CHIEF COMPLAINT: Left hip pain

PRESENT ILLNESS: 79 yo man complaining of long-standing disabling left hip pain
due to severe
degenerative arthritis.

MEDICAL HISTORY: CAD, s/p CABG '[**35**], multiple stents (last [**3-26**])
[**3-26**]:
1. Two vessel coronary artery disease.
2. Patent LIMA -> LAD. SVG -> OM totally occluded. SVG ->
D1 90% lesion.
3. Moderate systolic dysfunction with LVEF 31%.
5. Successful stenting of the SVG-D1.
A-fib (paroxysmal)
HTN
Hyperlipidemia
Chronic anemia
Prostate CA s/p XRT (over 10 years ago), s/p TURP [**1-12**]
S/p discectomy [**9-26**]
Right total hip arthroplasty

MEDICATION ON ADMISSION: NTG SL prn
Lovastatin 20mg
Oxazepam 10mg
Niacin 500mg
InnPRan XL 80mg [**Hospital1 **]
Amlodipine 5mg
Sertraline 100mg [**Hospital1 **]
ASA 325mg Daily

ALLERGIES: Ticlid / Lipitor

PHYSICAL EXAM: Gen-Alert/oriented, NAD
VS-afebrile/Vss
CV-irreg, irreg S1/S2
Lungs- CTA bilat
Abd-soft NT/ND
EXT-LLE:Incision clean/dry/intact. +[**Last Name (un) 938**]/FHl/AT, +DPP

FAMILY HISTORY: NC

SOCIAL HISTORY: No etoh/tob/drugs. Patient lives alone. His wife is very ill and
lives in a nursing home. Daughter [**Name (NI) **] lives nearby.
Osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh,Other and unspecified angina pectoris,Atrial fibrillation,Unspecified essential hypertension,Aortocoronary bypass status,Personal history of malignant neoplasm of prostate,Personal history of irradiation, presenting hazards to health
Osteoarthros NOS-pelvis,Angina pectoris NEC/NOS,Atrial fibrillation,Hypertension NOS,Aortocoronary bypass,Hx-prostatic malignancy,Hx of irradiation
Admission Date:  [**2152-1-4**]              Discharge Date:   [**2152-1-10**]

Date of Birth:  [**2072-5-20**]             Sex:   M

Service: ORTHOPAEDICS

Allergies:
Ticlid / Lipitor

Attending:[**First Name3 (LF) 52022**]
Chief Complaint:
Left hip pain

Major Surgical or Invasive Procedure:
Left total hip arthroplasty
Central line placement


History of Present Illness:
79 yo man complaining of long-standing disabling left hip pain
due to severe
degenerative arthritis.

Past Medical History:
CAD, s/p CABG '[**35**], multiple stents (last [**3-26**])
[**3-26**]:
1. Two vessel coronary artery disease.
2. Patent LIMA -> LAD. SVG -> OM totally occluded. SVG ->
D1 90% lesion.
3. Moderate systolic dysfunction with LVEF 31%.
5. Successful stenting of the SVG-D1.
A-fib (paroxysmal)
HTN
Hyperlipidemia
Chronic anemia
Prostate CA s/p XRT (over 10 years ago), s/p TURP [**1-12**]
S/p discectomy [**9-26**]
Right total hip arthroplasty

Social History:
No etoh/tob/drugs. Patient lives alone. His wife is very ill and
lives in a nursing home. Daughter [**Name (NI) **] lives nearby.


Family History:
NC

Physical Exam:
Gen-Alert/oriented, NAD
VS-afebrile/Vss
CV-irreg, irreg S1/S2
Lungs- CTA bilat
Abd-soft NT/ND
EXT-LLE:Incision clean/dry/intact. +[**Last Name (un) 938**]/FHl/AT, +DPP

Pertinent Results:
[**2152-1-4**] 12:29PM   GLUCOSE-152* LACTATE-2.2* NA+-140 K+-3.9
CL--111
[**2152-1-4**] 12:29PM   freeCa-1.27
[**2152-1-4**] 12:13PM   WBC-10.6# RBC-4.03* HGB-12.4* HCT-34.6*
MCV-86 MCH-30.9 MCHC-35.9* RDW-15.5
[**2152-1-4**] 10:32AM   HGB-10.7* calcHCT-32

Brief Hospital Course:
79 yo man complaining of severe, disabling left hip pain.
Patient has been followed by Dr. [**Last Name (STitle) **] in [**Hospital 6669**] clinic. It
had been decided in clinic that patient would have an elective
left total hip arthroplasty. Patient was admitted on [**2152-1-4**]
for an elective left total hip arthroplasty. Of note, several
days pre-operatively, patient had anginal symptoms with no EKG
changes. Patient was taken to surgery and remained
hemodynamically stable. Patient was taken post-op to medical ICU
for close monitoring in the setting of CAD. In the unit patient
remained hemodynamically stable. Patient's PCP/cardiologist
Dr.[**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] had followed the patient closely as well.
Patient was transferred to the orthopedic floor in stable
condition on [**2152-1-5**]. Patient remained stable, HCT did drop on
[**2152-1-7**] to 28 from 30. Patient was given PRBC and HCT bumped
appropriately. Patient continued to progress appropriately with
physical therapy. Patient was discharged in stable condition.

Medications on Admission:
NTG SL prn
Lovastatin 20mg
Oxazepam 10mg
Niacin 500mg
InnPRan XL 80mg [**Hospital1 **]
Amlodipine 5mg
Sertraline 100mg [**Hospital1 **]
ASA 325mg Daily

Discharge Medications:
1. Lovastatin 20 mg Tablet Sig: One (1) Tablet PO qd ().
2. Oxazepam 10 mg Capsule Sig: One (1) Capsule PO HS (at
bedtime) as needed.
3. Niacin 500 mg Capsule, Sustained Release Sig: One (1)
Capsule, Sustained Release PO QD ().
4. Sertraline 100 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day).
5. Amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

6. Propranolol 80 mg Capsule, Sustained Action 24HR Sig: One (1)
Capsule, Sustained Action 24HR PO DAILY (Daily).
7. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed for pain.
8. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

9. Multivitamin     Capsule Sig: One (1) Cap PO DAILY (Daily).
10. Plavix 75 mg Tablet Sig: One (1) Tablet PO once a day.
11. Coumadin 2 mg Tablet Sig: One (1) Tablet PO at bedtime for 3
weeks: Goal INR 2.0
-Please check INR 2x weekly.
-Please have HO adjust dose to meet goal INR.


Discharge Disposition:
Extended Care

Facility:
[**Hospital6 459**] for the Aged - [**Location (un) 550**]

Discharge Diagnosis:
Osteoarthritis Left hip
Exertional angina


Discharge Condition:
stable


Discharge Instructions:
Please cont with full bearing Left leg with walker assist. Cont
with physical thearpy. Oral pain medication as needed. Please
keep incision clean/dry. Please call/return if any fevers,
increased discharge from incision, chest pain, or trouble
breathing.
Physical Therapy:
Activity:  Activity as tolerated
 Right lower extremity:  Full weight bearing
 Left lower extremity:  Full weight bearing

-posterior hip dislocation precautions please.

Treatments Frequency:
Please keep incision clean/dry.
-Suture to be removed at follow-up appt.
-Goal INR 2.0, please check INR 2x weekly. Please have HO adjust
dose to meet goal INR.

-Upon d/c from rehab please have INR results call to
[**Telephone/Fax (1) 9118**] attn [**Doctor Last Name **] Brown

Followup Instructions:
Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 11642**], MD Phone:[**Telephone/Fax (1) 1228**]
Date/Time:[**2152-2-3**] 1:00
Please call this week to schedule follow-up appt. with PCP
[**Last Name (NamePattern4) **].[**Last Name (STitle) **] [**0-0-**]
{'Osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh,Other and unspecified angina pectoris,Atrial fibrillation,Unspecified essential hypertension,Aortocoronary bypass status,Personal history of malignant neoplasm of prostate,Personal history of irradiation, presenting hazards to health'}


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: Left hip pain

PRESENT ILLNESS: 79 yo man complaining of long-standing disabling left hip pain
due to severe
degenerative arthritis.

MEDICAL HISTORY: CAD, s/p CABG '[**35**], multiple stents (last [**3-26**])
[**3-26**]:
1. Two vessel coronary artery disease.
2. Patent LIMA -> LAD. SVG -> OM totally occluded. SVG ->
D1 90% lesion.
3. Moderate systolic dysfunction with LVEF 31%.
5. Successful stenting of the SVG-D1.
A-fib (paroxysmal)
HTN
Hyperlipidemia
Chronic anemia
Prostate CA s/p XRT (over 10 years ago), s/p TURP [**1-12**]
S/p discectomy [**9-26**]
Right total hip arthroplasty

MEDICATION ON ADMISSION: NTG SL prn
Lovastatin 20mg
Oxazepam 10mg
Niacin 500mg
InnPRan XL 80mg [**Hospital1 **]
Amlodipine 5mg
Sertraline 100mg [**Hospital1 **]
ASA 325mg Daily

ALLERGIES: Ticlid / Lipitor

PHYSICAL EXAM: Gen-Alert/oriented, NAD
VS-afebrile/Vss
CV-irreg, irreg S1/S2
Lungs- CTA bilat
Abd-soft NT/ND
EXT-LLE:Incision clean/dry/intact. +[**Last Name (un) 938**]/FHl/AT, +DPP

FAMILY HISTORY: NC

SOCIAL HISTORY: No etoh/tob/drugs. Patient lives alone. His wife is very ill and
lives in a nursing home. Daughter [**Name (NI) **] lives nearby. 

### Response:
{'Osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh,Other and unspecified angina pectoris,Atrial fibrillation,Unspecified essential hypertension,Aortocoronary bypass status,Personal history of malignant neoplasm of prostate,Personal history of irradiation, presenting hazards to health'}
