CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is an 89 year old
female who reportedly fell down a flight of stairs on the day
of admission.  She was transferred from [**Hospital6 2561**]
for fractures of C3 and C4.  A head CT scan was read as
negative.  The patient sustained a laceration of her
forehead, which was repaired.

MEDICAL HISTORY: 1.  Atrial fibrillation.  2.  Deep
vein thrombosis.  3.  History of urinary tract infections.
4.  Coronary artery disease with a history of a myocardial
infarction.

MEDICATION ON ADMISSION: Atenolol, digoxin, aspirin.

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient lives alone.
Closed fracture of multiple cervical vertebrae,Open wound of forehead, without mention of complication,Accidental fall on or from other stairs or steps,Pneumonitis due to inhalation of food or vomitus,Atrial fibrillation,Urinary tract infection, site not specified,Hyperosmolality and/or hypernatremia,Coronary atherosclerosis of native coronary artery,Anemia, unspecified
Fx mult cervical vert-cl,Open wound of forehead,Fall on stair/step NEC,Food/vomit pneumonitis,Atrial fibrillation,Urin tract infection NOS,Hyperosmolality,Crnry athrscl natve vssl,Anemia NOS
Admission Date:  [**2168-9-15**]       Discharge Date:  [**2168-9-26**]

Date of Birth:                    Sex:  F

Service:  Medicine

HISTORY OF PRESENT ILLNESS:  The patient is an 89 year old
female who reportedly fell down a flight of stairs on the day
of admission.  She was transferred from [**Hospital6 2561**]
for fractures of C3 and C4.  A head CT scan was read as
negative.  The patient sustained a laceration of her
forehead, which was repaired.

On arrival, the patient complained of nausea, pain over her
forehead and pain in her neck.  She was confused.  Otherwise,
no neurologic findings were reported.

PAST MEDICAL HISTORY:  1.  Atrial fibrillation.  2.  Deep
vein thrombosis.  3.  History of urinary tract infections.
4.  Coronary artery disease with a history of a myocardial
infarction.

ALLERGIES:  The patient has no known drug allergies.

MEDICATIONS ON ADMISSION:  Atenolol, digoxin, aspirin.

SOCIAL HISTORY:  The patient lives alone.

PHYSICAL EXAMINATION:  On physical examination on admission,
the patient had a blood pressure of 151/91, heart rate 107,
respiratory rate 27, oxygen saturation 97% in room air and
she was afebrile.  General:  Awake, alert and confused;
[**Location (un) 2611**] coma score was 14.  Head, eyes, ears, nose and
throat:  Pupil 3 to 1 mm on right side, left side not
visualized, bilateral periorbital ecchymoses, left greater
than right.  Neck:  In cervical collar.  Chest:  Decreased
breath sounds throughout, large ecchymotic area on anterior
chest.  Abdomen:  Soft, nontender, nondistended.  Rectal:
Normal tone, heme positive stool.  Extremities:  Warm 2+
dorsalis pedis pulses bilaterally, no obvious deformities,
ecchymoses over right knee but full range of motion.
Neurologic:  Moving all four extremities, intermittently
followed commands, motor and sensation grossly intact per
trauma team, reflexes 1+ on right knee, 0 on left knee, left
toe downgoing, right toe upgoing.

LABORATORY DATA:  Admission white blood cell count was 19.4,
hematocrit 35.4, platelet count 150,000, sodium 140,
potassium 3.7, chloride 102, bicarbonate 27, BUN 12,
creatinine 0.4, glucose 185, prothrombin time 16.4, INR 1.6,
partial thromboplastin time 27.7 and CK 827.  CT scan of the
head showed a left middle cerebral artery, anterior cerebral
artery, watershed area cerebrovascular accident, right middle
cerebral artery, posterior cerebral artery and watershed area
cerebrovascular accident, left cerebellar cerebrovascular
accident.  CT scan of the spine showed C3 to C4 widening, C4
anterior base tear drop fracture, question of C3 ring
fracture.  CT scan of the chest was negative.  Abdominal and
pelvic CT scan showed anterior abdominal wall hematoma,
intrahepatic ductal dilatation, otherwise negative.  Magnetic
resonance imaging scan of the head and spine was pending on
admission.

HOSPITAL COURSE:  The patient had a long and complicated
hospital course, including the development of rapid atrial
fibrillation, and transferred to the medicine service.

The patient was made comfort measures only by the internal
medicine team and expired on [**2168-9-26**] from an
arrhythmia.

DISCHARGE CONDITION:  Deceased; no postmortem examination was
obtained.




                            [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2213**], M.D.  [**MD Number(1) 2214**]

Dictated By:[**Last Name (NamePattern1) 5476**]
MEDQUIST36

D:  [**2169-1-4**]  15:16
T:  [**2169-1-4**]  15:37
JOB#:  [**Job Number **]
{'Closed fracture of multiple cervical vertebrae,Open wound of forehead, without mention of complication,Accidental fall on or from other stairs or steps,Pneumonitis due to inhalation of food or vomitus,Atrial fibrillation,Urinary tract infection, site not specified,Hyperosmolality and/or hypernatremia,Coronary atherosclerosis of native coronary artery,Anemia, unspecified'}


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 89 year old
female who reportedly fell down a flight of stairs on the day
of admission.  She was transferred from [**Hospital6 2561**]
for fractures of C3 and C4.  A head CT scan was read as
negative.  The patient sustained a laceration of her
forehead, which was repaired.

MEDICAL HISTORY: 1.  Atrial fibrillation.  2.  Deep
vein thrombosis.  3.  History of urinary tract infections.
4.  Coronary artery disease with a history of a myocardial
infarction.

MEDICATION ON ADMISSION: Atenolol, digoxin, aspirin.

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient lives alone. 

### Response:
{'Closed fracture of multiple cervical vertebrae,Open wound of forehead, without mention of complication,Accidental fall on or from other stairs or steps,Pneumonitis due to inhalation of food or vomitus,Atrial fibrillation,Urinary tract infection, site not specified,Hyperosmolality and/or hypernatremia,Coronary atherosclerosis of native coronary artery,Anemia, unspecified'}
