CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 58-year-old man found
to have MR over past year while being evaluated for atrial
fibrillation/flutter.  The patient denies any symptoms.  Echo
on [**2133-12-1**] showed 4+ mitral regurgitation, 1+ aortic
regurgitation, and EF of 55%.  Cath done on [**12-28**]
showed 40-50% proximal left main, with an ejection fraction
of 65%, and 4+ mitral regurgitation.

MEDICAL HISTORY: 1) Hypertension, 2) Atrial flutter,
status post cardioversion, [**2133-5-18**], 3) Prostate cancer,
status post prostatectomy in [**2132**], 4) Status post rotator
cuff surgery.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin and erythromycin.

PHYSICAL EXAM: Neuro grossly intact.  Pulmonary - lungs
clear to auscultation bilaterally.  Cardiovascular - 4/6
systolic ejection murmur at apex.  Abdomen is benign.
Extremities are warm and well-perfused with no edema.

FAMILY HISTORY: 

SOCIAL HISTORY: 
Mitral valve insufficiency and aortic valve insufficiency,Atrial flutter,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension
Mitral/aortic val insuff,Atrial flutter,Hx-prostatic malignancy,Hypertension NOS
Admission Date:  [**2134-1-11**]       Discharge Date:  [**2134-1-15**]

Date of Birth:   [**2075-4-19**]       Sex:  M

Service:  CARDIOTHORACIC

The patient is a postoperative admit.

MEDICAL HISTORY PRIOR TO THE DAY OF SURGERY:  Mr. [**Known lastname 41662**] is a
58-year-old male with known mitral regurgitation who
underwent cardiac catheterization in anticipation of a mitral
valve repair/replacement.

HISTORY OF PRESENT ILLNESS:  This is a 58-year-old man found
to have MR over past year while being evaluated for atrial
fibrillation/flutter.  The patient denies any symptoms.  Echo
on [**2133-12-1**] showed 4+ mitral regurgitation, 1+ aortic
regurgitation, and EF of 55%.  Cath done on [**12-28**]
showed 40-50% proximal left main, with an ejection fraction
of 65%, and 4+ mitral regurgitation.

PAST MEDICAL HISTORY:  1) Hypertension, 2) Atrial flutter,
status post cardioversion, [**2133-5-18**], 3) Prostate cancer,
status post prostatectomy in [**2132**], 4) Status post rotator
cuff surgery.

ALLERGIES:  Penicillin and erythromycin.

MEDICATIONS:  Lopressor 50 mg [**Hospital1 **], Digitec 0.25 mg qd,
Univasc 7.5 mg qd, aspirin 325 mg qd.

LAB VALUES:  White count 6.8, hematocrit 37.7, platelets 178,
PT 12.6, PTT 28.7, INR 1.0, sodium 136, potassium 4.1,
chloride 101, CO2 26, BUN 13, creatinine 0.8, glucose 120.
EKG is a sinus rhythm.

REVIEW OF SYSTEMS:  Neuro - denies any CVA, syncope, or
seizures.  Pulmonary - denies any respiratory distress,
cough.  Cardiovascular - as per history.  GI - denies any
GERD or GI problems.  GU - prostatectomy in [**2132-11-18**], no
other issues.  Heme, ID, Endocrine and Psych - denies any
past problems.

PHYSICAL EXAM:  Neuro grossly intact.  Pulmonary - lungs
clear to auscultation bilaterally.  Cardiovascular - 4/6
systolic ejection murmur at apex.  Abdomen is benign.
Extremities are warm and well-perfused with no edema.

HOSPITAL COURSE:  On [**2134-1-11**], the patient was
admitted to the operating room where he underwent a mitral
valve repair; please see the OR report for full details.  In
summary, the patient had a mitral valve repair with a
quadrangular resection of the posterior leaflet, a cord
transfer and shortening, and a triangular resection of the
anterior leaflet, and a 32 mm [**Doctor Last Name 405**] ring.  He tolerated
the operation well and was transferred from the operating
room to the Cardiothoracic Unit.

The patient did well in the immediate postoperative period.
His anesthesia was reversed.  He was weaned from the
ventilator and successfully extubated on postoperative day
#1.  On postoperative day #1, the patient remained
hemodynamically stable.  He remained in the Intensive Care
Unit for monitoring of his chest tube drainage, as well as
hemodynamic monitoring.

On postoperative day #2, the patient continued to do well,
and he was transferred to [**3-19**] for continued postoperative
care and cardiac rehabilitation.  Once on the floor, the
patient was seen by physical therapy, and with the assistance
of physical therapy and the nursing staff, his activity level
was increased.  His stay on the floor was uneventful, and on
postoperative day #3, his chest tubes were discontinued, and
on postoperative day #4, it was decided that the patient was
stable and ready for discharge to home.

At the time of discharge, the patient's physical exam is as
follows:  Vital signs - temperature 99, heart rate 78, blood
pressure 110/60, respiratory rate 16, O2 sat 98% on room air.
Weight preoperatively 88.4 kg and at discharge 95.8 kg.

LAB DATA AT DISCHARGE:  White count 9.3, hematocrit 26.7,
platelets 150, sodium 135, potassium 4.1, chloride 98, CO2
30, BUN 14, creatinine 0.8, glucose 105.

PHYSICAL EXAM:  Alert and oriented x 3, moves all
extremities, follows commands.  Respiratory - clear to
auscultation bilaterally.  Cardiovascular - regular rate and
rhythm, S1, S2.  Sternum is stable.  Incision with
Steri-Strips, open to air, clean and dry.  Abdomen is soft,
nontender, nondistended with normoactive bowel sounds.
Extremities - warm and well-perfused with trace edema
bilaterally.

DISCHARGE MEDICATIONS:  Metoprolol 25 mg [**Hospital1 **], furosemide 20
mg [**Hospital1 **] x 7 days, potassium chloride 20 mEq [**Hospital1 **] x 7 days,
aspirin 325 mg qd, captopril 12.5 mg tid, and percocet 5/325,
1-2 tabs q 4 h prn.

DISCHARGE CONDITION:  Stable.

DISCHARGE DIAGNOSES:  1) Mitral regurgitation, status post
mitral valve repair with a quadrangular resection and 32
[**Doctor Last Name 405**] ring.  2) Hypertension.  3) Atrial flutter, status
post cardioversion.  4) Prostate cancer, status post
prostatectomy.  5) Status post rotator cuff surgery.

Th[**Last Name (STitle) 1050**] is to be discharged to home.  He is to have
follow-up in the [**Hospital 409**] Clinic in two weeks.  Follow-up with
Dr. [**Last Name (Prefixes) **] in four weeks, and follow-up with Doctors [**Name5 (PTitle) **]
and [**Name5 (PTitle) **] in four weeks.




                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Name8 (MD) 415**]
MEDQUIST36

D:  [**2134-1-15**]  08:51
T:  [**2134-1-15**]  08:41
JOB#:  [**Job Number 41663**]
{'Mitral valve insufficiency and aortic valve insufficiency,Atrial flutter,Personal history of malignant neoplasm of prostate,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: 

PRESENT ILLNESS: This is a 58-year-old man found
to have MR over past year while being evaluated for atrial
fibrillation/flutter.  The patient denies any symptoms.  Echo
on [**2133-12-1**] showed 4+ mitral regurgitation, 1+ aortic
regurgitation, and EF of 55%.  Cath done on [**12-28**]
showed 40-50% proximal left main, with an ejection fraction
of 65%, and 4+ mitral regurgitation.

MEDICAL HISTORY: 1) Hypertension, 2) Atrial flutter,
status post cardioversion, [**2133-5-18**], 3) Prostate cancer,
status post prostatectomy in [**2132**], 4) Status post rotator
cuff surgery.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin and erythromycin.

PHYSICAL EXAM: Neuro grossly intact.  Pulmonary - lungs
clear to auscultation bilaterally.  Cardiovascular - 4/6
systolic ejection murmur at apex.  Abdomen is benign.
Extremities are warm and well-perfused with no edema.

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Mitral valve insufficiency and aortic valve insufficiency,Atrial flutter,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension'}
