CHIEF COMPLAINT: 

PRESENT ILLNESS: This patient is a 61 year-old
male with type 2 diabetes, antiphospholipid antibody who
recently underwent a right total knee replacement in [**2142-9-2**].  His postoperative course was complicated by necrotic
bowel with an emergent right colectomy that was performed,
along with an end ileostomy and mucous fistula.  He was
discharged to [**Hospital 38**] Rehab on [**6-20**] where he was making
some progress until three days prior to admission to the [**Hospital1 1444**].  He started to develop
nausea and vomiting, and increased temperatures.  Upon
admission to the [**Hospital1 69**], the
patient was febrile, tachycardiac, and hypotensive.  CT scan
demonstrated a large left lateral fluid collection.  He was
admitted to the Intensive Care Unit for management of his
septic physiology.

MEDICAL HISTORY: Hypertension.

MEDICATION ON ADMISSION: 1. Coumadin 7 mg q.h.s.
2. Humibid LA 600 mg b.i.d.
3. Procrit 30 K q week.
4. Celexa 10 mg q day.
5. Flomax 0.4 mg q day.
6. Aspirin 81 mg q day.
7. NPH 8 units q.a.m. and 6 units q.p.m.
8. Protonix 40 mg q day.
9. Ambien q.h.s.
10.      Colchicine 0.6 mg po b.i.d.
11.      Fentanyl patch.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other postoperative infection,Unspecified septicemia,Acute kidney failure, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery,Gout, unspecified
Other postop infection,Septicemia NOS,Acute kidney failure NOS,Hypertension NOS,DMII wo cmp nt st uncntr,Crnry athrscl natve vssl,Gout NOS
Admission Date: [**2142-7-21**]        Discharge Date: [**2142-7-25**]

Date of Birth:  [**2081-5-30**]        Sex:  M

Service:  [**Last Name (un) **]


ADMISSION DIAGNOSIS:  Intraabdominal abscess.

HISTORY OF PRESENT ILLNESS:  This patient is a 61 year-old
male with type 2 diabetes, antiphospholipid antibody who
recently underwent a right total knee replacement in [**2142-9-2**].  His postoperative course was complicated by necrotic
bowel with an emergent right colectomy that was performed,
along with an end ileostomy and mucous fistula.  He was
discharged to [**Hospital 38**] Rehab on [**6-20**] where he was making
some progress until three days prior to admission to the [**Hospital1 1444**].  He started to develop
nausea and vomiting, and increased temperatures.  Upon
admission to the [**Hospital1 69**], the
patient was febrile, tachycardiac, and hypotensive.  CT scan
demonstrated a large left lateral fluid collection.  He was
admitted to the Intensive Care Unit for management of his
septic physiology.

PAST MEDICAL HISTORY:  Hypertension.

Diabetes mellitus type 2.

Bilateral upper extremity thrombosis.

Coronary artery disease status post myocardial infarction.

History of pneumonia.

Positive antiphospholipid antibody.

Gout.

Arthritis.

Status post right total knee replacement.

Status post right colectomy with ileostomy and mucous
fistula.

MEDICATIONS ON ADMISSION:
1. Coumadin 7 mg q.h.s.
2. Humibid LA 600 mg b.i.d.
3. Procrit 30 K q week.
4. Celexa 10 mg q day.
5. Flomax 0.4 mg q day.
6. Aspirin 81 mg q day.
7. NPH 8 units q.a.m. and 6 units q.p.m.
8. Protonix 40 mg q day.
9. Ambien q.h.s.
10.      Colchicine 0.6 mg po b.i.d.
11.      Fentanyl patch.


HOSPITAL COURSE:  This patient was admitted on [**2142-7-21**]
to the Intensive Care Unit for further management of his
sepsis.  He was taken down to the Interventional Radiology
Suite and a percutaneous drainage of his left lateral
intraabdominal fluid collection was performed.  There were no
complications and the patient tolerated the procedure. The
patient's clinical picture improved dramatically following
drainage of the fluid collection.  A pigtail catheter was
also left in place.  He was started on a Levophed drip, as
well as Vancomycin and Zosyn for broad spectrum antibiotic
coverage.  A hematology consult was requested for his history
of antiphospholipid antibody syndrome and deep venous
thrombosis in his upper extremities.  They recommended that
the patient be anticoagulated while the patient is
hospitalized with a PTT goal of 70 to 100.  His goal INR
should be 2.5 to 3.5 when stable.  The patient remained
stable while in the Intensive Care Unit and he was weaned off
his Levophed drip.  His cultures revealed methicillin
resistant staph coag negative.  He was anticoagulated with a
heparin drip and he was continued on his antibiotics.  By
hospital day four he was transferred to the floor for further
care.  He remained stable throughout the rest of his hospital
course.  He was started on Coumadin 7 mg q.h.s.  He was
discharged still with a heparin drip as the patient's INR was
not therapeutic.  A PICC line was also placed on [**2142-7-25**] for further antibiotics at rehab.  Chest x-ray was
performed.  There was no pneumothorax.  The patient was
tolerating a regular diet before discharge to home.

DISCHARGE STATUS:  To [**Hospital 38**] rehab.

DISCHARGE CONDITION:  Good.

FOLLOW UP:  The patient is to follow up with Dr. [**Last Name (STitle) 468**]
within two weeks.  The patient is to call and make an
appointment.  The patient is also to have a CT scan performed
on the day of follow up.

DISCHARGE MEDICATIONS:
1. Albuterol prn.
2. Citalopram hydrobromide 10 mg po q day.
3. Colchicine 0.6 mg po b.i.d.
4. Fentanyl patch 15 micrograms topical patch q 72 hours.
5. Fluticasone 110 micrograms two puffs inhaled b.i.d.
6. Insulin sliding scale.
7. Ipratropium bromide prn.
8. Protonix 40 mg po q day.
9. Zosyn 4.5 grams intravenous q 8 until PICC is removed.
10.      Vancomycin 1 gram q 12 hours until pigtail is
   removed.
11  Commadin 7 mg po q.h.s.
1. Percocet 5/325 mg tablets one to two tablets po q 4 to 6
   hours prn.
2. Normal saline flushes 5 cc to and from pigtail drain q 4
   to 6 hours.


DISCHARGE DIAGNOSES:  Intraabdominal abscess status post
percutaneous drainage.

Hypertension.

Diabetes mellitus type 2.

Coronary artery disease.

Gout.

Osteoarthritis.

Status post right colectomy with ileostomy and mucous
fistula.



                        [**Name6 (MD) **] [**Last Name (NamePattern4) 7542**], [**MD Number(1) 7543**]

Dictated By:[**Last Name (NamePattern1) 52598**]
MEDQUIST36
D:  [**2142-7-25**] 09:30:40
T:  [**2142-7-25**] 09:56:15
Job#:  [**Job Number **]
{'Other postoperative infection,Unspecified septicemia,Acute kidney failure, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery,Gout, unspecified'}


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 patient is a 61 year-old
male with type 2 diabetes, antiphospholipid antibody who
recently underwent a right total knee replacement in [**2142-9-2**].  His postoperative course was complicated by necrotic
bowel with an emergent right colectomy that was performed,
along with an end ileostomy and mucous fistula.  He was
discharged to [**Hospital 38**] Rehab on [**6-20**] where he was making
some progress until three days prior to admission to the [**Hospital1 1444**].  He started to develop
nausea and vomiting, and increased temperatures.  Upon
admission to the [**Hospital1 69**], the
patient was febrile, tachycardiac, and hypotensive.  CT scan
demonstrated a large left lateral fluid collection.  He was
admitted to the Intensive Care Unit for management of his
septic physiology.

MEDICAL HISTORY: Hypertension.

MEDICATION ON ADMISSION: 1. Coumadin 7 mg q.h.s.
2. Humibid LA 600 mg b.i.d.
3. Procrit 30 K q week.
4. Celexa 10 mg q day.
5. Flomax 0.4 mg q day.
6. Aspirin 81 mg q day.
7. NPH 8 units q.a.m. and 6 units q.p.m.
8. Protonix 40 mg q day.
9. Ambien q.h.s.
10.      Colchicine 0.6 mg po b.i.d.
11.      Fentanyl patch.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other postoperative infection,Unspecified septicemia,Acute kidney failure, unspecified,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Coronary atherosclerosis of native coronary artery,Gout, unspecified'}
