CHIEF COMPLAINT: 

PRESENT ILLNESS: 

MEDICAL HISTORY: Includes BPH and mild exercise
intolerance.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: Revealed a 71 inch, 157 pound male with a
pulse of 68, blood pressure of 147/92 in no apparent distress
with clear lungs with a [**2-19**] murmur in left sternal border
with abdomen that is soft and nontender. No extremity edema.

FAMILY HISTORY: 

SOCIAL HISTORY: Includes no tobacco use and [**2-16**] alcoholic
drinks a day with no drug use.
Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Hemorrhage complicating a procedure,Acute posthemorrhagic anemia,Other specified cardiac dysrhythmias
BPH w/o urinary obs/LUTS,Hemorrhage complic proc,Ac posthemorrhag anemia,Cardiac dysrhythmias NEC
Admission Date: [**2187-2-12**]        Discharge Date: [**2187-2-15**]

Date of Birth:  [**2109-8-5**]        Sex:  M

Service:  GU


ADMISSION DIAGNOSIS:  Benign prostatic hypertrophy.

POSTOPERATIVE DIAGNOSES:  Benign prostatic hypertrophy,
postoperative anemia.

ADMISSION HISTORY AND PHYSICAL:  Patient is a 77-year-old
male with a history of BPH and no other medical history who
presented for surgical resection after complaining of weak
stream.

PAST MEDICAL HISTORY:  Includes BPH and mild exercise
intolerance.

PAST SURGICAL HISTORY:  Of renal cyst aspiration, hernia
repair, cataract surgery, and colonoscopy and biopsy.

MEDICATIONS:  Include aspirin 81 mg every day.

ALLERGIES:  No known drug allergies.

SOCIAL HISTORY:  Includes no tobacco use and [**2-16**] alcoholic
drinks a day with no drug use.

REVIEW OF SYMPTOMS:  Otherwise noncontributory.

PHYSICAL EXAM:  Revealed a 71 inch, 157 pound male with a
pulse of 68, blood pressure of 147/92 in no apparent distress
with clear lungs with a [**2-19**] murmur in left sternal border
with abdomen that is soft and nontender. No extremity edema.

HOSPITAL COURSE:  Patient presented as above and underwent a
transurethral resection of the prostate for BPH on [**2187-2-12**]. This was a large resection, and postoperatively was
noted to have a great deal of hematuria requiring brisk CBI
immediately postoperatively. Because of the brisk CBI and
requiring bag changes approximately every 30 minutes, patient
was monitored overnight for 1-to-1 nursing care in the ICU.
Medically, however, patient remained stable throughout the
hospital course, and patient's hematocrit postoperatively was
in the 30s (stable at 30 at discharge). Patient did not
require any transfusions.

The patient's Foley was removed on postoperative day #2 after
urine was noted to be fruit punch color off of CBI. Patient
was then observed for another day of hospitalization, and
reported urinating well. But initially urinated several
clots. The urine color then became much lighter in color
after urination of clots. Patient reported sensation of
complete emptying upon discharge, and also reported a very
strong stream and good satisfaction of his urination.

Therefore, upon discharge on postoperative day #3, patient
was ambulating, voiding, without significant pain, and
tolerating POs without difficulty.

DISCHARGE CONDITION:  Good.

DISCHARGE DIET:  Regular.

DISCHARGE MEDICATIONS:  Tylenol 650 mg p.o. q.4h. p.r.n.
pain, Colace 100 mg p.o. b.i.d. No antibiotics were given
upon discharge because 3 days of ciprofloxacin had been given
in the hospital.

FOLLOWUP:  Will be with Dr. [**Last Name (STitle) 365**] in [**1-15**] weeks.

DISCHARGE ACTIVITIES:  No restrictions.



                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 27469**]

Dictated By:[**Name8 (MD) 20918**]
MEDQUIST36
D:  [**2187-2-15**] 07:27:56
T:  [**2187-2-15**] 08:49:15
Job#:  [**Job Number 27470**]
{'Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Hemorrhage complicating a procedure,Acute posthemorrhagic anemia,Other specified cardiac dysrhythmias'}


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: 

MEDICAL HISTORY: Includes BPH and mild exercise
intolerance.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: Revealed a 71 inch, 157 pound male with a
pulse of 68, blood pressure of 147/92 in no apparent distress
with clear lungs with a [**2-19**] murmur in left sternal border
with abdomen that is soft and nontender. No extremity edema.

FAMILY HISTORY: 

SOCIAL HISTORY: Includes no tobacco use and [**2-16**] alcoholic
drinks a day with no drug use. 

### Response:
{'Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Hemorrhage complicating a procedure,Acute posthemorrhagic anemia,Other specified cardiac dysrhythmias'}
