CHIEF COMPLAINT: History of syncopal episodes, found on workup to be due to
anomalous right upper pulmonary vein entering right atrium.

PRESENT ILLNESS: Mr. [**Known lastname 61452**] is a 40-year-old male who has beenexperiencing
worsening symptoms of shortness of breath andevaluation showed
by multiple modalities that he had at least 1 or 2 pulmonary
veins on the right side that were draining into the SVC/right
atrial junction. He had no documented atrial septal defect by
echocardiography. A MRI confirmed the presence of a vein
entering the SVC from the right side. The left-sided pulmonary
veins appeared to drain into the left
atrium. He had a calculated shunt of 1.9:1 and showed signs of
right ventricular dilatation and right atrial dilatation and
right-sided heart failure. He is presenting for repair of his
anomaly.

MEDICAL HISTORY: HTN
oral CA, s/p XRT (chewed tobacco)
depression

MEDICATION ON ADMISSION: ASA 81mg PO Q24
Lisinopril 5mg PO Q24
Torol XL 25mg PO Q24
Zoloft 100mg PO Q24
Androgel QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Height 6'7", Wt 260lbs, HR 68, BP 140/90
Tall young man in NAD, well-appearing
PERRLA, EOMI
Neck supple, no JVD, no bruits, no LAD
Lungs CTA b/l
RRR, Nl S1 and S2
Abd soft, NT/ND, NABS
Ext warm, no edema, no varicosities, 2+DP/PT pulses b/l

FAMILY HISTORY: mom with ?heart disease

SOCIAL HISTORY: Lives with wife and children. Denies smoking, occ etoh, no drugs
Partial anomalous pulmonary venous connection,Unspecified essential hypertension,Personal history of malignant neoplasm of tongue
Part anom pulm ven conn,Hypertension NOS,Hx of tongue malignancy
Admission Date:  [**2159-8-10**]              Discharge Date:   [**2159-8-18**]

Date of Birth:  [**2118-12-30**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1505**]
Chief Complaint:
History of syncopal episodes, found on workup to be due to
anomalous right upper pulmonary vein entering right atrium.

Major Surgical or Invasive Procedure:
Anomalous Pulmonary Vein repair


History of Present Illness:
Mr. [**Known lastname 61452**] is a 40-year-old male who has beenexperiencing
worsening symptoms of shortness of breath andevaluation showed
by multiple modalities that he had at least 1 or 2 pulmonary
veins on the right side that were draining into the SVC/right
atrial junction. He had no documented atrial septal defect by
echocardiography. A MRI confirmed the presence of a vein
entering the SVC from the right side. The left-sided pulmonary
veins appeared to drain into the left
atrium. He had a calculated shunt of 1.9:1 and showed signs of
right ventricular dilatation and right atrial dilatation and
right-sided heart failure. He is presenting for repair of his
anomaly.

Past Medical History:
HTN
oral CA, s/p XRT (chewed tobacco)
depression


Social History:
Lives with wife and children. Denies smoking, occ etoh, no drugs


Family History:
mom with ?heart disease

Physical Exam:
Height 6'7", Wt 260lbs, HR 68, BP 140/90
Tall young man in NAD, well-appearing
PERRLA, EOMI
Neck supple, no JVD, no bruits, no LAD
Lungs CTA b/l
RRR, Nl S1 and S2
Abd soft, NT/ND, NABS
Ext warm, no edema, no varicosities, 2+DP/PT pulses b/l

Pertinent Results:
[**2159-8-10**] 11:33AM BLOOD WBC-14.3*# RBC-3.28*# Hgb-9.9*#
Hct-29.3*# MCV-89 MCH-30.2 MCHC-33.8 RDW-13.3 Plt Ct-145*
[**2159-8-10**] 11:33AM BLOOD PT-17.2* PTT-27.7 INR(PT)-2.1
[**2159-8-10**] 11:33AM BLOOD Plt Ct-145*
[**2159-8-10**] 01:09PM BLOOD UreaN-10 Creat-0.7 Na-140 Cl-107 HCO3-22
[**2159-8-10**] 01:09PM BLOOD Mg-1.9

Brief Hospital Course:
The patient was taken to the operating room on [**2159-8-10**] for a
Warden procedure for correction of partial anomalous pulmonary
venous return. The patient tolerated this procedure well. He was
taken immediately from the operating room to the CSRU. He was
extubated that night after surgery. On post-op day #1, his
pressor was weaned. On post-op day #2, his chest tubes were
removed, his pressors were stopped, and he was ambulated. He was
transferred to the floor. On post-op day #3, the patient was
ambulated with physical therapy and did well. His pacing wires
were removed. He was seen by electrophysiology for a
self-limited run of SVT and was placed on beta blockade. On the
night of post-op day #4, the patient tripped over a chair, but
was unhurt by the incident. Orthostatics and vital signs were
unremarkable. The patient was discharged home on post-op day #7
in stable condition.

Medications on Admission:
ASA 81mg PO Q24
Lisinopril 5mg PO Q24
Torol XL 25mg PO Q24
Zoloft 100mg PO Q24
Androgel QD

Discharge Medications:
1. Furosemide 20 mg Tablet Sig: Two (2) Tablet PO once a day for
7 days: 40 mg QD x 7 days .
Disp:*20 Tablet(s)* Refills:*0*
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
3. Aspirin EC 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO once a day.
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
4. Ferrous Gluconate 300 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*0*
5. Ascorbic Acid 500 mg Tablet Sig: One (1) Tablet PO BID (2
times a day) for 1 months.
Disp:*60 Tablet(s)* Refills:*0*
6. Sertraline 100 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*2*
7. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3-4 hrs/PRN as
needed for pain.
Disp:*50 Tablet(s)* Refills:*0*
8. Lisinopril 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
9. Zantac 150 mg Tablet Sig: One (1) Tablet PO twice a day for 1
months.
Disp:*60 Tablet(s)* Refills:*0*
10. Toprol XL 25 mg Tablet Sustained Release 24HR Sig: One (1)
Tablet Sustained Release 24HR PO once a day.
Disp:*30 Tablet Sustained Release 24HR(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Location (un) 932**] VNA

Discharge Diagnosis:
s/p repair of Anomolous Pulmonary Vein(pericardial patch)
PMH: Squamous Cell CA tongue, LUL nodule, SVT, Tonsillectomy,
Depression


Discharge Condition:
good


Discharge Instructions:
Keep wounds clean and  dry. OK to shower, no bathing or
swimming.
Take all medications as prescribed.
Call for any fever, redness or drainage from wounds, or weight
gain morethan 2 pounds in one day or five in one week.

Followup Instructions:
[**Hospital 409**] clinic in 2 weeks
Dr [**Last Name (STitle) **] in 4 weeks
Dr[**Name (NI) 61453**] in 2 weeks
{'Partial anomalous pulmonary venous connection,Unspecified essential hypertension,Personal history of malignant neoplasm of tongue'}


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: History of syncopal episodes, found on workup to be due to
anomalous right upper pulmonary vein entering right atrium.

PRESENT ILLNESS: Mr. [**Known lastname 61452**] is a 40-year-old male who has beenexperiencing
worsening symptoms of shortness of breath andevaluation showed
by multiple modalities that he had at least 1 or 2 pulmonary
veins on the right side that were draining into the SVC/right
atrial junction. He had no documented atrial septal defect by
echocardiography. A MRI confirmed the presence of a vein
entering the SVC from the right side. The left-sided pulmonary
veins appeared to drain into the left
atrium. He had a calculated shunt of 1.9:1 and showed signs of
right ventricular dilatation and right atrial dilatation and
right-sided heart failure. He is presenting for repair of his
anomaly.

MEDICAL HISTORY: HTN
oral CA, s/p XRT (chewed tobacco)
depression

MEDICATION ON ADMISSION: ASA 81mg PO Q24
Lisinopril 5mg PO Q24
Torol XL 25mg PO Q24
Zoloft 100mg PO Q24
Androgel QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Height 6'7", Wt 260lbs, HR 68, BP 140/90
Tall young man in NAD, well-appearing
PERRLA, EOMI
Neck supple, no JVD, no bruits, no LAD
Lungs CTA b/l
RRR, Nl S1 and S2
Abd soft, NT/ND, NABS
Ext warm, no edema, no varicosities, 2+DP/PT pulses b/l

FAMILY HISTORY: mom with ?heart disease

SOCIAL HISTORY: Lives with wife and children. Denies smoking, occ etoh, no drugs 

### Response:
{'Partial anomalous pulmonary venous connection,Unspecified essential hypertension,Personal history of malignant neoplasm of tongue'}
