CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 41 year old man
who was recently admitted ([**2158-9-28**], to [**2158-10-3**]), status
post a witnessed generalized seizure.  His story was that he
used 0.5 grams of Cocaine nasally.  He went to work as a
telephone technician.  He was intoxicated while on the second
step of the ladder and had a witnessed seizure.  During the
seizure, he fell and hit his head.  He was brought to an
outside hospital where he was noted to have an 8.0 millimeter
middle cerebral artery aneurysm but no subarachnoid
hemorrhage.  He was transferred to [**Hospital1 190**] for [**Hospital1 2742**] of the aneurysm.

MEDICAL HISTORY: 1.  Middle cerebral artery aneurysm 8.0 millimeter.
2.  Depression for three years.
3.  Cocaine.

MEDICATION ON ADMISSION: 1.  Zoloft.
2.  Nortriptyline.

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He does use Cocaine and marijuana regularly.
He drinks one beer per week.  No tobacco.  He was recently
divorced.
Cerebral aneurysm, nonruptured,Cocaine abuse, unspecified,Other convulsions
Nonrupt cerebral aneurym,Cocaine abuse-unspec,Convulsions NEC
Admission Date:  [**2158-10-24**]     Discharge Date:  [**2158-10-29**]

Date of Birth:   [**2116-12-7**]     Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 41 year old man
who was recently admitted ([**2158-9-28**], to [**2158-10-3**]), status
post a witnessed generalized seizure.  His story was that he
used 0.5 grams of Cocaine nasally.  He went to work as a
telephone technician.  He was intoxicated while on the second
step of the ladder and had a witnessed seizure.  During the
seizure, he fell and hit his head.  He was brought to an
outside hospital where he was noted to have an 8.0 millimeter
middle cerebral artery aneurysm but no subarachnoid
hemorrhage.  He was transferred to [**Hospital1 190**] for [**Hospital1 2742**] of the aneurysm.

PAST MEDICAL HISTORY:
1.  Middle cerebral artery aneurysm 8.0 millimeter.
2.  Depression for three years.
3.  Cocaine.

ALLERGIES:  None.

MEDICATIONS ON ADMISSION:
1.  Zoloft.
2.  Nortriptyline.

SOCIAL HISTORY:  He does use Cocaine and marijuana regularly.
He drinks one beer per week.  No tobacco.  He was recently
divorced.

HOSPITAL COURSE:  The patient was admitted on [**2158-10-24**], and
brought to the operating room for clipping of his left middle
cerebral artery aneurysm.  There were no intraoperative
complications.  Postoperatively, he was awake, alert and
oriented.  He was noted to have fluent aphasia.  He was
transferred to the floor where he continued to do well.  His
examination was unremarkable except for continued fluent
aphasia.  He underwent a cerebral angiogram secondary to his
continued aphasia.  The report revealed no evidence of
postoperative hemorrhage.  No postoperative changes were
noted.  He also had CT of the head without contrast to assess
for a stroke.  Comparison to prior studies showed no definite
evidence for evolving left middle cerebral artery infarct.
His aphasia continued to improve.  He met all discharge
criteria and was discharged to home on [**2158-11-10**].

FOLLOW-UP PLANS:
1.  Staple removal on Monday, [**2158-12-5**], at 2:00 p.m.
2.  Follow-up appointment with Dr. [**Last Name (STitle) 1132**] in one month.

MEDICATIONS ON DISCHARGE:
1.  Tylenol 325 mg.
2.  Codeine 15 mg tablets.
3.  Phenytoin Sodium Extended 100 mg capsules three times a
day times one week.
4.  Tapering dose of Dexamethasone.
5.  Ranitidine 150 mg tablets.




                    DR.[**Last Name (STitle) **],[**First Name3 (LF) **] 14-133

Dictated By:[**Last Name (NamePattern1) 50271**]

MEDQUIST36

D:  [**2158-11-15**]  12:44
T:  [**2158-11-18**]  09:34
JOB#:  [**Job Number 50272**]
{'Cerebral aneurysm, nonruptured,Cocaine abuse, unspecified,Other convulsions'}


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 41 year old man
who was recently admitted ([**2158-9-28**], to [**2158-10-3**]), status
post a witnessed generalized seizure.  His story was that he
used 0.5 grams of Cocaine nasally.  He went to work as a
telephone technician.  He was intoxicated while on the second
step of the ladder and had a witnessed seizure.  During the
seizure, he fell and hit his head.  He was brought to an
outside hospital where he was noted to have an 8.0 millimeter
middle cerebral artery aneurysm but no subarachnoid
hemorrhage.  He was transferred to [**Hospital1 190**] for [**Hospital1 2742**] of the aneurysm.

MEDICAL HISTORY: 1.  Middle cerebral artery aneurysm 8.0 millimeter.
2.  Depression for three years.
3.  Cocaine.

MEDICATION ON ADMISSION: 1.  Zoloft.
2.  Nortriptyline.

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He does use Cocaine and marijuana regularly.
He drinks one beer per week.  No tobacco.  He was recently
divorced. 

### Response:
{'Cerebral aneurysm, nonruptured,Cocaine abuse, unspecified,Other convulsions'}
