CHIEF COMPLAINT: 

PRESENT ILLNESS: 

MEDICAL HISTORY: 1.  Chronic obstructive pulmonary disease
2.  High cholesterol
3.  Colectomy for colon cancer

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: VITAL SIGNS:  Heart rate was 72, blood pressure 140/70.
LUNGS:  Clear, no jugular venous distention.
HEART:  Regular rate and rhythm with no murmurs, rubs or
gallops.
ABDOMEN:  Soft, nontender, nondistended, bowel sounds
present.
EXTREMITIES:  Warm and well perfuse.

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Congestive heart failure, unspecified,Unspecified essential hypertension,Pure hypercholesterolemia,Atherosclerosis of aorta,Personal history of tobacco use,Personal history of malignant neoplasm of large intestine
Crnry athrscl natve vssl,Intermed coronary synd,CHF NOS,Hypertension NOS,Pure hypercholesterolem,Aortic atherosclerosis,History of tobacco use,Hx of colonic malignancy
Admission Date:  [**2155-8-12**]       Discharge Date:  [**2155-8-18**]

Date of Birth:   [**2088-8-18**]       Sex:  M

Service:  Medical

Briefly, this is a 66-year-old man with chest pain and
shortness of breath who was admitted to the medical service
on [**2155-8-12**].  He was taken for cardiac catheterization which
showed multivessel disease.

PAST MEDICAL HISTORY:
1.  Chronic obstructive pulmonary disease
2.  High cholesterol
3.  Colectomy for colon cancer

MEDICATIONS:
1.  Zocor
2.  Lisinopril
3.  Aspirin

PHYSICAL EXAM:
VITAL SIGNS:  Heart rate was 72, blood pressure 140/70.
LUNGS:  Clear, no jugular venous distention.
HEART:  Regular rate and rhythm with no murmurs, rubs or
gallops.
ABDOMEN:  Soft, nontender, nondistended, bowel sounds
present.
EXTREMITIES:  Warm and well perfuse.

He was taken to the Operating Room on [**2155-8-13**] where off pump
coronary artery bypass graft x2 was performed.  The patient
did well during the operation and was transferred to the CSRU
postoperatively.  He had a left internal mammary artery to
LAD and saphenous vein graft to PDA graft.  He was weaned and
extubated in the CSRU on the 11th and continued to improve.
He was started on Plavix for having an off pump coronary
artery bypass graft and Lopressor.  Chest tubes were left in
due to high output.  He was started on Imdur.

The patient was transferred to the floor postoperatively on
postoperative day #2.  His beta blocker was increased at that
time and his chest tube, his Foley and his JP drain were all
removed.  PT was consulted for evaluation for ambulation and
mobility.  They felt that he would do quite well.

On postoperative day #3, his wires were removed and he was
continued on his Plavix.  PT cleared him to go home with
services.  Due to his distance and due to the fact that he
lived at home with his wife, it was felt that he would
benefit from a CNA; that was set up.  He was continued on his
Lopressor 50 mg po bid and Plavix 35 mg qd.  The patient is
discharged home with VNA services on [**2155-8-18**] in stable
condition.  Instructed to follow up with Dr. [**Last Name (STitle) 1537**] in four to
six weeks.  Follow up with is primary care physician in one
to two weeks and with cardiology in two to four weeks.

DISCHARGE MEDICATIONS:
1.  Simvastatin 20 mg po qd
2.  Albuterol inhaler 1 to 2 puffs q6h prn
3.  Plavix 75 mg po qd
4.  Percocet 1 to 2 tablets po q4h prn
5.  Aspirin 325 po qd
6.  Zantac 150 po bid
7.  Colace 100 po bid
8.  Lasix 20 mg po bid
9.  Lopressor 25 mg po bid
10. Motrin 400 mg po q6 prn

DISCHARGE CONDITION:  Stable




                            [**First Name11 (Name Pattern1) 275**] [**Last Name (NamePattern4) 1539**], M.D.  [**MD Number(1) 1540**]

Dictated By:[**First Name (STitle) **]
MEDQUIST36

D:  [**2155-8-18**]  10:42
T:  [**2155-8-18**]  10:48
JOB#:  [**Job Number 44245**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Congestive heart failure, unspecified,Unspecified essential hypertension,Pure hypercholesterolemia,Atherosclerosis of aorta,Personal history of tobacco use,Personal history of malignant neoplasm of large intestine'}


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: 

MEDICAL HISTORY: 1.  Chronic obstructive pulmonary disease
2.  High cholesterol
3.  Colectomy for colon cancer

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: VITAL SIGNS:  Heart rate was 72, blood pressure 140/70.
LUNGS:  Clear, no jugular venous distention.
HEART:  Regular rate and rhythm with no murmurs, rubs or
gallops.
ABDOMEN:  Soft, nontender, nondistended, bowel sounds
present.
EXTREMITIES:  Warm and well perfuse.

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Congestive heart failure, unspecified,Unspecified essential hypertension,Pure hypercholesterolemia,Atherosclerosis of aorta,Personal history of tobacco use,Personal history of malignant neoplasm of large intestine'}
