CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is an
86-year-old woman with a history of hypothyroidism, B12
deficiency, referred by her primary care provider for
evaluation of her chest pain with exertion which lasted five
to ten minutes each time resolving with rest.  No nausea,
vomiting, or palpitations.  No headache or dizziness.  No
recurrent symptoms since the episode.  The patient was
referred to the Emergency Department, afebrile, vital signs
stable.  The patient had an EKG which showed possible
anterior infarct of undetermined age and ruled out for an MI
with negative enzymes.  A stress echo showed reversible
ischemia.  The patient was admitted for a catheterization.

MEDICAL HISTORY: 1.  Hypothyroidism.
2.  Vitamin B12 deficiency.
3.  No history of coronary artery disease, hypertension, or
hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient is a nonsmoker.  Social drinker.
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Mitral valve disorders,Unspecified acquired hypothyroidism,Other vitamin B12 deficiency anemia,Old myocardial infarction
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Mitral valve disorder,Hypothyroidism NOS,B12 defic anemia NEC,Old myocardial infarct
Admission Date:  [**2120-2-14**]       Discharge Date:  [**2120-2-24**]


Service:  CARDIOTHORACIC SURGERY

HISTORY OF THE PRESENT ILLNESS:  The patient is an
86-year-old woman with a history of hypothyroidism, B12
deficiency, referred by her primary care provider for
evaluation of her chest pain with exertion which lasted five
to ten minutes each time resolving with rest.  No nausea,
vomiting, or palpitations.  No headache or dizziness.  No
recurrent symptoms since the episode.  The patient was
referred to the Emergency Department, afebrile, vital signs
stable.  The patient had an EKG which showed possible
anterior infarct of undetermined age and ruled out for an MI
with negative enzymes.  A stress echo showed reversible
ischemia.  The patient was admitted for a catheterization.

ALLERGIES:  The patient has no known drug allergies.

ADMISSION MEDICATIONS:
1.  Levoxyl 50 micrograms q.d. five times a week, 75
micrograms q.d. two times a week.
2.  Vitamin B12 1 gram IM q. month.
3.  Calcium carbonate q.d.

PAST MEDICAL HISTORY:
1.  Hypothyroidism.
2.  Vitamin B12 deficiency.
3.  No history of coronary artery disease, hypertension, or
hypercholesterolemia.

SOCIAL HISTORY:  The patient is a nonsmoker.  Social drinker.

PHYSICAL EXAMINATION ON ADMISSION:  Heart:  On admission, the
patient had a regular rate and rhythm.  Lungs:  Clear to
auscultation.

LABORATORY DATA/STUDIES:  White count 7.4, hematocrit 34.3,
02 saturations within normal limits.  The cardiac enzymes
negative.

Chest x-ray showed no failure, no infiltrates, no effusions.
Normal size heart.  Hyperinflated lungs consistent with COPD.

Echocardiogram showed positive regional LV systolic
dysfunction with mid to distal anteroseptal, mid to distal
anterior and apical akinesis, moderate MR, no AR, worsening
basilar anterior wall motion with exercise.  EF 35-40%.

HOSPITAL COURSE:  The patient was admitted for
catheterization which she underwent on hospital day two.  It
showed left main stenosis with three vessel disease.  The
patient was asymptomatic at present.  There were some issues
with obtaining type and cross and, therefore, this surgery
was postponed until hospital day number five.  She underwent
a CABG times three.  She tolerated the procedure well.  She
was transferred to the unit.

Postoperatively, she was extubated and transferred to the
floor on postoperative day number one.  The patient continued
to have an uncomplicated hospital course having only a couple
of very short episodes of A fib lasting less than one minute
which spontaneously converted back to sinus with p.o.
medications.

By postoperative day number five, the patient was tolerating
a regular diet, ambulating well, and having good p.o. pain
control.  The patient was felt to be ready for discharge to
her [**Hospital3 **] facility with VNA.  She will follow-up
with Dr. [**Last Name (STitle) **] in four weeks and her primary care provider
in one to two weeks and with the cardiologist in two to three
weeks.

DISCHARGE MEDICATIONS:
1.  Lopressor 12.5 mg b.i.d.
2.  Zantac 150 mg q.d. until follow-up with the surgeon.
3.  Levothyroxine 75 micrograms Wednesday and Saturday, 50
micrograms Sunday, Monday, Tuesday, Thursday, and Friday.
4.  Percocet one to two tablets p.o. q. four to six hours
p.r.n.
5.  Tylenol 650 mg q. four to six hours p.r.n.
6.  Enteric coated aspirin 325 mg q.d.
7.  Colace 100 mg b.i.d.
8.  Milk of magnesia 30 milliliters q.h.s. p.r.n.
9.  Lasix 20 mg b.i.d. times seven days.
10. Potassium chloride 20 mEq b.i.d. times seven days.

CONDITION ON DISCHARGE:  Good.

DISCHARGE STATUS:  To an [**Hospital3 **] facility with VNA.

DISCHARGE DIAGNOSIS:  Status post coronary artery bypass
graft times three; left internal mammary artery to the left
anterior descending artery, saphenous vein graft to the
diagonal and obtuse marginal.



                            [**First Name11 (Name Pattern1) 1112**] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 3113**]

Dictated By:[**Name8 (MD) 5915**]
MEDQUIST36

D:  [**2120-2-24**]  07:19
T:  [**2120-2-24**]  19:36
JOB#:  [**Job Number 110556**]

cc:[**Initial (NamePattern1) 110557**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Mitral valve disorders,Unspecified acquired hypothyroidism,Other vitamin B12 deficiency anemia,Old myocardial infarction'}


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 an
86-year-old woman with a history of hypothyroidism, B12
deficiency, referred by her primary care provider for
evaluation of her chest pain with exertion which lasted five
to ten minutes each time resolving with rest.  No nausea,
vomiting, or palpitations.  No headache or dizziness.  No
recurrent symptoms since the episode.  The patient was
referred to the Emergency Department, afebrile, vital signs
stable.  The patient had an EKG which showed possible
anterior infarct of undetermined age and ruled out for an MI
with negative enzymes.  A stress echo showed reversible
ischemia.  The patient was admitted for a catheterization.

MEDICAL HISTORY: 1.  Hypothyroidism.
2.  Vitamin B12 deficiency.
3.  No history of coronary artery disease, hypertension, or
hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient is a nonsmoker.  Social drinker. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Mitral valve disorders,Unspecified acquired hypothyroidism,Other vitamin B12 deficiency anemia,Old myocardial infarction'}
