CHIEF COMPLAINT: Cadaveric kidney transplant.

PRESENT ILLNESS: This is a 59-year-old male
with end-stage renal disease on peritoneal dialysis from type
2 diabetes (20 years), who presents for a cadaveric kidney
transplant.  The patient was last seen in the hospital on [**2131-4-27**] where he was admitted for bacterial peritonitis.
Since that time, he has had no medical problems or
complaints.  The patient denied any headache, fever, chest
pain, shortness of breath, abdominal pain.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: Diazepam, Prinivil.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Hypopotassemia,Hypocalcemia,Anemia, unspecified,Aortocoronary bypass status,Old myocardial infarction
DMII renl nt st uncntrld,Hypopotassemia,Hypocalcemia,Anemia NOS,Aortocoronary bypass,Old myocardial infarct
Admission Date:  [**2131-9-30**]     Discharge Date:  [**2131-10-5**]

Date of Birth:   [**2071-10-10**]     Sex:  M

Service:  TRANSPLANT SURGERY

CHIEF COMPLAINT:  Cadaveric kidney transplant.

HISTORY OF THE PRESENT ILLNESS:  This is a 59-year-old male
with end-stage renal disease on peritoneal dialysis from type
2 diabetes (20 years), who presents for a cadaveric kidney
transplant.  The patient was last seen in the hospital on [**2131-4-27**] where he was admitted for bacterial peritonitis.
Since that time, he has had no medical problems or
complaints.  The patient denied any headache, fever, chest
pain, shortness of breath, abdominal pain.

ALLERGIES:  Diazepam, Prinivil.

ADMISSION MEDICATIONS:
1.  Metoprolol 25 mg p.o. b.i.d.
2.  Pravachol 40 mg p.o. q.d.
3.  Aspirin 81 mg p.o. q.d.
4.  Imdur 60 mg p.o. q.d.
5.  Zantac 150 mg p.o. b.i.d.
6.  Lasix 80 mg p.o. q.d.
7.  Calcium acetate 667 mg p.o. t.i.d.
8.  Iron 325 mg q.d.
9.  Epogen.
10. NPH insulin q.a.m. 30 units.
11. Regular insulin.

PHYSICAL EXAMINATION ON ADMISSION:  Vital signs:  Temperature
98.6, blood pressure 128/68, heart rate 61, respirations 20,
saturation 100% on room air.  General:  The patient was in no
acute distress, alert and oriented times three.
Cardiovascular:  Regular rate and rhythm with a II/VI
systolic ejection murmur.  Lungs:  Clear to auscultation
bilaterally.  Abdomen:  Soft, nontender, nondistended.
Extremities:  Bilateral lower extremity edema.

HOSPITAL COURSE:  The patient went to the OR the same day,
[**2131-9-30**], and underwent a kidney transplant
(cadaveric).  The patient underwent the procedure without any
complications.  He was transferred to the floor the same day
and was started on perioperative antibiotics (Cephazolin).
He was on IV PCA, morphine, for pain control.  The patient
was able to tolerate liquids on postoperative day number one.
On postoperative day number two, his pain medication, IV PCA,
morphine, was changed to Percocet with good pain control.

The patient was followed by the Renal Service for his
end-stage renal disease and by Endocrinology ([**Last Name (un) **]) for
control of his blood sugar.

On postoperative day number two, the patient was started on
half NPH of his usual home dose, 15 units q.a.m. along with a
regular insulin sliding scale.  The patient's urine output
has been satisfactory throughout the [**Hospital 228**] hospital stay.
The patient was also started on his immunosuppressant
medications; specifically, the patient was started on
CellCept 1 gram b.i.d. and Tacrolimus was adjusted according
to daily levels.  The patient's blood pressure was controlled
throughout his stay with his home medications
(antihypertensives).

On postoperative day number three, the patient received 2
units of packed RBCs (red blood cells) for a low hematocrit
of 25.  The patient has shown significant improvement over
the following days.  His central line was discontinued on
postoperative day number four.  He was placed on a renal
diet.  His Foley was discontinued.  He was ambulatory without
any fever and stable with blood glucose under sufficient
control.

The patient was discharged home on postoperative day number
five, [**2131-10-5**] with instructions to follow-up with
Dr. [**Last Name (STitle) **] at the Transplant Center on [**2131-10-11**] and
Dr. [**Last Name (STitle) **] at the Transplant Center on [**2131-10-15**].

DISCHARGE MEDICATIONS:
1.  Bactrim.
2.  Pantoprazole.
3.  Docusate.
4.  Metoprolol.
5.  Isosorbide mononitrate.
6.  Percocet.
7.  Nystatin.
8.  Valgancyclovir.
9.  Mycophenolate.
10. Tums.
11. Prednisone.
12. Insulin (regular).
13. Tacrolimus 5 mg p.o. b.i.d.
14. Aspirin 81 mg.

The patient was provided with all the information necessary.



                          [**Name6 (MD) 1344**] [**Name8 (MD) 1345**], M.D.  [**MD Number(1) 1346**]

Dictated By:[**Last Name (NamePattern1) 23784**]

MEDQUIST36

D:  [**2131-10-5**]  12:44
T:  [**2131-10-6**]  07:46
JOB#:  [**Job Number 31482**]
{'Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Hypopotassemia,Hypocalcemia,Anemia, unspecified,Aortocoronary bypass status,Old myocardial infarction'}


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: Cadaveric kidney transplant.

PRESENT ILLNESS: This is a 59-year-old male
with end-stage renal disease on peritoneal dialysis from type
2 diabetes (20 years), who presents for a cadaveric kidney
transplant.  The patient was last seen in the hospital on [**2131-4-27**] where he was admitted for bacterial peritonitis.
Since that time, he has had no medical problems or
complaints.  The patient denied any headache, fever, chest
pain, shortness of breath, abdominal pain.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: Diazepam, Prinivil.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Hypopotassemia,Hypocalcemia,Anemia, unspecified,Aortocoronary bypass status,Old myocardial infarction'}
