CHIEF COMPLAINT: 84 y/o female w/admission to [**Hospital3 **] Hospital in CHF in [**Month (only) 404**]
(04).  Echo in [**Month (only) 205**] revealed severe aortic stenosis ([**Location (un) 109**] 0.6,
peak grad. 76).  She has had multiple episodes of
lightheadedness, denies syncope.  She was referred for AVR.

PRESENT ILLNESS: Known aortic stenosis, referred for AVR.  Lightheadedness for 1
year, denies other symptoms.

MEDICAL HISTORY: AFib
CHF
HTN
hypercholesterolemia
s/p skin cancer removals
s/p pilonidal cyst removal
s/p appy

MEDICATION ON ADMISSION: Lisinopril 10 mg daily
Atenolol 25 mg daily
Zocor 49 mg daily
Lasix 20 mg daily
Magnesium
ASA 81 mg daily

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Pre-op:
normal exam with exception of gr IV/VI SEM

FAMILY HISTORY: N/A

SOCIAL HISTORY: lives alone in [**Hospital3 **]
remote smoker
no ETOH
Aortic valve disorders,Atrial fibrillation,Congestive heart failure, unspecified,Unspecified essential hypertension,Anemia, unspecified,Pure hypercholesterolemia,Personal history of other malignant neoplasm of skin
Aortic valve disorder,Atrial fibrillation,CHF NOS,Hypertension NOS,Anemia NOS,Pure hypercholesterolem,Hx-skin malignancy NEC
Admission Date:  [**2165-10-28**]              Discharge Date:   [**2165-11-4**]


Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1283**]
Chief Complaint:
84 y/o female w/admission to [**Hospital3 **] Hospital in CHF in [**Month (only) 404**]
(04).  Echo in [**Month (only) 205**] revealed severe aortic stenosis ([**Location (un) 109**] 0.6,
peak grad. 76).  She has had multiple episodes of
lightheadedness, denies syncope.  She was referred for AVR.

Major Surgical or Invasive Procedure:
Aortic valve replacement (21 pericardial), aortic root
enlargement, maze preocedure
Cardiac cath: norlmal coronaries

History of Present Illness:
Known aortic stenosis, referred for AVR.  Lightheadedness for 1
year, denies other symptoms.

Past Medical History:
AFib
CHF
HTN
hypercholesterolemia
s/p skin cancer removals
s/p pilonidal cyst removal
s/p appy

Social History:
lives alone in [**Hospital3 **]
remote smoker
no ETOH

Family History:
 N/A

Physical Exam:
Pre-op:
normal exam with exception of gr IV/VI SEM


Pertinent Results:
pre-op labs: WNL
[**2165-11-4**] 06:56AM BLOOD Hct-30.1*
[**2165-11-2**] 06:35AM BLOOD WBC-5.3 RBC-3.24* Hgb-10.0* Hct-28.4*
MCV-88 MCH-30.8 MCHC-35.1* RDW-14.6 Plt Ct-158
[**2165-11-4**] 06:56AM BLOOD PT-14.2* INR(PT)-1.3
[**2165-11-3**] 05:48AM BLOOD PT-13.1 INR(PT)-1.1
[**2165-11-2**] 06:35AM BLOOD PT-12.9 PTT-26.2 INR(PT)-1.1
[**2165-11-1**] 10:30AM BLOOD PT-13.0 PTT-26.6 INR(PT)-1.1
[**2165-11-3**] 05:48AM BLOOD Glucose-84 UreaN-14 Creat-0.8 K-4.0

Brief Hospital Course:
taken to OR on [**10-28**], underwent AVR (21mm tissue valve),
aortic root enlargement (with pericardial patch), and maze
procedure.
[**Hospital **] transferred to CSRU on neosynephrine and propofol gtts.
extubated on day of surgery, neo weaned off, IV NTG started for
hypertension
On POD # 1 she was started on Lasix and beta blockers, PA line
was removed
POD # 2 she was transferred to the telemetry floor
POD # 3 noted to be thrombocytopenic, HIT screen sent, and still
pending, began physical therapy
POD # 4 had some rapid AFib, rate to 130's, electrolytes
replaced, IV lopressor given, converted to SR, coumadin started
POD # 5 progressing slowly from PT standpoint, no further AFib
POD # 6 hemodynamically stable, still slow to ambulate
independently
POD # 7 ready to transfer to rehab.  Needs [**Doctor Last Name **] of Hearts
monitor for PO amiodarone loading (to be followed here by Dr.
[**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 284**])

Medications on Admission:
Lisinopril 10 mg daily
Atenolol 25 mg daily
Zocor 49 mg daily
Lasix 20 mg daily
Magnesium
ASA 81 mg daily

Discharge Medications:
1. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: Two
(2) Capsule, Sustained Release PO Q12H (every 12 hours) for 7
days.
Disp:*28 Capsule, Sustained Release(s)* Refills:*0*
2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: One (1) Tablet
PO every 4-6 hours as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*
3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
4. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable
PO DAILY (Daily).
Disp:*30 Tablet, Chewable(s)* Refills:*2*
5. Furosemide 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) for 7 days.
Disp:*14 Tablet(s)* Refills:*0*
6. Amiodarone HCl 200 mg Tablet Sig: Two (2) Tablet PO BID (2
times a day): for 1 week, then 2 tabs (400 mg) once daily for 1
week, then 200 mg once daily until d/c'd by cardiologist.
Disp:*80 Tablet(s)* Refills:*2*
7. Zocor 40 mg Tablet Sig: One (1) Tablet PO once a day.
Disp:*30 Tablet(s)* Refills:*2*
8. Warfarin Sodium 1 mg Tablet Sig: Three (3) Tablet PO once a
day for 2 days: then check INR, and dose for target INR 2.0-2.5.
Disp:*100 Tablet(s)* Refills:*0*
9. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
10. Metoprolol Tartrate 25 mg Tablet Sig: Three (3) Tablet PO
BID (2 times a day).
Disp:*180 Tablet(s)* Refills:*2*


Discharge Disposition:
Extended Care

Facility:
Baypointe - [**Hospital1 1474**]

Discharge Diagnosis:
aortic stenosis
AFib
HTN
hypercholesterolemia

Discharge Condition:
good

Discharge Instructions:
no lifting > 10 #  or driving for 1 month
may shower, no bathing or swimming for 1 month
no creams. lotions or ointments to incisions

[**Last Name (NamePattern4) 2138**]p Instructions:
with Dr. [**Last Name (STitle) 56972**] in [**2-5**] weeks
with Dr. [**Last Name (STitle) 7047**] in [**2-5**] weeks
with Dr. [**Last Name (Prefixes) **] in 4 weeks



Completed by:[**2165-11-4**]
{'Aortic valve disorders,Atrial fibrillation,Congestive heart failure, unspecified,Unspecified essential hypertension,Anemia, unspecified,Pure hypercholesterolemia,Personal history of other malignant neoplasm of skin'}


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: 84 y/o female w/admission to [**Hospital3 **] Hospital in CHF in [**Month (only) 404**]
(04).  Echo in [**Month (only) 205**] revealed severe aortic stenosis ([**Location (un) 109**] 0.6,
peak grad. 76).  She has had multiple episodes of
lightheadedness, denies syncope.  She was referred for AVR.

PRESENT ILLNESS: Known aortic stenosis, referred for AVR.  Lightheadedness for 1
year, denies other symptoms.

MEDICAL HISTORY: AFib
CHF
HTN
hypercholesterolemia
s/p skin cancer removals
s/p pilonidal cyst removal
s/p appy

MEDICATION ON ADMISSION: Lisinopril 10 mg daily
Atenolol 25 mg daily
Zocor 49 mg daily
Lasix 20 mg daily
Magnesium
ASA 81 mg daily

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Pre-op:
normal exam with exception of gr IV/VI SEM

FAMILY HISTORY: N/A

SOCIAL HISTORY: lives alone in [**Hospital3 **]
remote smoker
no ETOH 

### Response:
{'Aortic valve disorders,Atrial fibrillation,Congestive heart failure, unspecified,Unspecified essential hypertension,Anemia, unspecified,Pure hypercholesterolemia,Personal history of other malignant neoplasm of skin'}
