CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient presented to an
outside hospital with acute shortness of breath.  The plain
chest film showed a left upper lobe infiltrate.  She was
admitted, and was placed on empiric treatment with
Ceftriaxone and Zithromax.  She remained in the hospital for
24 hours on these medications.  Then, she left the hospital
against medical advice on oral antibiotics.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Pneumonia due to Legionnaires' disease,Acute respiratory failure,Severe sepsis,Other disorders of neurohypophysis,Unspecified pleural effusion,Candidiasis of vulva and vagina,Anemia, unspecified
Legionnaires' disease,Acute respiratry failure,Severe sepsis,Neurohypophysis dis NEC,Pleural effusion NOS,Candidal vulvovaginitis,Anemia NOS
Admission Date:  [**2105-9-18**]     Discharge Date:  [**2105-9-28**]

Date of Birth:   [**2055-9-6**]     Sex:  F

Service:  MEDICINE

HISTORY OF PRESENT ILLNESS:  The patient presented to an
outside hospital with acute shortness of breath.  The plain
chest film showed a left upper lobe infiltrate.  She was
admitted, and was placed on empiric treatment with
Ceftriaxone and Zithromax.  She remained in the hospital for
24 hours on these medications.  Then, she left the hospital
against medical advice on oral antibiotics.

REVIEW OF SYSTEMS:  Review of systems was negative in detail
except as stated above.

PHYSICAL EXAMINATION:  On physical examination, the patient
was febrile with a temperature of 101.8.  Her heart rate was
102.  Her oxygen saturation was 95% on two liters.
Respirations were approximately 35.  Blood pressure was
stable at 102/70.  Distal upper extremities bilaterally.

Arterial blood gases on admission revealed a pH of 7.5, pO2
67 and pCO2 of 32.  She was given pressure support.
Activated protein C for control of inflammatory response.
The patient had been afebrile.  Functional status gradually
improved and, at the time of discharge, the patient was to
return to home with VNA services for physical therapy.
Gradually throughout the hospitalization through
autodiuresis.

CONDITION ON DISCHARGE:  Good.

DISCHARGE STATUS:  The patient was discharged to home with
services.

DISCHARGE DIAGNOSIS:  Legionella pneumonia.

MEDICATIONS ON DISCHARGE:
1.  Levofloxacin 750 mg once daily.
2.  Ranitidine 150 mg twice a day.
3.  Miconazole Powder one application four times a day.
4.  Albuterol 90 mcg one to two puffs q6hours.
5.  Ipratropium 18 mcg two puffs q4-6hours.

FOLLOW-UP PLANS:  The patient is to follow-up with primary
care physician in two weeks.




                          [**First Name11 (Name Pattern1) 734**] [**Last Name (NamePattern1) 735**], M.D.  [**MD Number(1) 736**]

Dictated By:[**Last Name (NamePattern1) 51598**]

MEDQUIST36

D:  [**2105-9-28**]  15:17
T:  [**2105-9-30**]  08:28
JOB#:  [**Job Number 51599**]
{"Pneumonia due to Legionnaires' disease,Acute respiratory failure,Severe sepsis,Other disorders of neurohypophysis,Unspecified pleural effusion,Candidiasis of vulva and vagina,Anemia, unspecified"}


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 presented to an
outside hospital with acute shortness of breath.  The plain
chest film showed a left upper lobe infiltrate.  She was
admitted, and was placed on empiric treatment with
Ceftriaxone and Zithromax.  She remained in the hospital for
24 hours on these medications.  Then, she left the hospital
against medical advice on oral antibiotics.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{"Pneumonia due to Legionnaires' disease,Acute respiratory failure,Severe sepsis,Other disorders of neurohypophysis,Unspecified pleural effusion,Candidiasis of vulva and vagina,Anemia, unspecified"}
