CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 70-year-old female
with a history of Stage III colon cancer, status post left
hemicolectomy in [**2115-3-14**] followed by three cycles of
chemotherapy of 5-FU/Leucovorin.  On the night of [**2115-9-21**] the
patient awoke with nausea, vomiting, abdominal pain and went
originally to [**Hospital3 **].  She was later transferred to
[**Hospital1 69**] after having found
multiple air fluid levels on a standard KUB film at the
hospital Emergency Room.  The patient requested to be sent to
[**Hospital1 69**].  She also reports that
she had not had a bowel movement for four to five days at
that time.

MEDICAL HISTORY: Significant for colon cancer Stage
III, hypertension, paroxysmal atrial fibrillation.

MEDICATION ON ADMISSION: 

ALLERGIES: No known allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Malignant neoplasm of other specified sites of large intestine,Ventral, unspecified, hernia without mention of obstruction or gangrene,Acute kidney failure, unspecified,Atrial fibrillation,Unspecified essential hypertension
Malignant neo colon NEC,Ventral hernia NOS,Acute kidney failure NOS,Atrial fibrillation,Hypertension NOS
Admission Date:  [**2115-9-22**]       Discharge Date:  [**2115-10-10**]

Date of Birth:   [**2045-8-7**]       Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  This is a 70-year-old female
with a history of Stage III colon cancer, status post left
hemicolectomy in [**2115-3-14**] followed by three cycles of
chemotherapy of 5-FU/Leucovorin.  On the night of [**2115-9-21**] the
patient awoke with nausea, vomiting, abdominal pain and went
originally to [**Hospital3 **].  She was later transferred to
[**Hospital1 69**] after having found
multiple air fluid levels on a standard KUB film at the
hospital Emergency Room.  The patient requested to be sent to
[**Hospital1 69**].  She also reports that
she had not had a bowel movement for four to five days at
that time.

PAST MEDICAL HISTORY:  Significant for colon cancer Stage
III, hypertension, paroxysmal atrial fibrillation.

ALLERGIES:  No known allergies.

PHYSICAL EXAMINATION:  Vital signs:  Temperature 98.1, pulse
84, respiratory rate 20, blood pressure 132/60.  She is in no
acute distress.  Head, eyes, ears, nose and throat shows
moist mucous membranes.  Cardiovascular exam shows a regular
rate and rhythm.  No murmurs, rubs or gallops noted.  Chest:
Clear to auscultation bilaterally.  Abdomen is soft,
nontender, nondistended, obese.  She has increased bowel
sounds and is guaiac negative in the emergency department.
Her extremities are without edema.

SIGNIFICANT LABS:  [**Known lastname 1007**] blood count of 5.1, hematocrit 35.8,
SMA 7 was within normal limits.  BUN 13, creatinine 1.1.  She
was initially admitted to the medicine service for
conservative management of a partial small bowel obstruction.

HOSPITAL COURSE:  She was initially made NPO, started on
intravenous fluids and then nasogastric tube was placed.  The
patient later had a CT scan of the abdomen showing a
transition point of the obstruction at the point of the right
upper quadrant, anastomotic site due to stricture or
adhesion.  She underwent colonoscopy which demonstrated
stenosis in the transverse colon at approximately 70 cm, they
are unable to advance the scope beyond this point.  Biopsy of
the tissue at this site revealed invasive adenocarcinoma.
Due to obstruction the decision was made to operate.
Preoperatively the patient was transfused with one unit of
packed blood cells and a second unit was received
intraoperatively.  The patient underwent right colectomy on
[**2115-9-25**].

The following morning the patient was hypotensive to the 80's
systolic with dwindling urine output which was not responsive
to fluid boluses.  Hematocrit was stable and the patient was
transferred to the SICU.  The patient's urine output improved
promptly in the SICU with continued fluids and an additional
two units of packed red blood cells.  Once on the floor the
patient had prolonged return of normal bowel function
requiring total parenteral nutrition beginning on
postoperative day eight.  She was eventually advanced to
clears on postop day 13 and a regular diet on postop day 15
which she is tolerating well.

DISCHARGE MEDICATIONS:
1.  Rythmol 150 mg p.o. three times a day.
2.  Zantac 150 mg p.o. twice a day.
3.  Tylenol 650 mg p.o q six hours p.r.n. for pain.
4.  Toprol 25 mg p.o. q day.

DISCHARGE STATUS: Good.

She is discharged to rehabilitation at the Health Wood
Facility.

DIAGNOSIS:
1.  Small bowel obstruction.
2.  Colonic adenocarcinoma Stage III B, 0 out of 13 nodes
    positive.
3.  Oliguria/acute renal failure.

FOLLOW-UP:  She will spend approximately one week at the
Health Wood Facility for physical rehabilitation.  She is to
follow-up with Dr. [**Last Name (STitle) **] in approximately two weeks.  Her
primary care provider in approximately two weeks for ongoing
management of hypertension and her general medical care and
her Oncologist in approximately two weeks.



                            [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], M.D.
[**MD Number(1) 6066**]

Dictated By:[**Last Name (NamePattern1) 106478**]
MEDQUIST36

D:  [**2115-10-10**]  10:10
T:  [**2115-10-10**]  11:12
JOB#:  [**Job Number **]
{'Malignant neoplasm of other specified sites of large intestine,Ventral, unspecified, hernia without mention of obstruction or gangrene,Acute kidney failure, unspecified,Atrial fibrillation,Unspecified essential hypertension'}


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 a 70-year-old female
with a history of Stage III colon cancer, status post left
hemicolectomy in [**2115-3-14**] followed by three cycles of
chemotherapy of 5-FU/Leucovorin.  On the night of [**2115-9-21**] the
patient awoke with nausea, vomiting, abdominal pain and went
originally to [**Hospital3 **].  She was later transferred to
[**Hospital1 69**] after having found
multiple air fluid levels on a standard KUB film at the
hospital Emergency Room.  The patient requested to be sent to
[**Hospital1 69**].  She also reports that
she had not had a bowel movement for four to five days at
that time.

MEDICAL HISTORY: Significant for colon cancer Stage
III, hypertension, paroxysmal atrial fibrillation.

MEDICATION ON ADMISSION: 

ALLERGIES: No known allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Malignant neoplasm of other specified sites of large intestine,Ventral, unspecified, hernia without mention of obstruction or gangrene,Acute kidney failure, unspecified,Atrial fibrillation,Unspecified essential hypertension'}
