CHIEF COMPLAINT: non healing sternal wound

PRESENT ILLNESS: [**2137-7-18**]: Coronary artery bypass grafting x2, with reversed
saphenous vein graft to the ramus intermedius artery and a free
left internal mammary artery graft to the obtuse marginal artery
Y'd to the vein graft.
Discharged home on POD4, seen in wound clinic several times for
followup of nonhaling inferior sternal wound which has been
treated with the VAC dressing. Inferior wound smaller but the
middle portion of the sternal incision is now dehisced with a
subcutaneous track superiorly noted. Will admit and have plastic
surgery see the patient to assist with debridement and sternal
wound closure.

MEDICAL HISTORY: s/p cabg x2 with reversed saphenous vein graft to the ramus
intermedius artery and a free left internal mammary artery graft
to the obtuse marginal artery Y'd to the vein graft  [**2137-7-18**]
PMH:
coronary artery disease, dyspnea on exertion, bilateral knee
replacement [**2132**], sleep apnea, hiatal hernia, GERD, diabetes
mellitus, hypertension, Hyperlipidemia, Restless leg syndrome,
s/p stent to LAD in [**2126**], Stent to RCA and OM in [**2128**],
appendectomy, hysterectomy, CTR left wrist, laser surgery OU,
cataract

MEDICATION ON ADMISSION: ATORVASTATIN [LIPITOR] -  (Prescribed by Other Provider) - 80 mg
Tablet - 1 Tablet(s) by mouth at bedtime
CPAP WITH 2 LITERS OF OXYGEN AT NIGHT -  (Prescribed by Other
Provider) - Dosage uncertain
FUROSEMIDE -  (Prescribed by Other Provider) - 80 mg Tablet - 1
Tablet(s) by mouth twice a day
HYDROMORPHONE -  (Prescribed by Other Provider) - 2 mg Tablet -
[**12-16**] Tablet(s) by mouth every four (4) hours as needed for pain
INSULIN LISPRO [HUMALOG] -  (Prescribed by Other Provider) - 100
unit/mL Solution - per sliding scale
LISINOPRIL -  (Prescribed by Other Provider) - 5 mg Tablet - 1
Tablet(s) by mouth DAILY (Daily)
METOLAZONE -  (Prescribed by Other Provider) - 2.5 mg Tablet - 1
Tablet(s) by mouth once a day
METOPROLOL TARTRATE -  (Prescribed by Other Provider) - 25 mg
Tablet - 3 Tablet(s) by mouth three times a day
PANTOPRAZOLE -  (Prescribed by Other Provider) - 40 mg Tablet,
Delayed Release (E.C.) - 1 Tablet(s) by mouth every morning\
POTASSIUM CHLORIDE -  (Prescribed by Other Provider) - 10 mEq
Tablet Extended Release - 2 Tablet(s) by mouth every twelve (12)
hours
PRAMIPEXOLE [MIRAPEX] -  (Prescribed by Other Provider) - 0.5 mg
Tablet - 1 Tablet(s) by mouth at bedtime

ALLERGIES: Morphine / Baclofen / adhesive bandage / penicillin G / Aldomet

PHYSICAL EXAM: Weight preoperative: 217        current:223

FAMILY HISTORY: Premature coronary artery disease- Brother with CABG at age 65
Race:Caucasian

SOCIAL HISTORY: Occupation:retired
Cigarettes: denies
Other Tobacco use:denies
ETOH: denies
Illicit drug use:denies
Lives with: alone in a senior complex, Ambulates with
a four wheel walker.
Contact:[**Name (NI) **] and [**Name (NI) **] (son and daughter-in-law)
Other postoperative infection,Acute kidney failure, unspecified,Pseudomonas infection in conditions classified elsewhere and of unspecified site,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation,Coronary atherosclerosis of unspecified type of vessel, native or graft,Aortocoronary bypass status,Diaphragmatic hernia without mention of obstruction or gangrene,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Restless legs syndrome (RLS),Cardiac pacemaker in situ,Knee joint replacement,Obesity, unspecified,Esophageal reflux,Body Mass Index 39.0-39.9, adult,Obstructive sleep apnea (adult)(pediatric)
Other postop infection,Acute kidney failure NOS,Pseudomonas infect NOS,Abn react-anastom/graft,Cor ath unsp vsl ntv/gft,Aortocoronary bypass,Diaphragmatic hernia,DMII wo cmp nt st uncntr,Hypertension NOS,Hyperlipidemia NEC/NOS,Restless legs syndrome,Status cardiac pacemaker,Joint replaced knee,Obesity NOS,Esophageal reflux,BMI 39.0-39.9,adult,Obstructive sleep apnea
Admission Date:  [**2137-8-29**]              Discharge Date:   [**2137-9-4**]

Date of Birth:  [**2063-12-24**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Morphine / Baclofen / adhesive bandage / penicillin G / Aldomet

Attending:[**First Name3 (LF) 1406**]
Chief Complaint:
non healing sternal wound

Major Surgical or Invasive Procedure:
[**2137-9-2**] - Debridement of sternal wound with negative pressure
therapy, VAC placement.


History of Present Illness:
[**2137-7-18**]: Coronary artery bypass grafting x2, with reversed
saphenous vein graft to the ramus intermedius artery and a free
left internal mammary artery graft to the obtuse marginal artery
Y'd to the vein graft.
Discharged home on POD4, seen in wound clinic several times for
followup of nonhaling inferior sternal wound which has been
treated with the VAC dressing. Inferior wound smaller but the
middle portion of the sternal incision is now dehisced with a
subcutaneous track superiorly noted. Will admit and have plastic
surgery see the patient to assist with debridement and sternal
wound closure.

Past Medical History:
s/p cabg x2 with reversed saphenous vein graft to the ramus
intermedius artery and a free left internal mammary artery graft
to the obtuse marginal artery Y'd to the vein graft  [**2137-7-18**]
PMH:
coronary artery disease, dyspnea on exertion, bilateral knee
replacement [**2132**], sleep apnea, hiatal hernia, GERD, diabetes
mellitus, hypertension, Hyperlipidemia, Restless leg syndrome,
s/p stent to LAD in [**2126**], Stent to RCA and OM in [**2128**],
appendectomy, hysterectomy, CTR left wrist, laser surgery OU,
cataract

Social History:
Occupation:retired
Cigarettes: denies
Other Tobacco use:denies
ETOH: denies
Illicit drug use:denies
Lives with: alone in a senior complex, Ambulates with
a four wheel walker.
Contact:[**Name (NI) **] and [**Name (NI) **] (son and daughter-in-law)


Family History:
Premature coronary artery disease- Brother with CABG at age 65
Race:Caucasian



Physical Exam:
Weight preoperative: 217        current:223

HR  40,     B/P 142/43     RR 18  97% sat

Physical Exam
Gen-not feeling well-diaphoretic, fatigued
Cardiac:  RRR [x]   Irregular []  Murmur-none
Chest: Lungs clear bilateral [x]
Abdomen: Soft [x]  Nontender [x] Nondistended [x]
Extremities: Warm [x] Well perfused []
Edema: Right +1   Left +1
Sternal incision:
     erythema no[] yes[]minimal
     drainage no[+] yes[]
     well approximated yes [] no [+] wound open after removal of
VAC, inferior portion has some granulation tissue at mid portion
with tracking to bone, some granulation tissue present, mildy
odiferous, excoriated tissue surrounding
     sternal click no[x] yes[]


Pertinent Results:
Admission labs:
[**2137-8-29**] 05:15PM   PT-12.9 PTT-21.7* INR(PT)-1.1
[**2137-8-29**] 05:15PM   PLT COUNT-223
[**2137-8-29**] 05:15PM   WBC-7.3 RBC-4.34 HGB-12.6 HCT-36.9 MCV-85
MCH-29.0 MCHC-34.1 RDW-15.9*
[**2137-8-29**] 05:15PM   %HbA1c-7.2* eAG-160*
[**2137-8-29**] 05:15PM   ALBUMIN-4.4 MAGNESIUM-2.1
[**2137-8-29**] 05:15PM   ALT(SGPT)-17 AST(SGOT)-23 LD(LDH)-218 ALK
PHOS-96 TOT BILI-0.6
[**2137-8-29**] 05:15PM   GLUCOSE-202* UREA N-63* CREAT-1.6* SODIUM-136
POTASSIUM-3.8 CHLORIDE-96 TOTAL CO2-26 ANION GAP-18
Discharge Labs:
[**2137-9-4**] 05:50AM BLOOD WBC-5.2 RBC-3.30* Hgb-9.5* Hct-28.2*
MCV-85 MCH-28.7 MCHC-33.6 RDW-15.0 Plt Ct-244
[**2137-9-4**] 05:50AM BLOOD Plt Ct-244
[**2137-9-4**] 05:50AM BLOOD Glucose-140* UreaN-31* Creat-1.0 Na-135
K-4.2 Cl-98 HCO3-29 AnGap-12
[**2137-9-3**] 05:06AM BLOOD Mg-2.0

Radiology Report CHEST PORT. LINE PLACEMENT Study Date [**2137-9-2**]
12:03 PM
REASON FOR THIS EXAMINATION: 48cm left picc. tip?
Final Report: The lungs show evidence of bibasilar scarring
versus atelectasis, left greater than right. A pacemaker with
three intact leads is unchanged.  No definite signs of
pneumonia. The cardiomediastinal silhouette is stable.
Sternal wires are intact and unchanged.
There is a new left-sided PICC with tip at the atrialcaval
junction.



Brief Hospital Course:
Ms [**Known lastname 77879**] is well known to cardiac suregry service, she was
seen in followup clinic for nonhealing sternal wound that was
initially treated with VAC therapy. On day of admission she was
again seen and felt to require further debridement of wound. She
was admitted, plastic suregery and infection diseases were
consulted and she was brought to the operating room for wound
debridement. See operative report for details, in summary she
tolerated the operation well and was transferred from the
operating room to the PACU then to the cardiac surgery stepdown
floor. On the night following surgery her blood sugars were
elevated into the 400 range and she was transferred to the
Cardiac surgery ICU for insulin infusion. [**Last Name (un) **] was consulted
to assist with glucose management. She returned to the operating
room for cleanout and evaluation for closure on HD4, it was
decided to delay closure nad the VAC was put back in place.
She will go to rehabilitation for 2 weeks and return for sternal
closure device removal and flap closure with plastic surgery in
3 weeks. She will remain on antibiotics until that time.

Medications on Admission:
ATORVASTATIN [LIPITOR] -  (Prescribed by Other Provider) - 80 mg
Tablet - 1 Tablet(s) by mouth at bedtime
CPAP WITH 2 LITERS OF OXYGEN AT NIGHT -  (Prescribed by Other
Provider) - Dosage uncertain
FUROSEMIDE -  (Prescribed by Other Provider) - 80 mg Tablet - 1
Tablet(s) by mouth twice a day
HYDROMORPHONE -  (Prescribed by Other Provider) - 2 mg Tablet -
[**12-16**] Tablet(s) by mouth every four (4) hours as needed for pain
INSULIN LISPRO [HUMALOG] -  (Prescribed by Other Provider) - 100
unit/mL Solution - per sliding scale
LISINOPRIL -  (Prescribed by Other Provider) - 5 mg Tablet - 1
Tablet(s) by mouth DAILY (Daily)
METOLAZONE -  (Prescribed by Other Provider) - 2.5 mg Tablet - 1
Tablet(s) by mouth once a day
METOPROLOL TARTRATE -  (Prescribed by Other Provider) - 25 mg
Tablet - 3 Tablet(s) by mouth three times a day
PANTOPRAZOLE -  (Prescribed by Other Provider) - 40 mg Tablet,
Delayed Release (E.C.) - 1 Tablet(s) by mouth every morning\
POTASSIUM CHLORIDE -  (Prescribed by Other Provider) - 10 mEq
Tablet Extended Release - 2 Tablet(s) by mouth every twelve (12)
hours
PRAMIPEXOLE [MIRAPEX] -  (Prescribed by Other Provider) - 0.5 mg
Tablet - 1 Tablet(s) by mouth at bedtime

Medications - OTC
ACETAMINOPHEN -  (Prescribed by Other Provider) - 325 mg Tablet
-
2 Tablet(s) by mouth every four (4) hours as needed for pain,
fever
ASCORBIC ACID -  (Prescribed by Other Provider) - 500 mg Tablet
-
2 Tablet(s) by mouth DAILY (Daily)
ASPIRIN -  (Prescribed by Other Provider) - 81 mg Tablet,
Delayed
Release (E.C.) - 1 Tablet(s) by mouth DAILY (Daily)
CHOLECALCIFEROL (VITAMIN D3) -  (Prescribed by Other Provider) -
400 unit Tablet - 1 Tablet(s) by mouth DAILY (Daily)
FISH OIL-DHA-EPA [FISH OIL] -  (Prescribed by Other Provider) -
1,200 mg-144 mg Capsule - 1 Capsule(s) by mouth three times
daily
MULTIVITAMIN -  (Prescribed by Other Provider) -   Tablet - 1
Tablet(s) by mouth DAILY (Daily)
NPH INSULIN HUMAN RECOMB [HUMULIN N] -  (Prescribed by Other
Provider) - 100 unit/mL Suspension - 72 units twice a day


Discharge Medications:
1. cefepime 2 gram Recon Soln Sig: Two (2) Recon Soln Injection
Q12H (every 12 hours) for 2 weeks.
2. lisinopril 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

3. atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. heparin, porcine (PF) 10 unit/mL Syringe Sig: Two (2) ML
Intravenous PRN (as needed) as needed for line flush.
5. hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4
hours) as needed for pain.
6. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable
PO DAILY (Daily).
7. cholecalciferol (vitamin D3) 400 unit Tablet Sig: One (1)
Tablet PO DAILY (Daily).
8. ascorbic acid 500 mg Tablet Sig: Two (2) Tablet PO BID (2
times a day).
9. omega-3 fatty acids     Capsule Sig: One (1) Capsule PO BID
(2 times a day).
10. multivitamin     Tablet Sig: One (1) Tablet PO DAILY
(Daily).
11. prednisolone acetate 1 % Drops, Suspension Sig: One (1) Drop
Ophthalmic DAILY (Daily).
12. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed for constipation for 1 months.
13. pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
14. metoprolol tartrate 50 mg Tablet Sig: One (1) Tablet PO TID
(3 times a day).
15. pramipexole 0.5 mg Tablet Sig: One (1) Tablet PO QHS (once a
day (at bedtime)).
16. Insulin Sliding Scale
Please see attached sheet


Discharge Disposition:
Extended Care

Facility:
[**Hospital 2971**] Rehabilitation and Nursing Center - [**Hospital1 1474**]

Discharge Diagnosis:
Sternal wound infection

Asociated Diagnosis:
s/p cabg x2   [**2137-7-18**]
CAD
DOE
B TKA [**2132**]
sleep apnea
hiatal hernia
GERD
DM
HTN
Hyperlipidemia
Restless leg syndrome
s/p stent to LAD in [**2126**],
Stent to RCA and OM in [**2128**]
appendectomy
hysterectomy
CTR left wrist
laser surgery OU
cataract


Discharge Condition:
Alert and oriented x3 nonfocal
Ambulating with steady gait
Incisional pain managed with oral analgesics
Incisions:
Sternal - VAC in place
Leg Right/Left - healing well, no erythema or drainage. Edema


Discharge Instructions:
-Your sternal wound vac dressing will need to be changed every 3
days while you are at home.  This will be done by visiting nurse
service.

1) Please shower daily including washing incisions gently with
mild soap, no baths or swimming until cleared by surgeon. Look
at your incisions daily for redness or drainage.
2) Please NO lotions, cream, powder, or ointments to incisions.
3) Each morning you should weigh yourself and then in the
evening take your temperature, these should be written down on
the chart provided.
4) No driving for approximately one month and while taking
narcotics. Driving will be discussed at follow up appointment
with surgeon when you will likely be cleared to drive.
5) No lifting more than 10 pounds for 10 weeks
6) Please call with any questions or concerns [**Telephone/Fax (1) 170**]

*Females: Please wear bra to reduce pulling on incision, avoid
rubbing on lower edge
**Please call cardiac surgery office with any questions or
concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call
person during off hours**


Followup Instructions:
Provider: [**First Name8 (NamePattern2) 177**] [**Last Name (NamePattern1) **], MD Phone:[**Telephone/Fax (1) 170**]
Date/Time:[**2137-9-10**] 3:15
Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 8583**], MD Phone:[**Telephone/Fax (1) 170**] Date/Time:[**2137-9-19**]
1:45

Plastic surgery is planning to remove hardware in [**1-17**] weeks.
This will be scheduled for you.



Completed by:[**2137-9-4**]

Name:  [**Known lastname 12586**],[**Known firstname 634**] J             Unit No:   [**Numeric Identifier 12587**]

Admission Date:  [**2137-8-29**]              Discharge Date:   [**2137-9-4**]

Date of Birth:  [**2063-12-24**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Morphine / Baclofen / adhesive bandage / penicillin G / Aldomet

Attending:[**First Name3 (LF) 135**]
Addendum:
Updated Discharge Medication Schedule
1. cefepime 2 gram Recon Soln Sig: Two (2) Recon Soln Injection
Q12H (every 12 hours) for 2 weeks.
2. lisinopril 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

3. atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. heparin, porcine (PF) 10 unit/mL Syringe Sig: Two (2) ML
Intravenous PRN (as needed) as needed for line flush.
5. hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4
hours) as needed for pain.
6. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable
PO DAILY (Daily).
7. cholecalciferol (vitamin D3) 400 unit Tablet Sig: One (1)
Tablet PO DAILY (Daily).
8. ascorbic acid 500 mg Tablet Sig: Two (2) Tablet PO BID (2
times a day).
9. omega-3 fatty acids     Capsule Sig: One (1) Capsule PO BID
(2 times a day).
10. multivitamin     Tablet Sig: One (1) Tablet PO DAILY
(Daily).
11. prednisolone acetate 1 % Drops, Suspension Sig: One (1) Drop
Ophthalmic DAILY (Daily).
12. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed for constipation for 1 months.
13. pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
14. metoprolol tartrate 50 mg Tablet Sig: One (1) Tablet PO TID
(3 times a day).
15. pramipexole 0.5 mg Tablet Sig: One (1) Tablet PO QHS (once a
day (at bedtime)).
16. Insulin Sliding Scale
Please see attached sheet
17. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID
(2 times a day).
18. bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for
constipation.
19. heparin (porcine) 5,000 unit/mL Solution Sig: 5000 (5000)
units Injection TID (3 times a day).
20. insulin glargine 100 unit/mL Solution Sig: Sixty Five (65)
units Subcutaneous Q breakfast and dinner.
21. Humalog 100 unit/mL Solution Sig: sliding scale
Subcutaneous QAC&HS: see insulin sheet.


Discharge Disposition:
Extended Care

Facility:
[**Hospital 371**] Rehabilitation and Nursing Center - [**Hospital1 328**]

                             [**First Name11 (Name Pattern1) 77**] [**Last Name (NamePattern4) 137**] MD [**MD Number(2) 138**]

Completed by:[**2137-9-4**]

Name:  [**Known lastname 12586**],[**Known firstname 634**] J             Unit No:   [**Numeric Identifier 12587**]

Admission Date:  [**2137-8-29**]              Discharge Date:   [**2137-9-4**]

Date of Birth:  [**2063-12-24**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Morphine / Baclofen / adhesive bandage / penicillin G / Aldomet

Attending:[**First Name3 (LF) 135**]
Addendum:
Ms [**Known lastname **] will be discahrged to Braemore Nursing and
Rehabilitation Center in [**Hospital1 328**]

Discharge Disposition:
Extended Care

Facility:
[**Hospital 371**] Rehabilitation and Nursing Center - [**Hospital1 328**]

                             [**First Name11 (Name Pattern1) 77**] [**Last Name (NamePattern4) 137**] MD [**MD Number(2) 138**]

Completed by:[**2137-9-4**]
{'Other postoperative infection,Acute kidney failure, unspecified,Pseudomonas infection in conditions classified elsewhere and of unspecified site,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation,Coronary atherosclerosis of unspecified type of vessel, native or graft,Aortocoronary bypass status,Diaphragmatic hernia without mention of obstruction or gangrene,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Restless legs syndrome (RLS),Cardiac pacemaker in situ,Knee joint replacement,Obesity, unspecified,Esophageal reflux,Body Mass Index 39.0-39.9, adult,Obstructive sleep apnea (adult)(pediatric)'}


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: non healing sternal wound

PRESENT ILLNESS: [**2137-7-18**]: Coronary artery bypass grafting x2, with reversed
saphenous vein graft to the ramus intermedius artery and a free
left internal mammary artery graft to the obtuse marginal artery
Y'd to the vein graft.
Discharged home on POD4, seen in wound clinic several times for
followup of nonhaling inferior sternal wound which has been
treated with the VAC dressing. Inferior wound smaller but the
middle portion of the sternal incision is now dehisced with a
subcutaneous track superiorly noted. Will admit and have plastic
surgery see the patient to assist with debridement and sternal
wound closure.

MEDICAL HISTORY: s/p cabg x2 with reversed saphenous vein graft to the ramus
intermedius artery and a free left internal mammary artery graft
to the obtuse marginal artery Y'd to the vein graft  [**2137-7-18**]
PMH:
coronary artery disease, dyspnea on exertion, bilateral knee
replacement [**2132**], sleep apnea, hiatal hernia, GERD, diabetes
mellitus, hypertension, Hyperlipidemia, Restless leg syndrome,
s/p stent to LAD in [**2126**], Stent to RCA and OM in [**2128**],
appendectomy, hysterectomy, CTR left wrist, laser surgery OU,
cataract

MEDICATION ON ADMISSION: ATORVASTATIN [LIPITOR] -  (Prescribed by Other Provider) - 80 mg
Tablet - 1 Tablet(s) by mouth at bedtime
CPAP WITH 2 LITERS OF OXYGEN AT NIGHT -  (Prescribed by Other
Provider) - Dosage uncertain
FUROSEMIDE -  (Prescribed by Other Provider) - 80 mg Tablet - 1
Tablet(s) by mouth twice a day
HYDROMORPHONE -  (Prescribed by Other Provider) - 2 mg Tablet -
[**12-16**] Tablet(s) by mouth every four (4) hours as needed for pain
INSULIN LISPRO [HUMALOG] -  (Prescribed by Other Provider) - 100
unit/mL Solution - per sliding scale
LISINOPRIL -  (Prescribed by Other Provider) - 5 mg Tablet - 1
Tablet(s) by mouth DAILY (Daily)
METOLAZONE -  (Prescribed by Other Provider) - 2.5 mg Tablet - 1
Tablet(s) by mouth once a day
METOPROLOL TARTRATE -  (Prescribed by Other Provider) - 25 mg
Tablet - 3 Tablet(s) by mouth three times a day
PANTOPRAZOLE -  (Prescribed by Other Provider) - 40 mg Tablet,
Delayed Release (E.C.) - 1 Tablet(s) by mouth every morning\
POTASSIUM CHLORIDE -  (Prescribed by Other Provider) - 10 mEq
Tablet Extended Release - 2 Tablet(s) by mouth every twelve (12)
hours
PRAMIPEXOLE [MIRAPEX] -  (Prescribed by Other Provider) - 0.5 mg
Tablet - 1 Tablet(s) by mouth at bedtime

ALLERGIES: Morphine / Baclofen / adhesive bandage / penicillin G / Aldomet

PHYSICAL EXAM: Weight preoperative: 217        current:223

FAMILY HISTORY: Premature coronary artery disease- Brother with CABG at age 65
Race:Caucasian

SOCIAL HISTORY: Occupation:retired
Cigarettes: denies
Other Tobacco use:denies
ETOH: denies
Illicit drug use:denies
Lives with: alone in a senior complex, Ambulates with
a four wheel walker.
Contact:[**Name (NI) **] and [**Name (NI) **] (son and daughter-in-law) 

### Response:
{'Other postoperative infection,Acute kidney failure, unspecified,Pseudomonas infection in conditions classified elsewhere and of unspecified site,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation,Coronary atherosclerosis of unspecified type of vessel, native or graft,Aortocoronary bypass status,Diaphragmatic hernia without mention of obstruction or gangrene,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Restless legs syndrome (RLS),Cardiac pacemaker in situ,Knee joint replacement,Obesity, unspecified,Esophageal reflux,Body Mass Index 39.0-39.9, adult,Obstructive sleep apnea (adult)(pediatric)'}
