CHIEF COMPLAINT: 

PRESENT ILLNESS: This 62 year-old diabetic male
with a history of atypical chest pain and dyspnea on exertion
referred for cardiac catheterization after a positive stress
test.  Cardiac catheterization showed ejection fraction of
60%, 60% left main disease, 80% left circumflex, 70% RCA.
The patient remained in house after his cardiac
catheterization and was taken to the operating room on
[**2123-2-16**] with Dr. [**Last Name (Prefixes) **].

MEDICAL HISTORY: 1.  Noninsulin dependent diabetes mellitus.
2.  History of prostate cancer status post prostatectomy 10
years ago.
3.  Asbestosis.
4.  Hypertension.
5.  A 30 to 40 pack year smoking history, quit in the 70s.
6.  Status post biopsy of a right anterior tibial lesion with
a follow up bone scan and CT scan of the abdomen and pelvis
to rule out metastasis from prostate cancer. Results are
unknown.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Bladder neck obstruction,Asbestosis,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension,Pure hypercholesterolemia
Crnry athrscl natve vssl,Intermed coronary synd,Bladder neck obstruction,Asbestosis,DMII wo cmp nt st uncntr,Hx-prostatic malignancy,Hypertension NOS,Pure hypercholesterolem
Admission Date:  [**2123-2-16**]       Discharge Date:  [**2123-2-22**]

Date of Birth:   [**2059-5-4**]       Sex:  M

Service:

HI[**Last Name (STitle) 2710**]OF PRESENT ILLNESS:  This 62 year-old diabetic male
with a history of atypical chest pain and dyspnea on exertion
referred for cardiac catheterization after a positive stress
test.  Cardiac catheterization showed ejection fraction of
60%, 60% left main disease, 80% left circumflex, 70% RCA.
The patient remained in house after his cardiac
catheterization and was taken to the operating room on
[**2123-2-16**] with Dr. [**Last Name (Prefixes) **].

PAST MEDICAL HISTORY:
1.  Noninsulin dependent diabetes mellitus.
2.  History of prostate cancer status post prostatectomy 10
years ago.
3.  Asbestosis.
4.  Hypertension.
5.  A 30 to 40 pack year smoking history, quit in the 70s.
6.  Status post biopsy of a right anterior tibial lesion with
a follow up bone scan and CT scan of the abdomen and pelvis
to rule out metastasis from prostate cancer. Results are
unknown.

ALLERGIES: No known drug allergies.

PREOPERATIVE MEDICATIONS:
1.  Imdur 30 milligrams po q day.
2.  Lipitor 20 milligrams po q day.
3.  Glucotrol 5 milligrams po q day.
4.  Tiazac 360 milligrams po q day.
5.  Diovan 80 milligrams po q day.
6.  Aspirin 325 milligrams po q day.

LABORATORY DATA:  White blood cell count 7.5, hematocrit
46.2, platelet count 184,000, sodium 140, potassium 4.5,
chloride 106, bicarb 26, BUN 19, creatinine 1.2.  Blood sugar
150.

HO[**Last Name (STitle) **] COURSE:  The patient was taken to the operating room
on [**2123-2-17**] with Dr. [**Last Name (Prefixes) **] for CABG times three. In the
operating room it was difficult to place a Foley catheter
preoperatively.  Urology was consulted.  Flexible cystoscopy
showed a bladder neck stricture. A wire was placed and the
stricture was dilated.  A Foley catheter was inserted. The
patient underwent CABG times three, LIMA to diagonal,
saphenous vein graft to RCA, saphenous vein graft to OM. The
patient was transferred to the Intensive Care Unit in stable
condition. The patient was weaned and extubated from
mechanical ventilation on postoperative day one. The patient
remained in the Intensive Care Unit requiring Neo-Synephrine
infusion to maintain adequate blood pressure.

The patient was transferred out of the Intensive Care Unit on
postoperative day two.  The patient's chest tubes were
removed on postoperative day two.  Post chest tube removal
chest x-ray demonstrated a small left apical pneumothorax
from which the patient was asymptomatic.  The patient was
transferred to the floor and began ambulating with Physical
Therapy.

The patient's temporary pacing wires were removed on
postoperative day three.

The patient's Foley catheter was removed on postoperative day
five.  The patient is to void prior to discharge otherwise
Foley catheter will be re-inserted.

Repeat chest x-ray on [**2123-2-21**] demonstrated a continued small
left apical pneumothorax unchanged from previous chest x-ray
of [**2123-2-18**].  It is felt that the size and stability of the
pneumothorax did not require any intervention.  The patient
was cleared for discharge on [**2123-2-22**] to rehabilitation
facility as it was felt that the patient would need continued
physical therapy and short term rehabilitation.

CONDITION AT DISCHARGE:  Tmax 100.4 F, T current 99.1 F.
Pulse 94, sinus rhythm. Blood pressure 122/52. Oxygen
saturation 94% on two liters nasal cannula.  The patient's
weight on [**2123-2-22**] is 105 kilograms. The patient was 99
kilograms preoperative. White blood cell count 9.9,
hematocrit 26.9, platelet count 233,000, sodium 140,
potassium 4.3, chloride 100, bicarbonate 31, BUN 19,
creatinine 0.9, blood sugar 169. The patient is alert and
oriented times 3, neurologically grossly intact.
Cardiovascular - regular rate and rhythm. No audible rub or
murmur. Extremities are warm and well perfused.  Respiratory
- breath sounds are decreased bilaterally with crackles at
the left base.  GI - abdomen is obese, soft, positive bowel
sounds, nontender, nondistended, positive bowel movement.
Extremities - right lower extremity incision is clean, dry
and intact. The patient has Dermabond over the incision.
Sternal incision - Steri Strips are intact, no erythema or
drainage is noted. There is scant amount of serosanguinous
drainage from the medial chest tube site with no erythema
noted.

DISCHARGE MEDICATIONS:
1.  Lopressor 50 milligrams po bid.
2.  Lasix 20 milligrams po bid times 10 days.
3.  KCL 20 milliequivalents po bid times 10 days.
4.  Colace 100 milligrams po bid.
5.  Ranitidine 150 milligrams po bid.
6.  Enteric coated aspirin 325 milligrams po q day.
7.  Lipitor 20 milligrams po q HS.
8.  Glucotrol 5 milligrams po q day.
9.  Ibuprofen 400 milligrams po q four to six hours prn.
10. Oxycodone 5/325 one to two tablets q four to six hours
prn.
11. Dulcolax suppository one po q day prn.
12. Regular sliding scale insulin for blood sugar of 150 to
200 give three units subcutaneous; for blood sugar 201 to 250
give five units subcutaneous; blood sugar 251 to 300 give
seven units subcutaneous; blood sugar 301 to 350 give 9 units
subcutaneous.

DISCHARGE DIAGNOSIS:
1.  Coronary artery disease status post CABG.
2.  Noninsulin dependent diabetes mellitus.
3.  History of prostate cancer status post prostatectomy ten
years.
4.  Bladder neck stricture, status post dilation.
5.  History of asbestosis.

DI[**Last Name (STitle) 408**]E INSTRUCTIONS:  The patient is to be discharged to a
rehabilitation facility in stable condition.  The patient is
to follow up with Dr. [**Last Name (STitle) 8952**] in three to four weeks. The
patient is to follow up with Dr. [**Last Name (Prefixes) **] in three to four
weeks. The patient is to follow up with Dr. [**Last Name (STitle) **] upon
discharge from rehabilitation.



                            [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Last Name (NamePattern1) 3870**]
MEDQUIST36

D:  [**2123-2-22**]  09:26
T:  [**2123-2-22**]  09:44
JOB#:  [**Job Number 38407**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Bladder neck obstruction,Asbestosis,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension,Pure hypercholesterolemia'}


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: This 62 year-old diabetic male
with a history of atypical chest pain and dyspnea on exertion
referred for cardiac catheterization after a positive stress
test.  Cardiac catheterization showed ejection fraction of
60%, 60% left main disease, 80% left circumflex, 70% RCA.
The patient remained in house after his cardiac
catheterization and was taken to the operating room on
[**2123-2-16**] with Dr. [**Last Name (Prefixes) **].

MEDICAL HISTORY: 1.  Noninsulin dependent diabetes mellitus.
2.  History of prostate cancer status post prostatectomy 10
years ago.
3.  Asbestosis.
4.  Hypertension.
5.  A 30 to 40 pack year smoking history, quit in the 70s.
6.  Status post biopsy of a right anterior tibial lesion with
a follow up bone scan and CT scan of the abdomen and pelvis
to rule out metastasis from prostate cancer. Results are
unknown.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Bladder neck obstruction,Asbestosis,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of prostate,Unspecified essential hypertension,Pure hypercholesterolemia'}
