CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 60-year-old
right-handed man with a history of hypertension who was in a
casino and seemed to be well at 4 p.m. on the day of
admission.  At 4:20 p.m., it was noted that he had left arm
weakness and slurred speech.  He was taken to the hospital in
[**State 2748**], and CT revealed hypodensity in the right
superior division of the MCA and narrow right MCA.  No TVA
was given at that time.  He was sent to [**Hospital1 **]
for further management.

MEDICAL HISTORY: Noncontributory.

MEDICATION ON ADMISSION: None.

ALLERGIES: NO KNOWN DRUG ALLERGIES.

PHYSICAL EXAM: 

FAMILY HISTORY: Father died in his 40s of myocardial
infarction.

SOCIAL HISTORY: He has tobacco use.  He lives with his wife.
Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction,Unspecified congenital anomaly of brain, spinal cord, and nervous system,Hemiplegia, unspecified, affecting unspecified side,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder
Ocl mlt bi art w infrct,Nervous system anom NOS,Unsp hemiplga unspf side,Hypertension NOS,Pure hypercholesterolem,Tobacco use disorder
Admission Date:  [**2122-12-7**]       Discharge Date:  [**2122-12-16**]

Date of Birth:   [**2062-8-5**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 60-year-old
right-handed man with a history of hypertension who was in a
casino and seemed to be well at 4 p.m. on the day of
admission.  At 4:20 p.m., it was noted that he had left arm
weakness and slurred speech.  He was taken to the hospital in
[**State 2748**], and CT revealed hypodensity in the right
superior division of the MCA and narrow right MCA.  No TVA
was given at that time.  He was sent to [**Hospital1 **]
for further management.

MRI showed right superior division MCA and internal carotid
occlusion.  He was taken for angiogram which confirmed the
right internal carotid complete occlusion, a left internal
carotid artery plaque and a right AVM.

PAST MEDICAL HISTORY:  Noncontributory.

MEDICATIONS ON ADMISSION:  None.

ALLERGIES:  NO KNOWN DRUG ALLERGIES.

FAMILY HISTORY:  Father died in his 40s of myocardial
infarction.

SOCIAL HISTORY:  He has tobacco use.  He lives with his wife.

PHYSICAL EXAMINATION:  General:  He was alert and speaking
fluently.  He has good naming and repetition.  No
....................  He had left facial droop and right gaze
preference.  He had antigravity strength in his right arm and
leg but able to offer only moderate resistance on the left
side.  His left toe was up.

HOSPITAL COURSE:  The patient was admitted initially to the
Neurology Intensive Care Unit after his angiogram.  He was
started on Aspirin while in the Intensive Care Unit.  While
on the Medical floor after further history taking, it was
revealed that he had an allergy to Ampicillin, and he also
disclosed of a 20 pack-year history of smoking.  The patient
was started on Coumadin on [**12-13**] for the purpose of
anticoagulation.

The Vascular Surgery Service was consulted, and initially
they felt that he was a candidate for carotid endarterectomy;
however, carotid duplex showed stenosis of 60-69% and felt
that there was no indication for carotid endarterectomy on
the left side.  The patient will be discharged to
rehabilitation on [**2122-12-16**].

DISCHARGE MEDICATIONS:  Aspirin 325 mg p.o. q.d., Coumadin 5
mg p.o. q.h.s. with a goal INR of [**3-1**], Tylenol 650 mg p.o.
q.4-6 hours p.r.n., Zantac 150 mg p.o. b.i.d.

FOLLOW-UP:  The patient will follow-up with me, Dr. [**First Name4 (NamePattern1) **]
[**Last Name (NamePattern1) 1206**], as an outpatient.






                            [**Doctor Last Name **] [**Name8 (MD) 8346**], M.D.  [**MD Number(1) **]

Dictated By:[**Last Name (NamePattern1) 5476**]
MEDQUIST36

D:  [**2122-12-16**]  09:06
T:  [**2122-12-16**]  09:08
JOB#:  [**Job Number 45199**]
{'Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction,Unspecified congenital anomaly of brain, spinal cord, and nervous system,Hemiplegia, unspecified, affecting unspecified side,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder'}


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 60-year-old
right-handed man with a history of hypertension who was in a
casino and seemed to be well at 4 p.m. on the day of
admission.  At 4:20 p.m., it was noted that he had left arm
weakness and slurred speech.  He was taken to the hospital in
[**State 2748**], and CT revealed hypodensity in the right
superior division of the MCA and narrow right MCA.  No TVA
was given at that time.  He was sent to [**Hospital1 **]
for further management.

MEDICAL HISTORY: Noncontributory.

MEDICATION ON ADMISSION: None.

ALLERGIES: NO KNOWN DRUG ALLERGIES.

PHYSICAL EXAM: 

FAMILY HISTORY: Father died in his 40s of myocardial
infarction.

SOCIAL HISTORY: He has tobacco use.  He lives with his wife. 

### Response:
{'Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction,Unspecified congenital anomaly of brain, spinal cord, and nervous system,Hemiplegia, unspecified, affecting unspecified side,Unspecified essential hypertension,Pure hypercholesterolemia,Tobacco use disorder'}
