CHIEF COMPLAINT: Back pain

PRESENT ILLNESS: 73F who was walking through a parking lot when she began to feel
"unwell" with shortness of breath and abdominal pain radiating
to her back.  Upon arrival to [**Hospital1 **]-[**Location (un) 620**] she was noted to be
hypotensive with a SBP in the 80s and was continuing to complain
of back pain.  She was too unstable to go to CT scan, so she was
transfused 1 unit of PRBC and a cordis was placed and then
transferred to [**Hospital1 18**] for treatment.  The endovascular team was
mobilized and upon arrival the patient with alert and oriented
with a SBP of 100.  She was complaining of back pain.  An
emergent CT was obtained that showed a contained rupture of an
AAA.  She was taken immediately to [**Apartment Address(1) 92050**] from the CT scanner.

MEDICAL HISTORY: AAA, otherwise unknown.

MEDICATION ON ADMISSION: Unknown

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: On initial evaluation in [**Hospital1 18**] ED
SBP 100, HR 110s
Gen: alert and oriented, answering questions
HEENT: PERLA, anicteric
Chest: tachycardiac, lungs clear
Abd: tender and distended
Pulses: palpable left femoral, faintly palpable right femoral,
dopplerable left PT/DP, nondopplerable right PT/DP

FAMILY HISTORY: Unknown

SOCIAL HISTORY: Unknown
Abdominal aneurysm, ruptured,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension,Pure hypercholesterolemia
Rupt abd aortic aneurysm,Chr airway obstruct NEC,Hypertension NOS,Pure hypercholesterolem
Admission Date:  [**2125-12-2**]              Discharge Date:   [**2125-12-3**]

Date of Birth:  [**2052-9-17**]             Sex:   F

Service: SURGERY

Allergies:
No Known Allergies / Adverse Drug Reactions

Attending:[**First Name3 (LF) 17197**]
Chief Complaint:
Back pain

Major Surgical or Invasive Procedure:
[**2125-12-3**]: Open repair of ruptured abdominal aortic aneurysm

History of Present Illness:
73F who was walking through a parking lot when she began to feel
"unwell" with shortness of breath and abdominal pain radiating
to her back.  Upon arrival to [**Hospital1 **]-[**Location (un) 620**] she was noted to be
hypotensive with a SBP in the 80s and was continuing to complain
of back pain.  She was too unstable to go to CT scan, so she was
transfused 1 unit of PRBC and a cordis was placed and then
transferred to [**Hospital1 18**] for treatment.  The endovascular team was
mobilized and upon arrival the patient with alert and oriented
with a SBP of 100.  She was complaining of back pain.  An
emergent CT was obtained that showed a contained rupture of an
AAA.  She was taken immediately to [**Apartment Address(1) 92050**] from the CT scanner.

Past Medical History:
AAA, otherwise unknown.

Social History:
Unknown

Family History:
Unknown

Physical Exam:
On initial evaluation in [**Hospital1 18**] ED
SBP 100, HR 110s
Gen: alert and oriented, answering questions
HEENT: PERLA, anicteric
Chest: tachycardiac, lungs clear
Abd: tender and distended
Pulses: palpable left femoral, faintly palpable right femoral,
dopplerable left PT/DP, nondopplerable right PT/DP

Pertinent Results:
CTA abdomen/pelvis [**2125-12-2**]:
Ruptured abdominal aortic aneurysm extending from the level of
the renal arteries (two left renal arteries, one right) to
approximately 8 mm proximal to the aortic bifurcation. The iliac
arteries are not involved. Active extravasation is seen from the
anterolateral wall. Extensive retroperitoneal hemorrhage.

Brief Hospital Course:
On [**2125-12-2**], the patient was brought emergently to the
endovascular suite for open AAA repair.  Please refer to the
operative note for details.  Post-operatively, she was
transferred to the CVICU where she promptly lost her pulse and
coded.  Her dismal prognosis was discussed with the family, and
they decided upon withdrawal of care.  Thus, the patient expired
in the early morning of [**2125-12-3**].

Medications on Admission:
Unknown

Discharge Medications:
None

Discharge Disposition:
Expired

Discharge Diagnosis:
Ruptured abdominal aortic aneurysm.

Discharge Condition:
Expired.

Discharge Instructions:
She who has gone, so we but cherish her memory.

Followup Instructions:
None.


Completed by:[**2125-12-3**]
{'Abdominal aneurysm, ruptured,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension,Pure hypercholesterolemia'}


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: Back pain

PRESENT ILLNESS: 73F who was walking through a parking lot when she began to feel
"unwell" with shortness of breath and abdominal pain radiating
to her back.  Upon arrival to [**Hospital1 **]-[**Location (un) 620**] she was noted to be
hypotensive with a SBP in the 80s and was continuing to complain
of back pain.  She was too unstable to go to CT scan, so she was
transfused 1 unit of PRBC and a cordis was placed and then
transferred to [**Hospital1 18**] for treatment.  The endovascular team was
mobilized and upon arrival the patient with alert and oriented
with a SBP of 100.  She was complaining of back pain.  An
emergent CT was obtained that showed a contained rupture of an
AAA.  She was taken immediately to [**Apartment Address(1) 92050**] from the CT scanner.

MEDICAL HISTORY: AAA, otherwise unknown.

MEDICATION ON ADMISSION: Unknown

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: On initial evaluation in [**Hospital1 18**] ED
SBP 100, HR 110s
Gen: alert and oriented, answering questions
HEENT: PERLA, anicteric
Chest: tachycardiac, lungs clear
Abd: tender and distended
Pulses: palpable left femoral, faintly palpable right femoral,
dopplerable left PT/DP, nondopplerable right PT/DP

FAMILY HISTORY: Unknown

SOCIAL HISTORY: Unknown 

### Response:
{'Abdominal aneurysm, ruptured,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension,Pure hypercholesterolemia'}
