CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient with chief complaint of fever to
104 times two days.

MEDICAL HISTORY: 1. Diabetes type 1.
2. End-stage renal disease status post cadaveric renal
   transplant 08/[**2152**].
3. Cervical disc disease status post fusion 03/[**2157**].
4. Cardiomyopathy, ejection fraction of 20 percent.
5. Hypertension.
6. Hepatitis C.
7. Rotator cuff injury.
8. Surgery of brain aneurysm, not active.

MEDICATION ON ADMISSION: 1. Labetalol 100 b.i.d.
2. Tacrolimus two b.i.d.
3. Protonix 40 q.d.
4. Rapamycin 5 q.d.
5. Prednisone 7.5 q.d.
6. Bactrim Monday, Wednesday, Friday.
7. Lantus 20 q. h.s.
8. Novolog sliding scale.

ALLERGIES: Percocet causes a rash.

PHYSICAL EXAM: 

FAMILY HISTORY: Diabetes mellitus.

SOCIAL HISTORY: Patient is separated.  Without alcohol; does
not drink.  Quit smoking eight years ago.  Works at
[**Location (un) 686**] County Court House.
Viral pneumonia, unspecified,Kidney replaced by transplant,Other primary cardiomyopathies,Chronic hepatitis C without mention of hepatic coma,Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled,Congestive heart failure, unspecified,Unspecified essential hypertension,Background diabetic retinopathy
Viral pneumonia NOS,Kidney transplant status,Prim cardiomyopathy NEC,Chrnc hpt C wo hpat coma,DMI ophth nt st uncntrld,CHF NOS,Hypertension NOS,Diabetic retinopathy NOS
Admission Date:                   Discharge Date: [**2157-5-30**]

Date of Birth:  [**2108-12-6**]        Sex:  F

Service:  [**Last Name (un) **]


PRESENT ILLNESS:  Patient with chief complaint of fever to
104 times two days.

HISTORY OF PRESENT ILLNESS:  Patient is a 48-year-old female
with history of diabetes type 1 status post cadaveric renal
transplant [**8-/2152**] who presents with two-day history of
intermittent fever, rigors, highest temperature measured at
home was evening of admission at 104 degrees.  Patient
otherwise was without complaints other than occasional
frontal headache times two days.  No photophobia, neck
stiffness, and altered state.  No cough.  No shortness of
breath.  No rhinorrhea.  No diarrhea.  No dysuria.  Question
hesitancy with voiding on day of admission.  Patient
previously at baseline state of health.  Patient had a 20
pound unintentional weight loss over past three months with
no melena, normal mammogram last year, normal gynecological
exam last year.  Patient's baseline creatinine is 1.3.
Patient also has labile blood sugars, as stated by her.

PAST MEDICAL HISTORY:
1. Diabetes type 1.
2. End-stage renal disease status post cadaveric renal
   transplant 08/[**2152**].
3. Cervical disc disease status post fusion 03/[**2157**].
4. Cardiomyopathy, ejection fraction of 20 percent.
5. Hypertension.
6. Hepatitis C.
7. Rotator cuff injury.
8. Surgery of brain aneurysm, not active.


SOCIAL HISTORY:  Patient is separated.  Without alcohol; does
not drink.  Quit smoking eight years ago.  Works at
[**Location (un) 686**] County Court House.

MEDICATIONS ON ADMISSION:
1. Labetalol 100 b.i.d.
2. Tacrolimus two b.i.d.
3. Protonix 40 q.d.
4. Rapamycin 5 q.d.
5. Prednisone 7.5 q.d.
6. Bactrim Monday, Wednesday, Friday.
7. Lantus 20 q. h.s.
8. Novolog sliding scale.


FAMILY HISTORY:  Diabetes mellitus.

ALLERGIES:  Percocet causes a rash.

PHYSICAL EXAMINATION:  Patient has a temperature of 104.6,
heart rate of 133, blood pressure 166/98, respiratory rate of
24, and is saturating high 95 percent on 3 liters.  She is a
well dressed, well nourished female with rigors, in moderate
distress.  HEENT exam is normocephalic, atraumatic;
anicteric; without lymphadenopathy; oral mucosa moist.  Neck
is supple without lymphadenopathy.  Cardiovascular:
Tachycardiac; regular rhythm; muffled.  Lungs:  Clear to
auscultation bilaterally.  Abdomen is soft, nontender,
nondistended; healed right lower quadrant kidney transplant
incision without side tenderness; no [**Doctor Last Name 515**] on exam.
Rectal is brown stool, guaiac negative.  Extremities:  No
edema; without lesions.

LABORATORY VALUES ON ADMISSION:  Patient had a white count of
7.8, hematocrit 32.3, platelets of 421, sodium 136, potassium
4.3, chloride of 100, bicarbonate 25, BUN 20, creatinine 1.6,
and glucose 250, 12.4 PT, 24.3 PTT, and INR of 1 with a
lactate of 1.9.

Urinalysis was negative.  Blood cultures and urine cultures
were pending.

Chest x-ray showed bilateral haziness and on further history,
patient was known to have stopped taking Bactrim in [**3-/2157**]
prior to admission.

HOSPITAL COURSE:  Infectious Diseases was immediately
consulted and commented that the CT chest showed thickening
of intralobular septae and prominent bronchovascular bundles
with ground glass opacities at lung bases consistent with
pulmonary edema and mild congestive heart failure and
recommended ruling out cytomegalovirus and inducing sputum
for Pneumocystis carinii pneumonia, starting Levofloxacin 500
mg intravenous q.d. as well as Vancomycin.

[**Last Name (un) **] Diabetes was consulted to manage patient's sugars.
Patient was admitted to the Neurosurgical Intensive Care
Unit, where a repeat chest x-ray was done the next day and
showed bilateral diffuse opacities.

On hospital day two, Levofloxacin day two, patient's
antibiotics were continued.  Patient's saturation rate
markedly improved and patient was continued with intravenous
fluid resuscitation on hospital days three and four.  No
cultures came back positive for patient and patient was
discharged home on hospital day six, Levofloxacin/Vancomycin
day three with diagnosis of atypical pneumonia cleared by
Levaquin treatment.

DISCHARGE MEDICATIONS:
1. Labetalol 100 mg one tablet p.o. b.i.d.
2. Protonix 40 mg one p.o. q.d.
3. Rapamycin 5 mg p.o. q.d.
4. Bactrim 400 S 80 mg one tablet p.o. Monday, Wednesday,
   Friday.
5. Prednisone 2.5 mg tablets one tablet p.o. b.i.d.
6. Levofloxacin 250 mg one tablet p.o. q.d.
7. To continue home insulin regimen.
8. Tacrolimus 4 mg p.o. b.i.d.





                        [**Name6 (MD) **] [**Name8 (MD) **], [**MD Number(1) 4841**]

Dictated By:[**Doctor Last Name 9174**]
MEDQUIST36
D:  [**2157-5-30**] 15:25:55
T:  [**2157-5-30**] 19:38:14
Job#:  [**Job Number 101496**]
{'Viral pneumonia, unspecified,Kidney replaced by transplant,Other primary cardiomyopathies,Chronic hepatitis C without mention of hepatic coma,Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled,Congestive heart failure, unspecified,Unspecified essential hypertension,Background diabetic retinopathy'}


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: Patient with chief complaint of fever to
104 times two days.

MEDICAL HISTORY: 1. Diabetes type 1.
2. End-stage renal disease status post cadaveric renal
   transplant 08/[**2152**].
3. Cervical disc disease status post fusion 03/[**2157**].
4. Cardiomyopathy, ejection fraction of 20 percent.
5. Hypertension.
6. Hepatitis C.
7. Rotator cuff injury.
8. Surgery of brain aneurysm, not active.

MEDICATION ON ADMISSION: 1. Labetalol 100 b.i.d.
2. Tacrolimus two b.i.d.
3. Protonix 40 q.d.
4. Rapamycin 5 q.d.
5. Prednisone 7.5 q.d.
6. Bactrim Monday, Wednesday, Friday.
7. Lantus 20 q. h.s.
8. Novolog sliding scale.

ALLERGIES: Percocet causes a rash.

PHYSICAL EXAM: 

FAMILY HISTORY: Diabetes mellitus.

SOCIAL HISTORY: Patient is separated.  Without alcohol; does
not drink.  Quit smoking eight years ago.  Works at
[**Location (un) 686**] County Court House. 

### Response:
{'Viral pneumonia, unspecified,Kidney replaced by transplant,Other primary cardiomyopathies,Chronic hepatitis C without mention of hepatic coma,Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled,Congestive heart failure, unspecified,Unspecified essential hypertension,Background diabetic retinopathy'}
