CHIEF COMPLAINT: Abdominal pain.

PRESENT ILLNESS: Mr. [**Known lastname 1617**] is a pleasant 57 yo white male well known to this
service, who has a rather complicated PMH, including s/p bowel
resection for Non-Hodgkin's B-cell lymphoma of the small bowel,
recently treated conservatively in [**3-4**] for partial small bowel
obstruction, who presented to [**Hospital1 18**] on [**2175-5-5**], with complaints
of abdominal pain with nausea vomiting.

MEDICAL HISTORY: Non-Hodgkin's lymphoma
Congential lymphatic atresia
Seminoma s/p radiation and resection
Appendectomy, perforated
Cholecystectomy
SBO ([**2174-12-14**]) s/p resection

MEDICATION ON ADMISSION: 

ALLERGIES: Codeine / Zestril

PHYSICAL EXAM: General: alert, oriented, well-nourished, whincing in pain
HEENT: anicteric; no JVD LAD or thyromegaly
Chest: CTA bilaterally
CV: RRR without murmur or 3rd heart sound noted
Abd: mildly distended, soft, diffusely tender
Ext: Profound bilateral lower extremity edema, distal
neurovascular intact

FAMILY HISTORY: Father - PVD
Mother - questionable metastatic ovarian cancer

SOCIAL HISTORY: Supportive wife, otherwise denies [**Name (NI) **]/EtOH/IDU.
Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection),Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Unspecified protein-calorie malnutrition,Pressure ulcer, buttock,Hereditary edema of legs,Personal history of other diseases of circulatory system,Disturbance of skin sensation
Intestinal adhes w obstr,Oth lymp unsp xtrndl org,Protein-cal malnutr NOS,Pressure ulcer, buttock,Hereditary edema of legs,Hx-circulatory dis NEC,Skin sensation disturb
Admission Date:  [**2175-5-5**]              Discharge Date:   [**2175-5-18**]

Date of Birth:  [**2117-10-10**]             Sex:   M

Service: SURGERY

Allergies:
Codeine / Zestril

Attending:[**First Name3 (LF) 148**]
Chief Complaint:
Abdominal pain.

Major Surgical or Invasive Procedure:
Exploratory laparotomy with lysis of adhesions


History of Present Illness:
Mr. [**Known lastname 1617**] is a pleasant 57 yo white male well known to this
service, who has a rather complicated PMH, including s/p bowel
resection for Non-Hodgkin's B-cell lymphoma of the small bowel,
recently treated conservatively in [**3-4**] for partial small bowel
obstruction, who presented to [**Hospital1 18**] on [**2175-5-5**], with complaints
of abdominal pain with nausea vomiting.

Past Medical History:
Non-Hodgkin's lymphoma
Congential lymphatic atresia
Seminoma s/p radiation and resection
Appendectomy, perforated
Cholecystectomy
SBO ([**2174-12-14**]) s/p resection


Social History:
Supportive wife, otherwise denies [**Name (NI) **]/EtOH/IDU.


Family History:
Father - PVD
Mother - questionable metastatic ovarian cancer

Physical Exam:
General: alert, oriented, well-nourished, whincing in pain
HEENT: anicteric; no JVD LAD or thyromegaly
Chest: CTA bilaterally
CV: RRR without murmur or 3rd heart sound noted
Abd: mildly distended, soft, diffusely tender
Ext: Profound bilateral lower extremity edema, distal
neurovascular intact

Brief Hospital Course:
As above, Mr. [**Known lastname 1617**], with a history of partial small bowel
obstruction and Non-Hogdkin's B cell Lymphoma of small bowel,
s/p resection, presented to [**Hospital1 18**] on [**2175-5-5**] with complaints of
abdominal pain with nausea and bilious vomiting.  A CT scan of
the abdomen revealed a small bowel obstruction with a clear
transition.  He was admitted to the surgery service.  He was
made NPO, an NG tube was placed, he was hydrated well, and
treated conservatively for 2 days.  It was apparent that Mr.
[**Known lastname **] bowel obstruction was not resolving, and on [**2175-5-8**], he
underwent an exploratory laparotomy with lysis of adhesions to
resolve his bowel obstruction.  He tolerated the procedure well.
However, because of his lymphatic atresia, Mr. [**Known lastname 1617**] is unable
to adequately keep fluid in his intravascular space, and he
required aggressive hydration, much of which was simply "third
spaced" into his soft tissue space.  He became incredibly
edematous, and he remained intubated in the PACU for some time.
He eventually was extubated, which he tolerated well.  His
recovery, while uncomplicated, was slowed by his edema.  He
began working with physical therapy. His diet was advanced
slowly, and it was quite evident that his bowel obstruction was
relieved by his operation.  He eventually ambulated easily and
often on his own.  Before discharge, his diet was advanced to
regular, his pain was well controlled with oral pain
medications, and his wound appeared well healing. He was
discharged to home in good condition on [**2175-5-18**].

Discharge Medications:
1. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed.
Disp:*45 Tablet(s)* Refills:*0*
2. Fluticasone-Salmeterol 100-50 mcg/Dose Disk with Device Sig:
One (1) Disk with Device Inhalation [**Hospital1 **] (2 times a day).
3. Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Sig: [**1-1**]
Puffs Inhalation Q6H (every 6 hours) as needed.
4. Ipratropium Bromide 18 mcg/Actuation Aerosol Sig: Two (2)
Puff Inhalation QID (4 times a day).
5. Glyburide 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
6. Albuterol 90 mcg/Actuation Aerosol Sig: 1-2 Puffs Inhalation
Q6H (every 6 hours) as needed.
7. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.) Sig:
One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2*
8. Insulin Regular Human 100 unit/mL Solution Sig: One (1)
Injection ASDIR (AS DIRECTED).
9. Zolpidem Tartrate 5 mg Tablet Sig: One (1) Tablet PO HS (at
bedtime) as needed.
Disp:*30 Tablet(s)* Refills:*0*
10. Keflex 250 mg Capsule Sig: One (1) Capsule PO four times a
day for 5 days.
Disp:*20 Capsule(s)* Refills:*0*
11. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day.
Disp:*60 Capsule(s)* Refills:*2*


Discharge Disposition:
Home

Discharge Diagnosis:
Small Bowel Obstruction
Non-hodgkins B cell Lymphoma


Discharge Condition:
Good

Discharge Instructions:
Please keep wound area clean and dry.  Take all medications as
prescribed.  Seek medical attention if you experience fever,
chills, nausea, vomiting or increased abdominal pain.

Followup Instructions:
Please call Dr. [**Last Name (STitle) **] at [**Telephone/Fax (1) 1231**] within the first few
days following discharge to schedule a follow-up appointment.
{'Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection),Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Unspecified protein-calorie malnutrition,Pressure ulcer, buttock,Hereditary edema of legs,Personal history of other diseases of circulatory system,Disturbance of skin sensation'}


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: Abdominal pain.

PRESENT ILLNESS: Mr. [**Known lastname 1617**] is a pleasant 57 yo white male well known to this
service, who has a rather complicated PMH, including s/p bowel
resection for Non-Hodgkin's B-cell lymphoma of the small bowel,
recently treated conservatively in [**3-4**] for partial small bowel
obstruction, who presented to [**Hospital1 18**] on [**2175-5-5**], with complaints
of abdominal pain with nausea vomiting.

MEDICAL HISTORY: Non-Hodgkin's lymphoma
Congential lymphatic atresia
Seminoma s/p radiation and resection
Appendectomy, perforated
Cholecystectomy
SBO ([**2174-12-14**]) s/p resection

MEDICATION ON ADMISSION: 

ALLERGIES: Codeine / Zestril

PHYSICAL EXAM: General: alert, oriented, well-nourished, whincing in pain
HEENT: anicteric; no JVD LAD or thyromegaly
Chest: CTA bilaterally
CV: RRR without murmur or 3rd heart sound noted
Abd: mildly distended, soft, diffusely tender
Ext: Profound bilateral lower extremity edema, distal
neurovascular intact

FAMILY HISTORY: Father - PVD
Mother - questionable metastatic ovarian cancer

SOCIAL HISTORY: Supportive wife, otherwise denies [**Name (NI) **]/EtOH/IDU. 

### Response:
{'Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection),Other malignant lymphomas, unspecified site, extranodal and solid organ sites,Unspecified protein-calorie malnutrition,Pressure ulcer, buttock,Hereditary edema of legs,Personal history of other diseases of circulatory system,Disturbance of skin sensation'}
