CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a delightful
37-year-old woman who had a hypotensive arrest in 12/99 for
tamponade.  She underwent pericardiocentesis at that time
with relief of the tamponade.  An extensive workup was
negative.  She was recently admitted with a multilobar
pneumonia and pleural effusion in [**2200-12-31**].  During a
recent visit with Dr. [**Last Name (STitle) 217**] for asthma, she was found
to have an increased cardiac shadow which was concerning for
a pericardial effusion.  Echocardiography demonstrated a
moderate to large pericardial effusion which was without
evidence of tamponade.  This was felt to be a free-flowing
pericardiocentesis given the fact that it recurred and given
the initial event that she had with the arrest, we were asked
by the Cardiology Service to perform a pericardial window.
Therefore, she was admitted to the hospital for this
procedure.

MEDICAL HISTORY: 1.  Asthma.
2.  Diabetes.
3.  Hypertension.
4.  Paroxysmal atrial fibrillation.
5.  Amenorrhea.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Acute rheumatic pericarditis,Atrial fibrillation,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Morbid obesity
Acute rheumatic pericard,Atrial fibrillation,Hypertension NOS,DMII wo cmp nt st uncntr,Morbid obesity
Admission Date:  [**2201-3-12**]     Discharge Date:  [**2201-3-23**]

Date of Birth:   [**2162-3-29**]     Sex:  F

Service:

HISTORY OF THE PRESENT ILLNESS:  The patient is a delightful
37-year-old woman who had a hypotensive arrest in 12/99 for
tamponade.  She underwent pericardiocentesis at that time
with relief of the tamponade.  An extensive workup was
negative.  She was recently admitted with a multilobar
pneumonia and pleural effusion in [**2200-12-31**].  During a
recent visit with Dr. [**Last Name (STitle) 217**] for asthma, she was found
to have an increased cardiac shadow which was concerning for
a pericardial effusion.  Echocardiography demonstrated a
moderate to large pericardial effusion which was without
evidence of tamponade.  This was felt to be a free-flowing
pericardiocentesis given the fact that it recurred and given
the initial event that she had with the arrest, we were asked
by the Cardiology Service to perform a pericardial window.
Therefore, she was admitted to the hospital for this
procedure.

PAST MEDICAL HISTORY:
1.  Asthma.
2.  Diabetes.
3.  Hypertension.
4.  Paroxysmal atrial fibrillation.
5.  Amenorrhea.

HOSPITAL COURSE:  The patient was admitted to the hospital on
[**2201-3-12**] and taken to the Operating Room the following day.
She underwent a left thoracotomy with open pericardial window
and breakdown and removal of pericardial fibrin and
loculations.  The procedure was complicated by some airway
trauma with the placement of the endotracheal tube.
Therefore, she was kept intubated for three days
postoperatively to allow supraglottic and laryngeal edema to
subside prior to extubation.

She was then extubated without difficulty and transferred to
the floor.  On the floor, she continued to improve with a
fair amount of chest tube output.  Eventually, the chest tube
output decreased to virtually nothing.  However, a chest
x-ray and chest CT demonstrated a residual left pleural
effusion with lobar collapse.  We, therefore, had the
Interventional Radiology Service place a pigtail catheter
with excellent effect.  This was subsequently removed.

The patient was ultimately discharged on [**2201-3-23**] in good
condition.

DISCHARGE STATUS:  The patient was discharged to home.

DISCHARGE DIAGNOSIS:  Loculated pericardial effusion.

DISCHARGE MEDICATIONS:
1.  Verapamil.
2.  Zoloft.
3.  Levoxyl.
4.  Multiple inhalers.
5.  Provera.
6.  Percocet.

FOLLOW-UP PLANS:  The patient is to follow-up with Dr.
[**Last Name (STitle) 952**].




                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 3351**], M.D.  [**MD Number(1) 3352**]

Dictated By:[**Last Name (NamePattern4) 9931**]

MEDQUIST36

D:  [**2201-4-1**]  04:32
T:  [**2201-4-3**]  11:07
JOB#:  [**Job Number 24105**]
{'Acute rheumatic pericarditis,Atrial fibrillation,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Morbid obesity'}


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 delightful
37-year-old woman who had a hypotensive arrest in 12/99 for
tamponade.  She underwent pericardiocentesis at that time
with relief of the tamponade.  An extensive workup was
negative.  She was recently admitted with a multilobar
pneumonia and pleural effusion in [**2200-12-31**].  During a
recent visit with Dr. [**Last Name (STitle) 217**] for asthma, she was found
to have an increased cardiac shadow which was concerning for
a pericardial effusion.  Echocardiography demonstrated a
moderate to large pericardial effusion which was without
evidence of tamponade.  This was felt to be a free-flowing
pericardiocentesis given the fact that it recurred and given
the initial event that she had with the arrest, we were asked
by the Cardiology Service to perform a pericardial window.
Therefore, she was admitted to the hospital for this
procedure.

MEDICAL HISTORY: 1.  Asthma.
2.  Diabetes.
3.  Hypertension.
4.  Paroxysmal atrial fibrillation.
5.  Amenorrhea.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Acute rheumatic pericarditis,Atrial fibrillation,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Morbid obesity'}
