CHIEF COMPLAINT: 3-vessel coronary artery disease c chest pain, N/V.

PRESENT ILLNESS: 53M who presented to OSH c complaints of chest pain, N/V.
Cardiac enzymes were negative, but ETT showed apical and
anterolateral septal defects.  He was then transferred to [**Hospital1 18**]
for cardiac cath, which showed 3-vessel disease.  He was then
referred for CABG.

MEDICAL HISTORY: 1. HTN
2. DM type 2
3. Hypercholesterolemia
4. Hepatitis C
5. PUD
6. R cranial nerve palsy
7. Erectile dysfunction
8. Prostatitis
9. BPH
10. L renal cell carcinoma
11. LLL radiculopathy
12. Microalbuminuria

MEDICATION ON ADMISSION: 1. Meclezine 25 mg PO QID
2. Metformin 1000 mg PO QD
3. Glipizide 10 mg PO QD
4. Gabapentin 300 mg PO BID
5. Zetia 10 mg PO QD
6. Omeprazole 20 mg PO BID
7. HCTZ 25 mg PO QD
8. Diovan 160 mg PO QD
9. Diltiazem 300 mg PO QD
10. ASA 81 mg PO QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Afebrile, VSS
NAD, alert
Neck: no JVD, no bruits
Heart: RRR, no murmurs
Lungs: CTAB
Abd: soft, NT, ND
Ext: no edema, palp pulses throughout

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Quit smoking 20 y ago.
Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Chronic hepatitis C without mention of hepatic coma,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction,Labyrinthitis, unspecified,Personal history of malignant neoplasm of kidney,Personal history of tobacco use
Crnry athrscl natve vssl,Intermed coronary synd,Chrnc hpt C wo hpat coma,DMII wo cmp nt st uncntr,Hypertension NOS,Pure hypercholesterolem,Peptic ulcer NOS,Labyrinthitis NOS,Hx of kidney malignancy,History of tobacco use
Admission Date:  [**2108-4-2**]              Discharge Date:   [**2108-4-6**]

Date of Birth:  [**2054-5-22**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1505**]
Chief Complaint:
3-vessel coronary artery disease c chest pain, N/V.

Major Surgical or Invasive Procedure:
1. CABG x4 (LIMA-LAD, SVG-OM, SVG-OM, SVG-diag)


History of Present Illness:
53M who presented to OSH c complaints of chest pain, N/V.
Cardiac enzymes were negative, but ETT showed apical and
anterolateral septal defects.  He was then transferred to [**Hospital1 18**]
for cardiac cath, which showed 3-vessel disease.  He was then
referred for CABG.

Past Medical History:
1. HTN
2. DM type 2
3. Hypercholesterolemia
4. Hepatitis C
5. PUD
6. R cranial nerve palsy
7. Erectile dysfunction
8. Prostatitis
9. BPH
10. L renal cell carcinoma
11. LLL radiculopathy
12. Microalbuminuria

Social History:
Quit smoking 20 y ago.

Family History:
Noncontributory

Physical Exam:
Afebrile, VSS
NAD, alert
Neck: no JVD, no bruits
Heart: RRR, no murmurs
Lungs: CTAB
Abd: soft, NT, ND
Ext: no edema, palp pulses throughout

Brief Hospital Course:
53M who presented to OSH c complaints of chest pain, N/V.
Cardiac enzymes were negative, but ETT showed apical and
anterolateral septal defects.  He was then transferred to [**Hospital1 18**]
for cardiac cath, which showed 3-vessel disease.  He was then
referred for CABG.

He was taken to the OR [**2108-4-2**] for CABG x4 (LIMA-LAD, SVG-OM,
SVG-OM, SVG-diag).  For more detailed account, please see op
note.  Post-op he was taken to the CSRU, where he was extubated
on POD 0, PA catheter was removed on POD 1, and was transferred
to the floor on POD 1.  Chest tubes were removed on POD 3.  He
met PT requirements on POD 3.  Discharged to home on POD 4.

Medications on Admission:
1. Meclezine 25 mg PO QID
2. Metformin 1000 mg PO QD
3. Glipizide 10 mg PO QD
4. Gabapentin 300 mg PO BID
5. Zetia 10 mg PO QD
6. Omeprazole 20 mg PO BID
7. HCTZ 25 mg PO QD
8. Diovan 160 mg PO QD
9. Diltiazem 300 mg PO QD
10. ASA 81 mg PO QD

Discharge Medications:
1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*0*
2. 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*
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. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed for pain.
Disp:*30 Tablet(s)* Refills:*0*
5. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
6. Ezetimibe 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
7. Meclizine HCl 12.5 mg Tablet Sig: Two (2) Tablet PO QID (4
times a day).
Disp:*240 Tablet(s)* Refills:*2*
8. Glipizide 10 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
Disp:*60 Tablet(s)* Refills:*2*
9. Metoprolol Tartrate 50 mg Tablet Sig: 1.5 Tablets PO BID (2
times a day).
Disp:*90 Tablet(s)* Refills:*2*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
1. CAD
2. HTN
3. DM type 2
4. Hepatitis C
5. Hypercholesterolemia
6. Peptic ulcer disease


Discharge Condition:
Good

Discharge Instructions:
1. Resume medications as directed.
2. Call office or go to ER if fever/chills, drainage from
surgical sites, chest pain, shortness of breath.

Followup Instructions:
Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], [**Name Initial (NameIs) **].D. Where: [**Hospital6 29**] CARDIAC
SERVICES Phone:[**Telephone/Fax (1) 5003**] Date/Time:[**2108-5-7**] 9:30

PCP, 2 weeks, call for appointment.

Dr. [**Last Name (STitle) **], 4 weeks, please call for appointment.
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Chronic hepatitis C without mention of hepatic coma,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction,Labyrinthitis, unspecified,Personal history of malignant neoplasm of kidney,Personal history of tobacco use'}


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: 3-vessel coronary artery disease c chest pain, N/V.

PRESENT ILLNESS: 53M who presented to OSH c complaints of chest pain, N/V.
Cardiac enzymes were negative, but ETT showed apical and
anterolateral septal defects.  He was then transferred to [**Hospital1 18**]
for cardiac cath, which showed 3-vessel disease.  He was then
referred for CABG.

MEDICAL HISTORY: 1. HTN
2. DM type 2
3. Hypercholesterolemia
4. Hepatitis C
5. PUD
6. R cranial nerve palsy
7. Erectile dysfunction
8. Prostatitis
9. BPH
10. L renal cell carcinoma
11. LLL radiculopathy
12. Microalbuminuria

MEDICATION ON ADMISSION: 1. Meclezine 25 mg PO QID
2. Metformin 1000 mg PO QD
3. Glipizide 10 mg PO QD
4. Gabapentin 300 mg PO BID
5. Zetia 10 mg PO QD
6. Omeprazole 20 mg PO BID
7. HCTZ 25 mg PO QD
8. Diovan 160 mg PO QD
9. Diltiazem 300 mg PO QD
10. ASA 81 mg PO QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Afebrile, VSS
NAD, alert
Neck: no JVD, no bruits
Heart: RRR, no murmurs
Lungs: CTAB
Abd: soft, NT, ND
Ext: no edema, palp pulses throughout

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Quit smoking 20 y ago. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Intermediate coronary syndrome,Chronic hepatitis C without mention of hepatic coma,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Pure hypercholesterolemia,Peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction,Labyrinthitis, unspecified,Personal history of malignant neoplasm of kidney,Personal history of tobacco use'}
