CHIEF COMPLAINT: SOB

PRESENT ILLNESS: 51 y/o F with PMH significant for ALS, asthma, lupus, and
rheumatoid arthritis admitted to [**Hospital1 18**] on [**1-2**] with SOB. In
recent relevent history, pt was diagnosed with ALS in [**5-/2155**]
and has been followed for this at [**Hospital6 13753**].
Her PCP there is [**First Name5 (NamePattern1) **] [**Last Name (NamePattern1) 100578**]. Pt has been admitted to [**Hospital1 112**] over
15 times since her ALS diagnosis. Following these admissions,
she most often goes to rehab, finishes her steroids, and then
returns to the hospital with SOB. Pt was most recently admitted
to [**Hospital1 112**] on [**12-22**] through [**12-29**] with cough and SOB. At that time,
her NIF was found to be 20 (baseline 25 to 30). She was treated
with aspiration PNA with levo and flagyl in addition to
prednisone 60 mg daily. The plan was for a slow steroid taper to
10 mg daily then continuing on this indefinetly. A pallitive
care consult was obtained during the [**Hospital1 112**] stay and the pt was
discharged to rehab with the plan to transition to an inpatient
hospice unit.

MEDICAL HISTORY: 1. [**Name (NI) **] Pt was diagnosed in [**5-10**] at [**Hospital1 112**]. Her baseline MIF is
-25 to -30. Pt is a known aspiration risk but declines trach and
PEG. She has significant and progressive bulbar symptoms and R
side weakness.
2. Asthma - Pt was intubated once in the past for her asthma.
PFTs are consistent with a restrictive physiology. She has had
multiple admissions since [**2152**]. Pulm consult at [**Hospital1 112**] thought she
had some reversible bronchoconstriction due to aspiration, poor
pulmonary reserve, obesity, and muscle weakness causing her
frequent resp decompensations.
3. [**Name (NI) 100579**] Pt was diagnosed 10 years ago.
4. Seronegative rheumatoid arthritis - Pt was on MTX.
5. Uterine fibroids
6. PCOS
7. OSA
8. H/O polysubstance abuse- Cocaine
9. HTN
10. Sjogern's syndrome
11. Carpel tunnel syndrome
12. Subclinical hypothyroidism
13. Thrombocytopenia- This was felt to be due to her RA.
14. Diastolic heart failure
15. H/O TB at age 10

MEDICATION ON ADMISSION: 1. Triamterene-HCTZ 37.5-25 mg daily
2. Citalopram 40 mg daily
3. Protonix 40 mg daily
4. Colace 100 mg [**Hospital1 **]
5. ECASA 81 mg daily
6. Bactrim SS one tab daily
7. Loratadine 10 mg daily
8. Hydroxychloroquine 200 mg daily
9. Calcium 600 mg TID
10. Advair 500/50 1 puff [**Hospital1 **]
11. Flovent
12. Albuterol Q4H PRN
13. Spirvia 18 mcg inhaled daily
14. [**Name (NI) 30723**] Pt would have been on 30 mg daily at the time of
admission.
15. Oxycodone 10 to 15 mg PRN pain
16. Oxycontin 20 mg Q12H
17. Flagyl 500 mg [**Name (NI) 21852**] Pt will complete planned course on [**1-5**].

ALLERGIES: Penicillins

PHYSICAL EXAM: 98.5  117/71  86  24  97% RA
Gen- Pleasant lady resting in bed. Alert and oriented. NAD.
Speaks very quitely.
HEENT- NC AT. PERRL. EOMI. Mildly dry mucous membranes. No
lesions in the orophaynx.
Cardiac- Distant heart sounds. RRR. S1 S2. No m,r,g.
Pulm- Very faint air movement. No wheezes, rales, or rhonchi.
Abdomen- Obese. Soft. NT. ND. Positive bowel sounds.
Extremities- No c/c/e.
Neuro- CN II-XII intact but minimal palatal elevation and
fasciculations of the tongue. 4/5 strength in upper and lower
extremities bilaterally.

FAMILY HISTORY: Noncontributory.

SOCIAL HISTORY: Pt lives at home with her 17 year old daughter and [**Name2 (NI) 12496**].
Has 2 other daughters ages 27 and 35 (incarcerated for life). Pt
also had a 31 year old daugher who died in 12/[**2154**]. Pt's neice
[**Name (NI) **] [**Name (NI) 3501**] manages most of her medical issues and lives with
the pt to care for her. Pt used to work as a bartender and
secretary. She is relatively [**Name2 (NI) 15310**] and walks without
assistance. She eats thickened fluids and foodsNo current ETOH
or substances- has a history of cocaine abuse.
Other respiratory abnormalities,Chronic obstructive asthma, unspecified,Pneumonitis due to inhalation of food or vomitus,Systemic lupus erythematosus,Amyotrophic lateral sclerosis,Chronic diastolic heart failure,Rheumatoid arthritis,Unspecified acquired hypothyroidism,Unspecified essential hypertension,Unspecified sleep apnea
Respiratory abnorm NEC,Chronic obst asthma NOS,Food/vomit pneumonitis,Syst lupus erythematosus,Amyotrophic sclerosis,Chr diastolic hrt fail,Rheumatoid arthritis,Hypothyroidism NOS,Hypertension NOS,Sleep apnea NOS
Admission Date:  [**2156-1-2**]              Discharge Date:   [**2156-1-6**]

Date of Birth:  [**2104-5-13**]             Sex:   F

Service: MEDICINE

Allergies:
Penicillins

Attending:[**First Name3 (LF) 759**]
Chief Complaint:
SOB

Major Surgical or Invasive Procedure:
None


History of Present Illness:
51 y/o F with PMH significant for ALS, asthma, lupus, and
rheumatoid arthritis admitted to [**Hospital1 18**] on [**1-2**] with SOB. In
recent relevent history, pt was diagnosed with ALS in [**5-/2155**]
and has been followed for this at [**Hospital6 13753**].
Her PCP there is [**First Name5 (NamePattern1) **] [**Last Name (NamePattern1) 100578**]. Pt has been admitted to [**Hospital1 112**] over
15 times since her ALS diagnosis. Following these admissions,
she most often goes to rehab, finishes her steroids, and then
returns to the hospital with SOB. Pt was most recently admitted
to [**Hospital1 112**] on [**12-22**] through [**12-29**] with cough and SOB. At that time,
her NIF was found to be 20 (baseline 25 to 30). She was treated
with aspiration PNA with levo and flagyl in addition to
prednisone 60 mg daily. The plan was for a slow steroid taper to
10 mg daily then continuing on this indefinetly. A pallitive
care consult was obtained during the [**Hospital1 112**] stay and the pt was
discharged to rehab with the plan to transition to an inpatient
hospice unit.

The pt was discharged from [**Hospital1 112**] to the Armonoiom House in JP on
[**12-29**]. Per the pt's neice, she was pushed by a staff member at
this facility on [**12-30**] and left without any medications as there
was difficulty in obtaining them. Once home, the pt had
increasing SOB and called EMS on [**1-1**] to be trasported to an
ED. As [**Hospital1 112**] was on divert she was transported to the [**Hospital1 18**] ED. In
the ED, her VS were 122/96  100  87% RA and 100% 4L NC. Pt was
initially admitted to a medicine service but following neurology
consultation and the finding of a NIF of 20 the pt was
transferred to the [**Hospital Unit Name 153**] for care. There, she received
levofloxacin, atrovent, morphine, and percocet.

Further issues with the pt include recent low grade fevers. She
has not had any sweats or recent weight changes. Pt has a
chronic cough with increasing sputum production. No CP,
tightness, or palpitations. No n/v, abdominal pain, or
constipation. Pt had diarrhea for for two days prior to
admission and reports three stools per day. No dysuria. Pt
reports that he knees have been swollen over the last few days.
She has also been experiencing left hip and back pain radiating
to her groin.

Speaking with the pt, she reports that she is doing fairly well
at this time. She does not feel SOB except with exertion. She is
able to cough out her sputum. Pt does have pain in her left hip
and back. She reports that he diarrhea is much improved.

Past Medical History:
1. [**Name (NI) **] Pt was diagnosed in [**5-10**] at [**Hospital1 112**]. Her baseline MIF is
-25 to -30. Pt is a known aspiration risk but declines trach and
PEG. She has significant and progressive bulbar symptoms and R
side weakness.
2. Asthma - Pt was intubated once in the past for her asthma.
PFTs are consistent with a restrictive physiology. She has had
multiple admissions since [**2152**]. Pulm consult at [**Hospital1 112**] thought she
had some reversible bronchoconstriction due to aspiration, poor
pulmonary reserve, obesity, and muscle weakness causing her
frequent resp decompensations.
3. [**Name (NI) 100579**] Pt was diagnosed 10 years ago.
4. Seronegative rheumatoid arthritis - Pt was on MTX.
5. Uterine fibroids
6. PCOS
7. OSA
8. H/O polysubstance abuse- Cocaine
9. HTN
10. Sjogern's syndrome
11. Carpel tunnel syndrome
12. Subclinical hypothyroidism
13. Thrombocytopenia- This was felt to be due to her RA.
14. Diastolic heart failure
15. H/O TB at age 10

Social History:
Pt lives at home with her 17 year old daughter and [**Name2 (NI) 12496**].
Has 2 other daughters ages 27 and 35 (incarcerated for life). Pt
also had a 31 year old daugher who died in 12/[**2154**]. Pt's neice
[**Name (NI) **] [**Name (NI) 3501**] manages most of her medical issues and lives with
the pt to care for her. Pt used to work as a bartender and
secretary. She is relatively [**Name2 (NI) 15310**] and walks without
assistance. She eats thickened fluids and foodsNo current ETOH
or substances- has a history of cocaine abuse.

Family History:
Noncontributory.

Physical Exam:
98.5  117/71  86  24  97% RA
Gen- Pleasant lady resting in bed. Alert and oriented. NAD.
Speaks very quitely.
HEENT- NC AT. PERRL. EOMI. Mildly dry mucous membranes. No
lesions in the orophaynx.
Cardiac- Distant heart sounds. RRR. S1 S2. No m,r,g.
Pulm- Very faint air movement. No wheezes, rales, or rhonchi.
Abdomen- Obese. Soft. NT. ND. Positive bowel sounds.
Extremities- No c/c/e.
Neuro- CN II-XII intact but minimal palatal elevation and
fasciculations of the tongue. 4/5 strength in upper and lower
extremities bilaterally.

Pertinent Results:
[**2156-1-1**] 11:00PM BLOOD WBC-10.3 RBC-4.73 Hgb-13.3 Hct-39.8
MCV-84# MCH-28.2 MCHC-33.5 RDW-18.3* Plt Ct-393#
[**2156-1-1**] 11:00PM BLOOD Neuts-62.8 Lymphs-27.0 Monos-4.9 Eos-4.5*
Baso-0.7
[**2156-1-1**] 11:00PM BLOOD Anisocy-2+ Microcy-1+
[**2156-1-1**] 11:00PM BLOOD Plt Ct-393#
[**2156-1-1**] 11:00PM BLOOD PT-13.3* PTT-24.5 INR(PT)-1.2*
[**2156-1-1**] 11:00PM BLOOD Glucose-90 UreaN-12 Creat-0.8 Na-145
K-3.5 Cl-103 HCO3-32 AnGap-14
.
CTA chest ([**1-2**])- CT OF THE CHEST WITH AND WITHOUT INTRAVENOUS
CONTRAST: There is no axillary, mediastinal, or hilar
lymphadenopathy. The heart, great vessels, and pericardium are
unremarkable. There are no pleural or pericardial effusions.
There is no evidence of aortic dissection or pulmonary embolism.
There are a few scattered bullae, and atelectasis in the lingula
and right lower lobes. Otherwise, the lungs are clear.
There is a relative large amount of retroperitoneal fat.
Otherwise limited views of the upper abdomen are unremarkable.
BONE WINDOWS: There are mild degenerative changes in the lower
thoracic spine with calcifications in the anterior ligaments.
IMPRESSION:
1. No evidence of pulmonary embolism or aortic dissection.
2. Likely bibasilar atelectatis, although early pneumonia cannot
be excluded.
3. Mild bullous changes.
.
[**2156-1-6**] 07:15AM BLOOD WBC-8.3 RBC-3.89* Hgb-10.8* Hct-33.4*
MCV-86 MCH-27.6 MCHC-32.2 RDW-18.6* Plt Ct-236
[**2156-1-4**] 12:18PM BLOOD Neuts-86.3* Lymphs-11.1* Monos-1.7*
Eos-0.5 Baso-0.3
[**2156-1-4**] 12:18PM BLOOD WBC-9.4 RBC-4.37 Hgb-12.0 Hct-36.5 MCV-83
MCH-27.4 MCHC-32.9 RDW-17.5* Plt Ct-302
[**2156-1-4**] 12:18PM BLOOD Anisocy-1+ Microcy-1+
[**2156-1-6**] 07:15AM BLOOD Plt Ct-236
[**2156-1-4**] 12:18PM BLOOD PT-12.8 PTT-22.7 INR(PT)-1.1
[**2156-1-6**] 07:15AM BLOOD Glucose-77 UreaN-13 Creat-0.7 Na-141
K-3.3 Cl-104 HCO3-27 AnGap-13
[**2156-1-6**] 07:15AM BLOOD Calcium-9.3 Phos-4.1 Mg-2.0
.
EKG:
Normal sinus rhythm. Diffuse non-diagnostic T wave flattening
with prolonged Q-T interval. Compared to the previous tracing of
[**2156-1-1**] no definite change.




Brief Hospital Course:
51 y/o F with PMH significant for ALS, asthma, lupus, and
rheumatoid arthritis admitted to [**Hospital1 18**] on [**1-2**] with SOB.
.
1. [**Name (NI) 1621**] Pt had significant dyspnea on admission in addition
to cough, sputum production, and low grade fevers. Cause of her
symptoms are most likely multifactorial: Not taking medications
after leaving the rehab facility; asthma; recurrent aspirations
in the setting of ALS; and simply the neuromuscular compromise
of her ALS. Following a day of treatment in the [**Hospital Unit Name 153**], her
respiratory status is much more compensated and she is currently
comfortable.
- Completed course of antibiotics for aspiration PNA that was
initiated at [**Hospital1 112**]. This includes levofloxacin and flagyl through
[**1-5**]. EKG obtained and results noted above.  Steroid taper
initiated at 60 mg/d with plan for taper by 10 mg/q3-4 d to a
final dose of 10mg/day.  Treated with nebs/inhalers.  Treated
with BiPAP at night.
.
2. [**Name (NI) **] Pt was diagnosed in [**5-10**] and many of her current
symptoms are related to her ALS.  Neurology consulted.
Confirmed c pt that she is DNR/DNI. She also declines trach and
Peg.  Pt. received thickened food/liquid
.
4. [**Name (NI) 1622**] Pt's pain is most concentrated in her lower back and
left hip. Most probably secondary to her RA and seronegative
lupus.   Continued pain control with oxycontin/oxycodone and
encouraged pt. to ask for Tylenol as needed for hip pain.  [**Month (only) 116**]
need to be titrated up.
.
5. GERD- Continued PPI.
.
6. HTN- Continued home meds. BP under good control here.

Medications on Admission:
1. Triamterene-HCTZ 37.5-25 mg daily
2. Citalopram 40 mg daily
3. Protonix 40 mg daily
4. Colace 100 mg [**Hospital1 **]
5. ECASA 81 mg daily
6. Bactrim SS one tab daily
7. Loratadine 10 mg daily
8. Hydroxychloroquine 200 mg daily
9. Calcium 600 mg TID
10. Advair 500/50 1 puff [**Hospital1 **]
11. Flovent
12. Albuterol Q4H PRN
13. Spirvia 18 mcg inhaled daily
14. [**Name (NI) 30723**] Pt would have been on 30 mg daily at the time of
admission.
15. Oxycodone 10 to 15 mg PRN pain
16. Oxycontin 20 mg Q12H
17. Flagyl 500 mg [**Name (NI) 21852**] Pt will complete planned course on [**1-5**].

18. Lovenox 40 mg SC daily- Planned to continue until paitent
ambulatory
19. K-lor 30 meQ [**Hospital1 **]
20. Levofloxacin 500 mg daily- Pt will complete planned caourse
on [**1-5**].
21. Tylenol PRN
22. RISS
23. Ativan 0.5 to 1 mg PO Q12H PRN anxiety
24. Nystatin swish and swallow PRN
25. Sarna PRN
26. Senna 2 tabs [**Hospital1 **]
27. Simethicone 80 mg QID
28. Ocean nasal spray QID PRN
29. Tucks pads PR PRN
30. Ambien 5 mg QHS PRN
31. Anusol daily
32. Miconazole powder [**Hospital1 **] PRN
33. Albuterol and atrovent nebs PRN
34. Potassium chloride 39 mEq [**Hospital1 **]

Discharge Medications:
1. Triamterene-Hydrochlorothiazid 37.5-25 mg Capsule Sig: One
(1) Cap PO DAILY (Daily).
2. Zolpidem 5 mg Tablet Sig: 0.5 to 1 Tablet PO HS (at bedtime)
as needed.
3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day) as needed.
4. Tiotropium Bromide 18 mcg Capsule, w/Inhalation Device Sig:
One (1) Cap Inhalation DAILY (Daily).
5. Albuterol Sulfate 0.083 % Solution Sig: One (1) neb
Inhalation Q6H (every 6 hours).
6. Fluticasone-Salmeterol 250-50 mcg/Dose Disk with Device Sig:
One (1) inhalation Inhalation [**Hospital1 **] (2 times a day).
7. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)
Tablet, Chewable PO BID (2 times a day).
8. Fexofenadine 60 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day).
9. Hydroxychloroquine 200 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
10. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
11. Citalopram 20 mg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
12. Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig: One (1)
Tablet PO DAILY (Daily).
13. Prednisone 20 mg Tablet Sig: Three (3) Tablet PO DAILY
(Daily): please taper by 10mg q4days.
14. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H
(every 6 hours).
15. Miconazole Nitrate 2 % Cream Sig: One (1) Appl Vaginal HS
(at bedtime) for 7 days.
16. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)
Tablet, Chewable PO TID (3 times a day).
17. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2)
Tablet PO DAILY (Daily).
18. Scopolamine Base 1.5 mg Patch 72HR Sig: One (1) Patch 72HR
Transdermal every seventy-two (72) hours.


Discharge Disposition:
Extended Care

Facility:
[**Hospital3 1186**] - [**Location (un) 538**]

Discharge Diagnosis:
Primary diagnosis:
SOB

Secondary diagnosis:
ALS
Asthma
Aspiration pneumonia
Rheumatoid arthritis
OSA
Hypertension
SLE


Discharge Condition:
Stable


Discharge Instructions:
1. Please keep all follow up appointments.

2. Please take all medications as prescribed.

3. Seek medical care for fevers, chills, chest pain, shortness
of breath, abdominal pain, or any other concerning symptoms.

Followup Instructions:
Please follow up with your primary care physician, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 100580**]
[**2156-1-14**] at 1:30pm.
{'Other respiratory abnormalities,Chronic obstructive asthma, unspecified,Pneumonitis due to inhalation of food or vomitus,Systemic lupus erythematosus,Amyotrophic lateral sclerosis,Chronic diastolic heart failure,Rheumatoid arthritis,Unspecified acquired hypothyroidism,Unspecified essential hypertension,Unspecified sleep apnea'}


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: SOB

PRESENT ILLNESS: 51 y/o F with PMH significant for ALS, asthma, lupus, and
rheumatoid arthritis admitted to [**Hospital1 18**] on [**1-2**] with SOB. In
recent relevent history, pt was diagnosed with ALS in [**5-/2155**]
and has been followed for this at [**Hospital6 13753**].
Her PCP there is [**First Name5 (NamePattern1) **] [**Last Name (NamePattern1) 100578**]. Pt has been admitted to [**Hospital1 112**] over
15 times since her ALS diagnosis. Following these admissions,
she most often goes to rehab, finishes her steroids, and then
returns to the hospital with SOB. Pt was most recently admitted
to [**Hospital1 112**] on [**12-22**] through [**12-29**] with cough and SOB. At that time,
her NIF was found to be 20 (baseline 25 to 30). She was treated
with aspiration PNA with levo and flagyl in addition to
prednisone 60 mg daily. The plan was for a slow steroid taper to
10 mg daily then continuing on this indefinetly. A pallitive
care consult was obtained during the [**Hospital1 112**] stay and the pt was
discharged to rehab with the plan to transition to an inpatient
hospice unit.

MEDICAL HISTORY: 1. [**Name (NI) **] Pt was diagnosed in [**5-10**] at [**Hospital1 112**]. Her baseline MIF is
-25 to -30. Pt is a known aspiration risk but declines trach and
PEG. She has significant and progressive bulbar symptoms and R
side weakness.
2. Asthma - Pt was intubated once in the past for her asthma.
PFTs are consistent with a restrictive physiology. She has had
multiple admissions since [**2152**]. Pulm consult at [**Hospital1 112**] thought she
had some reversible bronchoconstriction due to aspiration, poor
pulmonary reserve, obesity, and muscle weakness causing her
frequent resp decompensations.
3. [**Name (NI) 100579**] Pt was diagnosed 10 years ago.
4. Seronegative rheumatoid arthritis - Pt was on MTX.
5. Uterine fibroids
6. PCOS
7. OSA
8. H/O polysubstance abuse- Cocaine
9. HTN
10. Sjogern's syndrome
11. Carpel tunnel syndrome
12. Subclinical hypothyroidism
13. Thrombocytopenia- This was felt to be due to her RA.
14. Diastolic heart failure
15. H/O TB at age 10

MEDICATION ON ADMISSION: 1. Triamterene-HCTZ 37.5-25 mg daily
2. Citalopram 40 mg daily
3. Protonix 40 mg daily
4. Colace 100 mg [**Hospital1 **]
5. ECASA 81 mg daily
6. Bactrim SS one tab daily
7. Loratadine 10 mg daily
8. Hydroxychloroquine 200 mg daily
9. Calcium 600 mg TID
10. Advair 500/50 1 puff [**Hospital1 **]
11. Flovent
12. Albuterol Q4H PRN
13. Spirvia 18 mcg inhaled daily
14. [**Name (NI) 30723**] Pt would have been on 30 mg daily at the time of
admission.
15. Oxycodone 10 to 15 mg PRN pain
16. Oxycontin 20 mg Q12H
17. Flagyl 500 mg [**Name (NI) 21852**] Pt will complete planned course on [**1-5**].

ALLERGIES: Penicillins

PHYSICAL EXAM: 98.5  117/71  86  24  97% RA
Gen- Pleasant lady resting in bed. Alert and oriented. NAD.
Speaks very quitely.
HEENT- NC AT. PERRL. EOMI. Mildly dry mucous membranes. No
lesions in the orophaynx.
Cardiac- Distant heart sounds. RRR. S1 S2. No m,r,g.
Pulm- Very faint air movement. No wheezes, rales, or rhonchi.
Abdomen- Obese. Soft. NT. ND. Positive bowel sounds.
Extremities- No c/c/e.
Neuro- CN II-XII intact but minimal palatal elevation and
fasciculations of the tongue. 4/5 strength in upper and lower
extremities bilaterally.

FAMILY HISTORY: Noncontributory.

SOCIAL HISTORY: Pt lives at home with her 17 year old daughter and [**Name2 (NI) 12496**].
Has 2 other daughters ages 27 and 35 (incarcerated for life). Pt
also had a 31 year old daugher who died in 12/[**2154**]. Pt's neice
[**Name (NI) **] [**Name (NI) 3501**] manages most of her medical issues and lives with
the pt to care for her. Pt used to work as a bartender and
secretary. She is relatively [**Name2 (NI) 15310**] and walks without
assistance. She eats thickened fluids and foodsNo current ETOH
or substances- has a history of cocaine abuse. 

### Response:
{'Other respiratory abnormalities,Chronic obstructive asthma, unspecified,Pneumonitis due to inhalation of food or vomitus,Systemic lupus erythematosus,Amyotrophic lateral sclerosis,Chronic diastolic heart failure,Rheumatoid arthritis,Unspecified acquired hypothyroidism,Unspecified essential hypertension,Unspecified sleep apnea'}
