CHIEF COMPLAINT: SOB, decreased exercise tolerance

PRESENT ILLNESS: 69 y/o male w/known AS, now w/progressive SOB, decreased
exercise tolerance.  Cardiac cath:normal coronaries, [**Location (un) 109**] 0.7,
3+AI.

MEDICAL HISTORY: AS
AI
Prostate cancer
arthritis

MEDICATION ON ADMISSION: Lupron Q 3 mos
Wellbutrin [**Hospital1 **]
Casodex
Keflex prn dental

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: unremarkable pre-op

FAMILY HISTORY: non-contrib

SOCIAL HISTORY: works as an artist
married, lives w/wife
ETOH ~ 4/week
quit smoking 30 years ago
Aortic valve disorders,Congestive heart failure, unspecified,Ventricular fibrillation,Tricuspid atresia and stenosis, congenital,Unspecified transient mental disorder in conditions classified elsewhere,Personal history of malignant neoplasm of prostate,Unspecified fall
Aortic valve disorder,CHF NOS,Ventricular fibrillation,Cong tricusp atres/sten,Transient mental dis NOS,Hx-prostatic malignancy,Fall NOS
Admission Date:  [**2171-10-3**]              Discharge Date:   [**2171-10-8**]

Date of Birth:  [**2102-1-27**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1267**]
Chief Complaint:
SOB, decreased exercise tolerance

Major Surgical or Invasive Procedure:
AVR


History of Present Illness:
69 y/o male w/known AS, now w/progressive SOB, decreased
exercise tolerance.  Cardiac cath:normal coronaries, [**Location (un) 109**] 0.7,
3+AI.

Past Medical History:
AS
AI
Prostate cancer
arthritis

Social History:
works as an artist
married, lives w/wife
ETOH ~ 4/week
quit smoking 30 years ago

Family History:
non-contrib

Physical Exam:
unremarkable pre-op

Pertinent Results:
[**2171-10-7**] 05:50AM BLOOD WBC-8.0 RBC-2.47* Hgb-7.8* Hct-22.0*
MCV-89 MCH-31.7 MCHC-35.7* RDW-14.7 Plt Ct-119*
[**2171-10-7**] 05:50AM BLOOD Glucose-87 UreaN-17 Creat-1.1 Na-140
K-4.1 Cl-101 HCO3-31 AnGap-12

Brief Hospital Course:
Admitted directly to the OR on [**2171-10-3**].  He underwent an AVR ([**Street Address(2) 33461**]. [**Male First Name (un) 923**] porcine/tissue).  POst-op he was taken to the
Cardiac Surgery Recovery Unit on stable condition, on
phenylephrine gtt.  He was extubated the day of surgery, and
weaned off phenylephrine and transferred to the telemetry unit
on POD # 1.  During the night of POD # [**3-1**], he had an episode of
disorientation, and fell while walking independently.  By the
morning, he was alert & oriented, and had no further episodes of
confusion.  His hematocrit on [**10-7**] was 23, he has remained on
iron and vitamin C, hct today, [**10-8**] is 23, and he is ready to be
discharged home.

Medications on Admission:
Lupron Q 3 mos
Wellbutrin [**Hospital1 **]
Casodex
Keflex prn dental

Discharge Medications:
1. Furosemide 20 mg Tablet Sig: One (1) Tablet PO once a day for
2 weeks.
Disp:*14 Tablet(s)* Refills:*0*
2. Potassium Chloride 10 mEq Tablet Sustained Release Sig: Two
(2) Capsule, Sustained Release PO once a day for 2 weeks.
Disp:*28 Capsule, Sustained Release(s)* Refills:*0*
3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
5. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
every 4-6 hours as needed for pain.
Disp:*50 Tablet(s)* Refills:*0*
6. Ferrous Gluconate 300 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily) for 1 months.
Disp:*30 Tablet(s)* Refills:*0*
7. Ascorbic Acid 500 mg Tablet Sig: One (1) Tablet PO BID (2
times a day) for 1 months.
Disp:*60 Tablet(s)* Refills:*0*
8. Famciclovir 500 mg Tablet Sig: One (1) Tablet PO three times
a day for 1 weeks.
Disp:*21 Tablet(s)* Refills:*0*
9. Bicalutamide 50 mg Tablet Sig: One (1) Tablet PO once a day.

10. Bupropion 75 mg Tablet Sig: Two (2) Tablet PO BID (2 times a
day).
11. Lopressor 50 mg Tablet Sig: [**1-28**] Tablet PO three times a day:
25 mg TID.
Disp:*60 Tablet(s)* Refills:*2*


Discharge Disposition:
Home With Service

Facility:
[**Company 1519**]

Discharge Diagnosis:
s/p AVR(#25 StJude Biocor Porcine)
PMH: AS/AI, Prostate CA s/p prostatectomy/hormone tx, Arthritis,
s/p hernia repair


Discharge Condition:
good


Discharge Instructions:
Keep wounds clean and dry. OK to shower, no bathing or swimming.
Take all medication as prescribed.
Call for any fever, redness or drainage from incision
No lotions, creams or powders on incision

Followup Instructions:
[**Hospital 409**] clinic in 2 weeks
Dr [**Last Name (STitle) 33462**] in [**3-1**] weeks
Dr [**First Name8 (NamePattern2) 1022**] [**Last Name (NamePattern1) **] in [**3-1**] weeks
Dr [**Last Name (STitle) **] in 4 weeks



Completed by:[**2171-10-8**]
{'Aortic valve disorders,Congestive heart failure, unspecified,Ventricular fibrillation,Tricuspid atresia and stenosis, congenital,Unspecified transient mental disorder in conditions classified elsewhere,Personal history of malignant neoplasm of prostate,Unspecified fall'}


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: SOB, decreased exercise tolerance

PRESENT ILLNESS: 69 y/o male w/known AS, now w/progressive SOB, decreased
exercise tolerance.  Cardiac cath:normal coronaries, [**Location (un) 109**] 0.7,
3+AI.

MEDICAL HISTORY: AS
AI
Prostate cancer
arthritis

MEDICATION ON ADMISSION: Lupron Q 3 mos
Wellbutrin [**Hospital1 **]
Casodex
Keflex prn dental

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: unremarkable pre-op

FAMILY HISTORY: non-contrib

SOCIAL HISTORY: works as an artist
married, lives w/wife
ETOH ~ 4/week
quit smoking 30 years ago 

### Response:
{'Aortic valve disorders,Congestive heart failure, unspecified,Ventricular fibrillation,Tricuspid atresia and stenosis, congenital,Unspecified transient mental disorder in conditions classified elsewhere,Personal history of malignant neoplasm of prostate,Unspecified fall'}
