CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 44-year-old female
who has a history of hypertension and large aortic root
diagnosed about 18 months prior at 4.8 cm by last echo
report.  The patient presented with substernal chest pain and
had gone to the Emergency Department.  The patient states
that she had chest tenderness.

MEDICAL HISTORY: 1.  Hypertension.
2.  Enlarged aortic root.
3.  Status post cholecystectomy.
4.  Status post appendectomy.
5.  Status post hysterectomy.
6.  History of GERD.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient is allergic to codeine, sulfa,
erythromycin, prednisone, and inhalers.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Aortic valve disorders,Esophageal reflux,Unspecified essential hypertension
Aortic valve disorder,Esophageal reflux,Hypertension NOS
Admission Date:  [**2123-2-2**]       Discharge Date:  [**2123-2-6**]

Date of Birth:   [**2078-6-20**]       Sex:  F

Service:  CARDIOTHORACIC SURGERY

HISTORY OF THE PRESENT ILLNESS:  This is a 44-year-old female
who has a history of hypertension and large aortic root
diagnosed about 18 months prior at 4.8 cm by last echo
report.  The patient presented with substernal chest pain and
had gone to the Emergency Department.  The patient states
that she had chest tenderness.

PAST MEDICAL HISTORY:
1.  Hypertension.
2.  Enlarged aortic root.
3.  Status post cholecystectomy.
4.  Status post appendectomy.
5.  Status post hysterectomy.
6.  History of GERD.

ADMISSION MEDICATIONS:
1.  Atenolol 25 q.d.
2.  Premarin.
3.  Vioxx.

ALLERGIES:  The patient is allergic to codeine, sulfa,
erythromycin, prednisone, and inhalers.

PHYSICAL EXAMINATION ON ADMISSION:  The patient was afebrile.
The vital signs were stable on admission.  The lungs were
clear to auscultation bilaterally with a regular rate and
rhythm.

One week prior to admission, the patient had undergone a
catheterization which showed normal coronary arteries, mild
aortic insufficiency, and dilated aortic sinus.

LABORATORY DATA:  The patient had a white count of 8.5,
hematocrit 36.2, platelets 281,000.

HOSPITAL COURSE:  The patient presented on [**2123-2-2**] for
valve-sparing root replacement, [**Last Name (un) 39196**] procedure.  The
patient tolerated the procedure without any incident.  The
patient was transferred to the floor on postoperative day
number two.

Th[**Last Name (STitle) 1050**] was able to tolerate a regular diet, ambulate
well with PT clearance, and had good p.o. pain control.  The
patient was with discharge planning to home pending
resolution of some antihypertensive medication adjustments.
The patient is to be going home with a follow-up with Dr. [**Last Name (Prefixes) 2545**] in four weeks.  She is to follow-up with her primary
care provider, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 26775**], in one to two weeks, and her
cardiologist in two to three weeks.

DISCHARGE MEDICATIONS:
1.  Calcium carbonate 500 mg p.o. t.i.d.
2.  Lasix 20 mg p.o. b.i.d. times seven days.
3.  Potassium chloride 20 mEq p.o. b.i.d. times seven days.
4.  Colace 100 mg p.o. b.i.d.
5.  Zantac 150 mg p.o. b.i.d. until follow-up with cardiac
surgeon.
6.  Aspirin 325 mg q.d.
7.  Tylenol 650 mg q. four hours p.r.n.
8.  Ibuprofen 400 mg p.o. q. six hours p.r.n.
9.  Milk of magnesia 30 milliliters p.o. q.h.s. p.r.n.
10. Dilaudid 2-4 mg p.o. q. 4-6 hours p.r.n.
11. Lasix dose presently at 75 mg p.o. b.i.d. under
adjustment.

CONDITION ON DISCHARGE: Good.

DISCHARGE STATUS:  To home.

DISCHARGE DIAGNOSIS:  Status post valve-sparing root
replacement, [**Last Name (un) 39196**] procedure.

Please see addendum for final dosing of antihypertensives.




                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

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

D:  [**2123-2-6**]  09:10
T:  [**2123-2-6**]  21:31
JOB#:  [**Job Number 103844**]

cc:[**Last Name (Prefixes) 103845**]
{'Aortic valve disorders,Esophageal reflux,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: This is a 44-year-old female
who has a history of hypertension and large aortic root
diagnosed about 18 months prior at 4.8 cm by last echo
report.  The patient presented with substernal chest pain and
had gone to the Emergency Department.  The patient states
that she had chest tenderness.

MEDICAL HISTORY: 1.  Hypertension.
2.  Enlarged aortic root.
3.  Status post cholecystectomy.
4.  Status post appendectomy.
5.  Status post hysterectomy.
6.  History of GERD.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient is allergic to codeine, sulfa,
erythromycin, prednisone, and inhalers.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Aortic valve disorders,Esophageal reflux,Unspecified essential hypertension'}
