CHIEF COMPLAINT: 

PRESENT ILLNESS: [**First Name9 (NamePattern2) 75538**] [**Known lastname 75539**] is the former 3.46
kg product of a 39 5/7 weeks' gestation pregnancy born to a
23-year-old G2, P1 woman. (Prenatal screens: blood type A+,
antibody negative, rubella immune, RPR nonreactive, hepatitis
B surface antigen negative, and group beta Strep status
negative.) The pregnancy was uncomplicated. The mother
experienced ruptured membranes 5 hours prior to delivery and
had an intrapartum fever to 100.7 degrees Fahrenheit. The
infant was born by spontaneous vaginal delivery and with
Apgars of 8 and 9. She had a sepsis evaluation performed in
the neonatal intensive care unit and was then transferred to
the newborn nursery. On [**2158-9-20**], she had an elevated
temperature to 100.3 degrees Fahrenheit. Upon request of her
pediatrician, a second complete blood count and blood culture
were obtained. The infant was discharged home on [**2158-9-22**]. The blood culture results were reported as gram-
positive cocci in pairs and clusters, which were later
identified as Staphylococcus epidermidis. The baby was
readmitted on [**2158-9-22**] for further evaluation and
treatment. Weight upon admission to the neonatal intensive
care unit was 3.22 kg.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Observation for suspected infectious condition
NB obsrv suspct infect
Unit No:  [**Numeric Identifier 75537**]
Admission Date: [**2158-9-22**]
Discharge Date: [**2158-9-24**]
Date of Birth:  [**2158-9-19**]
Sex:  F
Service:  NBB


HISTORY OF PRESENT ILLNESS:  [**First Name9 (NamePattern2) 75538**] [**Known lastname 75539**] is the former 3.46
kg product of a 39 5/7 weeks' gestation pregnancy born to a
23-year-old G2, P1 woman. (Prenatal screens: blood type A+,
antibody negative, rubella immune, RPR nonreactive, hepatitis
B surface antigen negative, and group beta Strep status
negative.) The pregnancy was uncomplicated. The mother
experienced ruptured membranes 5 hours prior to delivery and
had an intrapartum fever to 100.7 degrees Fahrenheit. The
infant was born by spontaneous vaginal delivery and with
Apgars of 8 and 9. She had a sepsis evaluation performed in
the neonatal intensive care unit and was then transferred to
the newborn nursery. On [**2158-9-20**], she had an elevated
temperature to 100.3 degrees Fahrenheit. Upon request of her
pediatrician, a second complete blood count and blood culture
were obtained. The infant was discharged home on [**2158-9-22**]. The blood culture results were reported as gram-
positive cocci in pairs and clusters, which were later
identified as Staphylococcus epidermidis. The baby was
readmitted on [**2158-9-22**] for further evaluation and
treatment. Weight upon admission to the neonatal intensive
care unit was 3.22 kg.

DISCHARGE PHYSICAL EXAMINATION:  Weight 3.33 kg; length 49
cm; head circumference 33 cm. General: Alert, nondistressed
female in room air. Head/Eyes/Ears/Nose/Throat: Anterior
fontanelle soft and flat; nares patent; mucous membranes
moist; palate intact. Neck: Supple; without masses.
Cardiovascular: Regular rate and rhythm; without murmur; 2+
radial and femoral pulses; brisk capillary refill. Chest:
Clear breath sounds bilaterally; no increased work of
breathing. Abdomen: Soft; nontender; nondistended; no masses
or hepatosplenomegaly. GU: Normal female external genitalia.
Anus: Patent. Spine: No cleft, [**Hospital1 **], or dimple. Extremities:
Stable; moving all. Skin: Mildly jaundiced; nevus flammeus
over the left eyelid; small pigmented nevus over the left
buttock; nevi on the sole of the left foot; mongolian spot on
the anterior surface of the left ankle; 2 small abrasions on
the dorsum of both feet. Neurologic: Alert; active; moving
all extremities; normal tone and reflexes.

HOSPITAL COURSE BY SYSTEM AND INCLUDING PERTINENT LABORATORY
DATA:
1. Respiratory. The infant remained in room air and had no
    episodes of apnea.
2. Cardiovascular. The infant maintained normal heart rates
    and blood pressures. No murmurs were noted.
3. Fluids, Electrolytes, and Nutrition. The infant
    continued to ad. lib. breastfeed or take expressed
    mother's milk by bottle. Serum glucoses were stable.
    Weight on the day of discharge was 3.33 kg.
4. Infectious Disease. A complete blood count was within
    normal limits. Another blood culture was obtained on, and
    the infant was started on vancomycin and gentamicin. The
    blood culture obtained on [**2158-9-22**] prior to
    starting the antibiotics was no growth, and the
    antibiotics were discontinued after 48 hours.
5. Gastrointestinal. A serum bilirubin was obtained upon
    admission to the neonatal intensive care unit and was
    12.4 mg/dL total.
6. Neurology. This infant has maintained a normal
    neurological exam, and there were no neurological
    concerns at the time of discharge.
7. Sensory/Audiology. Hearing screening was performed on
    the first/birth admission and the infant passed in both
    ears.

CONDITION ON DISCHARGE:  Good.

DISCHARGE DISPOSITION:  Home with the parents.

PRIMARY PEDIATRICIAN:  [**First Name11 (Name Pattern1) 41215**] [**Last Name (NamePattern4) 75540**], MD
[**Location (un) 75541**], MA
Phone number: [**Telephone/Fax (1) 41217**]

DISCHARGE CARE AND RECOMMENDATIONS:
1. Ad. lib. breastfeeding.
2. No medications.
3. Iron and vitamin D supplementation:
    a.    Iron supplementation is recommended for preterm
     and low birth weight infants until 12 months' corrected
     age.
    b.    All infants fed predominantly breast milk should
     receive vitamin D supplementation at 200 international
     units (may be provided as a multivitamin preparation)
     daily until 12 months' corrected age.
4. Car seat position screening was not indicated.
5. Newborn screens were sent with the newborn admission.
6. No further immunizations administered.
7. Immunizations Recommended:
    a.    Synagis RSV prophylaxis should be considered from
     [**Month (only) **] through [**Month (only) 958**] for infants who meet any of the
     following 4 criteria: 1) born at less than 32 weeks; 2)
     born between 32 and 35 weeks with 2 of the following:
     daycare during RSV season; a smoker in the household;
     neuromuscular disease; airway abnormalities; or school-
     age siblings; 3) chronic lung disease; 4)
     hemodynamically significant congenital heart disease.
    b.    Influenza immunization is recommended annually in
     the fall for all infants once they reach 6 months of
     age. Before this age and for the first 24 months of the
     child's life, immunization against influenza is
     recommended for household contacts and out-of-home
     caregivers.
    c.    This infant has not received a rotavirus vaccine.
     The American Academy of Pediatrics recommends initial
     vaccination of preterm infants at or following
     discharge from the hospital if they are clinically
     stable and at least 6 weeks, but fewer than 12 weeks of
     age.

DISCHARGE DIAGNOSIS:  Suspicion for sepsis - ruled out.



                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 48738**], MD [**MD Number(2) 55708**]

Dictated By:[**Last Name (Titles) **]
MEDQUIST36
D:  [**2158-9-24**] 01:22:16
T:  [**2158-9-25**] 08:53:21
Job#:  [**Job Number 75542**]
{'Observation for suspected infectious condition'}


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: [**First Name9 (NamePattern2) 75538**] [**Known lastname 75539**] is the former 3.46
kg product of a 39 5/7 weeks' gestation pregnancy born to a
23-year-old G2, P1 woman. (Prenatal screens: blood type A+,
antibody negative, rubella immune, RPR nonreactive, hepatitis
B surface antigen negative, and group beta Strep status
negative.) The pregnancy was uncomplicated. The mother
experienced ruptured membranes 5 hours prior to delivery and
had an intrapartum fever to 100.7 degrees Fahrenheit. The
infant was born by spontaneous vaginal delivery and with
Apgars of 8 and 9. She had a sepsis evaluation performed in
the neonatal intensive care unit and was then transferred to
the newborn nursery. On [**2158-9-20**], she had an elevated
temperature to 100.3 degrees Fahrenheit. Upon request of her
pediatrician, a second complete blood count and blood culture
were obtained. The infant was discharged home on [**2158-9-22**]. The blood culture results were reported as gram-
positive cocci in pairs and clusters, which were later
identified as Staphylococcus epidermidis. The baby was
readmitted on [**2158-9-22**] for further evaluation and
treatment. Weight upon admission to the neonatal intensive
care unit was 3.22 kg.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Observation for suspected infectious condition'}
