CHIEF COMPLAINT: 

PRESENT ILLNESS: This is s a 58 year old priest
who presented with multiple risk factors for coronary artery
disease, hypertension, diabetes mellitus, high cholesterol,
positive smoking, positive family history, who had two
episodes of chest pain at rest and was admitted to the
hospital.  Cardiac catheterization showed multiple stenoses
and he was taken to the operating room.

MEDICAL HISTORY: 1.  Mild emphysema.
2.  Gastroesophageal reflux disease.
3.  Mild depression.
4.  Hypertension.
5.  Diabetes mellitus.
6.  Status post appendectomy.

MEDICATION ON ADMISSION: 1.  Aspirin 81 mg p.o. once daily.
2.  Nifedipine 90 mg p.o. once daily.
3.  Prinivil 10 mg p.o. once daily.
4.  Zocor 40 mg p.o. once daily.
5.  Prilosec 20 mg p.o. once daily.
6.  Celexa 40 mg p.o. once daily.

ALLERGIES: He had no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Hematoma complicating a procedure,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia,Obesity, unspecified,Personal history of tobacco use,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation
Crnry athrscl natve vssl,Intermed coronary synd,Hematoma complic proc,Hypertension NOS,DMII wo cmp nt st uncntr,Hyperlipidemia NEC/NOS,Obesity NOS,History of tobacco use,Abn react-anastom/graft
Admission Date:  [**2116-8-10**]     Discharge Date:  [**2116-8-17**]

Date of Birth:   [**2058-4-18**]     Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  This is s a 58 year old priest
who presented with multiple risk factors for coronary artery
disease, hypertension, diabetes mellitus, high cholesterol,
positive smoking, positive family history, who had two
episodes of chest pain at rest and was admitted to the
hospital.  Cardiac catheterization showed multiple stenoses
and he was taken to the operating room.

PHYSICAL EXAMINATION:  His heart rate was 75 beats per
minute, normal sinus rhythm, blood pressure 124/82, afebrile.
He is markedly obese.  His lungs were clear.  His heart was
regular rate and rhythm, no murmurs, rubs or gallops.  The
abdomen was soft, nontender, nondistended with no
hepatosplenomegaly.  Extremities were warm and well perfused
with good pulses.

PAST MEDICAL HISTORY:
1.  Mild emphysema.
2.  Gastroesophageal reflux disease.
3.  Mild depression.
4.  Hypertension.
5.  Diabetes mellitus.
6.  Status post appendectomy.

ALLERGIES:  He had no known drug allergies.

MEDICATIONS ON ADMISSION:
1.  Aspirin 81 mg p.o. once daily.
2.  Nifedipine 90 mg p.o. once daily.
3.  Prinivil 10 mg p.o. once daily.
4.  Zocor 40 mg p.o. once daily.
5.  Prilosec 20 mg p.o. once daily.
6.  Celexa 40 mg p.o. once daily.

LABORATORY DATA:  White blood cell count 14.5, hematocrit
47.2, platelet count 415,000.  Potassium 3.7, blood urea
nitrogen 19, creatinine 0.7.  INR 1.1.

HOSPITAL COURSE:  The patient was taken to the operating room
where he had a coronary artery bypass graft performed times
three using left internal mammary artery and saphenous vein
grafting.  The patient did well postoperatively and he was
taken to the Intensive Care Unit.  He continued along with
protocol and did well.  His chest tube was removed, and his
wires were removed.  He was put on Levofloxacin for possible
infection.  Culture were negative.  The patient was extubated
and transferred to the floor.  Foley was taken out.  The
patient did well on the floor.  Physical therapy evaluation
consultation was obtained and he did well.  Physical therapy
took him through stairs and he continued to do well.  His
oxygen saturation was slightly low, and he was given
supporting oxygen, however, he was found to be relatively
stable at 90 to 91% in room air.  The patient was discharged
home after clearance from physical therapy in stable
condition and instructed to follow-up in one to two weeks
with his primary care physician.  [**Name10 (NameIs) **] patient was discharged
home in stable condition.




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

Dictated By:[**Last Name (NamePattern4) **]

MEDQUIST36

D:  [**2116-8-17**]  10:05
T:  [**2116-8-22**]  14:19
JOB#:  [**Job Number 111267**]
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Hematoma complicating a procedure,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia,Obesity, unspecified,Personal history of tobacco use,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}


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 is s a 58 year old priest
who presented with multiple risk factors for coronary artery
disease, hypertension, diabetes mellitus, high cholesterol,
positive smoking, positive family history, who had two
episodes of chest pain at rest and was admitted to the
hospital.  Cardiac catheterization showed multiple stenoses
and he was taken to the operating room.

MEDICAL HISTORY: 1.  Mild emphysema.
2.  Gastroesophageal reflux disease.
3.  Mild depression.
4.  Hypertension.
5.  Diabetes mellitus.
6.  Status post appendectomy.

MEDICATION ON ADMISSION: 1.  Aspirin 81 mg p.o. once daily.
2.  Nifedipine 90 mg p.o. once daily.
3.  Prinivil 10 mg p.o. once daily.
4.  Zocor 40 mg p.o. once daily.
5.  Prilosec 20 mg p.o. once daily.
6.  Celexa 40 mg p.o. once daily.

ALLERGIES: He had no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Hematoma complicating a procedure,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia,Obesity, unspecified,Personal history of tobacco use,Surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}
