CHIEF COMPLAINT: Sore throat

PRESENT ILLNESS: Otherwise healthy 23 M with sore throat x 48 hrs.  He was
seen on [**6-27**] in the [**Hospital1 18**] ED, diagnosed with pharyngitis, and
discharged with scripts for oral PCN and roxicet.  He returns
tonight with increasing difficulty swallowing and increasing
pain.  No current difficulty breathing.  As far as he knows his
immunizations are up-to-date including H. influenzae b.

MEDICAL HISTORY: PMH/PSH: denies
MEDS: none
ALLERGIES: NKDA
SOCIAL:  no tobacco

MEDICATION ON ADMISSION: 

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: Gen: Awake, NAD
Face: atraumatic
NC/NP: very large and boggy inferior turbinates
OC/OP: mild trismus; OP erythema.  Uvula midline, no soft palate
bulge.
Larynx/HP:  Significant watery edema of the epiglottis and both
arytenoids.  TVF mobile under the edematous supraglottic
structures.  + pooling of secretions.
Neck: Tender R level II-III node.  Mild ROM limitation on
leftward and upward gaze.

FAMILY HISTORY: NC

SOCIAL HISTORY: No tobacco use.
Retropharyngeal abscess,Supraglottitis unspecified, without obstruction
Retropharyngeal abscess,Supraglottis w/o obs NOS
Admission Date:  [**2111-6-28**]              Discharge Date:   [**2111-6-29**]

Date of Birth:  [**2088-4-23**]             Sex:   M

Service: OTOLARYNGOLOGY

Allergies:
No Known Allergies / Adverse Drug Reactions

Attending:[**First Name3 (LF) 8480**]
Chief Complaint:
Sore throat

Major Surgical or Invasive Procedure:
None

History of Present Illness:
Otherwise healthy 23 M with sore throat x 48 hrs.  He was
seen on [**6-27**] in the [**Hospital1 18**] ED, diagnosed with pharyngitis, and
discharged with scripts for oral PCN and roxicet.  He returns
tonight with increasing difficulty swallowing and increasing
pain.  No current difficulty breathing.  As far as he knows his
immunizations are up-to-date including H. influenzae b.


Past Medical History:
PMH/PSH: denies
MEDS: none
ALLERGIES: NKDA
SOCIAL:  no tobacco


Social History:
No tobacco use.

Family History:
NC

Physical Exam:
Gen: Awake, NAD
Face: atraumatic
NC/NP: very large and boggy inferior turbinates
OC/OP: mild trismus; OP erythema.  Uvula midline, no soft palate
bulge.
Larynx/HP:  Significant watery edema of the epiglottis and both
arytenoids.  TVF mobile under the edematous supraglottic
structures.  + pooling of secretions.
Neck: Tender R level II-III node.  Mild ROM limitation on
leftward and upward gaze.

At the time of discharge.
Full range of neck motion
FOE: resolution of supraglottic edema to baseline.
Good air movement.


Pertinent Results:
[**2111-6-28**] 12:05PM   GLUCOSE-145* UREA N-10 CREAT-0.7 SODIUM-138
POTASSIUM-4.4 CHLORIDE-101 TOTAL CO2-23 ANION GAP-18
[**2111-6-28**] 12:05PM   CALCIUM-9.2 PHOSPHATE-2.9 MAGNESIUM-2.0
[**2111-6-28**] 12:05PM   WBC-14.3* RBC-5.18 HGB-15.6 HCT-44.6 MCV-86
MCH-30.1 MCHC-34.9 RDW-13.3
[**2111-6-28**] 12:05PM   PLT COUNT-266
[**2111-6-27**] 11:42PM   LACTATE-1.2
[**2111-6-27**] 11:30PM   GLUCOSE-104* UREA N-9 CREAT-1.0 SODIUM-139
POTASSIUM-3.9 CHLORIDE-98 TOTAL CO2-26 ANION GAP-19
[**2111-6-27**] 11:30PM   estGFR-Using this
[**2111-6-27**] 11:30PM   WBC-14.6* RBC-5.09 HGB-15.5 HCT-44.8 MCV-88
MCH-30.4 MCHC-34.6 RDW-13.6
[**2111-6-27**] 11:30PM   NEUTS-82* BANDS-0 LYMPHS-5* MONOS-10 EOS-0
BASOS-0 ATYPS-2* METAS-1* MYELOS-0
[**2111-6-27**] 11:30PM   HYPOCHROM-NORMAL ANISOCYT-NORMAL
POIKILOCY-NORMAL MACROCYT-NORMAL MICROCYT-NORMAL
POLYCHROM-OCCASIONAL
[**2111-6-27**] 11:30PM   PLT SMR-NORMAL PLT COUNT-285

Brief Hospital Course:
Patient was evaluated by ENT service in ED.
CT imaging was reviewed at the initial evaluation as well.
Finding was notable for edematous supraglottis, with associated
R parapharyngeal and retropharyngeal phlegmon.  Patient was
otherwise maintaining respiratory status.  Given this finding,
decision was made to closely monitor pt in ICU setting with
medical therapy including decadron and broad spec antibiotics.
On HD 2, AM laryngoscope exam revealed marked improvement of
airway with residual supraglottic edema.  Pt has been
subjectively feeling improvement.  We began to resume pt's Po
intake, and observe another 24 hr in ICU.
On HD 3, Am laryngoscope exam revealed baseline evaluation of
supraglottic structure.  Pt was started on PO trial.
Subjectively pt feels near baseline.  At the time of discharge,
pt was tolerating Po, afebrile, no respiratory symptoms, and
ambulating.
He will be discharged on PO augmentin and followed up in Dr.
[**First Name (STitle) **] in clinic within 7- 10 days.

Discharge Medications:
1. Augmentin 875-125 mg Tablet Sig: One (1) Tablet PO twice a
day for 10 days.
Disp:*20 Tablet(s)* Refills:*0*


Discharge Disposition:
Home

Discharge Diagnosis:
Neck infection

Discharge Condition:
Stable

Discharge Instructions:
If return of symptoms such as: changes in voice/breathing,
fever, neck stiffness, chest pain, or any other symptoms, seek
medical attn immediately

Followup Instructions:
Call Dr.[**Name (NI) 18353**] clinic at [**Telephone/Fax (1) 31733**]. FU in [**8-16**] days


Completed by:[**2111-6-29**]
{'Retropharyngeal abscess,Supraglottitis unspecified, without obstruction'}


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: Sore throat

PRESENT ILLNESS: Otherwise healthy 23 M with sore throat x 48 hrs.  He was
seen on [**6-27**] in the [**Hospital1 18**] ED, diagnosed with pharyngitis, and
discharged with scripts for oral PCN and roxicet.  He returns
tonight with increasing difficulty swallowing and increasing
pain.  No current difficulty breathing.  As far as he knows his
immunizations are up-to-date including H. influenzae b.

MEDICAL HISTORY: PMH/PSH: denies
MEDS: none
ALLERGIES: NKDA
SOCIAL:  no tobacco

MEDICATION ON ADMISSION: 

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: Gen: Awake, NAD
Face: atraumatic
NC/NP: very large and boggy inferior turbinates
OC/OP: mild trismus; OP erythema.  Uvula midline, no soft palate
bulge.
Larynx/HP:  Significant watery edema of the epiglottis and both
arytenoids.  TVF mobile under the edematous supraglottic
structures.  + pooling of secretions.
Neck: Tender R level II-III node.  Mild ROM limitation on
leftward and upward gaze.

FAMILY HISTORY: NC

SOCIAL HISTORY: No tobacco use. 

### Response:
{'Retropharyngeal abscess,Supraglottitis unspecified, without obstruction'}
