CHIEF COMPLAINT: sp fall

PRESENT ILLNESS: 82 F sp fall transferred from [**Hospital **] Hospital with a large
subdural hematoma with a midline shift.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: unknown

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: AVSS
pupils equal, min reactive
not following commands
posturing X 4 ext
RRR
CTAB
soft, NT, ND
warm

FAMILY HISTORY: NC

SOCIAL HISTORY: Nursing home resident
Subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Accidental fall on or from other stairs or steps,Unspecified essential hypertension,Gout, unspecified,Polycythemia vera,Spondylosis of unspecified site, without mention of myelopathy
Subdural hem-brief coma,Fall on stair/step NEC,Hypertension NOS,Gout NOS,Polycythemia vera,Spondylos NOS w/o myelop
Admission Date:  [**2109-12-24**]              Discharge Date:   [**2109-12-24**]


Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1556**]
Chief Complaint:
sp fall

Major Surgical or Invasive Procedure:
none

History of Present Illness:
82 F sp fall transferred from [**Hospital **] Hospital with a large
subdural hematoma with a midline shift.

Social History:
Nursing home resident

Family History:
NC

Physical Exam:
AVSS
pupils equal, min reactive
not following commands
posturing X 4 ext
RRR
CTAB
soft, NT, ND
warm

Pertinent Results:
[**2109-12-24**] 12:55AM   GLUCOSE-194* UREA N-20 CREAT-0.6 SODIUM-140
POTASSIUM-3.4 CHLORIDE-102 TOTAL CO2-26 ANION GAP-15
[**2109-12-24**] 12:55AM   CALCIUM-9.0 PHOSPHATE-3.5 MAGNESIUM-1.6
[**2109-12-24**] 12:55AM   WBC-24.8* RBC-6.00* HGB-13.6 HCT-44.0 MCV-73*
MCH-22.7* MCHC-30.9* RDW-18.3*
[**2109-12-24**] 12:55AM   PT-13.1 PTT-28.1 INR(PT)-1.1
[**2109-12-24**] 12:55AM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-TR
GLUCOSE-NEG KETONE-TR BILIRUBIN-NEG UROBILNGN-NEG PH-5.0
LEUK-NEG

Brief Hospital Course:
The pt arrived to [**Hospital1 18**] intubated with stable vital signs.
Repeat CT head showed a progression of the large, subacute
subdural hematoma with a midline shift compared to the films at
[**Hospital **] Hospital.  A family meeting was obtained and the family
expressed wishes that she would not want heroic measures taken.
The patient was made comfort measure only status and expired at
10 pm [**2108-12-24**].  The medical examiner accepted the case.

Medications on Admission:
unknown

Discharge Medications:
NA

Discharge Disposition:
Expired

Discharge Diagnosis:
intracranial bleed

Discharge Condition:
deceased

Discharge Instructions:
NA

Followup Instructions:
NA


Completed by:[**2109-12-31**]
{'Subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Accidental fall on or from other stairs or steps,Unspecified essential hypertension,Gout, unspecified,Polycythemia vera,Spondylosis of unspecified site, without mention of myelopathy'}


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: sp fall

PRESENT ILLNESS: 82 F sp fall transferred from [**Hospital **] Hospital with a large
subdural hematoma with a midline shift.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: unknown

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: AVSS
pupils equal, min reactive
not following commands
posturing X 4 ext
RRR
CTAB
soft, NT, ND
warm

FAMILY HISTORY: NC

SOCIAL HISTORY: Nursing home resident 

### Response:
{'Subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Accidental fall on or from other stairs or steps,Unspecified essential hypertension,Gout, unspecified,Polycythemia vera,Spondylosis of unspecified site, without mention of myelopathy'}
