CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 39 year old
Asian American male who was discharged from [**Hospital 10073**]
[**Hospital 7637**] Hospital on the day prior to his admission to the
[**Hospital1 69**].  He was found
ambulating across the street in [**Last Name (un) 813**] with an unsteady gait
and subsequently collapsed.  There was no noted seizure
activity per the EMTs who ultimately picked him up. He was
taken by ambulance to the Emergency Department where he was
found with eyes open but not responsive, GCS of 6.  He was
found to have two bottles of Benadryl, one open but none
taken and the other apparently empty.

MEDICAL HISTORY: Depression and question of
hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: None known.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: As mentioned, he was recently released from
[**Hospital 10073**] [**Hospital 7637**] Hospital after being admitted there from
the [**Hospital 4415**].  He was admitted there for
intent to poison himself.  He is married for two years.
Poisoning by antiallergic and antiemetic drugs,Other alteration of consciousness,Suicide and self-inflicted poisoning by other specified drugs and medicinal substances,Depressive disorder, not elsewhere classified
Pois-antiallrg/antiemet,Other alter consciousnes,Poison-drug/medicin NEC,Depressive disorder NEC
Admission Date:  [**2195-8-21**]       Discharge Date:  [**2195-8-23**]

Date of Birth:                    Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 39 year old
Asian American male who was discharged from [**Hospital 10073**]
[**Hospital 7637**] Hospital on the day prior to his admission to the
[**Hospital1 69**].  He was found
ambulating across the street in [**Last Name (un) 813**] with an unsteady gait
and subsequently collapsed.  There was no noted seizure
activity per the EMTs who ultimately picked him up. He was
taken by ambulance to the Emergency Department where he was
found with eyes open but not responsive, GCS of 6.  He was
found to have two bottles of Benadryl, one open but none
taken and the other apparently empty.

In the Emergency Department at the [**Hospital1 190**], her vital signs were a blood pressure of
154/84, pulse of 184, and respiratory rate of 22, 100% on
nonrebreather face mask.  He was given an amp of Narcan
without response.  He had no response to painful stimuli.  He
was subsequently intubated for airway protection and was
charcoal lavaged.  He was also given five liters of normal
saline via peripheral intravenous.  The patient was
subsequently transferred to the Medical Intensive Care Unit.

PAST MEDICAL HISTORY:  Depression and question of
hypercholesterolemia.

ALLERGIES:  None known.

SOCIAL HISTORY:  As mentioned, he was recently released from
[**Hospital 10073**] [**Hospital 7637**] Hospital after being admitted there from
the [**Hospital 4415**].  He was admitted there for
intent to poison himself.  He is married for two years.

MEDICATIONS:
1.  Depakote 500 mg p.o. b.i.d.
2.  Paxil 37.5 mg p.o. q.d.
3.  Olanzapine 50 mg p.o. q.h.s.

His primary care physician is [**Last Name (NamePattern4) **]. [**First Name8 (NamePattern2) 17**] [**Last Name (NamePattern1) 16072**] and Dr. [**First Name4 (NamePattern1) 5627**]
[**Last Name (NamePattern1) 16073**] at [**Hospital 4415**], [**Telephone/Fax (1) 16074**].   He is
followed by Dr. [**First Name (STitle) **] Shaven, who is a neurologist at [**Hospital 14852**].

PHYSICAL EXAMINATION:  On admission to the Medical Intensive
Care Unit, his blood pressure was 166/122, and his pulse was
99.  Temperature was 97.  He was on the ventilator with FIMV
800/10, 100% oxygen.  The pupils were three millimeters and
reactive to two millimeters bilaterally.  There was no
corneal reflex.  There was a positive essential eye response.
There was no lymphadenopathy.  No thyromegaly and no jugular
venous distention.  The lungs were clear to auscultation.
Cardiovascular revealed S1 and S2 with tachycardic rhythm, no
murmurs.  His abdomen was soft, nontender, nondistended,
positive bowel sounds, no hepatosplenomegaly.  The
extremities were 4+ good pulses bilaterally.  There was no
cyanosis, clubbing or edema.  There was a right forearm
abrasion.

LABORATORY DATA:  On admission, complete blood count revealed
a white count 10.5, hematocrit 48.3, platelets 317,000.
Chem7 revealed sodium 139, potassium 3.4, chloride 97,
bicarbonate 21, blood urea nitrogen 16, creatinine 1.2,
glucose 106.  Coagulation studies revealed prothrombin time
of 12.4, partial thromboplastin time 20.0 and INR of 1.0.
Liver function tests revealed AST of 22, ALT 21, amylase 51,
lipase of 27.  Dilantin level was less than 0.6.  Serum
toxicology and urine toxicology were negative.  Arterial
blood gases was pH 7.41, pCO2 37, pO2 466.

Chest x-ray showed a left retrocardiac opacity most likely
thought to be an aspiration event.  Head CT had no evidence
of acute intracranial pathology.

HOSPITAL COURSE:  The patient as mentioned was brought to the
Medical Intensive Care Unit where he was given supportive
measures for his Benadryl overdose.  He extubated rapidly
after only a couple hours in the Medical Intensive Care Unit.
He maintained after being intubated that he was depressed and
had suicidal ideation.  He was subsequently seen by
psychiatry who at the time of this dictation is trying to
arrange for appropriate disposition to a psychiatric
facility.

From a medical prospective, the patient had no acute medical
issues.  He had a residual tachycardia thought to be
secondary to the anticholinergic aspect of his Benadryl
overdose but otherwise was not hemodynamically unstable, was
afebrile and had no physical complaints to speak of.  The
patient is set to be discharged from a medical prospective
pending bed opening at an inpatient psychiatric facility.

DISCHARGE MEDICATIONS:
1.  Depakote 500 mg p.o. b.i.d.
2.  Paxil 30 mg p.o. q.d.
3.  Haldol 2 mg p.o./IV q.i.d. p.r.n. for delirium.
4.  Olanzapine is being held at this point in time.

All his psychiatric medications are going to be adjusted by
psychiatrist to follow.



                      DR.[**Last Name (STitle) 2437**],[**First Name3 (LF) **] 12-644


Dictated By:[**Last Name (NamePattern1) 16075**]
MEDQUIST36

D:  [**2195-8-23**]  11:35
T:  [**2195-8-23**]  12:43
JOB#:  [**Job Number 16076**]
{'Poisoning by antiallergic and antiemetic drugs,Other alteration of consciousness,Suicide and self-inflicted poisoning by other specified drugs and medicinal substances,Depressive disorder, not elsewhere classified'}


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 39 year old
Asian American male who was discharged from [**Hospital 10073**]
[**Hospital 7637**] Hospital on the day prior to his admission to the
[**Hospital1 69**].  He was found
ambulating across the street in [**Last Name (un) 813**] with an unsteady gait
and subsequently collapsed.  There was no noted seizure
activity per the EMTs who ultimately picked him up. He was
taken by ambulance to the Emergency Department where he was
found with eyes open but not responsive, GCS of 6.  He was
found to have two bottles of Benadryl, one open but none
taken and the other apparently empty.

MEDICAL HISTORY: Depression and question of
hypercholesterolemia.

MEDICATION ON ADMISSION: 

ALLERGIES: None known.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: As mentioned, he was recently released from
[**Hospital 10073**] [**Hospital 7637**] Hospital after being admitted there from
the [**Hospital 4415**].  He was admitted there for
intent to poison himself.  He is married for two years. 

### Response:
{'Poisoning by antiallergic and antiemetic drugs,Other alteration of consciousness,Suicide and self-inflicted poisoning by other specified drugs and medicinal substances,Depressive disorder, not elsewhere classified'}
