CHIEF COMPLAINT: Symptomatic right carotid stenosis.

PRESENT ILLNESS: This is a 75 -year-old
non-diabetic white male with history of left carotid
stenosis, status post left carotid endarterectomy and re-do
carotid endarterectomy four years ago, history of
hypercholesterolemia, developed right eye symptoms
approximately one month prior to admission.  The patient
describes a ten second period of a shade coming down his
right eye.  There was no recurrence of this symptom, but the
patient remembers similar symptoms occurring before his left
carotid endarterectomy.  Ultrasound at [**Hospital **] Hospital
showed a greater than 90% right internal carotid artery
stenosis.

MEDICAL HISTORY: 1.  Hypercholesterolemia.
2.  Left carotid stenosis.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin, IV contrast dye.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient does not smoke cigarettes.  He
has wine with dinner daily.
Occlusion and stenosis of carotid artery without mention of cerebral infarction,Unspecified essential hypertension,Pure hypercholesterolemia
Ocl crtd art wo infrct,Hypertension NOS,Pure hypercholesterolem
Admission Date:  [**2134-1-15**]     Discharge Date:  [**2134-1-19**]

Date of Birth:   [**2058-6-29**]     Sex:  M

Service:  VASC [**Doctor First Name 147**]

CHIEF COMPLAINT:  Symptomatic right carotid stenosis.

HISTORY OF PRESENT ILLNESS:  This is a 75 -year-old
non-diabetic white male with history of left carotid
stenosis, status post left carotid endarterectomy and re-do
carotid endarterectomy four years ago, history of
hypercholesterolemia, developed right eye symptoms
approximately one month prior to admission.  The patient
describes a ten second period of a shade coming down his
right eye.  There was no recurrence of this symptom, but the
patient remembers similar symptoms occurring before his left
carotid endarterectomy.  Ultrasound at [**Hospital **] Hospital
showed a greater than 90% right internal carotid artery
stenosis.

REVIEW OF SYSTEMS:  The patient denies any arm, leg weakness
or numbness, headaches, dizziness, or speech difficulties.

PAST MEDICAL HISTORY:
1.  Hypercholesterolemia.
2.  Left carotid stenosis.

PAST SURGICAL HISTORY:
1.  Left carotid endarterectomy approximately [**2128**].
2.  Re-do left carotid endarterectomy [**2129**].
3.  Inguinal hernia repair bilaterally approximately [**2122**].

SOCIAL HISTORY:  The patient does not smoke cigarettes.  He
has wine with dinner daily.

ALLERGIES:  Penicillin, IV contrast dye.

ADMITTING MEDICATIONS:  Aspirin 81 mg po q day.

PHYSICAL EXAMINATION:  Vital signs: temperature 98.2 F, pulse
81, blood pressure 138/80, O2 saturation equals 96% on room
air.  In general, alert, cooperative white male in no acute
distress.  Head, eyes, ears, nose, and throat: pupils are
equal, round, and reactive to light, normocephalic.  Neck:
well healed left carotid endarterectomy scar, carotids
palpable 2+ bilaterally, no bruits.  Chest: lungs are clear
bilaterally.  Heart: regular rate and rhythm without murmur.
Abdomen: soft, nontender, nondistended, bowel sounds present.
Extremities: no clubbing, cyanosis, or edema, dorsalis pedis
pulses palpable bilaterally.  Neurologic examination:
strength is [**4-24**] and symmetric throughout, sensation is
intact.  Cranial nerves II through XII are intact,
extraocular movements are intact.  Tongue in midline, face
symmetric.

ADMISSION LABORATORY DATA:  White blood cells 6.3, hematocrit
43.2, platelets 150,000.  Sodium 141, potassium 4.0, chloride
106, CO2 25, BUN 20, creatinine 1.3, glucose 220.  PT 11.8,
PTT 24.2, INR 0.9.

HOSPITAL COURSE:  The patient was admitted to the hospital on
[**2134-1-15**].  He was started on a heparin infusion and underwent
an urgent right carotid endarterectomy with a patch
angioplasty on Sunday, [**2134-1-17**].  At the end of surgery, the
patient was neurologically intact.  Postoperatively the
patient was hypotensive and was transferred to the Surgical
Intensive Care Unit where his blood pressure could be
supported with a Neo-Synephrine drip.  This was weaned off by
late postoperative day one.  The patient was then transferred
to the Vascular Intensive Care Unit setting on [**2134-1-18**].

On [**2134-1-19**], the patient remained neurologically stable.  His
right neck surgical incision was clean, dry, and intact.  He
was discharged home with instructions for staple removal on
postoperative day seven.  The patient was instructed to
follow up with Dr. [**Last Name (STitle) 1391**] in approximately two weeks from
discharge.

DISCHARGE MEDICATIONS:  Aspirin 81 mg po q day.

DISCHARGE CONDITION:  Good.

DISPOSITION:  Home.

DISCHARGE DIAGNOSES:
1.  Symptomatic right carotid stenosis.
2.  Urgent right carotid endarterectomy on [**2134-1-17**].

SECONDARY DIAGNOSES:
1.  Left carotid stenosis, status post carotid endarterectomy
and re-do carotid endarterectomy.
2.  Hypercholesterolemia.



                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 4417**]

Dictated By:[**Last Name (NamePattern1) 3954**]

MEDQUIST36

D:  [**2134-5-11**]  11:12
T:  [**2134-5-11**]  12:17
JOB#:  [**Job Number 34646**]
{'Occlusion and stenosis of carotid artery without mention of cerebral infarction,Unspecified essential hypertension,Pure hypercholesterolemia'}


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: Symptomatic right carotid stenosis.

PRESENT ILLNESS: This is a 75 -year-old
non-diabetic white male with history of left carotid
stenosis, status post left carotid endarterectomy and re-do
carotid endarterectomy four years ago, history of
hypercholesterolemia, developed right eye symptoms
approximately one month prior to admission.  The patient
describes a ten second period of a shade coming down his
right eye.  There was no recurrence of this symptom, but the
patient remembers similar symptoms occurring before his left
carotid endarterectomy.  Ultrasound at [**Hospital **] Hospital
showed a greater than 90% right internal carotid artery
stenosis.

MEDICAL HISTORY: 1.  Hypercholesterolemia.
2.  Left carotid stenosis.

MEDICATION ON ADMISSION: 

ALLERGIES: Penicillin, IV contrast dye.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient does not smoke cigarettes.  He
has wine with dinner daily. 

### Response:
{'Occlusion and stenosis of carotid artery without mention of cerebral infarction,Unspecified essential hypertension,Pure hypercholesterolemia'}
