CHIEF COMPLAINT: 

PRESENT ILLNESS: This infant was transferred on
day of life number one from [**Hospital3 3583**] to the [**Hospital1 1444**] for evaluation and treatment
of neonatal abstinence syndrome.  She was born at 37 and 3/7
weeks to a 29 year old gravida IV, now para IV mother, by
cesarean section with [**Name (NI) **] scores of eight at one minute and
nine at five minutes, respectively.  Her birth weight was
2690 grams.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Drug withdrawal syndrome in newborn,Need for prophylactic vaccination and inoculation against viral hepatitis
NB drug withdrawal syndr,Need prphyl vc vrl hepat
Admission Date: [**2144-5-14**]        Discharge Date: [**2144-5-18**]

Date of Birth:  [**2144-5-13**]        Sex:  F

Service:  NBB


HISTORY OF PRESENT ILLNESS:  This infant was transferred on
day of life number one from [**Hospital3 3583**] to the [**Hospital1 1444**] for evaluation and treatment
of neonatal abstinence syndrome.  She was born at 37 and 3/7
weeks to a 29 year old gravida IV, now para IV mother, by
cesarean section with [**Name (NI) **] scores of eight at one minute and
nine at five minutes, respectively.  Her birth weight was
2690 grams.

PRENATAL SCREENS:  O negative, positive anti-[**Doctor Last Name **] antibody,
RPR nonreactive, rubella immune, hepatitis surface antigen
negative, HIV negative, group B Strep unknown, hepatitis C
positive.

ANTEPARTUM COURSE:  The maternal history and pregnancy were
notable for:  Placenta previa, history of polydrug substance
abuse including opiates and benzodiazepines.  Currently,
mother is on Ativan 4 mg per day and Methadone 180 mg per
day.  Mother reports using Cocaine at least once during the
pregnancy.  Positive hepatitis C - history of intravenous
drug abuse, no intravenous drug use for past one and one half
years per mother's report.  Positive tobacco use.  History of
colectomy post motor vehicle accident - multiple lysis of
adhesions for small bowel obstruction.  Status post
cholecystectomy, status post chronic pancreatitis.
Gastroesophageal reflux disease treated with Zantac,
Prilosec, and possibly Protonix.

PHYSICAL EXAMINATION:  The patient was active and alert on
admission to the Neonatal Intensive Care Unit.  Her weight
was 2600 grams (five pounds fourteen ounces), just below the
25th percentile, length 50 centimeters, just above the 75th
percentile, and head circumference 31 centimeters, just above
the 10th percentile.  The baby was transferred to the [**Name (NI) **]
Nursery.  Breath sounds were clear to auscultation
bilaterally.  Her heart rate was regular with no murmur and
femoral pulses were two plus.  The red reflex was present
bilaterally.  The abdomen was benign without
hepatosplenomegaly.  Neurologically, she was alert moving all
extremities and reflexes were symmetric. Her head size was
lower than expected for the rest of her growth measurements.

HOSPITAL COURSE:  Respiratory - No issues.  Breath sounds
were clear and equal bilaterally.

Cardiovascular - No issues.  Heart rate was regular, no
murmur, femoral pulses two plus and symmetric.

Fluids, electrolytes and nutrition - She is tolerating ad lib
feedings of Enfamil well.  Her weight on day of discharge is
2555 grams.

Infectious disease - No issues.  Studies from [**Hospital3 3583**]
reported a complete blood count of 12.0, 23 neutrophils, 3
bands, hematocrit 46.9, platelet count 263,000.

Gastrointestinal - The initial bilirubin on [**2144-5-15**], was
8.3/0.3/8.0.  Her subsequent bilirubins were 10.1/0.3/9.8 and
12.0/0.3/11.2.  The baby is O negative, [**Name (NI) 36243**] negative.

Neurology - The baby has maintained a normal neurological
examination during admission with.  Her head circumference is
lower than expected for the rest of her growth measurements.
An evaluation for relative microcephaly with a head
ultrasound was normal.  The baby's neonatal abstinence
scores have been  in the range of [**4-3**] over the 24 hours prior
to transfer. Neonatal opium solution was begun on Saturday
[**5-23**] for scores .  Mother is currently on Methadone 180
ne 26th for scores of 10. SHe has remained on a stable dose

Sensory - Audiology - Hearing screening was performed with
automated auditory brain stem responses.  The baby passed
hearing test on [**2144-5-16**].

Psychosocial - [**Hospital1 69**] social
work involved with the family.  The contact social worker is
[**Name (NI) **] [**Name (NI) 47799**] or [**First Name8 (NamePattern2) 5036**] [**Name (NI) 4467**] and they can be reached at
[**Telephone/Fax (1) 36390**].  Mother denies current abuse from father of
baby.  She has three other living children and none are in
her custody.  She denies contact with them.  They live with
their father, but she denies a DFS history.  A 51-A has been
filed with DFS in the [**Location (un) 3320**] office, telephone [**Telephone/Fax (1) 55774**].

Hepatitis B vaccine was given on [**2144-5-13**].

CONDITION ON
DISCHARGE:  Stable.

DISPOSITION:
Transfer to [**Hospital3 3583**]. Care of Dr [**Last Name (STitle) 46439**].

PRIMARY PEDIATRICIAN:  Dr. [**Last Name (STitle) **] [**Name (STitle) **], [**Location (un) 55775**], [**Location (un) 3320**], [**Numeric Identifier 55776**], telephone [**Telephone/Fax (1) 55777**].

CARE RECOMMENDATIONS:  Feeding - Ad lib feedings of Enfamil
20.

Medications - Neonatal Opium Solution (0.4 mg/ml) 0.5 ml every
4 hours.

State [**Telephone/Fax (1) **] Screening - Sent on [**2144-5-17**].

Immunizations Received - Hepatitis B vaccine on [**2144-5-13**].

Immunizations Recommended - Synagis RSV prophylaxis should be
administered from [**Month (only) 359**] through [**Month (only) 547**] for infants who meet
any of the following three criteria:  Born at less than 32
weeks, born between 32 and 35 weeks with two of the
following:  Daycare during RSV season, a smoker in the
household, neuromuscular disease, airway abnormalities or
school age siblings or with chronic lung disease.  Influenza
immunization is recommended annually in the fall for all
infants once they reach six months of age.  Before this age
and for the first 24 months of the child's life, immunization
against influenza is recommended for household contacts and
out of home caregivers.

FOLLOW UP:  Pediatrician appointment within one day of
discharge.  Dr. [**Last Name (STitle) **] [**Name (STitle) **], telephone [**Telephone/Fax (1) 55778**].

VNA.

[**Last Name (LF) 780**], [**First Name5 (NamePattern1) 12130**] [**Last Name (NamePattern1) **]-[**Location (un) 3320**], telephone [**2144**].  Fax
[**Telephone/Fax (1) 55779**].

DISCHARGE DIAGNOSES:  Term average for gestational age
female.

Narcotic Exposure
R/O Neonatal Abstinence Syndrome




                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 55780**]

Dictated By:[**Doctor Last Name 55781**]
MEDQUIST36
D:  [**2144-5-17**] 12:07:29
T:  [**2144-5-17**] 14:25:00
Job#:  [**Job Number 55782**]
{'Drug withdrawal syndrome in newborn,Need for prophylactic vaccination and inoculation against viral hepatitis'}


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 infant was transferred on
day of life number one from [**Hospital3 3583**] to the [**Hospital1 1444**] for evaluation and treatment
of neonatal abstinence syndrome.  She was born at 37 and 3/7
weeks to a 29 year old gravida IV, now para IV mother, by
cesarean section with [**Name (NI) **] scores of eight at one minute and
nine at five minutes, respectively.  Her birth weight was
2690 grams.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Drug withdrawal syndrome in newborn,Need for prophylactic vaccination and inoculation against viral hepatitis'}
