CHIEF COMPLAINT: 

PRESENT ILLNESS: This is an 83 year-old female
who presented with a one day history of fever, chills and
abdominal pain that started in the morning. The pain was
primarily in the right upper quadrant which had resolved. The
patient at baseline has intermittent chest pain and shortness
of breath.  Otherwise, there were no other abnormalities
noted when she was first seen in the emergency room. On
examination initially, she was in no cardiorespiratory
distress. Her abdomen was soft, nondistended but was tender
in the right upper quadrant with an additional reduced
hernia. No other abnormalities were noted. She was
neurologically intact.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Cholangitis,Calculus of bile duct without mention of cholecystitis, without mention of obstruction,Aortocoronary bypass status,Gout, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
Cholangitis,Choledocholithiasis NOS,Aortocoronary bypass,Gout NOS,Hypertension NOS,DMII wo cmp nt st uncntr
Unit No:  [**Numeric Identifier 72826**]
Admission Date: [**2115-5-2**]
Discharge Date: [**2115-5-5**]
Sex:  F
Service:  [**Last Name (un) **]


HISTORY OF PRESENT ILLNESS:  This is an 83 year-old female
who presented with a one day history of fever, chills and
abdominal pain that started in the morning. The pain was
primarily in the right upper quadrant which had resolved. The
patient at baseline has intermittent chest pain and shortness
of breath.  Otherwise, there were no other abnormalities
noted when she was first seen in the emergency room. On
examination initially, she was in no cardiorespiratory
distress. Her abdomen was soft, nondistended but was tender
in the right upper quadrant with an additional reduced
hernia. No other abnormalities were noted. She was
neurologically intact.

LABORATORY DATA:  The patient underwent an ERCP with GI
service where a stent was observed in the major papilla was
removed. Stones were also observed in the lower third of the
common bile duct and the middle third of the common duct and
a double pigtail stent was placed and the patient returned
from ERCP with no complications.

PROCEDURE PERFORMED:  ERCP with plastic stent placement.

SUMMARY OF HOSPITAL COURSE:  The patient was admitted through
the emergency room and was admitted to the surgical ICU for
close observation with her cholangitis. The patient did well
and was stable. On the 24th, the patient went to ERCP and did
very well and was admitted back to the ICU.  On hospital day
number 2, the patient was again in the ICU, was doing well.
Abdominal exam was soft, nontender, nondistended and we
continued to follow her laboratory trends.  Also, her Plavix
and aspirin were held in case any ERCP procedure was needed
in the future.  On hospital day number 3, there were no
abnormalities noted. The patient was doing well and was
transferred to the floor. Discharge planning was started.
Additionally, on hospital day number 3, ERCP fellow left a
note that they planned to do another ERCP the following week.
We continued to hold the Plavix and aspirin in case any
surgical manipulation needed to be done in the bile duct.  On
hospital day number 4, the patient was discharged home and we
doing very well.

CONDITION ON DISCHARGE:  Stable.

DISCHARGE STATUS:  Stable.

DISCHARGE DIAGNOSES:  Cholangitis and choledocholithiasis.

DISCHARGE MEDICATIONS:
1.  Isosorbide mononitrate 60 mg p.o. b.i.d.
2.  Atenolol 50 mg p.o. b.i.d.
3.  Nitroglycerin .2 mg patch transdermal q. 24 hours.
4.  Pantoprazole 40 mg p.o. q. 12 hours.
5.  Ramipril 5 mg p.o. daily.
6.  Folic acid 1 mg daily.
7.  Hexa vitamin 1 mg daily.
8.  Nitroglycerin .4 mg sublingual prn.
9.  Glimepiride 2 mg p.o. daily.
10. Metronidazole 500 mg p.o. t.i.d. for 10 days.
11. Levofloxacin 500 mg p.o. daily for 10 days.

FOLLOWUP:  The patient will follow-up with Dr. [**Last Name (STitle) **] in one
to two weeks. She will call to make an appointment for his
office. The patient will also follow-up with gastrointestinal
next week as well.  They will contact the patient.



                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], MD [**MD Number(2) 11162**]

Dictated By:[**Last Name (NamePattern1) 25584**]
MEDQUIST36
D:  [**2115-5-5**] 12:23:52
T:  [**2115-5-5**] 18:41:43
Job#:  [**Job Number 72827**]
{'Cholangitis,Calculus of bile duct without mention of cholecystitis, without mention of obstruction,Aortocoronary bypass status,Gout, unspecified,Unspecified essential hypertension,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: 

PRESENT ILLNESS: This is an 83 year-old female
who presented with a one day history of fever, chills and
abdominal pain that started in the morning. The pain was
primarily in the right upper quadrant which had resolved. The
patient at baseline has intermittent chest pain and shortness
of breath.  Otherwise, there were no other abnormalities
noted when she was first seen in the emergency room. On
examination initially, she was in no cardiorespiratory
distress. Her abdomen was soft, nondistended but was tender
in the right upper quadrant with an additional reduced
hernia. No other abnormalities were noted. She was
neurologically intact.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Cholangitis,Calculus of bile duct without mention of cholecystitis, without mention of obstruction,Aortocoronary bypass status,Gout, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}
