CHIEF COMPLAINT: bladder cancer

PRESENT ILLNESS: bladder cancer

MEDICAL HISTORY: pmh: turbt [**2165**] gim/cis preop, htn, DM, copd

MEDICATION ON ADMISSION: 

ALLERGIES: Percodan / Demerol / Shellfish

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Malignant neoplasm of other specified sites of bladder,Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes,Cardiac complications, not elsewhere classified,Malignant neoplasm of prostate,Other specified cardiac dysrhythmias,Other emphysema,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of antineoplastic chemotherapy,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation
Malig neo bladder NEC,Mal neo lymph-intrapelv,Surg compl-heart,Malign neopl prostate,Cardiac dysrhythmias NEC,Emphysema NEC,DMII wo cmp nt st uncntr,Hypertension NOS,Pure hypercholesterolem,Hx antineoplastic chemo,Abn react-surg proc NEC
Name:  [**Known lastname 5722**] [**Known lastname 5723**],[**Known firstname 5724**]              Unit No:   [**Numeric Identifier 5725**]

Admission Date:  [**2168-1-15**]              Discharge Date:   [**2168-1-21**]

Date of Birth:  [**2099-2-25**]             Sex:   M

Service: UROLOGY

Allergies:
Percodan / Demerol / Shellfish

Attending:[**First Name3 (LF) 3840**]
Addendum:
Patient was seen by cardiology for bigemeny seen on EKG. An echo
was performed which was normal. Patient should followup with PCP
regarding initiation of ace in inhibitor.

Discharge Disposition:
Home With Service

Facility:
[**Hospital 136**] Homecare

Discharge Diagnosis:
bladder cancer


Discharge Condition:
stable


Discharge Instructions:
-Please resume all home meds

-Do not drive while taking oxycodone.

-You may shower, but do not immerse incision, no tub
baths/swimming.

-Small white steri-strips bandages will fall off in [**4-28**] days,
you may remove at that time if irritating.

-Call if incision becomes markedly more red, swollen, or begins
to drain purulent fluid, or for fever more than 101.5.

-Please refer to visiting nurses (VNA) for management of the
ileal conduct.

-Take ciprofloxacin for 3 days, starting the day before your
stents are to be removed in the clinic

Followup Instructions:
1 week for staple removal
3 weeks for stent removal
PCP regarding initiation of ace inhibitor

                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 3843**] MD [**MD Number(2) 3844**]

Completed by:[**2168-1-21**]

Admission Date:  [**2168-1-15**]              Discharge Date:   [**2168-1-21**]

Date of Birth:  [**2099-2-25**]             Sex:   M

Service: UROLOGY

Allergies:
Percodan / Demerol / Shellfish

Attending:[**First Name3 (LF) 11304**]
Chief Complaint:
bladder cancer

Major Surgical or Invasive Procedure:
laparoscopic cystectomy, ileal conduit

History of Present Illness:
bladder cancer

Past Medical History:
pmh: turbt [**2165**] gim/cis preop, htn, DM, copd

Brief Hospital Course:
Patient was admitted to the Urology service after undergoing
radical cystectomy and ileal conduct. No concerning
intraoperative events occurred; please see dictated operative
note for details. Patient received perioperative antibiotic
prophylaxis and deep vein thrombosis prophylaxis with
subcutaneous heparin. With the passage of flatus, patient's diet
was advanced. The patient was ambulating and pain was controlled
on oral medications by this time. The ostomy nurse saw the
patient for ostomy teaching.  At the time of discharge the wound
was healing well with no evidence of erythema, swelling, or
purulent drainage.  The ostomy was perfused and patent. Patient
is scheduled to follow up in one weeks time with in clinic for
wound check and in 3 weeks time for stent removal.

Discharge Medications:
1. Hydrocodone-Acetaminophen 5-500 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*30 Tablet(s)* Refills:*0*
2. Metoprolol Succinate 50 mg Tablet Sustained Release 24 hr
Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily).
3. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day:
use while taking narcotics, over the counter.
Disp:*60 Capsule(s)* Refills:*0*
4. Cipro 500 mg Tablet Sig: One (1) Tablet PO twice a day for 3
days: Start the day before stents are scheduled to be removed.
Disp:*6 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
bladder cancer

Discharge Condition:
stable

Discharge Instructions:
-Please resume all home meds

-Do not drive while taking oxycodone.

-You may shower, but do not immerse incision, no tub
baths/swimming.

-Small white steri-strips bandages will fall off in [**4-28**] days,
you may remove at that time if irritating.

-Call if incision becomes markedly more red, swollen, or begins
to drain purulent fluid, or for fever more than 101.5.

-Please refer to visiting nurses (VNA) for management of the
ileal conduct.

-Take ciprofloxacin for 3 days, starting the day before your
stents are to be removed in the clinic

Followup Instructions:
1 week for staple removal
3 weeks for stent removal


Completed by:[**2168-1-21**]
{'Malignant neoplasm of other specified sites of bladder,Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes,Cardiac complications, not elsewhere classified,Malignant neoplasm of prostate,Other specified cardiac dysrhythmias,Other emphysema,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of antineoplastic chemotherapy,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}


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: bladder cancer

PRESENT ILLNESS: bladder cancer

MEDICAL HISTORY: pmh: turbt [**2165**] gim/cis preop, htn, DM, copd

MEDICATION ON ADMISSION: 

ALLERGIES: Percodan / Demerol / Shellfish

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Malignant neoplasm of other specified sites of bladder,Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes,Cardiac complications, not elsewhere classified,Malignant neoplasm of prostate,Other specified cardiac dysrhythmias,Other emphysema,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of antineoplastic chemotherapy,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}
