CHIEF COMPLAINT: shorntess of breath

PRESENT ILLNESS: Mr. [**Known lastname **] was an inpatient at our facility at the beginning of
[**Month (only) 404**] for rib fractures sustained during a fall from standing,
when he struck his chest against the curb. He was discharged in
good condition and returned to the E.D. on [**2123-12-4**] with
shortness of breath, he was discharged with a diagnosis of
pneumonia at that time, but returned on [**12-5**] with increasing
severe shortness of breath and pain.

MEDICAL HISTORY: HTN
Tremors
alcoholism

MEDICATION ON ADMISSION: motrin, paxil

ALLERGIES: Latex

PHYSICAL EXAM: Gen: NAD
Chest: CTAB, RRR
Abd: S/NT/ND
Ext: Wnl

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Cigarettes: stopped 1 [**11-26**] ppd in [**2115**]
EtOH: 1-2 L of vodka a week
Traumatic hemothorax without mention of open wound into thorax,Acute respiratory failure,Closed fracture of eight or more ribs,Acute posthemorrhagic anemia,Cardiac complications, not elsewhere classified,Other and unspecified alcohol dependence, in remission,Accidental fall on or from sidewalk curb,Street and highway accidents,Congestive heart failure, unspecified,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation
Traum hemothorax-closed,Acute respiratry failure,Fx eight/more rib-closed,Ac posthemorrhag anemia,Surg compl-heart,Alcoh dep NEC/NOS-remiss,Fall on sidewalk curb,Accid on street/highway,CHF NOS,Abn react-surg proc NEC
Admission Date:  [**2123-12-5**]              Discharge Date:   [**2123-12-11**]

Date of Birth:  [**2079-1-16**]             Sex:   M

Service: CARDIOTHORACIC

Allergies:
Latex

Attending:[**First Name3 (LF) 2969**]
Chief Complaint:
shorntess of breath

Major Surgical or Invasive Procedure:
[**2123-12-7**]: Flexible bronchoscopy, bronchoalveolar lavage,
left video-assisted thoracoscopy, left chest washout, and
drainage of left hemothorax.


History of Present Illness:
Mr. [**Known lastname **] was an inpatient at our facility at the beginning of
[**Month (only) 404**] for rib fractures sustained during a fall from standing,
when he struck his chest against the curb. He was discharged in
good condition and returned to the E.D. on [**2123-12-4**] with
shortness of breath, he was discharged with a diagnosis of
pneumonia at that time, but returned on [**12-5**] with increasing
severe shortness of breath and pain.

Past Medical History:
HTN
Tremors
alcoholism

Social History:
Cigarettes: stopped 1 [**11-26**] ppd in [**2115**]
EtOH: 1-2 L of vodka a week


Family History:
Noncontributory

Physical Exam:
Gen: NAD
Chest: CTAB, RRR
Abd: S/NT/ND
Ext: Wnl


Pertinent Results:
[**2123-12-5**] 06:00AM   ALT(SGPT)-42* AST(SGOT)-37 CK(CPK)-183* ALK
PHOS-70 TOT BILI-0.5
[**2123-12-5**] 06:00AM   GLUCOSE-159* UREA N-10 CREAT-1.3* SODIUM-140
POTASSIUM-4.3 CHLORIDE-104 TOTAL CO2-23 ANION GAP-17
[**2123-12-5**] 06:00AM   WBC-10.7 RBC-3.89* HGB-11.3* HCT-32.2* MCV-83
MCH-28.9 MCHC-34.9 RDW-14.5

Brief Hospital Course:
Mr. [**Known lastname **] [**Last Name (Titles) 1834**] tube thoracostomy with placement of a 32F
chest tube with 2.6 L of frank blood expressed. He was then
transferred to the surgical ICU under the trauma service. He
reported relief of his dyspnea with placement of the chest tube
and he was not hypoxic at any time in the ICU. Serial chest
x-rays revealed a persistent left pleural effusion and due to
concern for loculated hemothorax and retained clot he [**Last Name (Titles) 1834**]
VATS with evacuation of residual clot and pleurodesis on
[**2123-12-7**]. Two chest tubes were placed intraoperatively and the
patient was transferred to ICU. He was transferred to the floor
on [**12-9**]. Chest tube #1 was discontinued on [**12-10**] without incident
CXR showed persistent small apical pneumothorax that remained
unchanged, Chest tube #2 was discontinued on [**12-11**] and a
post-pull chest xray showed the same unchanged small apical
pneumothorax. He is now tolerating a regular diet, his pain is
well controlled, and he is ready for discharge home.

Medications on Admission:
motrin, paxil

Discharge Medications:
1. Paroxetine HCl 20 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
2. Ibuprofen 600 mg Tablet Sig: One (1) Tablet PO Q8H (every 8
hours) as needed for pain.
3. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO every 4-6 hours
as needed for pain.
Disp:*20 Tablet(s)* Refills:*0*
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*


Discharge Disposition:
Home

Discharge Diagnosis:
Left Hemothorax
ETOH
Depression


Discharge Condition:
stable


Discharge Instructions:
Call Dr.[**Doctor Last Name 4738**] office [**Telephone/Fax (1) 4741**] if you experience:
-Fever > 101 or chills
-Increased shortness of breath, cough or sputum production
-Chest
-Incision deveops drainage
-Chest-tube site remove dressing Monday cover site with a
bandaid
Should site drain cover site with a clean dressing and change as
needed
-No driving while taking narcotics. Take stool softners with
narcotics


Followup Instructions:
Follow-up with Dr.[**Doctor Last Name 4738**] [**Telephone/Fax (1) 4741**] NP [**Location (un) 1439**] [**1-4**]  in
the [**Hospital Ward Name 121**] Building [**Hospital1 **] I Chest Disease Center [**Location (un) 453**]
Report to the [**Hospital Ward Name 517**] Clinical Center [**Location (un) **] Radiology
Department for a Chest X-Ray 45 minutes before your appointment.
{'Traumatic hemothorax without mention of open wound into thorax,Acute respiratory failure,Closed fracture of eight or more ribs,Acute posthemorrhagic anemia,Cardiac complications, not elsewhere classified,Other and unspecified alcohol dependence, in remission,Accidental fall on or from sidewalk curb,Street and highway accidents,Congestive heart failure, unspecified,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}


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: shorntess of breath

PRESENT ILLNESS: Mr. [**Known lastname **] was an inpatient at our facility at the beginning of
[**Month (only) 404**] for rib fractures sustained during a fall from standing,
when he struck his chest against the curb. He was discharged in
good condition and returned to the E.D. on [**2123-12-4**] with
shortness of breath, he was discharged with a diagnosis of
pneumonia at that time, but returned on [**12-5**] with increasing
severe shortness of breath and pain.

MEDICAL HISTORY: HTN
Tremors
alcoholism

MEDICATION ON ADMISSION: motrin, paxil

ALLERGIES: Latex

PHYSICAL EXAM: Gen: NAD
Chest: CTAB, RRR
Abd: S/NT/ND
Ext: Wnl

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: Cigarettes: stopped 1 [**11-26**] ppd in [**2115**]
EtOH: 1-2 L of vodka a week 

### Response:
{'Traumatic hemothorax without mention of open wound into thorax,Acute respiratory failure,Closed fracture of eight or more ribs,Acute posthemorrhagic anemia,Cardiac complications, not elsewhere classified,Other and unspecified alcohol dependence, in remission,Accidental fall on or from sidewalk curb,Street and highway accidents,Congestive heart failure, unspecified,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}
