CHIEF COMPLAINT: R frontoparietal meningioma

PRESENT ILLNESS: Elective admit for resection of R frontoparietal lesion

MEDICAL HISTORY: occassional oral herpes, GERD, seizures

MEDICATION ON ADMISSION: asa, dilantin, colace, percocet, prilosec, tylenol

ALLERGIES: Sulfa (Sulfonamide Antibiotics) / Moxifloxacin / Minocycline /
Penicillins / Bactrim

PHYSICAL EXAM: On Discharge:
Left UE [**Hospital1 **]/Tri 4+/5, otherwise full strengths and non-focal

FAMILY HISTORY: paternal grandfather died of lung ca father had MI, still
living; brother IDDM

SOCIAL HISTORY: married, has daughter and 2 step-daughters. smokes 1/2ppd x 30
yrs and social EtOH.
Benign neoplasm of cerebral meninges,Urinary tract infection, site not specified,Esophageal reflux,Other convulsions,Tobacco use disorder,Personal history of allergy to sulfonamides,Personal history of allergy to penicillin
Ben neo cerebr meninges,Urin tract infection NOS,Esophageal reflux,Convulsions NEC,Tobacco use disorder,Hx-sulfonamides allergy,Hx-penicillin allergy
Admission Date:  [**2198-2-8**]              Discharge Date:   [**2198-2-10**]

Date of Birth:  [**2148-9-25**]             Sex:   F

Service: NEUROSURGERY

Allergies:
Sulfa (Sulfonamide Antibiotics) / Moxifloxacin / Minocycline /
Penicillins / Bactrim

Attending:[**First Name3 (LF) 1835**]
Chief Complaint:
R frontoparietal meningioma

Major Surgical or Invasive Procedure:
Right F/P craniotomy for tumor resection

History of Present Illness:
Elective admit for resection of R frontoparietal lesion

Past Medical History:
occassional oral herpes, GERD, seizures


Social History:
married, has daughter and 2 step-daughters. smokes 1/2ppd x 30
yrs and social EtOH.


Family History:
paternal grandfather died of lung ca father had MI, still
living; brother IDDM


Physical Exam:
On Discharge:
Left UE [**Hospital1 **]/Tri 4+/5, otherwise full strengths and non-focal

Pertinent Results:
MR HEAD W/ CONTRAST [**2198-2-8**]
1.5 x 2.6 x 2.7-cm enhancing extra-axial superior right frontal
mass without significant change in size or enhancement pattern
compared to
[**2198-1-25**], and again with associated edema in the underlying
right frontal lobe.

CT HEAD W/O CONTRAST [**2198-2-8**]
 Expected post-operative change without intracranial hemorrhage
or
mass effect. There is pneumocephalus, and vasogenic edema in the
region of
the tumor resection.

MR HEAD W & W/O CONTRAST [**2198-2-9**]
1. Small amount of blood products at the right frontal
craniotomy and
extra-axial mass resection bed, without residual mass seen.
2. Small area of restricted diffusion in the resection bed is
consistent with cytotoxic edema


Brief Hospital Course:
49 y/o F presented for elective procedure. She was taken to the
OR on [**2198-2-8**] for R frontoparietal craniotomy for tumor
resection. OR was uncomplicated and patient was transported to
the PACU. Post op head CT showed post op pneumocephalus with no
hemorrhage. On examination, patient had L side weakness of 4+/5.
On [**2-9**], MRI was performed and showed no residual mass. She
remained stable, weakness improved in the left UE and on [**2-10**] she
was cleared for discharge home. Her dilantin level continued to
remain subtherapeutic therefore she was changed to Keppra and
decadron was tapered to off over 7 days.

Medications on Admission:
asa, dilantin, colace, percocet, prilosec, tylenol

Discharge Medications:
1. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
2. Keppra 500 mg Tablet Sig: One (1) Tablet PO twice a day.
Disp:*60 Tablet(s)* Refills:*2*
3. acetaminophen-codeine 300-30 mg Tablet Sig: 1-2 Tablets PO
Q6H (every 6 hours) as needed for pain.
Disp:*60 Tablet(s)* Refills:*0*
4. dexamethasone 1 mg Tablet Sig: taper Tablet PO taper for 7
days: 4mg Q8 hrs on [**2-10**] & [**2-11**] then 2mg Q8hrs x2 days, 1 mg Q8hrs
x 1 day, 1 mg Q12hrs x1 day, 1mg daily x1 day then stop.
Disp:*qs Tablet(s)* Refills:*0*


Discharge Disposition:
Home

Discharge Diagnosis:
R frontoparietal meningioma

Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Ambulatory - Independent.

Discharge Instructions:
??????	Have a friend/family member check your incision daily for
signs of infection.
??????	Take your pain medicine as prescribed.
??????	Exercise should be limited to walking; no lifting, straining,
or excessive bending.
??????	You may wash your hair only after sutures and/or staples have
been removed. If your wound closure uses dissolvable sutures,
you must keep that area dry for 10 days.
??????	You may shower before this time using a shower cap to cover
your head.
??????	Increase your intake of fluids and fiber, as narcotic pain
medicine can cause constipation. We generally recommend taking
an over the counter stool softener, such as Docusate (Colace)
while taking narcotic pain medication.
??????	Unless directed by your doctor, do not take any
anti-inflammatory medicines such as Motrin, Aspirin, Advil, and
Ibuprofen etc.
??????  You haven been discharged on Keppra (Levetiracetam), you will
not require blood work monitoring.
??????	Clearance to drive and return to work will be addressed at
your post-operative office visit.
??????	Make sure to continue to use your incentive spirometer while
at home, unless you have been instructed not to.

CALL YOUR SURGEON IMMEDIATELY IF YOU EXPERIENCE ANY OF THE
FOLLOWING

??????	New onset of tremors or seizures.
??????	Any confusion or change in mental status.
??????	Any numbness, tingling, weakness in your extremities.
??????	Pain or headache that is continually increasing, or not
relieved by pain medication.
??????	Any signs of infection at the wound site: redness, swelling,
tenderness, or drainage.
??????	Fever greater than or equal to 101?????? F.


Followup Instructions:
Follow-Up Appointment Instructions

??????	Please call ([**Telephone/Fax (1) 88**] to schedule an appointment with Dr.
[**Last Name (STitle) **], to be seen in 4 weeks.
??????	You will need a CT scan of the brain without contrast prior to
this appointment.



Completed by:[**2198-2-10**]
{'Benign neoplasm of cerebral meninges,Urinary tract infection, site not specified,Esophageal reflux,Other convulsions,Tobacco use disorder,Personal history of allergy to sulfonamides,Personal history of allergy to penicillin'}


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: R frontoparietal meningioma

PRESENT ILLNESS: Elective admit for resection of R frontoparietal lesion

MEDICAL HISTORY: occassional oral herpes, GERD, seizures

MEDICATION ON ADMISSION: asa, dilantin, colace, percocet, prilosec, tylenol

ALLERGIES: Sulfa (Sulfonamide Antibiotics) / Moxifloxacin / Minocycline /
Penicillins / Bactrim

PHYSICAL EXAM: On Discharge:
Left UE [**Hospital1 **]/Tri 4+/5, otherwise full strengths and non-focal

FAMILY HISTORY: paternal grandfather died of lung ca father had MI, still
living; brother IDDM

SOCIAL HISTORY: married, has daughter and 2 step-daughters. smokes 1/2ppd x 30
yrs and social EtOH. 

### Response:
{'Benign neoplasm of cerebral meninges,Urinary tract infection, site not specified,Esophageal reflux,Other convulsions,Tobacco use disorder,Personal history of allergy to sulfonamides,Personal history of allergy to penicillin'}
