CHIEF COMPLAINT: Fever/rash

PRESENT ILLNESS: Mr. [**Known lastname **] is a 30 y/o man w/ h/o refractory Hodgkin's lymphoma
s/p reduced intensity non-myeloablative MUD transplant [**2146-6-27**]
who was discharged the day prior to admission and who now
returns with fever and diarrhea. Mr. [**Known lastname **] was recently admitted
on the BMT service from [**9-6**] to [**9-10**] with a fever and a new
morbilliform rash. No infectious source for his fevers was
identified (chest CT was done as well as urine/blood cx NGTD;
CMV VL is still pending). He was treated empirically with
Linezolid (red man reaction with Vancomycin and allergy to
Cefepime) initially and then Abx were changed to Levofloxacin.
During his last admission, his temperature never exceeded 100.6.
He defervesced and was discharged home after being afebrile x 24
hous. Dermatology was consulted for the rash, and it was felt to
be GVHD. He was discharged on triamcinolone cream, oral
prednisone 60mg, and levofloxacin.
The evening of discharge he developed low-grade fever at home,
but then spiked to over 102 overnight. He reports that his rash
has not significantly changed and possibly is less confluent
now. He does report new onset of diarrhea that started on the
evening of discharge from the hospital. He has had 4 loose
watery non-bloody BMs with some abdominal cramping prior to BMs.
He felt weak and tired with fevers, but had no other symtpoms.
Specifically, no abdominal pain. He denies nausea, vomiting,
cough, SOB, rhinorrhea, sore throat, dysuria, headaches,
dysphagia.
In the ED, VS on presentation 101.9 (then fever to 102.2) BP
98/44 (then down to 85/45) HR 130's. Lactate initially 2.3.
Blood cx and urine cx sent. The patient received Zosyn 4.5 mg
IV, Linezolid 600 mg IV, Flagyl 500 mg IV, Solumedrol 125 mg IV,
and Tylenol PO. He was resuscitated with a total of 4L NS with
response in BP.
While on the floorhis BP was bordeline low and a diarrhea w/u
was continued. He was started on TPN on HD #2. His rash was
noted to worsen, solumedrol was added.  Cont on flagyl, zosyn,
bactrim. Flagyl stopped on HD #4. Zosyn then d/c'd but then
restarted on [**9-15**] for fever to 101.4. On day of transfer, pt
with inc cough. CTA peformed and vanco added. Fluconazole
changed to voriconazole. On day of transfer, pt actuely desat'd
to mid 80's but recovered with supplimental oxygen. CTA of chest
done showed bilateral ground glass opacities. Pulm consulted for
? bronchoscopy.
Called by moonlighter at 4:30 am for hypoxia. Pt desatted and
required [**Month/Year (2) 597**]. On [**Name (NI) 597**] pt initally satting in the mid 80's.
Tachycaridic in sinus tach to 140-150's. BP stable. Afebrile.
Given 20 mg IV lasix w/ 700 cc UOP. ABG showed 7.44/33/44. He
was urgently transferred to the [**Hospital Unit Name 153**] for intubation and resp
failure. Pt was intubated with anesthesia present and then was
transiently hypotensive on sedation.

MEDICAL HISTORY: 1. Hodgkin's Lymphoma, nodular sclerosing.
 - Diagnosed [**2144-6-6**].
 - s/p ABVD x4 cycles with good response, then ABVD x2 with poor
response.
 - s/p CEP x2 with poor response.
 - s/p gemcitabine/cisplatin/dexamethasone x3.
 - s/p auto-SCT with Cytoxan [**9-/2145**], with persistent adenopathy
and PET +.
 - s/p XRT to chest wall [**1-/2146**] followed by Rituxan/vinblastine
w/ good response.
 - s/p mini-matched unrelated donor (MUD) allo transplant
[**2146-6-27**] with evidence of disease progression on CT
 - s/p Gemcitabine [**2146-7-21**], last treatment [**8-11**]
 - s/p DLI [**2146-8-25**].

MEDICATION ON ADMISSION: 

ALLERGIES: Cefepime / Vancomycin

PHYSICAL EXAM: Vitals: 99.6, HR 113, 88/44, RR 21-23, AAC 100%, 400 x 20, PEEP
5
Gen: tired ill appearing young man in acute distress
HEENT: pt on [**Name2 (NI) 597**]
Pulm: CTAB. w/ distant BS, no wheezes
CV: regular, nl S1S2, no m/r/g.
Chest: Right Hickman w/o s/sx of infection
Abd: + BS, soft, NT, ND
Ext: 2+ DP, no e/c/c.
Neuro: AAOx3, no focal neuro deficits on gross exam.
Skin: diffuse erythematous rash confluent on chest and back, +
blanching, with discrete macules and papules on extremities,
abdomen, behind ears.

FAMILY HISTORY: He has a stepfather who is unrelated to him who
has non-Hodgkin's lymphoma. Father recently d. lung cancer. His
maternal grandmother with [**Name2 (NI) 499**] cancer and paternal cousin has
pancreatic cancer.

SOCIAL HISTORY: Worked as account manager at hedge fund, on disability now x 1
year. Denies EtOH, tobacco, illicits.
Complications of transplanted bone marrow,Spontaneous tension pneumothorax,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Acute and chronic respiratory failure,Acute pulmonary manifestations due to radiation,Other acute pericarditis,Hypovolemia,Thrombocytopenia, unspecified,Diarrhea,Long-term (current) use of steroids,Late effect of radiation,Radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Emphysema (subcutaneous) (surgical) resulting from procedure
Compl marrow transplant,Spont tens pneumothorax,Oth lymp unsp xtrndl org,Acute & chronc resp fail,Ac pul manif d/t radiat,Acute pericarditis NEC,Hypovolemia,Thrombocytopenia NOS,Diarrhea,Long-term use steroids,Late effect of radiation,Abn react-radiotherapy,Emphysema rsult frm proc
Admission Date:  [**2146-9-10**]              Discharge Date:   [**2146-10-5**]

Date of Birth:  [**2116-6-27**]             Sex:   M

Service: MEDICINE

Allergies:
Cefepime / Vancomycin

Attending:[**First Name3 (LF) 2485**]
Chief Complaint:
Fever/rash

Major Surgical or Invasive Procedure:
Endotracheal intubation, arterial line, bilateral chest tubes

History of Present Illness:
Mr. [**Known lastname **] is a 30 y/o man w/ h/o refractory Hodgkin's lymphoma
s/p reduced intensity non-myeloablative MUD transplant [**2146-6-27**]
who was discharged the day prior to admission and who now
returns with fever and diarrhea. Mr. [**Known lastname **] was recently admitted
on the BMT service from [**9-6**] to [**9-10**] with a fever and a new
morbilliform rash. No infectious source for his fevers was
identified (chest CT was done as well as urine/blood cx NGTD;
CMV VL is still pending). He was treated empirically with
Linezolid (red man reaction with Vancomycin and allergy to
Cefepime) initially and then Abx were changed to Levofloxacin.
During his last admission, his temperature never exceeded 100.6.
He defervesced and was discharged home after being afebrile x 24
hous. Dermatology was consulted for the rash, and it was felt to
be GVHD. He was discharged on triamcinolone cream, oral
prednisone 60mg, and levofloxacin.
The evening of discharge he developed low-grade fever at home,
but then spiked to over 102 overnight. He reports that his rash
has not significantly changed and possibly is less confluent
now. He does report new onset of diarrhea that started on the
evening of discharge from the hospital. He has had 4 loose
watery non-bloody BMs with some abdominal cramping prior to BMs.
He felt weak and tired with fevers, but had no other symtpoms.
Specifically, no abdominal pain. He denies nausea, vomiting,
cough, SOB, rhinorrhea, sore throat, dysuria, headaches,
dysphagia.
In the ED, VS on presentation 101.9 (then fever to 102.2) BP
98/44 (then down to 85/45) HR 130's. Lactate initially 2.3.
Blood cx and urine cx sent. The patient received Zosyn 4.5 mg
IV, Linezolid 600 mg IV, Flagyl 500 mg IV, Solumedrol 125 mg IV,
and Tylenol PO. He was resuscitated with a total of 4L NS with
response in BP.
While on the floorhis BP was bordeline low and a diarrhea w/u
was continued. He was started on TPN on HD #2. His rash was
noted to worsen, solumedrol was added.  Cont on flagyl, zosyn,
bactrim. Flagyl stopped on HD #4. Zosyn then d/c'd but then
restarted on [**9-15**] for fever to 101.4. On day of transfer, pt
with inc cough. CTA peformed and vanco added. Fluconazole
changed to voriconazole. On day of transfer, pt actuely desat'd
to mid 80's but recovered with supplimental oxygen. CTA of chest
done showed bilateral ground glass opacities. Pulm consulted for
? bronchoscopy.
Called by moonlighter at 4:30 am for hypoxia. Pt desatted and
required [**Month/Year (2) 597**]. On [**Name (NI) 597**] pt initally satting in the mid 80's.
Tachycaridic in sinus tach to 140-150's. BP stable. Afebrile.
Given 20 mg IV lasix w/ 700 cc UOP. ABG showed 7.44/33/44. He
was urgently transferred to the [**Hospital Unit Name 153**] for intubation and resp
failure. Pt was intubated with anesthesia present and then was
transiently hypotensive on sedation.

Past Medical History:
1. Hodgkin's Lymphoma, nodular sclerosing.
 - Diagnosed [**2144-6-6**].
 - s/p ABVD x4 cycles with good response, then ABVD x2 with poor
response.
 - s/p CEP x2 with poor response.
 - s/p gemcitabine/cisplatin/dexamethasone x3.
 - s/p auto-SCT with Cytoxan [**9-/2145**], with persistent adenopathy
and PET +.
 - s/p XRT to chest wall [**1-/2146**] followed by Rituxan/vinblastine
w/ good response.
 - s/p mini-matched unrelated donor (MUD) allo transplant
[**2146-6-27**] with evidence of disease progression on CT
 - s/p Gemcitabine [**2146-7-21**], last treatment [**8-11**]
 - s/p DLI [**2146-8-25**].


Social History:
Worked as account manager at hedge fund, on disability now x 1
year. Denies EtOH, tobacco, illicits.


Family History:
He has a stepfather who is unrelated to him who
has non-Hodgkin's lymphoma. Father recently d. lung cancer. His
maternal grandmother with [**Name2 (NI) 499**] cancer and paternal cousin has
pancreatic cancer.


Physical Exam:
Vitals: 99.6, HR 113, 88/44, RR 21-23, AAC 100%, 400 x 20, PEEP
5
Gen: tired ill appearing young man in acute distress
HEENT: pt on [**Name2 (NI) 597**]
Pulm: CTAB. w/ distant BS, no wheezes
CV: regular, nl S1S2, no m/r/g.
Chest: Right Hickman w/o s/sx of infection
Abd: + BS, soft, NT, ND
Ext: 2+ DP, no e/c/c.
Neuro: AAOx3, no focal neuro deficits on gross exam.
Skin: diffuse erythematous rash confluent on chest and back, +
blanching, with discrete macules and papules on extremities,
abdomen, behind ears.


Pertinent Results:
LABS ON ADMISSION:
[**2146-9-11**] 12:00AM   GLUCOSE-142* UREA N-8 CREAT-0.5 SODIUM-139
POTASSIUM-3.6 CHLORIDE-105 TOTAL CO2-26 ANION GAP-12
[**2146-9-11**] 12:00AM   ALT(SGPT)-100* AST(SGOT)-35 ALK PHOS-54 TOT
BILI-0.3
[**2146-9-11**] 12:00AM   ALBUMIN-3.4 CALCIUM-8.7 PHOSPHATE-2.4*#
MAGNESIUM-1.9
[**2146-9-11**] 12:00AM   WBC-6.3 RBC-3.70* HGB-11.0* HCT-33.2* MCV-90
MCH-29.8 MCHC-33.2 RDW-20.6*
[**2146-9-11**] 12:00AM   NEUTS-73* BANDS-10* LYMPHS-7* MONOS-3 EOS-1
BASOS-0 ATYPS-2* METAS-3* MYELOS-1*
[**2146-9-11**] 12:00AM   HYPOCHROM-1+ ANISOCYT-2+ POIKILOCY-2+
MACROCYT-1+ MICROCYT-1+ POLYCHROM-1+ OVALOCYT-2+
SCHISTOCY-OCCASIONAL STIPPLED-OCCASIONAL TEARDROP-OCCASIONAL
[**2146-9-11**] 12:00AM   PLT COUNT-203
[**2146-9-11**] 12:00AM   PT-12.3 PTT-23.7 INR(PT)-1.1
[**2146-9-11**] 12:00AM   GRAN CT-5200
[**2146-9-10**] 10:28AM   LACTATE-0.7
[**2146-9-10**] 09:15AM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG
GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0
LEUK-NEG
[**2146-9-10**] 08:36AM   LACTATE-2.3*
[**2146-9-10**] 08:15AM   GLUCOSE-105 UREA N-11 CREAT-0.8 SODIUM-136
POTASSIUM-3.3 CHLORIDE-99 TOTAL CO2-24 ANION GAP-16
[**2146-9-10**] 08:15AM   ALT(SGPT)-82* AST(SGOT)-30 LD(LDH)-237 ALK
PHOS-58 TOT BILI-0.4
[**2146-9-10**] 08:15AM   WBC-5.5 RBC-4.03* HGB-12.1* HCT-35.5* MCV-88
MCH-30.0 MCHC-34.0 RDW-21.0*
[**2146-9-10**] 08:15AM   NEUTS-66 BANDS-2 LYMPHS-1* MONOS-9 EOS-12*
BASOS-0 ATYPS-3* METAS-7* MYELOS-0
[**2146-9-10**] 08:15AM   HYPOCHROM-NORMAL ANISOCYT-2+ POIKILOCY-2+
MACROCYT-1+ MICROCYT-2+ POLYCHROM-2+ OVALOCYT-2+
TEARDROP-OCCASIONAL
[**2146-9-10**] 08:15AM   PLT SMR-NORMAL PLT COUNT-185
[**2146-9-10**] 08:15AM   PT-12.3 PTT-23.5 INR(PT)-1.1
.
LABS ON TRANSFER TO ICU:
[**2146-9-18**] 12:00AM BLOOD WBC-5.3 RBC-3.88* Hgb-12.0* Hct-35.2*
MCV-91 MCH-31.1 MCHC-34.2 RDW-21.3* Plt Ct-192
[**2146-9-18**] 12:00AM BLOOD Neuts-60 Bands-20* Lymphs-4* Monos-9
Eos-1 Baso-0 Atyps-3* Metas-1* Myelos-2* NRBC-1*
[**2146-9-18**] 12:00AM BLOOD Plt Ct-192
[**2146-9-19**] 04:15AM BLOOD Fibrino-367#
[**2146-9-18**] 12:00AM BLOOD Gran Ct-4130
[**2146-9-18**] 10:32PM BLOOD Glucose-236* UreaN-18 Creat-0.7 Na-133
K-5.0 Cl-106 HCO3-22 AnGap-10
[**2146-9-18**] 12:00AM BLOOD ALT-104* AST-42* LD(LDH)-576* AlkPhos-61
TotBili-0.6
[**2146-9-18**] 12:00AM BLOOD Albumin-2.5* Calcium-7.8* Phos-3.0 Mg-2.0
[**2146-9-19**] 04:15AM BLOOD Hapto-212*
[**2146-9-18**] 09:31AM BLOOD Type-ART Temp-38.9 Rates-20/ Tidal V-400
PEEP-10 FiO2-80 pO2-97 pCO2-50* pH-7.30* calTCO2-26 Base XS--1
AADO2-439 REQ O2-74 -ASSIST/CON Intubat-INTUBATED
[**2146-9-18**] 04:29AM BLOOD Lactate-3.5*.

IMAGING:
[**2146-9-17**] Chest X Ray: A single AP view of the chest is obtained
on [**2146-9-17**] at 08:21 hours and compared with the prior day's
radiograph performed at 12:23 hours. When compared to the prior
day's examination, there appears to be improvement in the
minimal patchy increased density at the left base likely due to
improvement of some subsegmental atelectasis. There is patchy
increased density in the right base, which is new and which may
represent minimal airspaces and/or atelectasis. The remainder of
the lung fields appear unchanged since prior day's radiograph.

Brief Hospital Course:
Mr. [**Known lastname **] is a 30 yo male with h/o refractory Hodgkin's lymphoma
s/p reduced intensity non-myeloablative MUD allo transplant who
was admitted with GVHD rash and diarrhea who was transferred to
the [**Hospital Unit Name 153**] with hypoxic respiratory failure.

1)Respiratory Failure: The cause of Mr. [**Known lastname 63572**] respiratory
failure was thought to be secondary to the Bleomycin, which he
had received as part of his chemotherapy regimen in the past.
Cxray suggested diffuse atelectasis in addition to basilar
opacities. No source of infection was identified; all cultures
were negative. He was empirically started on Vancomycin,
Caspofungin, Bactrim, and Zosyn to cover him for all possible
organisms. He was also placed on Methylprednisolone. His
respiratory status was further complicated by bilateral PTXs,
etiology still unclear. Pt was made CMO once discussions with
the BMT and [**Hospital Unit Name 153**] team suggested that he had a poor prognosis.
All medications were stopped at the time; he was slowly weaned
off the ventilator, and he was started Morphine, Methadone, and
Fentanyl for comfort.

2) LUE DVT: Pt with spontaneous L subclavian, brachial, and
axillary non-occlusive DVT and unchanged small LLL filling
defect on chest CTA. D/w BMT team, who agreed that given this
pt's high risk of bleeding, will not treat DVT at this point
with anticoagulation.

4) Diarrhea: Most likely secondary to GVHD. Stool cultures were
negative for c.diff and overlying infectious etiology. No
further intervention was done.

5) Thrombocytopenia: Likely secondary to his underlying and
refractory malignancy. His plt remained above goal and did not
require any further transfusions.

6) Rash. Likely secondary to GVHD and possibility of red-man
syndrome secondary to Vancomycin. The rash persisted during his
[**Hospital Unit Name 153**] stay and was evaluated extensively during his prior stay.
No further evaluation was done at this time. He was continued on
steroids.

7) Hodgkin's Lymphoma, refractory to tx. Most recently s/p DLI
[**2146-8-25**]. CT [**9-8**] showed some regression of tumors. Patient was
not a candidate for further treatment. He was followed closely
by the BMT service during his stay in the [**Hospital Unit Name 153**] and until his
death.

8) FEN: Pt was maintained on TPN, which was d/c'ed once he was
made CMO.

9) PPx: Pt was placed on pneumoboots for DVT prophylaxis (since
he was not a candidate for anti-coagulation). He was also placed
on PPI for GI regimen.

10) Code status: Pt was initially full code on admission to the
[**Hospital Unit Name 153**]; his code status was then changed to CMO after multiple
discussions with the BMT team.

Pt was pronounced dead on [**2146-10-5**].

Discharge Medications:
Pt died

Discharge Disposition:
Expired

Discharge Diagnosis:
[**Last Name (un) 35473**] Lymphoma, refractory
Respiratory failure

Discharge Condition:
Pt died on [**2146-10-5**]

Discharge Instructions:
As above

Followup Instructions:
As above
{'Complications of transplanted bone marrow,Spontaneous tension pneumothorax,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Acute and chronic respiratory failure,Acute pulmonary manifestations due to radiation,Other acute pericarditis,Hypovolemia,Thrombocytopenia, unspecified,Diarrhea,Long-term (current) use of steroids,Late effect of radiation,Radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Emphysema (subcutaneous) (surgical) resulting from 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: Fever/rash

PRESENT ILLNESS: Mr. [**Known lastname **] is a 30 y/o man w/ h/o refractory Hodgkin's lymphoma
s/p reduced intensity non-myeloablative MUD transplant [**2146-6-27**]
who was discharged the day prior to admission and who now
returns with fever and diarrhea. Mr. [**Known lastname **] was recently admitted
on the BMT service from [**9-6**] to [**9-10**] with a fever and a new
morbilliform rash. No infectious source for his fevers was
identified (chest CT was done as well as urine/blood cx NGTD;
CMV VL is still pending). He was treated empirically with
Linezolid (red man reaction with Vancomycin and allergy to
Cefepime) initially and then Abx were changed to Levofloxacin.
During his last admission, his temperature never exceeded 100.6.
He defervesced and was discharged home after being afebrile x 24
hous. Dermatology was consulted for the rash, and it was felt to
be GVHD. He was discharged on triamcinolone cream, oral
prednisone 60mg, and levofloxacin.
The evening of discharge he developed low-grade fever at home,
but then spiked to over 102 overnight. He reports that his rash
has not significantly changed and possibly is less confluent
now. He does report new onset of diarrhea that started on the
evening of discharge from the hospital. He has had 4 loose
watery non-bloody BMs with some abdominal cramping prior to BMs.
He felt weak and tired with fevers, but had no other symtpoms.
Specifically, no abdominal pain. He denies nausea, vomiting,
cough, SOB, rhinorrhea, sore throat, dysuria, headaches,
dysphagia.
In the ED, VS on presentation 101.9 (then fever to 102.2) BP
98/44 (then down to 85/45) HR 130's. Lactate initially 2.3.
Blood cx and urine cx sent. The patient received Zosyn 4.5 mg
IV, Linezolid 600 mg IV, Flagyl 500 mg IV, Solumedrol 125 mg IV,
and Tylenol PO. He was resuscitated with a total of 4L NS with
response in BP.
While on the floorhis BP was bordeline low and a diarrhea w/u
was continued. He was started on TPN on HD #2. His rash was
noted to worsen, solumedrol was added.  Cont on flagyl, zosyn,
bactrim. Flagyl stopped on HD #4. Zosyn then d/c'd but then
restarted on [**9-15**] for fever to 101.4. On day of transfer, pt
with inc cough. CTA peformed and vanco added. Fluconazole
changed to voriconazole. On day of transfer, pt actuely desat'd
to mid 80's but recovered with supplimental oxygen. CTA of chest
done showed bilateral ground glass opacities. Pulm consulted for
? bronchoscopy.
Called by moonlighter at 4:30 am for hypoxia. Pt desatted and
required [**Month/Year (2) 597**]. On [**Name (NI) 597**] pt initally satting in the mid 80's.
Tachycaridic in sinus tach to 140-150's. BP stable. Afebrile.
Given 20 mg IV lasix w/ 700 cc UOP. ABG showed 7.44/33/44. He
was urgently transferred to the [**Hospital Unit Name 153**] for intubation and resp
failure. Pt was intubated with anesthesia present and then was
transiently hypotensive on sedation.

MEDICAL HISTORY: 1. Hodgkin's Lymphoma, nodular sclerosing.
 - Diagnosed [**2144-6-6**].
 - s/p ABVD x4 cycles with good response, then ABVD x2 with poor
response.
 - s/p CEP x2 with poor response.
 - s/p gemcitabine/cisplatin/dexamethasone x3.
 - s/p auto-SCT with Cytoxan [**9-/2145**], with persistent adenopathy
and PET +.
 - s/p XRT to chest wall [**1-/2146**] followed by Rituxan/vinblastine
w/ good response.
 - s/p mini-matched unrelated donor (MUD) allo transplant
[**2146-6-27**] with evidence of disease progression on CT
 - s/p Gemcitabine [**2146-7-21**], last treatment [**8-11**]
 - s/p DLI [**2146-8-25**].

MEDICATION ON ADMISSION: 

ALLERGIES: Cefepime / Vancomycin

PHYSICAL EXAM: Vitals: 99.6, HR 113, 88/44, RR 21-23, AAC 100%, 400 x 20, PEEP
5
Gen: tired ill appearing young man in acute distress
HEENT: pt on [**Name2 (NI) 597**]
Pulm: CTAB. w/ distant BS, no wheezes
CV: regular, nl S1S2, no m/r/g.
Chest: Right Hickman w/o s/sx of infection
Abd: + BS, soft, NT, ND
Ext: 2+ DP, no e/c/c.
Neuro: AAOx3, no focal neuro deficits on gross exam.
Skin: diffuse erythematous rash confluent on chest and back, +
blanching, with discrete macules and papules on extremities,
abdomen, behind ears.

FAMILY HISTORY: He has a stepfather who is unrelated to him who
has non-Hodgkin's lymphoma. Father recently d. lung cancer. His
maternal grandmother with [**Name2 (NI) 499**] cancer and paternal cousin has
pancreatic cancer.

SOCIAL HISTORY: Worked as account manager at hedge fund, on disability now x 1
year. Denies EtOH, tobacco, illicits. 

### Response:
{'Complications of transplanted bone marrow,Spontaneous tension pneumothorax,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Acute and chronic respiratory failure,Acute pulmonary manifestations due to radiation,Other acute pericarditis,Hypovolemia,Thrombocytopenia, unspecified,Diarrhea,Long-term (current) use of steroids,Late effect of radiation,Radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure,Emphysema (subcutaneous) (surgical) resulting from procedure'}
