CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 77 year-old
male with four days of right upper quadrant abdominal pain
worse with eating and the pain persisted and the patient
presented to an outside hospital and underwent an ultrasound
study, which showed cholelithiasis and cholecystitis.  The
patient also had a CT scan done at the outside hospital,which
showed an inflamed gallbladder with inflammatory changes in
the right upper quadrant.

MEDICAL HISTORY: Coronary artery disease status post
coronary artery bypass graft times two in [**2165-10-20**].
Hypertension, Barrett's esophagus and status post
prostatectomy, herniated lumbar disc, renal stone, status
post bilateral stent and status post right inguinal hernia
repair.

MEDICATION ON ADMISSION: 

ALLERGIES: Iodine.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Calculus of gallbladder with acute cholecystitis, without mention of obstruction,Unspecified essential hypertension,Aortocoronary bypass status,Umbilical hernia without mention of obstruction or gangrene
Cholelith w ac cholecyst,Hypertension NOS,Aortocoronary bypass,Umbilical hernia
Admission Date:  [**2166-3-13**]       Discharge Date:  [**2166-3-17**]

Date of Birth:   [**2088-5-5**]       Sex:  M

Service:  PURPLE SURGERY

HISTORY OF PRESENT ILLNESS:  The patient is a 77 year-old
male with four days of right upper quadrant abdominal pain
worse with eating and the pain persisted and the patient
presented to an outside hospital and underwent an ultrasound
study, which showed cholelithiasis and cholecystitis.  The
patient also had a CT scan done at the outside hospital,which
showed an inflamed gallbladder with inflammatory changes in
the right upper quadrant.

PAST MEDICAL HISTORY:  Coronary artery disease status post
coronary artery bypass graft times two in [**2165-10-20**].
Hypertension, Barrett's esophagus and status post
prostatectomy, herniated lumbar disc, renal stone, status
post bilateral stent and status post right inguinal hernia
repair.

MEDICATIONS:
1.  Lopressor 15 mg po b.i.d.
2.  Aspirin 325 mg po q.d.
3.  Protonix 40 mg po q.d.
4.  Accupril 10 mg po q.d.

ALLERGIES:  Iodine.

PHYSICAL EXAMINATION:  The patient had a fever of 101.6 and
elevated white count at 13.  His liver function tests were
elevated.  Total bilirubin of 1.4.  The patient also had
[**Doctor Last Name 515**] sign on admission.

The patient was taken by Dr. [**Last Name (STitle) **] to the Emergency Room on
[**2166-3-13**] and underwent an open cholecystectomy and the
patient also had the umbilical hernia, which was repaired at
the same operation.  Postoperatively, the patient had an
nasogastric tube placed and the patient had a morphine PCA
and Foley placed.  Postoperatively, the patient did well.
Nasogastric tube was discontinued on postop day number one
and Foley catheter was discontinued on postop day number two.
 The patient was started on a clear diet on postoperative day
number two.  The patient tolerated diet well and has been
passing flatus.  The patient was deemed ready for discharge
on postoperative day number four.  Prior to discharge the
patient was afebrile, vital signs were stable.  Chest was
clear.  Heart was regular rate and rhythm.  Abdomen was soft,
nontender, nondistended.  Incision was clean, dry and intact.
The patient's pain was controlled on po pain medication and
the patient was tolerating a regular diet prior to discharge
and has been passing flatus and the patient has been
ambulating prior to discharge.

DISCHARGE MEDICATIONS:
1.  Protonix 40 mg po q.d.
2.  Lopressor 50 mg po b.i.d.
3.  Percocet one to two tabs po q 4 to 6 hours prn.
4.  Levaquin 500 mg po q.d.
5.  Flagyl 500 mg po t.i.d. for ten days.
6.  Colace 100 mg po b.i.d.

The patient is instructed to follow up with Dr. [**Last Name (STitle) **] in two
weeks.

DISCHARGE DIAGNOSES:
1.  Cholelithiasis, cholecystitis status post open
cholecystectomy and umbilical hernia repair.
2.  Coronary artery disease status post coronary artery
bypass graft times two.
3.  Hypertension.
4.  Barrett's esophagus.
5.  Prostatectomy.
6.  Herniated lumbar disc.
7.  Renal stones status post bilateral stents.
8.  Status post right inguinal hernia repair.






                            [**First Name11 (Name Pattern1) 4952**] [**Last Name (NamePattern1) 4953**], M.D.  [**MD Number(1) 4954**]

Dictated By:[**Last Name (STitle) 46794**]
MEDQUIST36

D:  [**2166-3-17**]  09:33
T:  [**2166-3-17**]  09:54
JOB#:  [**Job Number 46795**]
{'Calculus of gallbladder with acute cholecystitis, without mention of obstruction,Unspecified essential hypertension,Aortocoronary bypass status,Umbilical hernia without mention of obstruction or gangrene'}


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: The patient is a 77 year-old
male with four days of right upper quadrant abdominal pain
worse with eating and the pain persisted and the patient
presented to an outside hospital and underwent an ultrasound
study, which showed cholelithiasis and cholecystitis.  The
patient also had a CT scan done at the outside hospital,which
showed an inflamed gallbladder with inflammatory changes in
the right upper quadrant.

MEDICAL HISTORY: Coronary artery disease status post
coronary artery bypass graft times two in [**2165-10-20**].
Hypertension, Barrett's esophagus and status post
prostatectomy, herniated lumbar disc, renal stone, status
post bilateral stent and status post right inguinal hernia
repair.

MEDICATION ON ADMISSION: 

ALLERGIES: Iodine.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Calculus of gallbladder with acute cholecystitis, without mention of obstruction,Unspecified essential hypertension,Aortocoronary bypass status,Umbilical hernia without mention of obstruction or gangrene'}
