CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 51 year old gentleman
with a history of coronary artery disease, status post
inferior myocardial infarction and stents times two who on
the day of admission began having left chest pain around 11
AM.  The pain began at rest.  He described the pain as [**3-2**],
aching and dull, worse with tensing his pectoralis muscles
but also says he has shortness of breath and numbness in both
arms.  This is unlike his typical angina which is described
as more of a chest tightness.

MEDICAL HISTORY: 1.  Coronary artery disease, inferior myocardial infarction
on [**2173-7-5**], stent to obtuse marginal [**6-24**], stents to right coronary artery [**2173-7-5**],
cardiac catheterization [**2173-10-12**], see history of
present illness for details.
2.  Hypertension.
3.  Hypercholesterolemia.
4.  Diabetes for the past five years.

MEDICATION ON ADMISSION: 1.  Aspirin 325 mg p.o. q. day
2.  Vitamin E
3.  Folate
4.  Lopressor 50 mg p.o. b.i.d.
5.  Metformin 1000 mg p.o. b.i.d.
6.  Lipitor 20 mg p.o. q.d.
7.  Zestril 10 mg p.o. q.d.
8.  Glucotrol XL 10 mg p.o. q.d.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: Denies family history of coronary artery
disease, hypertension or diabetes.

SOCIAL HISTORY: History of tobacco, claims she quit one
month.  History of alcohol use, questionable amount.
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Retention of urine, unspecified,Unspecified essential hypertension,Pure hypercholesterolemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Old myocardial infarction,Percutaneous transluminal coronary angioplasty status,Personal history of tobacco use
Crnry athrscl natve vssl,Intermed coronary synd,Retention urine NOS,Hypertension NOS,Pure hypercholesterolem,DMII wo cmp nt st uncntr,Old myocardial infarct,Status-post ptca,History of tobacco use
Admission Date:  [**2173-10-17**]       Discharge Date:  [**2173-10-23**]

Date of Birth:   [**2122-3-8**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  This is a 51 year old gentleman
with a history of coronary artery disease, status post
inferior myocardial infarction and stents times two who on
the day of admission began having left chest pain around 11
AM.  The pain began at rest.  He described the pain as [**3-2**],
aching and dull, worse with tensing his pectoralis muscles
but also says he has shortness of breath and numbness in both
arms.  This is unlike his typical angina which is described
as more of a chest tightness.

The patient had recently had a cardiac catheterization on
[**10-12**] which revealed 70 to 80% stenosis of the left
main coronary artery.  The left anterior descending had mild
to moderate diffuse disease.  The left circumflex artery had
mild disease and there was 30% in-stent restenosis of the
obtuse marginal.  The right coronary artery had insignificant
disease and the stent was patent.  The patient had been
scheduled for an elective coronary artery bypass graft with
Dr. [**Last Name (STitle) 70**] for [**2173-10-18**].

PAST MEDICAL HISTORY:
1.  Coronary artery disease, inferior myocardial infarction
on [**2173-7-5**], stent to obtuse marginal [**6-24**], stents to right coronary artery [**2173-7-5**],
cardiac catheterization [**2173-10-12**], see history of
present illness for details.
2.  Hypertension.
3.  Hypercholesterolemia.
4.  Diabetes for the past five years.

MEDICATIONS ON ADMISSION:
1.  Aspirin 325 mg p.o. q. day
2.  Vitamin E
3.  Folate
4.  Lopressor 50 mg p.o. b.i.d.
5.  Metformin 1000 mg p.o. b.i.d.
6.  Lipitor 20 mg p.o. q.d.
7.  Zestril 10 mg p.o. q.d.
8.  Glucotrol XL 10 mg p.o. q.d.

SOCIAL HISTORY:  History of tobacco, claims she quit one
month.  History of alcohol use, questionable amount.

FAMILY HISTORY:  Denies family history of coronary artery
disease, hypertension or diabetes.

PHYSICAL EXAMINATION:  Examination on admission revealed
vital signs of pulse 85, blood pressure 137/80, 15, 97% on
room air.  General, pleasant, well appearing gentleman
appearing his stated age.  Head, eyes, ears, nose and throat
shows pupils equal, round and reactive to light.  Extraocular
muscles intact.  Moist mucous membranes.  Neck, no bruits, no
lymphadenopathy.  Cardiovascular, regular rate and rhythm, no
murmur.  Pulmonary clear to auscultation bilaterally.
Abdomen soft, nontender, nondistended.  Normoactive bowel
sounds.  Rectal, coag negative.  Extremities, no bruits, no
edema and 2+ pulses in all extremities.  Neurological,
cranial nerves II through XII intact.  Motor [**3-27**] in all four
extremities.  Alert and oriented times three.

HOSPITAL COURSE:  The patient was admitted to the [**Hospital6 1760**] and ruled out for myocardial
infarction by serial enzymes.  On the day following admission
[**2173-10-18**] the patient went to the Operating Room
where he had a coronary artery bypass graft times four.  He
had left internal mammary artery anastomosed to the left
anterior descending, saphenous vein graft to obtuse marginal,
saphenous vein graft to the diagonal, saphenous vein graft to
the posterior descending artery.  Dr. [**Last Name (STitle) 70**] was the
surgeon of record.  Please see previously dictated operative
note for more details.  The patient tolerated the procedure
well.  The patient was transferred from the Operating Room to
the Cardiac Surgery Recovery Unit in stable condition.  He
was left intubated and was on Propofol drip on arrival to the
Cardiac Surgery Intensive Care Unit.  The night of operation
he was extubated without incident and weaned off of
Neosynephrine which he needed for blood pressure support.
His hematocrit was 19.5 and he was transfused 2 units of
packed red blood cells.  On postoperative day #1 the patient
was transferred from the Intensive Care Unit to the Patient
Care Floor.  His repeat hematocrit after 2 units had gone
from 19.5 to 23.7 and therefore he was given a third unit of
packed red blood cells.  After this his hematocrit went to
25.3.  The patient remained stable during his hospital
course.  His sternal wires, chest tube and Foley catheter
were all removed without incident.  Unfortunately upon
removal of his Foley catheter the patient was unable to void
and required to be straight cathed times one.  He had
residual volume of roughly 300 cc.  The catheter was removed
and he was able to void several hours later spontaneously.
By postoperative day #5, the patient was ambulating and
cleared by physical therapy to be discharged to home.  Pain
was controlled on oral medications and he was voiding without
problems.

DISCHARGE DISPOSITION:  Home.

DISCHARGE DIAGNOSIS:  Status post coronary artery bypass
graft, four vessels.

DISCHARGE MEDICATIONS:
1.  Lopressor 50 mg p.o. b.i.d.
2.  Lasix 20 mg p.o. b.i.d. times one week
3.  Kayciel 20 mEq p.o. b.i.d. times one week
4.  Colace 100 mg p.o. b.i.d. while on Percocet
5.  Enteric coated Aspirin 325 mg p.o. q.d.
6.  Glucotrol 10 mg p.o. q.d.
7.  Lipitor 20 mg p.o. q.d.
8.  Glucophage 1000 mg p.o. b.i.d.
9.  Lopressor 50 mg p.o. b.i.d.
10. Ibuprofen 400-600 mg p.o. q. 4-6 hours prn
11. Percocet one tablet p.o. q. 4-6 hours prn

FOLLOW UP:  The patient will see Dr. [**Last Name (STitle) **], his primary care
physician in three weeks.  The patient will see Dr. [**Last Name (STitle) 70**]
back at [**Hospital6 256**] in three to four
weeks.



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

Dictated By:[**Last Name (NamePattern1) 6355**]
MEDQUIST36

D:  [**2173-10-22**]  19:02
T:  [**2173-10-22**]  19:19
JOB#:  [**Job Number 35253**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Retention of urine, unspecified,Unspecified essential hypertension,Pure hypercholesterolemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Old myocardial infarction,Percutaneous transluminal coronary angioplasty status,Personal history of tobacco use'}


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: This is a 51 year old gentleman
with a history of coronary artery disease, status post
inferior myocardial infarction and stents times two who on
the day of admission began having left chest pain around 11
AM.  The pain began at rest.  He described the pain as [**3-2**],
aching and dull, worse with tensing his pectoralis muscles
but also says he has shortness of breath and numbness in both
arms.  This is unlike his typical angina which is described
as more of a chest tightness.

MEDICAL HISTORY: 1.  Coronary artery disease, inferior myocardial infarction
on [**2173-7-5**], stent to obtuse marginal [**6-24**], stents to right coronary artery [**2173-7-5**],
cardiac catheterization [**2173-10-12**], see history of
present illness for details.
2.  Hypertension.
3.  Hypercholesterolemia.
4.  Diabetes for the past five years.

MEDICATION ON ADMISSION: 1.  Aspirin 325 mg p.o. q. day
2.  Vitamin E
3.  Folate
4.  Lopressor 50 mg p.o. b.i.d.
5.  Metformin 1000 mg p.o. b.i.d.
6.  Lipitor 20 mg p.o. q.d.
7.  Zestril 10 mg p.o. q.d.
8.  Glucotrol XL 10 mg p.o. q.d.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: Denies family history of coronary artery
disease, hypertension or diabetes.

SOCIAL HISTORY: History of tobacco, claims she quit one
month.  History of alcohol use, questionable amount. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Retention of urine, unspecified,Unspecified essential hypertension,Pure hypercholesterolemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Old myocardial infarction,Percutaneous transluminal coronary angioplasty status,Personal history of tobacco use'}
