CHIEF COMPLAINT: Asymptomatic left lower lobe mass- was bronched to have atypical
cells. Admitted for left VATS

PRESENT ILLNESS: Found to have left upper lobe mass on baseline CXRAY to follow
AAA.

MEDICAL HISTORY: Abdominal Aortic Anerysm, PVD s/p L fem [**Doctor Last Name **] '[**16**], COPD, ^chol,
s/p Zenker's diverticulum repair x2

MEDICATION ON ADMISSION: claritin, advair, ASA, Pletal, Hctz 25', Zocor 20, Hytrin,
Klonopin prn

ALLERGIES: Levaquin

PHYSICAL EXAM: General-Well appearing male, NAD
HEENT- PERLA, sclera anicteric
Neck-no supraclavicular or cervical adenopathy
Lungs-Clear bilat
Heart- RRR, no murmur
Thorax- symetrical w/o lesions. Left CT dressing, thorax
incision upon d/c.
Abd- + BS, sl distended. No masses or tenderness
Ext- no edema or clubbing
Neuro- grossly non-focal, intact and appropriate mental status

FAMILY HISTORY: Father died age 64- ?MI
Mother healthy until 84-died stroke
Sister- DM
3 children, 3 grandchildren healthy.

SOCIAL HISTORY: Employment [**Doctor Last Name 360**].
Married, lives w/ wife. 3 children, 3 grandchildren
smoker 1ppd for 45 years, quit [**2117**].
Malignant neoplasm of upper lobe, bronchus or lung,Chronic airway obstruction, not elsewhere classified,Retention of urine, unspecified,Peripheral vascular disease, unspecified,Pure hypercholesterolemia
Mal neo upper lobe lung,Chr airway obstruct NEC,Retention urine NOS,Periph vascular dis NOS,Pure hypercholesterolem
Admission Date:  [**2147-4-3**]              Discharge Date:   [**2147-4-12**]

Date of Birth:  [**2072-1-21**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Levaquin

Attending:[**Last Name (NamePattern1) 1561**]
Chief Complaint:
Asymptomatic left lower lobe mass- was bronched to have atypical
cells. Admitted for left VATS

Major Surgical or Invasive Procedure:
left video assisted thoracoscoy for a left upper lobectomy


History of Present Illness:
Found to have left upper lobe mass on baseline CXRAY to follow
AAA.

Past Medical History:
Abdominal Aortic Anerysm, PVD s/p L fem [**Doctor Last Name **] '[**16**], COPD, ^chol,
s/p Zenker's diverticulum repair x2

Social History:
Employment [**Doctor Last Name 360**].
Married, lives w/ wife. 3 children, 3 grandchildren
smoker 1ppd for 45 years, quit [**2117**].

Family History:
Father died age 64- ?MI
Mother healthy until 84-died stroke
Sister- DM
3 children, 3 grandchildren healthy.

Physical Exam:
General-Well appearing male, NAD
HEENT- PERLA, sclera anicteric
Neck-no supraclavicular or cervical adenopathy
Lungs-Clear bilat
Heart- RRR, no murmur
Thorax- symetrical w/o lesions. Left CT dressing, thorax
incision upon d/c.
Abd- + BS, sl distended. No masses or tenderness
Ext- no edema or clubbing
Neuro- grossly non-focal, intact and appropriate mental status

Pertinent Results:
[**2147-4-3**] 11:30PM   HCT-40.7
[**2147-4-3**] 08:10PM   GLUCOSE-148* UREA N-18 CREAT-0.8 SODIUM-134
POTASSIUM-3.9 CHLORIDE-101 TOTAL CO2-27 ANION GAP-10
[**2147-4-3**] 08:10PM   WBC-14.4* RBC-4.08* HGB-12.8* HCT-37.7*
MCV-92 MCH-31.3 MCHC-33.9 RDW-13.9

Brief Hospital Course:
75 yr old male admitted [**2147-4-3**] for elective video assisted
thoracoscopy for asymptomatic left upper lobe mass.
Post-op course was complicated by low urine output which
responded to small boluses of IVF. Foley was subsequently found
to have a large  clot upon irrigation-CBI was initiated.  Pt
experienced urinary retention once foley was removed
necesitating foley replacement. At that time was restarted on
his hytrin and flomax.
POD#1 : Tacycardic despite fluid boluses and adeq pain control.
Given low dose beta blocker w/ good results. CBI continued.
Chest tube to SXN w/ air eak.
POD#2 : Tacycardia improved. Chest tube w/ small air
leak-remains on sxn w/ resolution by later in day- chest tube to
water seal. Progessing w/ OOB and reg diet.  CBI d/c'd. Pt
experienced urinary retention once foley was removed
necesitating foley replacement.
POD#3: tacycardia resolved. progessing w/ activity. Foley
remains in place and pt  was restarted on his hytrin and flomax.
POD#4: Able to spont void after foley removed. Chest tube to
water seal w/ leak.
POD#[**6-3**] chest tubes d/c'd on POD#7. post pull CXR w/p PTX.
FOUND TO HAVE AFB IN PATHOLOGY REPORT OF APICAL LUL from
[**2147-4-3**].Placed on resp isolation until further identification.
Pathology report also positive for lung cancer; all nodes
negative for cancer. Sputum induction for AFBx3 initiated.
Infectious disease and infection control following for treatment
recommendations.
Pt remained in hospital until AFB smears were negative. Pt was
d/c'd to home with follow up with his pulmonologist Dr. [**First Name8 (NamePattern2) **]
[**Last Name (NamePattern1) 22882**].


Medications on Admission:
claritin, advair, ASA, Pletal, Hctz 25', Zocor 20, Hytrin,
Klonopin prn

Discharge Medications:
1. Fexofenadine HCl 60 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
2. Hydrochlorothiazide 25 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
3. Simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
4. Terazosin HCl 2 mg Capsule Sig: One (1) Capsule PO HS (at
bedtime).
5. Famotidine 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
6. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
7. Senna 8.6 mg Tablet Sig: 1-2 Tablets PO BID prn.
Disp:*90 Tablet(s)* Refills:*0*
8. Tamsulosin HCl 0.4 mg Capsule, Sust. Release 24HR Sig: One
(1) Capsule, Sust. Release 24HR PO HS (at bedtime).
Disp:*30 Capsule, Sust. Release 24HR(s)* Refills:*2*
9. Fluticasone-Salmeterol 100-50 mcg/Dose Disk with Device Sig:
One (1) Disk with Device Inhalation [**Hospital1 **] (2 times a day).
Disp:*60 Disk with Device(s)* Refills:*2*
10. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
Disp:*30 Tablet(s)* Refills:*2*
11. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every
4 to 6 hours) as needed.
12. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed.
Disp:*30 Tablet(s)* Refills:*0*
13. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal
DAILY (Daily) as needed.
14. Psyllium 58.6 % Packet Sig: One (1) Packet PO TID (3 times a
day) as needed.


Discharge Disposition:
Home

Discharge Diagnosis:
left upper lobectomy for left lingular mass on [**2147-4-3**]


Discharge Condition:
good

Discharge Instructions:
Resume all medications that you were taking prior to this
hospitalization. Call Dr.[**Name (NI) 1816**] office [**Telephone/Fax (1) 170**] if you
experience shortness of breath, chest pain, fever, or chills or
redness, swelling or drainage from your incision site.
You can expect a small amount of pink or clear drainage form
your chest tube site. You may remove the chest tube dressing and
shower 2 days after the chest tubes are removed. Cover the site
w/ a bandaid if necessary.

Followup Instructions:
Call Dr.[**Name (NI) 1816**] office for a follow up appointment in [**11-10**]
days. Arrive 45 minutes prior to your scheduled appointment for
a follow up chest XRAY- [**Hospital Ward Name 23**] Clinical Center [**Location (un) **]
Radiology dept.

Pt will follow up with his Pulmonologist Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 22882**]


Completed by:[**2147-4-13**]
{'Malignant neoplasm of upper lobe, bronchus or lung,Chronic airway obstruction, not elsewhere classified,Retention of urine, unspecified,Peripheral vascular disease, unspecified,Pure hypercholesterolemia'}


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: Asymptomatic left lower lobe mass- was bronched to have atypical
cells. Admitted for left VATS

PRESENT ILLNESS: Found to have left upper lobe mass on baseline CXRAY to follow
AAA.

MEDICAL HISTORY: Abdominal Aortic Anerysm, PVD s/p L fem [**Doctor Last Name **] '[**16**], COPD, ^chol,
s/p Zenker's diverticulum repair x2

MEDICATION ON ADMISSION: claritin, advair, ASA, Pletal, Hctz 25', Zocor 20, Hytrin,
Klonopin prn

ALLERGIES: Levaquin

PHYSICAL EXAM: General-Well appearing male, NAD
HEENT- PERLA, sclera anicteric
Neck-no supraclavicular or cervical adenopathy
Lungs-Clear bilat
Heart- RRR, no murmur
Thorax- symetrical w/o lesions. Left CT dressing, thorax
incision upon d/c.
Abd- + BS, sl distended. No masses or tenderness
Ext- no edema or clubbing
Neuro- grossly non-focal, intact and appropriate mental status

FAMILY HISTORY: Father died age 64- ?MI
Mother healthy until 84-died stroke
Sister- DM
3 children, 3 grandchildren healthy.

SOCIAL HISTORY: Employment [**Doctor Last Name 360**].
Married, lives w/ wife. 3 children, 3 grandchildren
smoker 1ppd for 45 years, quit [**2117**]. 

### Response:
{'Malignant neoplasm of upper lobe, bronchus or lung,Chronic airway obstruction, not elsewhere classified,Retention of urine, unspecified,Peripheral vascular disease, unspecified,Pure hypercholesterolemia'}
