CHIEF COMPLAINT: 

PRESENT ILLNESS: 

MEDICAL HISTORY: 1.  Hypertension
2.  Peripheral vascular disease status post left femoral
angioplasty in [**2138**]

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: VITAL SIGNS:  On admission, the patient was afebrile.  Vital
signs were stable.
ABDOMEN:  Soft, nontender, nondistended, no masses noted.
Palpable liver 2 cm below the rib.

FAMILY HISTORY: 

SOCIAL HISTORY: The patient has 100 pack year smoking
history, quitting one month ago.  The patient has occasional
alcohol usage.
Hemorrhage of gastrointestinal tract, unspecified,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension
Gastrointest hemorr NOS,Chr airway obstruct NEC,Hypertension NOS
Admission Date:  [**2145-9-9**]       Discharge Date:  [**2145-9-13**]

Date of Birth:   [**2079-2-9**]       Sex:  M

Service:  General Surgery

This is a 66-year-old male with no significant medical
history.  The patient transferred from an outside hospital
with persisting ................ identified gastrointestinal
bleed.  On [**2145-8-8**] the patient fell while at home,
had a left hip fracture.  On [**8-9**] underwent left hip
open reduction internal fixation and had uneventful
postoperative recovery and was discharged to rehabilitation
on po Coumadin, eventually going home.  On the [**9-1**], the patient had an episode of bright red blood per
rectum and was taken by ambulance to [**Hospital3 417**] Hospital.
The hospital stay was marked by recurrent episodes of bright
red blood per rectum with a hematocrit ranging from 18 to
31.5 requiring a total of 16 units of packed red blood cells
and 5 units of FFP.  The patient's work up included
colonoscopy on the [**9-3**] that showed scattered
left and right diverticula with old blood in the left colon.
The patient underwent multiple bleeding scans [**9-7**],
2nd and 3rd which failed to reveal active bleeding, but on
delayed scan shows activity in the colonic distribution.  The
patient also underwent an esophagogastroduodenoscopy which
revealed non bleeding AVM at the duodenal bulb.  The patient
was transferred to the [**Hospital6 256**]
for further evaluation.

PAST MEDICAL HISTORY:
1.  Hypertension
2.  Peripheral vascular disease status post left femoral
angioplasty in [**2138**]

ALLERGIES:  The patient has no known drug allergies.

MEDICATIONS:
1.  Cozaar 50 q day
2.  Pepcid 20 q day
3.  Nicoderm CQ 14 q day
4.  Coumadin 4 q day which was discontinued

SOCIAL HISTORY:  The patient has 100 pack year smoking
history, quitting one month ago.  The patient has occasional
alcohol usage.

PHYSICAL EXAM:
VITAL SIGNS:  On admission, the patient was afebrile.  Vital
signs were stable.
ABDOMEN:  Soft, nontender, nondistended, no masses noted.
Palpable liver 2 cm below the rib.

LABS:  Hematocrit 26, platelet count 145.  PT 12.1, PTT 34,
INR 1.

HOSPITAL COURSE:  The patient was admitted to SICU for close
hemodynamic monitoring.  Hospital day #2, the patient
continued to be afebrile with vital signs stable.  Hematocrit
was 24.9.  The patient had 1 unit of packed red blood cells
and next hematocrit came back at 32.  Other electrolytes were
within normal limits.  Abdomen was soft, nontender,
nondistended.  The patient was doing well, underwent
selective angiogram which was negative for bleeding.
Subsequent hematocrits were 31.8, 32.3, 31.7 and 30.1.  The
patient was started on a regular diet, placed on Boost
nutritional supplement tid and started on TPN secondary to
poor nutritional status.

Hospital day #4, the patient continued to do well.  Had one
bowel movement.  Afebrile, vital signs stable.  Abdomen was
soft, nontender, nondistended, positive bowel sounds.  The
patient continued on TPN with calorie counts.  Hematocrit
changed q 12, encouraged to ambulate.  Hospital day #5, the
patient's hematocrit continued to be stable.  The patient had
two new bowel movements, both with no new blood, tolerating
regular diet, afebrile, vital signs stable.  Abdomen was
nontender, nondistended, positive bowel sounds.  The patient
was ambulating well with no acute histories.  The patient was
felt to be ready for discharge home with physical therapy.

DISCHARGE CONDITION:  Good

DISCHARGE STATUS:  Home

DISCHARGE DIAGNOSES:
1.  Status post gastrointestinal bleed
2.  Hypertension
3.  Peripheral vascular disease

FOLLOW UP:  The patient is to follow up with Dr. [**Last Name (STitle) 1888**] for a
colonoscopy on [**9-29**].




                            [**Last Name (NamePattern4) 1889**], M.D.  [**MD Number(1) 1890**]

Dictated By:[**Name8 (MD) 5915**]
MEDQUIST36

D:  [**2145-9-13**]  12:46
T:  [**2145-9-13**]  12:55
JOB#:  [**Job Number **]

cc:[**CC Contact Info **]
{'Hemorrhage of gastrointestinal tract, unspecified,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension'}


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.  Hypertension
2.  Peripheral vascular disease status post left femoral
angioplasty in [**2138**]

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: VITAL SIGNS:  On admission, the patient was afebrile.  Vital
signs were stable.
ABDOMEN:  Soft, nontender, nondistended, no masses noted.
Palpable liver 2 cm below the rib.

FAMILY HISTORY: 

SOCIAL HISTORY: The patient has 100 pack year smoking
history, quitting one month ago.  The patient has occasional
alcohol usage. 

### Response:
{'Hemorrhage of gastrointestinal tract, unspecified,Chronic airway obstruction, not elsewhere classified,Unspecified essential hypertension'}
