CHIEF COMPLAINT: s/p fall with head trauma

PRESENT ILLNESS: 62 year old female wiht head trauma s/p fall in shower
complaining of right upper and lower extremity weakness times
five days

MEDICAL HISTORY: Right eye gloucoma/cataract
HTN
SLE
Fibromyalgia

MEDICATION ON ADMISSION: 

ALLERGIES: Erythromycin Base

PHYSICAL EXAM: expired [**2143-12-12**] @1802

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: noncontributory
Secondary malignant neoplasm of brain and spinal cord,Systemic lupus erythematosus,Chronic airway obstruction, not elsewhere classified,Urinary incontinence, unspecified,Cardiac arrest,Other malignant neoplasm without specification of site,Mitral valve disorders,Myalgia and myositis, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Hemiplegia, unspecified, affecting unspecified side,Family history of other specified malignant neoplasm
Sec mal neo brain/spine,Syst lupus erythematosus,Chr airway obstruct NEC,Urinary incontinence NOS,Cardiac arrest,Malignant neoplasm NOS,Mitral valve disorder,Myalgia and myositis NOS,Osteoarthros NOS-unspec,Hypertension NOS,Hyperlipidemia NEC/NOS,Unsp hemiplga unspf side,Family hx-malignancy NEC
Admission Date:  [**2143-12-7**]              Discharge Date:   [**2143-12-12**]

Date of Birth:  [**2081-6-5**]             Sex:   F

Service: NEUROSURGERY

Allergies:
Erythromycin Base

Attending:[**First Name3 (LF) 1271**]
Chief Complaint:
s/p fall with head trauma

Major Surgical or Invasive Procedure:
Left craniotomy for left frontal mass resection

History of Present Illness:
62 year old female wiht head trauma s/p fall in shower
complaining of right upper and lower extremity weakness times
five days

Past Medical History:
Right eye gloucoma/cataract
HTN
SLE
Fibromyalgia


Social History:
noncontributory

Family History:
noncontributory

Physical Exam:
expired [**2143-12-12**] @1802

Pertinent Results:
[**2143-12-7**] 03:00AM   WBC-12.9* RBC-4.09* HGB-13.7 HCT-37.9 MCV-93
MCH-33.6* MCHC-36.3* RDW-12.6
[**2143-12-7**] 03:00AM   ALBUMIN-4.2 CALCIUM-10.2
[**2143-12-7**] 03:00AM   LIPASE-34
[**2143-12-7**] 03:00AM   ALT(SGPT)-11 AST(SGOT)-16 LD(LDH)-154 ALK
PHOS-90 AMYLASE-52 TOT BILI-0.4
[**2143-12-7**] 07:05AM   FIBRINOGE-433*
[**2143-12-7**] 07:05AM   PT-13.5* PTT-27.2 INR(PT)-1.2
[**2143-12-7**] 07:05AM   PLT COUNT-218
[**2143-12-7**] 07:05AM   GLUCOSE-165* UREA N-21* CREAT-1.0 SODIUM-142
POTASSIUM-4.5 CHLORIDE-105 TOTAL CO2-24 ANION GAP-18

Brief Hospital Course:
Patient was admitted [**2143-12-12**] after severeal days of right upper
and lower extremity weakness ultimately leading to lost of
balance and head trauma s/p fall in shower. Head Ct in outside
hospital revealex left frontal mass confirmed by repat CT in
[**Hospital1 18**]. Dilantin loading dose 1gm to be followed by 100mg TID was
initiated. Additionally Decadron 4mg Q6 hours along with MRI of
the Head with and without contrast, Chest/Abdominal/Pelvic CT,
bone scan, ESR, CRP, CEA ere added for work up.  MRI revealed
Left frontal lobe mass along the medial aspect of the brain
suggestive of a primary neoplasm glioblastoma appears more
likely than oligodendroglioma. Pateint was preop and consented
for resection of frontal lobe mass. Procedure was peformed
[**2143-12-10**] without complication and transfered to PACU. Please see
operative report for details. Postoperative day 2 [**2143-12-12**] @
1802 patient expired after suffering an episode of pulseless
electrical activity (PEA). Family was notified and refused
option of autopsy for death evaluation.


Discharge Medications:
expired

Discharge Disposition:
Expired

Discharge Diagnosis:
expired

Discharge Condition:
expired

Discharge Instructions:
expired

Followup Instructions:
expired

                             [**Name6 (MD) 742**] [**Name8 (MD) **] MD [**MD Number(2) 1273**]

Completed by:[**2143-12-12**]
{'Secondary malignant neoplasm of brain and spinal cord,Systemic lupus erythematosus,Chronic airway obstruction, not elsewhere classified,Urinary incontinence, unspecified,Cardiac arrest,Other malignant neoplasm without specification of site,Mitral valve disorders,Myalgia and myositis, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Hemiplegia, unspecified, affecting unspecified side,Family history of other specified malignant neoplasm'}


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: s/p fall with head trauma

PRESENT ILLNESS: 62 year old female wiht head trauma s/p fall in shower
complaining of right upper and lower extremity weakness times
five days

MEDICAL HISTORY: Right eye gloucoma/cataract
HTN
SLE
Fibromyalgia

MEDICATION ON ADMISSION: 

ALLERGIES: Erythromycin Base

PHYSICAL EXAM: expired [**2143-12-12**] @1802

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: noncontributory 

### Response:
{'Secondary malignant neoplasm of brain and spinal cord,Systemic lupus erythematosus,Chronic airway obstruction, not elsewhere classified,Urinary incontinence, unspecified,Cardiac arrest,Other malignant neoplasm without specification of site,Mitral valve disorders,Myalgia and myositis, unspecified,Osteoarthrosis, unspecified whether generalized or localized, site unspecified,Unspecified essential hypertension,Other and unspecified hyperlipidemia,Hemiplegia, unspecified, affecting unspecified side,Family history of other specified malignant neoplasm'}
