CHIEF COMPLAINT: 

PRESENT ILLNESS: Mrs. [**Known lastname 37710**] is an 80 year old
female with a two year history of an increasing infiltrate in
the left lower lobe.  Work-up suggested infiltrating
bronchoalveolar carcinoma without metastases.

MEDICAL HISTORY: Lung carcinoma, hypertension,
cataracts.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Malignant neoplasm of lower lobe, bronchus or lung,Pneumonia, organism unspecified,Abscess of lung,Unspecified essential hypertension
Mal neo lower lobe lung,Pneumonia, organism NOS,Abscess of lung,Hypertension NOS
Admission Date:  [**2134-9-14**]       Discharge Date:  [**2134-9-21**]


Service:

HISTORY OF PRESENT ILLNESS:  Mrs. [**Known lastname 37710**] is an 80 year old
female with a two year history of an increasing infiltrate in
the left lower lobe.  Work-up suggested infiltrating
bronchoalveolar carcinoma without metastases.

PAST MEDICAL HISTORY:  Lung carcinoma, hypertension,
cataracts.

PAST SURGICAL HISTORY:  Bladder suspension times two,
hysterectomy, cataract surgery.

MEDICATIONS AT HOME:
Norvasc 2.5 mg p.o. q. day.
Ambien 2.5 mg q h.s.

HOSPITAL COURSE: The patient is status post left radical
total pneumonectomy/mediastinoscopy/bronchoscopy on [**2134-9-14**].
The patient tolerated the procedure well.  Please see
operative note.

In the Post Anesthesia Care Unit, the patient was on a Neo
drip with a temperature of 98.4; heart rate of 105; blood
pressure 85/65; respiratory rate 15; saturating at 96%.
Arterial blood gases on 7.35, 40, 50, 23, 83.  Input and
output of two liters in, 1,375 urine and 350 out of the chest
tube.  White count of 22.9; hematocrit of 47.9; platelets
351.  Electrolytes were within normal limits.  The patient
had an epidural placed for pain control.  The patient was on
a Neo drip to keep greater than 60.

On postoperative day number one, the epidural was stopped in
the Post Anesthesia Care Unit, secondary to decreasing blood
pressure.  The patient was transferred to the CSRU with
systolic blood pressures of 90 to 110.

On postoperative day number two, the patient was in the CSRU
with a Neo drip at 1.75 with temperature of 96.9; heart rate
of 102 in sinus rhythm; blood pressure of 90/61.  Respiratory
rate of 14.  Saturating at 95% on 100% non rebreather.
Arterial blood gases of 7.44, 38, 53, 27, 1.  Input and
output are 1,473 in, 560 out.  White count of 27; hematocrit
of 32.1 and platelets of 272.  Electrolytes within normal
limits.

The patient's epidural was continued for pain control.  A
chest x-ray was ordered. Neo was weaned. Diet was advanced.
Epidural was kept at a lower dose, secondary to decreasing
blood pressures.  On postoperative day number three, the
patient was on a Neo drip of 1.25, afebrile, with a heart
rate of 83; blood pressures of 103/63; 97% on six liters
nasal cannula/face mask.  Input and output were 2,118 in, 865
out in urine.  The patient had crackles at the right base.
White count was decreasing at 12.9; hematocrit of 33.2;
platelets of 296.  Arterial blood gases of 7.44/37/92/26/no
base excess or deficit.

The patient was transferred to the floor on postoperative day
four, doing well with epidural catheter capped. Blood
pressures in the low 100's systolic.  Chest x-ray is being
followed and oxygen being weaned.  The patient's Foley
catheter was discontinued on postoperative day number five.
The patient was kept on p.o. medications for pain control,
otherwise doing well with rehabilitation center planning.
The rest of the hospital course was unremarkable.  The
patient's vital signs were stable with right lung clear to
auscultation, ambulating, voiding, using incentive
spirometry.  The patient was discharged to extended care
facility on postoperative day number seven, in stable
condition.

DISCHARGE DIAGNOSES:
Bronchoalveolar carcinoma.
Hypertension.
Cataracts.
Status post bladder suspension times two.

The patient was instructed to call physician if experiencing
fevers of greater than 101.5, bleeding, severe pain,
shortness of breath. The patient was status post a left
radical total pneumonectomy/mediastinoscopy/bronchoscopy.
The patient was discharged on medications including the
following:

Preoperative medications of Norvasc 2.5 mg p.o. q. day.
Ambien 2.5 mg p.o. q h.s.
Percocet 5, one tablet q. three hours prn for pain.
Colace 100 mg one capsule p.o. twice a day prn constipation.
Ibuprofen 400 mg one tab p.o. q. six hours prn pain.
Acetaminophen 325 mg one to two tablets p.o. every four to
six hours prn pain.
The patient was instructed to follow-up with the office of
Dr. [**Last Name (STitle) 175**] and to call the office to schedule a follow-up
appointment in two weeks.

                            [**First Name11 (Name Pattern1) 177**] [**Last Name (NamePattern4) 178**], M.D.  [**MD Number(1) 179**]
Dictated By:  [**Initials (NamePattern4) **] [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], M.D.
MEDQUIST36/D:  [**2134-9-20**]  11:26/T:  [**2134-9-21**]  04:47
JOB#:  [**Job Number 37711**]/
{'Malignant neoplasm of lower lobe, bronchus or lung,Pneumonia, organism unspecified,Abscess of lung,Unspecified essential hypertension'}


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: Mrs. [**Known lastname 37710**] is an 80 year old
female with a two year history of an increasing infiltrate in
the left lower lobe.  Work-up suggested infiltrating
bronchoalveolar carcinoma without metastases.

MEDICAL HISTORY: Lung carcinoma, hypertension,
cataracts.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Malignant neoplasm of lower lobe, bronchus or lung,Pneumonia, organism unspecified,Abscess of lung,Unspecified essential hypertension'}
