CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname 15537**] is a 48 year old
male who is status post aortobifemoral bypass grafting as
well as right sided femoral to popliteal artery bypass
grafting, right sided iliac stenting and aortohepatic bypass
grafting with erosion of his graft into his duodenum
requiring repair approximately four months ago, as well as a
history of a left sided axillary femoral artery with fem-[**Doctor Last Name **]
bypass grafting in [**2116-1-17**], and redo of his left
femoral popliteal bypass in [**Month (only) 958**] of this year with a left
sided toe amputation, who presented complaining of two days
of drainage of his left groin incision and tenderness.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other postoperative infection,Other complications due to other vascular device, implant, and graft,Unspecified protein-calorie malnutrition,Aortic aneurysm of unspecified site without mention of rupture,Unspecified septicemia,Acute and subacute necrosis of liver,Chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation
Other postop infection,Comp-oth vasc dev/graft,Protein-cal malnutr NOS,Aortic aneurysm NOS,Septicemia NOS,Acute necrosis of liver,Chr duoden ulcer w hem,Abn react-anastom/graft
Admission Date:  [**2116-5-2**]     Discharge Date:  [**2116-5-8**]

Date of Birth:   [**2067-9-11**]     Sex:  M

Service:  VASC [**Doctor First Name 147**]

HISTORY OF PRESENT ILLNESS:  Mr. [**Known lastname 15537**] is a 48 year old
male who is status post aortobifemoral bypass grafting as
well as right sided femoral to popliteal artery bypass
grafting, right sided iliac stenting and aortohepatic bypass
grafting with erosion of his graft into his duodenum
requiring repair approximately four months ago, as well as a
history of a left sided axillary femoral artery with fem-[**Doctor Last Name **]
bypass grafting in [**2116-1-17**], and redo of his left
femoral popliteal bypass in [**Month (only) 958**] of this year with a left
sided toe amputation, who presented complaining of two days
of drainage of his left groin incision and tenderness.

HOSPITAL COURSE:   This was diagnosed as a wound infection
and he was placed on broad-spectrum antibiotics and had wound
management performed at this time.  He was admitted to the
Floor and was doing well up until hospital day number three
where he was noted to have a large amount of bloody emesis,
approximately two liters, with hypotension.  He was
subsequently transported into the Intensive Care Unit, had
large bore intravenous access obtained, and had an
esophagogastroduodenoscopy performed showing a large duodenal
blood clot.

He continued to require large amounts of blood and went down
to Angiography the next morning.  In the Angio Suite, it was
found that his axillary to femoral bypass graft was
thrombosed, requiring TPA administration.  He also had
evidence of active bleeding requiring multiple coil
embolization of multiple aortic branches.  He returned to the
Intensive Care Unit following this procedure in very
critically ill condition.

He was maintained on high inotropic support and aggressive
fluid and blood products administration.  However, he went
into liver failure that morning and given the poor prognosis,
a discussion was carried out with the family and they felt
that continuing further support was against his wishes and
made the patient comfort measures only.

Following this, all inotropic support was removed, and the
patient expired at 09:51 a.m. on [**2116-5-8**].  No post-mortem
examination was to be performed by the family's request.

DISCHARGE DIAGNOSES:
1.  Massive upper gastrointestinal bleed of unknown origin.
2.  Thrombosed axillary femoral bypass graft.
3.  Sepsis.
4.  Multi-organ failure.
5.  Status post multiple vascular bypass procedures.



                          [**First Name11 (Name Pattern1) 1112**] [**Last Name (NamePattern4) 2604**], M.D.  [**MD Number(1) 6223**]

Dictated By:[**Name8 (MD) 15538**]

MEDQUIST36

D:  [**2116-5-8**]  11:25
T:  [**2116-5-11**]  11:28
JOB#:  [**Job Number 15539**]
{'Other postoperative infection,Other complications due to other vascular device, implant, and graft,Unspecified protein-calorie malnutrition,Aortic aneurysm of unspecified site without mention of rupture,Unspecified septicemia,Acute and subacute necrosis of liver,Chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}


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: Mr. [**Known lastname 15537**] is a 48 year old
male who is status post aortobifemoral bypass grafting as
well as right sided femoral to popliteal artery bypass
grafting, right sided iliac stenting and aortohepatic bypass
grafting with erosion of his graft into his duodenum
requiring repair approximately four months ago, as well as a
history of a left sided axillary femoral artery with fem-[**Doctor Last Name **]
bypass grafting in [**2116-1-17**], and redo of his left
femoral popliteal bypass in [**Month (only) 958**] of this year with a left
sided toe amputation, who presented complaining of two days
of drainage of his left groin incision and tenderness.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other postoperative infection,Other complications due to other vascular device, implant, and graft,Unspecified protein-calorie malnutrition,Aortic aneurysm of unspecified site without mention of rupture,Unspecified septicemia,Acute and subacute necrosis of liver,Chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}
