CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a
fifty-six-year-old gentleman with a past medical history
significant for cerebrovascular accident times two in [**2153**]
and [**2154**] and subdural hematoma in [**2161-2-26**], who was
transferred here from Good [**Hospital 5159**] Hospital with new
frontal bleed, 3 cm x 4 cm. The patient, per his wife was in
his usual state of health until 3 p.m. on the day of
admission, when he became more quiet, fell asleep and when he
awoke was not speaking. The patient looked confused. The
patient was able to nod his head, smile but not speak. About
7 p.m., when they got home, he started grimacing, he was
unsteady on his feet. The patient laid down and started
shaking and had diaphoresis and he was transferred to Good
Samaritin, when there he awoke and was following commands but
had a right sided hemiparesis and was aphasic. The patient
received vitamin K, Decadron, his international normalized
ratio was 2.8. The patient had a reported seizure at Good
Samaritin and was transferred to [**Hospital1 190**] for further management. On arrival here, he
was stable and was going to Surgical Intensive Care Unit when
he started to have a seizure. The patient was unable to
maintain his airway and therefore, was intubated. The
patient's examination prior to intubation was unchanged from
Good Samaritin. The patient grimaced to noxious stimulation.
Pupils were equal, round, and reactive to light. The patient
was taken to CT scan which showed slightly larger bleed with
increased edema and 2 mm of midline shift. The patient was
transferred to Surgical Intensive Care Unit for FFP. Head CT
scan showed left frontal intracranial bleed, 3 cm x 4 cm
extending to the anterior [**Doctor Last Name 534**] of the lateral ventricle with
questionable of intraventricular blood in the posterior [**Doctor Last Name 534**]
and midline shift was slightly increased in size compared to
the CT scan done at Good [**Hospital 5159**] Hospital.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Intracerebral hemorrhage,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia,Depressive disorder, not elsewhere classified,Old myocardial infarction,Personal history of other diseases of circulatory system
Intracerebral hemorrhage,Crnry athrscl natve vssl,Pure hypercholesterolem,Depressive disorder NEC,Old myocardial infarct,Hx-circulatory dis NEC
Admission Date:  [**2161-9-21**]       Discharge Date:  [**2161-9-29**]

Date of Birth:   [**2105-1-12**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS: The patient is a
fifty-six-year-old gentleman with a past medical history
significant for cerebrovascular accident times two in [**2153**]
and [**2154**] and subdural hematoma in [**2161-2-26**], who was
transferred here from Good [**Hospital 5159**] Hospital with new
frontal bleed, 3 cm x 4 cm. The patient, per his wife was in
his usual state of health until 3 p.m. on the day of
admission, when he became more quiet, fell asleep and when he
awoke was not speaking. The patient looked confused. The
patient was able to nod his head, smile but not speak. About
7 p.m., when they got home, he started grimacing, he was
unsteady on his feet. The patient laid down and started
shaking and had diaphoresis and he was transferred to Good
Samaritin, when there he awoke and was following commands but
had a right sided hemiparesis and was aphasic. The patient
received vitamin K, Decadron, his international normalized
ratio was 2.8. The patient had a reported seizure at Good
Samaritin and was transferred to [**Hospital1 190**] for further management. On arrival here, he
was stable and was going to Surgical Intensive Care Unit when
he started to have a seizure. The patient was unable to
maintain his airway and therefore, was intubated. The
patient's examination prior to intubation was unchanged from
Good Samaritin. The patient grimaced to noxious stimulation.
Pupils were equal, round, and reactive to light. The patient
was taken to CT scan which showed slightly larger bleed with
increased edema and 2 mm of midline shift. The patient was
transferred to Surgical Intensive Care Unit for FFP. Head CT
scan showed left frontal intracranial bleed, 3 cm x 4 cm
extending to the anterior [**Doctor Last Name 534**] of the lateral ventricle with
questionable of intraventricular blood in the posterior [**Doctor Last Name 534**]
and midline shift was slightly increased in size compared to
the CT scan done at Good [**Hospital 5159**] Hospital.

The patient was admitted to the Surgical Intensive Care Unit
and was then taken emergently to the Operating Room, where a
left patronal craniotomy was done to evacuate the left
frontal hematoma. There were no intraoperative complications.
Postoperative vital signs were stable. The patient was awake,
opening eyes, following commands times four, moving, the left
side had improved strength with mild weakness on the right
with 3/5 strength, antigravity strength. CT scan shows good
evacuation of the clot and neurologically, the patient was
stable. The patient was transferred to the regular floor,
where he remains neurologically stable, awake, alert with
right sided facia, extraocular movements full and antigravity
strength in all four extremities.

The patient had a video swallowing study to evaluate his
ability to swallow, which he swallowed well, was able to
tolerate a regular diet. The patient was followed by the
Neurology Stroke service and also the Cardiology service. The
patient has a mitral valve mass and aortic root projection
calcification. Transesophageal echocardiogram shows mitral
leaflet mass with filamentous projections, question of a clot
attached to the papillary fibroelastoma versus old clot. This
is reported from an echocardiogram done in [**2145**]. The patient
is scheduled for a transesophageal echocardiogram here at
[**Hospital3 **]. Repeat echocardiogram continues to show the
mitral leaflet mass. The patient will be seen by the
Cardiothoracic Surgery service for further recommendations
and the patient is currently at high risk for re-bleeding on
anticoagulation so therefore anticoagulation will be held.
The patient was seen by Physical Therapy and Occupational
Therapy and found to required short rehabilitation stay prior
to discharge home. The patient's condition was stable at the
time of discharge.

MEDICATIONS: Dilantin 100 mg by mouth three times a day,
Lopressor 50 mg by mouth three times a day.

The patient tolerating a regular diet and increasing
ambulation. The patient continues to be aphasic, saying just
yes and no. The patient's condition is stable at this time
and he will follow-up with Dr. [**Last Name (STitle) 1132**], in three to four weeks'
time after discharge, follow-up with Cardiology, Neurology
and Cardiothoracic Surgery.




                            [**First Name8 (NamePattern2) **] [**Name8 (MD) **], M.D.  [**MD Number(1) 7762**]

Dictated By:[**Last Name (NamePattern1) 344**]
MEDQUIST36

D:  [**2161-9-28**]  09:49
T:  [**2161-9-28**]  09:51
JOB#:  [**Job Number 7763**]
{'Intracerebral hemorrhage,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia,Depressive disorder, not elsewhere classified,Old myocardial infarction,Personal history of other diseases of circulatory system'}


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 a
fifty-six-year-old gentleman with a past medical history
significant for cerebrovascular accident times two in [**2153**]
and [**2154**] and subdural hematoma in [**2161-2-26**], who was
transferred here from Good [**Hospital 5159**] Hospital with new
frontal bleed, 3 cm x 4 cm. The patient, per his wife was in
his usual state of health until 3 p.m. on the day of
admission, when he became more quiet, fell asleep and when he
awoke was not speaking. The patient looked confused. The
patient was able to nod his head, smile but not speak. About
7 p.m., when they got home, he started grimacing, he was
unsteady on his feet. The patient laid down and started
shaking and had diaphoresis and he was transferred to Good
Samaritin, when there he awoke and was following commands but
had a right sided hemiparesis and was aphasic. The patient
received vitamin K, Decadron, his international normalized
ratio was 2.8. The patient had a reported seizure at Good
Samaritin and was transferred to [**Hospital1 190**] for further management. On arrival here, he
was stable and was going to Surgical Intensive Care Unit when
he started to have a seizure. The patient was unable to
maintain his airway and therefore, was intubated. The
patient's examination prior to intubation was unchanged from
Good Samaritin. The patient grimaced to noxious stimulation.
Pupils were equal, round, and reactive to light. The patient
was taken to CT scan which showed slightly larger bleed with
increased edema and 2 mm of midline shift. The patient was
transferred to Surgical Intensive Care Unit for FFP. Head CT
scan showed left frontal intracranial bleed, 3 cm x 4 cm
extending to the anterior [**Doctor Last Name 534**] of the lateral ventricle with
questionable of intraventricular blood in the posterior [**Doctor Last Name 534**]
and midline shift was slightly increased in size compared to
the CT scan done at Good [**Hospital 5159**] Hospital.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Intracerebral hemorrhage,Coronary atherosclerosis of native coronary artery,Pure hypercholesterolemia,Depressive disorder, not elsewhere classified,Old myocardial infarction,Personal history of other diseases of circulatory system'}
