CHIEF COMPLAINT: Nausea

PRESENT ILLNESS: Pt started developing naussea for the last 24 hrs before ED
admission. Had one episode of emesiis.

MEDICAL HISTORY: 1. OLT: [**5-11**], for HCV/EtOH cirrhosis and HCC, on rapamycin and
Cellcept, c/b wound infection, followed by Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 497**]
2. tracheostomy: x2, [**8-11**] for chronic vent dependency,
subglottic stenosis, tracheomalacia
3. DM2
4. OSA/Pickwickian syndrome
5. COPD
6. Diastolic dysfunction
7. CKD
8. Bipolar d/o
9. HTN
10. H/o VRE, MRSA, C. diff, and resistant Pseudomonas infections
11. Hiatal hernia
12. Pulmonary hypertension

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillins / Nsaids / Rapamune

PHYSICAL EXAM: T97.7 Hr 72 BP 123/65
On vent
Lungs CTA
[**Last Name (un) **] RRR nm ng
abd very soft nt nd
ext no edema

FAMILY HISTORY: NC

SOCIAL HISTORY: Quit tobacco 8 years ago. Quit alcohol 17 years prior to
admission. Denies any recreational drugs.
Unspecified intestinal obstruction,Urinary tract infection, site not specified,Liver replaced by transplant,Chronic airway obstruction, not elsewhere classified,Chronic diastolic heart failure,Dependence on respirator, status,Bipolar I disorder, most recent episode (or current) unspecified,Tracheostomy status,Other chronic pulmonary heart diseases,Unspecified sleep apnea,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
Intestinal obstruct NOS,Urin tract infection NOS,Liver transplant status,Chr airway obstruct NEC,Chr diastolic hrt fail,Respirator depend status,Bipolor I current NOS,Tracheostomy status,Chr pulmon heart dis NEC,Sleep apnea NOS,DMII wo cmp nt st uncntr
Admission Date:  [**2160-3-27**]              Discharge Date:   [**2160-3-28**]

Date of Birth:  [**2096-4-23**]             Sex:   M

Service: SURGERY

Allergies:
Penicillins / Nsaids / Rapamune

Attending:[**First Name3 (LF) 668**]
Chief Complaint:
Nausea

Major Surgical or Invasive Procedure:
63yo M s/p OLT ([**5-11**]) for HepC cirrhosis/HCC on
immunosuppression, s/p tracheostomy for subglottic stenosis
([**7-11**]), recurrent pna. Comes to Ed with naussea and vomiting.
Denies adbominal pain fever .
Pos BM and flattus

History of Present Illness:
Pt started developing naussea for the last 24 hrs before ED
admission. Had one episode of emesiis.

Past Medical History:
1. OLT: [**5-11**], for HCV/EtOH cirrhosis and HCC, on rapamycin and
Cellcept, c/b wound infection, followed by Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 497**]
2. tracheostomy: x2, [**8-11**] for chronic vent dependency,
subglottic stenosis, tracheomalacia
3. DM2
4. OSA/Pickwickian syndrome
5. COPD
6. Diastolic dysfunction
7. CKD
8. Bipolar d/o
9. HTN
10. H/o VRE, MRSA, C. diff, and resistant Pseudomonas infections
11. Hiatal hernia
12. Pulmonary hypertension

Social History:
Quit tobacco 8 years ago. Quit alcohol 17 years prior to
admission. Denies any recreational drugs.


Family History:
NC

Physical Exam:
T97.7 Hr 72 BP 123/65
On vent
Lungs CTA
[**Last Name (un) **] RRR nm ng
abd very soft nt nd
ext no edema

Pertinent Results:
[**2160-3-27**] 01:20PM URINE  COLOR-Yellow APPEAR-Hazy SP [**Last Name (un) 155**]-1.017
[**2160-3-27**] 01:20PM URINE  BLOOD-TR NITRITE-NEG PROTEIN-TR
GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0
LEUK-MOD
[**2160-3-27**] 01:20PM URINE  RBC-[**2-10**]* WBC->50 BACTERIA-MANY
YEAST-NONE EPI-<1
[**2160-3-27**] 01:18PM   LACTATE-1.0
[**2160-3-27**] 12:40PM   GLUCOSE-162* UREA N-24* CREAT-1.5* SODIUM-139
POTASSIUM-4.7 CHLORIDE-98 TOTAL CO2-32 ANION GAP-14
[**2160-3-27**] 12:40PM   ALT(SGPT)-10 AST(SGOT)-10 ALK PHOS-135*
AMYLASE-76 TOT BILI-0.5
[**2160-3-27**] 12:40PM   ALBUMIN-3.1* CALCIUM-8.8 PHOSPHATE-4.3
MAGNESIUM-1.6
[**2160-3-27**] 12:40PM   WBC-9.6# RBC-3.92*# HGB-11.1*# HCT-34.4*#
MCV-88 MCH-28.3 MCHC-32.3 RDW-20.1*
[**2160-3-27**] 12:40PM   NEUTS-88.4* LYMPHS-5.5* MONOS-5.2 EOS-0.8
BASOS-0.3
[**2160-3-27**] 12:40PM   HYPOCHROM-1+ ANISOCYT-2+ POIKILOCY-1+
MACROCYT-1+ MICROCYT-1+
[**2160-3-27**] 12:40PM   PLT COUNT-136*
[**2160-3-27**] 12:40PM   PT-13.3* PTT-25.9 INR(PT)-1.2*

Brief Hospital Course:
Pt was admitted for observation. Ct scan revealed no evidence of
bowel obstruction, no fat stranding no intraabdominal pathology.
Pt stable obreve in icu reday to be send to Rehab.

Discharge Disposition:
Extended Care

Facility:
[**Hospital6 23973**] [**Hospital1 **]

Discharge Diagnosis:
Naussea

Discharge Condition:
Good

Discharge Instructions:
[**Hospital 15718**] Rehab

Followup Instructions:
RTC Dr [**Last Name (STitle) 497**] 4 weeks


Completed by:[**2160-3-28**]
{'Unspecified intestinal obstruction,Urinary tract infection, site not specified,Liver replaced by transplant,Chronic airway obstruction, not elsewhere classified,Chronic diastolic heart failure,Dependence on respirator, status,Bipolar I disorder, most recent episode (or current) unspecified,Tracheostomy status,Other chronic pulmonary heart diseases,Unspecified sleep apnea,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}


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: Nausea

PRESENT ILLNESS: Pt started developing naussea for the last 24 hrs before ED
admission. Had one episode of emesiis.

MEDICAL HISTORY: 1. OLT: [**5-11**], for HCV/EtOH cirrhosis and HCC, on rapamycin and
Cellcept, c/b wound infection, followed by Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 497**]
2. tracheostomy: x2, [**8-11**] for chronic vent dependency,
subglottic stenosis, tracheomalacia
3. DM2
4. OSA/Pickwickian syndrome
5. COPD
6. Diastolic dysfunction
7. CKD
8. Bipolar d/o
9. HTN
10. H/o VRE, MRSA, C. diff, and resistant Pseudomonas infections
11. Hiatal hernia
12. Pulmonary hypertension

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillins / Nsaids / Rapamune

PHYSICAL EXAM: T97.7 Hr 72 BP 123/65
On vent
Lungs CTA
[**Last Name (un) **] RRR nm ng
abd very soft nt nd
ext no edema

FAMILY HISTORY: NC

SOCIAL HISTORY: Quit tobacco 8 years ago. Quit alcohol 17 years prior to
admission. Denies any recreational drugs. 

### Response:
{'Unspecified intestinal obstruction,Urinary tract infection, site not specified,Liver replaced by transplant,Chronic airway obstruction, not elsewhere classified,Chronic diastolic heart failure,Dependence on respirator, status,Bipolar I disorder, most recent episode (or current) unspecified,Tracheostomy status,Other chronic pulmonary heart diseases,Unspecified sleep apnea,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}
