CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is an 85 year old
man with a history of bilateral carotid artery stenosis who
has had several recent episodes of left arm numbness and was
referred to Dr. [**Last Name (STitle) 1132**] for angiogram with possible procedure
for this carotid artery stenosis.

MEDICAL HISTORY: 1.  Coronary artery disease, status post myocardial
infarction in [**2150**], status post coronary angioplasty in [**2150**].
2.  Hypertension.
3.  Glaucoma.
4.  Wheezing.
5.  Status post bilateral hip surgery.
6.  Occasional heartburn.
7.  Hypercholesterolemia.
8.  Status post cataract surgery bilaterally in [**2160**].

MEDICATION ON ADMISSION: 1.  Naprosyn 500 mg p.o. twice a day, that was stopped on
[**2168-6-10**].
2.  Hydrochlorothiazide 25 mg p.o. once daily.
3.  Detrol 2 mg p.o. once daily.
4.  Lipitor 10 mg p.o. once daily.
5.  Trental 400 mg p.o. three times a day.
6.  Levoxyl 112 mcg p.o. once daily.
7.  Cardizem 240 mg p.o. once daily.
8.  Diovan 40 mg p.o. once daily.
9.  Aspirin 325 mg p.o. once daily.
10. Plavix 75 mg p.o. once daily.

ALLERGIES: Erythromycin.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Occlusion and stenosis of carotid artery without mention of cerebral infarction,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia,Unspecified essential hypertension,Percutaneous transluminal coronary angioplasty status,Old myocardial infarction
Ocl crtd art wo infrct,Crnry athrscl natve vssl,Pure hypercholesterolem,Hypertension NOS,Status-post ptca,Old myocardial infarct
Admission Date:  [**2168-6-15**]       Discharge Date:  [**2168-6-19**]


Service: Neurosurgery

HISTORY OF PRESENT ILLNESS:  The patient is an 85 year old
man with a history of bilateral carotid artery stenosis who
has had several recent episodes of left arm numbness and was
referred to Dr. [**Last Name (STitle) 1132**] for angiogram with possible procedure
for this carotid artery stenosis.

PAST MEDICAL HISTORY:
1.  Coronary artery disease, status post myocardial
infarction in [**2150**], status post coronary angioplasty in [**2150**].
2.  Hypertension.
3.  Glaucoma.
4.  Wheezing.
5.  Status post bilateral hip surgery.
6.  Occasional heartburn.
7.  Hypercholesterolemia.
8.  Status post cataract surgery bilaterally in [**2160**].

ALLERGIES:  Erythromycin.

MEDICATIONS ON ADMISSION:
1.  Naprosyn 500 mg p.o. twice a day, that was stopped on
[**2168-6-10**].
2.  Hydrochlorothiazide 25 mg p.o. once daily.
3.  Detrol 2 mg p.o. once daily.
4.  Lipitor 10 mg p.o. once daily.
5.  Trental 400 mg p.o. three times a day.
6.  Levoxyl 112 mcg p.o. once daily.
7.  Cardizem 240 mg p.o. once daily.
8.  Diovan 40 mg p.o. once daily.
9.  Aspirin 325 mg p.o. once daily.
10. Plavix 75 mg p.o. once daily.

PHYSICAL EXAMINATION:  On examination, the patient is alert
and oriented times three.  Cranial nerves II through XII are
intact.  Upper extremity and lower extremity strength is [**5-23**]
bilaterally.

HOSPITAL COURSE:  The patient was again admitted with a
preoperative diagnosis of bilateral internal carotid artery
stenosis with postoperative diagnosis same.  The patient
underwent  angioplasty of the right internal carotid artery
without stent placement on [**2168-6-15**].  The patient tolerated the
procedure well.  He was sent to the Intensive Care Unit on
Aspirin, Plavix and Heparin intravenously.  The patient was
neurologically intact after this procedure.  On [**2168-6-17**], the
patient had a carotid ultrasound that showed luminal narrowing
between 60 and 69% in the right internal carotid artery compared
to greater than 85% by angiography prior to treatment. This was
obtained as baseline for the patient status post angioplasty. The
patient was doing very well. He did complain of some left
groin pain on [**2168-6-17**].  He underwent lower extremity
ultrasound to rule out a deep vein thrombosis.  The patient
did not have any deep vein thrombosis based on this study.
The patient also had left hip films that showed that his
hardware was in good condition and did not show any
fractures.  The hip pain resolved and the patient was to be
discharged to home with home physical therapy on [**2168-6-19**].
The patient will be discharged on his preoperative
medications and will also be discharged on Plavix 75 mg p.o.
Once daily and Aspirin 325 mg p.o. once daily. It has been
explained to the patient that it is very important that he
continue to take these medications.  The patient will
follow-up with Dr. [**Last Name (STitle) 1132**] in four weeks.




                            [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 1133**]

Dictated By:[**Dictator Info **]
MEDQUIST36

D:  [**2168-6-18**]  19:16
T:  [**2168-6-18**]  20:05
JOB#:  [**Job Number 48599**]
{'Occlusion and stenosis of carotid artery without mention of cerebral infarction,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia,Unspecified essential hypertension,Percutaneous transluminal coronary angioplasty status,Old myocardial infarction'}


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 an 85 year old
man with a history of bilateral carotid artery stenosis who
has had several recent episodes of left arm numbness and was
referred to Dr. [**Last Name (STitle) 1132**] for angiogram with possible procedure
for this carotid artery stenosis.

MEDICAL HISTORY: 1.  Coronary artery disease, status post myocardial
infarction in [**2150**], status post coronary angioplasty in [**2150**].
2.  Hypertension.
3.  Glaucoma.
4.  Wheezing.
5.  Status post bilateral hip surgery.
6.  Occasional heartburn.
7.  Hypercholesterolemia.
8.  Status post cataract surgery bilaterally in [**2160**].

MEDICATION ON ADMISSION: 1.  Naprosyn 500 mg p.o. twice a day, that was stopped on
[**2168-6-10**].
2.  Hydrochlorothiazide 25 mg p.o. once daily.
3.  Detrol 2 mg p.o. once daily.
4.  Lipitor 10 mg p.o. once daily.
5.  Trental 400 mg p.o. three times a day.
6.  Levoxyl 112 mcg p.o. once daily.
7.  Cardizem 240 mg p.o. once daily.
8.  Diovan 40 mg p.o. once daily.
9.  Aspirin 325 mg p.o. once daily.
10. Plavix 75 mg p.o. once daily.

ALLERGIES: Erythromycin.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Occlusion and stenosis of carotid artery without mention of cerebral infarction,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia,Unspecified essential hypertension,Percutaneous transluminal coronary angioplasty status,Old myocardial infarction'}
