CHIEF COMPLAINT: 50 yr old male transferred from [**Hospital 1562**] hosp to [**Hospital1 18**] SICU for
resp distress requiring emergent intubation after elective
bronch at [**Hospital1 1562**] for right lung white out on CXR. Bronch
revealed 80% obstruction of right bronchus-intermedius.

PRESENT ILLNESS: 50 yo male w/ c/o SOB, chest pain. CXR showed right lung white
out. Elective bronch at [**Hospital 1562**] Hosp showed 80% occlusion of
right bronchus-intermedius. Pt had severe resp ditress post
beonch requiring emergent intubation. thoracentesis was also
performed for 2liters of fluid.
Tranferred to [**Hospital1 18**] SICU for furhter eval and management.

MEDICAL HISTORY: MS, Anxiety

MEDICATION ON ADMISSION: prozac, xanax, diclofenal, amantadine

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Intubated, Sedated
RRR S1, S2
Lungs: coarse on the left, inspir/expir wheezes right.
Abd: soft, NT, ND, +BS
Extrem: No clubbing or cyanosis, 2+ BLE edema

FAMILY HISTORY: brother- [**Name (NI) 59425**]

SOCIAL HISTORY: + Tobacco
Malignant neoplasm of main bronchus,Malignant neoplasm of liver, secondary,Secondary malignant neoplasm of brain and spinal cord,Multiple sclerosis,Pulmonary collapse,Unspecified protein-calorie malnutrition
Malig neo main bronchus,Second malig neo liver,Sec mal neo brain/spine,Multiple sclerosis,Pulmonary collapse,Protein-cal malnutr NOS
Admission Date:  [**2186-1-13**]              Discharge Date:   [**2186-1-20**]

Date of Birth:  [**2135-6-29**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**Last Name (NamePattern1) 1561**]
Chief Complaint:
50 yr old male transferred from [**Hospital 1562**] hosp to [**Hospital1 18**] SICU for
resp distress requiring emergent intubation after elective
bronch at [**Hospital1 1562**] for right lung white out on CXR. Bronch
revealed 80% obstruction of right bronchus-intermedius.

Major Surgical or Invasive Procedure:
intubation, chest tubes, arterial line

History of Present Illness:
50 yo male w/ c/o SOB, chest pain. CXR showed right lung white
out. Elective bronch at [**Hospital 1562**] Hosp showed 80% occlusion of
right bronchus-intermedius. Pt had severe resp ditress post
beonch requiring emergent intubation. thoracentesis was also
performed for 2liters of fluid.
Tranferred to [**Hospital1 18**] SICU for furhter eval and management.

Past Medical History:
MS, Anxiety

Social History:
+ Tobacco

Family History:
brother- [**Name (NI) 59425**]

Physical Exam:
Intubated, Sedated
RRR S1, S2
Lungs: coarse on the left, inspir/expir wheezes right.
Abd: soft, NT, ND, +BS
Extrem: No clubbing or cyanosis, 2+ BLE edema

Pertinent Results:
[**2186-1-13**] 10:25PM   TYPE-ART RATES-14/ TIDAL VOL-600 O2-40
PO2-79* PCO2-38 PH-7.44 TOTAL CO2-27 BASE XS-1 -ASSIST/CON
INTUBATED-INTUBATED

[**2186-1-13**] 10:10PM   GLUCOSE-67* UREA N-21* CREAT-0.7 SODIUM-140
POTASSIUM-3.8 CHLORIDE-106 TOTAL CO2-25 ANION GAP-13
[**2186-1-13**] 10:10PM   ALT(SGPT)-8 AST(SGOT)-10 ALK PHOS-153*
AMYLASE-144* TOT BILI-0.4
[**2186-1-13**] 10:10PM   WBC-13.4* RBC-3.31* HGB-9.9* HCT-30.6* MCV-93
MCH-30.0 MCHC-32.4 RDW-13.5

Cytology:
[**2186-1-18**]    05-[**Numeric Identifier 59426**]    LIVER:POSITIVE FOR MALIGNANT CELLS,
consistent with metastatic  adenocarcinoma.

[**2186-1-17**]    05-[**Numeric Identifier 23441**]    PLEURAL FLUID:POSITIVE FOR METASTATIC
ADENOCARCINOMA

Imaging:
MR HEAD W & W/O CONTRAST  [**2186-1-16**] 10:05 AM: IMPRESSION:

1) Enhancing focus in the periphery of the right frontal lobe
worrisome for metastatic disease.




Brief Hospital Course:
%0 yo male transferred to [**Hospital1 18**] SICU from [**Hospital 1562**] hospital
following elective bronch for white-out right lung complicated
by severe resp distress requiring emergent intubation.
Pt remained intubated and sedated in the SICU during w/o of
right beonchus-intermedius tumor was done. Pt was found to have
adeno carcinoma of the lung w/ mets to brain and liver.
Radiation and Heme-onc consulted and felt paliative treatment
would not be beneficial.
After lengthy discussions with family pt was declared CMO. Pt
expired on [**2186-1-20**] at 19:45

Medications on Admission:
prozac, xanax, diclofenal, amantadine

Discharge Medications:
not applicable

Discharge Disposition:
Expired

Discharge Diagnosis:
metastaic adeno carcinoma of the lung

Discharge Condition:
expired

Discharge Instructions:
not applicable

Followup Instructions:
none


Completed by:[**2186-2-16**]
{'Malignant neoplasm of main bronchus,Malignant neoplasm of liver, secondary,Secondary malignant neoplasm of brain and spinal cord,Multiple sclerosis,Pulmonary collapse,Unspecified protein-calorie malnutrition'}


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: 50 yr old male transferred from [**Hospital 1562**] hosp to [**Hospital1 18**] SICU for
resp distress requiring emergent intubation after elective
bronch at [**Hospital1 1562**] for right lung white out on CXR. Bronch
revealed 80% obstruction of right bronchus-intermedius.

PRESENT ILLNESS: 50 yo male w/ c/o SOB, chest pain. CXR showed right lung white
out. Elective bronch at [**Hospital 1562**] Hosp showed 80% occlusion of
right bronchus-intermedius. Pt had severe resp ditress post
beonch requiring emergent intubation. thoracentesis was also
performed for 2liters of fluid.
Tranferred to [**Hospital1 18**] SICU for furhter eval and management.

MEDICAL HISTORY: MS, Anxiety

MEDICATION ON ADMISSION: prozac, xanax, diclofenal, amantadine

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Intubated, Sedated
RRR S1, S2
Lungs: coarse on the left, inspir/expir wheezes right.
Abd: soft, NT, ND, +BS
Extrem: No clubbing or cyanosis, 2+ BLE edema

FAMILY HISTORY: brother- [**Name (NI) 59425**]

SOCIAL HISTORY: + Tobacco 

### Response:
{'Malignant neoplasm of main bronchus,Malignant neoplasm of liver, secondary,Secondary malignant neoplasm of brain and spinal cord,Multiple sclerosis,Pulmonary collapse,Unspecified protein-calorie malnutrition'}
