CHIEF COMPLAINT: Chest pain
Shortness of breath

PRESENT ILLNESS: 58M c h/o CAD, now with increasing chest pain and dyspnea on
exertion.  Cardiac cath showed 2-vessel disease.  Clinical
course has been medical management vs. surgery.

MEDICAL HISTORY: 1. HTN
2. Hyperlipidemia
3. CAD
4. Diabetes mellitus, type 2
5. Cataracts

MEDICATION ON ADMISSION: 1. Avandomet 1/500 mg PO BID
2. Atenolol 25 mg PO QD
3. Lisinopril 5 mg PO BID
4. Lipitor 40 mg PO QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Afebrile, VSS
Neck: no JVD, no bruits
RRR, no murmurs
CTAB, no R/R
Abd: soft, NT, ND
Ext: no edema

FAMILY HISTORY: Brother: CAD
Father: MI
Mother: CHF

SOCIAL HISTORY: 25 pack-year tobacco (quit)
No EtOH
Coronary atherosclerosis of native coronary artery,Retention of urine, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension
Crnry athrscl natve vssl,Retention urine NOS,DMII wo cmp nt st uncntr,Hypertension NOS
Admission Date:  [**2171-3-18**]              Discharge Date:   [**2171-3-25**]

Date of Birth:  [**2112-11-10**]             Sex:   F

Service: CARDIOTHORACIC

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 14964**]
Chief Complaint:
Chest pain
Shortness of breath

Major Surgical or Invasive Procedure:
1. CABG x3 (free LIMA-LAD, SVG-OM, SVG-diag)


History of Present Illness:
58M c h/o CAD, now with increasing chest pain and dyspnea on
exertion.  Cardiac cath showed 2-vessel disease.  Clinical
course has been medical management vs. surgery.

Past Medical History:
1. HTN
2. Hyperlipidemia
3. CAD
4. Diabetes mellitus, type 2
5. Cataracts

Social History:
25 pack-year tobacco (quit)
No EtOH

Family History:
Brother: CAD
Father: MI
Mother: CHF

Physical Exam:
Afebrile, VSS
Neck: no JVD, no bruits
RRR, no murmurs
CTAB, no R/R
Abd: soft, NT, ND
Ext: no edema

Brief Hospital Course:
58M c 2-vessel disease and worsening symptoms presenting to the
cardiac surgery service for surgical treatment.  CABG x3 (free
LIMA-LAD, SVG-OM, SVG-diag) [**2171-3-18**].  For more details, please
see operative report.  Post-op, she was transferred to the CSRU
where she was extubated on POD 1.  Chest tubes and PA catheter
were removed on POD 2.  Vasopressors were weaned off on POD [**2-7**].
 She was then transferred to the floor on POD 3.  She failed to
void after foley removal on POD 5 and 7.  Foley was replaced and
GU was consulted.  She was 4 kg over her pre-op weight and lasix
was continued.  Pt discharged to home with services, with foley
leg bag and Urology f/u.

Medications on Admission:
1. Avandomet 1/500 mg PO BID
2. Atenolol 25 mg PO QD
3. Lisinopril 5 mg PO BID
4. Lipitor 40 mg PO QD

Discharge Medications:
1. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
Disp:*30 Tablet(s)* Refills:*2*
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(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:*20 Tablet(s)* Refills:*0*
5. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
Disp:*60 Tablet(s)* Refills:*2*
6. Atorvastatin Calcium 10 mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
7. Clopidogrel Bisulfate 75 mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
8. Rosiglitazone Maleate 2 mg Tablet Sig: 0.5 Tablet PO BID (2
times a day).
Disp:*30 Tablet(s)* Refills:*2*
9. Metformin HCl 500 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
Disp:*60 Tablet(s)* Refills:*2*
10. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24HR
Sig: One (1) Tablet Sustained Release 24HR PO DAILY (Daily).
Disp:*30 Tablet Sustained Release 24HR(s)* Refills:*2*
11. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal
Sig: One (1) Tab Sust.Rel. Particle/Crystal PO Q12H (every 12
hours) for 7 days.
Disp:*14 Tab Sust.Rel. Particle/Crystal(s)* Refills:*0*
12. Furosemide 40 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day) for 7 days.
Disp:*14 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Location (un) **] Nursing Services

Discharge Diagnosis:
1. Coronary artery disease
2. Diabetes mellitus
3. Hypertension
4. Urinary retention


Discharge Condition:
Good

Discharge Instructions:
1. Resume medications as directed.
2. See cardiologist in 2 weeks.
3. Please call office or go to ER if fever/chills, drainage from
sternal incision, chest pain, shortness of breath.
4. Foley leg bag care as directed.  Measure QD urine output.

Followup Instructions:
[**Hospital 159**] clinic, 1 week, call for appointment.

Cardiologist, 2 weeks, call for appointment.

Dr. [**Last Name (STitle) 70**], 4-6 weeks, call for appointment.
{'Coronary atherosclerosis of native coronary artery,Retention of urine, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension'}


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: Chest pain
Shortness of breath

PRESENT ILLNESS: 58M c h/o CAD, now with increasing chest pain and dyspnea on
exertion.  Cardiac cath showed 2-vessel disease.  Clinical
course has been medical management vs. surgery.

MEDICAL HISTORY: 1. HTN
2. Hyperlipidemia
3. CAD
4. Diabetes mellitus, type 2
5. Cataracts

MEDICATION ON ADMISSION: 1. Avandomet 1/500 mg PO BID
2. Atenolol 25 mg PO QD
3. Lisinopril 5 mg PO BID
4. Lipitor 40 mg PO QD

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Afebrile, VSS
Neck: no JVD, no bruits
RRR, no murmurs
CTAB, no R/R
Abd: soft, NT, ND
Ext: no edema

FAMILY HISTORY: Brother: CAD
Father: MI
Mother: CHF

SOCIAL HISTORY: 25 pack-year tobacco (quit)
No EtOH 

### Response:
{'Coronary atherosclerosis of native coronary artery,Retention of urine, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension'}
