CHIEF COMPLAINT: Left carotid stenosis.

PRESENT ILLNESS: This 77-year-old male who noted
visual changes 2 weeks prior to admission was seen by his
primary care physician (Dr. [**Last Name (STitle) 11493**]. Ultrasounds were obtained
at that time, which revealed carotid stenosis. An MRI
revealed a greater then 99% stenosis of the left carotid
artery. The patient was then scheduled for an appointment
with Dr. [**Last Name (STitle) 1391**] and was then scheduled for his surgery
based on MRA and exam. Patient now admitted for definitive
treatment of his carotid stenosis.

MEDICAL HISTORY: Hypertension, hypothyroidism, benign
prostatic hypertrophy.

MEDICATION ON ADMISSION: Diovan with Hydrochlorothiazide
160/125 b.i.d., Synthroid 0.025 mg daily, Uroxatral every
day, aspirin 325 mg daily, Plavix 75 mg daily, Tamsulosin SR
0.4 mg daily, prednisone 20 mg t.i.d., clomethiazole 10 mg
daily x5 days.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Patient lives with his spouse.

SOCIAL HISTORY: Patient is a former smoker. Has not smoked
for 50 years. Drinks a 6 pack of beer nightly.
Occlusion and stenosis of carotid artery without mention of cerebral infarction,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Transient retinal arterial occlusion
Ocl crtd art wo infrct,Hypertension NOS,Hypothyroidism NOS,BPH w/o urinary obs/LUTS,Transient arterial occlu
Admission Date: [**2201-6-4**]        Discharge Date: [**2201-6-8**]

Date of Birth:  [**2122-1-6**]        Sex:  M

Service:  VSU


CHIEF COMPLAINT:  Left carotid stenosis.

HISTORY OF PRESENT ILLNESS:  This 77-year-old male who noted
visual changes 2 weeks prior to admission was seen by his
primary care physician (Dr. [**Last Name (STitle) 11493**]. Ultrasounds were obtained
at that time, which revealed carotid stenosis. An MRI
revealed a greater then 99% stenosis of the left carotid
artery. The patient was then scheduled for an appointment
with Dr. [**Last Name (STitle) 1391**] and was then scheduled for his surgery
based on MRA and exam. Patient now admitted for definitive
treatment of his carotid stenosis.

ALLERGIES:  No known drug allergies.

MEDICATIONS ON ADMISSION:  Diovan with Hydrochlorothiazide
160/125 b.i.d., Synthroid 0.025 mg daily, Uroxatral every
day, aspirin 325 mg daily, Plavix 75 mg daily, Tamsulosin SR
0.4 mg daily, prednisone 20 mg t.i.d., clomethiazole 10 mg
daily x5 days.

PAST SURGICAL HISTORY:  Cardiac cath 20 years ago.

PAST MEDICAL HISTORY:  Hypertension, hypothyroidism, benign
prostatic hypertrophy.

FAMILY HISTORY:  Patient lives with his spouse.

SOCIAL HISTORY:  Patient is a former smoker. Has not smoked
for 50 years. Drinks a 6 pack of beer nightly.

PHYSICAL EXAMINATION:  Vital signs 97.5, 66, 16, blood
pressure 150/70, O2 sat 98% on room air. General appearance,
alert white male in no acute distress. Heart is a regular
rate and rhythm. Normal S1 and 2. Lungs are clear to
auscultation. Abdomen is soft, nontender, nondistended with
bowel sounds. Neurological exam is nonfocal with intact
cranial nerves II through XII and [**4-10**] motor sensory. Carotids
are 2+ palpable bilaterally with a left carotid bruit. The
radial pulses 2+ bilaterally. The DP and PT are 2+
bilaterally.

HOSPITAL COURSE:  The patient was admitted preoperatively for
a left carotid endarterectomy. Patient underwent on [**2201-6-5**] a left carotid endarterectomy. He tolerated the
procedure well. He was transferred to the PACU, extubated,
neurologically intact. He continued to do well from a
neurological hemodynamic standpoint and was transferred to
VICU to be monitored overnight. Postoperatively he required
nitroglycerin for systolic hypertensive control
postoperatively. This was weaned. The patient on
postoperative day 1 patient was delined and transferred to
the regular nursing floor, diet was advanced as tolerated.
Patient continued to do well and was discharged to home on
postoperative day 2 in stable condition.

DISCHARGE DIAGNOSES:  Left internal carotid artery stenosis
status post left carotid endarterectomy. Postoperative
systolic hypertension controlled. History of benign prostatic
hypertrophy. History of hypothyroidism on supplement.

DISCHARGE MEDICATIONS:  Levothyroxine 25 mcg daily, Plavix 75
mg daily, Tamsulosin 0.4 mg capsules daily. Trim azole 10 mg
q.i.d., valsartan 160 mg b.i.d., aspirin 325 mg daily,
oxycodone/acetaminophen 5/325 tablets 1 to 2 every 4 to 6
hours p.r.n. for pain.
Captopril 25 mg t.i.d., Lopressor 25 mg t.i.d.

Patient's discharge activity as tolerated. Should follow up
with Dr. [**Last Name (STitle) 1391**] in 2 weeks time. He should follow up with
his primary care physician [**Last Name (NamePattern4) **] 1 week for staple removal.
Patient was given a skin stapler.



                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2380**], [**MD Number(1) 2381**]

Dictated By:[**Last Name (NamePattern1) 2382**]
MEDQUIST36
D:  [**2201-6-9**] 09:47:20
T:  [**2201-6-9**] 10:22:57
Job#:  [**Job Number 67854**]
{'Occlusion and stenosis of carotid artery without mention of cerebral infarction,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Transient retinal arterial occlusion'}


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 carotid stenosis.

PRESENT ILLNESS: This 77-year-old male who noted
visual changes 2 weeks prior to admission was seen by his
primary care physician (Dr. [**Last Name (STitle) 11493**]. Ultrasounds were obtained
at that time, which revealed carotid stenosis. An MRI
revealed a greater then 99% stenosis of the left carotid
artery. The patient was then scheduled for an appointment
with Dr. [**Last Name (STitle) 1391**] and was then scheduled for his surgery
based on MRA and exam. Patient now admitted for definitive
treatment of his carotid stenosis.

MEDICAL HISTORY: Hypertension, hypothyroidism, benign
prostatic hypertrophy.

MEDICATION ON ADMISSION: Diovan with Hydrochlorothiazide
160/125 b.i.d., Synthroid 0.025 mg daily, Uroxatral every
day, aspirin 325 mg daily, Plavix 75 mg daily, Tamsulosin SR
0.4 mg daily, prednisone 20 mg t.i.d., clomethiazole 10 mg
daily x5 days.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Patient lives with his spouse.

SOCIAL HISTORY: Patient is a former smoker. Has not smoked
for 50 years. Drinks a 6 pack of beer nightly. 

### Response:
{'Occlusion and stenosis of carotid artery without mention of cerebral infarction,Unspecified essential hypertension,Unspecified acquired hypothyroidism,Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS),Transient retinal arterial occlusion'}
