CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname **] is a 47 year-old man
with extreme obesity with a body weight of 440 pounds who is
5'7" tall and has a BMI of 69.  He has had numerous weight
loss programs in the past without significant long term
effect and also has significant venostasis ulcers in his
lower extremities.  He has no known drug allergies.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Morbid obesity,Acidosis,Venous (peripheral) insufficiency, unspecified,Tobacco use disorder,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Ulcer of other part of lower limb
Morbid obesity,Acidosis,Venous insufficiency NOS,Tobacco use disorder,Osteoarthros NOS-unspec,Ulcer oth part low limb
Admission Date:  [**2130-4-14**]     Discharge Date:  [**2130-4-17**]

Date of Birth:   [**2082-12-11**]     Sex:  M

Service:  #58

HISTORY OF PRESENT ILLNESS:  Mr. [**Known lastname **] is a 47 year-old man
with extreme obesity with a body weight of 440 pounds who is
5'7" tall and has a BMI of 69.  He has had numerous weight
loss programs in the past without significant long term
effect and also has significant venostasis ulcers in his
lower extremities.  He has no known drug allergies.

His only past medical history other then obesity is
osteoarthritis for which he takes Motrin and smoker's cough
secondary to smoking one pack per day for many years.  He has
used other narcotics, cocaine and marijuana, but has been
clean for about fourteen years.

He was admitted to the General Surgery Service status post
gastric bypass surgery on [**2130-4-14**].  The surgery was
uncomplicated, however, Mr. [**Known lastname **] was admitted to the Surgical
Intensive Care Unit after his gastric bypass secondary to
unable to extubate secondary to a respiratory acidosis.  The
patient had decreased urine output, but it picked up with
intravenous fluid hydration.  He was successfully extubated
on [**4-15**] in the evening and was transferred to the floor
on [**2130-4-16**] without difficulty.  He continued to have
slightly labored breathing and was requiring a face tent mask
to keep his saturations in the high 90s.  However, was
advanced according to schedule and tolerated a stage two diet
and was transferred to the appropriate pain management.  He
was out of bed without difficulty and on postoperative day
three he was advanced to a stage three diet and then slowly
was discontinued.  He continued to use a face tent overnight,
but this was discontinued during the day and he was advanced
to all of the usual changes for postoperative day three
gastric bypass patient.  He will be discharged home today
postoperative day three in stable condition status post
gastric bypass.

DISCHARGE MEDICATIONS:  Vitamin B-12 1 mg po q.d., times two
months, Zantac 150 mg po b.i.d. times two months, Actigall
300 mg po b.i.d. times six months and Roxicet elixir one to
two teaspoons q 4 hours prn and Albuterol Atrovent meter dose
inhaler one to two puffs q 4 to 6 hours prn.

He will follow up with Dr. [**Last Name (STitle) **] in approximately two weeks as
well as with the [**Hospital **] Clinic.






                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 3799**], M.D.  [**MD Number(1) 3800**]

Dictated By:[**Last Name (NamePattern1) 9800**]

MEDQUIST36

D:  [**2130-4-17**]  08:29
T:  [**2130-4-18**]  08:31
JOB#:  [**Job Number 20340**]
{'Morbid obesity,Acidosis,Venous (peripheral) insufficiency, unspecified,Tobacco use disorder,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Ulcer of other part of lower limb'}


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: Mr. [**Known lastname **] is a 47 year-old man
with extreme obesity with a body weight of 440 pounds who is
5'7" tall and has a BMI of 69.  He has had numerous weight
loss programs in the past without significant long term
effect and also has significant venostasis ulcers in his
lower extremities.  He has no known drug allergies.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Morbid obesity,Acidosis,Venous (peripheral) insufficiency, unspecified,Tobacco use disorder,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Ulcer of other part of lower limb'}
