CHIEF COMPLAINT: ESRD

PRESENT ILLNESS: Mr. [**Known lastname **] is a 51-year-old
gentleman with end-stage renal disease who was on the kidney
transplant list. A kidney became available. The risks and
benefits of this particular kidney were explained in detail
to the patient and he elected to receive the kidney.

MEDICAL HISTORY: Past Medical History:  HIV, HTN, latent TB, cryptococcal
meningitis

MEDICATION ON ADMISSION: atazanavir 300', lamivudine 150' following
HD, lisinopril 20', nevirapine 200", pravastatin 20', ritonavir
100', sevelamer 800''', asa 81'

ALLERGIES: Bactrim DS / Stavudine

PHYSICAL EXAM: Vitals-WNL
Gen-AxOx3, NAD
CV-RRR, No MRG
Pulm-CTA BL
Abd-soft, NT, ND, incision CDI
Ext-No peripheral edema

FAMILY HISTORY: His father died approximately 25 years ago of causes that he
does not know.  His mother died of stroke.

SOCIAL HISTORY: He is married with three children.  His wife will be around
after the transplant.
Human immunodeficiency virus [HIV] disease,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Complications of transplanted kidney,Renal dialysis status,Hyperpotassemia
Human immuno virus dis,End stage renal disease,Hyp kid NOS w cr kid V,Compl kidney transplant,Renal dialysis status,Hyperpotassemia
Admission Date:  [**2131-1-18**]              Discharge Date:   [**2131-1-25**]

Date of Birth:  [**2079-6-5**]             Sex:   M

Service: SURGERY

Allergies:
Bactrim DS / Stavudine

Attending:[**First Name3 (LF) 1384**]
Chief Complaint:
ESRD

Major Surgical or Invasive Procedure:
[**2131-1-19**]: Cadaveric renal transplant


History of Present Illness:
Mr. [**Known lastname **] is a 51-year-old
gentleman with end-stage renal disease who was on the kidney
transplant list. A kidney became available. The risks and
benefits of this particular kidney were explained in detail
to the patient and he elected to receive the kidney.


Past Medical History:
Past Medical History:  HIV, HTN, latent TB, cryptococcal
meningitis

Past Surgical History:  multiple access procedures on the LUE


Social History:
He is married with three children.  His wife will be around
after the transplant.


Family History:
His father died approximately 25 years ago of causes that he
does not know.  His mother died of stroke.


Physical Exam:
Vitals-WNL
Gen-AxOx3, NAD
CV-RRR, No MRG
Pulm-CTA BL
Abd-soft, NT, ND, incision CDI
Ext-No peripheral edema

Pertinent Results:
[**2131-1-18**] 09:07PM   GLUCOSE-95 UREA N-58* CREAT-9.0*# SODIUM-138
POTASSIUM-5.4* CHLORIDE-93* TOTAL CO2-29 ANION GAP-21*
[**2131-1-18**] 09:07PM   estGFR-Using this
[**2131-1-18**] 09:07PM   ALT(SGPT)-13 AST(SGOT)-19
[**2131-1-18**] 09:07PM   ALBUMIN-4.6 CALCIUM-9.7 PHOSPHATE-8.9*#
MAGNESIUM-2.4
[**2131-1-18**] 09:07PM   WBC-8.6 RBC-3.87* HGB-13.0* HCT-37.3* MCV-96
MCH-33.6* MCHC-35.0 RDW-16.5*
[**2131-1-18**] 09:07PM   PLT COUNT-259
[**2131-1-18**] 09:07PM   PT-13.0 PTT-20.3* INR(PT)-1.1

Brief Hospital Course:
Pt was admitted [**2131-1-18**] for renal transplanatation. The
procedure went well and pt was transferred to the floor
post-operatively in stable condition. His pain was well
controlled with IV pain medication initially and then was
transitioned to oral pain medications. He was started on
immunosupressive medication immediately post-operatively and
this regimen was monitored closely post-operatively. He was
started on his home medications for blood pressure and his home
regimen of HIV medications. He began tolerating a regular diet
and was making urine. A kidney biopsy done on [**2131-1-24**] showed no
acute rejection. At the time of discharge pt was tolerating a
regular diet,his vital signs were within the normal limits, he
had normal bowel funtion and his pain was well controlled. He
had teaching for all of his transplant medications and he was
discharged in stable condition on [**2131-1-25**].

Medications on Admission:
atazanavir 300', lamivudine 150' following
HD, lisinopril 20', nevirapine 200", pravastatin 20', ritonavir
100', sevelamer 800''', asa 81'


Discharge Medications:
1. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
2. mycophenolate mofetil 500 mg Tablet Sig: Two (2) Tablet PO
BID (2 times a day).
3. famotidine 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

4. lamivudine 100 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
5. raltegravir 400 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day).
6. dapsone 100 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
7. etravirine 100 mg Tablet Sig: Two (2) Tablet PO BID (2 times
a day).
8. tenofovir disoproxil fumarate 300 mg Tablet Sig: One (1)
Tablet PO Q72H (every 72 hours).
9. valganciclovir 450 mg Tablet Sig: One (1) Tablet PO EVERY
OTHER DAY (Every Other Day).
10. oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4
hours) as needed for pain.
Disp:*30 Tablet(s)* Refills:*0*
11. amlodipine 5 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).

12. azithromycin 600 mg Tablet Sig: Two (2) Tablet PO 1X/WEEK
(MO): MAC prevention.
Disp:*16 Tablet(s)* Refills:*2*
13. nystatin 100,000 unit/mL Suspension Sig: Five (5) ML PO QID
(4 times a day) as needed for thrush.
14. FreeStyle Lite Strips     Strip Sig: One (1)  Miscellaneous
four times a day.
Disp:*1 box* Refills:*2*
15. FreeStyle Lite Meter     Kit Sig: One (1) kit Miscellaneous
twice a day.
Disp:*1 kit* Refills:*0*
16. FreeStyle Lancets     Misc Sig: One (1)  Miscellaneous twice
a day: check blood sugar prior to breakfast and supper.
Disp:*1 box* Refills:*2*
17. tacrolimus 5 mg Capsule Sig: One (1) Capsule PO Q12H (every
12 hours).
18. tacrolimus 1 mg Capsule Sig: Four (4) Capsule PO Q12H (every
12 hours).
19. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable
PO DAILY (Daily).
20. metoprolol tartrate 25 mg Tablet Sig: 1.5 Tablets PO TID (3
times a day).
Disp:*120 Tablet(s)* Refills:*2*
21. aspirin 81 mg Tablet Sig: One (1) Tablet PO once a day.


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
HIV nephropathy/HTN s/p kidney transplant
Delayed renal function


Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Ambulatory - Independent.


Discharge Instructions:
Please call the transplant clinic at [**Telephone/Fax (1) 673**] for fever,
chills, nausea, vomiting, diarrhea, constipation, inability to
take or keep down food, fluids or medications, incisional
redness, drainage or bleeding, pain over the graft kidney,
increased leg edema, decreasing urine output or any other
concerning symptoms.
Labwork to be drawn every Monday and Thursday at the [**Hospital **]
Medical Building lab [**Location (un) 448**]
Your anti-retrovirals have been changed, please use only the
newly prscribed medications
No heavy lifting
No driving if taking narcotic pain medication
You may shower, no tub baths or swimming until noified you may
do so.


Followup Instructions:
[**First Name11 (Name Pattern1) 819**] [**Last Name (NamePattern4) 820**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2131-1-29**] 9:30
[**Name6 (MD) 2105**] [**Name8 (MD) 2106**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2131-2-9**] 9:40
[**Last Name (LF) **],[**First Name3 (LF) **] TRANSPLANT SOCIAL WORK Date/Time:[**2131-2-9**] 10:00
{'Human immunodeficiency virus [HIV] disease,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Complications of transplanted kidney,Renal dialysis status,Hyperpotassemia'}


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: ESRD

PRESENT ILLNESS: Mr. [**Known lastname **] is a 51-year-old
gentleman with end-stage renal disease who was on the kidney
transplant list. A kidney became available. The risks and
benefits of this particular kidney were explained in detail
to the patient and he elected to receive the kidney.

MEDICAL HISTORY: Past Medical History:  HIV, HTN, latent TB, cryptococcal
meningitis

MEDICATION ON ADMISSION: atazanavir 300', lamivudine 150' following
HD, lisinopril 20', nevirapine 200", pravastatin 20', ritonavir
100', sevelamer 800''', asa 81'

ALLERGIES: Bactrim DS / Stavudine

PHYSICAL EXAM: Vitals-WNL
Gen-AxOx3, NAD
CV-RRR, No MRG
Pulm-CTA BL
Abd-soft, NT, ND, incision CDI
Ext-No peripheral edema

FAMILY HISTORY: His father died approximately 25 years ago of causes that he
does not know.  His mother died of stroke.

SOCIAL HISTORY: He is married with three children.  His wife will be around
after the transplant. 

### Response:
{'Human immunodeficiency virus [HIV] disease,End stage renal disease,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Complications of transplanted kidney,Renal dialysis status,Hyperpotassemia'}
