CHIEF COMPLAINT: Patient complains of worsening chest pain.

PRESENT ILLNESS: [**Known lastname 7474**] is a 71-year-old male
with worsening anginal symptoms who underwent cardiac
catheterization that showed a proximal LAD stenosis involving
and diagonal, not thought to be a good candidate for
percutaneous intervention, presenting for surgical
revascularization.

MEDICAL HISTORY: Hypertension
Elevated triglycerides
Several inguinal hernia repairs
[**2187**] TURP
Mohs surgery of left ear for skin cancer
Squamous cell cancer removed from arm
Intermittent back pain (treated with chiropractic therapy)
Removal of colon polyps

MEDICATION ON ADMISSION: ASPIRIN 81MG--One by mouth every day
DYAZIDE 37.5-25MG--One by mouth every day
LISINOPRIL 40MG--2 by mouth every day
NITROSTAT 0.4MG--One under the tongue as needed for cp; may
repeat q5 minutes x 2, then as directed.
TOPROL XL 200MG--One by mouth every day
VITAMIN B COMPLEX --One by mouth twice a day
VITAMIN C 500MG--One by mouth every day
VITAMIN E 400U--One by mouth every day

ALLERGIES: Atenolol / Fish Oil

PHYSICAL EXAM: HEENT:PERRLA, FROM, no LAD
CV: RRR, no M/R/G
Pulm: CTA-B
ABD:soft NT, ND, no HSP
Ext: trace edema, 2+femoral, DP and PT pulses
Neuro: AAOx3, CN II-XII grossly intact

FAMILY HISTORY: Mother died of CAD in her 80's. Father died of
pneumonia at age 37.

SOCIAL HISTORY: Patient is married with three children. He
previously worked as a specifications writer for an engineering
firm.
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of colonic polyps
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Hypertension NOS,Pure hypercholesterolem,Prsnl hst colonic polyps
Admission Date:  [**2189-12-8**]              Discharge Date:   [**2189-12-13**]

Date of Birth:  [**2118-10-6**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Atenolol / Fish Oil

Attending:[**First Name3 (LF) 1505**]
Chief Complaint:
Patient complains of worsening chest pain.

Major Surgical or Invasive Procedure:
CABG x3 LIMA to LAD, SVG to OM, SVG to PDA


History of Present Illness:
[**Known lastname 7474**] is a 71-year-old male
with worsening anginal symptoms who underwent cardiac
catheterization that showed a proximal LAD stenosis involving
and diagonal, not thought to be a good candidate for
percutaneous intervention, presenting for surgical
revascularization.


Past Medical History:
Hypertension
Elevated triglycerides
Several inguinal hernia repairs
[**2187**] TURP
Mohs surgery of left ear for skin cancer
Squamous cell cancer removed from arm
Intermittent back pain (treated with chiropractic therapy)
Removal of colon polyps


Social History:
Patient is married with three children. He
previously worked as a specifications writer for an engineering
firm.



Family History:
Mother died of CAD in her 80's. Father died of
pneumonia at age 37.


Physical Exam:
HEENT:PERRLA, FROM, no LAD
CV: RRR, no M/R/G
Pulm: CTA-B
ABD:soft NT, ND, no HSP
Ext: trace edema, 2+femoral, DP and PT pulses
Neuro: AAOx3, CN II-XII grossly intact

Pertinent Results:
[**2189-12-8**] 12:20PM   freeCa-1.19
[**2189-12-8**] 12:20PM   HGB-15.3 calcHCT-46
[**2189-12-8**] 12:20PM   TYPE-ART PO2-426* PCO2-41 PH-7.44 TOTAL
CO2-29 BASE XS-4 INTUBATED-INTUBATED VENT-CONTROLLED
[**2189-12-8**] 11:14PM   TYPE-ART PH-7.41
[**2189-12-8**] 11:14PM   GLUCOSE-154* K+-3.4*

Brief Hospital Course:
On [**2189-12-8**] the patient was taken to the OR for a 3
vessel CABG (LIMA to LAD, SVG to OM, SVG
to PDA). The patient tolerated surgery well, was extubated the
night of surgery and was transferred from the CSRU on postop day

one to the regular cardiac hospital floor. On post op day two
the patient's foley was removed as were his chest tubes. On
post op day three the patient's pacing wires were removed. The
patient tolerated a cardiac heart healthy diet, diuresed well
after surgery while his pain was controlled throughout his
hospital stay. The patient was discharged on post op day five.
He will follow up with his PCP [**Name Initial (PRE) 176**] 10 days for medication
adjustment if needed and routine blood work. Additionally, the
patient was cleared by physical therapy and he will be going
home with visiting nursing services to monitor his wounds,
assure medication compliance and check vital signs.


Medications on Admission:
ASPIRIN 81MG--One by mouth every day
DYAZIDE 37.5-25MG--One by mouth every day
LISINOPRIL 40MG--2 by mouth every day
NITROSTAT 0.4MG--One under the tongue as needed for cp; may
repeat q5 minutes x 2, then as directed.
TOPROL XL 200MG--One by mouth every day
VITAMIN B COMPLEX --One by mouth twice a day
VITAMIN C 500MG--One by mouth every day
VITAMIN E 400U--One by mouth every day

Discharge Medications:
1. Potassium Chloride 20 mEq Packet Sig: One (1) Packet PO Q12H
(every 12 hours).
Disp:*20 Packet(s)* Refills:*0*
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. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2
times a day).
Disp:*60 Tablet(s)* Refills:*2*
5. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
every 4-6 hours as needed for pain.
Disp:*30 Tablet(s)* Refills:*0*
6. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*2*
7. Metoprolol Tartrate 25 mg Tablet Sig: Three (3) Tablet PO BID
(2 times a day).
Disp:*180 Tablet(s)* Refills:*2*
8. Furosemide 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
Disp:*20 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Location (un) 1110**] VNA

Discharge Diagnosis:
HTN
CAD
dyslipidemia


Discharge Condition:
Stable


Discharge Instructions:
Patient may shower, no baths. No creams, lotions or ointments to
incisions. No driving for at least one month. No lifting more
than 10 lbs for at least 10 weeks from the date of surgery.
Monitor wounds for signs of infection. Particularly your left
upper extremity. Please call with any concerns or questions. You
must follow up with a primary care physician [**Name Initial (PRE) 176**] 10 days for
medication adjustment and rountine laboratories.


Followup Instructions:
Provider: [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 5004**] [**Last Name (NamePattern1) **], M.D. Phone:[**Telephone/Fax (1) 250**]
Date/Time:[**2190-1-25**] 10:20
Provider: [**Name10 (NameIs) **],[**Name11 (NameIs) **] [**Name Initial (NameIs) **].  [**Telephone/Fax (1) 170**]  Follow-up appointment
should be in 1 month
Provider: [**Name10 (NameIs) **],[**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 5004**]  [**Telephone/Fax (1) 250**]  Follow-up
appointment should be in 2 weeks
Provider: [**Name10 (NameIs) 2052**],[**Name11 (NameIs) 2053**] [**Name Initial (NameIs) **].  [**Telephone/Fax (1) 5003**]  Follow-up
appointment should be in 3 weeks
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of colonic polyps'}


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: Patient complains of worsening chest pain.

PRESENT ILLNESS: [**Known lastname 7474**] is a 71-year-old male
with worsening anginal symptoms who underwent cardiac
catheterization that showed a proximal LAD stenosis involving
and diagonal, not thought to be a good candidate for
percutaneous intervention, presenting for surgical
revascularization.

MEDICAL HISTORY: Hypertension
Elevated triglycerides
Several inguinal hernia repairs
[**2187**] TURP
Mohs surgery of left ear for skin cancer
Squamous cell cancer removed from arm
Intermittent back pain (treated with chiropractic therapy)
Removal of colon polyps

MEDICATION ON ADMISSION: ASPIRIN 81MG--One by mouth every day
DYAZIDE 37.5-25MG--One by mouth every day
LISINOPRIL 40MG--2 by mouth every day
NITROSTAT 0.4MG--One under the tongue as needed for cp; may
repeat q5 minutes x 2, then as directed.
TOPROL XL 200MG--One by mouth every day
VITAMIN B COMPLEX --One by mouth twice a day
VITAMIN C 500MG--One by mouth every day
VITAMIN E 400U--One by mouth every day

ALLERGIES: Atenolol / Fish Oil

PHYSICAL EXAM: HEENT:PERRLA, FROM, no LAD
CV: RRR, no M/R/G
Pulm: CTA-B
ABD:soft NT, ND, no HSP
Ext: trace edema, 2+femoral, DP and PT pulses
Neuro: AAOx3, CN II-XII grossly intact

FAMILY HISTORY: Mother died of CAD in her 80's. Father died of
pneumonia at age 37.

SOCIAL HISTORY: Patient is married with three children. He
previously worked as a specifications writer for an engineering
firm. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Pure hypercholesterolemia,Personal history of colonic polyps'}
