CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 20-year-old
male who fell off a second story balcony while drinking and
had positive loss of consciousness.  He landed with his head
first on a dirt surface.  The patient was awake but combative
on transfer.  He was hemodynamically stable on arrival to the
hospital.

MEDICAL HISTORY: History of schizophrenia with
psychiatric hospitalizations.  Bipolar disorder.

MEDICATION ON ADMISSION: 

ALLERGIES: NO KNOWN DRUG ALLERGIES.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Other accidental fall from one level to another,Alcohol abuse, unspecified,Unspecified schizophrenia, unspecified,Bipolar I disorder, most recent episode (or current) unspecified
Brain inj NEC-brief coma,Fall-1 level to oth NEC,Alcohol abuse-unspec,Schizophrenia NOS-unspec,Bipolor I current NOS
Admission Date:  [**2128-3-22**]       Discharge Date:  [**2128-3-24**]

Date of Birth:   [**2107-6-13**]       Sex:  M

Service:  TRAUMA SURGERY

HISTORY OF PRESENT ILLNESS:  The patient is a 20-year-old
male who fell off a second story balcony while drinking and
had positive loss of consciousness.  He landed with his head
first on a dirt surface.  The patient was awake but combative
on transfer.  He was hemodynamically stable on arrival to the
hospital.

Upon arrival, the patient had no complaints.

PAST MEDICAL HISTORY:  History of schizophrenia with
psychiatric hospitalizations.  Bipolar disorder.

MEDICATIONS:  Depakote.

ALLERGIES:  NO KNOWN DRUG ALLERGIES.

PHYSICAL EXAMINATION:  Vital signs:  On arrival pulse was
110, blood pressure 134/70, oxygen saturation 92% on 2 L.
General:  The patient was combative and intoxicated.  HEENT:
Pupils equal, round and reactive to light and accommodation.
Extraocular movements full.  Tympanic membranes were clear.
The patient's trachea was midline.  Neck:  The patient's neck
was in a hard collar.  He complained of no midline neck
tenderness.  Chest:  Lungs clear to auscultation bilaterally.
Cardiovascular:  Regular, rate and rhythm.  Abdomen:  Soft,
nontender, nondistended.  Good bowel sounds.  Back:  No
step-offs or tenderness.  Rectal:  Normal tone.  Heme
negative.  Extremities:  Without deformity.

LABORATORY DATA:  Sodium 147, potassium 4.1; white count 4.2,
hematocrit 37.6; INR 1.1; amylase 51; serum ethanol 277.

Initial radiologic studies showed no fracture on chest or
pelvic x-ray.  The patient's head CT was negative for
intracerebral hemorrhage, and his cervical spine CT with a
also negative for fracture.  Abdominal and pelvic CT was
negative.

HOSPITAL COURSE:  For agitation in the Emergency Room, the
patient was intubated.  Additionally, he was vomiting.
Following intubation and his initial resuscitation, the
patient was transferred to the Trauma Intensive Care Unit.
He was transferred intubated and was sedated on Propofol.

Over night from hospital day 1 to hospital day 2, the patient
did well.  He remained hemodynamically stable.  His alcohol
level was allowed to decline.  On the morning of hospital day
#2, the patient was extubated without difficulty.  He
tolerated the wean without difficulty.

Following extubation, the patient's cervical spine was
cleared clinically.  The hard collar was removed.
Additionally on hospital day #2, the patient was transferred
from the Intensive Care Unit to the regular floor.

Given the patient had a past medical history of bipolar
disorder and known suicide attempts, the Psychiatry Service
was consulted. In their work-up, it was felt that this
current episode was not an attempt by the patient to hurt
himself in the context of ethanol intoxication.  Psychiatric
Service recommended a voluntary hospitalization to a
psychiatric facility for alcohol treatment, given the
patient's recent drinking history and inability to hold a
job.  For full details, refer to the psychiatric CCC
........... record.

Over night from hospital day #2 to hospital day #3, the
patient did well.  He was able to tolerate a regular diet and
ambulate without difficulty.  On hospital day #3, the patient
only complained of some mild right scapular pain, and at that
time x-ray demonstrated no fracture.

On hospital day #3, after discussion with the family, the
patient agreed to a voluntary inpatient psychiatric hospital
stay.  At this time, the Psychiatric case manager arranged
for the patient to be transferred to a psychiatric facility.

CONDITION ON DISCHARGE:  Good.

DISCHARGE DIAGNOSIS:
1.  Alcohol intoxication.
2.  Fall from second story.

SECONDARY DIAGNOSIS:  In past medical history as listed
above.

DISCHARGE MEDICATIONS:  Tylenol 350-650 p.o. q.4-6 hours
p.r.n. pain, Vicodin [**1-8**] tab p.o. q.4-6 hours p.r.n. pain for
a total dose of Tylenol not to exceed 4 g q.d., the patient
should be placed on a CIWA scale for alcohol withdraw at the
discretion of the patient's psychiatric facility.




                            [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 11889**]

Dictated By:[**Name8 (MD) 16207**]
MEDQUIST36

D:  [**2128-3-24**]  13:16
T:  [**2128-3-24**]  13:19
JOB#:  [**Job Number 45850**]
{'Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Other accidental fall from one level to another,Alcohol abuse, unspecified,Unspecified schizophrenia, unspecified,Bipolar I disorder, most recent episode (or current) 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 20-year-old
male who fell off a second story balcony while drinking and
had positive loss of consciousness.  He landed with his head
first on a dirt surface.  The patient was awake but combative
on transfer.  He was hemodynamically stable on arrival to the
hospital.

MEDICAL HISTORY: History of schizophrenia with
psychiatric hospitalizations.  Bipolar disorder.

MEDICATION ON ADMISSION: 

ALLERGIES: NO KNOWN DRUG ALLERGIES.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Other accidental fall from one level to another,Alcohol abuse, unspecified,Unspecified schizophrenia, unspecified,Bipolar I disorder, most recent episode (or current) unspecified'}
