CHIEF COMPLAINT: 

PRESENT ILLNESS: This 50 year old Hispanic male
with a history of diabetes mellitus reported feeling chest
tightness accompanied by tingling in his left arm.  This
discomfort was related to activity such as walking quickly to
catch the bus or after climbing about three flights of
stairs.  He also noticed shortness of breath with the
episodes of chest discomfort.  He had a positive stress test
on [**2116-12-2**], which revealed an ejection fraction of 52
percent and a small area of anterior and lateral ischemia
with no infarct.  He also has a history of hypertension and
hyperlipidemia.  He is now admitted for elective cardiac
catheterization.

MEDICAL HISTORY: Noninsulin dependent diabetes
mellitus.

MEDICATION ON ADMISSION: 1. Glucophage 850 mg p.o. q.a.m. and 1250 mg p.o. q.p.m.
2. Actos 15 mg p.o. daily.
3. Lisinopril 20 mg p.o. daily.
4. Viagra 100 mg p.r.n.
5. Lipitor 40 mg p.o. daily.

ALLERGIES: He has no known allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Significant for coronary artery disease.

SOCIAL HISTORY: He does not smoke cigarettes and has
occasional alcohol and lives with his long term girlfriend.
[**Name (NI) **] is the head of security at [**Location (un) **] College.
Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Esophageal reflux
Crnry athrscl natve vssl,Angina pectoris NEC/NOS,Hypertension NOS,Hyperlipidemia NEC/NOS,DMII wo cmp nt st uncntr,Esophageal reflux
Admission Date: [**2116-12-16**]        Discharge Date: [**2116-12-22**]

Date of Birth:  [**2066-1-8**]        Sex:  M

Service:  CSU


HISTORY OF PRESENT ILLNESS:  This 50 year old Hispanic male
with a history of diabetes mellitus reported feeling chest
tightness accompanied by tingling in his left arm.  This
discomfort was related to activity such as walking quickly to
catch the bus or after climbing about three flights of
stairs.  He also noticed shortness of breath with the
episodes of chest discomfort.  He had a positive stress test
on [**2116-12-2**], which revealed an ejection fraction of 52
percent and a small area of anterior and lateral ischemia
with no infarct.  He also has a history of hypertension and
hyperlipidemia.  He is now admitted for elective cardiac
catheterization.

PAST MEDICAL HISTORY:  Noninsulin dependent diabetes
mellitus.

Hypertension.

Hyperlipidemia.

Gastroesophageal reflux disease.

Status post hernia repair twenty years ago.

ALLERGIES:  He has no known allergies.

MEDICATIONS ON ADMISSION:
1. Glucophage 850 mg p.o. q.a.m. and 1250 mg p.o. q.p.m.
2. Actos 15 mg p.o. daily.
3. Lisinopril 20 mg p.o. daily.
4. Viagra 100 mg p.r.n.
5. Lipitor 40 mg p.o. daily.


FAMILY HISTORY:  Significant for coronary artery disease.

SOCIAL HISTORY:  He does not smoke cigarettes and has
occasional alcohol and lives with his long term girlfriend.
[**Name (NI) **] is the head of security at [**Location (un) **] College.

REVIEW OF SYMPTOMS:  Significant for transient ischemic
attack in [**2106**], but he did not have a stroke.

PHYSICAL EXAMINATION:  On physical examination, he is a well-
developed, well-nourished male in no apparent distress.
Vital signs are stable, afebrile.  Head, eyes, ears, nose and
throat examination is normocephalic and atraumatic.
Extraocular movements are intact.  Oropharynx is benign.
Neck was supple with full range of motion. No lymphadenopathy
or thyromegaly.  Carotids two plus and equal bilaterally
without bruits.  Lungs were clear to auscultation and
percussion.  Cardiovascular examination is regular rate and
rhythm, normal S1 and S2, with no rubs, murmurs or gallops.
The abdomen was soft, nontender with positive bowel sounds,
no masses or hepatosplenomegaly.  Extremities were without
cyanosis, clubbing or edema.  Neurologic examination was
nonfocal.  Pulses were two plus bilaterally with radial and
one plus bilaterally on the dorsalis pedis and posterior
tibial.

HOSPITAL COURSE:  On [**2116-12-16**], he underwent a cardiac
catheterization which revealed an ejection fraction of 60
percent, 80 percent proximal left anterior descending
coronary artery lesion and 80 percent diagonal lesion and 80
percent obtuse marginal one lesion and 80 percent left
circumflex lesion with Dr. [**Last Name (STitle) **] who was consulted and on
[**2116-12-17**], the patient underwent a coronary artery bypass
graft times four with left internal mammary artery to the
left anterior descending coronary artery, saphenous vein
graft to the diagonal, obtuse marginal and posterior
descending coronary artery.  Cross clamp time was 72 minutes,
total bypass time was 85 minutes.  He was transferred to the
CSRU on Propofol in stable condition.  He was extubated on
postoperative day number one.  He was also transferred to the
floor later that day.  His chest tubes were discontinued that
day as well.  On postoperative day number three, his
epicardial pacing wires were discontinued.  The patient
continued to progress and, on postoperative day number five,
he was discharged to home in stable condition.


MEDICATIONS ON DISCHARGE:
1. Lasix 20 mg p.o. twice a day for seven days.
2. Potassium 20 mEq p.o. twice a day for seven days.
3. Colace 100 mg p.o. twice a day.
4. Aspirin 81 mg p.o. daily.
5. Dilaudid one to two p.o. q4hours p.r.n. pain.
6. Lipitor 40 mg p.o. daily.
7. Metformin 850 mg p.o. q.a.m. and 1250 mg p.o. q.p.m.
8. Ibuprofen 600 mg p.o. q6hours p.r.n.
9. Actos 15 mg p.o. daily.
10.      Lopressor 75 mg p.o. twice a day.

His laboratories on discharge were hematocrit 28.4, white
blood cell count 8.0.  Sodium 138, potassium 4.2, chloride
101, CO2 30, blood urea nitrogen 24, creatinine 0.8, blood
sugar 175.

DISCHARGE DIAGNOSES:  Noninsulin dependent diabetes mellitus.

Hypertension.

Hyperlipidemia.

Coronary artery disease.

FOLLOW UP:  He will be seen by Dr. [**Last Name (STitle) 1637**] in one to two
weeks and by Dr. [**Last Name (STitle) **] in four weeks.



                        [**Name6 (MD) **] [**Name8 (MD) **], M.D. [**MD Number(2) 5897**]

Dictated By:[**Last Name (NamePattern1) **]
MEDQUIST36
D:  [**2116-12-22**] 19:04:45
T:  [**2116-12-22**] 20:47:08
Job#:  [**Job Number 36631**]
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Esophageal reflux'}


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: This 50 year old Hispanic male
with a history of diabetes mellitus reported feeling chest
tightness accompanied by tingling in his left arm.  This
discomfort was related to activity such as walking quickly to
catch the bus or after climbing about three flights of
stairs.  He also noticed shortness of breath with the
episodes of chest discomfort.  He had a positive stress test
on [**2116-12-2**], which revealed an ejection fraction of 52
percent and a small area of anterior and lateral ischemia
with no infarct.  He also has a history of hypertension and
hyperlipidemia.  He is now admitted for elective cardiac
catheterization.

MEDICAL HISTORY: Noninsulin dependent diabetes
mellitus.

MEDICATION ON ADMISSION: 1. Glucophage 850 mg p.o. q.a.m. and 1250 mg p.o. q.p.m.
2. Actos 15 mg p.o. daily.
3. Lisinopril 20 mg p.o. daily.
4. Viagra 100 mg p.r.n.
5. Lipitor 40 mg p.o. daily.

ALLERGIES: He has no known allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Significant for coronary artery disease.

SOCIAL HISTORY: He does not smoke cigarettes and has
occasional alcohol and lives with his long term girlfriend.
[**Name (NI) **] is the head of security at [**Location (un) **] College. 

### Response:
{'Coronary atherosclerosis of native coronary artery,Other and unspecified angina pectoris,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Esophageal reflux'}
