CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 76-year-old male
who was found to be rigoring after getting out of the pool on
the day of admission.  The patient was overall feeling fine
and did not complain of a fever, cough, or general malaise.
The patient went to the Emergency Department and was found to
have a temperature of 101.1.  During the patient's visit in
the Emergency Department, the patient's blood pressure fell
from a systolic blood pressure of 110 down to a systolic
blood pressure of 68.  The patient was resuscitated with IV
fluids and pressors.

MEDICAL HISTORY: 1.  CAD, status post CABG in [**2192**] with an EF of 30-40%.
2.  Atrial fibrillation, currently taking Coumadin.
3.  Depression.
4.  Status post hernia repair.
5.  Seizure disorder.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Cellulitis and abscess of leg, except foot,Congestive heart failure, unspecified,Atrial fibrillation,Long-term (current) use of anticoagulants,Aortocoronary bypass status
Cellulitis of leg,CHF NOS,Atrial fibrillation,Long-term use anticoagul,Aortocoronary bypass
Admission Date:  [**2197-3-23**]     Discharge Date:  [**2197-3-29**]

Date of Birth:   [**2120-8-17**]     Sex:  M

Service:  [**Company 191**]

HISTORY OF THE PRESENT ILLNESS:  This is a 76-year-old male
who was found to be rigoring after getting out of the pool on
the day of admission.  The patient was overall feeling fine
and did not complain of a fever, cough, or general malaise.
The patient went to the Emergency Department and was found to
have a temperature of 101.1.  During the patient's visit in
the Emergency Department, the patient's blood pressure fell
from a systolic blood pressure of 110 down to a systolic
blood pressure of 68.  The patient was resuscitated with IV
fluids and pressors.

A workup of fever in the Emergency Department did not reveal
a source of fever.  Chest x-ray was negative.  Blood cultures
and urine cultures were collected.  The patient was
empirically begun on levofloxacin and Flagyl.  The patient
was stabilized and admitted to the Intensive Care Unit.

PAST MEDICAL HISTORY:
1.  CAD, status post CABG in [**2192**] with an EF of 30-40%.
2.  Atrial fibrillation, currently taking Coumadin.
3.  Depression.
4.  Status post hernia repair.
5.  Seizure disorder.

PHYSICAL EXAMINATION ON ADMISSION:  Vital signs:  Temperature
101, blood pressure 110/80, heart rate 100, respiratory rate
15, breathing 98% on room air.  General:  The patient was an
ill-appearing male in no apparent distress.  Skin:  No
rashes.  The membranes were moist.  Neck:  Supple with no
lymphadenopathy.  Cardiac:  Irregularly/irregular pulse with
a normal S1 and S2.  There was a grade II/VI systolic murmur
best heard at the apex.  Lungs:  Clear to auscultation
bilaterally. Abdomen:  Soft, nondistended, with no
tenderness.  Extremities:  The left extremity was very mildly
erythematous.  Pulses were palpable bilaterally.

HOSPITAL COURSE:  On the second day of the [**Hospital 228**] hospital
stay, the patient developed a cellulitis of his left lower
extremity.  The cellulitis was felt to be the etiology of his
fevers and rigors.  The patient was begun on oxacillin 2
grams IV q. six hours for the cellulitis.  The cellulitis
improved dramatically over the next several days.

While in the ICU, the patient was mildly volume overloaded.
Diuretic therapy with Lasix and good results were achieved.
The patient became euvolemic and was transferred to the floor
for observation.

On the floor, the patient complained of a mild cough since
aspirating a small amount of water in the ICU.  A chest x-ray
was performed and revealed pneumonitis secondary to
aspiration.  The patient's cough resolved within a day.

The patient's chemistries on admission were a sodium of 140,
potassium 4.5, chloride 101, bicarbonate 26, BUN 20,
creatinine 1.0, glucose 98.  Calcium was 7.5, phosphate 2.5,
magnesium 1.7.  The patient's white count was 15 with a left
shift.

DISCHARGE CONDITION:  The patient was discharged in good
condition.

DISCHARGE DIAGNOSIS:
1.  Cellulitis.
2.  Sepsis.
3.  Congestive heart failure.

DISPOSITION:  The patient was discharged home.

DISCHARGE MEDICATIONS:
1.  Oxacillin p.o. to be taken for 14 days.
2.  The patient was instructed to take all of the medications
he was taking previously before admission.

FOLLOW-UP:  The patient is to follow-up with his primary care
physician within two weeks to monitor the compression and
resolution of his cellulitis.




                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 7323**], M.D.  [**MD Number(1) 101646**]

Dictated By:[**Last Name (NamePattern1) 104024**]

MEDQUIST36

D:  [**2197-4-3**]  12:01
T:  [**2197-4-4**]  09:07
JOB#:  [**Job Number 45493**]
{'Cellulitis and abscess of leg, except foot,Congestive heart failure, unspecified,Atrial fibrillation,Long-term (current) use of anticoagulants,Aortocoronary bypass status'}


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 76-year-old male
who was found to be rigoring after getting out of the pool on
the day of admission.  The patient was overall feeling fine
and did not complain of a fever, cough, or general malaise.
The patient went to the Emergency Department and was found to
have a temperature of 101.1.  During the patient's visit in
the Emergency Department, the patient's blood pressure fell
from a systolic blood pressure of 110 down to a systolic
blood pressure of 68.  The patient was resuscitated with IV
fluids and pressors.

MEDICAL HISTORY: 1.  CAD, status post CABG in [**2192**] with an EF of 30-40%.
2.  Atrial fibrillation, currently taking Coumadin.
3.  Depression.
4.  Status post hernia repair.
5.  Seizure disorder.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Cellulitis and abscess of leg, except foot,Congestive heart failure, unspecified,Atrial fibrillation,Long-term (current) use of anticoagulants,Aortocoronary bypass status'}
