CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 57-year-old male, with
end-stage renal disease, who comes in with a thrombosed AV
graft.

MEDICAL HISTORY: 1. Diabetes type 2.
2. CHF.
3. End-stage renal disease.
4. Hepatitis C.
5. Anemia.
6. Hypertension.
7. History of multiple foot infections.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other complications due to renal dialysis device, implant, and graft,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Congestive heart failure, unspecified,Chronic hepatitis C without mention of hepatic coma,Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Arthropathy associated with neurological disorders,Polyneuropathy in diabetes
Comp-ren dialys dev/grft,Hyp kid NOS w cr kid V,CHF NOS,Chrnc hpt C wo hpat coma,DMII renl nt st uncntrld,Arthropathy w nerve dis,Neuropathy in diabetes
Admission Date:  [**2184-1-14**]       Discharge Date:  [**2184-1-16**]

Date of Birth:   [**2125-5-16**]       Sex:  M

Service:  TRANSPLANT SURGERY

HISTORY OF PRESENT ILLNESS:  This is a 57-year-old male, with
end-stage renal disease, who comes in with a thrombosed AV
graft.

PAST MEDICAL HISTORY:
1. Diabetes type 2.
2. CHF.
3. End-stage renal disease.
4. Hepatitis C.
5. Anemia.
6. Hypertension.
7. History of multiple foot infections.

PAST SURGICAL HISTORY:  Status post left BKA.

MEDICATIONS:
1. Multivitamin.
2. Neurontin.
3. Protonix.
4. Vancomycin.
5. Calcium carbonate.
6. Methadone.

PHYSICAL EXAMINATION:  The patient was afebrile with stable
vital signs.  Lungs were clear to auscultation bilaterally.
Exam of the heart revealed a regular rate and rhythm.
Abdomen was nontender, nondistended without any guarding or
rebound.  Examination of the extremities revealed right upper
arm thrombosed AV graft.

HOSPITAL COURSE:  The patient was taken to the OR for
thrombectomy of the AV graft.  However, the next day the
graft rethrombosed, and the patient was unable to be dialyzed
through the AV graft.  The patient had placement of an
indwelling tunneled line by the interventional radiologist,
and the patient, on hospital day #3, was dialyzed through the
new line.

DISPO:  The patient was discharged to rehab center.

CONDITION AT DISCHARGE:  Good.

DISCHARGE DIAGNOSES:
1. Status post arteriovenous graft thrombectomy.
2. End-stage renal disease, hemodialysis dependent.
3. Rethrombosis of arteriovenous graft.
4. Diabetes mellitus type 2.
5. Hypertension.
6. Congestive heart failure.
7. Chronic foot infection.

DISCHARGE MEDICATIONS:
1. Multivitamin.
2. Neurontin.
3. Insulin.
4. Folic Acid.
5. Methadone.
6. Sevelamer.
7. Vancomycin.
8. Gentamicin.
9. Aspirin.

FOLLOW-UP PLANS:
1. Please follow-up with nephrologist.
2. Please follow-up with Dr. [**First Name (STitle) **] in 2 weeks for further
evaluation of AV graft; please call his office to make a
follow-up appointment.




                            [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 1331**]

Dictated By:[**Last Name (NamePattern1) 3118**]
MEDQUIST36

D:  [**2184-1-16**]  10:46
T:  [**2184-1-16**]  11:06
JOB#:  [**Job Number 101174**]


Admission Date: [**2184-1-14**]        Discharge Date: [**2184-1-20**]

Date of Birth:  [**2125-5-16**]        Sex:  M

Service:


The patient was admitted to the Surgery Service with a
thrombosed AV graft.  He was taken to the operating room for
AV graft thrombectomy that was successful.  He was

DICTATION ENDED



                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 3432**]

Dictated By:[**Last Name (NamePattern4) 3433**]
MEDQUIST36
D:  [**2184-8-24**] 14:34:53
T:  [**2184-8-25**] 19:33:55
Job#:  [**Job Number 101175**]


Admission Date: [**2184-1-14**]        Discharge Date: [**2184-1-20**]

Date of Birth:  [**2125-5-16**]        Sex:  M

Service:


PROCEDURE PERFORMED:  Right upper arm AV graft thrombectomy
on [**2184-1-13**] and [**2184-1-14**].  He also underwent orthopedic
fusion of an ankle on [**2184-1-19**].

REASON FOR ADMISSION:  Recurrent thrombosis of the right AV
graft for anticoagulation.

INDICATIONS AND DETAILS OF HOSPITAL COURSE:  Mr. [**Known lastname 101054**] is
a 59-year-old African-American male with endstage renal
disease who underwent placement of a right upper arm AV graft
in [**Month (only) **].  He has had frequent thrombosis.  He was
thrombectomized in early [**Month (only) 1096**] and then recently, he
underwent a removal of a right IJ PermCath, left IJ PermCath
and presented to the dialysis unit on [**2184-1-13**] with a
thrombosed graft.  He was taken to the operating room where
he underwent elective thrombectomy as an outpatient without
difficulty.  He returned to the dialysis unit the following
day and the graft had thrombosed.  He was admitted for
thrombectomy and anticoagulation.  The patient was brought to
the operating room and was taken to the operating table and
underwent a thrombectomy which did not demonstrate any inflow
or outflow stenosis.  The graft was thrombectomized.  He was
returned to the floor where he underwent heparinization.  He
was started on an IV heparin drip and when his PTT reached a
satisfactory level he was started on Coumadin.  The Coumadin
was titrated for a INR of 2 to 2.5.  Prior to discharge, the
Podiatry Service took him to the operating room where he
underwent a fusion of several previously infected bones in
his foot.  He was discharged home on [**2184-1-20**] with a follow-
up with the surgeons in 2 weeks.



                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 3432**]

Dictated By:[**Last Name (NamePattern4) 3433**]
MEDQUIST36
D:  [**2184-5-21**] 09:04:49
T:  [**2184-5-21**] 11:06:55
Job#:  [**Job Number **]
{'Other complications due to renal dialysis device, implant, and graft,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Congestive heart failure, unspecified,Chronic hepatitis C without mention of hepatic coma,Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Arthropathy associated with neurological disorders,Polyneuropathy in diabetes'}


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 57-year-old male, with
end-stage renal disease, who comes in with a thrombosed AV
graft.

MEDICAL HISTORY: 1. Diabetes type 2.
2. CHF.
3. End-stage renal disease.
4. Hepatitis C.
5. Anemia.
6. Hypertension.
7. History of multiple foot infections.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other complications due to renal dialysis device, implant, and graft,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Congestive heart failure, unspecified,Chronic hepatitis C without mention of hepatic coma,Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Arthropathy associated with neurological disorders,Polyneuropathy in diabetes'}
