CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname **] is a 19-year-old male
who had consumed approximately 15 vodka shots and gone [**Hospital1 54831**] to watch the baseball game when he fell backwards
through a bathroom stall door, striking the posterior aspect
of his head on a tile wall.  He was noticed by his friends to
be unresponsive and was brought into the Emergency Department
by ambulance.  Notably, he was hemodynamically stable in
transport without evidence of hypoxia.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Atrial fibrillation,Alcohol abuse, unspecified,Contusion of face, scalp, and neck except eye(s)
Atrial fibrillation,Alcohol abuse-unspec,Contusion face/scalp/nck
Admission Date:  [**2142-4-14**]     Discharge Date:  [**2142-4-16**]

Date of Birth:   [**2122-8-31**]     Sex:  M

Service:  TRAU [**Doctor First Name 147**]

HISTORY OF PRESENT ILLNESS:  Mr. [**Known lastname **] is a 19-year-old male
who had consumed approximately 15 vodka shots and gone [**Hospital1 54831**] to watch the baseball game when he fell backwards
through a bathroom stall door, striking the posterior aspect
of his head on a tile wall.  He was noticed by his friends to
be unresponsive and was brought into the Emergency Department
by ambulance.  Notably, he was hemodynamically stable in
transport without evidence of hypoxia.

PAST MEDICAL HISTORY:  None.

PAST SURGICAL HISTORY:  None.

ALLERGIES:  None.

MEDICATIONS:  None.  Narcan 2 mg intravenously.

PHYSICAL EXAMINATION:  Temperature 96.5, blood pressure
126/88, heart rate 82 to 111, respiratory rate 18, satting
99% on room air.  Neurologic exam:  Obtunded.  [**Location (un) 2611**] Coma
Scale 8.  Moving all extremities.  HEENT:  Pupils equal,
round, and reactive to light; four to two mm bilaterally.
Tympanic membranes clear.  Oropharynx clear.  Nasopharynx
clear.  Normocephalic, atraumatic.  Neck:  Cervical collar in
place.  No step offs.  Trachea midline.  No deformities.
Chest wall without deformities; clear to auscultation
bilaterally.  Cardiovascular exam:  Irregularly irregular
without evidence of murmur.  Abdomen:  Soft, nontender,
nondistended.  Rectal:  Heme negative; good tone.  Pelvis:
Stable.  Back:  TLS spine:  No step-off deformities,
abrasion, or tenderness.  Extremities:  Without deformity or
abrasion, 2+ distal pulses bilateral upper and lower
extremities.

DIAGNOSTIC STUDIES:  Chemistry panel significant for
potassium 3.1 and magnesium 2.0.  All other electrolytes
within normal limits.  Ethanol level 371.  CBC significant
for hematocrit 31.8, INR 1.2.

RADIOGRAPHIC STUDIES:  CT of the head:  Small right frontal
contusion.

CT of the cervical spine:  Negative.

Chest x-ray:  Within normal limits.

HOSPITAL COURSE:  The patient was evaluated by the Trauma
Surgery service upon consultation from the Emergency
Department staff.  The patient was noted to have the
above-mentioned exam initially and was noted to be in atrial
fibrillation at a rate of approximately 110 to 150.  The
patient was given Diltiazem intravenous boluses 20 mg times
two with some response and was then placed on a Diltiazem
drip for rate control, at which time the patient converted to
a sinus rhythm in the 90s prior to admission.  At this time
Cardiology was asked to see the patient regarding this new
onset atrial fibrillation.

Given the patient's neurologic examination and findings on
CT, Neurosurgery was asked to see the patient while in the
Emergency Department.  Over the next day, the patient's
mental status greatly improved, at which time he had [**Initials (NamePattern4) **]
[**Last Name (NamePattern4) 2611**] Coma Scale of 14.  Despite this, given his
neuroradiographic findings, the patient was admitted to the
Trauma Surgery Intensive Care Unit for q. one-hour neuro
checks, hemodynamic monitoring, and repeat head CT the
following morning.

The repeat head CT on hospital day two was found to be
without change from the previous study.  The patient remained
hemodynamically stable with [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 2611**] Coma Scale of 15, alert
and oriented times three, and was transferred to the floor on
hospital day two.

On hospital day three the patient received a transthoracic
echocardiogram at the request of the Cardiology service, who
had seen the patient in consultation.  This echocardiogram
revealed no special abnormalities and was essentially within
normal limits.  After discussion with the Cardiology
Consultation team, it was determined that the patient needed
no specialized follow up for this new onset self-limited
atrial fibrillation in the setting of alcohol intoxication.

The patient was tolerating a normal diet and was out of bed
without assistance on hospital day three and was discharged
to home with the below-mentioned follow up.

Given the patient's alcohol intoxication, upon presentation
the patient was seen by the Addiction Consultation service at
[**Hospital **] [**First Name (Titles) **] [**Last Name (Titles) **].  During this interview the patient
responded no to all of the CAGE questions and did not request
further addictional services at this time.

DISCHARGE CONDITION:  Good.

DISPOSITION:  To home.

DISCHARGE DIAGNOSES:
1.  Ethanol intoxication.
2.  Status post fall.
3.  Right frontal lobe contusion.
4.  Atrial fibrillation.

DISCHARGE INSTRUCTIONS:
1.  The patient is to call [**Telephone/Fax (1) 327**] to schedule an
appointment for a previously ordered CT scan prior to his
Neurosurgery appointment.
2.  Patient is to contact Dr. [**Last Name (STitle) **] in Neurosurgery at
[**Telephone/Fax (1) 1669**] for an appointment within two weeks.
3.  The patient is to follow up with the Trauma Clinic on an
as-needed basis by calling [**Telephone/Fax (1) 274**].
4.  Patient was instructed to call his physician or return to
the Emergency Room for worsening headache, vomiting, chest
pain, shortness of breath, palpitations, or any new or
concerning symptoms.

DISCHARGE MEDICATIONS:
1.  Vicodin 5/500 one to two tabs p.o. q. 4 to 6 hours as
needed, dispense 15 tablets.
2.  Colace 100 mg one tab p.o. b.i.d., dispense 60 tablets.




                          [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 520**], M.D.  [**MD Number(1) 521**]

Dictated By:[**Name8 (MD) 28700**]

MEDQUIST36

D:  [**2142-4-16**]  14:51
T:  [**2142-4-17**]  21:41
JOB#:  [**Job Number 54832**]
{'Atrial fibrillation,Alcohol abuse, unspecified,Contusion of face, scalp, and neck except eye(s)'}


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: Mr. [**Known lastname **] is a 19-year-old male
who had consumed approximately 15 vodka shots and gone [**Hospital1 54831**] to watch the baseball game when he fell backwards
through a bathroom stall door, striking the posterior aspect
of his head on a tile wall.  He was noticed by his friends to
be unresponsive and was brought into the Emergency Department
by ambulance.  Notably, he was hemodynamically stable in
transport without evidence of hypoxia.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Atrial fibrillation,Alcohol abuse, unspecified,Contusion of face, scalp, and neck except eye(s)'}
