CHIEF COMPLAINT: 

PRESENT ILLNESS: Briefly, this is a 24 year-old
[**Country 9819**] woman who presented a year ago with shortness of
breath and feeling of suffocation.  Workup revealed ASD.  The
patient was referred to Dr. [**Last Name (STitle) 1537**] for surgery at that time,
but the patient wanted to wait until her mother arrived
before proceeding with surgery.

MEDICAL HISTORY: She has borderline high cholesterol,
heartburn and gastroesophageal reflux disease.  Abnormal
menses and the feeling of suffocation.

MEDICATION ON ADMISSION: 

ALLERGIES: Sudafed.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other bulbus cordis anomalies and anomalies of cardiac septal closure,Other specified congenital anomalies of heart,Esophageal reflux,Pure hypercholesterolemia
Septal closure anom NEC,Cong heart anomaly NEC,Esophageal reflux,Pure hypercholesterolem
Admission Date:  [**2102-8-11**]     Discharge Date:  [**2102-8-16**]

Date of Birth:   [**2078-7-26**]     Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  Briefly, this is a 24 year-old
[**Country 9819**] woman who presented a year ago with shortness of
breath and feeling of suffocation.  Workup revealed ASD.  The
patient was referred to Dr. [**Last Name (STitle) 1537**] for surgery at that time,
but the patient wanted to wait until her mother arrived
before proceeding with surgery.

PAST MEDICAL HISTORY:  She has borderline high cholesterol,
heartburn and gastroesophageal reflux disease.  Abnormal
menses and the feeling of suffocation.

PAST SURGICAL HISTORY:  None.

MEDICATIONS:  Celexa prn.

ALLERGIES:  Sudafed.

PHYSICAL EXAMINATION:  She is afebrile.  Her vital signs are
stable.  She is in no acute distress.  She had no JVD.  Her
pupils are equal, round and reactive to light.  Her neck was
supple.  She had no carotid bruits.  Her lungs were clear to
auscultation bilaterally.  Her heart was regular rate and
rhythm with normal S1 and S2.  She had a 3 out of 6 murmur
heard best in the left lower sternal border.  Abdomen was
soft, nontender, nondistended.  Her bowel sounds were
present. Her extremities were warm and well perfuse with no
edema or cyanosis and she had no varicosities.  Her pulses
were 2+ bilaterally.

HOSPITAL COURSE:  The patient was taken to the Operating Room
on [**2102-8-11**] where a minimally invasive ASD was performed.  The
patient did well postoperatively and was transferred to the
CSRU where she was slowly weaned and extubated.  The patient
was given Percocet for pain postoperatively and low dose beta
blockers at that time.  She had increased oxygen requirement
over her time in the Intensive Care Unit and had a CT scan to
rule out PE, which was negative, which showed large pleural
effusion and significant pulmonary vasculature.  The patient
was aggressively diuresed with strong chest physical therapy
and her O2 saturations improved.  Physical therapy was
consulted to asses her for ambulation.  It was felt she could
be discharged to home with adequate pain control and she
could achieve full mobility.  The patient continued to
improve.  She was put on PCA for pain.  She had increased
pain issues, but was continued to be diuresed.

The patient was transferred to the floor on [**2102-8-15**] where she
continued to improve.  Her O2 saturations improved and she
was weaned down on her nasal cannula.  Aggressive pulmonary
toilet was continued and the patient began ambulating.  Her
pain was controlled with Percocet and Motrin and the patient
was discharged home in stable condition at that time.  She
was instructed to follow up with Dr. [**Last Name (STitle) 1537**] in four to six
weeks and follow up with her primary care physician in one to
two weeks.

DISCHARGE MEDICATIONS:  Percocet one to two tabs po q 4 hours
prn, Motrin 400 mg po q 6 hours prn, EC ASA 325 mg po q day,
Zantac 150 mg po b.i.d., Colace 100 mg po b.i.d., K-Ciel 20
milliequivalents po b.i.d. and Lasix 20 mg po b.i.d.

DISCHARGE CONDITION:  The patient was discharged home in
stable condition.

DISCHARGE DIAGNOSES:
1.  ASD status post minimally invasive closure.
2.  Borderline high cholesterol.
3.  Heartburn.
4.  Gastroesophageal reflux disease.
5.  Abnormal menses.






                          [**First Name11 (Name Pattern1) 275**] [**Last Name (NamePattern4) 1539**], M.D.  [**MD Number(1) 1540**]

Dictated By:[**First Name (STitle) **]

MEDQUIST36

D:  [**2102-8-16**]  10:51
T:  [**2102-8-22**]  05:33
JOB#:  [**Job Number 27325**]
{'Other bulbus cordis anomalies and anomalies of cardiac septal closure,Other specified congenital anomalies of heart,Esophageal reflux,Pure hypercholesterolemia'}


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: Briefly, this is a 24 year-old
[**Country 9819**] woman who presented a year ago with shortness of
breath and feeling of suffocation.  Workup revealed ASD.  The
patient was referred to Dr. [**Last Name (STitle) 1537**] for surgery at that time,
but the patient wanted to wait until her mother arrived
before proceeding with surgery.

MEDICAL HISTORY: She has borderline high cholesterol,
heartburn and gastroesophageal reflux disease.  Abnormal
menses and the feeling of suffocation.

MEDICATION ON ADMISSION: 

ALLERGIES: Sudafed.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other bulbus cordis anomalies and anomalies of cardiac septal closure,Other specified congenital anomalies of heart,Esophageal reflux,Pure hypercholesterolemia'}
