CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 41-year-old man, with
no prior medical history, who presents from an outsides,
status post witnessed generalized seizure.  His story started
on [**2158-9-27**], where at 8:00 am he used 0.5 gm of cocaine
nasally.  He went to work as a telephone technician.  He was
intoxicated while on the second step of a ladder.  He had a
witnessed seizure.  The seizure occurred around 10:00 am.
During the seizure, he fell and hit his head.  He had
tongue-biting, and no loss of bowel or urine.  He woke up and
he was in an ambulance.  He complained of feeling weak and
tired.  He was also described as agitated and confused upon
waking.  No other symptoms before the seizure, only the
feeling of intoxication.

MEDICAL HISTORY: 1. Depression for 3 years.
2. Cocaine.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: Vital signs - 96.3, pulse 75, blood pressure
110/73, 10, 95%.  The patient was awake, alert and oriented x
3.  Speech was fluent.  Naming and repetition were intact.
Face was symmetric.  Tongue was midline.  Pupils were [**3-8**]
bilaterally, symmetric.  EOMS full.  Visual fields full to
confrontation.  No meninges symptoms.  Strength was [**4-10**]
throughout.  No drift.  Sensation was grossly intact
throughout.

FAMILY HISTORY: 

SOCIAL HISTORY: He does use cocaine and marijuana regularly.
ETOH - he drinks 1 beer per week.  No tobacco.  He is
divorced recently, a month ago.
Cerebral aneurysm, nonruptured,Other convulsions,Cocaine dependence, continuous,Depressive disorder, not elsewhere classified
Nonrupt cerebral aneurym,Convulsions NEC,Cocaine depend-contin,Depressive disorder NEC
Admission Date:  [**2158-9-28**]       Discharge Date:  [**2158-10-3**]

Date of Birth:   [**2116-12-7**]       Sex:  M

Service:  NEUROSURGERY

HISTORY OF PRESENT ILLNESS:  This is a 41-year-old man, with
no prior medical history, who presents from an outsides,
status post witnessed generalized seizure.  His story started
on [**2158-9-27**], where at 8:00 am he used 0.5 gm of cocaine
nasally.  He went to work as a telephone technician.  He was
intoxicated while on the second step of a ladder.  He had a
witnessed seizure.  The seizure occurred around 10:00 am.
During the seizure, he fell and hit his head.  He had
tongue-biting, and no loss of bowel or urine.  He woke up and
he was in an ambulance.  He complained of feeling weak and
tired.  He was also described as agitated and confused upon
waking.  No other symptoms before the seizure, only the
feeling of intoxication.

At the outside hospital, a CT scan showed a left 8 mm MCA
aneurysm, but no subarachnoid hemorrhage.  Tox screen was
positive for cocaine and marijuana.  He was transferred to
[**Hospital1 **] [**First Name (Titles) **] [**Last Name (Titles) 2742**] of the aneurysm.

PAST MEDICAL HISTORY:
1. Depression for 3 years.
2. Cocaine.

ALLERGIES:  None.

MEDICATIONS:
1. Zoloft.
2. Nortriptyline.

SOCIAL HISTORY:  He does use cocaine and marijuana regularly.
ETOH - he drinks 1 beer per week.  No tobacco.  He is
divorced recently, a month ago.

PHYSICAL EXAM:  Vital signs - 96.3, pulse 75, blood pressure
110/73, 10, 95%.  The patient was awake, alert and oriented x
3.  Speech was fluent.  Naming and repetition were intact.
Face was symmetric.  Tongue was midline.  Pupils were [**3-8**]
bilaterally, symmetric.  EOMS full.  Visual fields full to
confrontation.  No meninges symptoms.  Strength was [**4-10**]
throughout.  No drift.  Sensation was grossly intact
throughout.

HOSPITAL COURSE:  The patient was admitted to the
neurosurgery service where he was brought to NICU.  He was
kept NPO.  His blood pressure was kept in the low-140s.  He
was started on Dilantin and nimodipine.

On the first morning after admission, the patient remained
neurologically intact.  He had a neurology consult completed
with no input other than he did not need further work-up due
to the one seizure.  He had an angiogram performed on
[**2158-9-30**] which did show a left MCA 8 mm aneurysm.
Postoperatively, the patient did well.  He remained
neurologically and neurovascularly intact.

Psychiatry was asked to see the patient on the [**10-1**]
for safety and substance abuse precautions.  The patient
appeared very depressed to the staff.  He was placed on 1:1
sitters.  They had recommended to restart his Zoloft, to
restart his nortriptyline, to give ativan as needed, and to
follow-up with psychiatry as an outpatient.

The patient was followed-up on the [**10-2**] by
psychiatry.  He was found to be not suicidal by psychiatry.
His depression seemed to have lifted somewhat.  He seemed to
be doing better with Zoloft and nortriptyline.  The patient
remained neurologically intact throughout his hospital stay,
and will be scheduled on [**10-24**] to have a clipping of
his left MCA aneurysm.

He is to follow-up with Dr.[**Name (NI) 9224**] secretary, [**Last Name (un) 50269**], to
schedule the outpatient preop appointments as needed.  He is
given a prescription for Dilantin 100 mg tid and told to
follow-up with his psychiatrist, and his primary care
physician.  [**Name10 (NameIs) **] did not need a prescription for his Zoloft or
his nortriptyline; the patient states that he had enough
medication at home.  He was given an additional prescription
for ativan, as needed, 1 q 4-6 h prn anxiety, and he was
given #20 of those.

DISCHARGE MEDICATIONS:
1. Ativan 1 mg po q 4-6 h prn anxiety.
2. Dilantin.
3. Zoloft 50 mg po qd.
4. Nortriptyline 100 mg po q hs.
5. Ambien 5 mg po q hs.
He does not need to take nimodipine.

The patient was given phone numbers to Dr.[**Name (NI) 9224**] office.
He is going to be seen by anesthesiology prior to his
discharge.  The patient was discharged neurologically and
psychiatrically intact.




                            [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 1133**]

Dictated By:[**Last Name (NamePattern4) 26792**]
MEDQUIST36

D:  [**2158-10-3**]  11:37
T:  [**2158-10-3**]  11:48
JOB#:  [**Job Number 50270**]
{'Cerebral aneurysm, nonruptured,Other convulsions,Cocaine dependence, continuous,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: This is a 41-year-old man, with
no prior medical history, who presents from an outsides,
status post witnessed generalized seizure.  His story started
on [**2158-9-27**], where at 8:00 am he used 0.5 gm of cocaine
nasally.  He went to work as a telephone technician.  He was
intoxicated while on the second step of a ladder.  He had a
witnessed seizure.  The seizure occurred around 10:00 am.
During the seizure, he fell and hit his head.  He had
tongue-biting, and no loss of bowel or urine.  He woke up and
he was in an ambulance.  He complained of feeling weak and
tired.  He was also described as agitated and confused upon
waking.  No other symptoms before the seizure, only the
feeling of intoxication.

MEDICAL HISTORY: 1. Depression for 3 years.
2. Cocaine.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: Vital signs - 96.3, pulse 75, blood pressure
110/73, 10, 95%.  The patient was awake, alert and oriented x
3.  Speech was fluent.  Naming and repetition were intact.
Face was symmetric.  Tongue was midline.  Pupils were [**3-8**]
bilaterally, symmetric.  EOMS full.  Visual fields full to
confrontation.  No meninges symptoms.  Strength was [**4-10**]
throughout.  No drift.  Sensation was grossly intact
throughout.

FAMILY HISTORY: 

SOCIAL HISTORY: He does use cocaine and marijuana regularly.
ETOH - he drinks 1 beer per week.  No tobacco.  He is
divorced recently, a month ago. 

### Response:
{'Cerebral aneurysm, nonruptured,Other convulsions,Cocaine dependence, continuous,Depressive disorder, not elsewhere classified'}
