CHIEF COMPLAINT: asymptomatic

PRESENT ILLNESS: 60yoF who was scheduled to undergo a left shoulder surgery,
found to have left atrail mass on preoperative echocardiogram.
Admitted for preop cardiac cath.

MEDICAL HISTORY: CAD
HTN
lipids
DM
hypothyroidism
anxiety/depression
GERD
psoriatic arthritis
exogenous obesity
chronic diarrhea
CABG [**2143**]
l5, s1 discectomy
TAH and unilateral salpingo-oopherectomy
rotator cuff surgery
right THR
bilat bunioectomy
tonsillectomy

MEDICATION ON ADMISSION: altace, atenolol, aricept, lasix, synthroid, lisinopril,
metformin, elavil, trazadone, wellbutrin, zoloft, prilosecx,
humolog/NPH, immodium, MVI

ALLERGIES: Codeine / Lipitor

PHYSICAL EXAM: NAD
RRR, no M/R/G
Lungs CTAB
Abd benign
trace peripheral edema

FAMILY HISTORY: brother with CABG age 45
mother deceased age 64 cardiac tamponade
father deceased age 42 "coronary occulsion"

SOCIAL HISTORY: retired nursing instructor
lives alone in adult community
[**12-11**] ppd tobacco x 41 years
no etoh
Benign neoplasm of heart,Pulmonary collapse,Psoriatic arthropathy,Hip joint replacement,Other and unspecified hyperlipidemia,Unspecified essential hypertension,Dysthymic disorder,Esophageal reflux,Unspecified acquired hypothyroidism,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
Benign neoplasm heart,Pulmonary collapse,Psoriatic arthropathy,Joint replaced hip,Hyperlipidemia NEC/NOS,Hypertension NOS,Dysthymic disorder,Esophageal reflux,Hypothyroidism NOS,DMII wo cmp nt st uncntr
Admission Date:  [**2148-7-3**]              Discharge Date:   [**2148-7-8**]

Date of Birth:  [**2089-3-13**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Codeine / Lipitor

Attending:[**First Name3 (LF) 1267**]
Chief Complaint:
asymptomatic

Major Surgical or Invasive Procedure:
[**7-4**] Redosternotomy/L atrial mass excision


History of Present Illness:
60yoF who was scheduled to undergo a left shoulder surgery,
found to have left atrail mass on preoperative echocardiogram.
Admitted for preop cardiac cath.

Past Medical History:
CAD
HTN
lipids
DM
hypothyroidism
anxiety/depression
GERD
psoriatic arthritis
exogenous obesity
chronic diarrhea
CABG [**2143**]
l5, s1 discectomy
TAH and unilateral salpingo-oopherectomy
rotator cuff surgery
right THR
bilat bunioectomy
tonsillectomy

Social History:
retired nursing instructor
lives alone in adult community
[**12-11**] ppd tobacco x 41 years
no etoh

Family History:
brother with CABG age 45
mother deceased age 64 cardiac tamponade
father deceased age 42 "coronary occulsion"

Physical Exam:
NAD
RRR, no M/R/G
Lungs CTAB
Abd benign
trace peripheral edema


Pertinent Results:
[**2148-7-6**] 07:20PM BLOOD WBC-9.2 RBC-3.27* Hgb-9.4* Hct-26.2*
MCV-80* MCH-28.9 MCHC-36.1* RDW-16.1* Plt Ct-214
[**2148-7-6**] 01:29AM BLOOD WBC-9.1 RBC-3.36* Hgb-9.5* Hct-26.1*
MCV-78* MCH-28.4 MCHC-36.6* RDW-15.6* Plt Ct-229
[**2148-7-6**] 07:20PM BLOOD Plt Ct-214
[**2148-7-5**] 05:33AM BLOOD PT-13.1 PTT-32.4 INR(PT)-1.1
[**2148-7-6**] 07:20PM BLOOD Glucose-178* UreaN-10 Creat-1.0 Na-136
K-4.3 Cl-101 HCO3-24 AnGap-15
[**2148-7-6**] 01:29AM BLOOD Glucose-129* UreaN-9 Creat-1.1 Na-137
K-4.2 Cl-102 HCO3-26 AnGap-13

Brief Hospital Course:
She was admitted preoperatively for cardiac cath which showed
patent bypass grafts x 3. She was then taken to the operating
toom on [**2148-7-4**] where she underwent a redo-sternotomy, excision
of left atrial mass/myxoma. She was tranferred to the SICU in
critical but stable condition. A CXR immediately post
operatively showed right sided collapse for which she underwent
a bronchoscopy which showed secretions, a post bronch xray
showed marked improvement. She was extubated and weaned from her
vasoactive drips by POD #1. She was transferred to the floor on
POD #2. She did well postoperatively, and was ready for
discharge on [**2148-7-8**].

Medications on Admission:
altace, atenolol, aricept, lasix, synthroid, lisinopril,
metformin, elavil, trazadone, wellbutrin, zoloft, prilosecx,
humolog/NPH, immodium, MVI

Discharge Medications:
1. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0*
2. Bupropion 150 mg Tablet Sustained Release Sig: Two (2) Tablet
Sustained Release PO QAM (once a day (in the morning)).
3. Donepezil 5 mg Tablet Sig: One (1) Tablet PO HS (at bedtime).
Tablet(s)
4. Furosemide 20 mg Tablet Sig: One (1) Tablet PO once a day.
Disp:*30 Tablet(s)* Refills:*0*
5. Levothyroxine 125 mcg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
6. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
Disp:*30 Tablet(s)* Refills:*0*
7. Nortriptyline 10 mg Capsule Sig: Two (2) Capsule PO DAILY
(Daily).
8. Trazodone 100 mg Tablet Sig: Two (2) Tablet PO HS (at
bedtime) as needed.
9. Sertraline 100 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day).
10. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed.
Disp:*50 Tablet(s)* Refills:*0*
11. Metformin 500 mg Tablet Sig: Two (2) Tablet PO BID (2 times
a day).
Disp:*120 Tablet(s)* Refills:*0*
12. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0*
13. NPH 4 units [**Hospital1 **]


Discharge Disposition:
Home With Service

Facility:
[**Location (un) **] vna

Discharge Diagnosis:
Left atrial myxoma
CAD
HTN
psoriatic arthritis
exogenous obesity
chronic diarrhea
hyperlipidemia
DM
hypothyroid
anxiety/depression
GERD
CABG [**2143**]
s/p L5, S1 discectomy [**2116**]
TAH & unilateral salpingo-oopherectomy
Right rotator cuff surgery
R THR
B bunionectomy
tonsillectomy


Discharge Condition:
Good.


Discharge Instructions:
Call with fever, redness or drainage or weight gain more than 2
pounds in one day or five in one week.
Shower, no baths, no lotions, creams or powders to incision.
No heavy lifting or driving.

Followup Instructions:
Dr. [**Last Name (STitle) 11493**] 2 weeks
Dr. [**Last Name (STitle) **] 4 weeks



Completed by:[**2148-7-10**]
{'Benign neoplasm of heart,Pulmonary collapse,Psoriatic arthropathy,Hip joint replacement,Other and unspecified hyperlipidemia,Unspecified essential hypertension,Dysthymic disorder,Esophageal reflux,Unspecified acquired hypothyroidism,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}


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: asymptomatic

PRESENT ILLNESS: 60yoF who was scheduled to undergo a left shoulder surgery,
found to have left atrail mass on preoperative echocardiogram.
Admitted for preop cardiac cath.

MEDICAL HISTORY: CAD
HTN
lipids
DM
hypothyroidism
anxiety/depression
GERD
psoriatic arthritis
exogenous obesity
chronic diarrhea
CABG [**2143**]
l5, s1 discectomy
TAH and unilateral salpingo-oopherectomy
rotator cuff surgery
right THR
bilat bunioectomy
tonsillectomy

MEDICATION ON ADMISSION: altace, atenolol, aricept, lasix, synthroid, lisinopril,
metformin, elavil, trazadone, wellbutrin, zoloft, prilosecx,
humolog/NPH, immodium, MVI

ALLERGIES: Codeine / Lipitor

PHYSICAL EXAM: NAD
RRR, no M/R/G
Lungs CTAB
Abd benign
trace peripheral edema

FAMILY HISTORY: brother with CABG age 45
mother deceased age 64 cardiac tamponade
father deceased age 42 "coronary occulsion"

SOCIAL HISTORY: retired nursing instructor
lives alone in adult community
[**12-11**] ppd tobacco x 41 years
no etoh 

### Response:
{'Benign neoplasm of heart,Pulmonary collapse,Psoriatic arthropathy,Hip joint replacement,Other and unspecified hyperlipidemia,Unspecified essential hypertension,Dysthymic disorder,Esophageal reflux,Unspecified acquired hypothyroidism,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}
