CHIEF COMPLAINT: abdominal pain

PRESENT ILLNESS: Patient is a 46M who presents with a 1 week h/o worsening
abdominal pain. The patient states that this pain is
intermittent, primarily epigastric, sharp, with radiation to the
RUQ/LUQ. He states that this pain has been getting gradually
worse over the past week. He endorses early satiety and
inability
to move bowels. He initially believed that he was just
constipated. Today, he reports his pain to be increasingly
worse.
He reports nausea with emesis x1 that was just regurgitated
food.
He now presents for further care.

MEDICAL HISTORY: gout, GERD

MEDICATION ON ADMISSION: allopurinol, protonix

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On presentation
VS: 98.7 136 154/102 22 98%RA
General: awake and alert
CV: tachycardic
Lungs: CTA bilaterally
Abdomen: soft, non-distended, hypoactive BS, no
rebound-guarding
Ext: warm, no edema

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Patient reports drinking [**11-23**] pint to 1 pint of Schnops per
day, he denies tobacco/illicit drug abuse
Acute pancreatitis,Other pulmonary embolism and infarction,Other and unspecified alcohol dependence, unspecified,Gout, unspecified,Esophageal reflux,Anxiety state, unspecified
Acute pancreatitis,Pulm embol/infarct NEC,Alcoh dep NEC/NOS-unspec,Gout NOS,Esophageal reflux,Anxiety state NOS
Admission Date:  [**2183-1-1**]              Discharge Date:   [**2183-1-3**]

Date of Birth:  [**2136-4-11**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 148**]
Chief Complaint:
abdominal pain


Major Surgical or Invasive Procedure:
None

History of Present Illness:
Patient is a 46M who presents with a 1 week h/o worsening
abdominal pain. The patient states that this pain is
intermittent, primarily epigastric, sharp, with radiation to the
RUQ/LUQ. He states that this pain has been getting gradually
worse over the past week. He endorses early satiety and
inability
to move bowels. He initially believed that he was just
constipated. Today, he reports his pain to be increasingly
worse.
He reports nausea with emesis x1 that was just regurgitated
food.
He now presents for further care.


Past Medical History:
gout, GERD


Social History:
Patient reports drinking [**11-23**] pint to 1 pint of Schnops per
day, he denies tobacco/illicit drug abuse


Family History:
Non-contributory

Physical Exam:
On presentation
VS: 98.7 136 154/102 22 98%RA
General: awake and alert
CV: tachycardic
Lungs: CTA bilaterally
Abdomen: soft, non-distended, hypoactive BS, no
rebound-guarding
Ext: warm, no edema


Pertinent Results:
[**2183-1-1**] 06:51PM   LACTATE-1.0
[**2183-1-1**] 06:45PM   GLUCOSE-117* UREA N-8 CREAT-0.9 SODIUM-141
POTASSIUM-3.5 CHLORIDE-107 TOTAL CO2-22 ANION GAP-16
[**2183-1-1**] 06:45PM   estGFR-Using this
[**2183-1-1**] 06:45PM   ALT(SGPT)-23 AST(SGOT)-28 ALK PHOS-90 TOT
BILI-1.1
[**2183-1-1**] 06:45PM   LIPASE-2198*
[**2183-1-1**] 06:45PM   WBC-12.6* RBC-4.42* HGB-14.4 HCT-43.4 MCV-98
MCH-32.6* MCHC-33.2 RDW-14.0
[**2183-1-1**] 06:45PM   NEUTS-85.9* LYMPHS-8.5* MONOS-5.1 EOS-0.1
BASOS-0.3
[**2183-1-1**] 06:45PM   NEUTS-85.9* LYMPHS-8.5* MONOS-5.1 EOS-0.1
BASOS-0.3
[**2183-1-1**] 06:45PM   PLT COUNT-323
[**2183-1-1**] 06:45PM   PT-12.3 PTT-21.2* INR(PT)-1.0

Brief Hospital Course:
46 y/o M presented with first episode of alcohol induced
pancreatitis of one weeks duration. Admitted to the SICU [**2183-1-1**]
with sinus tachycardia to 130's, normotensive with good urine
output. On [**2183-1-2**] patient appeared comfortable, with good UOP
and tachy to 130[**Hospital **] transferred to floor. On floor patient was
noted to be anxious with sinus tachy to 130's but normotensive
with good UOP throughout. Patient's tachycardia increased to
140-150, EKG obtained by HO demonstrated sinus tachy without any
new EKG changes. HR peaked at 169 at approx 9:30, Patient seen
by HO and noted to be anxious but without chest pain, shortness
of breath, nausea or any focal neurological deficits. 5mg IV
Lopressor Q4H started at approx 10:00pm. At 11:45 patient found
unresponsive by [**Name6 (MD) **] and RN. Code blue called immediately and ACLS
instituted. Patient found to be in PEA arrest. Two rounds of
atropine, epi + vasopressin given. Patient was intubated and
briefly regained a thready pulse before reverting back to PEA.
After three rounds of meds/chest compressions patient regained
weak pulsed and was quickly transferred to SICU. Soon after
arrival patient reverted to PEA and ACLS was again reinstituted
at 00:30. Epi x 4, atropine x 4, bicarb x 4 + IVF. 00:57 pulse
regained with spurts of respiratory motion, (HR: 139 BP: 91/63).
CXR obtain with ETT in good position, no overt ARDS, no
pneumothorax or hemothorax. Crystalloids and pressors increased.
Attending made aware. 1:03 Patient reverted to PEA, chest
compressions resumed. Pulse not regained despite 6 rounds of
meds in SICU. Time of death 1:13. Attending notified. Spouse
notified. ME declined exam. Permission for autopsy obtained.


Medications on Admission:
allopurinol, protonix


Discharge Medications:
N/A

Discharge Disposition:
Expired

Discharge Diagnosis:
Primary: Acute pancreatitis
Secondary: Cardiopulmonary arrest

Discharge Condition:
Expired
{'Acute pancreatitis,Other pulmonary embolism and infarction,Other and unspecified alcohol dependence, unspecified,Gout, unspecified,Esophageal reflux,Anxiety state, 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: abdominal pain

PRESENT ILLNESS: Patient is a 46M who presents with a 1 week h/o worsening
abdominal pain. The patient states that this pain is
intermittent, primarily epigastric, sharp, with radiation to the
RUQ/LUQ. He states that this pain has been getting gradually
worse over the past week. He endorses early satiety and
inability
to move bowels. He initially believed that he was just
constipated. Today, he reports his pain to be increasingly
worse.
He reports nausea with emesis x1 that was just regurgitated
food.
He now presents for further care.

MEDICAL HISTORY: gout, GERD

MEDICATION ON ADMISSION: allopurinol, protonix

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On presentation
VS: 98.7 136 154/102 22 98%RA
General: awake and alert
CV: tachycardic
Lungs: CTA bilaterally
Abdomen: soft, non-distended, hypoactive BS, no
rebound-guarding
Ext: warm, no edema

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Patient reports drinking [**11-23**] pint to 1 pint of Schnops per
day, he denies tobacco/illicit drug abuse 

### Response:
{'Acute pancreatitis,Other pulmonary embolism and infarction,Other and unspecified alcohol dependence, unspecified,Gout, unspecified,Esophageal reflux,Anxiety state, unspecified'}
