CHIEF COMPLAINT: known murmur with mitral valve prolapse and dyspnea on exertion

PRESENT ILLNESS: Mr. [**Known lastname 60969**] has had known mitral valve prolapse with mild dyspnea
on exertion and was referred to Dr. [**Last Name (STitle) **] for surgical
repair.

MEDICAL HISTORY: mitral valve prolapse
sleep apnea
s/p herniorrhaphy
s/p back surgery
s/p L eye surgery

MEDICATION ON ADMISSION: aspirin 81mg qd
MVI

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: non contributory

SOCIAL HISTORY: he loves with his wife, has a remote tobacco history, [**12-26**]
glasses of wine/day.
Mitral valve disorders,Rupture of chordae tendineae,Unspecified sleep apnea,Personal history of tobacco use
Mitral valve disorder,Chordae tendinae rupture,Sleep apnea NOS,History of tobacco use
Admission Date:  [**2185-4-25**]              Discharge Date:   [**2185-4-28**]

Date of Birth:  [**2130-1-25**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1283**]
Chief Complaint:
known murmur with mitral valve prolapse and dyspnea on exertion

Major Surgical or Invasive Procedure:
Minimally invasive MVR(27mm partial annuloplasty band) [**2185-4-25**]


History of Present Illness:
Mr. [**Known lastname 60969**] has had known mitral valve prolapse with mild dyspnea
on exertion and was referred to Dr. [**Last Name (STitle) **] for surgical
repair.

Past Medical History:
mitral valve prolapse
sleep apnea
s/p herniorrhaphy
s/p back surgery
s/p L eye surgery

Social History:
he loves with his wife, has a remote tobacco history, [**12-26**]
glasses of wine/day.

Family History:
non contributory

Pertinent Results:
[**2185-4-28**] 05:40AM BLOOD WBC-8.5 RBC-3.52* Hgb-11.2* Hct-31.4*
MCV-89 MCH-31.8 MCHC-35.7* RDW-13.1 Plt Ct-135*
[**2185-4-28**] 05:40AM BLOOD Plt Ct-135*
[**2185-4-27**] 05:55AM BLOOD Glucose-109* UreaN-13 Creat-0.9 Na-135
K-4.1 Cl-99 HCO3-31* AnGap-9

Brief Hospital Course:
Mr. [**Name13 (STitle) **] was admitted on [**4-25**] and taken to the operating room
with Dr. [**Last Name (STitle) **] for a minimally invasive mitral valve repair
with quadrangular resection of the posterior leaflet and a 27mm
annuloplasty band.  He was transferred to the intensive care
unit in stable condition.  He was weaned and extubated from
mechanical ventilation on his first postoperative evening
without difficulty.  He was transferred to the regular floor on
POD#1, began working with physical therapy and was cleared by
POD#2.  He developed muscle spasm in his back which was
successfully treated with Valium and NSAIDS, and was cleared for
discharge and discharged to home on POD#3.

Medications on Admission:
aspirin 81mg qd
MVI


Discharge Medications:
1. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO twice
a day.
Disp:*60 Tablet(s)* Refills:*2*
2. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal Sig:
One (1) Tab Sust.Rel. Particle/Crystal PO twice a day for 7
days.
Disp:*14 Tab Sust.Rel. Particle/Crystal(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. Dilaudid 4 mg Tablet Sig: One (1) Tablet PO every 4-6 hours
as needed for pain.
Disp:*60 Tablet(s)* Refills:*0*
6. Ibuprofen 600 mg Tablet Sig: One (1) Tablet PO Q6H (every 6
hours).
Disp:*120 Tablet(s)* Refills:*2*
7. Diazepam 5 mg Tablet Sig: One (1) Tablet PO Q6H (every 6
hours) as needed.
Disp:*20 Tablet(s)* Refills:*0*
8. Lasix 20 mg Tablet Sig: One (1) Tablet PO twice a day for 7
days.
Disp:*14 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Company 1519**]

Discharge Diagnosis:
Mitral regurgitation


Discharge Condition:
Good.

Discharge Instructions:
Follow medications on discharge instructions.
You may not drive for 4 weeks.
You may not lift more than 10 lbs. for 6 weeks.
You should shower, let water flow over wounds, pat dry with a
towel.

Followup Instructions:
Make an appointment with Dr. [**Last Name (STitle) 60965**] for 1-2 weeks.
Make an appointment with Dr. [**Last Name (STitle) 1290**] for 4 weeks.



Completed by:[**2185-4-28**]
{'Mitral valve disorders,Rupture of chordae tendineae,Unspecified sleep apnea,Personal history of tobacco use'}


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: known murmur with mitral valve prolapse and dyspnea on exertion

PRESENT ILLNESS: Mr. [**Known lastname 60969**] has had known mitral valve prolapse with mild dyspnea
on exertion and was referred to Dr. [**Last Name (STitle) **] for surgical
repair.

MEDICAL HISTORY: mitral valve prolapse
sleep apnea
s/p herniorrhaphy
s/p back surgery
s/p L eye surgery

MEDICATION ON ADMISSION: aspirin 81mg qd
MVI

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: non contributory

SOCIAL HISTORY: he loves with his wife, has a remote tobacco history, [**12-26**]
glasses of wine/day. 

### Response:
{'Mitral valve disorders,Rupture of chordae tendineae,Unspecified sleep apnea,Personal history of tobacco use'}
