CHIEF COMPLAINT: Cervical stenosis

PRESENT ILLNESS: see admit H&P

MEDICAL HISTORY: see admit H&P

MEDICATION ON ADMISSION: see admit H&P

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: see admit H&P

FAMILY HISTORY: see admit H&P

SOCIAL HISTORY: see admit H&P
Cervical spondylosis with myelopathy,Respiratory arrest,Hematoma complicating a procedure,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation
Cerv spondyl w myelopath,Respiratory arrest,Hematoma complic proc,DMII wo cmp nt st uncntr,Abn react-surg proc NEC
Admission Date:  [**2152-2-8**]              Discharge Date:   [**2152-2-18**]

Date of Birth:  [**2096-4-3**]             Sex:   M

Service: ORTHOPAEDICS

Allergies:
No Known Allergies / Adverse Drug Reactions

Attending:[**Known firstname 3645**]
Chief Complaint:
Cervical stenosis

Major Surgical or Invasive Procedure:
Anterior/posterior cervical decompression and fusion


History of Present Illness:
see admit H&P

Past Medical History:
see admit H&P

Social History:
see admit H&P

Family History:
see admit H&P

Physical Exam:
see admit H&P

Pertinent Results:
[**2152-2-8**] 12:51PM   TYPE-ART PO2-251* PCO2-38 PH-7.37 TOTAL
CO2-23 BASE XS--2
[**2152-2-8**] 12:51PM   GLUCOSE-191* LACTATE-1.6 NA+-138 K+-3.9
CL--108
[**2152-2-8**] 12:51PM   HGB-12.8* calcHCT-38
[**2152-2-8**] 12:51PM   freeCa-1.07*
[**2152-2-8**] 12:00PM   TYPE-ART PO2-247* PCO2-36 PH-7.36 TOTAL
CO2-21 BASE XS--4
[**2152-2-8**] 12:00PM   GLUCOSE-173* LACTATE-1.7 NA+-139 K+-3.7
CL--111
[**2152-2-8**] 12:00PM   HGB-12.7* calcHCT-38
[**2152-2-8**] 12:00PM   freeCa-1.07*

Brief Hospital Course:
Patient underwent above procedures in staged fashion.  Stage 1
was well tolerated.  In the immediate post-operative period
after Stage 2 (posterior fusion), patient developed respiratory
compromise and possible aspiration, and was transferred to the
ICU after intubation.

The ICU team managed his pulmonary function with ventilator,
diuresis and elevation to reduce tracheal edema.  Once patient
developed a cuff leak signaling improving edema, he was
successfully extubated.  He returned to the floor in stable
condition and progressed well.  He did not develop febrile
temperatures nor any clinical signs of respiratory infection.
Incisions maintained excellent appearance throughout
hospitalization.

Once pain was adequately controlled, once stable medically, and
once patient was tolerating a diet, he was deemed stable for
discharge.  Given slow progress with PT, he was deemed most
appropriate for transfer to [**Hospital3 **] facility.

Medications on Admission:
see admit H&P

Discharge Medications:
1. lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

2. sertraline 50 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).

3. docusate sodium 50 mg/5 mL Liquid Sig: One (1)  PO BID (2
times a day).
4. oxycodone 5 mg Tablet Sig: 1-3 Tablets PO Q3H (every 3 hours)
as needed for pain.
Disp:*90 Tablet(s)* Refills:*0*
5. acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6
hours) as needed for pain,fever.
6. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed for constipation.
7. famotidine 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
8. metoprolol tartrate 25 mg Tablet Sig: One (1) Tablet PO TID
(3 times a day).


Discharge Disposition:
Extended Care

Facility:
[**Hospital6 85**] - [**Location (un) 86**]

Discharge Diagnosis:
Cervical stenosis


Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Ambulatory - requires assistance or aid (walker
or cane).


Discharge Instructions:
1. Keep incision clean and dry
2. [**Month (only) 116**] shower, change dressing afterwards
3. no bath2
4. No bending, twisting, no lifting > 10 lbs
5. C-collar at all times.
Physical Therapy:
Continue to advance mobility.  No bending, twisting, lifting.
Treatments Frequency:
keep incision clean and dry, may shower, change dressing
afterwards.

Followup Instructions:
Provider: [**Last Name (NamePattern4) **]. [**Known firstname **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) **] Phone:[**Telephone/Fax (1) 3736**]
Date/Time:[**2152-2-28**] 10:40
Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 1207**], MD Phone:[**Telephone/Fax (1) 4775**]
Date/Time:[**2152-3-1**] 11:00



Completed by:[**2152-2-17**]
{'Cervical spondylosis with myelopathy,Respiratory arrest,Hematoma complicating a procedure,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}


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: Cervical stenosis

PRESENT ILLNESS: see admit H&P

MEDICAL HISTORY: see admit H&P

MEDICATION ON ADMISSION: see admit H&P

ALLERGIES: No Known Allergies / Adverse Drug Reactions

PHYSICAL EXAM: see admit H&P

FAMILY HISTORY: see admit H&P

SOCIAL HISTORY: see admit H&P 

### Response:
{'Cervical spondylosis with myelopathy,Respiratory arrest,Hematoma complicating a procedure,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}
