CHIEF COMPLAINT: 

PRESENT ILLNESS: 

MEDICAL HISTORY: 1. Morbid obesity.
2. Coronary artery bypass graft in 04/97.
3. Appendectomy at age of 80.
4. She had a deep venous thrombosis during a previous
hospitalization which resulted in her being anticoagulated.
5. Diabetes.

MEDICATION ON ADMISSION: 

ALLERGIES: Ampicillin, Zocor, and .............

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She denies smoking.  She denies ethanol
abuse.  Patient has a reversible heart defect post CABG.
Neoplasm of uncertain behavior of trachea, bronchus, and lung,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Pure hypercholesterolemia
Unc behav neo lung,DMII wo cmp nt st uncntr,Pure hypercholesterolem
Admission Date:  [**2195-3-20**]       Discharge Date:  [**2195-3-23**]

Date of Birth:  [**2129-3-14**]        Sex:  f

Service:

Diagnosis of a right middle lung nodule.  Postoperative
diagnosis was the same.  She underwent a VATS with a wedge
resection of the right middle lobe with Dr. [**Last Name (STitle) 175**] and Dr.
[**Last Name (STitle) 4427**].

PAST MEDICAL HISTORY:
1. Morbid obesity.
2. Coronary artery bypass graft in 04/97.
3. Appendectomy at age of 80.
4. She had a deep venous thrombosis during a previous
hospitalization which resulted in her being anticoagulated.
5. Diabetes.

MEDICATIONS AT HOME:
1. Neurontin 300 mg two tablets tid.
2. Glucophage 500 mg po bid.
3. Gemfibrozil 600 mg tablets [**Hospital1 **].
4. Isordil 20 tid.
5. Coumadin for INR therapeutic.
6. Accupril 20 mg [**Hospital1 **].
7. Lasix 40 mg a day.
8. Insulin.

ALLERGIES:  Ampicillin, Zocor, and .............

SOCIAL HISTORY:  She denies smoking.  She denies ethanol
abuse.  Patient has a reversible heart defect post CABG.

HOSPITAL COURSE:  The patient underwent the lung resection
under wedge.  Unfortunately postoperatively she had pulmonary
toilet issues and was desaturating most likely secondary to
poor inspiration and her underlying disease.  She was
retaining CO2 and was kept in the PACU for the next day.
Underwent vigorous chest PT and pulmonary toilet.  She was
sating well and she was on Lopressor for her heart
conditions.  She spiked to 102.2, and cultures sent off were
significant for urinary tract infection for which she was
started on Cipro 500 mg po bid.

She was transferred to the floor on postoperative day #2 and
did well.  She was sating 90% on room air to 2 liters without
any incident, and she was discharged home with prescriptions
for Lopressor 25 mg po bid, Colace 100 mg po bid, Tylenol #3
tablets, not Percocet secondary to her underlying respiratory
dysfunction and we want to avoid oversedation, she is given
80 of those, Cipro 500 mg tablets which she will get three
days worth of, and she will go home on Lopressor 25 mg po
bid.

She is to followup with Dr. [**Last Name (STitle) 175**].



                                [**First Name11 (Name Pattern1) 177**] [**Last Name (NamePattern4) 178**], M.D. [**MD Number(1) 179**]

Dictated By:[**Name8 (MD) 16758**]
MEDQUIST36

D:  [**2195-3-23**]  08:17
T:  [**2195-3-23**]  08:31
JOB#:  [**Job Number 98201**]


Name: [**Known lastname 15666**],[**Known firstname **] J            Unit No: [**Unit Number 15667**]

Admission Date:  [**2195-3-20**]       Discharge Date: [**2195-3-23**]

Date of Birth:                    Sex:

Service:

The patient is being discharged home to resume all her home
medications plus Colace 100 mg po bid, Tylenol #3 1-2 tablets
as needed.  She is given 80.  Cipro 500 mg po bid for her
urinary tract infection.  Lopressor 25 mg tablets one tablet
po bid.  The patient states that she has run out of her
prescription of Toprol at home.  She is given this.

She is going home today with home O2, diabetic teaching on [**First Name8 (NamePattern2) **]
[**Doctor First Name **] 1800 diet with a VNA.  She will follow up with Dr. [**First Name8 (NamePattern2) **]
[**Last Name (NamePattern1) 1313**], her PCP for her respiratory, medical, and cardiology
issues, and will follow up with Dr. [**Last Name (STitle) 1719**] next Thursday with
surgical issues and will make an appointment.






                      DR.[**Last Name (STitle) **],[**First Name3 (LF) 33**] 02-177

Dictated By:[**Name8 (MD) 2965**]
MEDQUIST36

D:  [**2195-3-23**]  12:31
T:  [**2195-3-23**]  12:45
JOB#:  [**Job Number 15668**]
{'Neoplasm of uncertain behavior of trachea, bronchus, and lung,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Pure hypercholesterolemia'}


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: 

MEDICAL HISTORY: 1. Morbid obesity.
2. Coronary artery bypass graft in 04/97.
3. Appendectomy at age of 80.
4. She had a deep venous thrombosis during a previous
hospitalization which resulted in her being anticoagulated.
5. Diabetes.

MEDICATION ON ADMISSION: 

ALLERGIES: Ampicillin, Zocor, and .............

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She denies smoking.  She denies ethanol
abuse.  Patient has a reversible heart defect post CABG. 

### Response:
{'Neoplasm of uncertain behavior of trachea, bronchus, and lung,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Pure hypercholesterolemia'}
