CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 24 year-old
male with a history of asthma presented unresponsive with an
episode of emesis requiring intubation on presentation to the
Emergency Room.  Briefly his immediate family gave a history
of ingestion of MDMA, Ketamine, and ethanol two to three days
prior to admission and the ingestion of GHB the night prior
to admission.  He was found unresponsive by his friends and
was driven in to the Emergency Room and had an episode of
emesis with the unresponsiveness requiring intubation for
airway protection.  In the Emergency Room charcoal was
administered and a Foley was placed.  He responded to
commands after several hours and was admitted to the
Intensive Care Unit for further management.

MEDICAL HISTORY: Asthma.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Noncontributory.

SOCIAL HISTORY: Single.  No tobacco use.  History of ethanol
use in the past mostly on the weekends.
Amphetamine or related acting sympathomimetic abuse, unspecified,Toxic effect of ethyl alcohol,Poisoning by other opiates and related narcotics,Poisoning by tranquilizers and other psychotropic agents, undetermined whether accidentally or purposely inflicted,Home accidents
Amphetamine abuse-unspec,Toxic eff ethyl alcohol,Poisoning-opiates NEC,Undeterm pois-psychotrop,Accident in home
Admission Date:  [**2200-10-28**]     Discharge Date:  [**2200-10-28**]

Date of Birth:                  Sex:  M

Service:  ICU

HISTORY OF PRESENT ILLNESS:  The patient is a 24 year-old
male with a history of asthma presented unresponsive with an
episode of emesis requiring intubation on presentation to the
Emergency Room.  Briefly his immediate family gave a history
of ingestion of MDMA, Ketamine, and ethanol two to three days
prior to admission and the ingestion of GHB the night prior
to admission.  He was found unresponsive by his friends and
was driven in to the Emergency Room and had an episode of
emesis with the unresponsiveness requiring intubation for
airway protection.  In the Emergency Room charcoal was
administered and a Foley was placed.  He responded to
commands after several hours and was admitted to the
Intensive Care Unit for further management.

PAST MEDICAL HISTORY:  Asthma.

MEDICATIONS:  Serevent and Albuterol.

ALLERGIES:  No known drug allergies.

SOCIAL HISTORY:  Single.  No tobacco use.  History of ethanol
use in the past mostly on the weekends.

FAMILY HISTORY:  Noncontributory.

PHYSICAL EXAMINATION:  Afebrile.  Pulse in the 70s.  Blood
pressure 120/50.  Sating 95% on room air.  In general, awake,
alert, oriented, responsive.  Head, eyes, ears, nose and
throat clear.  Oropharynx no lymphadenopathy.  Heart was
regular with no murmurs.  Lungs were clear.  Abdomen was
benign with normal bowel sounds.  Extremities showed no
edema. Neurologically nonfocal.

LABORATORY:  White count 15.3, hematocrit 46.5, platelets 378
with an INR of 1.3.  Urinalysis was notable for a glucose of
greater then 1000, large blood, 21 to 50 red cells, 6 to 10
white cells, occasional bacteria.  Chem 7 showed a glucose of
128, BUN 9, creatinine .9, sodium 143, potassium 3.4,
chloride 106, bicarb 25, amylase 58.  Serum tox screen was
negative.  Urine tox screen was positive for benzodiazepine
and amphetamine.  Chest x-ray showed no infiltrate or acute
process.

HOSPITAL COURSE:  Mr. [**Known lastname 780**] was transferred to the
Intensive Care Unit after self extubation in the Emergency
Room for further monitoring.  He had a stable night with no
acute issues.  His examination in the morning was benign.  A
psychiatry/substance abuse consult was called for further
evaluation of substance abuse history and potential
treatment.  He has had similar episodes twice in the past.
There was no evidence of suicidal ideation.  Urine output
remained [**Last Name (un) 36489**] after adequate intravenous fluid rehydration
and toleration of po intake.  The patient had no complaints.

DISCHARGE STATUS:  Afebrile with stable vital signs,
asymptomatic with a baseline mental status.  Discharged to
home.  Follow up with in the [**Hospital 8391**] Clinic for asthma
and with the substance abuse program.

DISCHARGE DIAGNOSES:
1.  Drug overdose secondary to GHB in combination with MDMA,
Ketamine and ethanol.
2.  Asthma.






                          [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], M.D.  [**MD Number(1) 3795**]

Dictated By:[**Name8 (MD) 30528**]

MEDQUIST36

D:  [**2200-10-28**]  13:14
T:  [**2200-10-29**]  06:02
JOB#:  [**Job Number 36490**]
{'Amphetamine or related acting sympathomimetic abuse, unspecified,Toxic effect of ethyl alcohol,Poisoning by other opiates and related narcotics,Poisoning by tranquilizers and other psychotropic agents, undetermined whether accidentally or purposely inflicted,Home accidents'}


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 24 year-old
male with a history of asthma presented unresponsive with an
episode of emesis requiring intubation on presentation to the
Emergency Room.  Briefly his immediate family gave a history
of ingestion of MDMA, Ketamine, and ethanol two to three days
prior to admission and the ingestion of GHB the night prior
to admission.  He was found unresponsive by his friends and
was driven in to the Emergency Room and had an episode of
emesis with the unresponsiveness requiring intubation for
airway protection.  In the Emergency Room charcoal was
administered and a Foley was placed.  He responded to
commands after several hours and was admitted to the
Intensive Care Unit for further management.

MEDICAL HISTORY: Asthma.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Noncontributory.

SOCIAL HISTORY: Single.  No tobacco use.  History of ethanol
use in the past mostly on the weekends. 

### Response:
{'Amphetamine or related acting sympathomimetic abuse, unspecified,Toxic effect of ethyl alcohol,Poisoning by other opiates and related narcotics,Poisoning by tranquilizers and other psychotropic agents, undetermined whether accidentally or purposely inflicted,Home accidents'}
