CHIEF COMPLAINT: Abdominal Pain

PRESENT ILLNESS: 71 year old woman with focal abdominal pain at the umbilicus.
Pt has N/V 1 day PTA.  No flatus, continued emesis
intermitantly.  CT shows incarcerated vental hernia.  Normal
BMs, no F/C/S

MEDICAL HISTORY: Lymphoma, currently getting chemo
HTN
TAH/BSO
Appedectomy
open choycystectomy

MEDICATION ON ADMISSION: Diovan
Atenolol
Zyrtec
Norvasc

ALLERGIES: Penicillins / Bactrim Ds

PHYSICAL EXAM: 98.0  76  133/77  16  99%
Nontoxic, NAD
anitcteric
RRR/CTA
Abd: soft, ND, slight tympany.  Focal mild tenderness just
inferior to umbilicus

FAMILY HISTORY: Non-Contributory

SOCIAL HISTORY: Non-Contributory
Ventral, unspecified, hernia with obstruction,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Unspecified essential hypertension,Personal history of other malignant neoplasm of skin
Obstr ventral hernia NOS,Oth lymp unsp xtrndl org,Hypertension NOS,Hx-skin malignancy NEC
Admission Date:  [**2148-12-2**]              Discharge Date:   [**2148-12-8**]

Date of Birth:  [**2077-2-2**]             Sex:   F

Service: SURGERY

Allergies:
Penicillins / Bactrim Ds

Attending:[**First Name3 (LF) 1**]
Chief Complaint:
Abdominal Pain

Major Surgical or Invasive Procedure:
Vental Hernia repair


History of Present Illness:
71 year old woman with focal abdominal pain at the umbilicus.
Pt has N/V 1 day PTA.  No flatus, continued emesis
intermitantly.  CT shows incarcerated vental hernia.  Normal
BMs, no F/C/S

Past Medical History:
Lymphoma, currently getting chemo
HTN
TAH/BSO
Appedectomy
open choycystectomy

Social History:
Non-Contributory

Family History:
Non-Contributory

Physical Exam:
98.0  76  133/77  16  99%
Nontoxic, NAD
anitcteric
RRR/CTA
Abd: soft, ND, slight tympany.  Focal mild tenderness just
inferior to umbilicus

Pertinent Results:
[**2148-12-2**] 08:16PM URINE  COLOR-Yellow APPEAR-Hazy SP [**Last Name (un) 155**]->1.035
[**2148-12-2**] 08:16PM URINE  BLOOD-SM NITRITE-NEG PROTEIN-30
GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-8.0
LEUK-NEG
[**2148-12-2**] 08:16PM URINE  RBC-0-2 WBC-0-2 BACTERIA-MOD YEAST-NONE
EPI-[**11-2**]
[**2148-12-2**] 08:16PM URINE  AMORPH-MOD
[**2148-12-2**] 06:06PM   GLUCOSE-109* UREA N-21* CREAT-0.6 SODIUM-138
POTASSIUM-4.0 CHLORIDE-97 TOTAL CO2-28 ANION GAP-17
[**2148-12-2**] 06:06PM   WBC-8.5# RBC-4.24 HGB-13.0 HCT-36.7 MCV-87
MCH-30.7 MCHC-35.4* RDW-20.0*
[**2148-12-2**] 06:06PM   NEUTS-93.5* LYMPHS-2.6* MONOS-3.2 EOS-0.6
BASOS-0.1
[**2148-12-2**] 06:06PM   ANISOCYT-2+ POIKILOCY-1+ MACROCYT-1+
MICROCYT-1+
[**2148-12-2**] 06:06PM   PLT COUNT-156
[**2148-12-2**] 06:06PM   PT-12.0 PTT-18.9* INR(PT)-0.9

Brief Hospital Course:
Pt was taken to the operating room for reduction and repair of
an incarcerated vental hernia.  The operation went uneventfully.
 She was admitted to the floor to await bowel function.  Her
oncologist was consulted and recommeneded that she receieve her
scheduldued dose of aerosolized pentamidine, and this was done
for her.  Her diet was advanced once flatus passed and she did
fairly well with this.  There was only a little nausea and no
vomiting in the advancement period.  Pt had urinary frequency, a
UA was obtained which showed UTI, so she was given 3 days of
levaquin.

Medications on Admission:
Diovan
Atenolol
Zyrtec
Norvasc

Discharge Medications:
1. Acyclovir 200 mg Capsule Sig: Two (2) Capsule PO Q8H (every 8
hours).
2. Hydrocodone-Acetaminophen 5-500 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed.
Disp:*30 Tablet(s)* Refills:*0*


Discharge Disposition:
Home

Discharge Diagnosis:
Incarcerated Vental Hernia


Discharge Condition:
good

Discharge Instructions:
Call your doctor if you experience increasing nausea, vomiting,
diarrhea or other concering sign.  You should take an over the
counter stool softener while on narcotic pain medication.  You
should not drive while on narcotics as well

Followup Instructions:
In [**1-16**] weeks with Dr. [**Last Name (STitle) **], call his office for details.
Keep all appointments arranged with your oncologist, unless
directed otherwise by them.



Completed by:[**2148-12-8**]
{'Ventral, unspecified, hernia with obstruction,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Unspecified essential hypertension,Personal history of other malignant neoplasm of skin'}


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: Abdominal Pain

PRESENT ILLNESS: 71 year old woman with focal abdominal pain at the umbilicus.
Pt has N/V 1 day PTA.  No flatus, continued emesis
intermitantly.  CT shows incarcerated vental hernia.  Normal
BMs, no F/C/S

MEDICAL HISTORY: Lymphoma, currently getting chemo
HTN
TAH/BSO
Appedectomy
open choycystectomy

MEDICATION ON ADMISSION: Diovan
Atenolol
Zyrtec
Norvasc

ALLERGIES: Penicillins / Bactrim Ds

PHYSICAL EXAM: 98.0  76  133/77  16  99%
Nontoxic, NAD
anitcteric
RRR/CTA
Abd: soft, ND, slight tympany.  Focal mild tenderness just
inferior to umbilicus

FAMILY HISTORY: Non-Contributory

SOCIAL HISTORY: Non-Contributory 

### Response:
{'Ventral, unspecified, hernia with obstruction,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Unspecified essential hypertension,Personal history of other malignant neoplasm of skin'}
