CHIEF COMPLAINT: Chest pain

PRESENT ILLNESS: 44 year old female presented to OSH with episode of Chest pain.
She was transferred to [**Hospital1 18**], and placed on Nitro, Heparin and
integrillin. Cardiac catheterization revealed severe 3VD, and
cardiac surgery was consulted.

MEDICAL HISTORY: DM
HTN
Lipids
Asthma

MEDICATION ON ADMISSION: [**Last Name (LF) 17339**], [**First Name3 (LF) **], glipizide, HCTZ, metformin, ativan, albuterol

ALLERGIES: Penicillins

PHYSICAL EXAM: Lungs CTAB
RRR 11/VI HSM no edema
Abd soft, NT ND

FAMILY HISTORY: Father died from MI at age 36

SOCIAL HISTORY: single
quit tob ~ 20 years ago
social etoh
no IVDA
Subendocardial infarction, initial episode of care,Cerebral embolism with cerebral infarction,Iatrogenic cerebrovascular infarction or hemorrhage,Other convulsions,Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled,Infection and inflammatory reaction due to other vascular device, implant, and graft,Urinary tract infection, site not specified,Non-healing surgical wound,Coronary atherosclerosis of native coronary artery,Late effects of cerebrovascular disease, hemiplegia affecting unspecified side,Unspecified essential hypertension,Family history of ischemic heart disease,Other and unspecified hyperlipidemia,Asthma, unspecified type, unspecified,Long-term (current) use of insulin,Obesity, unspecified
Subendo infarct, initial,Crbl emblsm w infrct,Iatrogen CV infarc/hmrhg,Convulsions NEC,DMII wo cmp uncntrld,React-oth vasc dev/graft,Urin tract infection NOS,Non-healing surgcl wound,Crnry athrscl natve vssl,Late ef-hemplga side NOS,Hypertension NOS,Fam hx-ischem heart dis,Hyperlipidemia NEC/NOS,Asthma NOS,Long-term use of insulin,Obesity NOS
Admission Date:  [**2197-9-2**]              Discharge Date:   [**2197-9-22**]

Date of Birth:  [**2152-9-19**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Penicillins

Attending:[**First Name3 (LF) 1267**]
Chief Complaint:
Chest pain

Major Surgical or Invasive Procedure:
[**2197-9-7**] CABG x 4 (LIMA->LAD, SVG->[**Last Name (LF) **], [**First Name3 (LF) **], PDA)


History of Present Illness:
44 year old female presented to OSH with episode of Chest pain.
She was transferred to [**Hospital1 18**], and placed on Nitro, Heparin and
integrillin. Cardiac catheterization revealed severe 3VD, and
cardiac surgery was consulted.

Past Medical History:
DM
HTN
Lipids
Asthma


Social History:
single
quit tob ~ 20 years ago
social etoh
no IVDA

Family History:
Father died from MI at age 36

Physical Exam:
Lungs CTAB
RRR 11/VI HSM no edema
Abd soft, NT ND

Pertinent Results:
[**2197-9-21**] 05:50PM BLOOD WBC-15.0*
[**2197-9-20**] 05:51AM BLOOD WBC-16.2*
[**2197-9-18**] 10:00AM BLOOD WBC-20.2* RBC-3.63* Hgb-11.0* Hct-32.6*
MCV-90 MCH-30.2 MCHC-33.7 RDW-14.9 Plt Ct-359
[**2197-9-20**] 05:51AM BLOOD PT-13.7* PTT-27.7 INR(PT)-1.3
[**2197-9-19**] 06:25AM BLOOD K-4.6
[**2197-9-16**] 04:20AM BLOOD Glucose-268* UreaN-19 Creat-0.8 Na-140
K-3.8 Cl-105 HCO3-24 AnGap-15

Brief Hospital Course:
She underwent a CABG x 4 on [**2197-9-7**]. She was transferred to teh
ICU incritical but stable condition. Postoperatively she was
noted to not move her right side, neurology was consulted and a
head CT was obtained. It was determined that she had suffered a
L MCA CVA. She was not a candidate for thrombolytics. Carotid
u/s was obtained which showed no significant stenosis. Shw was
also seen in consultation by neurosurgery for an increased ICP
and it was determined that no neurosurgical intervention was
needed. She continued to improve and was extubated on post op
day 6. She was seen by speech therapy who determined that she
can have nectar thick liguids and pureed solids. A PICC line was
placed for IV antibiotics. She developed thin serosanguinous
drainage from her midsternal incision, which has continued to
decrease.

Medications on Admission:
[**Last Name (LF) 17339**], [**First Name3 (LF) **], glipizide, HCTZ, metformin, ativan, albuterol

Discharge Medications:
1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*
3. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. Dipyridamole-Aspirin 200-25 mg Cap, Multiphasic Release 12 HR
Sig: One (1) Cap PO BID (2 times a day).
5. Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Sig: Two
(2) Puff Inhalation Q6H (every 6 hours).
6. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
7. Metformin 500 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
8. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
9. Glipizide 5 mg Tablet Sig: Two (2) Tablet PO BID (2 times a
day).
10. Vancomycin in Dextrose 1 g/200 mL Piggyback Sig: One (1) g
Intravenous  Q 24H (Every 24 Hours) for 7 days.
11. Insulin Glargine 10 Units QHS

Discharge Disposition:
Extended Care

Facility:
[**Hospital3 1107**] [**Hospital **] Hospital - [**Location (un) 38**]

Discharge Diagnosis:
CAD
CVA
Seizures
DM2
Asthma
Lipids
HTN


Discharge Condition:
Good.


Discharge Instructions:
No lotions, creams or powders to incision. No baths.
Call with redness or increased or changing drainage from
incision, fever, or weight gain more than 2 pounds in one day or
five in one week.


Followup Instructions:
Dr. [**Last Name (STitle) **] 3 weeks
Primary Care Doctor 2 weeks
Cardiologist 2 weeks



Completed by:[**2197-9-22**]
{'Subendocardial infarction, initial episode of care,Cerebral embolism with cerebral infarction,Iatrogenic cerebrovascular infarction or hemorrhage,Other convulsions,Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled,Infection and inflammatory reaction due to other vascular device, implant, and graft,Urinary tract infection, site not specified,Non-healing surgical wound,Coronary atherosclerosis of native coronary artery,Late effects of cerebrovascular disease, hemiplegia affecting unspecified side,Unspecified essential hypertension,Family history of ischemic heart disease,Other and unspecified hyperlipidemia,Asthma, unspecified type, unspecified,Long-term (current) use of insulin,Obesity, 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: Chest pain

PRESENT ILLNESS: 44 year old female presented to OSH with episode of Chest pain.
She was transferred to [**Hospital1 18**], and placed on Nitro, Heparin and
integrillin. Cardiac catheterization revealed severe 3VD, and
cardiac surgery was consulted.

MEDICAL HISTORY: DM
HTN
Lipids
Asthma

MEDICATION ON ADMISSION: [**Last Name (LF) 17339**], [**First Name3 (LF) **], glipizide, HCTZ, metformin, ativan, albuterol

ALLERGIES: Penicillins

PHYSICAL EXAM: Lungs CTAB
RRR 11/VI HSM no edema
Abd soft, NT ND

FAMILY HISTORY: Father died from MI at age 36

SOCIAL HISTORY: single
quit tob ~ 20 years ago
social etoh
no IVDA 

### Response:
{'Subendocardial infarction, initial episode of care,Cerebral embolism with cerebral infarction,Iatrogenic cerebrovascular infarction or hemorrhage,Other convulsions,Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled,Infection and inflammatory reaction due to other vascular device, implant, and graft,Urinary tract infection, site not specified,Non-healing surgical wound,Coronary atherosclerosis of native coronary artery,Late effects of cerebrovascular disease, hemiplegia affecting unspecified side,Unspecified essential hypertension,Family history of ischemic heart disease,Other and unspecified hyperlipidemia,Asthma, unspecified type, unspecified,Long-term (current) use of insulin,Obesity, unspecified'}
