CHIEF COMPLAINT: 72 year old white male with new onset SOB.

PRESENT ILLNESS: This 72 year old white male presented to the ED on [**2116-1-24**] w/ SOB
which woke him from sleep.  He was diagnosed with CHF and
pneumonia and had a toponin of .12.  He was in AF/Flutter and
was treated with beta blockers and diuresis.  He underwent
cardiac cath at [**Hospital1 18**] on [**2116-1-31**] which revealed: 60% [**Last Name (un) 2435**]. of
LMCA, 70% diag., 70% ostial LCX, 100% om1, subtotal, mid RCA,
35% LVEF, no MR.  [**Name13 (STitle) **] is now admitted for elective CABG.

MEDICAL HISTORY: s/p NSTEMI [**2116-1-24**]
h/o pneumonia
h/o CHF
h/o HTN
h/p PAF/flutter since [**8-20**]
s/p urosepsis [**8-20**]
NIDDM
s/p bil. cataract surgery
s/p AAA [**2111**]
s/p resection and XRT for colon cancer [**2099**]
s/p SBO x7
h/o DJD
s/p bil. TKR
^chol.

MEDICATION ON ADMISSION: Glypizide 2.5 mg PO daily
ASA 325 PO daily
Lisinopril 20 mg PO daily
Lipitor 40 mg PO daily
Toprol XL 50 mg PO daily
Coumadin 10 mg PO daily

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: Elderly, white male in NAD.
AVSS
HEENT: NC/AT, PERLA, EOMI, oropharynx benign, adentulous.
Neck: supple, FROM, no lymphadenopathy or thyromegaly, carotids
2+= bilat. without bruits.
Lungs: Clear to A+P.
CV: RRR without R/G/M
Abd: +BS, soft, nontender, without masses or hepatosplenomegaly,
well healed surgical scars.
Ext: without C/C/E, pulses 2+=bilat.
Neuro: nonfocal

FAMILY HISTORY: Father died of prostate cancer, mother died at 89

SOCIAL HISTORY: Lives alone
Cigs: 2ppd x 30 years, quit [**2098**]
ETOH: 1 glass wine/day
Coronary atherosclerosis of native coronary artery,Atrial fibrillation,Congestive heart failure, unspecified,Subendocardial infarction, subsequent episode of care,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Pure hypercholesterolemia,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Personal history of malignant neoplasm of large intestine
Crnry athrscl natve vssl,Atrial fibrillation,CHF NOS,Subendo infarct, subseq,Hypertension NOS,DMII wo cmp nt st uncntr,Pure hypercholesterolem,Osteoarthros NOS-unspec,Hx of colonic malignancy
Admission Date:  [**2116-2-12**]              Discharge Date:   [**2116-2-18**]

Date of Birth:  [**2043-5-20**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 14964**]
Chief Complaint:
72 year old white male with new onset SOB.

Major Surgical or Invasive Procedure:
CABGx3(LIMA->LAD, SVG->PDA, OM)/MAZE [**2116-2-12**]


History of Present Illness:
This 72 year old white male presented to the ED on [**2116-1-24**] w/ SOB
which woke him from sleep.  He was diagnosed with CHF and
pneumonia and had a toponin of .12.  He was in AF/Flutter and
was treated with beta blockers and diuresis.  He underwent
cardiac cath at [**Hospital1 18**] on [**2116-1-31**] which revealed: 60% [**Last Name (un) 2435**]. of
LMCA, 70% diag., 70% ostial LCX, 100% om1, subtotal, mid RCA,
35% LVEF, no MR.  [**Name13 (STitle) **] is now admitted for elective CABG.

Past Medical History:
s/p NSTEMI [**2116-1-24**]
h/o pneumonia
h/o CHF
h/o HTN
h/p PAF/flutter since [**8-20**]
s/p urosepsis [**8-20**]
NIDDM
s/p bil. cataract surgery
s/p AAA [**2111**]
s/p resection and XRT for colon cancer [**2099**]
s/p SBO x7
h/o DJD
s/p bil. TKR
^chol.

Social History:
Lives alone
Cigs: 2ppd x 30 years, quit [**2098**]
ETOH: 1 glass wine/day


Family History:
Father died of prostate cancer, mother died at 89

Physical Exam:
Gen: Elderly, white male in NAD.
AVSS
HEENT: NC/AT, PERLA, EOMI, oropharynx benign, adentulous.
Neck: supple, FROM, no lymphadenopathy or thyromegaly, carotids
2+= bilat. without bruits.
Lungs: Clear to A+P.
CV: RRR without R/G/M
Abd: +BS, soft, nontender, without masses or hepatosplenomegaly,
well healed surgical scars.
Ext: without C/C/E, pulses 2+=bilat.
Neuro: nonfocal


Pertinent Results:
Hematology
COMPLETE BLOOD COUNT WBC RBC Hgb Hct MCV MCH MCHC RDW Plt Ct
[**2116-2-17**] 06:00AM    12.2* 3.00* 9.5* 27.1* 90 31.8 35.2* 14.0
211#
  BASIC COAGULATION (PT, PTT, PLT, INR) PT PTT Plt Ct INR(PT)
[**2116-2-18**] 05:20AM    19.9* 121.6*   2.5

Chemistry
  RENAL & GLUCOSE Glucose UreaN Creat Na K Cl HCO3 AnGap
[**2116-2-18**] 05:20AM    97 24* 1.2 136 4.2 100 30* 10



Brief Hospital Course:
This 72 year old white male was admitted on [**2116-2-12**] and
underwent CABGx3 w/ LIMA->LAD, SVG->PDA, and OM. The total
bypass time was 143 mins. and the patient was transferred to the
CSRU on Neo and Propofol in stable condition.  He was extubated
on his postoop night and was transferred to the floor on POD#1.
His wires and chest tubes were d/c'd on POD#3 and he progressed
fairly well.  He was anticoagulated with coumadin and heparin
and on POD#6 he was discharged to rehab in stable condition.

Medications on Admission:
Glypizide 2.5 mg PO daily
ASA 325 PO daily
Lisinopril 20 mg PO daily
Lipitor 40 mg PO daily
Toprol XL 50 mg PO daily
Coumadin 10 mg PO daily

Discharge Medications:
1. Furosemide 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours) for 10 days.
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
3. Potassium Chloride 20 mEq Packet Sig: One (1) Packet PO Q12H
(every 12 hours) for 10 days.
4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
5. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every
4 hours) as needed.
6. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
7. Glipizide 5 mg Tablet Sig: 0.5 Tablet PO BID (2 times a day).

8. Atorvastatin Calcium 40 mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
9. Amiodarone HCl 200 mg Tablet Sig: Two (2) Tablet PO BID (2
times a day) for 5 days: Then decrease to 400 mg PO daily for 7
days, then decrease to 200 mg PO daily.
10. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
11. Coumadin 7.5 mg Tablet Sig: One (1) Tablet PO once a day:
INR goal 2-2.5.


Discharge Disposition:
Extended Care

Facility:
[**Location (un) 931**] House Nursing & Rehabilitation Center - [**Location (un) 932**]

Discharge Diagnosis:
Coronary artery disease
CHF
s/p MI
PAF/flutter
NIDDM
^chol.


Discharge Condition:
Good.

Discharge Instructions:
Weigh yourself every morning, [**Name8 (MD) 138**] MD if weight > 3 lbs.
Adhere to 2 gm sodium diet
You may not drive for 4 weeks.
Follow medications on discharge instructions.
You may not lift more than 10 lbs. for 3 months.
You should shower, let water flow over wounds, pat dry with a
towel.


Followup Instructions:
Make an appointment with Dr. [**Last Name (STitle) 5762**] for 1-2 weeks.
Make an appointment with Dr. [**Last Name (STitle) 1016**] for 2-3 weeks.
Make an appointment with Dr. [**Last Name (STitle) 70**] for 6 weeks.



Completed by:[**2116-2-18**]
{'Coronary atherosclerosis of native coronary artery,Atrial fibrillation,Congestive heart failure, unspecified,Subendocardial infarction, subsequent episode of care,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Pure hypercholesterolemia,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Personal history of malignant neoplasm of large intestine'}


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: 72 year old white male with new onset SOB.

PRESENT ILLNESS: This 72 year old white male presented to the ED on [**2116-1-24**] w/ SOB
which woke him from sleep.  He was diagnosed with CHF and
pneumonia and had a toponin of .12.  He was in AF/Flutter and
was treated with beta blockers and diuresis.  He underwent
cardiac cath at [**Hospital1 18**] on [**2116-1-31**] which revealed: 60% [**Last Name (un) 2435**]. of
LMCA, 70% diag., 70% ostial LCX, 100% om1, subtotal, mid RCA,
35% LVEF, no MR.  [**Name13 (STitle) **] is now admitted for elective CABG.

MEDICAL HISTORY: s/p NSTEMI [**2116-1-24**]
h/o pneumonia
h/o CHF
h/o HTN
h/p PAF/flutter since [**8-20**]
s/p urosepsis [**8-20**]
NIDDM
s/p bil. cataract surgery
s/p AAA [**2111**]
s/p resection and XRT for colon cancer [**2099**]
s/p SBO x7
h/o DJD
s/p bil. TKR
^chol.

MEDICATION ON ADMISSION: Glypizide 2.5 mg PO daily
ASA 325 PO daily
Lisinopril 20 mg PO daily
Lipitor 40 mg PO daily
Toprol XL 50 mg PO daily
Coumadin 10 mg PO daily

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: Elderly, white male in NAD.
AVSS
HEENT: NC/AT, PERLA, EOMI, oropharynx benign, adentulous.
Neck: supple, FROM, no lymphadenopathy or thyromegaly, carotids
2+= bilat. without bruits.
Lungs: Clear to A+P.
CV: RRR without R/G/M
Abd: +BS, soft, nontender, without masses or hepatosplenomegaly,
well healed surgical scars.
Ext: without C/C/E, pulses 2+=bilat.
Neuro: nonfocal

FAMILY HISTORY: Father died of prostate cancer, mother died at 89

SOCIAL HISTORY: Lives alone
Cigs: 2ppd x 30 years, quit [**2098**]
ETOH: 1 glass wine/day 

### Response:
{'Coronary atherosclerosis of native coronary artery,Atrial fibrillation,Congestive heart failure, unspecified,Subendocardial infarction, subsequent episode of care,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Pure hypercholesterolemia,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Personal history of malignant neoplasm of large intestine'}
