CHIEF COMPLAINT: Found down

PRESENT ILLNESS: 50 yo female with ETOH abuse, seizures, depression who was found
by BF after falling out of bed yesterday. Presented to OSH
hypoxic, lethargic. CT head small SAH. Neurologically intact,
MAE.
CKs at OSH 14,000.

MEDICAL HISTORY: Depression
ETOH abuse
seizures
neuropathy
T2DM
asthma

MEDICATION ON ADMISSION: Trazodone 100 qhs, Depakote 500 [**Hospital1 **], Cyclobenzaprine 25 TID,
Lyrica 75 [**Hospital1 **], Effexor XR 150 qhs, orphenadrine 100 [**Hospital1 **], Moban
5mg TID, Singulair 10, metformin 500, cholordiazepoxide 25 TID,
Albuterol inhaler.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: at discharge:
AFVSS
NAD, A&Ox4
NCAT PERRLA EOMI
RRR CTAB
S/NT/ND +BS
MAE with mild tremulousness

FAMILY HISTORY: NC

SOCIAL HISTORY: ETOH abuse. Lives with boyfriend.
Subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Chronic airway obstruction, not elsewhere classified,Other convulsions,Alcohol abuse, unspecified,Morbid obesity,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Depressive disorder, not elsewhere classified,Accidental fall from bed
Traum subarachnoid hem,Chr airway obstruct NEC,Convulsions NEC,Alcohol abuse-unspec,Morbid obesity,DMII wo cmp nt st uncntr,Depressive disorder NEC,Fall from bed
Admission Date:  [**2153-6-27**]              Discharge Date:   [**2153-7-3**]

Date of Birth:  [**2102-9-8**]             Sex:   F

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 5880**]
Chief Complaint:
Found down

Major Surgical or Invasive Procedure:
None.


History of Present Illness:
50 yo female with ETOH abuse, seizures, depression who was found
by BF after falling out of bed yesterday. Presented to OSH
hypoxic, lethargic. CT head small SAH. Neurologically intact,
MAE.
CKs at OSH 14,000.


Past Medical History:
Depression
ETOH abuse
seizures
neuropathy
T2DM
asthma

Social History:
ETOH abuse. Lives with boyfriend.

Family History:
NC

Physical Exam:
at discharge:
AFVSS
NAD, A&Ox4
NCAT PERRLA EOMI
RRR CTAB
S/NT/ND +BS
MAE with mild tremulousness

Pertinent Results:
[**2153-6-27**] 08:37PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG
GLUCOSE-NEG KETONE-150 BILIRUBIN-SM UROBILNGN-NEG PH-6.5
LEUK-NEG
[**2153-6-27**] 08:37PM URINE  COLOR-Yellow APPEAR-Clear SP [**Last Name (un) 155**]-1.028
[**2153-6-27**] 08:37PM   FIBRINOGE-577*
[**2153-6-27**] 08:37PM   PT-11.6 PTT-18.6* INR(PT)-1.0
[**2153-6-27**] 08:37PM   PLT COUNT-218
[**2153-6-27**] 08:37PM   WBC-11.0 RBC-5.20 HGB-17.0* HCT-50.3* MCV-97
MCH-32.7* MCHC-33.8 RDW-14.0
[**2153-6-27**] 08:37PM URINE  bnzodzpn-POS barbitrt-NEG opiates-NEG
cocaine-NEG amphetmn-NEG mthdone-NEG
[**2153-6-27**] 08:37PM URINE  HOURS-RANDOM
[**2153-6-27**] 08:37PM   ASA-4 ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-POS
barbitrt-NEG tricyclic-NEG
[**2153-6-27**] 08:37PM   CALCIUM-8.7 PHOSPHATE-3.8 MAGNESIUM-1.8
[**2153-6-27**] 08:37PM   CK-MB-5 cTropnT-<0.01
[**2153-6-27**] 08:37PM   CK(CPK)-5489*
[**2153-6-27**] 08:37PM   GLUCOSE-142* UREA N-15 CREAT-0.7 SODIUM-138
POTASSIUM-5.0 CHLORIDE-101 TOTAL CO2-23 ANION GAP-19
[**2153-6-27**] 09:49PM   freeCa-1.03*
[**2153-6-27**] 09:49PM   K+-3.6
[**2153-6-27**] 09:49PM   TYPE-ART TEMP-36.6 PO2-89 PCO2-35 PH-7.36
TOTAL CO2-21 BASE XS--4 INTUBATED-NOT INTUBA

Brief Hospital Course:
50 yo female with ETOH abuse, seizures, depression who was found
by BF after falling out of bed. Presented to OSH hypoxic,
lethargic. Hypoxia improved with supplemental O2. CT head small
SAH. Neurologically intact, MAE. CKs at OSH 14,000. Pt was
admitted to SICU where a repeat CT of the head showed no change
in SAH size, no mass effect and the patient's mental status
cleared. She was transferred to the floor and evaluated by PT
and OT who found her safe for discharge home providing she had
close supervision from family members. Initially, family was not
eager to have patient return home without pt having acute [**Hospital **]
rehab (which was offered to patient but she refused), but
ultimately patient's boyfriend agreed to provide supervision.


Medications on Admission:
Trazodone 100 qhs, Depakote 500 [**Hospital1 **], Cyclobenzaprine 25 TID,
Lyrica 75 [**Hospital1 **], Effexor XR 150 qhs, orphenadrine 100 [**Hospital1 **], Moban
5mg TID, Singulair 10, metformin 500, cholordiazepoxide 25 TID,
Albuterol inhaler.

Discharge Medications:
1. Divalproex 500 mg Tablet, Delayed Release (E.C.) Sig: One (1)
Tablet, Delayed Release (E.C.) PO BID (2 times a day).
2. Molindone 5 mg Tablet Sig: One (1) Tablet PO TID (3 times a
day).
3. Montelukast 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
4. Hydralazine 25 mg Tablet Sig: One (1) Tablet PO Q6H (every 6
hours).
5. Metformin 500 mg Tablet Sig: One (1) Tablet PO once a day.
6. Effexor XR 150 mg Capsule, Sust. Release 24HR Sig: One (1)
Capsule, Sust. Release 24HR PO at bedtime.
7. Albuterol  Inhalation
8. Medication check
You MUST see your primary physician [**Name Initial (PRE) 176**] 48 hours to confirm
your medication list and doses.


Discharge Disposition:
Home

Discharge Diagnosis:
1. subarachnoid hemmorhage


Discharge Condition:
Good, cleared by PT, with agreement from boyfriend to help
supervise patient.


Discharge Instructions:
Please take all medications as prescribed. Please attend all
followup appointments. Please seek medical attention for fever,
chills, seizures, nausea, falls or unsteadiness, chest pain,
vomiting, headache, or with other concerns.

You should be supervised at all times for your safety.

Followup Instructions:
Please followup with your regular doctor within 2 days. You
should call Dr. [**First Name (STitle) **] at [**Telephone/Fax (1) 68161**] to schedule this
appointment.

Please followup in Trauma Clinic in 2 weeks. You must call ([**Telephone/Fax (1) 68162**] to schedule this appointment.
{'Subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Chronic airway obstruction, not elsewhere classified,Other convulsions,Alcohol abuse, unspecified,Morbid obesity,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Depressive disorder, not elsewhere classified,Accidental fall from bed'}


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: Found down

PRESENT ILLNESS: 50 yo female with ETOH abuse, seizures, depression who was found
by BF after falling out of bed yesterday. Presented to OSH
hypoxic, lethargic. CT head small SAH. Neurologically intact,
MAE.
CKs at OSH 14,000.

MEDICAL HISTORY: Depression
ETOH abuse
seizures
neuropathy
T2DM
asthma

MEDICATION ON ADMISSION: Trazodone 100 qhs, Depakote 500 [**Hospital1 **], Cyclobenzaprine 25 TID,
Lyrica 75 [**Hospital1 **], Effexor XR 150 qhs, orphenadrine 100 [**Hospital1 **], Moban
5mg TID, Singulair 10, metformin 500, cholordiazepoxide 25 TID,
Albuterol inhaler.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: at discharge:
AFVSS
NAD, A&Ox4
NCAT PERRLA EOMI
RRR CTAB
S/NT/ND +BS
MAE with mild tremulousness

FAMILY HISTORY: NC

SOCIAL HISTORY: ETOH abuse. Lives with boyfriend. 

### Response:
{'Subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Chronic airway obstruction, not elsewhere classified,Other convulsions,Alcohol abuse, unspecified,Morbid obesity,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Depressive disorder, not elsewhere classified,Accidental fall from bed'}
