CHIEF COMPLAINT: Chest pain.

PRESENT ILLNESS: This is a 67 yo male with known 3VD, cardiac cath [**4-10**] had been
d/c'd home with plans to return for CABG [**4-14**].  He presented to
the ED [**4-13**] early AM with c/o chest pain.

MEDICAL HISTORY: Diabetes
Arthritis
Hypertension
Aortic stenosis
GERD
Testicular CA age 7
Hiatal hernia
Coronary artery disease

MEDICATION ON ADMISSION: Lisinopril 30 daily.
Atenolol 25 daily.
Plavix 75 -- d/c'd [**4-10**].
Aspirin 81 daily.
Multivitamin daily.
HCTZ 12.5 daily.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Tob: 30 pack year smoking history -- quit 20 years ago.
ETOH: 2-3 beers per day.
Works as substitute teacher.
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Multiple involvement of mitral and aortic valves,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Esophageal reflux,Personal history of malignant neoplasm of testis
Crnry athrscl natve vssl,Intermed coronary synd,Mitr/aortic mult involv,DMII wo cmp nt st uncntr,Hypertension NOS,Esophageal reflux,Hx-testicular malignancy
Admission Date:  [**2141-4-13**]              Discharge Date:   [**2141-4-21**]

Date of Birth:  [**2073-7-11**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 14964**]
Chief Complaint:
Chest pain.

Major Surgical or Invasive Procedure:
Coronary artery bypass graft x 4.
Mitral valve repair.
Aortic valve replacement.

History of Present Illness:
This is a 67 yo male with known 3VD, cardiac cath [**4-10**] had been
d/c'd home with plans to return for CABG [**4-14**].  He presented to
the ED [**4-13**] early AM with c/o chest pain.

Past Medical History:
Diabetes
Arthritis
Hypertension
Aortic stenosis
GERD
Testicular CA age 7
Hiatal hernia
Coronary artery disease

Social History:
Tob: 30 pack year smoking history -- quit 20 years ago.
ETOH: 2-3 beers per day.
Works as substitute teacher.

Family History:
Non-contributory

Pertinent Results:
[**2141-4-13**] 01:31AM BLOOD WBC-7.9 RBC-4.38* Hgb-14.1 Hct-39.8*
MCV-91 MCH-32.1* MCHC-35.3* RDW-12.8 Plt Ct-179
[**2141-4-18**] 06:15AM BLOOD WBC-8.8 RBC-3.36* Hgb-10.2* Hct-29.7*
MCV-88 MCH-30.3 MCHC-34.3 RDW-14.9 Plt Ct-181#
[**2141-4-20**] 07:15AM BLOOD Hct-35.0*
[**2141-4-13**] 01:31AM BLOOD PT-14.0* PTT-112.8* INR(PT)-1.2
[**2141-4-15**] 05:25AM BLOOD PT-14.2* PTT-34.0 INR(PT)-1.3
[**2141-4-13**] 01:31AM BLOOD Glucose-144* UreaN-22* Creat-0.8 Na-144
K-4.6 Cl-110* HCO3-23 AnGap-16
[**2141-4-21**] 06:00AM BLOOD Glucose-99 UreaN-15 Creat-0.8 Na-137
K-4.2 Cl-96 HCO3-32* AnGap-13
[**2141-4-13**] 01:31AM BLOOD CK(CPK)-63
[**2141-4-13**] 01:31AM BLOOD CK-MB-NotDone cTropnT-<0.01
[**2141-4-13**] 08:50AM BLOOD Calcium-8.7 Phos-3.8 Mg-2.2 Cholest-156
[**2141-4-21**] 06:00AM BLOOD Calcium-8.9 Phos-4.5# Mg-2.3

Brief Hospital Course:
67 yo male with known 3VD, s/p cath [**4-10**] with plans for CABG
with Dr. [**Last Name (STitle) 70**] [**4-14**].  He presented to the ED [**4-13**] AM with
complaints of chest pain.  Admitted to the cardiology service
and ruled out for an MI.
He proceeded to the OR with Dr. [**Last Name (STitle) 70**] [**2141-4-14**] and underwent a
CABG x 4 with LIMA to the LAD, SVG to the Diag, and SVG to the
OM and jump to PDA.  He also had a mitral valve repair and
aortic valve replacement. Please see op note for full surgical
details. He was successfully weened and extubated on the evening
of his operative day.
On PODs one and two he remained in the ICU for ongoing
hemodynamic management. He also received PRBCs for post-op
anemia. On POD three he was transferred to the inpatient floor
for ongoing management.  On POD four his chest tubes continued
to drain a moderate amount of sero-sang drainage with small
bilateral pleural effusions and small biapical pneumothoraces by
CXR.
On POD five, chest tubes were still draining a fair amount
fluid. CXR showed no changes since yesterday. Pt. was
hemodynamically stable and ambulating well.
On POD #6, his chest tubes were removed. His post-removal CXR
showed interval decrease in the previously seen biapical
pneumothoraces. But cont. to have bibasilar atelectasis.
On POD seven pt was doing well, lungs sounds were clear bilat.
Labs were stable. He was at level 5. He continued to be above
his pre-op weight and was d/c'd today with onging diuresis.


Medications on Admission:
Lisinopril 30 daily.
Atenolol 25 daily.
Plavix 75 -- d/c'd [**4-10**].
Aspirin 81 daily.
Multivitamin daily.
HCTZ 12.5 daily.

Discharge Medications:
1. Furosemide 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours) for 7 days.
Disp:*14 Tablet(s)* Refills:*0*
2. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal Sig:
One (1) Tab Sust.Rel. Particle/Crystal PO Q12H (every 12 hours)
for 7 days.
Disp:*14 Tab Sust.Rel. Particle/Crystal(s)* Refills:*0*
3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*0*
4. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1)
Capsule, Delayed Release(E.C.) PO once a day.
Disp:*30 Capsule, Delayed Release(E.C.)(s)* Refills:*0*
5. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0*
6. Atorvastatin Calcium 10 mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*0*
7. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
Disp:*60 Tablet(s)* Refills:*0*
8. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*40 Tablet(s)* Refills:*0*

Discharge Disposition:
Home With Service

Facility:
[**Hospital1 1474**] VNA

Discharge Diagnosis:
Coronary artey disease, Aortic stenosis, Aortic insufficiency,
Mitral regurgitation s/p Coronary artery bypass graft x 4,
Mitral valve repair, Aortic valve replacement
Diabetes
Hypertension
GERD
Arthritis
Testicular CA age 7
Hiatal hernia

Discharge Condition:
Stable

Discharge Instructions:
Shower daily and wash incisions with soap and water.  Ricse
well.  Do not apply any creasm, lotions, powders, or ointments.
No swimming or tub bathing.
No driving for 6 weeks.
No lifting greater than 1- pounds.
Schedule all follow-up appointments as directed.

Followup Instructions:
Follow-up with Dr. [**Last Name (STitle) 70**] in 6 weeks.
Follow-up with Dr. [**Last Name (STitle) 34561**] in [**2-17**] weeks.
Follow-up with cardiologist in [**1-15**] weeks.


Completed by:[**2141-5-31**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Multiple involvement of mitral and aortic valves,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Esophageal reflux,Personal history of malignant neoplasm of testis'}


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: Chest pain.

PRESENT ILLNESS: This is a 67 yo male with known 3VD, cardiac cath [**4-10**] had been
d/c'd home with plans to return for CABG [**4-14**].  He presented to
the ED [**4-13**] early AM with c/o chest pain.

MEDICAL HISTORY: Diabetes
Arthritis
Hypertension
Aortic stenosis
GERD
Testicular CA age 7
Hiatal hernia
Coronary artery disease

MEDICATION ON ADMISSION: Lisinopril 30 daily.
Atenolol 25 daily.
Plavix 75 -- d/c'd [**4-10**].
Aspirin 81 daily.
Multivitamin daily.
HCTZ 12.5 daily.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Tob: 30 pack year smoking history -- quit 20 years ago.
ETOH: 2-3 beers per day.
Works as substitute teacher. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Multiple involvement of mitral and aortic valves,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Esophageal reflux,Personal history of malignant neoplasm of testis'}
