CHIEF COMPLAINT: increased SOB

PRESENT ILLNESS: 57 yo male with increasewd SOB and + ETT on [**7-15**] . This revealed
ischemic cardiomyopathy with EF 23%. R/O for MI at [**Hospital1 **] Med.
Ctr and underwent cath which showed occluded LAD, 90% cx, 90%
OM2, 60% RCA, 90% PDA. Referred to Dr. [**Last Name (STitle) **] , and transferred
to [**Hospital1 18**] on dopamine and dobutamine for CABG.

MEDICAL HISTORY: COPD
HTN
elev. chol.
CHF
basal cell Ca
hx of lower field cut left eye

MEDICATION ON ADMISSION: lipitor 10 mg qd
lasix 40 mg [**Hospital1 **]
vasotec 25 mg [**Hospital1 **]
ASA 325 mg qd
Ambien 5 mg qd
bisoprolol 25 mg [**Hospital1 **]
rocephin 1 gram qd
zithromax 250 mg TID

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: NAD
NC/AT, PERRLA, EOMI,benign oropharynx
neck supple with full ROM, no lymphadenopathy or thyromegaly,
carotid 2+ without bruits
lungs CTA bilat.
RRR without M/R/G  S1S2 present
abd soft, NT without masses or hepatosplenomegaly
extrems no c/c/e, with bil. varicosities, pulses 1+ bilat.
throughout
neuro nonfocal

FAMILY HISTORY: positive for CAD

SOCIAL HISTORY: smokes 2 ppd X 45 years
[**2-28**] highballs per night with ? beer
occasionally lives with girlfriend
Coronary atherosclerosis of native coronary artery,Pneumonia, organism unspecified,Congestive heart failure, unspecified,Chronic airway obstruction, not elsewhere classified,Mitral valve disorders,Other and unspecified alcohol dependence, unspecified,Other constipation
Crnry athrscl natve vssl,Pneumonia, organism NOS,CHF NOS,Chr airway obstruct NEC,Mitral valve disorder,Alcoh dep NEC/NOS-unspec,Constipation NEC
Admission Date:  [**2166-7-17**]              Discharge Date:   [**2166-7-27**]

Date of Birth:  [**2108-8-4**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1267**]
Chief Complaint:
increased SOB

Major Surgical or Invasive Procedure:
CABG x3

History of Present Illness:
57 yo male with increasewd SOB and + ETT on [**7-15**] . This revealed
ischemic cardiomyopathy with EF 23%. R/O for MI at [**Hospital1 **] Med.
Ctr and underwent cath which showed occluded LAD, 90% cx, 90%
OM2, 60% RCA, 90% PDA. Referred to Dr. [**Last Name (STitle) **] , and transferred
to [**Hospital1 18**] on dopamine and dobutamine for CABG.

Past Medical History:
COPD
HTN
elev. chol.
CHF
basal cell Ca
hx of lower field cut left eye

Social History:
smokes 2 ppd X 45 years
[**2-28**] highballs per night with ? beer
occasionally lives with girlfriend

Family History:
positive for CAD

Physical Exam:
NAD
NC/AT, PERRLA, EOMI,benign oropharynx
neck supple with full ROM, no lymphadenopathy or thyromegaly,
carotid 2+ without bruits
lungs CTA bilat.
RRR without M/R/G  S1S2 present
abd soft, NT without masses or hepatosplenomegaly
extrems no c/c/e, with bil. varicosities, pulses 1+ bilat.
throughout
neuro nonfocal


Pertinent Results:
[**2166-7-27**] 10:00AM BLOOD WBC-8.9 RBC-3.95* Hgb-11.7* Hct-34.6*
MCV-88 MCH-29.6 MCHC-33.8 RDW-13.0 Plt Ct-299
[**2166-7-27**] 10:00AM BLOOD Plt Ct-299
[**2166-7-27**] 10:00AM BLOOD Glucose-189* UreaN-14 Creat-0.9 Na-140
K-4.8 Cl-104 HCO3-25 AnGap-16
[**2166-7-18**] 06:00AM BLOOD CK(CPK)-38
[**2166-7-18**] 06:00AM BLOOD CK-MB-NotDone cTropnT-<0.01
[**2166-7-27**] 10:00AM BLOOD Calcium-9.0 Phos-4.5 Mg-2.3

Brief Hospital Course:
Underwent CABG x3 on [**7-21**] with Dr. [**Last Name (STitle) **] (LIMA to LAD, SVG to
OM1, SVG to OM2). Transferred to CSRU in stable condition on
milrinone , epinephrine, and propofol drips. Extubated later
that evening, with epinephrine, milrinone, and neosynephrine
drips on POD #1. Weaning began for all drips. Off milrinone and
epinephrine on POD #2, and CTs removed. Remained on neo at 0.4
on  POD #3 and was OOB in the CSRU. CVL removed and weaned off
neo,with lasix diuresis,  then transferred to floor on [**7-25**]. Seen
and evaluated by PT and case management.Pacer wires DCed [**7-25**] and
lopressor beta blockade begun. Pt. alert and oriented, MAE, but
had a 7 beat run of NSVT on [**7-27**]. Seen by Dr. [**Last Name (STitle) 73**] of EP
service, with recs for follow-up echo and Holter monitor in
approx. one month. Pt. remained in SR and was discharged to home
with VNA on [**2166-7-27**].

Medications on Admission:
lipitor 10 mg qd
lasix 40 mg [**Hospital1 **]
vasotec 25 mg [**Hospital1 **]
ASA 325 mg qd
Ambien 5 mg qd
bisoprolol 25 mg [**Hospital1 **]
rocephin 1 gram qd
zithromax 250 mg TID


Discharge Medications:
1. Furosemide 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours) for 1 weeks.
Disp:*14 Tablet(s)* Refills:*0*
2. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: Two
(2) Capsule, Sustained Release PO Q12H (every 12 hours).
Disp:*120 Capsule, Sustained Release(s)* Refills:*2*
3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
5. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*
6. Atorvastatin Calcium 10 mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
7. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*2*
8. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
Disp:*60 Tablet(s)* Refills:*2*
9. Fluticasone Propionate 110 mcg/Actuation Aerosol Sig: Two (2)
Puff Inhalation [**Hospital1 **] (2 times a day).
10. Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Sig: Two
(2) Puff Inhalation Q6H (every 6 hours).


Discharge Disposition:
Home With Service

Facility:
VNAs of [**Location (un) 511**]

Discharge Diagnosis:
Coronary artery bypass grafting X3
coronary artery disease
chronic obstructive pulm disease
hypertension
elev. chol.
congestive heart failure
basal cell Ca
lower field cut left eye


Discharge Condition:
good

Discharge Instructions:
Weigh yourself every morning, [**Name8 (MD) 138**] MD if weight > 3 lbs.
Adhere to 2 gm sodium diet
Fluid Restriction:

Followup Instructions:
In [**3-28**] weeks with Dr. [**Last Name (STitle) **]
[**Name (STitle) **] your cardiologist in [**1-26**] weeks, you can also see Dr.
[**Last Name (STitle) 7965**] here at [**Hospital3 **] his number is: [**Telephone/Fax (1) 902**]



Completed by:[**2166-10-20**]
{'Coronary atherosclerosis of native coronary artery,Pneumonia, organism unspecified,Congestive heart failure, unspecified,Chronic airway obstruction, not elsewhere classified,Mitral valve disorders,Other and unspecified alcohol dependence, unspecified,Other constipation'}


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: increased SOB

PRESENT ILLNESS: 57 yo male with increasewd SOB and + ETT on [**7-15**] . This revealed
ischemic cardiomyopathy with EF 23%. R/O for MI at [**Hospital1 **] Med.
Ctr and underwent cath which showed occluded LAD, 90% cx, 90%
OM2, 60% RCA, 90% PDA. Referred to Dr. [**Last Name (STitle) **] , and transferred
to [**Hospital1 18**] on dopamine and dobutamine for CABG.

MEDICAL HISTORY: COPD
HTN
elev. chol.
CHF
basal cell Ca
hx of lower field cut left eye

MEDICATION ON ADMISSION: lipitor 10 mg qd
lasix 40 mg [**Hospital1 **]
vasotec 25 mg [**Hospital1 **]
ASA 325 mg qd
Ambien 5 mg qd
bisoprolol 25 mg [**Hospital1 **]
rocephin 1 gram qd
zithromax 250 mg TID

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: NAD
NC/AT, PERRLA, EOMI,benign oropharynx
neck supple with full ROM, no lymphadenopathy or thyromegaly,
carotid 2+ without bruits
lungs CTA bilat.
RRR without M/R/G  S1S2 present
abd soft, NT without masses or hepatosplenomegaly
extrems no c/c/e, with bil. varicosities, pulses 1+ bilat.
throughout
neuro nonfocal

FAMILY HISTORY: positive for CAD

SOCIAL HISTORY: smokes 2 ppd X 45 years
[**2-28**] highballs per night with ? beer
occasionally lives with girlfriend 

### Response:
{'Coronary atherosclerosis of native coronary artery,Pneumonia, organism unspecified,Congestive heart failure, unspecified,Chronic airway obstruction, not elsewhere classified,Mitral valve disorders,Other and unspecified alcohol dependence, unspecified,Other constipation'}
