CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 58 year old woman
previously seen by Dr. [**Last Name (STitle) 1132**] for aneurysm coiling in [**2166**] and
in [**2172**], returning for a right craniotomy and clipping of a
right cerebral artery aneurysm.  The patient was seen in the
[**Hospital 48413**] Clinic and admitted on the day of surgery.

MEDICAL HISTORY: 1.  Hypothyroidism.
2.  Right middle pulmonary lobe syndrome.
3.  Twenty pack year history of smoking.
4.  Two prior aneurysm coils.
5.  History of tubal ligation.
6.  Status post partial hysterectomy.

MEDICATION ON ADMISSION: 

ALLERGIES: She is allergic to penicillin and sulfa.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Cerebral aneurysm, nonruptured,Unspecified acquired hypothyroidism
Nonrupt cerebral aneurym,Hypothyroidism NOS
Admission Date:  [**2172-9-8**]       Discharge Date:  [**2172-9-12**]

Date of Birth:   [**2114-3-14**]       Sex:  F

Service:  NEUROSURG

HISTORY OF PRESENT ILLNESS:   This is a 58 year old woman
previously seen by Dr. [**Last Name (STitle) 1132**] for aneurysm coiling in [**2166**] and
in [**2172**], returning for a right craniotomy and clipping of a
right cerebral artery aneurysm.  The patient was seen in the
[**Hospital 48413**] Clinic and admitted on the day of surgery.

PHYSICAL EXAMINATION:  On examination, the patient was
afebrile with vital signs stable.  The patient was alert,
oriented.  The patient was neurologically intact with no
deficits.  She was strong, five out of five, throughout all
extremities, no drift.  Her reflexes on examination were
symmetric throughout.  Sensation in her peripheral limbs were
symmetric and intact.  Cranial nerves II through XII were
intact.  Pupils were equal and reactive.  She had full
extraocular movement and no diplopia.  Her face was
symmetric.  Her tongue was midline protrusion.

PAST MEDICAL HISTORY:
1.  Hypothyroidism.
2.  Right middle pulmonary lobe syndrome.
3.  Twenty pack year history of smoking.
4.  Two prior aneurysm coils.
5.  History of tubal ligation.
6.  Status post partial hysterectomy.

ALLERGIES:   She is allergic to penicillin and sulfa.

MEDICATIONS PRIOR TO ADMISSION TO HOSPITAL:
1.  Effexor 75 mg three times a day.
2.  Ativan 1 mg three times a day p.r.n.
3.  Levoxyl 100 micrograms once a day.
4.  Estradiol 1 mg once a day.
5.  Trazodone 50 mg q. h.s.

MEDICATIONS IN THE HOSPITAL:
1.  Codeine 30 mg intravenously q. four hours p.r.n.
2.  Clindamycin 600 mg q. eight hours times three doses.
3.  Nipride.
4.  Tylenol p.r.n.
5.  Zofran p.r.n.
6.  Pepcid 20 mg twice a day.
7.  Preadmission medications.

HOSPITAL COURSE:   On [**9-8**], she underwent surgery for
right craniotomy and clipping of the right MCA aneurysm.  The
procedure was uneventful and she tolerated the surgery very
well.  She was stable postoperatively and no issues arose.

Postoperatively, she was transferred to the Intensive Care
Unit for close monitoring where she stayed for two days.  She
developed left hemiparesis postoperatively which gradually
improved.  She underwent an angiogram which confirmed good clip
placement. She recovered full strength over the next day
postoperatively and then was transferred to the floor
service.

She completed her stay on the floor service with no new
issues.

She was discharged home on [**2172-9-12**].

DISCHARGE INSTRUCTIONS:
1.  She is to follow-up with Dr. [**Last Name (STitle) 1132**] in four weeks.
2.  She has been informed to have her staples removed in
seven to ten days after the day of surgery.

CONDITION ON DISCHARGE:   She was neurologically intact and
stable on the day of discharge.

DISCHARGE DIAGNOSES:
1.  Right middle cerebral artery aneurysm.



                            [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 1133**]

Dictated By:[**Last Name (NamePattern1) 12438**]
MEDQUIST36

D:  [**2172-9-12**]  17:30
T:  [**2172-9-12**]  18:09
JOB#:  [**Job Number 48414**]
{'Cerebral aneurysm, nonruptured,Unspecified acquired hypothyroidism'}


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: This is a 58 year old woman
previously seen by Dr. [**Last Name (STitle) 1132**] for aneurysm coiling in [**2166**] and
in [**2172**], returning for a right craniotomy and clipping of a
right cerebral artery aneurysm.  The patient was seen in the
[**Hospital 48413**] Clinic and admitted on the day of surgery.

MEDICAL HISTORY: 1.  Hypothyroidism.
2.  Right middle pulmonary lobe syndrome.
3.  Twenty pack year history of smoking.
4.  Two prior aneurysm coils.
5.  History of tubal ligation.
6.  Status post partial hysterectomy.

MEDICATION ON ADMISSION: 

ALLERGIES: She is allergic to penicillin and sulfa.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Cerebral aneurysm, nonruptured,Unspecified acquired hypothyroidism'}
