CHIEF COMPLAINT: 

PRESENT ILLNESS: 

MEDICAL HISTORY: 1.  Status post motor vehicle accident in [**2122-1-23**].
2.  Lichen planus.
3.  Anxiety.
4.  She is status post D&C in [**2097**].

MEDICATION ON ADMISSION: 

ALLERGIES: She has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She does not smoke and does not drink
alcohol.
Malignant neoplasm of kidney, except pelvis,Accidental puncture or laceration during a procedure, not elsewhere classified,Anxiety state, unspecified
Malig neopl kidney,Accidental op laceration,Anxiety state NOS
Admission Date:  [**2122-5-19**]     Discharge Date:  [**2122-5-24**]

Date of Birth:   [**2063-10-4**]     Sex:  F

Service:  Urology

DISPOSITION:  Home.

DISCHARGE CONDITION:  Stable.

HISTORY: This is a 58 year-old female who was found to have a
slightly enhancing left renal mass. A preoperative abdominal
CT scan showed no evidence of metastatic disease.
Preoperative chest CT scan also showed no evidence of
metastatic disease. The patient was counseled for surgical
therapy.

PAST MEDICAL HISTORY:
1.  Status post motor vehicle accident in [**2122-1-23**].
2.  Lichen planus.
3.  Anxiety.
4.  She is status post D&C in [**2097**].

MEDICATIONS:
1.  Celexa.
2.  Ativan.

ALLERGIES: She has no known drug allergies.

SOCIAL HISTORY:  She does not smoke and does not drink
alcohol.

PHYSICAL EXAMINATION:  Shows a slightly obese, middle aged
woman in no acute distress. She is very nervous. Her heart
rate is 71. Her blood pressure is 192/100. Her head and neck
exams are benign. Her lungs are clear to auscultation. Her
heart is regular rate and rhythm with no murmurs. Her abdomen
is soft, nontender. There is no costovertebral angle
tenderness. Her lower extremities showed no pedal edema.

HOSPITAL COURSE: The patient was admitted on [**2122-5-19**] status
post a left radical nephrectomy performed by Dr. [**Last Name (STitle) 9125**].
Intraoperatively an inferior mesenteric vein and splenic vein
tear were repaired. The patient was volume resuscitated and
postoperatively was transferred to the Intensive Care Unit
for monitoring. Due to a positive air leak with intubation
the decision was made to postpone extubation. Postoperatively
the patient remained hemodynamically stable. Her respiratory
status remained stable. She was extubated on postoperative
day two and was subsequently transferred to the surgical
floor.

Her nasogastric tube was removed on postoperative day three
and with the passage of flatus her diet was advanced as
tolerated. Her postoperative hematocrit remained stable at
25, 25 and 27. Her creatinine peaked at 1.1. She advanced her
diet without difficulty. She moved her bowels.

On examination on discharge she remained afebrile with stable
vital signs. Her incision was clean, dry and intact. Her
epidural had been removed and she was tolerating pain control
with Percocet. She was voiding without difficulty.

On postoperative day five she was discharged to home to
follow up with Dr. [**Last Name (STitle) 9125**] in the office for staple removal
and pathology review.

DISCHARGE MEDICATIONS:
1.  Percocet one to two tablets po q four hours prn pain.
2.  Colace 100 mg po bid.
3.  Niferex 150 mg po bid.




                          [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern1) **], MD  [**MD Number(1) 13269**]

Dictated By:[**Last Name (NamePattern1) 18686**]

MEDQUIST36

D:  [**2122-5-24**]  08:57
T:  [**2122-5-25**]  13:44
JOB#:  [**Job Number 42186**]
{'Malignant neoplasm of kidney, except pelvis,Accidental puncture or laceration during a procedure, not elsewhere classified,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: 

PRESENT ILLNESS: 

MEDICAL HISTORY: 1.  Status post motor vehicle accident in [**2122-1-23**].
2.  Lichen planus.
3.  Anxiety.
4.  She is status post D&C in [**2097**].

MEDICATION ON ADMISSION: 

ALLERGIES: She has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She does not smoke and does not drink
alcohol. 

### Response:
{'Malignant neoplasm of kidney, except pelvis,Accidental puncture or laceration during a procedure, not elsewhere classified,Anxiety state, unspecified'}
