CHIEF COMPLAINT: 

PRESENT ILLNESS: This is an 82 year-old female
who presented on [**2198-8-27**] who presented to the Medical Service
with a history of diabetes, colon cancer, gastrointestinal
bleed secondary to an AVM, hypothyroid and aortic stenosis
who presented with shortness of breath.  She was taken to the
catheterization laboratory at an outside hospital with
possible aortic valve regurgitation.  She was found to have
significant regurgitation and was short of breath and she was
given Lasix and nebulizers and was transferred to this
hospital.

MEDICAL HISTORY: As above.

MEDICATION ON ADMISSION: 

ALLERGIES: Codeine per the chart.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Aortic valve disorders,Congestive heart failure, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified acquired hypothyroidism
Aortic valve disorder,CHF NOS,DMII wo cmp nt st uncntr,Hypothyroidism NOS
Admission Date:  [**2198-8-27**]       Discharge Date:  [**2198-9-4**]


Service:  MEDICAL

HISTORY OF PRESENT ILLNESS:  This is an 82 year-old female
who presented on [**2198-8-27**] who presented to the Medical Service
with a history of diabetes, colon cancer, gastrointestinal
bleed secondary to an AVM, hypothyroid and aortic stenosis
who presented with shortness of breath.  She was taken to the
catheterization laboratory at an outside hospital with
possible aortic valve regurgitation.  She was found to have
significant regurgitation and was short of breath and she was
given Lasix and nebulizers and was transferred to this
hospital.

PAST MEDICAL HISTORY:  As above.

ALLERGIES:  Codeine per the chart.

MEDICATIONS:  Potassium, Protonix, Levoxyl, iron, Lasix,
Premarin, Provera, calcium carbonate and aspirin.

PHYSICAL EXAMINATION:  She is afebrile, vital signs are
stable.  She is lying in bed.  She had no JVD.  Pupils are
equal, round and reactive to light.  She had a 3 out of 6
systolic ejection murmur that radiated to the arm.  Her lungs
had crackles at the bases bilaterally.  Abdomen soft,
nontender, nondistended.  Bowel sounds present.  No clubbing,
cyanosis or edema.

LABORATORY:  White blood cell count 9.0, hematocrit 35.8,
platelets 152, sodium 135, potassium 4.2, chloride 97,
bicarbonate 26, BUN 16, creatinine 0.7.  Blood sugar 152.
The patient had an INR of 2.0.

HOSPITAL COURSE:  The patient was brought here and cardiology
reconfirmed the aortic regurgitation.  The patient was taken
to the Operating Room on [**2198-8-30**] where an aortic valve repair
was performed.  The patient was transferred with a CE#19
valve.  The patient was also found to have an EF of 30%.  The
patient was transferred to the CSRU postoperatively where she
did well.  The patient was slowly weaned off of her
ventilator and was extubated.  The patient had her chest tube
removed.  The patient's Foley was removed and continued to do
well.  Physical therapy was consulted for ability of
ambulation and rehabilitation, which felt that a
rehabilitation facility would be appropriate in improving her
ambulation.  The patient was transferred to the floor
postoperatively where she continued to do well and on [**2198-9-4**]
the patient was discharged to a rehab facility for physical
therapy.

DISCHARGE STATUS:  The patient is discharged to a rehab
facility in stable condition.

DISCHARGE MEDICATIONS:  Premarin, calcium carbonate, iron
sulfate, Synthroid 200, Protonix 40.  She was given Percocet
for pain, enteric coated aspirin 325 mg po q.d., potassium 20
milliequivalents po b.i.d., Lasix 20 mg po b.i.d. and
Lopressor 25 mg po b.i.d.

INSTRUCTIONS:  The patient is instructed to follow up with
her primary care physician in one to two weeks as well as
with cardiology in one to two weeks at the same time.






                            [**First Name11 (Name Pattern1) 1112**] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 3113**]

Dictated By:[**Last Name (NamePattern4) 7148**]
MEDQUIST36

D:  [**2198-9-4**]  11:09
T:  [**2198-9-4**]  13:09
JOB#:  [**Job Number 43616**]
{'Aortic valve disorders,Congestive heart failure, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified acquired hypothyroidism'}


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 an 82 year-old female
who presented on [**2198-8-27**] who presented to the Medical Service
with a history of diabetes, colon cancer, gastrointestinal
bleed secondary to an AVM, hypothyroid and aortic stenosis
who presented with shortness of breath.  She was taken to the
catheterization laboratory at an outside hospital with
possible aortic valve regurgitation.  She was found to have
significant regurgitation and was short of breath and she was
given Lasix and nebulizers and was transferred to this
hospital.

MEDICAL HISTORY: As above.

MEDICATION ON ADMISSION: 

ALLERGIES: Codeine per the chart.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Aortic valve disorders,Congestive heart failure, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified acquired hypothyroidism'}
