CHIEF COMPLAINT: This is a 36 year old male with frontal
headache times three days.

PRESENT ILLNESS: This is a 36 year old white male
construction company owner, self employed, with a history of
Hodgkin's lymphoma, who went to his local Emergency
Department with a headache times three days.  He has been on
Coumadin and Lovenox for long term therapy for a protein S
deficiency and at the outside hospital was found to have a
right sided epidural hematoma on CT scan.  He was therefore
transferred to the [**Hospital1 69**] for
definitive treatment of his epidural hematoma.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 1.  Lovenox 300 mcg once daily.
2.  Paxil 40 mg once daily.
3.  Prevacid 30 mg once daily.
4.  Permax 0.5 mg twice a day.
5.  Coumadin 7.5 mg once daily.
6.  Mysoline 10 mg p.o. once daily.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He has a sixty pack year cigarette smoking
history.  No alcohol use.  He lives at home with wife and one
twelve year old son in a supportive family arrangement.
Subdural hemorrhage,Hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites,Long-term (current) use of anticoagulants
Subdural hemorrhage,Hdgk dis unsp xtrndl org,Long-term use anticoagul
Admission Date:  [**2178-10-18**]       Discharge Date:  [**2178-10-24**]

Date of Birth:   [**2142-5-20**]       Sex:  M

Service:  NEUROSURGERY

Discharge date is pending but planned for [**2178-10-24**].

CHIEF COMPLAINT:  This is a 36 year old male with frontal
headache times three days.

HISTORY OF PRESENT ILLNESS:  This is a 36 year old white male
construction company owner, self employed, with a history of
Hodgkin's lymphoma, who went to his local Emergency
Department with a headache times three days.  He has been on
Coumadin and Lovenox for long term therapy for a protein S
deficiency and at the outside hospital was found to have a
right sided epidural hematoma on CT scan.  He was therefore
transferred to the [**Hospital1 69**] for
definitive treatment of his epidural hematoma.

He had Hodgkin's disease at age 21 diagnosed due to
lymphadenopathy. He was treated with splenectomy and staging
and twelve weeks of radiation therapy.  He has been followed
by Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] at the [**Hospital **] Hospital and has been in
full remission from the lymphoma.

He also is twelve days status post discharge from [**Hospital1 346**], status post inflammatory bowel
resection.

The remainder of the previous medical history includes the
history of idiopathic thrombocytopenia purpura chronically
and the protein S deficiency diagnosed in [**2178-7-11**].  He is
currently on Coumadin.

Previous surgical history includes splenectomy, lymph node
dissection, hemorrhoidectomy and ischemic bowel resection on
[**2178-9-26**].

MEDICATIONS ON ADMISSION:
1.  Lovenox 300 mcg once daily.
2.  Paxil 40 mg once daily.
3.  Prevacid 30 mg once daily.
4.  Permax 0.5 mg twice a day.
5.  Coumadin 7.5 mg once daily.
6.  Mysoline 10 mg p.o. once daily.

ALLERGIES:  No known drug allergies.

SOCIAL HISTORY:  He has a sixty pack year cigarette smoking
history.  No alcohol use.  He lives at home with wife and one
twelve year old son in a supportive family arrangement.

PHYSICAL EXAMINATION:  In general, he was a well developed,
well nourished white male in no acute distress.  Cranium is
normocephalic and atraumatic.  He was awake, alert and
oriented times three.  He did have a right frontotemporal
headache but was conversing appropriately with fluent speech.
Cranial nerves II through XII are intact symmetrically.
There was no spinal or paraspinal tenderness.  The heart,
lung and abdomen were essentially unremarkable.  Strength of
the bilateral upper and lower extremities was [**6-14**] full
strength bilaterally.  Deep tendon reflexes were within
normal limits.  Sensation was full and normal.

Review of the outside CT scan from the [**Hospital **] Hospital
showed a right sided temporal epidural hematoma with
compression at the temporal [**Doctor Last Name 534**] and mild compression of the
lateral ventricle on the right side.

HOSPITAL COURSE:  Due to the clinical findings, the patient
was admitted to the hospital and received several units of
fresh frozen plasma to bring his INR down to normal range.
Once his coagulopathy had been corrected, the patient was
taken to the operating room on the afternoon of [**2178-10-19**],
where under general endotracheal anesthetic, he underwent a
right temporal craniotomy and drainage of the epidural
hematoma.  The patient tolerated the procedure well, went
back to the Intensive Care Unit for recovery from anesthesia
and spent the next two days in the Intensive Care Unit and
was subsequently transferred out to the regular hospital
floor in stable condition.

He remained on the regular hospital floor for several days
with routine physical therapy visits and general nursing care
on the medical surgical floor.  The remainder of the
patient's postoperative hospitalization was essentially
unremarkable.

DISCHARGE PLANNING:  Attempts were made to have the patient
transferred to a Transitional Care Unit, however, due to
insurance limitations, that proved to be not possible.
Therefore, the patient will be assessed for home services to
include physical therapy, occupational therapy and a home
safety evaluation and cognitive evaluation on an outpatient
basis with plans to discharge in the next 24 to 48 hours if
possible.

MEDICATIONS ON DISCHARGE:
1.  Dilantin 100 mg p.o. three times a day.
2.  Lansoprazole 30 mg p.o. once daily.
3.  Paroxetine Hydrochloride (Paxil) 40 mg p.o. once daily.
4.  Oxycodone 5 mg p.o. q4-6hours p.r.n. pain or headache.
5.  Tylenol 650 mg p.o. q4-6hours for either mild pain or
headache or for fever over 101.5.  The patient was instructed
to call if he developed fever over 101.5.
6.  Subcutaneous Heparin 5000 units q12hours until [**2178-10-26**],
at which time he could resume his preoperative Lovenox and
Coumadin.  However, he was told not to take any Lovenox or
Coumadin until at least [**2178-10-26**], and arrangements were to be
made for the patient to follow-up with his primary care
physician [**Last Name (NamePattern4) **] [**2178-10-26**], for further instructions regarding his
Lovenox and Coumadin.

CONDITION ON DISCHARGE:  Stable and improving.  Anticipated
goals included return to all activities of daily living, and
rehabilitation potential was considered very good.

ADDENDUM:  It should be noted that when the patient was taken
to the operating room on [**2178-10-19**], his surgery was performed
by Dr. [**First Name8 (NamePattern2) **] [**Name (STitle) 1327**], who was actually cross covering for the
neurosurgery service at that time.




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

Dictated By:[**Doctor Last Name 7311**]
MEDQUIST36

D:  [**2178-10-23**]  12:48
T:  [**2178-10-24**]  12:01
JOB#:  [**Job Number **]
{"Subdural hemorrhage,Hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites,Long-term (current) use of anticoagulants"}


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: This is a 36 year old male with frontal
headache times three days.

PRESENT ILLNESS: This is a 36 year old white male
construction company owner, self employed, with a history of
Hodgkin's lymphoma, who went to his local Emergency
Department with a headache times three days.  He has been on
Coumadin and Lovenox for long term therapy for a protein S
deficiency and at the outside hospital was found to have a
right sided epidural hematoma on CT scan.  He was therefore
transferred to the [**Hospital1 69**] for
definitive treatment of his epidural hematoma.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 1.  Lovenox 300 mcg once daily.
2.  Paxil 40 mg once daily.
3.  Prevacid 30 mg once daily.
4.  Permax 0.5 mg twice a day.
5.  Coumadin 7.5 mg once daily.
6.  Mysoline 10 mg p.o. once daily.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He has a sixty pack year cigarette smoking
history.  No alcohol use.  He lives at home with wife and one
twelve year old son in a supportive family arrangement. 

### Response:
{"Subdural hemorrhage,Hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites,Long-term (current) use of anticoagulants"}
