CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 72 year old
female status post total abdominal hysterectomy in [**2189-6-11**]
for cervical and vaginal cancer, also with a history of left
lower extremity pain secondary to tumor involvement in the
iliopsoas area, also with a history of deep vein thrombosis
status post filter.  She presents with abdominal pain for six
days, especially over the right lower quadrant.  Temperature
maximum on admission 101.5.  The patient underwent a
computerized tomography scan of the abdomen which was
consistent with cholecystitis.  Just after midnight on [**8-17**], the patient was taken to the Operating Room by attending
of record, Dr. [**Last Name (STitle) **].  Preoperative diagnosis was acute
cholecystitis, postoperative diagnosis same.  The patient had
an open cholecystectomy.  Findings were an extremely
inflamed gallbladder full of pus.  There was a normal
appendix seen.  Estimated blood loss was 500 cc.  Fluids
during operation, 2 units of lactated ringers, 3 units of
packed red blood cells, 4 units of fresh frozen plasma and
550 out of Foley catheter.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Acute and chronic cholecystitis,Accidental puncture or laceration during a procedure, not elsewhere classified,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension
Acte & chr cholecystitis,Accidental op laceration,Chr airway obstruct NEC,Hypertension NOS
Admission Date:  [**2190-8-16**]       Discharge Date:  [**2190-8-25**]

Date of Birth:   [**2118-2-19**]       Sex:  F

Service:  Surgery - Purple Service

HISTORY OF PRESENT ILLNESS:  The patient is a 72 year old
female status post total abdominal hysterectomy in [**2189-6-11**]
for cervical and vaginal cancer, also with a history of left
lower extremity pain secondary to tumor involvement in the
iliopsoas area, also with a history of deep vein thrombosis
status post filter.  She presents with abdominal pain for six
days, especially over the right lower quadrant.  Temperature
maximum on admission 101.5.  The patient underwent a
computerized tomography scan of the abdomen which was
consistent with cholecystitis.  Just after midnight on [**8-17**], the patient was taken to the Operating Room by attending
of record, Dr. [**Last Name (STitle) **].  Preoperative diagnosis was acute
cholecystitis, postoperative diagnosis same.  The patient had
an open cholecystectomy.  Findings were an extremely
inflamed gallbladder full of pus.  There was a normal
appendix seen.  Estimated blood loss was 500 cc.  Fluids
during operation, 2 units of lactated ringers, 3 units of
packed red blood cells, 4 units of fresh frozen plasma and
550 out of Foley catheter.

The patient was sent to the Surgery Intensive Care Unit
postoperatively for high blood pressures which required
intravenous antihypertensives to bring her pressure down.
The patient also ruled out for a myocardial infarction in the
Intensive Care Unit.  On postoperative day #5 the patient
continued to do well in the Intensive Care Unit and was
transferred to the floor.  At this time the patient was on
Ampicillin, Ceftriaxone, and Flagyl day #5 which was
continued through day #6.  On postoperative day #6 the
patient began to complain of increasing lower extremity pain,
similar to her pain in the past.  The Pain Service was
consulted and wrote to increase her MS Contin dose to 45 mg
t.i.d. as well as increasing her Neurontin dose to 400 mg
t.i.d.  The patient at this point in time is tolerating
excellent p.o.  The patient was afebrile.  The patient was
able to ambulate with minimal difficulty although not up to
her preoperative standard.  This was due to the increase in
the left lower extremity pain.  She was seen by Chronic Pain
Service. It was decided to send the patient out to the
rehabilitation center.  The patient was stable for discharge
to rehabilitation as of the morning of [**8-25**] and was
discontinued to rehabilitation on the following medications.

DISCHARGE MEDICATIONS:
1.  Neurontin 400 mg t.i.d.
2.  MS Contin 45 mg b.i.d.
3.  Oxycodone 10 mg q. 4 hours prn
4.  Univasc 7.5 mg p.o. q. day
5.  Zoloft 50 mg p.o. b.i.d.
6.  Lasix 40 mg p.o. q. day
7.  Prilosec 20 mg p.o. q. day
8.  Colace 100 mg p.o. b.i.d.
9.  Albuterol nebulizer q. 4 hours prn
10. Atrovent nebulizers 4 times a day
11. Flovent 2 puffs b.i.d.
12. The patient is also to receive Lovenox 60 mg b.i.d.
13. She will also receive Coumadin 7.5 mg q. day.  Her INRs
will be checked in rehabilitation

DISCHARGE INSTRUCTIONS/FOLLOW UP:  The patient was also to be
sent on a regular diet to rehabilitation.  and followed up by
her primary care doctor, Dr. [**First Name (STitle) **] who can be reached at
[**Telephone/Fax (1) 1144**]. She will see Dr. [**Last Name (STitle) **] in followup.



                            [**First Name11 (Name Pattern1) 4952**] [**Last Name (NamePattern1) 4953**], M.D.  [**MD Number(1) 4954**]

Dictated By:[**Last Name (NamePattern1) 4039**]
MEDQUIST36

D:  [**2190-8-24**]  19:27
T:  [**2190-8-24**]  20:34
JOB#:  [**Job Number 13633**]
{'Acute and chronic cholecystitis,Accidental puncture or laceration during a procedure, not elsewhere classified,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension'}


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 72 year old
female status post total abdominal hysterectomy in [**2189-6-11**]
for cervical and vaginal cancer, also with a history of left
lower extremity pain secondary to tumor involvement in the
iliopsoas area, also with a history of deep vein thrombosis
status post filter.  She presents with abdominal pain for six
days, especially over the right lower quadrant.  Temperature
maximum on admission 101.5.  The patient underwent a
computerized tomography scan of the abdomen which was
consistent with cholecystitis.  Just after midnight on [**8-17**], the patient was taken to the Operating Room by attending
of record, Dr. [**Last Name (STitle) **].  Preoperative diagnosis was acute
cholecystitis, postoperative diagnosis same.  The patient had
an open cholecystectomy.  Findings were an extremely
inflamed gallbladder full of pus.  There was a normal
appendix seen.  Estimated blood loss was 500 cc.  Fluids
during operation, 2 units of lactated ringers, 3 units of
packed red blood cells, 4 units of fresh frozen plasma and
550 out of Foley catheter.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Acute and chronic cholecystitis,Accidental puncture or laceration during a procedure, not elsewhere classified,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension'}
