CHIEF COMPLAINT: Transfer from OSH after being found unresponsive

PRESENT ILLNESS: Mr. [**Known lastname 78337**] is a 52M with a PMH s/f OSA, HTN, and dyslipidemia
who was transferred to the [**Hospital Unit Name 153**] from an OSH on [**2123-6-23**] for
management of a PEA arrest.  History is taken from the patients
family, as the patient is unconscious.  The patient was found
sleeping in his home after heavy alcohol and drug use by his
family members.  When his breathing seemed to stop, EMS was
called, and on arrival was found to be asystolic.  He was
intubated in the field, and received CPR, epinephrine, and
atropine.  Upon arrival to the OSH he regained a pulse after 20
minutes of CPR, with a HR of 20 BPM.  He was started on
dopamine.  Initial labs were notable for an alcohol level of
300; a salicylate level of 4.1; and a urine tox positive for
marijuana and opiates.  A neurology consult was called, and
found the patient to have absent brainstem reflexes, consistent
with anoxic brain injury.  CT scan of the head confrimed a
diffuse loss of [**Doctor Last Name 352**]-white differentiation.

MEDICAL HISTORY: HTN
Hyperlipidemia
Gout
OSA
Anxiety
Asthma
Seasonal allergies

MEDICATION ON ADMISSION: -Temazepam
-Advil
-Zyrtec
-Lorazepam
-Colchicine
-Nadolol
-Protonix
-Nifedipine
-Simvastatin
-HCTZ

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: NC

SOCIAL HISTORY: Notable for ETOH and marijuana abuse.  No tobacco use.
Acute respiratory failure,Anoxic brain damage,Coma,Acute kidney failure, unspecified,Cardiac arrest,Obstructive sleep apnea (adult)(pediatric),Unspecified essential hypertension,Pure hypercholesterolemia,Other sequelae of chronic liver disease,Alcohol abuse, unspecified
Acute respiratry failure,Anoxic brain damage,Coma,Acute kidney failure NOS,Cardiac arrest,Obstructive sleep apnea,Hypertension NOS,Pure hypercholesterolem,Oth sequela, chr liv dis,Alcohol abuse-unspec
Admission Date:  [**2123-6-23**]              Discharge Date:   [**2123-6-25**]

Date of Birth:  [**2070-10-2**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 5893**]
Chief Complaint:
Transfer from OSH after being found unresponsive

Major Surgical or Invasive Procedure:
None

History of Present Illness:
Mr. [**Known lastname 78337**] is a 52M with a PMH s/f OSA, HTN, and dyslipidemia
who was transferred to the [**Hospital Unit Name 153**] from an OSH on [**2123-6-23**] for
management of a PEA arrest.  History is taken from the patients
family, as the patient is unconscious.  The patient was found
sleeping in his home after heavy alcohol and drug use by his
family members.  When his breathing seemed to stop, EMS was
called, and on arrival was found to be asystolic.  He was
intubated in the field, and received CPR, epinephrine, and
atropine.  Upon arrival to the OSH he regained a pulse after 20
minutes of CPR, with a HR of 20 BPM.  He was started on
dopamine.  Initial labs were notable for an alcohol level of
300; a salicylate level of 4.1; and a urine tox positive for
marijuana and opiates.  A neurology consult was called, and
found the patient to have absent brainstem reflexes, consistent
with anoxic brain injury.  CT scan of the head confrimed a
diffuse loss of [**Doctor Last Name 352**]-white differentiation.


Past Medical History:
HTN
Hyperlipidemia
Gout
OSA
Anxiety
Asthma
Seasonal allergies


Social History:
Notable for ETOH and marijuana abuse.  No tobacco use.

Family History:
NC

Pertinent Results:
CT head:
Markedly abnormal head CT, with diffuse cerebral edema and basal
ganglial hypodensity concerning for global ischemia. There is
also suggestion of possible downward tonsillar herniation. MRI
would be helpful for further evaluation. This was discussed with
Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 24692**] immediately following  completion of the
study. Marked paranasal sinus oapciifcation
.

[**2123-6-23**] 10:32PM   PT-14.1* PTT-27.4 INR(PT)-1.2*
[**2123-6-23**] 10:32PM   PLT COUNT-218
[**2123-6-23**] 10:32PM   NEUTS-86.2* LYMPHS-7.6* MONOS-6.0 EOS-0.1
BASOS-0.1
[**2123-6-23**] 10:32PM   WBC-22.1* RBC-5.05 HGB-14.9 HCT-44.6 MCV-88
MCH-29.4 MCHC-33.3 RDW-13.8
[**2123-6-23**] 10:32PM   OSMOLAL-305
[**2123-6-23**] 10:32PM   ALBUMIN-3.8 CALCIUM-7.3* PHOSPHATE-3.7
MAGNESIUM-1.5*
[**2123-6-23**] 10:32PM   ALT(SGPT)-346* AST(SGOT)-394* ALK PHOS-105
TOT BILI-0.3
[**2123-6-23**] 10:32PM   estGFR-Using this
[**2123-6-23**] 10:32PM   GLUCOSE-151* UREA N-35* CREAT-3.6* SODIUM-143
POTASSIUM-3.9 CHLORIDE-111* TOTAL CO2-18* ANION GAP-18
[**2123-6-23**] 11:07PM   LACTATE-1.7
[**2123-6-23**] 11:07PM   TYPE-ART TEMP-37.8 RATES-25/32 TIDAL VOL-500
PEEP-5 O2-60 PO2-285* PCO2-39 PH-7.31* TOTAL CO2-21 BASE XS--6
-ASSIST/CON INTUBATED-INTUBATED

Brief Hospital Course:
Upon arrival to the [**Hospital Unit Name 153**] the patient was found to be
unresponsive.  A neurology consult was called, and the patient
was found to have absent brain stem reflexes including cold
calorics, doll's eye, corneals, gag, and cough.  He had fixed
dilated pupils, areflexia, and was unresponsive to noxious
stimuli.  A head CT was consistent with anoxic brain injury with
impending tonsillar herniation.  The patient was initially
managed with HOB elevation and mannitol, however given his grim
prognosis, and lack of response to treatment at 48hrs, the
family decided to withdrawl care.

Medications on Admission:
-Temazepam
-Advil
-Zyrtec
-Lorazepam
-Colchicine
-Nadolol
-Protonix
-Nifedipine
-Simvastatin
-HCTZ


Discharge Medications:
Patient expired

Discharge Disposition:
Expired

Discharge Diagnosis:
Patient expired

Discharge Condition:
Patient expired

Discharge Instructions:
Patient expired

Followup Instructions:
Patient expired
{'Acute respiratory failure,Anoxic brain damage,Coma,Acute kidney failure, unspecified,Cardiac arrest,Obstructive sleep apnea (adult)(pediatric),Unspecified essential hypertension,Pure hypercholesterolemia,Other sequelae of chronic liver disease,Alcohol abuse, 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: Transfer from OSH after being found unresponsive

PRESENT ILLNESS: Mr. [**Known lastname 78337**] is a 52M with a PMH s/f OSA, HTN, and dyslipidemia
who was transferred to the [**Hospital Unit Name 153**] from an OSH on [**2123-6-23**] for
management of a PEA arrest.  History is taken from the patients
family, as the patient is unconscious.  The patient was found
sleeping in his home after heavy alcohol and drug use by his
family members.  When his breathing seemed to stop, EMS was
called, and on arrival was found to be asystolic.  He was
intubated in the field, and received CPR, epinephrine, and
atropine.  Upon arrival to the OSH he regained a pulse after 20
minutes of CPR, with a HR of 20 BPM.  He was started on
dopamine.  Initial labs were notable for an alcohol level of
300; a salicylate level of 4.1; and a urine tox positive for
marijuana and opiates.  A neurology consult was called, and
found the patient to have absent brainstem reflexes, consistent
with anoxic brain injury.  CT scan of the head confrimed a
diffuse loss of [**Doctor Last Name 352**]-white differentiation.

MEDICAL HISTORY: HTN
Hyperlipidemia
Gout
OSA
Anxiety
Asthma
Seasonal allergies

MEDICATION ON ADMISSION: -Temazepam
-Advil
-Zyrtec
-Lorazepam
-Colchicine
-Nadolol
-Protonix
-Nifedipine
-Simvastatin
-HCTZ

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: NC

SOCIAL HISTORY: Notable for ETOH and marijuana abuse.  No tobacco use. 

### Response:
{'Acute respiratory failure,Anoxic brain damage,Coma,Acute kidney failure, unspecified,Cardiac arrest,Obstructive sleep apnea (adult)(pediatric),Unspecified essential hypertension,Pure hypercholesterolemia,Other sequelae of chronic liver disease,Alcohol abuse, unspecified'}
