CHIEF COMPLAINT: Neck pain

PRESENT ILLNESS: 17 year old female s/p rollover ATV accident. At time of injury
felt "ok" did not seek medical attention. Several hours later
c/o neck pain. Presented to OSH CT head negative. CT neck
multiple CT fracture. Neurologically intact throughout. C-spine
precautions/logroll.

MEDICAL HISTORY: Depression

MEDICATION ON ADMISSION: Sertraline
Buproprion

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: C-collar in place; NAD
+ C-spine tenderness
RRR
CTA B
Abd soft NT/ND
Ext- full range of motion and [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] and BLE at deltoid,
biceps, triceps, wrist extension and flexion, finger extension
and flexion and intrinsics; hip extension and flexion, knee
flexion and extension, ankle dorsiflexion and plantar flexion
and [**Last Name (un) 938**]/FHL; sensation intact throughout all dermatomes

FAMILY HISTORY: N/C

SOCIAL HISTORY: Denies
Closed fracture of second cervical vertebra,Nontraffic accident involving other off-road motor vehicle injuring unspecified person,Depressive disorder, not elsewhere classified
Fx c2 vertebra-closed,Oth off-road mv-pers NOS,Depressive disorder NEC
Admission Date:  [**2147-7-17**]              Discharge Date:   [**2147-7-20**]

Date of Birth:  [**2129-11-27**]             Sex:   F

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 371**]
Chief Complaint:
Neck pain

Major Surgical or Invasive Procedure:
Halo placement


History of Present Illness:
17 year old female s/p rollover ATV accident. At time of injury
felt "ok" did not seek medical attention. Several hours later
c/o neck pain. Presented to OSH CT head negative. CT neck
multiple CT fracture. Neurologically intact throughout. C-spine
precautions/logroll.

Past Medical History:
Depression

Social History:
Denies

Family History:
N/C

Physical Exam:
C-collar in place; NAD
+ C-spine tenderness
RRR
CTA B
Abd soft NT/ND
Ext- full range of motion and [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] and BLE at deltoid,
biceps, triceps, wrist extension and flexion, finger extension
and flexion and intrinsics; hip extension and flexion, knee
flexion and extension, ankle dorsiflexion and plantar flexion
and [**Last Name (un) 938**]/FHL; sensation intact throughout all dermatomes

Pertinent Results:
[**2147-7-18**] 07:50PM BLOOD WBC-11.1* RBC-4.60 Hgb-12.8 Hct-36.0
MCV-78* MCH-27.8 MCHC-35.5* RDW-14.1 Plt Ct-236
[**2147-7-18**] 02:22AM BLOOD WBC-11.2* RBC-4.58 Hgb-12.3 Hct-36.3
MCV-79* MCH-26.9* MCHC-34.0 RDW-13.9 Plt Ct-248
[**2147-7-17**] 03:02AM BLOOD WBC-17.8* RBC-5.12 Hgb-13.9 Hct-40.1
MCV-78* MCH-27.1 MCHC-34.6 RDW-14.0 Plt Ct-276
[**2147-7-18**] 07:50PM BLOOD Glucose-129* UreaN-5* Creat-0.5 Na-139
K-3.7 Cl-102 HCO3-26 AnGap-15
[**2147-7-18**] 02:22AM BLOOD Glucose-118* UreaN-3* Creat-0.6 Na-139
K-3.7 Cl-104 HCO3-26 AnGap-13
[**2147-7-17**] 03:14AM BLOOD Glucose-111* Lactate-1.6 Na-140 K-4.2
Cl-102
[**2147-7-17**] 03:14AM BLOOD Hgb-14.5 calcHCT-44 O2 Sat-68 COHgb-1.8
MetHgb-0.5

Brief Hospital Course:
Ms. [**Known lastname 36812**] was evaluated in the EW and noticed to have a C2
fracture.  It was her lone injury and she was admitted to the
Trauma service for further evaluation.  Her c-collar and log
roll precautions were continued.  She was hemodynamically stable
at all times.  From the EW she was transfered to the T/SICU for
neuro checks and subsequent halo placement.  She tolerated the
halo placement well and post-placement films showed appropriate
alignment.
She was transfered to the floor where she was able to work with
physical therapy.  Screening for rehab was initiated and she was
discharged in good condition.  She will follow up in the
Orthopaedic Spine clinic in two weeks.

Medications on Admission:
Sertraline
Buproprion

Discharge Medications:
1. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) syringe
Injection TID (3 times a day).
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
3. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for
constipation.
4. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30)
ML PO Q6H (every 6 hours) as needed for constipation.
5. Acetaminophen 325 mg Tablet Sig: One (1) Tablet PO Q4-6H
(every 4 to 6 hours) as needed.
6. Hydrocodone-Acetaminophen 5-500 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed.
7. Sertraline 50 mg Tablet Sig: Three (3) Tablet PO DAILY
(Daily).
8. Bupropion 100 mg Tablet Sustained Release Sig: One (1) Tablet
Sustained Release PO BID (2 times a day).


Discharge Disposition:
Extended Care

Facility:
[**Hospital3 1107**] [**Hospital **] Hospital - [**Location (un) 38**]

Discharge Diagnosis:
C2 fracture


Discharge Condition:
Good


Discharge Instructions:
Please continue to take your pain medication with an over the
counter laxative.  Call the clinic if you notice any redness or
discharge from your pin sites.  Call the clinic for any
additional concerns.

Followup Instructions:
Please follow up in the Orthopaedic Spine clinic in two weeks.
Please call [**Telephone/Fax (1) 11061**] for an appointment.



Completed by:[**2147-7-19**]
{'Closed fracture of second cervical vertebra,Nontraffic accident involving other off-road motor vehicle injuring unspecified person,Depressive disorder, not elsewhere classified'}


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: Neck pain

PRESENT ILLNESS: 17 year old female s/p rollover ATV accident. At time of injury
felt "ok" did not seek medical attention. Several hours later
c/o neck pain. Presented to OSH CT head negative. CT neck
multiple CT fracture. Neurologically intact throughout. C-spine
precautions/logroll.

MEDICAL HISTORY: Depression

MEDICATION ON ADMISSION: Sertraline
Buproprion

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: C-collar in place; NAD
+ C-spine tenderness
RRR
CTA B
Abd soft NT/ND
Ext- full range of motion and [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] and BLE at deltoid,
biceps, triceps, wrist extension and flexion, finger extension
and flexion and intrinsics; hip extension and flexion, knee
flexion and extension, ankle dorsiflexion and plantar flexion
and [**Last Name (un) 938**]/FHL; sensation intact throughout all dermatomes

FAMILY HISTORY: N/C

SOCIAL HISTORY: Denies 

### Response:
{'Closed fracture of second cervical vertebra,Nontraffic accident involving other off-road motor vehicle injuring unspecified person,Depressive disorder, not elsewhere classified'}
