CHIEF COMPLAINT: 78WF with L leg swelling.

PRESENT ILLNESS: This 78 year old white female presented to the [**Hospital3 **] ER
with a swollen L leg.  She had injured it 1 week prior to
admission and was found to have a leaking popliteal aneurysm.
She was transferred to [**Hospital1 18**] for further management.

MEDICAL HISTORY: Cataracts, s/p surgery

MEDICATION ON ADMISSION: MVI 1 PO daily
Tylenol PRN

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: Elderly white female in NAD
AVSS
HEENT: NC/AT, PERLA, EOMI, oropharynx benign.
Neck: supple, FROM, no lymphadenopathy or thyromegaly, carotids
2+= bilat. without bruits.
Lungs: Clear to A+P
CV: RRR without rubs, murmurs, or gallops.
Abd: +BS, soft, nontender, without masses or hepatosplenomegaly.
Ext:  L leg swelling with good pulses, no varicosities.
Neuro: nonfocal

FAMILY HISTORY: + CAD

SOCIAL HISTORY: Lives alone.
Cigs: 3ppd x 50 years, quit 14 years ago.
ETOH: [**12-17**] glass wine/day.
Aneurysm of artery of lower extremity,Coronary atherosclerosis of native coronary artery
Lower extremity aneurysm,Crnry athrscl natve vssl
Admission Date:  [**2146-12-4**]              Discharge Date:   [**2146-12-14**]

Date of Birth:  [**2068-1-31**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 14964**]
Chief Complaint:
78WF with L leg swelling.

Major Surgical or Invasive Procedure:
Covered stent placement in the L popliteal artery
OPCABx2(LIMA->LAD, SVG->OM) [**2146-12-8**]

History of Present Illness:
This 78 year old white female presented to the [**Hospital3 **] ER
with a swollen L leg.  She had injured it 1 week prior to
admission and was found to have a leaking popliteal aneurysm.
She was transferred to [**Hospital1 18**] for further management.

Past Medical History:
Cataracts, s/p surgery

Social History:
Lives alone.
Cigs: 3ppd x 50 years, quit 14 years ago.
ETOH: [**12-17**] glass wine/day.

Family History:
+ CAD

Physical Exam:
Gen: Elderly white female in NAD
AVSS
HEENT: NC/AT, PERLA, EOMI, oropharynx benign.
Neck: supple, FROM, no lymphadenopathy or thyromegaly, carotids
2+= bilat. without bruits.
Lungs: Clear to A+P
CV: RRR without rubs, murmurs, or gallops.
Abd: +BS, soft, nontender, without masses or hepatosplenomegaly.
Ext:  L leg swelling with good pulses, no varicosities.
Neuro: nonfocal

Pertinent Results:
Hematology
COMPLETE BLOOD COUNT WBC RBC Hgb Hct MCV MCH MCHC RDW Plt Ct
[**2146-12-13**] 06:35AM    12.4* 3.77* 11.1* 34.3* 91 29.5 32.4 15.0
503*
  BASIC COAGULATION (PT, PTT, PLT, INR) PT PTT Plt Ct INR(PT)
[**2146-12-13**] 06:35AM    13.0 24.0   1.1

Chemistry
RENAL & GLUCOSE Glucose UreaN Creat Na K Cl HCO3 AnGap
[**2146-12-13**] 06:35AM    119* 18 0.6 137 4.4 101 30* 10



Brief Hospital Course:
The patient was admitted to Dr. [**Last Name (STitle) **] on the vascular
service, and incidentially T wave inversions were noted on EKG,
and she had elevated troponins without cardiac symptoms.
Cardiology was consulted and she underwent cardiac cath on
[**2146-12-6**] which revealed:  70% distal LMCA lesion, 90% proximal
LAD lesion, 80% LCX stenosis, and 50% RCA stenosis.  She also
had a covered stent placed in her L popliteal aneursym so she
could undergo CABG.
Dr. [**Last Name (STitle) 70**] was consulted and on [**2146-12-8**] she underwent
OPCABx2 with LIMA->LAD and SVG->OM.  She tolerated the procedure
well and was transferred to the CSRU on Neo and Propofol.  She
was extubated on post op night, and had her chest tubes d/c'd on
POD#2.  She was on Neo for a few days and was transferred to the
floor on POD#5.  She continued to progress and Vascular surgery
stated that she could have full wt. bearing on her left leg, but
had to keep the knee immoblilzer on at all times and should not
bend her L knee.  She was discharged to rehab on POD# 6 in
stable condition.

Medications on Admission:
MVI 1 PO daily
Tylenol PRN

Discharge Medications:
1. Furosemide 20 mg Tablet Sig: One (1) Tablet PO Q12H (every 12
hours) for 7 days.
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
3. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every
4 hours) as needed.
4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
5. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: Two
(2) Capsule, Sustained Release PO once a day for 7 days.
6. Clopidogrel Bisulfate 75 mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
7. Levofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q24H (every
24 hours) for 7 days.
Disp:*7 Tablet(s)* Refills:*0*
8. Metronidazole 500 mg Tablet Sig: One (1) Tablet PO TID (3
times a day) for 7 days.
9. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO DAILY (Daily).
10. Atorvastatin Calcium 20 mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
11. Nystatin 100,000 unit/mL Suspension Sig: Five (5) ML PO QID
(4 times a day) for 7 days.
12. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO BID
(2 times a day).


Discharge Disposition:
Extended Care

Facility:
[**Hospital6 1293**] - [**Location (un) **]

Discharge Diagnosis:
L popliteal aneurysm
Coronary artery disease


Discharge Condition:
Good.

Discharge Instructions:
Follow medications on discharge instructions.
You may not drive for 4 weeks.
You may not lift more than 10 lbs. for 3 months.
You should shower, let water flow over wounds, pat dry with a
towel.
Do not bend left knee, wear knee immobilizer at all times.

Followup Instructions:
Make an appointment with Dr. [**Last Name (STitle) 8520**] for 1-2 weeks @
[**Telephone/Fax (1) **]
Make an appointment with Dr. [**Last Name (STitle) 70**] for 6 weeks.
Make an appointment with Dr. [**Last Name (STitle) **] for 1-2 weeks @
[**Telephone/Fax (1) **]



Completed by:[**2146-12-14**]
{'Aneurysm of artery of lower extremity,Coronary atherosclerosis of native coronary artery'}


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: 78WF with L leg swelling.

PRESENT ILLNESS: This 78 year old white female presented to the [**Hospital3 **] ER
with a swollen L leg.  She had injured it 1 week prior to
admission and was found to have a leaking popliteal aneurysm.
She was transferred to [**Hospital1 18**] for further management.

MEDICAL HISTORY: Cataracts, s/p surgery

MEDICATION ON ADMISSION: MVI 1 PO daily
Tylenol PRN

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: Elderly white female in NAD
AVSS
HEENT: NC/AT, PERLA, EOMI, oropharynx benign.
Neck: supple, FROM, no lymphadenopathy or thyromegaly, carotids
2+= bilat. without bruits.
Lungs: Clear to A+P
CV: RRR without rubs, murmurs, or gallops.
Abd: +BS, soft, nontender, without masses or hepatosplenomegaly.
Ext:  L leg swelling with good pulses, no varicosities.
Neuro: nonfocal

FAMILY HISTORY: + CAD

SOCIAL HISTORY: Lives alone.
Cigs: 3ppd x 50 years, quit 14 years ago.
ETOH: [**12-17**] glass wine/day. 

### Response:
{'Aneurysm of artery of lower extremity,Coronary atherosclerosis of native coronary artery'}
