CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is an 18 year old
male who was hit by a flying metal wheel on the face while at
work. The patient fell back from a standing position with
possible loss of consciousness for 1-2 minutes.  On physical
examination, temperature was 97.9, heart rate 114, blood
pressure 159/65, respiratory rate 20, oxygen saturation 100%.

MEDICAL HISTORY: Negative.

MEDICATION ON ADMISSION: The patient was on no medications.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness,Open wound of forehead, without mention of complication,Superficial injury of cornea,Closed fracture of orbital floor (blow-out),Other accident caused by striking against or being struck accidentally by objects or persons,Struck accidentally by falling object
Cl skul base fx/brf coma,Open wound of forehead,Superficial inj cornea,Fx orbital floor-closed,Obj w-w/o sub fall NEC,Struck by falling object
Admission Date: [**2190-3-2**]        Discharge Date: [**2190-3-13**]

Date of Birth:  [**2171-9-22**]        Sex:  M

Service:  NSU


HISTORY OF PRESENT ILLNESS:  The patient is an 18 year old
male who was hit by a flying metal wheel on the face while at
work. The patient fell back from a standing position with
possible loss of consciousness for 1-2 minutes.  On physical
examination, temperature was 97.9, heart rate 114, blood
pressure 159/65, respiratory rate 20, oxygen saturation 100%.

PAST MEDICAL HISTORY:  Negative.

PAST SURGICAL HISTORY:  Negative.

MEDICATIONS ON ADMISSION:  The patient was on no medications.

ALLERGIES:  No known drug allergies.

PHYSICAL EXAMINATION:  On physical examination, the patient
was awake and oriented following commands, moving all
extremities. HEENT - Right orbital hematoma, right eyelid
ecchymosis. Forehead superficial laceration. The pupils are
equal, round and reactive to light and accommodation.
Extraocular movements full. Cardiovascular regular rate and
rhythm. Respiratory clear to auscultation. Abdomen soft,
nontender, nondistended. Extremities no edema, just a
pretibial abrasion.

LABORATORY DATA:  CT of the head shows bilateral small
frontal subdural hematoma, right greater than left. CT of the
face shows right maxillary sinus and right lateral orbital
wall fractures, right orbital roof and right temporal bone
fractures with 2 millimeters of depression.

HOSPITAL COURSE:  The patient was admitted to the intensive
care unit for close neurologic observation. Oromaxillofacial
was consulted for the facial fractures. Ophthalmology was
consulted for the orbital wall fracture. The patient was
monitored in the intensive care unit overnight and remained
neurologically stable and on [**2190-3-3**], was transferred
to the regular floor. He was seen by Dr. [**First Name (STitle) **] of neurosurgery
and oromaxillofacial and it was decided the patient would
need to undergo a bilateral frontal sinus exenteration. The
patient was taken to the operating room on [**2190-3-6**],
and underwent bifrontal craniotomy and exenteration of
frontal sinuses. Vital signs were stable, neurologically
awake, alert and oriented x3, moving all extremities and good
strength. The patient was transferred to the regular floor on
postoperative day 1, where he remained neurologically stable.
He was seen by physical therapy and occupational therapy and
found to be safe for discharge to home. He was discharged on
[**2190-3-13**], with follow-up with OMF in 2 weeks, follow-up
with Dr. [**First Name (STitle) **] in 2 weeks and follow-up with ophthalmology.

CONDITION ON DISCHARGE:  Stable at the time of discharge.

MEDICATIONS ON DISCHARGE:
1. Percocet 1-2 tabs p.o. q.4hours p.r.n.
2. Colace 100 mg p.o. b.i.d.




                        [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 8632**]

Dictated By:[**Last Name (NamePattern1) **]
MEDQUIST36
D:  [**2190-3-12**] 16:38:36
T:  [**2190-3-13**] 08:43:02
Job#:  [**Job Number 60495**]
{'Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness,Open wound of forehead, without mention of complication,Superficial injury of cornea,Closed fracture of orbital floor (blow-out),Other accident caused by striking against or being struck accidentally by objects or persons,Struck accidentally by falling object'}


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 an 18 year old
male who was hit by a flying metal wheel on the face while at
work. The patient fell back from a standing position with
possible loss of consciousness for 1-2 minutes.  On physical
examination, temperature was 97.9, heart rate 114, blood
pressure 159/65, respiratory rate 20, oxygen saturation 100%.

MEDICAL HISTORY: Negative.

MEDICATION ON ADMISSION: The patient was on no medications.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness,Open wound of forehead, without mention of complication,Superficial injury of cornea,Closed fracture of orbital floor (blow-out),Other accident caused by striking against or being struck accidentally by objects or persons,Struck accidentally by falling object'}
