CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 64 year old male who
has a history of hypertension, high cholesterol, diabetes,
who was found to have [**Year (4 digits) 8813**] arch dissection and cath showed
multivessel disease.

MEDICAL HISTORY: Significant for hypertension, [**Year (4 digits) 8813**]
arch dissection, high cholesterol.  Loss of the right kidney
due to [**Year (4 digits) 8813**] arch dissection.

MEDICATION ON ADMISSION: Zestril, aspirin, labetalol,
Norvasc.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Dissection of aorta, thoracic,Mitral valve insufficiency and aortic valve insufficiency,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Pure hypercholesterolemia
Dsct of thoracic aorta,Mitral/aortic val insuff,Crnry athrscl natve vssl,Hypertension NOS,Pure hypercholesterolem
Admission Date:  [**2150-8-18**]     Discharge Date:  [**2150-8-23**]

Date of Birth:   [**2085-11-28**]     Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  This is a 64 year old male who
has a history of hypertension, high cholesterol, diabetes,
who was found to have [**Year (4 digits) 8813**] arch dissection and cath showed
multivessel disease.

PAST MEDICAL HISTORY:  Significant for hypertension, [**Year (4 digits) 8813**]
arch dissection, high cholesterol.  Loss of the right kidney
due to [**Year (4 digits) 8813**] arch dissection.

MEDICATIONS ON ADMISSION:  Zestril, aspirin, labetalol,
Norvasc.

PHYSICAL EXAMINATION:  Afebrile, vital signs stable.  Lungs
were clear to auscultation.  Heart was regular rate and
rhythm with a 4/6 systolic ejection murmur.  Abdomen was
soft, nondistended, nontender.  Bowel sounds were present.
Extremities were warm and well perfused.

HOSPITAL COURSE:  The patient was taken to the operating room
on [**2150-8-18**] where CABG times one, LIMA to LAD, was performed.
AVR with pericardial valve was performed.  Resection and
replacement of the ascending [**Date Range 8813**] arch were performed.
Patient was transferred to the TSRU postoperatively where he
did well.  His blood sugar was high for awhile and patient
was restarted on his pre-op medications with good results.
Patient was slowly weaned from the ventilator.  After
beginning aggressive diuresis, patient was able to be
extubated and did well.  Patient continued to improve and was
started on p.o. pain medications.  His diet was advanced.  He
continued to be diuresed in the intensive care unit and he
did well.

Physical therapy was consulted for ambulation and it was
recommended at that time that patient could be discharged
home after medical clearance.  He was slowly weaned from his
nitroglycerin drip and patient continued to do well.  He was
transferred to the floor postoperatively.  His chest tubes
were removed.  His wires were removed.  His Foley catheter
was also removed.  He continued to be diuresed and had
aggressive pulmonary toilet.  He was able to be weaned from
oxygen at that time and did well.  Patient was discharged
home on postoperative day five after clearance by physical
therapy.

DISCHARGE MEDICATIONS:
1.  Aspirin 325 p.o. q.d.
2.  Amlodipine 5 mg p.o. b.i.d.
3.  Labetalol 400 mg p.o. b.i.d.
4.  Percocet one to two tabs p.o. q.four hours p.r.n.
5.  Zantac 150 p.o. b.i.d.
6.  Colace 100 mg p.o. b.i.d.
7.  Lasix 20 mg p.o. b.i.d.
8.  KCl 20 mEq p.o. b.i.d.

Th[**Last Name (STitle) 1050**] was discharged home in stable condition.  Patient
was instructed to follow up with Dr. [**Last Name (Prefixes) **] in four
weeks and with his primary care physician in one to two weeks
and with his cardiologist in two to four weeks.

DISCHARGE DIAGNOSES:
1.  Hypertension.
2.  CAD status post CABG times one.
3.  AVR and [**Last Name (Prefixes) 8813**] arch repair.
4.  History of [**Last Name (Prefixes) 8813**] dissection with loss of right kidney.
5.  High cholesterol.






                          [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Last Name (NamePattern4) 23403**]

MEDQUIST36

D:  [**2150-8-23**]  10:06
T:  [**2150-8-28**]  09:18
JOB#:  [**Job Number 42724**]
{'Dissection of aorta, thoracic,Mitral valve insufficiency and aortic valve insufficiency,Coronary atherosclerosis of native coronary artery,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: 

PRESENT ILLNESS: This is a 64 year old male who
has a history of hypertension, high cholesterol, diabetes,
who was found to have [**Year (4 digits) 8813**] arch dissection and cath showed
multivessel disease.

MEDICAL HISTORY: Significant for hypertension, [**Year (4 digits) 8813**]
arch dissection, high cholesterol.  Loss of the right kidney
due to [**Year (4 digits) 8813**] arch dissection.

MEDICATION ON ADMISSION: Zestril, aspirin, labetalol,
Norvasc.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Dissection of aorta, thoracic,Mitral valve insufficiency and aortic valve insufficiency,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Pure hypercholesterolemia'}
