CHIEF COMPLAINT: Fall; Head CT shows large irregular calcified mass 2.7cm in
diameter in the left frontoparietal region and SAH.

PRESENT ILLNESS: Pt was leaving the beauty salon this am walking and looking
in purse for her keys. The next thing she remembers was waking
up i n the ambulance. Pt reports no recent illness and she said
she felt fine this am. She does not recall feeling dizzy, light-

MEDICAL HISTORY: Afib
HTN
Hypercholesterolemia
Chronic Kidney Disease
Osteoporosis
Cholecystectomy
Tonsillectomy

MEDICATION ON ADMISSION: Procrit 5000 units weekly
Norpace 150mg TID
Zetia 10mg Qd
Lipitor 80mg Qd
Metoprolol 50mg [**Hospital1 **]
Digoxin 0.125mg 1 tablet every other day
Norvasc 5mg Qd
Multi-vit w/ Iron Qd
Asa 81mg Qd
Avapro 300mg Qd

ALLERGIES: Quinidine/Quinine & Derivatives

PHYSICAL EXAM: PE:
General: Pleaseant female awake and alert sitting up on
strecher.
HEENT: NC;AT, No abrasions, lacerations or hematomas noted.
No drainage from ears or nose noted.
CV: RRR, S1S2 No murmurs, rubs or gallops.
Pulm: Lungs clear to auscultation; Chest symmetrical with
expansion.
Abd: Abd soft, NT (+)BS. No pain to palpation.
Ext: Extremities war m with swelling an daircast to left ankle
and small amount of swelling and abrasion to right malleolus
Neuro: Pt awake, alert and oriented to person, place and time.
PERRL 3mm-->2mm brisk. EOMI. Visual Fields intact. Face
symmetrical. Tongue midline. Speech clear and
appropriate. Palate raise symmetrical. Facial sensation
intact to light touch. Decreased hearing to finger rub in
right ear. Lateral head rotation and shoulder shrug
intact.
Strength: (Pt with bilateral ankle injuries)
[**Doctor First Name **] [**Hospital1 **] Tri IP H Q TA [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 938**]
Right 5 5 5 5 5 5 4+ 4+ 5
Left 5 5 5 5 5 5 3+ 3+ 5

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: Married; Lives at home with her husband and adult
son. [**Name (NI) 4906**] is currently an inpatient at the [**Location 1268**] VA
s/p VP shunt placement for NPH. Quit smoking; Denies ETOH
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Acute respiratory failure,Chronic kidney disease, unspecified,Unspecified fall,Benign neoplasm of brain,Subdural hemorrhage,Compression of brain,Atrial fibrillation,Fracture of lateral malleolus, closed,Syncope and collapse,Other and unspecified coagulation defects,Unspecified essential hypertension
Subarach hem-brief coma,Acute respiratry failure,Chronic kidney dis NOS,Fall NOS,Benign neoplasm brain,Subdural hemorrhage,Compression of brain,Atrial fibrillation,Fx lateral malleolus-cl,Syncope and collapse,Coagulat defect NEC/NOS,Hypertension NOS
Admission Date:  [**2133-12-20**]              Discharge Date:   [**2133-12-24**]

Date of Birth:  [**2056-8-17**]             Sex:   F

Service: NEUROSURGERY

Allergies:
Quinidine/Quinine & Derivatives

Attending:[**First Name3 (LF) 1835**]
Chief Complaint:
Fall; Head CT shows large irregular calcified mass 2.7cm in
diameter in the left frontoparietal region and SAH.

Major Surgical or Invasive Procedure:
cerebral angiogram
right craniectomy with evacuation of SDH and lobectomy

History of Present Illness:
Pt was leaving the beauty salon this am walking and looking
in purse for her keys. The next thing she remembers was waking
up i n the ambulance. Pt reports no recent illness and she said
she felt fine this am. She does not recall feeling dizzy, light-

headed, sweating or nauseaus prior. She does say that she felt
"light-headed" upon awakening in the ambulance. Denies any
previous episodes of syncope. Pt was transported to [**Hospital 1474**]
Hospital where Head CT showed large irregular calcified mass 2.8

x 3.0cm in diameter in the left frontoparietal region and some
SAH. Other findings at [**Hospital 1474**] Hospital include left minimally
displaced fracture of the lateral malleolus. Of note blood sugar

at [**Hospital 1474**] Hospital was 111, Hct 43.1 and first set of cardiac
enzymes were (-) w/ trop <0.1. Pt was transferred to [**Hospital1 18**] for
further work up and eval.

Past Medical History:
Afib
HTN
Hypercholesterolemia
Chronic Kidney Disease
Osteoporosis
Cholecystectomy
Tonsillectomy

Social History:
Married; Lives at home with her husband and adult
son. [**Name (NI) 4906**] is currently an inpatient at the [**Location 1268**] VA
s/p VP shunt placement for NPH. Quit smoking; Denies ETOH


Family History:
noncontributory

Physical Exam:
PE:
General: Pleaseant female awake and alert sitting up on
strecher.
HEENT: NC;AT, No abrasions, lacerations or hematomas noted.
No drainage from ears or nose noted.
CV: RRR, S1S2 No murmurs, rubs or gallops.
Pulm: Lungs clear to auscultation; Chest symmetrical with
expansion.
Abd: Abd soft, NT (+)BS. No pain to palpation.
Ext: Extremities war m with swelling an daircast to left ankle
and small amount of swelling and abrasion to right malleolus
Neuro: Pt awake, alert and oriented to person, place and time.
PERRL 3mm-->2mm brisk. EOMI. Visual Fields intact. Face
symmetrical. Tongue midline. Speech clear and
appropriate. Palate raise symmetrical. Facial sensation
intact to light touch. Decreased hearing to finger rub in
right ear. Lateral head rotation and shoulder shrug
intact.
Strength: (Pt with bilateral ankle injuries)
[**Doctor First Name **] [**Hospital1 **] Tri IP H Q TA [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 938**]
Right 5 5 5 5 5 5 4+ 4+ 5
Left 5 5 5 5 5 5 3+ 3+ 5

Vital Signs
P 67 BP 153/72 RR 14


Pertinent Results:
[**2133-12-19**] 07:30PM   PT-12.5 PTT-22.7 INR(PT)-1.0
[**2133-12-19**] 07:30PM   WBC-12.5* RBC-4.15* HGB-12.8 HCT-35.9* MCV-87
MCH-30.9 MCHC-35.6* RDW-15.3
[**2133-12-19**] 07:30PM   CK-MB-2 cTropnT-<0.01
[**2133-12-19**] 07:30PM   GLUCOSE-163* UREA N-33* CREAT-1.1 SODIUM-140
POTASSIUM-4.8 CHLORIDE-107 TOTAL CO2-22 ANION GAP-16

Brief Hospital Course:
Pt was admitted to neuro step down unit for close neurological
monitoring.  It was discussed with pt and her family that her
mass could be removed electively, did not need emergent/urgent
craniotomy.  She remained awake and alert and agreed with the
plan. She had a workup for primary cancer but CT of
chest,abdomen and pelvis showed no malignancies but rather
multiple renal lesion and liver hemangioma. Her diet and
activity were advanced. There was concern of trauma to her right
leg but Xrays of her right lower leg were negative. She was
found to have some confusion and was slow to follow commands on
[**12-23**], she had a stat head CT which showed a large right
subdural hematoma with effacement of the right hemisphere.  She
then emergently had a cerebral angiogram to r/o AVmalformation
vs AV fistula/aneurysm.  Results showed decreased flow of right
MCA. She was then taken emergently to OR for right craniectomy
with evacuation of subdural and right frontal lobectomy.  Post
op CT showed massive edema and infarction of entire right
hemisphere.  Pt expired [**2133-12-24**].

Medications on Admission:
Procrit 5000 units weekly
Norpace 150mg TID
Zetia 10mg Qd
Lipitor 80mg Qd
Metoprolol 50mg [**Hospital1 **]
Digoxin 0.125mg 1 tablet every other day
Norvasc 5mg Qd
Multi-vit w/ Iron Qd
Asa 81mg Qd
Avapro 300mg Qd


Discharge Medications:
none

Discharge Disposition:
Expired

Discharge Diagnosis:
acute subdural hematoma
left fronatl brain tumor
left lower leg fracture

Discharge Condition:
expired

Discharge Instructions:
none

Followup Instructions:
none


Completed by:[**2134-3-17**]
{'Subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Acute respiratory failure,Chronic kidney disease, unspecified,Unspecified fall,Benign neoplasm of brain,Subdural hemorrhage,Compression of brain,Atrial fibrillation,Fracture of lateral malleolus, closed,Syncope and collapse,Other and unspecified coagulation defects,Unspecified essential hypertension'}


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: Fall; Head CT shows large irregular calcified mass 2.7cm in
diameter in the left frontoparietal region and SAH.

PRESENT ILLNESS: Pt was leaving the beauty salon this am walking and looking
in purse for her keys. The next thing she remembers was waking
up i n the ambulance. Pt reports no recent illness and she said
she felt fine this am. She does not recall feeling dizzy, light-

MEDICAL HISTORY: Afib
HTN
Hypercholesterolemia
Chronic Kidney Disease
Osteoporosis
Cholecystectomy
Tonsillectomy

MEDICATION ON ADMISSION: Procrit 5000 units weekly
Norpace 150mg TID
Zetia 10mg Qd
Lipitor 80mg Qd
Metoprolol 50mg [**Hospital1 **]
Digoxin 0.125mg 1 tablet every other day
Norvasc 5mg Qd
Multi-vit w/ Iron Qd
Asa 81mg Qd
Avapro 300mg Qd

ALLERGIES: Quinidine/Quinine & Derivatives

PHYSICAL EXAM: PE:
General: Pleaseant female awake and alert sitting up on
strecher.
HEENT: NC;AT, No abrasions, lacerations or hematomas noted.
No drainage from ears or nose noted.
CV: RRR, S1S2 No murmurs, rubs or gallops.
Pulm: Lungs clear to auscultation; Chest symmetrical with
expansion.
Abd: Abd soft, NT (+)BS. No pain to palpation.
Ext: Extremities war m with swelling an daircast to left ankle
and small amount of swelling and abrasion to right malleolus
Neuro: Pt awake, alert and oriented to person, place and time.
PERRL 3mm-->2mm brisk. EOMI. Visual Fields intact. Face
symmetrical. Tongue midline. Speech clear and
appropriate. Palate raise symmetrical. Facial sensation
intact to light touch. Decreased hearing to finger rub in
right ear. Lateral head rotation and shoulder shrug
intact.
Strength: (Pt with bilateral ankle injuries)
[**Doctor First Name **] [**Hospital1 **] Tri IP H Q TA [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 938**]
Right 5 5 5 5 5 5 4+ 4+ 5
Left 5 5 5 5 5 5 3+ 3+ 5

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: Married; Lives at home with her husband and adult
son. [**Name (NI) 4906**] is currently an inpatient at the [**Location 1268**] VA
s/p VP shunt placement for NPH. Quit smoking; Denies ETOH 

### Response:
{'Subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Acute respiratory failure,Chronic kidney disease, unspecified,Unspecified fall,Benign neoplasm of brain,Subdural hemorrhage,Compression of brain,Atrial fibrillation,Fracture of lateral malleolus, closed,Syncope and collapse,Other and unspecified coagulation defects,Unspecified essential hypertension'}
