CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 77 year old white male
with a history of non-small cell lung cancer status post
radiation and x-ray treatment who is admitted for
bronchoscopy and stent revision.  Starting in [**2162-4-9**], he
had increasing shortness of breath and dyspnea on exertion
and in [**2162-6-9**], he had a bronchoscopy done in [**State 622**]
which demonstrated migration of his left main bronchus stent
into his right main bronchus.  No further treatment was done
at that point.  The patient's symptoms persisted with
increasing shortness of breath.

MEDICAL HISTORY: 1.  Non-small cell lung cancer diagnosed in [**2151**] with
radiation treatments and Taxol plus Carboplatin for six
months; the patient was then in remission for six months;
however, a [**2160**] PET scan revealed increased activity.  He was
then treated with Navelbine and Carboplatin times one year.
2.  Colon cancer diagnosed in 08/98 with resection of
malignant polyp and one positive lymph node.  No chemotherapy
or radiation treatment done.
3.  In [**2162-8-9**], small bowel obstruction, status post
surgery.  Etiology unknown.
4.  Pericardial effusion status post window 07/[**2161**].  Unknown
etiology of effusion.
5.  Gastroesophageal reflux disease.
6.  History of tobacco use.
7.  Status post hernia repair [**9-/2158**].
8.  Status post appendectomy in [**2110**].
9.  Status post transurethral resection of the prostate times
two for benign prostatic hypertrophy.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin causes hives.

PHYSICAL EXAM: 

FAMILY HISTORY: No history of cancer.

SOCIAL HISTORY: The patient is a General.  He lives with his
wife in [**Name (NI) 44133**], [**Name (NI) 622**].  Smoking history of two packs
per day for 30 years; quit 20 years ago.  Drinks alcohol
approximately two drinks per night.  No other drug use.
Mechanical complication due to other implant and internal device, not elsewhere classified,Esophageal reflux,Personal history of malignant neoplasm of bronchus and lung,Personal history of malignant neoplasm of large intestine,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation
Malfunc oth device/graft,Esophageal reflux,Hx-bronchogenic malignan,Hx of colonic malignancy,Abn react-artif implant
Admission Date:  [**2162-9-30**]     Discharge Date:  [**2162-10-8**]

Date of Birth:   [**2085-4-11**]     Sex:  M

Service:  .

HISTORY OF PRESENT ILLNESS:  This is a 77 year old white male
with a history of non-small cell lung cancer status post
radiation and x-ray treatment who is admitted for
bronchoscopy and stent revision.  Starting in [**2162-4-9**], he
had increasing shortness of breath and dyspnea on exertion
and in [**2162-6-9**], he had a bronchoscopy done in [**State 622**]
which demonstrated migration of his left main bronchus stent
into his right main bronchus.  No further treatment was done
at that point.  The patient's symptoms persisted with
increasing shortness of breath.

On the day of admission, he also complained of a productive
cough with clear white sputum and occasional low-grade
temperatures.  Recently, he completed a course of
Ciprofloxacin for 14 days.  He has not had any fevers for two
weeks.  He also complains of weight loss from 193 pounds to
165 pounds over the past several months.

He denied chest pain, nausea, vomiting, abdominal pain,
changes in bowel or bladder function or lower extremity
edema.

PAST MEDICAL HISTORY:
1.  Non-small cell lung cancer diagnosed in [**2151**] with
radiation treatments and Taxol plus Carboplatin for six
months; the patient was then in remission for six months;
however, a [**2160**] PET scan revealed increased activity.  He was
then treated with Navelbine and Carboplatin times one year.
2.  Colon cancer diagnosed in 08/98 with resection of
malignant polyp and one positive lymph node.  No chemotherapy
or radiation treatment done.
3.  In [**2162-8-9**], small bowel obstruction, status post
surgery.  Etiology unknown.
4.  Pericardial effusion status post window 07/[**2161**].  Unknown
etiology of effusion.
5.  Gastroesophageal reflux disease.
6.  History of tobacco use.
7.  Status post hernia repair [**9-/2158**].
8.  Status post appendectomy in [**2110**].
9.  Status post transurethral resection of the prostate times
two for benign prostatic hypertrophy.

ALLERGIES:   Penicillin causes hives.

MEDICATIONS:
1.  Zantac 150 mg p.o. q. day.
2.  Combivent two puffs four times a day.
3.  Guaifenesin 600 mg p.o. q. day.

SOCIAL HISTORY:  The patient is a General.  He lives with his
wife in [**Name (NI) 44133**], [**Name (NI) 622**].  Smoking history of two packs
per day for 30 years; quit 20 years ago.  Drinks alcohol
approximately two drinks per night.  No other drug use.

FAMILY HISTORY:  No history of cancer.

PHYSICAL EXAMINATION:  Vital signs 98.9 F.; blood pressure
130/92; pulse 83; respiratory rate 24; saturation of 97% on
room air.  In general, he is a thin appearing man in no acute
distress, alert and oriented times three.  HEENT:  Pupils
equally round and reactive to light and accommodation.
Extraocular muscles are intact.  Anicteric.  Mucous membranes
were moist.  No cervical or axillary lymphadenopathy.  His
heart was regular rate and rhythm with no murmurs, rubs or
gallops.  Lungs:  He had bronchial breath sounds throughout.
Abdomen was soft, nontender, nondistended.  Extremities with
no edema.  Two plus distal pulses.

LABORATORY:  White blood cell count 7.8, hematocrit 45,
platelets 387.

HOSPITAL COURSE:  On [**2162-10-1**], the patient had a rigid and
flexible bronchoscopy which demonstrated obstruction of the
right main stem bronchus and 80% obstruction of the left
mainstem bronchus.  He had balloon dilatation of bilateral
bronchi and removal of parts of two stents.  He tolerated the
procedure well, however, on [**2162-10-3**], he had a hypoxic
episode on the Floor in which his O2 saturation dropped to
59% with face mask.  Suctioning did not improve his
saturation.  He was intubated and transferred to the Unit.

Repeat bronchoscopy revealed extensive mucous plugging.  On
[**10-4**], he was successfully extubated in the Unit and
transferred to the Floor.  On [**10-6**], he had a repeat
bronchoscopy done to remove additional mucous plugs.

During his hospital stay he also was found to have Gram
negative rods in his sputum and spike low-grade temperatures.
He was started on Clindamycin and Levaquin.  After initiation
of antibiotics he became afebrile with decreased white blood
cell count.  The patient continued to improve and on the day
of discharge, he was saturating 94 to 97% on room air with
ambulation.  No further stent will be placed at this time.
He is to follow-up with Pulmonary Medicine in four to six
weeks for re-evaluation for stent placement.

CONDITION AT DISCHARGE:   Stable.

DISCHARGE DIAGNOSES:
1.  Non-small cell lung cancer.
2.  Pneumonia.
3.  Mucous plugging.

DISCHARGE STATUS:  To home in [**State 622**].

DISCHARGE MEDICATIONS:
1.  Guaifenesin 1200 mg p.o. twice a day.
2.  Levaquin 500 mg p.o. q. day times eight days.
3.  Combivent inhaler two puffs twice a day.



                          [**First Name8 (NamePattern2) **] [**First Name4 (NamePattern1) 1775**] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 1776**]

Dictated By:[**Name8 (MD) 3219**]

MEDQUIST36

D:  [**2162-10-8**]  10:44
T:  [**2162-10-14**]  14:37
JOB#:  [**Job Number 44134**]
{'Mechanical complication due to other implant and internal device, not elsewhere classified,Esophageal reflux,Personal history of malignant neoplasm of bronchus and lung,Personal history of malignant neoplasm of large intestine,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation'}


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 77 year old white male
with a history of non-small cell lung cancer status post
radiation and x-ray treatment who is admitted for
bronchoscopy and stent revision.  Starting in [**2162-4-9**], he
had increasing shortness of breath and dyspnea on exertion
and in [**2162-6-9**], he had a bronchoscopy done in [**State 622**]
which demonstrated migration of his left main bronchus stent
into his right main bronchus.  No further treatment was done
at that point.  The patient's symptoms persisted with
increasing shortness of breath.

MEDICAL HISTORY: 1.  Non-small cell lung cancer diagnosed in [**2151**] with
radiation treatments and Taxol plus Carboplatin for six
months; the patient was then in remission for six months;
however, a [**2160**] PET scan revealed increased activity.  He was
then treated with Navelbine and Carboplatin times one year.
2.  Colon cancer diagnosed in 08/98 with resection of
malignant polyp and one positive lymph node.  No chemotherapy
or radiation treatment done.
3.  In [**2162-8-9**], small bowel obstruction, status post
surgery.  Etiology unknown.
4.  Pericardial effusion status post window 07/[**2161**].  Unknown
etiology of effusion.
5.  Gastroesophageal reflux disease.
6.  History of tobacco use.
7.  Status post hernia repair [**9-/2158**].
8.  Status post appendectomy in [**2110**].
9.  Status post transurethral resection of the prostate times
two for benign prostatic hypertrophy.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin causes hives.

PHYSICAL EXAM: 

FAMILY HISTORY: No history of cancer.

SOCIAL HISTORY: The patient is a General.  He lives with his
wife in [**Name (NI) 44133**], [**Name (NI) 622**].  Smoking history of two packs
per day for 30 years; quit 20 years ago.  Drinks alcohol
approximately two drinks per night.  No other drug use. 

### Response:
{'Mechanical complication due to other implant and internal device, not elsewhere classified,Esophageal reflux,Personal history of malignant neoplasm of bronchus and lung,Personal history of malignant neoplasm of large intestine,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation'}
