CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 43 year old
male who presents with no previous medical history.  Over the
past several days, he developed increased throat pain
followed by progressive swelling over the last two days of
the left neck.  The swelling included the floor of mouth and
tongue.  He was evaluated at the [**Hospital6 **] this
morning and was prescribed Percocet.  He has taken Percocet
at 5:00 a.m. and 3:00 p.m.  He has also took Tylenol at 5:00
a.m. and Benadryl at 5:00 p.m.  He reports pain at the chin
and left neck.   He has been having some pain on swallowing
and difficulty moving his tongue.  He denies any nausea,
vomiting, fever or chills.  He reports no recent upper
respiratory infections.

MEDICAL HISTORY: Unremarkable.

MEDICATION ON ADMISSION: 

ALLERGIES: He denies any allergies to medications or new
foods.

PHYSICAL EXAM: 

FAMILY HISTORY: No significant illnesses.

SOCIAL HISTORY: He does smoke and he drinks alcohol
occasionally.  He is employed as a mechanic.  He came today
accompanied by his fiancee and brother.
Sialolithiasis
Sialolithiasis
Admission Date:  [**2115-1-6**]       Discharge Date:  [**2115-1-9**]

Date of Birth:   [**2071-7-27**]       Sex:  M

Service:  OTOLARYNGOLOGY

HISTORY OF PRESENT ILLNESS:  The patient is a 43 year old
male who presents with no previous medical history.  Over the
past several days, he developed increased throat pain
followed by progressive swelling over the last two days of
the left neck.  The swelling included the floor of mouth and
tongue.  He was evaluated at the [**Hospital6 **] this
morning and was prescribed Percocet.  He has taken Percocet
at 5:00 a.m. and 3:00 p.m.  He has also took Tylenol at 5:00
a.m. and Benadryl at 5:00 p.m.  He reports pain at the chin
and left neck.   He has been having some pain on swallowing
and difficulty moving his tongue.  He denies any nausea,
vomiting, fever or chills.  He reports no recent upper
respiratory infections.

ALLERGIES:  He denies any allergies to medications or new
foods.

PAST MEDICAL HISTORY:  Unremarkable.

FAMILY HISTORY:  No significant illnesses.

MEDICATIONS ON ADMISSIONS:  He is not currently on any
medications except for the Percocet.

SOCIAL HISTORY:  He does smoke and he drinks alcohol
occasionally.  He is employed as a mechanic.  He came today
accompanied by his fiancee and brother.

PHYSICAL EXAMINATION:  He was a well developed, well
nourished black male.  He was unable to speak clearly due to
a protruding tongue.  His temperature was 101.3, blood
pressure 123/83, pulse rate 97, respiratory rate 16 and
oxygen saturation 95%.  Head, eyes, ears, nose and throat -
The pupils are equal, round, and reactive to light and
accommodation.  Extraocular movements are intact.  External
auditory canals were clear.  The tympanic membranes were [**Doctor Last Name 352**]
and mobile.  Nasal cavity also was clear without any evidence
of purulence.  On fiberoptic endoscopy, there was a moderate
size adenoid.  On lower examination, there was a megashaped
epiglottis without any watery edema.  It was 1.5 to 2.0
millimeter thick.  There were large lingual tonsils which
were symmetric.  Vocal cords were mobile and the
laryngopharyngeal airway was clear.  He did have some pooling
in the pyriform sinuses.  He has an edematous tongue filling
the oral cavity, thick floor of mouth.  The patient was
edentulous but there were no lesions noted in the oral
cavity.  There was no purulence either in the oral cavity.
There was a left submandibular mass without fluctuance or
visible stone.  Normal appearing parotids.

LABORATORY DATA:   His white blood cell count was 16.3,
hematocrit 42.4, platelet count 298,000.  Neutrophils were
70.6 and 20.9 monocytes.  Chemistries revealed sodium 141,
potassium 3.4, chloride 100, bicarbonate 28, blood urea
nitrogen 9, creatinine 0.9.

CT scan was obtained that demonstrated calcification
sublingually in the left floor of mouth.  There was 1.0
centimeter diameter lymph node in the digastric area.  There
was slight asymmetry of the parotids, left slightly greater
than the right.  No fluid collections were noted.  There was
a retention cyst in the left maxillary sinus.

HOSPITAL COURSE:  He was admitted and placed on intravenous
antibiotics and intravenous steroids.  He was sent to the CCU
for airway observation.  On admission to the Intensive Care
Unit, her oxygen saturation was in the 90s.  His breath
sounds were clear.  There was no shortness of breath or
evidence of difficulty breathing.  He was able to swallow and
could protrude the tongue somewhat.  He was saying on
admission to the CCU that some of the swallowing had
decreased as the Decadron had already been started.

On [**2115-1-8**], it was noted that he had dramatic decrease in
the swallowing and it was recommended that the steroids be
discontinued and continue with intravenous hydration.  It was
OK that he be transferred to the floor.  The antibiotic which
he was on was Clindamycin 600 mg intravenously q8hours.  His
intravenous fluids were D5 one half normal saline with 20 meq
of Potassium at 80/hour.  The Decadron was 6 mg intravenously
q6hours for three doses.  He was given Morphine Sulfate for
pain along with Tylenol.  A shovel mask was ordered which was
humidified for his airway.  Reglan was given for improvement
of his gastrointestinal function.  He was also placed on
Propulsid.  The Propulsid was changed to Protonix.  He
continued to improve and was transferred to the floor on
[**2115-1-8**], feeling better.  Also on [**2115-1-7**], he was fully
seen and evaluated by me at which time a stone was removed
from the left submandibular duct.  This resulted in a rapid
regression of his swelling and a quick improvement of his
overall pain and airway issues.

By [**2115-1-9**], he was stable with minimal neck swelling and
minimal edema, and thus he was discharged home on p.o.
antibiotics.

CONDITION ON DISCHARGE:  Markedly improved.

DISCHARGE DIAGNOSES:
1.  Cellulitis of the neck.
2.  Sialolithiasis.
3.  Sialadenitis.

FOLLOW-UP:  He was to be seen in my office in one week.

MEDICATIONS ON DISCHARGE:  Clindamycin 300 mg p.o. four times
a day.




                        [**First Name11 (Name Pattern1) 177**] [**Last Name (NamePattern4) 6152**], M.D.  [**MD Number(1) 6153**]


MEDQUIST36

D:  [**2115-8-17**]  14:07
T:  [**2115-8-17**]  14:25
JOB#:  [**Job Number 38573**]
{'Sialolithiasis'}


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 a 43 year old
male who presents with no previous medical history.  Over the
past several days, he developed increased throat pain
followed by progressive swelling over the last two days of
the left neck.  The swelling included the floor of mouth and
tongue.  He was evaluated at the [**Hospital6 **] this
morning and was prescribed Percocet.  He has taken Percocet
at 5:00 a.m. and 3:00 p.m.  He has also took Tylenol at 5:00
a.m. and Benadryl at 5:00 p.m.  He reports pain at the chin
and left neck.   He has been having some pain on swallowing
and difficulty moving his tongue.  He denies any nausea,
vomiting, fever or chills.  He reports no recent upper
respiratory infections.

MEDICAL HISTORY: Unremarkable.

MEDICATION ON ADMISSION: 

ALLERGIES: He denies any allergies to medications or new
foods.

PHYSICAL EXAM: 

FAMILY HISTORY: No significant illnesses.

SOCIAL HISTORY: He does smoke and he drinks alcohol
occasionally.  He is employed as a mechanic.  He came today
accompanied by his fiancee and brother. 

### Response:
{'Sialolithiasis'}
