CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 72-year-old
female with a history of diverticulosis and recent GI bleed.
She presented to the emergency room on [**2140-7-7**] with history
of bright red bleeding per rectum.  During that night, she
has had three similar episodes, which resolved on their own.
The patient is known to have diverticular disease as verified
by angiography and red blood cell scan previously done at
this hospital.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Diverticulitis of colon with hemorrhage,Acute posthemorrhagic anemia,Acidosis,Embolism and thrombosis of iliac artery,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Hypotension, unspecified
Dvrtcli colon w hmrhg,Ac posthemorrhag anemia,Acidosis,Iliac artery embolism,DMII wo cmp nt st uncntr,Hypertension NOS,Hypotension NOS
Admission Date: [**2140-6-7**]        Discharge Date: [**2140-6-12**]

Date of Birth:  [**2068-1-22**]        Sex:  F

Service:  [**Last Name (un) **]


HISTORY OF PRESENT ILLNESS:  The patient is a 72-year-old
female with a history of diverticulosis and recent GI bleed.
She presented to the emergency room on [**2140-7-7**] with history
of bright red bleeding per rectum.  During that night, she
has had three similar episodes, which resolved on their own.
The patient is known to have diverticular disease as verified
by angiography and red blood cell scan previously done at
this hospital.

PHYSICAL EXAMINATION:  Physical exam on admission reveals a
temperature of 97.9 degrees, pulse of 85, blood pressure
139/98, respirations 16, and saturation is 99 percent on room
air.  Heart sounds are regular rate and rhythm.  Lungs are
clear to auscultation bilaterally.  The abdomen is soft,
nontender, and nondistended.  However, bright red blood is
noted on rectal exam.

HOSPITAL COURSE:  The patient was deemed hemodynamically
stable by the Surgery Team, and it was felt that an emergent
segmental colectomy was the optimal treatment.  The patient
was taken to the operating room to undergo a segmental
colectomy removing the left transverse segment, splenic
flexure, and left colon.  Please refer to the operative note
of Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 1888**] for more details on that procedure.  The
patient tolerated the procedure well and was discharged to
the PACU in stable condition.  Due to the significance of her
bleeds, the patient was admitted to the ICU postoperatively.
Hematocrit had been noted to change from 35 to 22 over the
course of 10 a.m. to 6 p.m., although some of this is
expected postoperative bleeding loss.  This level of bleeding
merited an admission to the ICU.  For prophylaxis, the
patient was placed on Kefzol and Flagyl.  While in the ICU,
an arterial blood gas was noted to have a pCO2 of 55 and a pH
of 7.24.  No interventions were undertaken at that time;
however, it was decided that BiPAP support would be
administered if the acidosis persisted.  The patient remained
in the ICU for postoperative days two and three.  However, on
postoperative day three, as her condition was increasingly
stable, she was transferred to the floor where she continued
to do well.  On postoperative day five, the patient
experienced significant return of bowel function with
positive flatus and was tolerating a regular diet well and
the decision was made to discharge her home in good
condition.  The patient was instructed to follow up with Dr.
[**Last Name (STitle) 1888**] in two weeks.

DISCHARGE DIAGNOSES:  Diverticulosis.

Anemia.

Diabetes.

Hypertension.

DISCHARGE MEDICATIONS:
1. Protonix 40 mg q.d.
2. Moexipril 15 mg q.d.
3. Iron sulfate q.d.
4. Prazosin 1 mg q.d.
5. Hydrochlorothiazide 50 mg q.d.
6. Percocet 5/325 1 to 2 tablets q.[**3-15**] h. p.r.n. pain.
7. Glyburide 5 mg.




                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 7821**], [**MD Number(1) 7822**]

Dictated By:[**Doctor Last Name 55789**]
MEDQUIST36
D:  [**2140-7-10**] 12:03:08
T:  [**2140-7-10**] 13:42:39
Job#:  [**Job Number 96325**]
{'Diverticulitis of colon with hemorrhage,Acute posthemorrhagic anemia,Acidosis,Embolism and thrombosis of iliac artery,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Hypotension, unspecified'}


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: The patient is a 72-year-old
female with a history of diverticulosis and recent GI bleed.
She presented to the emergency room on [**2140-7-7**] with history
of bright red bleeding per rectum.  During that night, she
has had three similar episodes, which resolved on their own.
The patient is known to have diverticular disease as verified
by angiography and red blood cell scan previously done at
this hospital.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Diverticulitis of colon with hemorrhage,Acute posthemorrhagic anemia,Acidosis,Embolism and thrombosis of iliac artery,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Hypotension, unspecified'}
