CHIEF COMPLAINT: SOB

PRESENT ILLNESS: 68 yo F transferred from MWMC after presenting with SOB and TEE
showing MR. Cath with normal coronaries.

MEDICAL HISTORY: MR, [**Month/Day (4) 19293**], [**Month/Day (4) **], Pulm [**Month/Day (4) **], hypothyroidism, CRI (1.7), mild CHF

MEDICATION ON ADMISSION: 

ALLERGIES: Lisinopril

PHYSICAL EXAM: CV rrr
Lungs CTAB
Abdomen benign

FAMILY HISTORY: NC

SOCIAL HISTORY: lives with family
Mitral valve disorders,Congestive heart failure, unspecified,Primary pulmonary hypertension,Acute apical periodontitis of pulpal origin,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified acquired hypothyroidism,Unspecified disorder of kidney and ureter
Mitral valve disorder,CHF NOS,Prim pulm hypertension,Ac apical periodontitis,DMII wo cmp nt st uncntr,Hypothyroidism NOS,Renal & ureteral dis NOS
Admission Date:  [**2106-8-8**]              Discharge Date:   [**2106-8-17**]

Date of Birth:  [**2038-1-6**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Lisinopril

Attending:[**First Name3 (LF) 165**]
Chief Complaint:
SOB

Major Surgical or Invasive Procedure:
[**8-13**] Minimally invasive mitral valve repair.
[**8-12**] tooth extraction


History of Present Illness:
68 yo F transferred from MWMC after presenting with SOB and TEE
showing MR. Cath with normal coronaries.

Past Medical History:
MR, [**Month/Day (4) 19293**], [**Month/Day (4) **], Pulm [**Month/Day (4) **], hypothyroidism, CRI (1.7), mild CHF

Social History:
lives with family

Family History:
NC

Physical Exam:
CV rrr
Lungs CTAB
Abdomen benign

Pertinent Results:
[**2106-8-16**] 07:40AM BLOOD WBC-8.7 RBC-3.48* Hgb-10.2* Hct-30.6*
MCV-88 MCH-29.4 MCHC-33.4 RDW-15.2 Plt Ct-243
[**2106-8-15**] 03:25AM BLOOD WBC-13.0* RBC-3.61* Hgb-10.7* Hct-32.0*
MCV-89 MCH-29.7 MCHC-33.5 RDW-15.4 Plt Ct-240
[**2106-8-16**] 07:40AM BLOOD Plt Ct-243
[**2106-8-13**] 06:53PM BLOOD PT-15.1* PTT-43.9* INR(PT)-1.4*
[**2106-8-17**] 07:05AM BLOOD UreaN-19 Creat-1.6* K-4.9
[**2106-8-16**] 07:40AM BLOOD Glucose-129* UreaN-19 Creat-1.7* Na-132*
K-4.8 Cl-102 HCO3-23 AnGap-12

Brief Hospital Course:
Ms. [**Known lastname 19784**] was admitted to cardiac surgery. She was seen by
dental medicine and OMFS who recommended tooth extraction which
she underwent on [**2106-8-12**]. She was started on cipro for a UTI.
On [**2106-8-13**] she was taken to the operating room where she
underwent a minimally invasive mitral valve repair with a #26
[**Doctor Last Name **] physio ring. She was transferred to the ICU in stable
condition on propofol and nitroglycerin. She was extubated on
POD #1. Shw was transferred to the floor on POD #2. She did well
postoperatively and was ready for discharge to rehab on POD #4.

Discharge Medications:
1. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*50 Tablet(s)* Refills:*0*
2. Levothyroxine 75 mcg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0*
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*0*
5. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO once a
day.
Disp:*30 Tablet(s)* Refills:*0*
6. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
Disp:*60 Tablet(s)* Refills:*0*
7. Glyburide 2.5 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
Disp:*60 Tablet(s)* Refills:*0*
8. Furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Tablet(s)


Discharge Disposition:
Extended Care

Facility:
[**Location (un) 1110**] TCU

Discharge Diagnosis:
MR
[**First Name (Titles) 19293**]
[**Last Name (Titles) **]
Pulmonary [**Last Name (Titles) **]
hypothyroidism
CRI (1.7) mild CHF


Discharge Condition:
Good.


Discharge Instructions:
Call with fever, redness or drainage from incision or weight
gain more than 2 pounds in one day or five in one week.
Shower, no baths, no lotions, creams or powders to incisions.
No driving for 2 weeks or while taking pain meidication.

Followup Instructions:
Dr. [**First Name (STitle) **] 4 weeks
Dr. [**Last Name (STitle) 6254**] 2 weeks
Dr. [**First Name (STitle) **] 2 weeks


                             [**Name6 (MD) **] [**Name8 (MD) **] MD [**MD Number(2) 173**]

Completed by:[**2106-8-17**]
{'Mitral valve disorders,Congestive heart failure, unspecified,Primary pulmonary hypertension,Acute apical periodontitis of pulpal origin,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified acquired hypothyroidism,Unspecified disorder of kidney and ureter'}


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: SOB

PRESENT ILLNESS: 68 yo F transferred from MWMC after presenting with SOB and TEE
showing MR. Cath with normal coronaries.

MEDICAL HISTORY: MR, [**Month/Day (4) 19293**], [**Month/Day (4) **], Pulm [**Month/Day (4) **], hypothyroidism, CRI (1.7), mild CHF

MEDICATION ON ADMISSION: 

ALLERGIES: Lisinopril

PHYSICAL EXAM: CV rrr
Lungs CTAB
Abdomen benign

FAMILY HISTORY: NC

SOCIAL HISTORY: lives with family 

### Response:
{'Mitral valve disorders,Congestive heart failure, unspecified,Primary pulmonary hypertension,Acute apical periodontitis of pulpal origin,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified acquired hypothyroidism,Unspecified disorder of kidney and ureter'}
