CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known firstname **] [**Known lastname 34589**] is a
45-year-old male with a past medical history remarkable for
chronic relapsing pericarditis secondary to severe variant
rheumatoid arthritis.

MEDICAL HISTORY: 1.  Severe variant rheumatoid arthritis.
2.  Gastritis.
3.  History of Helicobacter pylori.
4.  Status post back surgery.

MEDICATION ON ADMISSION: (Medications at home included)
1.  Prednisone 7.5 mg p.o. once per day.
2.  Methotrexate 15 mg p.o. every week.
3.  Colchicine 0.6 mg p.o. twice per day
4.  Duragesic patch 50 as needed.
5.  OxyContin 40 mg p.o. four times per day as needed (for
pain).
6.  Centrum.
7.  Nexium.
8.  Stool softeners.

ALLERGIES: PERTINENT LABORATORY VALUES ON PRESENTATION:  Pertinent
laboratories as of [**2180-5-5**] revealed white blood cell
count was 10.5, hematocrit was 30.8, and platelets were 175.
Sodium was 143, potassium was 4.4, chloride was 107,
bicarbonate was 27, blood urea nitrogen was 11, creatinine
was 0.7, and blood glucose was 120.  Magnesium was 2.3.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other specified diseases of pericardium,Polyarticular juvenile rheumatoid arthritis, chronic or unspecified,Esophageal reflux
Pericardial disease NEC,Juv rheum arthritis NOS,Esophageal reflux
Admission Date:  [**2180-5-3**]       Discharge Date:  [**2180-5-6**]

Date of Birth:   [**2134-6-21**]       Sex:  M

Service:  CTS

HISTORY OF PRESENT ILLNESS:  Mr. [**Known firstname **] [**Known lastname 34589**] is a
45-year-old male with a past medical history remarkable for
chronic relapsing pericarditis secondary to severe variant
rheumatoid arthritis.

The patient has been experiencing severe pleuritic chest pain
which had been controlled on 10 mg of prednisone; however,
this had recently increased to 20 mg to control these
recurrent flares.

Since the symptoms stemming from the relapsing pericarditis
has required the use of prednisone while other symptoms such
as aching in the hands and feet have been well controlled on
colchicine and methotrexate, the Cardiothoracic Surgery
Service was consulted to evaluate this patient for
pericardiectomy.

PAST MEDICAL HISTORY:
1.  Severe variant rheumatoid arthritis.
2.  Gastritis.
3.  History of Helicobacter pylori.
4.  Status post back surgery.

MEDICATIONS ON ADMISSION:  (Medications at home included)
1.  Prednisone 7.5 mg p.o. once per day.
2.  Methotrexate 15 mg p.o. every week.
3.  Colchicine 0.6 mg p.o. twice per day
4.  Duragesic patch 50 as needed.
5.  OxyContin 40 mg p.o. four times per day as needed (for
pain).
6.  Centrum.
7.  Nexium.
8.  Stool softeners.

ALLERGIES:

PERTINENT LABORATORY VALUES ON PRESENTATION:  Pertinent
laboratories as of [**2180-5-5**] revealed white blood cell
count was 10.5, hematocrit was 30.8, and platelets were 175.
Sodium was 143, potassium was 4.4, chloride was 107,
bicarbonate was 27, blood urea nitrogen was 11, creatinine
was 0.7, and blood glucose was 120.  Magnesium was 2.3.

PHYSICAL EXAMINATION ON PRESENTATION:  Physical examination
revealed vital signs with a temperature of 99.2, heart rate
was 80 (sinus), blood pressure was 140/72, respiratory rate
was 18, and oxygen saturation was 96% on room air.  The
patient is a well-developed and well-nourished male in no
apparent distress.  Sclerae were anicteric.  Mucous membranes
were moist.  No evidence of oral ulcers.  No evidence of
cervical lymphadenopathy.  Cranial nerves II through XII were
intact.  The chest was clear to auscultation bilaterally.
The sternal dressing was intact.  No evidence of extending
erythema.  No serosanguineous drainage was noted.  The
sternum showed no signs of click to palpation.
Cardiovascular examination revealed a regular rate and
rhythm.  No murmurs, no rubs, and no click noted.  The
abdomen was soft, nontender, and nondistended.  Positive
bowel sounds.  No evidence of inguinal lymphadenopathy.  No
hepatosplenomegaly was noted.  Extremity examination revealed
no evidence of edema.  No rash was noted.

HOSPITAL COURSE:   The patient is a 45-year-old male with a
long history of severe variant rheumatoid arthritis who
underwent a subtotal pericardiectomy for recurrent
pericarditis.

The patient's intraoperative course as well as postoperative
course were uncomplicated.  The patient was taken to the
Cardiothoracic Surgery Recovery Unit immediately
postoperatively for close monitoring.  The patient was
promptly extubated.  The patient maintained good oxygen
saturations status post extubation and remained in a normal
sinus rhythm while maintaining good pressure without any
pressors.

By postoperative day two, the patient's condition continued
to advance; demonstrating ambulation greater than five
minutes without evidence of shortness of breath.

By postoperative day three, the patient achieved proper
physical therapy status criteria for discharge and the
decision was made to discharge the patient in good condition
from the hospital without services.

CONDITION AT DISCHARGE:  Condition on discharge was good.

DISCHARGE STATUS:  Discharge status was to home.

DISCHARGE DIAGNOSES:  Status post subtotal pericardiectomy.

MEDICATIONS ON DISCHARGE:
1.  Prednisone 7.5 mg p.o. once per day.
2.  Aspirin 325 mg p.o. once per day.
3.  Metoprolol 25 mg p.o. twice per day.
4.  Fentanyl patch.
5.  Oxycodone 80 mg p.o. twice per day.

DISCHARGE INSTRUCTIONS/FOLLOWUP:
1.  The patient was requested to follow up with Dr. [**First Name4 (NamePattern1) **]
[**Last Name (NamePattern1) **] in four weeks after discharge.
2.  The patient was to follow up with Dr. [**Last Name (STitle) 19634**] in one to
two weeks.





                            [**First Name11 (Name Pattern1) 1112**] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 3113**]

Dictated By:[**Name8 (MD) 11079**]
MEDQUIST36

D:  [**2180-5-5**]
T:  [**2180-5-5**]  15:45
JOB#:  [**Job Number 34590**]

cc:[**Numeric Identifier 34591**]
{'Other specified diseases of pericardium,Polyarticular juvenile rheumatoid arthritis, chronic or unspecified,Esophageal reflux'}


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: 

PRESENT ILLNESS: Mr. [**Known firstname **] [**Known lastname 34589**] is a
45-year-old male with a past medical history remarkable for
chronic relapsing pericarditis secondary to severe variant
rheumatoid arthritis.

MEDICAL HISTORY: 1.  Severe variant rheumatoid arthritis.
2.  Gastritis.
3.  History of Helicobacter pylori.
4.  Status post back surgery.

MEDICATION ON ADMISSION: (Medications at home included)
1.  Prednisone 7.5 mg p.o. once per day.
2.  Methotrexate 15 mg p.o. every week.
3.  Colchicine 0.6 mg p.o. twice per day
4.  Duragesic patch 50 as needed.
5.  OxyContin 40 mg p.o. four times per day as needed (for
pain).
6.  Centrum.
7.  Nexium.
8.  Stool softeners.

ALLERGIES: PERTINENT LABORATORY VALUES ON PRESENTATION:  Pertinent
laboratories as of [**2180-5-5**] revealed white blood cell
count was 10.5, hematocrit was 30.8, and platelets were 175.
Sodium was 143, potassium was 4.4, chloride was 107,
bicarbonate was 27, blood urea nitrogen was 11, creatinine
was 0.7, and blood glucose was 120.  Magnesium was 2.3.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other specified diseases of pericardium,Polyarticular juvenile rheumatoid arthritis, chronic or unspecified,Esophageal reflux'}
