CHIEF COMPLAINT: Shortness of breath and palpitations.

PRESENT ILLNESS: 51 y/o gentleman with morbid obesity, HTN, lymphedema, who
presents with new onset atrial fibrillation.  The patient
recently was hospitalized in late [**Month (only) **] after a fall and right
lower extremity pain.  He was discharged to [**Hospital1 **] and went home
one week ago.  He saw his PCP two days ago and found to have
wheezing.  That evening he developed shortness of breath.
Yesterday he developed worsening shortness of breath at around
10 AM which limited his walking to approx [**10-7**] steps.  He was
able to walk 0.5 miles without limitation approx 3 days ago.
Yesterday patient also experienced palpitations.  His visiting
nurse was concerned and recommended that patient comes to ED.
.
On review of systems, he denies any prior history of stroke,
TIA, deep venous thrombosis, pulmonary embolism, bleeding at the
time of surgery, myalgias, joint pains, cough, hemoptysis, black
stools or red stools. He denies recent fevers.  Patient has
experienced chills overnight.  All of the other review of
systems were negative.
.
Cardiac review of systems is notable for absence of chest pain,
syncope or presyncope.
.
In the ED, initial vitals were T 96.5  BP 93/38  HR 144  RR 22
96% RA.  Patient recieved 10 mg IV dilt, 3L NS, cipro 400 mg IV
x1, flagyl 500 mg IV x 1, Zofran IV 4 mg x2, Kayaxelate 30 ml PO
x 1.  He also recieved Ipratropium neb x 1.  His HR improved to
80-90s.  He was also started on heparin gtt.

MEDICAL HISTORY: Hypertension
Obesity, Gastric bypass [**2152**] c/b ventral hernia s/p multiple
repairs
Depression
MVA - remote, with fracture right upper extremity, s/p ORIF
Cellulitis
Chronic right lower extremity cellulitis and lymphedema

MEDICATION ON ADMISSION: -Cholecalciferol (Vitamin D3) 1,000 unit Tab 1 daily
-Calcium Citrate twice a day
-Multivitamins Chewable a day
-Atenolol 25 mg once a day
-lasix 40 mg once a day
-Lisinopril 10 mg once a day
-Omeprazole 20 mg once a day
-Vitamin B-12 1,000 mcg once a day
-tramadol 50 mg [**12-25**] Q6 hours PRN
-Docusate Sodium 100 mg twice a day
-Ferrous Sulfate 325 mg daily
-Gabapentin 800 mg three times a day
-lidocaine 5 % (700 mg/patch) Adhesive Patch every 12 hours
.

ALLERGIES: Adhesive Tape / Ibuprofen

PHYSICAL EXAM: VS: T=97.3  BP=121/92  HR=96  RR=14 O2 sat= 98% in 3LNC
GENERAL: Pleasant gentleman in NAD. Oriented x3. Mood, affect
appropriate.  Morbidly obese.
HEENT: NCAT. Sclera anicteric. EOMI. Conjunctiva were pink, no
pallor or cyanosis of the oral mucosa. No xanthalesma.
NECK: Supple with JVP of 8 cm.
CARDIAC: normal S1, S2 irregularly irregular.
LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp
were unlabored, no accessory muscle use. CTAB, no crackles,
wheezes or rhonchi.
ABDOMEN: Soft, ND. Mild tenderness in periumblical area.
EXTREMITIES:  2+ BLE pitting edema, darkened skin in RLE.

FAMILY HISTORY: Lung CA in mother and father, both were smokers, and both died
of this, his mother at age 39.  His sister has ovarian ca. His
father also had gout.

SOCIAL HISTORY: Non-smoker. Denies EtOH or drug use. Patient is on disability.
Lives by himself in an apartment in [**Location (un) 86**].
Atrial fibrillation,Cellulitis and abscess of leg, except foot,Unspecified essential hypertension,Depressive disorder, not elsewhere classified,Morbid obesity,Bariatric surgery status,Hyperpotassemia
Atrial fibrillation,Cellulitis of leg,Hypertension NOS,Depressive disorder NEC,Morbid obesity,Bariatric surgery status,Hyperpotassemia
Admission Date:  [**2162-9-9**]              Discharge Date:   [**2162-9-12**]

Date of Birth:  [**2110-10-11**]             Sex:   M

Service: MEDICINE

Allergies:
Adhesive Tape / Ibuprofen

Attending:[**First Name3 (LF) 425**]
Chief Complaint:
Shortness of breath and palpitations.

Major Surgical or Invasive Procedure:
none


History of Present Illness:
51 y/o gentleman with morbid obesity, HTN, lymphedema, who
presents with new onset atrial fibrillation.  The patient
recently was hospitalized in late [**Month (only) **] after a fall and right
lower extremity pain.  He was discharged to [**Hospital1 **] and went home
one week ago.  He saw his PCP two days ago and found to have
wheezing.  That evening he developed shortness of breath.
Yesterday he developed worsening shortness of breath at around
10 AM which limited his walking to approx [**10-7**] steps.  He was
able to walk 0.5 miles without limitation approx 3 days ago.
Yesterday patient also experienced palpitations.  His visiting
nurse was concerned and recommended that patient comes to ED.
.
On review of systems, he denies any prior history of stroke,
TIA, deep venous thrombosis, pulmonary embolism, bleeding at the
time of surgery, myalgias, joint pains, cough, hemoptysis, black
stools or red stools. He denies recent fevers.  Patient has
experienced chills overnight.  All of the other review of
systems were negative.
.
Cardiac review of systems is notable for absence of chest pain,
syncope or presyncope.
.
In the ED, initial vitals were T 96.5  BP 93/38  HR 144  RR 22
96% RA.  Patient recieved 10 mg IV dilt, 3L NS, cipro 400 mg IV
x1, flagyl 500 mg IV x 1, Zofran IV 4 mg x2, Kayaxelate 30 ml PO
x 1.  He also recieved Ipratropium neb x 1.  His HR improved to
80-90s.  He was also started on heparin gtt.

Past Medical History:
Hypertension
Obesity, Gastric bypass [**2152**] c/b ventral hernia s/p multiple
repairs
Depression
MVA - remote, with fracture right upper extremity, s/p ORIF
Cellulitis
Chronic right lower extremity cellulitis and lymphedema

Social History:
Non-smoker. Denies EtOH or drug use. Patient is on disability.
Lives by himself in an apartment in [**Location (un) 86**].


Family History:
Lung CA in mother and father, both were smokers, and both died
of this, his mother at age 39.  His sister has ovarian ca. His
father also had gout.

Physical Exam:
VS: T=97.3  BP=121/92  HR=96  RR=14 O2 sat= 98% in 3LNC
GENERAL: Pleasant gentleman in NAD. Oriented x3. Mood, affect
appropriate.  Morbidly obese.
HEENT: NCAT. Sclera anicteric. EOMI. Conjunctiva were pink, no
pallor or cyanosis of the oral mucosa. No xanthalesma.
NECK: Supple with JVP of 8 cm.
CARDIAC: normal S1, S2 irregularly irregular.
LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp
were unlabored, no accessory muscle use. CTAB, no crackles,
wheezes or rhonchi.
ABDOMEN: Soft, ND. Mild tenderness in periumblical area.
EXTREMITIES:  2+ BLE pitting edema, darkened skin in RLE.

Pertinent Results:
[**2162-9-9**] 01:00PM BLOOD WBC-11.3*# RBC-4.15* Hgb-9.9* Hct-33.3*
MCV-80* MCH-24.0* MCHC-29.9* RDW-17.4* Plt Ct-488*#
[**2162-9-10**] 02:00AM BLOOD WBC-11.1* RBC-3.52* Hgb-8.8* Hct-27.6*
MCV-78* MCH-25.0* MCHC-32.0 RDW-17.7*
[**2162-9-11**] 05:40AM BLOOD WBC-9.7 RBC-3.88* Hgb-9.4* Hct-30.6*
MCV-79* MCH-24.2* MCHC-30.7* RDW-17.9*
[**2162-9-9**] 01:00PM BLOOD Neuts-80.3* Lymphs-13.3* Monos-4.9
Eos-0.9 Baso-0.5
[**2162-9-10**] 02:00AM BLOOD Neuts-77.5* Lymphs-13.4* Monos-7.4
Eos-1.3 Baso-0.4
[**2162-9-11**] 05:40AM BLOOD Neuts-76* Bands-5 Lymphs-10* Monos-6
Eos-3 Baso-0 Atyps-0 Metas-0 Myelos-0
[**2162-9-11**] 05:40AM BLOOD Hypochr-2+ Anisocy-NORMAL
Poiklo-OCCASIONAL Macrocy-NORMAL Microcy-2+ Polychr-NORMAL
[**2162-9-9**] 01:00PM BLOOD PT-15.3* PTT-26.2 INR(PT)-1.3*
[**2162-9-10**] 02:00AM BLOOD PT-16.1* PTT-47.5* INR(PT)-1.4*
[**2162-9-11**] 05:40AM BLOOD PT-16.1* PTT-69.5* INR(PT)-1.4*
[**2162-9-12**] 05:23AM BLOOD PT-20.0* PTT-90.4* INR(PT)-1.8*
[**2162-9-9**] 01:00PM BLOOD Glucose-121* UreaN-14 Creat-0.8 Na-138
K-5.6* Cl-102 HCO3-25 AnGap-17
[**2162-9-10**] 02:00AM BLOOD Glucose-107* UreaN-14 Creat-0.8 Na-143
K-5.0 Cl-108 HCO3-25 AnGap-15
[**2162-9-11**] 05:40AM BLOOD Glucose-104 UreaN-12 Creat-0.8 Na-141
K-3.9 Cl-105 HCO3-27 AnGap-13
[**2162-9-12**] 05:23AM BLOOD Glucose-101 UreaN-10 Creat-0.8 Na-140
K-3.6 Cl-103 HCO3-26 AnGap-15
[**2162-9-9**] 01:00PM BLOOD ALT-12 AST-14 CK(CPK)-24* AlkPhos-114
[**2162-9-10**] 02:00AM BLOOD CK(CPK)-31*
[**2162-9-9**] 01:00PM BLOOD CK-MB-NotDone cTropnT-<0.01
[**2162-9-9**] 01:00PM BLOOD Calcium-9.2 Phos-3.5 Mg-2.2
[**2162-9-10**] 02:00AM BLOOD Calcium-8.6 Phos-4.0 Mg-2.1
[**2162-9-11**] 05:40AM BLOOD Calcium-8.6 Phos-3.4 Mg-2.0
[**2162-9-12**] 05:23AM BLOOD Calcium-8.7 Phos-3.2 Mg-1.9
[**2162-9-9**] 01:00PM BLOOD TSH-2.0
[**2162-9-9**] 01:00PM BLOOD ASA-NEG Acetmnp-NEG Bnzodzp-NEG
Barbitr-NEG Tricycl-NEG
[**2162-9-9**] 01:07PM BLOOD Lactate-2.6*
[**2162-9-9**] 11:45PM URINE bnzodzp-NEG barbitr-NEG opiates-POS
cocaine-NEG amphetm-NEG mthdone-NEG
[**2162-9-9**] 10:20PM URINE RBC-167* WBC-0 Bacteri-NONE Yeast-NONE
Epi-0
[**2162-9-9**] 10:20PM URINE Blood-MOD Nitrite-NEG Protein-30
Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-4* pH-6.5 Leuks-NEG
[**2162-9-9**] 10:20PM URINE Color-Yellow Appear-Clear Sp [**Last Name (un) **]->1.050*
.
Urine culture [**9-9**] x2 - neg
Blood culture [**9-9**] x3 - neg
.
CT abd/pelv and CTA chest [**2162-9-9**]:
1. No pulmonary embolism identified.
2. Large fluid collection surrounding a hernia mesh within the
ventral
abdominal wall. Though this could reflect a postoperative
seroma,
superinfection cannot be excluded.
.
CXR portable [**2162-9-9**]:
The cardiomediastinal silhouette is unchanged. The
widened superior mediastinum is compatible with the known
mediastinal
lipomatosis. There is linear atelectasis in the right middle
lung field. No
focal consolidation is noted. The pulmonary vasculature and
hilar contours
are otherwise unremarkable. The degenerative changes are noted
in the
underlying thoracolumbar spine.
IMPRESSION: No acute intrathoracic process.
.
TTE [**2162-9-10**]:
The left atrium is mildly dilated. There is mild symmetric left
ventricular hypertrophy. The left ventricular cavity size is
normal. Due to suboptimal technical quality, a focal wall motion
abnormality cannot be fully excluded. Overall left ventricular
systolic function is normal (LVEF 60%). There is no ventricular
septal defect. Right ventricular chamber size and free wall
motion are normal. The aortic root is moderately dilated at the
sinus level. The aortic arch is moderately dilated. There are
focal calcifications in the aortic arch. The aortic valve
leaflets (3) appear structurally normal with good leaflet
excursion and no aortic regurgitation. The mitral valve appears
structurally normal with trivial mitral regurgitation. There is
no mitral valve prolapse. There is mild pulmonary artery
systolic hypertension. There is no pericardial effusion.
.
Abd Xray supine and erect [**2162-9-11**]:
A nonspecific bowel gas pattern is visualized. Surgical clips
are
present, consistent with recent surgery.
.
Labs upon discharge:


Brief Hospital Course:
Mr. [**Known lastname **] is a 51 year old gentleman with a past medical
history of morbid obesity, hypertension, and lymphedema, who
presents with symptomatic new onset atrial fibrillation. On
[**9-12**], Mr. [**Known lastname **] was discharged from [**Hospital1 771**] in good condition, with stable vital
signs, and with appropriate outpatient follow-up care arranged.
Mr. [**Known lastname 105797**] hospital course was notable for:
.
# atrial fibrillation- The patient was seen and evaluated for
new-onset atrial fibrillation. He was admitted to the hospital
and monitored on telemetry. The precipitant of this episode was
not clear. He was started on Metoprolol XL 200 mg daily and
discharged on this medication. During his hospitalization Mr.
[**Known lastname **] remained intermittently in this rhythm. During episodes
when he was in this rhythm he was asymptomatic, denying chest
pain, chest discomfort, palpitations, and shortness of breath.
Cardioversion was discussed but was deferred since the patient
was never symptomatic.
.
#Anticoagulation- Due to new onset atrial fibrillation, upon
admission Mr. [**Known lastname **] was started on a Heparin drip, and oral
coumadin. He was discharged with a prescription for Coumadin and
with follow-up arranged at the [**Hospital1 **]
[**Hospital3 **]. The patient also received 81 mg aspirin
daily while in the hospital.
.
#Abdominal pain- While hospitalized, on a few occasions Mr.
[**Known lastname **] complained of abdominal pain, focused around the area of
his ventral hernia repair. A thorough evaluation, including
consultation with gastrointestinal surgery, revealed that the
patient had a seroma, which was stable and unlikely to be
infected.  He was briefly started on Ciprofloxacin and Flagyl
for concern of possible infection, but these medications were
discontinued shortly thereafter. His fever curve was trended
carefully, as was his white blood cell count. The patient
remained afebrile and his leukocytosis upon admission resolved
spontaneously.
.
# Hyperkalemia: On admission the patient was noted to have a
serum potassium of 5.6. He was given Kayexelate in the Emergency
Department, and his hyperkalemia resolved. His serum potassium
was checked daily during his hospitalization, and he was placed
on telemetry, and the patient was normokalemic thereafter.
.
On [**9-12**], the patient's symptoms had resolved and he was
discharged to his facility of residence, in good condition, with
stable vital signs, and with appropriate outpatient follow-up
care arranged. The following medication changes were made:
START Metoprolol XL 200 mg daily
STOP Atenolol
START Warfarin (Coumadin) 5 mg daily


Medications on Admission:
-Cholecalciferol (Vitamin D3) 1,000 unit Tab 1 daily
-Calcium Citrate twice a day
-Multivitamins Chewable a day
-Atenolol 25 mg once a day
-lasix 40 mg once a day
-Lisinopril 10 mg once a day
-Omeprazole 20 mg once a day
-Vitamin B-12 1,000 mcg once a day
-tramadol 50 mg [**12-25**] Q6 hours PRN
-Docusate Sodium 100 mg twice a day
-Ferrous Sulfate 325 mg daily
-Gabapentin 800 mg three times a day
-lidocaine 5 % (700 mg/patch) Adhesive Patch every 12 hours
.

Discharge Medications:
1. Tramadol 50 mg Tablet Sig: 1-2 Tablets PO every six (6) hours
as needed for pain.
2. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO DAILY (Daily).
3. Ferrous Sulfate 325 mg (65 mg Iron) Tablet Sig: One (1)
Tablet PO DAILY (Daily).
4. Multivitamin     Tablet Sig: One (1) Tablet PO DAILY (Daily).

5. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable
PO DAILY (Daily).
Disp:*30 Tablet, Chewable(s)* Refills:*2*
6. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr
Sig: Two (2) Tablet Sustained Release 24 hr PO DAILY (Daily).
Disp:*60 Tablet Sustained Release 24 hr(s)* Refills:*2*
7. Cholecalciferol (Vitamin D3) 1,000 unit Tablet Sig: One (1)
Tablet PO once a day.
8. Calcium Citrate 200 mg (950 mg) Tablet Sig: One (1) Tablet PO
twice a day.
9. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO once a day.
10. Vitamin B-12 1,000 mcg Tablet Sig: One (1) Tablet PO once a
day.
11. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO twice
a day.
12. Gabapentin 800 mg Tablet Sig: One (1) Tablet PO three times
a day.
13. Outpatient Lab Work
Please check INR on monday, [**2162-9-13**].  Please forward the results
to Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], telephone [**Telephone/Fax (1) 1247**], fax
[**Telephone/Fax (1) 3382**].
14. Warfarin 5 mg Tablet Sig: One (1) Tablet PO Once Daily at 4
PM.
Disp:*30 Tablet(s)* Refills:*3*
15. Furosemide 20 mg Tablet Sig: One (1) Tablet PO once a day.


Discharge Disposition:
Home With Service

Facility:
Art of care

Discharge Diagnosis:
Primary Diagnosis:
New-onset atrial fibrillation

Secondary Diagnoses:
Hypertension
Obesity
Depression
Chronic right lower extremity cellulitis and lymphedema


Discharge Condition:
stable and improved


Discharge Instructions:
You were admitted to the hospital with an abnormal heart rhythm
called atrial fibrillation.  You received medication to slow
your heart rate down and a medication to prevent blood clots
from forming in your heart.  You were initially monitored in the
ICU, you did well, and were transferred to the floor, and
continued to do well.  You are being discharged with the
following medication changes:
START Metoprolol XL 200 mg daily
STOP Atenolol
START Warfarin (Coumadin) 5 mg daily
Warfarin thins your blood.  Your VNA needs to draw INR (blood
thinning level) on Monday and forward the result to Dr.[**Last Name (STitle) **].
He will make the necessary changes to the Wafarin dose.
.
If you experience any chest pain, worsening shortness of breath,
dizziness or other concerning symptoms, please return to the
hospital or call your PCP, [**Last Name (NamePattern4) **]. [**Last Name (STitle) **] at [**Telephone/Fax (1) 250**].
.

Followup Instructions:
Dr.[**Doctor Last Name 35583**] office is arranging a follow-up appointment for
you.  You will be contact[**Name (NI) **] with the date and time of the
appointment.  If you do not hear from them within the next few
days, please call his office at [**Telephone/Fax (1) 62**] to make an
appointment.
.
Please call to make an appointment to see your PCP [**Last Name (NamePattern4) **]. [**Last Name (STitle) **]
([**Telephone/Fax (1) 250**]) within one week.  He will specifically need to
follow-up on your INR (which measures your coumadin levels) that
will be drawn by VNA on monday.
.

[**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 2967**], RNC Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2162-10-8**] 9:10

[**Hospital 6800**] CLINIC Phone:[**Telephone/Fax (1) 253**] Date/Time:[**2162-10-27**] 9:00

[**First Name11 (Name Pattern1) 354**] [**Last Name (NamePattern4) 3013**], M.D. Phone:[**Telephone/Fax (1) 253**] Date/Time:[**2162-10-27**] 9:30
{'Atrial fibrillation,Cellulitis and abscess of leg, except foot,Unspecified essential hypertension,Depressive disorder, not elsewhere classified,Morbid obesity,Bariatric surgery status,Hyperpotassemia'}


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 and palpitations.

PRESENT ILLNESS: 51 y/o gentleman with morbid obesity, HTN, lymphedema, who
presents with new onset atrial fibrillation.  The patient
recently was hospitalized in late [**Month (only) **] after a fall and right
lower extremity pain.  He was discharged to [**Hospital1 **] and went home
one week ago.  He saw his PCP two days ago and found to have
wheezing.  That evening he developed shortness of breath.
Yesterday he developed worsening shortness of breath at around
10 AM which limited his walking to approx [**10-7**] steps.  He was
able to walk 0.5 miles without limitation approx 3 days ago.
Yesterday patient also experienced palpitations.  His visiting
nurse was concerned and recommended that patient comes to ED.
.
On review of systems, he denies any prior history of stroke,
TIA, deep venous thrombosis, pulmonary embolism, bleeding at the
time of surgery, myalgias, joint pains, cough, hemoptysis, black
stools or red stools. He denies recent fevers.  Patient has
experienced chills overnight.  All of the other review of
systems were negative.
.
Cardiac review of systems is notable for absence of chest pain,
syncope or presyncope.
.
In the ED, initial vitals were T 96.5  BP 93/38  HR 144  RR 22
96% RA.  Patient recieved 10 mg IV dilt, 3L NS, cipro 400 mg IV
x1, flagyl 500 mg IV x 1, Zofran IV 4 mg x2, Kayaxelate 30 ml PO
x 1.  He also recieved Ipratropium neb x 1.  His HR improved to
80-90s.  He was also started on heparin gtt.

MEDICAL HISTORY: Hypertension
Obesity, Gastric bypass [**2152**] c/b ventral hernia s/p multiple
repairs
Depression
MVA - remote, with fracture right upper extremity, s/p ORIF
Cellulitis
Chronic right lower extremity cellulitis and lymphedema

MEDICATION ON ADMISSION: -Cholecalciferol (Vitamin D3) 1,000 unit Tab 1 daily
-Calcium Citrate twice a day
-Multivitamins Chewable a day
-Atenolol 25 mg once a day
-lasix 40 mg once a day
-Lisinopril 10 mg once a day
-Omeprazole 20 mg once a day
-Vitamin B-12 1,000 mcg once a day
-tramadol 50 mg [**12-25**] Q6 hours PRN
-Docusate Sodium 100 mg twice a day
-Ferrous Sulfate 325 mg daily
-Gabapentin 800 mg three times a day
-lidocaine 5 % (700 mg/patch) Adhesive Patch every 12 hours
.

ALLERGIES: Adhesive Tape / Ibuprofen

PHYSICAL EXAM: VS: T=97.3  BP=121/92  HR=96  RR=14 O2 sat= 98% in 3LNC
GENERAL: Pleasant gentleman in NAD. Oriented x3. Mood, affect
appropriate.  Morbidly obese.
HEENT: NCAT. Sclera anicteric. EOMI. Conjunctiva were pink, no
pallor or cyanosis of the oral mucosa. No xanthalesma.
NECK: Supple with JVP of 8 cm.
CARDIAC: normal S1, S2 irregularly irregular.
LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp
were unlabored, no accessory muscle use. CTAB, no crackles,
wheezes or rhonchi.
ABDOMEN: Soft, ND. Mild tenderness in periumblical area.
EXTREMITIES:  2+ BLE pitting edema, darkened skin in RLE.

FAMILY HISTORY: Lung CA in mother and father, both were smokers, and both died
of this, his mother at age 39.  His sister has ovarian ca. His
father also had gout.

SOCIAL HISTORY: Non-smoker. Denies EtOH or drug use. Patient is on disability.
Lives by himself in an apartment in [**Location (un) 86**]. 

### Response:
{'Atrial fibrillation,Cellulitis and abscess of leg, except foot,Unspecified essential hypertension,Depressive disorder, not elsewhere classified,Morbid obesity,Bariatric surgery status,Hyperpotassemia'}
