CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 37 year old
female who has a history of endstage liver disease secondary
to hepatitis C, who was just recently discharged from the
hospital for uncontrolled bleeding.  The patient was doing
well at rehabilitation.  The patient was just recently
discharged to rehabilitation on [**2172-4-30**], and on [**2172-5-1**],
the patient returned from rehabilitation for bloody output
from her [**Location (un) 1661**]-[**Location (un) 1662**] drain.

MEDICAL HISTORY: Endstage liver disease.

MEDICATION ON ADMISSION: 1. Ursodiol 300 mg p.o. three times a day.
2. Potassium Chloride 300 mEq p.o. once daily.
3. Lasix 40 mg p.o. once daily.
4. Spironolactone 50 mg p.o. once daily.
5. Protonix 40 mg p.o. once daily.
6. Mycelex 10 mg p.o. three times a day.
7. Nadolol 20 mg p.o. once daily.
8. Lactulose.
9. Colace.
10.      Multivitamin.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Cirrhosis of liver without mention of alcohol,Acute hepatitis C with hepatic coma,Acute kidney failure, unspecified,Acquired coagulation factor deficiency,Acute posthemorrhagic anemia,Disruption of external operation (surgical) wound,Unspecified septicemia,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Malignant neoplasm of esophagus, unspecified site
Cirrhosis of liver NOS,Hpt C acute w hepat Coma,Acute kidney failure NOS,Acq coagul factor defic,Ac posthemorrhag anemia,Disrup-external op wound,Septicemia NOS,Oth lymp unsp xtrndl org,Mal neo esophagus NOS
Admission Date: [**2172-5-1**]        Discharge Date: [**2172-5-14**]

Date of Birth:  [**2134-12-19**]        Sex:  F

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


HISTORY OF PRESENT ILLNESS:  The patient is a 37 year old
female who has a history of endstage liver disease secondary
to hepatitis C, who was just recently discharged from the
hospital for uncontrolled bleeding.  The patient was doing
well at rehabilitation.  The patient was just recently
discharged to rehabilitation on [**2172-4-30**], and on [**2172-5-1**],
the patient returned from rehabilitation for bloody output
from her [**Location (un) 1661**]-[**Location (un) 1662**] drain.

PAST MEDICAL HISTORY:  Endstage liver disease.

Esophageal cancer.

NonHodgkin's lymphoma.

Small bowel obstruction, status post exploratory laparotomy
and lysis of adhesions.

Status post lumpectomy.

Clostridium difficile infection.

Right lower extremity trauma and chronic lower extremity
cellulitis.

MEDICATIONS ON ADMISSION:
1. Ursodiol 300 mg p.o. three times a day.
2. Potassium Chloride 300 mEq p.o. once daily.
3. Lasix 40 mg p.o. once daily.
4. Spironolactone 50 mg p.o. once daily.
5. Protonix 40 mg p.o. once daily.
6. Mycelex 10 mg p.o. three times a day.
7. Nadolol 20 mg p.o. once daily.
8. Lactulose.
9. Colace.
10.      Multivitamin.


PHYSICAL EXAMINATION:  The patient was putting out frank
bloody material from her [**Location (un) 1661**]-[**Location (un) 1662**] drain from her
abdominal wound.  She is afebrile and vital signs are stable
although a little bit tachycardic, heart rate 95 beats per
minute.  The belly was soft, nondistended.

HOSPITAL COURSE:  The patient was admitted to the Transplant
Surgery service and at that time, the patient had a INR of
2.5.  The patient was given several units of fresh frozen
plasma in an attempt to correct her coagulopathy.  The
patient also had low platelet count.  The patient was
admitted to Intensive Care Unit for further care.  Her bloody
output from her [**Location (un) 1661**]-[**Location (un) 1662**] drain has somewhat decreased
and in an attempt to control her bleeding, the patient was
transfused several units of fresh frozen plasma and the
patient was also transfused several units of packed red blood
cells.  A hematology consultation was then obtained and
according to Hematology/Oncology, they believed her
coagulopathy was actually all resulting from her liver
failure and the patient was continued on tube feed.  The
patient also had a history of methicillin resistant
Staphylococcus aureus infection so she was started on Zosyn
and Octreotide in an attempt to slow down the [**Location (un) 1661**]-[**Location (un) 1662**]
output.  Subsequently, the patient developed renal failure
and was anuric.  Tube feed was continued at 40cc per hour.
However, on [**2172-5-13**], the patient was made comfort measures
only by the family.  On [**2172-5-14**], the patient expired at 6:00
a.m.

DISCHARGE DIAGNOSES:  Endstage liver disease, awaiting
transplant.

NonHodgkin's lymphoma.

Esophageal cancer.

Small bowel obstruction, status post exploratory laparotomy.

Chronic lower extremity cellulitis.





                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 3432**]

Dictated By:[**Last Name (NamePattern4) 47386**]
MEDQUIST36
D:  [**2172-5-16**] 14:52:09
T:  [**2172-5-16**] 15:12:17
Job#:  [**Job Number 47387**]
{'Cirrhosis of liver without mention of alcohol,Acute hepatitis C with hepatic coma,Acute kidney failure, unspecified,Acquired coagulation factor deficiency,Acute posthemorrhagic anemia,Disruption of external operation (surgical) wound,Unspecified septicemia,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Malignant neoplasm of esophagus, unspecified site'}


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 37 year old
female who has a history of endstage liver disease secondary
to hepatitis C, who was just recently discharged from the
hospital for uncontrolled bleeding.  The patient was doing
well at rehabilitation.  The patient was just recently
discharged to rehabilitation on [**2172-4-30**], and on [**2172-5-1**],
the patient returned from rehabilitation for bloody output
from her [**Location (un) 1661**]-[**Location (un) 1662**] drain.

MEDICAL HISTORY: Endstage liver disease.

MEDICATION ON ADMISSION: 1. Ursodiol 300 mg p.o. three times a day.
2. Potassium Chloride 300 mEq p.o. once daily.
3. Lasix 40 mg p.o. once daily.
4. Spironolactone 50 mg p.o. once daily.
5. Protonix 40 mg p.o. once daily.
6. Mycelex 10 mg p.o. three times a day.
7. Nadolol 20 mg p.o. once daily.
8. Lactulose.
9. Colace.
10.      Multivitamin.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Cirrhosis of liver without mention of alcohol,Acute hepatitis C with hepatic coma,Acute kidney failure, unspecified,Acquired coagulation factor deficiency,Acute posthemorrhagic anemia,Disruption of external operation (surgical) wound,Unspecified septicemia,Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Malignant neoplasm of esophagus, unspecified site'}
