CHIEF COMPLAINT: stroke

PRESENT ILLNESS: 53 yo caucasian female with CVA on [**2-24**] and now resolving
aphasia. Multiple embolic foci were found with scanning.
ASD/PFO/interatrial septal aneursym diagnosed by TTE/TEEs which
showed EF 60-65%, trace AI, ASD with bidirectional flow. Cath
revealed nl. cors. Referred for surgical repair to Dr.
[**Last Name (STitle) 1290**].Pre-op US of right femoral bruit ruled out AV fistula
or pseudoaneurym.

MEDICAL HISTORY: CVA [**2-17**]
anemia
asthma (secondary to cat allergy)
nephrolithiasis

MEDICATION ON ADMISSION: advair prn
albuterol prn
ASA 81 mg daily
FeSO4  325 mg daily
coumadin 5 mg daily (LD [**4-19**])

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: HR 64   128/63 RA sat 100%
5'4"   120#
NAD
skin/HEENT unremarkable
neck supple, full ROM, no carotid bruits
CTAB
RRR S1 S2, no murmur or rub
soft, NT, ND, + BS
extrems warm and well-perfused with 2+ bil. fem/DP/PT/radials
right femoral bruit present
no varicosities
neuro grossly intact

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: office manager
lives alone
rare ETOH
never used tobacco
Ostium secundum type atrial septal defect,Stricture of artery,Anemia, unspecified,Asthma, unspecified type, unspecified,Personal history of other diseases of circulatory system,Personal history of urinary calculi
Secundum atrial sept def,Stricture of artery,Anemia NOS,Asthma NOS,Hx-circulatory dis NEC,Prsnl hst urnr dsrd calc
Admission Date:  [**2107-4-25**]              Discharge Date:   [**2107-4-28**]

Date of Birth:  [**2053-7-17**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1283**]
Chief Complaint:
stroke

Major Surgical or Invasive Procedure:
min. inv. PFO closure/patch repair right fem. art.  [**2107-4-25**]


History of Present Illness:
53 yo caucasian female with CVA on [**2-24**] and now resolving
aphasia. Multiple embolic foci were found with scanning.
ASD/PFO/interatrial septal aneursym diagnosed by TTE/TEEs which
showed EF 60-65%, trace AI, ASD with bidirectional flow. Cath
revealed nl. cors. Referred for surgical repair to Dr.
[**Last Name (STitle) 1290**].Pre-op US of right femoral bruit ruled out AV fistula
or pseudoaneurym.

Past Medical History:
CVA [**2-17**]
anemia
asthma (secondary to cat allergy)
nephrolithiasis


Social History:
office manager
lives alone
rare ETOH
never used tobacco

Family History:
non-contributory

Physical Exam:
HR 64   128/63 RA sat 100%
5'4"   120#
NAD
skin/HEENT unremarkable
neck supple, full ROM, no carotid bruits
CTAB
RRR S1 S2, no murmur or rub
soft, NT, ND, + BS
extrems warm and well-perfused with 2+ bil. fem/DP/PT/radials
right femoral bruit present
no varicosities
neuro grossly intact

Pertinent Results:
[**2107-4-27**] 01:10AM BLOOD WBC-14.1* RBC-3.54* Hgb-9.3* Hct-27.6*
MCV-78* MCH-26.3* MCHC-33.9 RDW-20.7* Plt Ct-250
[**2107-4-27**] 01:10AM BLOOD Plt Ct-250
[**2107-4-27**] 01:10AM BLOOD Glucose-108* UreaN-12 Creat-0.7 Na-142
K-4.3 Cl-106 HCO3-27 AnGap-13
[**2107-4-27**] 01:10AM BLOOD Calcium-8.4 Phos-2.9 Mg-1.8

Brief Hospital Course:
Admitted [**2107-4-25**] and underwent minimally invasive PFO closure
and patch repair of her small right femoral artery
post-cannulation. Transferred to the CSRU in stable condition on
neosynephrine and propofol drips. Extubated successfully and off
all drips on POD #1. Transferred to the floor to begin
increasing her activity level. Chest tubes removed on POD #2 and
beta blockade started. Neuro consulted about restarting coumadin
postop, and they recommended aspirin only. She made excellent
progress and was discharged to home with VNA services on POD #3.


Medications on Admission:
advair prn
albuterol prn
ASA 81 mg daily
FeSO4  325 mg daily
coumadin 5 mg daily (LD [**4-19**])

Discharge Medications:
1. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
Disp:*30 Tablet(s)* Refills:*0*
2. Furosemide 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours) for 5 days.
Disp:*10 Tablet(s)* Refills:*0*
3. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: Two
(2) Capsule, Sustained Release PO Q12H (every 12 hours) for 5
days.
Disp:*20 Capsule, Sustained Release(s)* Refills:*0*
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day) for 2 weeks.
Disp:*28 Capsule(s)* Refills:*0*
5. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2
times a day) for 2 weeks.
Disp:*28 Tablet(s)* Refills:*0*
6. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
7. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*
8. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
9. Fluticasone-Salmeterol 250-50 mcg/Dose Disk with Device Sig:
One (1) Disk with Device Inhalation [**Hospital1 **] (2 times a day): one
puff IH [**Hospital1 **].
Disp:*2 Disk with Device(s)* Refills:*2*
10. Albuterol 90 mcg/Actuation Aerosol Sig: 2-4 Puffs Inhalation
Q4H (every 4 hours) as needed.
Disp:*2 MDI* Refills:*2*
11. Motrin 600 mg Tablet Sig: One (1) Tablet PO every 6-8 hours
for 2 weeks.
Disp:*60 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Hospital **] Hospice and VNA

Discharge Diagnosis:
s/p Min. inv. PFO closure/patch repair of right femoral artery
CVA
anemia
asthma
nephrolithiasis


Discharge Condition:
stable


Discharge Instructions:
may shower over incisions and pat dry
no lotions, creams or powders on any incision
no driving for 2 weeks

Followup Instructions:
follow up with Dr. [**First Name (STitle) 4640**] in [**11-15**] weeks
follow up with Dr. [**Last Name (STitle) 32255**] in [**11-15**] weeks
follow up with Dr. [**Last Name (STitle) 1290**] [**Telephone/Fax (1) 170**]



Completed by:[**2107-5-16**]
{'Ostium secundum type atrial septal defect,Stricture of artery,Anemia, unspecified,Asthma, unspecified type, unspecified,Personal history of other diseases of circulatory system,Personal history of urinary calculi'}


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: stroke

PRESENT ILLNESS: 53 yo caucasian female with CVA on [**2-24**] and now resolving
aphasia. Multiple embolic foci were found with scanning.
ASD/PFO/interatrial septal aneursym diagnosed by TTE/TEEs which
showed EF 60-65%, trace AI, ASD with bidirectional flow. Cath
revealed nl. cors. Referred for surgical repair to Dr.
[**Last Name (STitle) 1290**].Pre-op US of right femoral bruit ruled out AV fistula
or pseudoaneurym.

MEDICAL HISTORY: CVA [**2-17**]
anemia
asthma (secondary to cat allergy)
nephrolithiasis

MEDICATION ON ADMISSION: advair prn
albuterol prn
ASA 81 mg daily
FeSO4  325 mg daily
coumadin 5 mg daily (LD [**4-19**])

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: HR 64   128/63 RA sat 100%
5'4"   120#
NAD
skin/HEENT unremarkable
neck supple, full ROM, no carotid bruits
CTAB
RRR S1 S2, no murmur or rub
soft, NT, ND, + BS
extrems warm and well-perfused with 2+ bil. fem/DP/PT/radials
right femoral bruit present
no varicosities
neuro grossly intact

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: office manager
lives alone
rare ETOH
never used tobacco 

### Response:
{'Ostium secundum type atrial septal defect,Stricture of artery,Anemia, unspecified,Asthma, unspecified type, unspecified,Personal history of other diseases of circulatory system,Personal history of urinary calculi'}
