CHIEF COMPLAINT: CAD

PRESENT ILLNESS: 71 y.o male with known coronary artery desease

MEDICAL HISTORY: PMH: CAD, HTN

MEDICATION ON ADMISSION: Atenolol 25', ASA 325', Norvasc 5'

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: a/o
nad
supple
farom
neg lymphandopathy
cta
rrr
abd - benign
palp distal pulses
sternum C/D/I

FAMILY HISTORY: n/c

SOCIAL HISTORY: neg smoker
neg alcohol
Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension
Crnry athrscl natve vssl,Hypertension NOS
Admission Date:  [**2158-10-12**]              Discharge Date:   [**2158-10-15**]

Date of Birth:  [**2087-9-6**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 922**]
Chief Complaint:
CAD

Major Surgical or Invasive Procedure:
CABG X 2


History of Present Illness:
71 y.o male with known coronary artery desease

Past Medical History:
PMH: CAD, HTN

Social History:
neg smoker
neg alcohol

Family History:
n/c

Physical Exam:
a/o
nad
supple
farom
neg lymphandopathy
cta
rrr
abd - benign
palp distal pulses
sternum C/D/I


Pertinent Results:
[**2158-10-14**] 07:30AM BLOOD

WBC-10.1 RBC-3.43* Hgb-10.5* Hct-30.0* MCV-88 MCH-30.5 MCHC-34.9
RDW-13.4 Plt Ct-159

[**2158-10-12**] 12:08PM BLOOD

PT-12.5 PTT-29.5 INR(PT)-1.1

[**2158-10-14**] 07:30AM BLOOD

Mg-2.3

CHEST (PA & LAT)  [**2158-10-14**] 12:09 PM

PA AND LATERAL VIEWS OF THE CHEST, THREE RADIOGRAPHS

Cardiac size is top normal. Patient is post median sternotomy
and CABG. There is minimal anterior pneumomediastinum. There is
no pneumothorax. Right pleural effusion is small. Aside from
linear atelectasis in the right base, the lungs are clear. The
aorta is elongated.

Brief Hospital Course:
pt admitted

elective cabg

surgery cabg x 2 with no complications

pod o extubated in the cvicu / required no pressure suppor

pod 1 stable / foley removed MN

pod 2 ct removed / cxr no pneumo

pod 3 wires removed

pt clears for home

Medications on Admission:
Atenolol 25', ASA 325', Norvasc 5'

Discharge Medications:
1. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
Disp:*60 Tablet(s)* Refills:*2*
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day) for 1 months.
Disp:*60 Capsule(s)* Refills:*0*
3. Furosemide 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours) for 4 days.
Disp:*8 Tablet(s)* Refills:*0*
4. Atorvastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*2*
5. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*60 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
6. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: Two
(2) Capsule, Sustained Release PO Q12H (every 12 hours) for 4
days.
Disp:*16 Capsule, Sustained Release(s)* Refills:*0*
7. Hydromorphone 2 mg Tablet Sig: One (1) Tablet PO Q3H (every 3
hours) as needed for 10 days: prn for pain.
Disp:*40 Tablet(s)* Refills:*0*
8. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal
DAILY (Daily) as needed for constipation: prn.
Disp:*30 Suppository(s)* Refills:*0*
9. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
Disp:*60 Tablet(s)* Refills:*2*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
CAD
HTN


Discharge Condition:
good


Discharge Instructions:
1)  Monitor wounds for signs of infection. These include
redness, drainage or increased pain. In the event that you have
drainage from your sternal wound, please contact the [**Name2 (NI) 5059**] at
([**Telephone/Fax (1) 1504**].
2)  Report any fever greater then 100.5.
3)  Report any weight gain of 2 pounds in 24 hours or 5 pounds
in 1 week.
4)  No lotions, creams or powders to incision until it has
healed. You may shower and wash incision. Please shower daily.
No bathing or swimming for 1 month. Use sunscreen on incision if
exposed to sun.
5) No lifting greater then 10 pounds for 10 weeks.
6) No driving for 1 month.
7) Call with any questions or concerns.


Followup Instructions:
Provider: [**Name10 (NameIs) **],[**Name11 (NameIs) 177**] [**Name Initial (NameIs) **].  [**Telephone/Fax (1) 170**]  Follow-up appointment
should be in 1 month

Provider: [**Name10 (NameIs) 815**],[**Name11 (NameIs) 74466**] [**Name Initial (NameIs) **]  [**Telephone/Fax (1) 19070**]  Follow-up
appointment should be in 2 weeks



Completed by:[**2158-10-15**]
{'Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension'}


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: CAD

PRESENT ILLNESS: 71 y.o male with known coronary artery desease

MEDICAL HISTORY: PMH: CAD, HTN

MEDICATION ON ADMISSION: Atenolol 25', ASA 325', Norvasc 5'

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: a/o
nad
supple
farom
neg lymphandopathy
cta
rrr
abd - benign
palp distal pulses
sternum C/D/I

FAMILY HISTORY: n/c

SOCIAL HISTORY: neg smoker
neg alcohol 

### Response:
{'Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension'}
