CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 45 year-old
woman with a prior history of right coronary and circumflex
artery stent with recent treatment of an RCA and re-stenosis.
She had a re-look catheterization after recurrent chest pain.
Her last catheterization on [**2138-4-10**] had shown 50% proximal
RCA stenosis with a stent, 40% distal RCA and an OM stent
which was open, left system had no significant disease. She
had bilateral arm joint and throat discomfort on [**2138-6-10**]
while riding in her car. An EKG read at that time revealed a
new T wave inversion. An echocardiogram showed no significant
change.

MEDICAL HISTORY: 1.  Hypothyroidism.
2.  Head pain.

MEDICATION ON ADMISSION: 

ALLERGIES: Include sulfa medications.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subendocardial infarction, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified acquired hypothyroidism,Pure hypercholesterolemia
Subendo infarct, initial,Crnry athrscl natve vssl,Hypothyroidism NOS,Pure hypercholesterolem
Name:  [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 1385**], [**Known firstname 356**] J                  Unit No:  [**Numeric Identifier 4458**]

Admission Date:  [**2139-3-26**]     Discharge Date:

Date of Birth:   [**2093-3-27**]     Sex:  F

Service:  Cardiothoracic

Patient [**Known lastname 4459**] Lopressor was discontinued and atenolol
was added of 12.5 mg po q day.


                              [**Last Name (LF) **],[**Name8 (MD) **] M.D.02-358



                          [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 4460**], P.A.

Dictated By:[**Last Name (NamePattern1) 4461**]

MEDQUIST36

D:  [**2139-4-1**]  09:49
T:  [**2139-4-1**]  09:56
JOB#:  [**Job Number 4462**]


Admission Date:  [**2139-3-26**]       Discharge Date:  [**2139-4-1**]

Date of Birth:   [**2093-3-27**]       Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 45 year-old
woman with a prior history of right coronary and circumflex
artery stent with recent treatment of an RCA and re-stenosis.
She had a re-look catheterization after recurrent chest pain.
Her last catheterization on [**2138-4-10**] had shown 50% proximal
RCA stenosis with a stent, 40% distal RCA and an OM stent
which was open, left system had no significant disease. She
had bilateral arm joint and throat discomfort on [**2138-6-10**]
while riding in her car. An EKG read at that time revealed a
new T wave inversion. An echocardiogram showed no significant
change.

MEDICATIONS AT HOME:
1.  Lipitor 10 milligrams once a day.
2.  Atenolol 50 once a day.
3.  Synthroid 0.51 milligrams once a day.
4.  Prempro 0.0625 milligrams once a day.
5.  Aspirin 325 milligrams a day.
6.  Plavix 75 milligrams a day.
7.  Folic Acid 1 milligram a day.

LABORATORY DATA ON ADMISSION:  Showed potassium 3.5, BUN and
creatinine 9 and 0.6.

ALLERGIES: Include sulfa medications.

PAST MEDICAL HISTORY:
1.  Hypothyroidism.
2.  Head pain.

PAST SURGICAL HISTORY:  No past surgical history.

HOSPITAL COURSE:  The patient was admitted to the service of
[**Hospital1 69**] and found to have a 100%
RCA occlusion. She went to the operating room and had a vein
graft CABG of the RCA with Dr. [**Last Name (STitle) 70**].  Postoperatively
she was transferred to the Cardiothoracic Intensive Care Unit
where she did well. Her chest tubes were discontinued. She
did well and she was then transferred to the floor on
[**2139-3-30**]. Her Foley catheter was discontinued that night and
then her wires the next day.  She was doing well, ambulating
a level IV as of [**2139-3-31**]. However she still had some
orthostatic hypertension secondary to a somewhat low
hematocrit and she was given fluids for which she recovered
and on [**2139-4-1**] the patient was able to perform stairs and
had a desire to go home. She was able to ambulate well and
Physical Therapy cleared her for discharge home.

DISCHARGE MEDICATIONS:
1.  Atenolol 12.5 milligrams po q day.
2.  Niferex 150 milligrams po q day.
3.  Colace 100 milligrams po q day.
4.  Synthroid 0.1 milligrams po q day.
5.  Prempro 0.625 milligrams po q day.
6.  Plavix 75 milligrams po q day.
7.  Lipitor 10 milligrams po q HS.
8.  Percocet one to two tablets po q four to six hours prn.
She was getting 60 of those.
9.  Aspirin 325 milligrams po q day.
10. Ranitidine 150 milligrams po bid.

FOLLOW UP:  She is to follow up with Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 25934**] her
PCP, [**Name10 (NameIs) 2086**] in three to four weeks. Dr. [**Last Name (STitle) 70**] in six
weeks.

DISCHARGE CONDITION:  She is in good condition. She
understands the plan and is doing well.

DATE OF DISCHARGE:  [**2139-4-1**].

                                DR.[**Last Name (STitle) **],[**First Name3 (LF) **] 02-358


Dictated By:[**Name8 (MD) 16758**]
MEDQUIST36

D:  [**2139-4-1**]  11:06
T:  [**2139-4-1**]  11:33
JOB#:  [**Job Number 25935**]
{'Subendocardial infarction, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified acquired hypothyroidism,Pure hypercholesterolemia'}


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: The patient is a 45 year-old
woman with a prior history of right coronary and circumflex
artery stent with recent treatment of an RCA and re-stenosis.
She had a re-look catheterization after recurrent chest pain.
Her last catheterization on [**2138-4-10**] had shown 50% proximal
RCA stenosis with a stent, 40% distal RCA and an OM stent
which was open, left system had no significant disease. She
had bilateral arm joint and throat discomfort on [**2138-6-10**]
while riding in her car. An EKG read at that time revealed a
new T wave inversion. An echocardiogram showed no significant
change.

MEDICAL HISTORY: 1.  Hypothyroidism.
2.  Head pain.

MEDICATION ON ADMISSION: 

ALLERGIES: Include sulfa medications.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subendocardial infarction, initial episode of care,Coronary atherosclerosis of native coronary artery,Unspecified acquired hypothyroidism,Pure hypercholesterolemia'}
