CHIEF COMPLAINT: Transfer from [**Hospital 8**] Hospital for GI bleed

PRESENT ILLNESS: 63 M transferred to [**Hospital1 18**] after presenting to [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] w/
palpitations and dark stools for 2 days.  S/p adrenalectomy for
adrenal cortical adenoma [**2179-9-30**].  Pt was transferred to
[**Hospital 8**] Hospital.  R/O'd for MI, Hct 28.6 and transfused 2 U
pRBC (5 total).  Dx as lower GIB.  Colonoscopy was equivacol.
Ex-lap ([**10-18**]) with intra-op EGD/enteroscope, no source found.
Transferred to [**Hospital1 18**] for acute care.

MEDICAL HISTORY: Adrenal cortical tumor.  s/p Left partial adrenalectomy
[**2179-9-30**].  S/p right total adrenalectomy.
HTN
Dyslipidemia

MEDICATION ON ADMISSION: Lopressor 100 [**Hospital1 **]
Procardia 60 [**Hospital1 **]
Amilioride 5 QID
KCl 10 QD
Terazosin 10 QD
Lipitor 20 QD
Amytriptyline 10QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On admission:
98.4   103   153/76   12   100% on AC 40% 10/5  600x12
RRR, tachy w/o M/R/G
coarse rhonci bilat
abd soft, mild distention
wound dressed, c/d/i
Right 1+ edema, w/ SCD's in place

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Lives w/ wife.  [**Name (NI) 482**] little english
Chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction,Acute posthemorrhagic anemia,Urinary tract infection, site not specified,Acidosis,Other specified gastritis, with hemorrhage,Other and unspecified hyperlipidemia,Unspecified essential hypertension,Hydrocele, unspecified
Chr duoden ulcer w hem,Ac posthemorrhag anemia,Urin tract infection NOS,Acidosis,Oth spf gastrt w hmrhg,Hyperlipidemia NEC/NOS,Hypertension NOS,Hydrocele NOS
Name:  [**Known lastname **],[**Known firstname **] [**Known firstname **]                   Unit No:   [**Numeric Identifier 11574**]

Admission Date:  [**2179-10-19**]              Discharge Date:   [**2179-10-25**]

Date of Birth:  [**2116-9-26**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**Last Name (NamePattern1) 11575**]
Addendum:
Prior to discharge pt c/o mild testicular pain and swelling.  On
examination pt found to have a left hydrocele.  Family present
at discharge and discussed follow up with PCP for results of
Gastrin test, H. pylori serology, and Urology consult.  Also
discussed the importance of Protonix 40 mg [**Hospital1 **] and returning to
the hospital if pt has bloody or melanotic stool.  Pt and family
expressed understanding.

Discharge Disposition:
Home

                             [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 6323**] [**Name8 (MD) **] MD [**MD Number(1) 11576**]

Completed by:[**2179-10-25**]

Admission Date:  [**2179-10-19**]              Discharge Date:   [**2179-10-25**]

Date of Birth:  [**2116-9-26**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**Last Name (NamePattern1) 15344**]
Chief Complaint:
Transfer from [**Hospital 8**] Hospital for GI bleed

Major Surgical or Invasive Procedure:
Central line changed over wire


History of Present Illness:
63 M transferred to [**Hospital1 18**] after presenting to [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] w/
palpitations and dark stools for 2 days.  S/p adrenalectomy for
adrenal cortical adenoma [**2179-9-30**].  Pt was transferred to
[**Hospital 8**] Hospital.  R/O'd for MI, Hct 28.6 and transfused 2 U
pRBC (5 total).  Dx as lower GIB.  Colonoscopy was equivacol.
Ex-lap ([**10-18**]) with intra-op EGD/enteroscope, no source found.
Transferred to [**Hospital1 18**] for acute care.

Past Medical History:
Adrenal cortical tumor.  s/p Left partial adrenalectomy
[**2179-9-30**].  S/p right total adrenalectomy.
HTN
Dyslipidemia


Social History:
Lives w/ wife.  [**Name (NI) 482**] little english

Family History:
Noncontributory

Physical Exam:
On admission:
98.4   103   153/76   12   100% on AC 40% 10/5  600x12
RRR, tachy w/o M/R/G
coarse rhonci bilat
abd soft, mild distention
wound dressed, c/d/i
Right 1+ edema, w/ SCD's in place

Pertinent Results:
[**2179-10-25**] 06:27AM BLOOD Hct-30.9*
[**2179-10-24**] 10:12PM BLOOD Hct-30.4*
[**2179-10-24**] 02:23PM BLOOD Hct-30.2*
[**2179-10-24**] 07:57AM BLOOD Hct-29.7*
[**2179-10-24**] 02:32AM BLOOD Hct-28.2*
[**2179-10-23**] 08:30PM BLOOD Hct-28.9*
[**2179-10-23**] 05:05PM BLOOD Hct-29.2*
[**2179-10-23**] 05:05PM BLOOD Hct-29.2*
[**2179-10-23**] 04:50AM BLOOD WBC-4.7 RBC-3.42* Hgb-10.2* Hct-29.4*
MCV-86 MCH-29.9 MCHC-34.8 RDW-14.9 Plt Ct-152
[**2179-10-22**] 02:58AM BLOOD WBC-7.6 RBC-3.39* Hgb-10.0* Hct-29.1*
MCV-86 MCH-29.7 MCHC-34.6 RDW-15.1 Plt Ct-116*
[**2179-10-21**] 02:40PM BLOOD Hct-28.1*
[**2179-10-21**] 02:39AM BLOOD WBC-11.9* RBC-3.30* Hgb-9.7* Hct-27.8*
MCV-84 MCH-29.5 MCHC-35.0 RDW-15.3 Plt Ct-84*
[**2179-10-20**] 03:57PM BLOOD Hct-33.0* Plt Ct-74*
[**2179-10-20**] 02:48AM BLOOD WBC-16.4* RBC-3.57* Hgb-10.6* Hct-30.0*
MCV-84 MCH-29.8 MCHC-35.4* RDW-15.8* Plt Ct-63*
[**2179-10-20**] 12:01AM BLOOD Hct-29.1*
[**2179-10-19**] 07:51PM BLOOD Hct-29.7* Plt Ct-62*
[**2179-10-19**] 05:02PM BLOOD Hct-27.8*
[**2179-10-19**] 01:02PM BLOOD Hct-29.8*
[**2179-10-19**] 09:00AM BLOOD WBC-14.8* RBC-3.57* Hgb-11.1* Hct-29.9*
MCV-84 MCH-31.0 MCHC-37.0* RDW-15.5 Plt Ct-55*
[**2179-10-19**] 05:21AM BLOOD Hct-26.8*
[**2179-10-19**] 01:07AM BLOOD WBC-19.1* RBC-3.33* Hgb-10.2* Hct-28.7*
MCV-86 MCH-30.6 MCHC-35.5* RDW-14.7 Plt Ct-64*
[**2179-10-23**] 02:53PM BLOOD PT-12.8 PTT-24.6 INR(PT)-1.1
[**2179-10-19**] 01:07AM BLOOD PT-14.8* PTT-35.2* INR(PT)-1.5
[**2179-10-19**] 09:00AM BLOOD PT-13.4* PTT-30.7 INR(PT)-1.2
[**2179-10-23**] 04:50AM BLOOD Glucose-92 UreaN-24* Creat-1.4* Na-140
K-3.6 Cl-107 HCO3-23 AnGap-14
[**2179-10-22**] 02:58AM BLOOD Glucose-95 UreaN-24* Creat-1.4* Na-141
K-3.9 Cl-108 HCO3-23 AnGap-14
[**2179-10-19**] 01:07AM BLOOD Glucose-132* UreaN-29* Creat-1.8* Na-143
K-4.4 Cl-116* HCO3-19* AnGap-12
[**2179-10-19**] 09:00AM BLOOD Glucose-99 UreaN-25* Creat-1.6* Na-141
K-4.4 Cl-115* HCO3-20* AnGap-10
[**2179-10-19**] 01:07AM BLOOD ALT-18 AST-22 LD(LDH)-194 AlkPhos-43
Amylase-51 TotBili-0.5
[**2179-10-23**] 04:50AM BLOOD Calcium-7.7* Phos-2.7 Mg-1.8
[**2179-10-22**] 02:58AM BLOOD Calcium-7.5* Phos-2.8 Mg-2.1
[**2179-10-19**] 09:00AM BLOOD Calcium-6.8* Phos-3.6 Mg-1.8
[**2179-10-19**] 01:07AM BLOOD Albumin-1.9* Calcium-6.8* Phos-4.0 Mg-1.6
UricAcd-4.6
[**2179-10-19**] 01:07AM BLOOD TSH-2.7
[**2179-10-19**] 02:13PM BLOOD Gastrin-PND

Brief Hospital Course:
Pt admitted to SICU intubated, with R SC CVL.  Fluid
resuscitation cont'd, serial Hct, transfused 1 U pRBC and 1 U
FFP (Hct 28.7, INR 1.5), watch for re-bleed, on Levoflox for UTI
(E coli).  EGD ([**10-19**]) showed erosive gastritis, multiple
duodenal ulcers.  Started Protonix [**Hospital1 **].  [**10-20**] pt extubated.
[**10-22**] tolerated advanced to sips/clears, carafate.  [**10-23**]
transferred to surgical floor.  Advanced to fulls.  On evening
[**10-23**] pt passed large melanotic stool.  Thought to be old
residual blood as pt had not had a BM since arrival.  HD stable,
watched closely and followed serial HCT which remained stable.
Stopped carefate and resent H pylori serology which was
equivicol on first check.  CVL & foley removed. [**10-24**] eval'd for
rehab.  Found to be in good enough condition to go home.  [**10-25**]
pt discharged home in good condition.

Medications on Admission:
Lopressor 100 [**Hospital1 **]
Procardia 60 [**Hospital1 **]
Amilioride 5 QID
KCl 10 QD
Terazosin 10 QD
Lipitor 20 QD
Amytriptyline 10QD

Discharge Medications:
Lopressor 100 [**Hospital1 **]
Procardia 60 [**Hospital1 **]
Amilioride 5 QID
KCl 10 QD
Terazosin 10 QD
Lipitor 20 QD
Amytriptyline 10QD

Discharge Disposition:
Home

Discharge Diagnosis:
GI bleed


Discharge Condition:
Good


Discharge Instructions:
Please resume taking your regular medications.  Take all new
medications as directed.  Do not drive while taking narcotic
pain medication.

You may resume your regular activities.  Avoid heavy lifting (>1
gallon of milk) for 6 weeks.  You may shower, keep the wounds
covered, and pat dry.  Do not soak the wounds for 2 weeks.

Please call your physician or return to the hospital if you
experience:
- Increasing pain
- Fever (>101.5 F)
- Inability to eat or persistent vomiting
- Foul discharge from your wound
- Other symptoms concerning to you

Followup Instructions:
Please follow up with Dr. [**Last Name (STitle) **] in [**12-20**] weeks.  Call her office,
([**Telephone/Fax (1) 10820**], to make an appointment.
{'Chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction,Acute posthemorrhagic anemia,Urinary tract infection, site not specified,Acidosis,Other specified gastritis, with hemorrhage,Other and unspecified hyperlipidemia,Unspecified essential hypertension,Hydrocele, 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: Transfer from [**Hospital 8**] Hospital for GI bleed

PRESENT ILLNESS: 63 M transferred to [**Hospital1 18**] after presenting to [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] w/
palpitations and dark stools for 2 days.  S/p adrenalectomy for
adrenal cortical adenoma [**2179-9-30**].  Pt was transferred to
[**Hospital 8**] Hospital.  R/O'd for MI, Hct 28.6 and transfused 2 U
pRBC (5 total).  Dx as lower GIB.  Colonoscopy was equivacol.
Ex-lap ([**10-18**]) with intra-op EGD/enteroscope, no source found.
Transferred to [**Hospital1 18**] for acute care.

MEDICAL HISTORY: Adrenal cortical tumor.  s/p Left partial adrenalectomy
[**2179-9-30**].  S/p right total adrenalectomy.
HTN
Dyslipidemia

MEDICATION ON ADMISSION: Lopressor 100 [**Hospital1 **]
Procardia 60 [**Hospital1 **]
Amilioride 5 QID
KCl 10 QD
Terazosin 10 QD
Lipitor 20 QD
Amytriptyline 10QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On admission:
98.4   103   153/76   12   100% on AC 40% 10/5  600x12
RRR, tachy w/o M/R/G
coarse rhonci bilat
abd soft, mild distention
wound dressed, c/d/i
Right 1+ edema, w/ SCD's in place

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Lives w/ wife.  [**Name (NI) 482**] little english 

### Response:
{'Chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction,Acute posthemorrhagic anemia,Urinary tract infection, site not specified,Acidosis,Other specified gastritis, with hemorrhage,Other and unspecified hyperlipidemia,Unspecified essential hypertension,Hydrocele, unspecified'}
