CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname **] is a 68-year-old
male with developmental delay who presented with increasing
abdominal distention and discomfort at [**Hospital 100**] Rehab and was
transferred to the [**Hospital3 **] Medical Center Emergency
Department.

MEDICAL HISTORY: 1) Atrial fibrillation, 2) Ejection
fraction of 32%, triple vessel disease, 3) Cerebrovascular
accident [**3-/2127**], 4) Urethral stricture.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Volvulus,Ventral, unspecified, hernia without mention of obstruction or gangrene,Calculus of gallbladder with other cholecystitis, without mention of obstruction,Urethral stricture, unspecified,Urinary tract infection, site not specified,Atrial fibrillation,Other convulsions
Volvulus of intestine,Ventral hernia NOS,Cholelith w cholecys NEC,Urethral stricture NOS,Urin tract infection NOS,Atrial fibrillation,Convulsions NEC
Admission Date:  [**2128-8-31**]       Discharge Date:  [**2128-9-16**]

Date of Birth:   [**2060-11-12**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  Mr. [**Known lastname **] is a 68-year-old
male with developmental delay who presented with increasing
abdominal distention and discomfort at [**Hospital 100**] Rehab and was
transferred to the [**Hospital3 **] Medical Center Emergency
Department.

PAST MEDICAL HISTORY:  1) Atrial fibrillation, 2) Ejection
fraction of 32%, triple vessel disease, 3) Cerebrovascular
accident [**3-/2127**], 4) Urethral stricture.

ALLERGIES:  The patient has No known drug allergies.

MEDICATIONS:  1) lasix, 2) Lipitor, 3) Zoloft, 4) neurontin,
5) Detrol, 6) vasotec, 7) Pyridium, 8) Imitrex, 9) Dilantin.

A KUB demonstrated a vastly distended large bowel and liver
function tests demonstrated a total bili of 1.3, ALT 103, AST
256, alkaline phosphatase 209, amylase 74, lipase 60.

HOSPITAL COURSE:  The patient was admitted and decompressed
by a rigid sigmoidoscopy.  A 30 French Foley was placed as a
rectal tube with an uninflated balloon.  The patient was
scheduled for elective surgery and in the interim the patient
had nonsustained runs of V-tach and spells of atrial
fibrillation.  However, work-ups for all of these
intermittent episodes were negative.  An ultrasound of the
abdomen was performed on the 31 secondary to the patient's
abdominal pain in the right upper quadrant demonstrated
thickened, edematous gallbladder wall, 10 mm, with several
stones and ductal dilation.  Flagyl and ceftriaxone were
added to his ampicillin course.  After another run of atrial
fibrillation a cardiology consult was obtained who
recommended that the patient was a noninterventional
candidate due to his triple vessel disease and continued beta
blockade for his runs of atrial fibrillation.

On [**2128-9-7**], the patient underwent a sigmoid colectomy with a
primary anastamosis and
cholecystectomy and repair of ventral hernia.  The patient
was transferred to the Intensive Care Unit.  The patient's
Intensive Care Unit course was unremarkable and the patient
was transferred to the Vascular Intensive Care Unit and then
transferred to the floor.  The remainder of his course was
only notable for a prolonged postop ileus which began to
resolve on postoperative day six when the patient passed
large stools and his diet was advanced to a regular diet
which he tolerated well.  On discharge, he was afebrile and
he was in stable condition.  The patient will be transferred
to [**Hospital 100**] Rehab.




                            [**Name6 (MD) 843**] [**Name8 (MD) 844**], M.D.  [**MD Number(1) 845**]

Dictated By:[**Name8 (MD) 522**]
MEDQUIST36

D:  [**2128-9-16**]  10:45
T:  [**2128-9-16**]  10:43
JOB#:  [**Job Number 49322**]
{'Volvulus,Ventral, unspecified, hernia without mention of obstruction or gangrene,Calculus of gallbladder with other cholecystitis, without mention of obstruction,Urethral stricture, unspecified,Urinary tract infection, site not specified,Atrial fibrillation,Other convulsions'}


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: Mr. [**Known lastname **] is a 68-year-old
male with developmental delay who presented with increasing
abdominal distention and discomfort at [**Hospital 100**] Rehab and was
transferred to the [**Hospital3 **] Medical Center Emergency
Department.

MEDICAL HISTORY: 1) Atrial fibrillation, 2) Ejection
fraction of 32%, triple vessel disease, 3) Cerebrovascular
accident [**3-/2127**], 4) Urethral stricture.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Volvulus,Ventral, unspecified, hernia without mention of obstruction or gangrene,Calculus of gallbladder with other cholecystitis, without mention of obstruction,Urethral stricture, unspecified,Urinary tract infection, site not specified,Atrial fibrillation,Other convulsions'}
