CHIEF COMPLAINT: Coronary artery disease (3-vessel disease)

PRESENT ILLNESS: 56 yo male c history of CAD and positive exercise tolerance test
([**12-3**]).  Cardiac cath ([**1-2**]) showed 3-vessel disease.

MEDICAL HISTORY: 1. HTN
2. h/o palpitations
3. Rheumatoid arthritis
4. Hyperlipidemia
5. CAD

MEDICATION ON ADMISSION: 1. Hydroxycholorquine 200 mg PO BID
2. Etodolac 400 mg PO BID
3. Atenolol 25 mg PO QD
4. Avapro 150 mg PO QD
5. Lipitor 80 mg PO QD
6. Plavix 75 mg PO QD
7. ASA 325 mg PO QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Afebrile, VSS
Neck: no JVD, no bruits
RRR, no murmurs
CTAB, no R/R
Abd: soft, NT, ND
Ext: no edema

FAMILY HISTORY: Father: CAD
Grandfather: CAD
Sister: CAD

SOCIAL HISTORY: 5 pack-year tobacco (quit 30 y ago)
2 EtOH/day
Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Rheumatoid arthritis,Other and unspecified hyperlipidemia
Crnry athrscl natve vssl,Hypertension NOS,Rheumatoid arthritis,Hyperlipidemia NEC/NOS
Admission Date:  [**2117-4-15**]              Discharge Date:   [**2117-4-19**]

Date of Birth:  [**2060-12-20**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1267**]
Chief Complaint:
Coronary artery disease (3-vessel disease)

Major Surgical or Invasive Procedure:
1. Coronary artery bypass graft x4 (LIMA-LAD, SVG-OM, SVG-diag,
SVG-PDA)


History of Present Illness:
56 yo male c history of CAD and positive exercise tolerance test
([**12-3**]).  Cardiac cath ([**1-2**]) showed 3-vessel disease.

Past Medical History:
1. HTN
2. h/o palpitations
3. Rheumatoid arthritis
4. Hyperlipidemia
5. CAD

Social History:
5 pack-year tobacco (quit 30 y ago)
2 EtOH/day

Family History:
Father: CAD
Grandfather: CAD
Sister: CAD

Physical Exam:
Afebrile, VSS
Neck: no JVD, no bruits
RRR, no murmurs
CTAB, no R/R
Abd: soft, NT, ND
Ext: no edema

Brief Hospital Course:
54M c 3-vessel CAD presented as SDA to the cardiac surgery
service.  Went to the OR [**4-15**] for CABG x4 (LIMA-LAD, SVG-OM,
SVG-diag, SVG-PDA).  For more details, please see operative
report.  Post-operatively, he came to the CSRU where he was
extubated on POD0 and weaned off pressors.  He was then
transferred to the floor on POD1 after his chest tubes and PA
catheter were removed.  The remainder of his post-op course was
unremarkable.  He was at his pre-op weight on date of discharge.


Medications on Admission:
1. Hydroxycholorquine 200 mg PO BID
2. Etodolac 400 mg PO BID
3. Atenolol 25 mg PO QD
4. Avapro 150 mg PO QD
5. Lipitor 80 mg PO QD
6. Plavix 75 mg PO QD
7. ASA 325 mg PO QD

Discharge Medications:
1. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).
Disp:*60 Tablet(s)* Refills:*2*
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
3. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
4. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
Disp:*60 Tablet(s)* Refills:*2*
5. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*20 Tablet(s)* Refills:*0*
6. Atorvastatin Calcium 40 mg Tablet Sig: Two (2) Tablet PO
DAILY (Daily).
Disp:*60 Tablet(s)* Refills:*2*
7. Hydroxychloroquine Sulfate 200 mg Tablet Sig: One (1) Tablet
PO BID (2 times a day).
Disp:*60 Tablet(s)* Refills:*2*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 15741**] home health services

Discharge Diagnosis:
1. Coronary artery disease
2. Rheumatoid arthritis
3. Hyperlipidemia
4. Hypertension


Discharge Condition:
Good

Discharge Instructions:
1. Resume medications as directed.
2. Call office or go to ER if fever/chills, drainage from
sternal incision, CP, dyspnea.

Followup Instructions:
Provider: [**Name10 (NameIs) **],[**Name11 (NameIs) 1112**] [**Name Initial (NameIs) **].  [**Telephone/Fax (1) 170**]  Call to schedule
appointment

Provider: [**Name10 (NameIs) **],[**Name11 (NameIs) **] [**Name Initial (NameIs) **]  [**Telephone/Fax (1) 24721**]  Call to schedule
appointment
{'Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Rheumatoid arthritis,Other and unspecified hyperlipidemia'}


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: Coronary artery disease (3-vessel disease)

PRESENT ILLNESS: 56 yo male c history of CAD and positive exercise tolerance test
([**12-3**]).  Cardiac cath ([**1-2**]) showed 3-vessel disease.

MEDICAL HISTORY: 1. HTN
2. h/o palpitations
3. Rheumatoid arthritis
4. Hyperlipidemia
5. CAD

MEDICATION ON ADMISSION: 1. Hydroxycholorquine 200 mg PO BID
2. Etodolac 400 mg PO BID
3. Atenolol 25 mg PO QD
4. Avapro 150 mg PO QD
5. Lipitor 80 mg PO QD
6. Plavix 75 mg PO QD
7. ASA 325 mg PO QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Afebrile, VSS
Neck: no JVD, no bruits
RRR, no murmurs
CTAB, no R/R
Abd: soft, NT, ND
Ext: no edema

FAMILY HISTORY: Father: CAD
Grandfather: CAD
Sister: CAD

SOCIAL HISTORY: 5 pack-year tobacco (quit 30 y ago)
2 EtOH/day 

### Response:
{'Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Rheumatoid arthritis,Other and unspecified hyperlipidemia'}
