CHIEF COMPLAINT: SOB

PRESENT ILLNESS: Patient is an 84 y/o female with hx of CHF and R hilar mass
discharged home from thoracics with oxygen therapy. Presents
with SOB.

MEDICAL HISTORY: CHF, HTN, TIA, Diverticular disease, Afib, scoliosis, migraines

MEDICATION ON ADMISSION: zoloft
toprol XL
lisinopril
ASA
lasix
plavix

ALLERGIES: Antihistamines / Latex

PHYSICAL EXAM: 97.9 60 132/69 17 94% RA
looks well
RRR
wheezes and crackles at base with productive cough
soft abdomen
2+ ankle edema

FAMILY HISTORY: mother died at age 81 -etiology unclear.
father died age 68 of CAD.

SOCIAL HISTORY: former smoker 1ppd x 20-50 yrs -quit 35 yrs ago
occas etoh
Secondary malignant neoplasm of lung,Congestive heart failure, unspecified,Diverticulosis of colon with hemorrhage,Atrial fibrillation,External hemorrhoids without mention of complication,Unspecified acquired hypothyroidism,Unspecified essential hypertension,Personal history of malignant neoplasm of other sites,Personal history of tobacco use
Secondary malig neo lung,CHF NOS,Dvrtclo colon w hmrhg,Atrial fibrillation,Ext hemorrhoid w/o compl,Hypothyroidism NOS,Hypertension NOS,Hx of malignancy NEC,History of tobacco use
Name:  [**Known lastname 10530**],[**Known firstname 1940**]                  Unit No:   [**Numeric Identifier 10531**]

Admission Date:  [**2196-6-19**]              Discharge Date:   [**2196-6-28**]

Date of Birth:  [**2111-10-23**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Antihistamines / Latex

Attending:[**First Name3 (LF) 9814**]
Addendum:
patient was in sinus upon discharge, echo: rhythm appears to be
atrial fibrillation.

Discharge Disposition:
Extended Care

Facility:
[**Hospital3 14**] & Rehab Center - [**Hospital1 15**]

                             [**First Name11 (Name Pattern1) 3549**] [**Last Name (NamePattern1) 9816**] MD [**MD Number(2) 9817**]

Completed by:[**2196-6-28**]

Admission Date:  [**2196-6-19**]              Discharge Date:   [**2196-6-28**]


Service: CARDIOTHORACIC

Allergies:
Antihistamines / Latex

Attending:[**First Name3 (LF) 2969**]
Chief Complaint:
SOB

Major Surgical or Invasive Procedure:
colonscopy

History of Present Illness:
Patient is an 84 y/o female with hx of CHF and R hilar mass
discharged home from thoracics with oxygen therapy. Presents
with SOB.

Past Medical History:
CHF, HTN, TIA, Diverticular disease, Afib, scoliosis, migraines

Social History:
former smoker 1ppd x 20-50 yrs -quit 35 yrs ago
occas etoh


Family History:
mother died at age 81 -etiology unclear.
father died age 68 of CAD.

Physical Exam:
97.9 60 132/69 17 94% RA
looks well
RRR
wheezes and crackles at base with productive cough
soft abdomen
2+ ankle edema

Pertinent Results:
[**2196-6-19**] 01:00PM   GLUCOSE-97 UREA N-16 CREAT-0.7 SODIUM-136
POTASSIUM-3.8 CHLORIDE-95* TOTAL CO2-26 ANION GAP-19
[**2196-6-19**] 01:00PM   WBC-10.6 RBC-4.80 HGB-14.5 HCT-40.3 MCV-84
MCH-30.2 MCHC-36.0* RDW-13.5
[**2196-6-19**] 01:00PM   NEUTS-74.7* LYMPHS-17.7* MONOS-6.1 EOS-1.0
BASOS-0.6

Brief Hospital Course:
Patient was first admitted for aggressive pulmonary toilet,
nebs, additional  Lasix and chest physical therapy. Patient
developed brisk bleeding for the rectum and was transferred to
the intensive care unit for observation and serial hematocrits.
GI was consulted and performed colonoscopy. Non bleeding
diverticulosis was discovered. Patient was transferred to floor
for additional pulmonary toilet. Patient was discharged home
when baseline respiratory status was established. Patient was
also evaluated by radiation oncology for probable metastasis and
will follow up for additional treatment. Recieved first
treatment last day of hospital course.  Patient seen by
cardiology; on echo, (LVEF>55%).

Medications on Admission:
zoloft
toprol XL
lisinopril
ASA
lasix
plavix

Discharge Medications:
1. Albuterol Sulfate 0.083 % Solution Sig: One (1)  Inhalation
Q6H (every 6 hours) as needed.
2. Ipratropium Bromide 0.02 % Solution Sig: One (1)  Inhalation
Q6H (every 6 hours).
3. Sertraline 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

4. Lisinopril 20 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).

5. Amlodipine Besylate 5 mg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
6. Zolpidem Tartrate 5 mg Tablet Sig: One (1) Tablet PO HS (at
bedtime).
7. Salmeterol Xinafoate 50 mcg/Dose Disk with Device Sig: One
(1) Disk with Device Inhalation Q12H (every 12 hours).
8. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical  QID
(4 times a day) as needed.
9. Miconazole Nitrate 2 % Cream Sig: One (1) Appl Vaginal HS (at
bedtime) for 7 days.
10. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO TID
(3 times a day).
11. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.)
Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24
hours).
12. Heparin Sodium (Porcine) 5,000 unit/mL Solution Sig: One (1)
 Injection [**Hospital1 **] (2 times a day).
13. Amiodarone 200 mg Tablet Sig: Two (2) Tablet PO DAILY
(Daily).
14. Trimethoprim-Sulfamethoxazole 160-800 mg Tablet Sig: One (1)
Tablet PO BID (2 times a day) for 3 days.
15. Insulin Regular Human 100 unit/mL Solution Sig: sliding
scale  Injection ASDIR (AS DIRECTED).
16. Furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).


Discharge Disposition:
Extended Care

Facility:
[**Hospital3 7**] & Rehab Center - [**Hospital1 8**]

Discharge Diagnosis:
CHF, diverticulitis
malignant spindle cell tumor- day one/ten of XRT [**2196-6-28**]


Discharge Condition:
good

Discharge Instructions:
Call Dr.[**Doctor Last Name 4738**] office if you have any chest pain, or
shortness of breath. Follow up w/ your cardiologist and PCP when
you leave rehab.

Followup Instructions:
Call Dr.[**Doctor Last Name 4738**] office if you have any questions [**Telephone/Fax (1) 170**].

Thoracic [**Doctor First Name **] service.
{'Secondary malignant neoplasm of lung,Congestive heart failure, unspecified,Diverticulosis of colon with hemorrhage,Atrial fibrillation,External hemorrhoids without mention of complication,Unspecified acquired hypothyroidism,Unspecified essential hypertension,Personal history of malignant neoplasm of other sites,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: SOB

PRESENT ILLNESS: Patient is an 84 y/o female with hx of CHF and R hilar mass
discharged home from thoracics with oxygen therapy. Presents
with SOB.

MEDICAL HISTORY: CHF, HTN, TIA, Diverticular disease, Afib, scoliosis, migraines

MEDICATION ON ADMISSION: zoloft
toprol XL
lisinopril
ASA
lasix
plavix

ALLERGIES: Antihistamines / Latex

PHYSICAL EXAM: 97.9 60 132/69 17 94% RA
looks well
RRR
wheezes and crackles at base with productive cough
soft abdomen
2+ ankle edema

FAMILY HISTORY: mother died at age 81 -etiology unclear.
father died age 68 of CAD.

SOCIAL HISTORY: former smoker 1ppd x 20-50 yrs -quit 35 yrs ago
occas etoh 

### Response:
{'Secondary malignant neoplasm of lung,Congestive heart failure, unspecified,Diverticulosis of colon with hemorrhage,Atrial fibrillation,External hemorrhoids without mention of complication,Unspecified acquired hypothyroidism,Unspecified essential hypertension,Personal history of malignant neoplasm of other sites,Personal history of tobacco use'}
