT/MIBI [**2159**] showing partially reversible defect in
RCA distribution. No interventions performed.
2) HTN
3) Hyperlipidemia
4) COPD
5) DJD
6) Thoracic artery aneursym, stable
7) Nonsmall cell lung cancer (see below)

MEDICATION ON ADMISSION: ALBUTEROL 90MCG Aerosol 2 puff Q 4 PRN
Citalopram 40 mg Tablet daily
Dexamethasone 4 mg Tablet [**Hospital1 **]  with chemotherapy
Fluticasone-Salmeterol 100 mcg-50 mcg [**Hospital1 **]
Folic Acid 1 mg daily
Ipratropium-Albuterol 0.5 mg-2.5 mg/3 mL Neb Q4
Latanoprost [Xalatan] 0.005 % Drops QHS
Nitroglycerin 0.3 mg Tablet, Sublingual PRN
Prochlorperazine Maleate 10mg q8
Zolpidem 5 mg Tablet QHS PRN
Calcium Carbonate 500 mg Tablet [**Hospital1 **]
Multivitamin daily
Omeprazole 20mg [**Hospital1 **]

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VS: 96.8 120/69 94 97% on 2.5L
GEN: elderly male in NAD with slightly labored breathing,
although he feels comfortable, awake, alert
HEENT: EOMI, PERRL, sclera anicteric, conjunctivae clear, OP
moist and without lesion
NECK: Supple, no JVD
CV: irregularly irregular, normal S1, S2. No m/r/g.
CHEST: scarce wheezes, diminished breath sounds throughout
ABD: Soft, NT, ND, no HSM
EXT: No c/c/e
SKIN: No rash

FAMILY HISTORY: Father died at age 43 of unknown causes.
Mother died of breast cancer complications at age 53.
Sister had breast cancer and lung cancer and died at age 80

SOCIAL HISTORY: He lives in [**Location 3146**]. He is married and has a daughter and a son.
[**Name (NI) **] has two grandchildren. He is here today with his wife & son.
[**Name (NI) **] smoked for at least 50 years, stopped smoking 3-4 years ago.
He drinks occasional alcohol. He used to work as a carpenter, it
is unclear if he has had asbestos exposure. 

### Response:
{'Bacterial pneumonia, unspecified,Acute respiratory failure,Malignant neoplasm of lower lobe, bronchus or lung,Secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb,Other and unspecified coagulation defects,Atrial fibrillation,Diarrhea,Chronic airway obstruction, not elsewhere classified,Thoracic aneurysm without mention of rupture,Coronary atherosclerosis of native coronary artery,Old myocardial infarction,Other abnormal glucose,Adrenal cortical steroids causing adverse effects in therapeutic use,Eosinophilia,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Anemia in neoplastic disease,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Depressive disorder, not elsewhere classified,Family history of malignant neoplasm of breast,Family history of malignant neoplasm of trachea, bronchus, and lung'}
