CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 50-year-old
gentleman with a history of smoking, morbid obesity, question
of cerebrovascular accident who presents as a transfer from
[**Hospital 26200**] Hospital for the onset of chest pain.

MEDICAL HISTORY: 1.  Schizophrenia.
2.  Question of cerebrovascular accident.
3.  Obesity.

MEDICATION ON ADMISSION: Risperdal 4 mg p.o. twice per day.

ALLERGIES: SOCIAL HISTORY:  He lives at home with his parents in
[**Location (un) 620**].  He smokes two packs per day times 30 years.  Last
psychiatric hospitalization was 10 years to 15 years ago.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He lives at home with his parents in
[**Location (un) 620**].  He smokes two packs per day times 30 years.  Last
psychiatric hospitalization was 10 years to 15 years ago.
Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Schizophrenic disorders, residual type, chronic,Morbid obesity
AMI anterior wall, init,Crnry athrscl natve vssl,Schizophr dis resid-chr,Morbid obesity
Admission Date:  [**2105-2-19**]       Discharge Date:  [**2105-2-25**]

Date of Birth:   [**2055-2-4**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 50-year-old
gentleman with a history of smoking, morbid obesity, question
of cerebrovascular accident who presents as a transfer from
[**Hospital 26200**] Hospital for the onset of chest pain.

He states that he noted chest pain at about 7 a.m. this
morning as he was walking around his neighborhood.  [**Name2 (NI) **]
reports [**2-26**] substernal tightness which increased to [**4-28**]
during the day.  This has occurred similarly over the last
two weeks but not as intense.  It is not relieved with rest.
His radiates to the left arm.  He denies nausea, vomiting,
shortness of breath, and diaphoresis.

At 2 p.m., he told his friend that he continued to feel chest
tightness.  His friend brought him to the [**Name (NI) 26200**]
Hospital.  He was given aspirin and Lopressor with resolution
of his symptoms.  He was started on heparin and Lopressor.
Cardiac enzymes with creatine phosphokinase of 2292, CK/MB
was 184, and troponin I was 49.2.

He was transferred to the [**Hospital1 188**] for catheterization.  He was placed on an Integrilin
drip.  Currently, the patient is chest pain free and denies
chest pain, shortness of breath, nausea, vomiting,
diaphoresis, myalgias, arthralgias, palpitations, lower
extremity edema, paroxysmal nocturnal dyspnea, orthopnea, and
hallucinations.  He has noted that over the years that he was
losing control of his temper.

PAST MEDICAL HISTORY:
1.  Schizophrenia.
2.  Question of cerebrovascular accident.
3.  Obesity.

MEDICATIONS ON ADMISSION:  Risperdal 4 mg p.o. twice per day.

ALLERGIES:

SOCIAL HISTORY:  He lives at home with his parents in
[**Location (un) 620**].  He smokes two packs per day times 30 years.  Last
psychiatric hospitalization was 10 years to 15 years ago.

PHYSICAL EXAMINATION ON PRESENTATION:  Physical examination
revealed heart rate was 92, blood pressure was 133/70,
respiratory rate was 22, and oxygen saturation was 96%.  In
general, the patient was morbidly obese.  He denied any acute
distress.  Head, eyes, ears, nose, and throat examination
revealed pupils were equal, round, and reactive to light.
Extraocular movements were intact.  Mucous membranes were
moist.  The oropharynx was clear.  The neck was thick and
supple.  Unable to assess the jugular venous distention.  The
lungs were clear to auscultation bilaterally.  No crackles,
wheezes, or rhonchi.  Cardiovascular examination revealed a
regular rate and rhythm.  No murmurs, rubs, or gallops.  The
abdominal examination revealed positive bowel sounds, soft,
nontender, and nondistended.  Extremity examination revealed
no edema and warm.  Neurologic examination revealed alert and
oriented times three.  Strength was [**3-23**].  Cranial nerves II
through XII were intact.

HOSPITAL COURSE:  The patient was admitted to the [**Hospital1 346**] on [**2105-2-19**].  He was taken for
a cardiac catheterization which indicated 2-vessel disease.

The patient was taken to the operating room on [**2105-2-20**]
where he underwent a 2-vessel coronary artery bypass graft.
The patient tolerated the procedure well and was transferred
to the Cardiac Surgery Intensive Care Unit with chest tubes
in place and pacing wires in place.  He required Levophed and
amiodarone drips.  When the appropriate time came, the
patient's drips were discontinued.  His chest tubes and
pacing wires were removed.

The patient was followed by Psychiatry and Physical Therapy
while in the Intensive Care Unit.  He was also seen by
Cardiology who noted the patient to have prolonged Q-T
intervals.

The patient received a Electrophysiology consultation
requested that the patient be placed on amiodarone 400 mg
p.o. twice per day and then be discharged on 400 mg p.o. once
per day as well as to be sent home with [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] of Hearts
monitor.

When the appropriate time came, the patient was transferred
to the regular Cardiothoracic Surgery floor where he
continued to thrive.  It was our opinion that he would do
well at a rehabilitation facility.

CONDITION AT DISCHARGE:  Therefore, he was to be discharged
today (on [**2105-2-25**]) in good condition.

DISCHARGE STATUS:  The patient to be discharged to a
rehabilitation facility.

DISCHARGE INSTRUCTIONS/FOLLOWUP:
1.  The patient was to follow up with his primary care
physician [**Last Name (NamePattern4) **]. [**Last Name (STitle) **] on [**3-9**] at 1:30.
2.  The patient was to follow up with Dr. [**Last Name (STitle) **] in two to
three weeks.
3.  The patient was to follow up with Dr. [**Last Name (STitle) 70**] in six
weeks.
4.  The patient was to follow up with his psychiatrist (Dr.
[**Last Name (STitle) **] at the end of the month.
5.  The patient may shower but should not take baths.
6.  The patient was to avoid strenuous activity.
7.  The patient was advised not to drive while on pain
medications.

MEDICATIONS ON DISCHARGE:
 1.  Amiodarone 400 mg p.o. q.d.
 2.  Lasix 20 mg p.o. b.i.d. (times seven days).
 3.  Lopressor 25 mg p.o. b.i.d.
 4.  Ipratropium 2 puffs inhaled q.4-6h.
 5.  Albuterol 1 to 2 puffs inhaled q.4-6h. as needed.
 6.  Risperidone 4 mg p.o. b.i.d.
 7.  Percocet one to two tablets p.o. q.4-6h. as needed (for
pain).
 8.  Enteric-coated aspirin 325 mg p.o. q.d.
 9.  Ranitidine 150 mg p.o. b.i.d.
10.  Colace 100 mg p.o. b.i.d.
11.  Potassium chloride 20 mEq p.o. q.12h. (times seven
days).





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

Dictated By:[**Last Name (NamePattern1) 1332**]
MEDQUIST36

D:  [**2105-2-25**]  12:15
T:  [**2105-2-25**]  12:18
JOB#:  [**Job Number 103399**]
{'Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Schizophrenic disorders, residual type, chronic,Morbid obesity'}


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 50-year-old
gentleman with a history of smoking, morbid obesity, question
of cerebrovascular accident who presents as a transfer from
[**Hospital 26200**] Hospital for the onset of chest pain.

MEDICAL HISTORY: 1.  Schizophrenia.
2.  Question of cerebrovascular accident.
3.  Obesity.

MEDICATION ON ADMISSION: Risperdal 4 mg p.o. twice per day.

ALLERGIES: SOCIAL HISTORY:  He lives at home with his parents in
[**Location (un) 620**].  He smokes two packs per day times 30 years.  Last
psychiatric hospitalization was 10 years to 15 years ago.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He lives at home with his parents in
[**Location (un) 620**].  He smokes two packs per day times 30 years.  Last
psychiatric hospitalization was 10 years to 15 years ago. 

### Response:
{'Acute myocardial infarction of other anterior wall, initial episode of care,Coronary atherosclerosis of native coronary artery,Schizophrenic disorders, residual type, chronic,Morbid obesity'}
