CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 74-year-old
male with a history of hypertension, diabetes, and a long
history of cigarette smoking; who was in his usual state of
health until he developed some unstable angina.  The patient
was transferred from an outside hospital for cardiac
catheterization at our facility.

MEDICAL HISTORY: 1.  Hypertension.
2.  Diabetes.
3.  Benign prostatic hypertrophy.
4.  Peripheral neuropathy.
5.  Osteoarthritis.
6.  Lyme disease.
7.  Asbestosis.
8.  Colonic polyps.

MEDICATION ON ADMISSION: 

ALLERGIES: He has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subendocardial infarction, initial episode of care,Coronary atherosclerosis of native coronary artery,Asbestosis,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Tobacco use disorder,Peripheral vascular disease, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified
Subendo infarct, initial,Crnry athrscl natve vssl,Asbestosis,DMII wo cmp nt st uncntr,Hypertension NOS,Tobacco use disorder,Periph vascular dis NOS,Osteoarthros NOS-unspec
Admission Date:  [**2104-2-25**]       Discharge Date:  [**2104-3-1**]

Date of Birth:   [**2029-4-6**]       Sex:  M

Service:  Cardiothoracic Surgery

HISTORY OF PRESENT ILLNESS:  The patient is a 74-year-old
male with a history of hypertension, diabetes, and a long
history of cigarette smoking; who was in his usual state of
health until he developed some unstable angina.  The patient
was transferred from an outside hospital for cardiac
catheterization at our facility.

PAST MEDICAL HISTORY:
1.  Hypertension.
2.  Diabetes.
3.  Benign prostatic hypertrophy.
4.  Peripheral neuropathy.
5.  Osteoarthritis.
6.  Lyme disease.
7.  Asbestosis.
8.  Colonic polyps.

PAST SURGICAL HISTORY:   No previous past surgical history.

ALLERGIES:  He has no known drug allergies.

HOSPITAL COURSE:   This 74-year-old man, who was transferred
to our facility, underwent cardiac catheterization.

Catheterization revealed an 80% stenosis of the proximal left
anterior descending artery, and an 80% stenosis of the obtuse
marginal, with a normal left ventricular ejection fraction.

Based on these findings, Cardiothoracic Surgery was consulted
and the patient was deemed appropriate for a coronary artery
bypass graft.  So, on [**2104-2-26**], the patient was taken
to the operating room where he underwent a coronary artery
bypass graft.  His grafts were left internal mammary artery
to the second diagonal and saphenous vein graft to obtuse
marginal.  The patient tolerated the procedure well, and
there were no complications.

Postoperatively, he was transferred to the Cardiothoracic
Surgery Recovery Unit where he was maintained briefly on
pressors.  The patient woke up extubated and was weaned off
of his pressor support.

On postoperative day two, he was transferred out of the
Intensive Care Unit to the floor, where his chest tubes and
Foley catheter were removed, and his pacing wires were
removed.  His diet was advanced.  He worked with Physical
Therapy, and he was deemed to be a candidate for
rehabilitation and was to be discharged there on
postoperative day four.

CONDITION AT DISCHARGE:  Condition on discharge was stable.

DISCHARGE STATUS:  To rehabilitation.

MEDICATIONS ON DISCHARGE:
1.  Lipitor 10 mg p.o. q.h.s.
2.  Glucophage 500 mg p.o. b.i.d.
3.  Acetylsalicylic acid 325 mg p.o. q.d.
4.  Metoprolol 25 mg p.o. b.i.d.
5.  Lasix 20 mg p.o. b.i.d. (for seven days).
6.  Potassium chloride 20 mEq p.o. b.i.d. (for seven days).
7.  Colace 100 mg p.o. b.i.d.
8.  Zantac 150 mg p.o. b.i.d.

DISCHARGE FOLLOWUP:   The patient was to follow up with his
primary care doctor, Dr. [**Last Name (STitle) 23651**], in two to four weeks and
with Dr. [**Last Name (STitle) 70**] in Cardiothoracic Surgery in two to four
weeks.




                            [**First Name11 (Name Pattern1) **] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 75**]

Dictated By:[**Last Name (NamePattern1) 22409**]
MEDQUIST36

D:  [**2104-3-1**]  11:40
T:  [**2104-3-1**]  10:43
JOB#:  [**Job Number 35887**]
{'Subendocardial infarction, initial episode of care,Coronary atherosclerosis of native coronary artery,Asbestosis,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Tobacco use disorder,Peripheral vascular disease, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified'}


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: The patient is a 74-year-old
male with a history of hypertension, diabetes, and a long
history of cigarette smoking; who was in his usual state of
health until he developed some unstable angina.  The patient
was transferred from an outside hospital for cardiac
catheterization at our facility.

MEDICAL HISTORY: 1.  Hypertension.
2.  Diabetes.
3.  Benign prostatic hypertrophy.
4.  Peripheral neuropathy.
5.  Osteoarthritis.
6.  Lyme disease.
7.  Asbestosis.
8.  Colonic polyps.

MEDICATION ON ADMISSION: 

ALLERGIES: He has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subendocardial infarction, initial episode of care,Coronary atherosclerosis of native coronary artery,Asbestosis,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Tobacco use disorder,Peripheral vascular disease, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified'}
