CHIEF COMPLAINT: Gallstone pancreatitis

PRESENT ILLNESS: None

MEDICAL HISTORY: HTN, DM, Breast Ca, Thyroid Ca - Thyroidectomy, TAH/SBO,
Appendectomy

MEDICATION ON ADMISSION: 

ALLERGIES: Vancomycin And Derivatives / Tetracyclines / Penicillins /
Sulfonamides

PHYSICAL EXAM: Right upper quadrant pain.
The patient was admited to the floor and respiratory failure
addressed with an emergent intubation.

FAMILY HISTORY: Nonpertinent

SOCIAL HISTORY: 
Unspecified septicemia,Acute pancreatitis,Calculus of bile duct with other cholecystitis, with obstruction,Other pulmonary insufficiency, not elsewhere classified,Cholangitis,Acute kidney failure with lesion of tubular necrosis,Acidosis,Urinary tract infection, site not specified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Severe sepsis,Personal history of malignant neoplasm of breast,Personal history of malignant neoplasm of thyroid,Personal history of malignant neoplasm of other parts of uterus,Obesity, unspecified,Other and unspecified hyperlipidemia
Septicemia NOS,Acute pancreatitis,Choledochlith/gb NEC-obs,Other pulmonary insuff,Cholangitis,Ac kidny fail, tubr necr,Acidosis,Urin tract infection NOS,DMII wo cmp nt st uncntr,Hypertension NOS,Severe sepsis,Hx of breast malignancy,Hx of thyroid malignancy,Hx-uterus malignancy NEC,Obesity NOS,Hyperlipidemia NEC/NOS
Admission Date:  [**2195-9-5**]              Discharge Date:   [**2195-9-21**]

Date of Birth:  [**2128-12-29**]             Sex:   F

Service: SURGERY

Allergies:
Vancomycin And Derivatives / Tetracyclines / Penicillins /
Sulfonamides

Attending:[**First Name3 (LF) 3223**]
Chief Complaint:
Gallstone pancreatitis

Major Surgical or Invasive Procedure:
Laparoscopic cholecystectomy

History of Present Illness:
None

Past Medical History:
HTN, DM, Breast Ca, Thyroid Ca - Thyroidectomy, TAH/SBO,
Appendectomy

Family History:
Nonpertinent

Physical Exam:
Right upper quadrant pain.
The patient was admited to the floor and respiratory failure
addressed with an emergent intubation.

Pertinent Results:
[**2195-9-5**] 09:48PM   ALT(SGPT)-381* AST(SGOT)-480* ALK PHOS-110
AMYLASE-717* TOT BILI-4.0*
[**2195-9-5**] 09:48PM   LIPASE-1066*
[**2195-9-5**] 09:48PM   WBC-24.0* RBC-3.14* HGB-9.4* HCT-26.0* MCV-83
MCH-29.8 MCHC-36.0* RDW-14.2
[**2195-9-5**] 09:48PM   CALCIUM-8.6 PHOSPHATE-3.9 MAGNESIUM-2.1
[**2195-9-5**] 02:53PM   ALT(SGPT)-279* AST(SGOT)-367* ALK PHOS-114
AMYLASE-1021* TOT BILI-3.5*

CT PELVIS W/CONTRAST  [**2195-9-8**] 12:51 PM
CONCLUSION:
1. No intra or extrahepatic biliary dilatation.
2. Cholelithiasis, nondistended gallbladder.
3. Bibasilar effusion and associated partial atelectasis of the
lower lobes.

ERCP 8/13/5
Gallstone pancreatitis
Impacted stone at the CBD
Pre-cut sphincterotomy followed by completion sphincterotomy
Stone extraction
10f x 8cm stent placement


Brief Hospital Course:
Patient was admited to the floor with a Gallstone Pancreatis
requiring an emergent Endotracheal Intubation. Transfer to the
ICU and ERCP was done with CBD Stent placed and stone removals.
Her respiratory distress improved, persistend pleural effusion
bilaterally and was extubate. Her LFT normalized and transfer to
the Floor. She was schedule for a Laparoscopic Cholecystectomy
and had no other complications. She had an uneventfull recovery
from her operation and the plan to discharge her home with
Physical therapy was established with the patient consent.

Discharge Medications:
1. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed.
Disp:*60 Tablet(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*


Discharge Disposition:
Home With Service

Facility:
[**Hospital 119**] Homecare

Discharge Diagnosis:
Gallstone Pancreatitis

Discharge Condition:
Good


Discharge Instructions:
Go to an Emergency Room if you experience new and continuing
nausea,
vomiting, fevers (>101.5 F), chills, or shortness of breath.
Also go to the ER if your wound becomes red, swollen, warm, or
produces pus.

If you experience clear drainage from your wounds, cover them
with a
clean dressing and stop showering until the drainage subsides
for at
least 2 days.

No heavy lifting or exertion for at least 6 weeks.

No driving while taking pain medications.

Narcotics can cause constipation.  Please take an over the
counter stool softener such as Colace or a gentle laxative such
as Milk of Magnesia if you experience constipation.

You may resume your regular diet as tolerated.

You may take showers (no baths) after your dressings have been
removed from your wounds.

Followup Instructions:
Please follow-up with Dr. [**Last Name (STitle) 519**] in [**1-25**] weeks.  Please call his
office at (([**Telephone/Fax (1) 5323**] to make an appointment.
- Please  follow up with DR. [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) **] Where: [**First Name8 (NamePattern2) **]
[**Hospital Ward Name **] BUILDING ([**Hospital Ward Name **]/[**Hospital Ward Name **] COMPLEX) ENDOSCOPY SUITE
Phone:[**Telephone/Fax (1) 463**] Date/Time: [**2195-10-8**] 9:00


                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 520**] MD, [**MD Number(3) 3226**]

Completed by:[**2195-9-21**]
{'Unspecified septicemia,Acute pancreatitis,Calculus of bile duct with other cholecystitis, with obstruction,Other pulmonary insufficiency, not elsewhere classified,Cholangitis,Acute kidney failure with lesion of tubular necrosis,Acidosis,Urinary tract infection, site not specified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Severe sepsis,Personal history of malignant neoplasm of breast,Personal history of malignant neoplasm of thyroid,Personal history of malignant neoplasm of other parts of uterus,Obesity, unspecified,Other and unspecified hyperlipidemia'}


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: Gallstone pancreatitis

PRESENT ILLNESS: None

MEDICAL HISTORY: HTN, DM, Breast Ca, Thyroid Ca - Thyroidectomy, TAH/SBO,
Appendectomy

MEDICATION ON ADMISSION: 

ALLERGIES: Vancomycin And Derivatives / Tetracyclines / Penicillins /
Sulfonamides

PHYSICAL EXAM: Right upper quadrant pain.
The patient was admited to the floor and respiratory failure
addressed with an emergent intubation.

FAMILY HISTORY: Nonpertinent

SOCIAL HISTORY:  

### Response:
{'Unspecified septicemia,Acute pancreatitis,Calculus of bile duct with other cholecystitis, with obstruction,Other pulmonary insufficiency, not elsewhere classified,Cholangitis,Acute kidney failure with lesion of tubular necrosis,Acidosis,Urinary tract infection, site not specified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified essential hypertension,Severe sepsis,Personal history of malignant neoplasm of breast,Personal history of malignant neoplasm of thyroid,Personal history of malignant neoplasm of other parts of uterus,Obesity, unspecified,Other and unspecified hyperlipidemia'}
