CHIEF COMPLAINT: dyspnea

PRESENT ILLNESS: 72 F with DM, anemia, hypothyroidism, HTN s/p 2 falls presenting
to the ED with CK 2500, renal failure, PNA and MSSA bacteremia,
who required VATS and decortication x 2 [**2126-1-8**] for empyema and
[**2126-1-17**] for hematoma evacuation. The patient's course was
complicated by failure to wean from the ventilator and
pneumomediastinum. The patient eventually was made comfort
measures only by her family, who felt that the patient had
previously expressed the desire to not be kept alive on a
machine for an extended period of time. The patient died on
[**2126-1-22**] at 8:34 PM secondary to respiratory failure.

MEDICAL HISTORY: diabetes
htn
hypothyroidism
hypercholesterolemia
uterine ca s/p TAH/BSO
anemia on aranesp
EF 65%
recent MSSA bacteremia

MEDICATION ON ADMISSION: protonix 40, asa 325, mvi, colace 100 [**Hospital1 **], calcium carbonate
1250 [**Hospital1 **], glipizide 10 [**Hospital1 **], accupril 40, klonopin 0.5 [**Hospital1 **],
synthroid 0.125, imipramine 40, cosopt 1 gtt ou [**Hospital1 **], percocet
and ambien prn, oxacillin, aranesp 40 1x per week.

ALLERGIES: Flagyl / Synthroid / Penicillins

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: lives by self, drinks 8oz of etoh every night, +tob [**1-13**] pack per
day, has 40 pack year history, chair lift at home to [**Location (un) 17879**]. Not very active.
Acute and chronic respiratory failure,Methicillin susceptible Staphylococcus aureus septicemia,Empyema without mention of fistula,Pleurisy with effusion, with mention of a bacterial cause other than tuberculosis,Congestive heart failure, unspecified,Chronic airway obstruction, not elsewhere classified,Acute kidney failure with lesion of tubular necrosis,Hemorrhage complicating a procedure,Methicillin susceptible pneumonia due to Staphylococcus aureus,Acute posthemorrhagic anemia,Severe sepsis,Thrombocytopenia, unspecified,Unspecified acquired hypothyroidism,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Tobacco use disorder,Unspecified essential hypertension,Pain in joint, pelvic region and thigh
Acute & chronc resp fail,Meth susc Staph aur sept,Empyema w/o fistula,Bact pleur/effus not TB,CHF NOS,Chr airway obstruct NEC,Ac kidny fail, tubr necr,Hemorrhage complic proc,Meth sus pneum d/t Staph,Ac posthemorrhag anemia,Severe sepsis,Thrombocytopenia NOS,Hypothyroidism NOS,DMII wo cmp nt st uncntr,Tobacco use disorder,Hypertension NOS,Joint pain-pelvis
Admission Date:  [**2126-1-7**]              Discharge Date:   [**2126-1-22**]

Date of Birth:  [**2053-7-17**]             Sex:   F

Service: MEDICINE

Allergies:
Flagyl / Synthroid / Penicillins

Attending:[**First Name3 (LF) 398**]
Chief Complaint:
dyspnea

Major Surgical or Invasive Procedure:
video-assisted thorascopy (twice)
lysis of pleural adhesions, decortication
hematoma evacuation
intubation.
Central venous access.
Arterial access.


History of Present Illness:
72 F with DM, anemia, hypothyroidism, HTN s/p 2 falls presenting
to the ED with CK 2500, renal failure, PNA and MSSA bacteremia,
who required VATS and decortication x 2 [**2126-1-8**] for empyema and
[**2126-1-17**] for hematoma evacuation. The patient's course was
complicated by failure to wean from the ventilator and
pneumomediastinum. The patient eventually was made comfort
measures only by her family, who felt that the patient had
previously expressed the desire to not be kept alive on a
machine for an extended period of time. The patient died on
[**2126-1-22**] at 8:34 PM secondary to respiratory failure.

Past Medical History:
diabetes
htn
hypothyroidism
hypercholesterolemia
uterine ca s/p TAH/BSO
anemia on aranesp
EF 65%
recent MSSA bacteremia

Social History:
lives by self, drinks 8oz of etoh every night, +tob [**1-13**] pack per
day, has 40 pack year history, chair lift at home to [**Location (un) 17879**]. Not very active.

Pertinent Results:
pleural fluid: [**1-14**] urine cx: VRE [**1-7**]  [**Numeric Identifier 93844**] wbc, 9667 rbc,
99 pmns, pH 6.62 [**1-8**]: LDH 5445 neg gluc; alb 1.5



Brief Hospital Course:
 As above, the patient had a prolonged course of respiratory
failure with pneumonia and MSSA bacteremia, requiring VATS twice
with decortication and hematoma evacuation but evenutally died
after being made CMO after failure to wean from mechanical
ventilation

Medications on Admission:
protonix 40, asa 325, mvi, colace 100 [**Hospital1 **], calcium carbonate
1250 [**Hospital1 **], glipizide 10 [**Hospital1 **], accupril 40, klonopin 0.5 [**Hospital1 **],
synthroid 0.125, imipramine 40, cosopt 1 gtt ou [**Hospital1 **], percocet
and ambien prn, oxacillin, aranesp 40 1x per week.

Discharge Disposition:
Expired

Discharge Diagnosis:
MSSA bacteremia
pneumonia

Discharge Condition:
Expired.
{'Acute and chronic respiratory failure,Methicillin susceptible Staphylococcus aureus septicemia,Empyema without mention of fistula,Pleurisy with effusion, with mention of a bacterial cause other than tuberculosis,Congestive heart failure, unspecified,Chronic airway obstruction, not elsewhere classified,Acute kidney failure with lesion of tubular necrosis,Hemorrhage complicating a procedure,Methicillin susceptible pneumonia due to Staphylococcus aureus,Acute posthemorrhagic anemia,Severe sepsis,Thrombocytopenia, unspecified,Unspecified acquired hypothyroidism,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Tobacco use disorder,Unspecified essential hypertension,Pain in joint, pelvic region and thigh'}


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: dyspnea

PRESENT ILLNESS: 72 F with DM, anemia, hypothyroidism, HTN s/p 2 falls presenting
to the ED with CK 2500, renal failure, PNA and MSSA bacteremia,
who required VATS and decortication x 2 [**2126-1-8**] for empyema and
[**2126-1-17**] for hematoma evacuation. The patient's course was
complicated by failure to wean from the ventilator and
pneumomediastinum. The patient eventually was made comfort
measures only by her family, who felt that the patient had
previously expressed the desire to not be kept alive on a
machine for an extended period of time. The patient died on
[**2126-1-22**] at 8:34 PM secondary to respiratory failure.

MEDICAL HISTORY: diabetes
htn
hypothyroidism
hypercholesterolemia
uterine ca s/p TAH/BSO
anemia on aranesp
EF 65%
recent MSSA bacteremia

MEDICATION ON ADMISSION: protonix 40, asa 325, mvi, colace 100 [**Hospital1 **], calcium carbonate
1250 [**Hospital1 **], glipizide 10 [**Hospital1 **], accupril 40, klonopin 0.5 [**Hospital1 **],
synthroid 0.125, imipramine 40, cosopt 1 gtt ou [**Hospital1 **], percocet
and ambien prn, oxacillin, aranesp 40 1x per week.

ALLERGIES: Flagyl / Synthroid / Penicillins

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: lives by self, drinks 8oz of etoh every night, +tob [**1-13**] pack per
day, has 40 pack year history, chair lift at home to [**Location (un) 17879**]. Not very active. 

### Response:
{'Acute and chronic respiratory failure,Methicillin susceptible Staphylococcus aureus septicemia,Empyema without mention of fistula,Pleurisy with effusion, with mention of a bacterial cause other than tuberculosis,Congestive heart failure, unspecified,Chronic airway obstruction, not elsewhere classified,Acute kidney failure with lesion of tubular necrosis,Hemorrhage complicating a procedure,Methicillin susceptible pneumonia due to Staphylococcus aureus,Acute posthemorrhagic anemia,Severe sepsis,Thrombocytopenia, unspecified,Unspecified acquired hypothyroidism,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Tobacco use disorder,Unspecified essential hypertension,Pain in joint, pelvic region and thigh'}
