CHIEF COMPLAINT: sinus venosus ASD
PAPVR

PRESENT ILLNESS: 58F with ASD & PAPVR followed by BACH, who has suffered from
recurrent pneumonias through her life.  She denies chest pain,
DOE, orthopnea or peripheral edema.

MEDICAL HISTORY: HTN
recurrent pneumonias
s/p T&A

MEDICATION ON ADMISSION: atenolol, levaquin

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: AVSS
RRR, no rub
CTA B, bibasilar crackles
soft NT
[**1-17**]+ pedal edema
wounds CDI

FAMILY HISTORY: signif for stroke, CAD

SOCIAL HISTORY: Married in [**Location (un) 17927**].  School teacher.  no toxic habits.
Other bulbus cordis anomalies and anomalies of cardiac septal closure,Cardiac complications, not elsewhere classified,Atrial fibrillation,Partial anomalous pulmonary venous connection,Unspecified essential hypertension
Septal closure anom NEC,Surg compl-heart,Atrial fibrillation,Part anom pulm ven conn,Hypertension NOS
Admission Date:  [**2134-2-24**]              Discharge Date:   [**2134-2-28**]

Date of Birth:  [**2074-2-27**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1283**]
Chief Complaint:
sinus venosus ASD
PAPVR

Major Surgical or Invasive Procedure:
modified warden procedure [**2-24**]


History of Present Illness:
58F with ASD & PAPVR followed by BACH, who has suffered from
recurrent pneumonias through her life.  She denies chest pain,
DOE, orthopnea or peripheral edema.

Past Medical History:
HTN
recurrent pneumonias
s/p T&A

Social History:
Married in [**Location (un) 17927**].  School teacher.  no toxic habits.

Family History:
signif for stroke, CAD

Physical Exam:
AVSS
RRR, no rub
CTA B, bibasilar crackles
soft NT
[**1-17**]+ pedal edema
wounds CDI


Pertinent Results:
[**2134-2-28**] 06:15AM BLOOD Hct-33.1*

Brief Hospital Course:
***Followed throughout this hospital course by [**Hospital1 11900**] BACH program.

[**2-24**]: Admitted for elective modified warden procedure.  See op
note for specifics of this procedure.  Extubated on that evening
without event.
[**2-25**]: Transferred from ICU to floor.  A fib responsive to
amiodarone.
[**2-26**]: Gradually increased exercise tolerance & appetite.
Diuresed.  No more a fib.  amio DC'd.
[**2-28**]: DC'd home in good condition.

Medications on Admission:
atenolol, levaquin

Discharge Medications:
1. Atenolol 50 mg Tablet Sig: One (1) Tablet PO once a day:
resume your preop dose.
Disp:*30 Tablet(s)* Refills:*2*
2. Furosemide 40 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) for 10 days.
Disp:*20 Tablet(s)* Refills:*0*
3. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: Two
(2) Capsule, Sustained Release PO twice a day for 10 days: while
using lasix.
Disp:*40 Capsule, Sustained Release(s)* Refills:*0*
4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*45 Tablet(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:*2*
6. Outpatient Lab Work
Twice weekly labs while using lasix: Chem-7.  Fax results to Dr.
[**Last Name (STitle) 32622**] at [**Telephone/Fax (1) 58789**].


Discharge Disposition:
Home With Service

Facility:
[**Location (un) 2203**] VNA

Discharge Diagnosis:
hypertension
sinus venous atrial septal defect
anomalous pulmonary venous return


Discharge Condition:
good

Discharge Instructions:
Diet as tolerated.  Sternal precautions as described by your RN.

Whiel using narcotics, take colace twice a day to prevent
constipation & do not drive.

Contact your MD if you develop fevers > 101, redness about your
surgical sites, difficulty breathing, or if you have any
concerns.

[**Last Name (NamePattern4) 2138**]p Instructions:
Follow up with Dr. [**Last Name (Prefixes) **] in [**3-19**] weeks.  Contact the office
at [**Telephone/Fax (1) 170**] to schedule an appointment.

Follow up with your PCP, [**Name10 (NameIs) **] [**Last Name (STitle) 58790**], and your cardiologist, Dr.
[**Last Name (STitle) 32622**], in the next 2 weeks.



Completed by:[**2134-2-28**]
{'Other bulbus cordis anomalies and anomalies of cardiac septal closure,Cardiac complications, not elsewhere classified,Atrial fibrillation,Partial anomalous pulmonary venous connection,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: sinus venosus ASD
PAPVR

PRESENT ILLNESS: 58F with ASD & PAPVR followed by BACH, who has suffered from
recurrent pneumonias through her life.  She denies chest pain,
DOE, orthopnea or peripheral edema.

MEDICAL HISTORY: HTN
recurrent pneumonias
s/p T&A

MEDICATION ON ADMISSION: atenolol, levaquin

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: AVSS
RRR, no rub
CTA B, bibasilar crackles
soft NT
[**1-17**]+ pedal edema
wounds CDI

FAMILY HISTORY: signif for stroke, CAD

SOCIAL HISTORY: Married in [**Location (un) 17927**].  School teacher.  no toxic habits. 

### Response:
{'Other bulbus cordis anomalies and anomalies of cardiac septal closure,Cardiac complications, not elsewhere classified,Atrial fibrillation,Partial anomalous pulmonary venous connection,Unspecified essential hypertension'}
