CHIEF COMPLAINT: Bilateral knee osteoarthritis and progressive knee pain with
activity

PRESENT ILLNESS: 54 year old female with osteoarthritis and progressive bilateral
knee pain with activity presents today for definitive treatment.

MEDICAL HISTORY: Heart murmur (+prophylaxis)
Dyspnea
Asthma
Sleep apnea on CPAP (C-flex wO2)
GERD
h/o depression

MEDICATION ON ADMISSION: Citalopram
Albuterol
Prevacid

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On discharge:

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Non-contributory
Osteoarthrosis, localized, not specified whether primary or secondary, lower leg,Acute posthemorrhagic anemia,Esophageal reflux,Asthma, unspecified type, unspecified,Obstructive sleep apnea (adult)(pediatric)
Loc osteoarth NOS-l/leg,Ac posthemorrhag anemia,Esophageal reflux,Asthma NOS,Obstructive sleep apnea
Admission Date:  [**2172-1-20**]              Discharge Date:   [**2172-1-24**]

Date of Birth:  [**2117-8-6**]             Sex:   F

Service: ORTHOPAEDICS

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name8 (NamePattern2) 1103**]
Chief Complaint:
Bilateral knee osteoarthritis and progressive knee pain with
activity

Major Surgical or Invasive Procedure:
Bilateral total knee replacements


History of Present Illness:
54 year old female with osteoarthritis and progressive bilateral
knee pain with activity presents today for definitive treatment.

Past Medical History:
Heart murmur (+prophylaxis)
Dyspnea
Asthma
Sleep apnea on CPAP (C-flex wO2)
GERD
h/o depression

Social History:
Non-contributory

Family History:
Non-contributory

Physical Exam:
On discharge:

Afebrile, All vital signs stable
General: Alert and oriented, No acute distress
Extremities: bilateral lower
 Weight bearing: partial weight bearing
 Incision: no swelling/erythema/drainage
 Dressing: clean/dry/intact
   Extensor/flexor hallicus longus intact
   Sensation intact to light touch
   Neurovascular intact
   Capillary refill brisk
   2+ pulse

Brief Hospital Course:
Ms. [**Known lastname 807**] was admitted to [**Hospital1 18**] on [**2172-1-20**] for an  bilateral
total knee replacement. Pre-operatively, she was consented,
prepped, and brought to the operating room for surgery.
Intra-operatively, she was closely monitored and remained
hemodynamically stable. She tolerated the procedure well without
any difficulty or complication. Post-operatively, she was
transferred to the ICU for overnight monitoring given her sleep
apnea. She was given lovenox,ancef and PCA. On POD #1, she was
transferred to the step-down unit for further recovery. On POD
#2, she was transfused 2 units of PRBC for postoperative anemia.
She then remained hemodynamically stable and her pain well
controlled. POD #3 her hct was 26. She progressed with physical
therapy to improve her strength and mobility. She continues to
make steady progress without any incidents. She was discharged
in stable condition.

Medications on Admission:
Citalopram
Albuterol
Prevacid

Discharge Medications:
1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
2. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed.
3. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30)
ML PO BID (2 times a day) as needed.
4. Hexavitamin     Tablet Sig: One (1) Cap PO DAILY (Daily).
5. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed.
6. Albuterol 90 mcg/Actuation Aerosol Sig: 1-2 Puffs Inhalation
Q6H (every 6 hours) as needed.
7. Citalopram 20 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).

8. Enoxaparin 40 mg/0.4 mL Syringe Sig: One (1)  Subcutaneous
DAILY (Daily) for 4 weeks.
9. Oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q3-4H (Every 3 to 4
Hours) as needed.


Discharge Disposition:
Extended Care

Facility:
[**Hospital6 85**] - [**Location (un) 86**]

Discharge Diagnosis:
Osteoarthritis
Postoperative anemia


Discharge Condition:
Stable


Discharge Instructions:
Keep the incision/dressing clean and dry. You may apply a dry
sterile dressing as needed for drainage or comfort.
If you have any increased redness, swelling, pain, drainage,
shortness of breath, or a temperature >101, please call your
doctor or go to the emergency room for evaluation.
You may bear partial weight on both legs. Ambulate with
crutches.
Resume all of your home medication prior to admission and take
all medication as prescribed by your doctor.
Continue your Lovenox injections as prescribed to help prevent
blood clots.
Feel free to call our office with any questions or concerns.
Physical Therapy:
Activity:  Activity as tolerated
 Right lower extremity:  Full weight bearing
 Left lower extremity:  Full weight bearing
 Knee immobilizer:  when not in CPM
Treatments Frequency:
Your skin staples may be removed 2 weeks after your surgery.

Followup Instructions:
Provider: [**Name10 (NameIs) **] GATES, RNC MSN Phone:[**Telephone/Fax (1) 1228**]
Date/Time:[**2172-2-4**] 9:45



Completed by:[**2172-1-24**]
{'Osteoarthrosis, localized, not specified whether primary or secondary, lower leg,Acute posthemorrhagic anemia,Esophageal reflux,Asthma, unspecified type, unspecified,Obstructive sleep apnea (adult)(pediatric)'}


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: Bilateral knee osteoarthritis and progressive knee pain with
activity

PRESENT ILLNESS: 54 year old female with osteoarthritis and progressive bilateral
knee pain with activity presents today for definitive treatment.

MEDICAL HISTORY: Heart murmur (+prophylaxis)
Dyspnea
Asthma
Sleep apnea on CPAP (C-flex wO2)
GERD
h/o depression

MEDICATION ON ADMISSION: Citalopram
Albuterol
Prevacid

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On discharge:

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Non-contributory 

### Response:
{'Osteoarthrosis, localized, not specified whether primary or secondary, lower leg,Acute posthemorrhagic anemia,Esophageal reflux,Asthma, unspecified type, unspecified,Obstructive sleep apnea (adult)(pediatric)'}
