CHIEF COMPLAINT: s/p motorvehicle crash

PRESENT ILLNESS: Mr. [**Known lastname 70305**] is a 19 year old man who was a restrained driver of a
car which was hit head on.

MEDICAL HISTORY: denies

MEDICATION ON ADMISSION: denies

ALLERGIES: Augmentin

PHYSICAL EXAM: Upon admission:

FAMILY HISTORY: N/A

SOCIAL HISTORY: Lives with mother on [**Location (un) 470**] of a house
Open fracture of unspecified part of femur,Open fracture of lower end of radius with ulna,Carpal tunnel syndrome,Other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle
Fx femur NOS-open,Fx low radius w ulna-opn,Carpal tunnel syndrome,Mv collision NOS-driver
Admission Date:  [**2132-10-23**]              Discharge Date:   [**2132-11-6**]

Date of Birth:  [**2113-2-25**]             Sex:   M

Service: ORTHOPAEDICS

Allergies:
Augmentin

Attending:[**First Name3 (LF) 16613**]
Chief Complaint:
s/p motorvehicle crash

Major Surgical or Invasive Procedure:
[**2132-10-24**]:  I&D right tibia, I&D right distal radius, IM Nail
Right femur, ex-fix placement right distal radius/ulnar fracture

[**2132-11-4**]:  ORIF distal radius with K wires, adjustment of
external fixator, and carpal tunnel release


History of Present Illness:
Mr. [**Known lastname 70305**] is a 19 year old man who was a restrained driver of a
car which was hit head on.

Past Medical History:
denies

Social History:
Lives with mother on [**Location (un) 470**] of a house

Family History:
N/A

Physical Exam:
Upon admission:

Alert and oriented
Cardiac:  Regular rate rhythm
Chest:  Clear to auscultation
Abdomen:  Soft non-tender non-distended
Extremities:  Right arm open area, + pulses, +sensation/movment,
Right leg, 1cm open wound on lateral thigh + deformity, +
pulses, + sensation/movement

Pertinent Results:
[**2132-11-3**] 06:50AM BLOOD WBC-7.8 RBC-3.18* Hgb-9.9* Hct-30.1*
MCV-95 MCH-31.0 MCHC-32.8# RDW-14.5 Plt Ct-784*#
[**2132-10-25**] 06:20AM BLOOD WBC-12.3* RBC-2.76* Hgb-9.4* Hct-25.3*
MCV-92 MCH-34.0* MCHC-37.1* RDW-13.0 Plt Ct-183
[**2132-10-24**] 11:10AM BLOOD Hct-32.2*
[**2132-10-24**] 04:51AM BLOOD WBC-14.3* RBC-3.64*# Hgb-11.9*#
Hct-33.7*# MCV-92 MCH-32.8* MCHC-35.5* RDW-13.1 Plt Ct-235
[**2132-10-23**] 03:20PM BLOOD WBC-27.8* RBC-4.94 Hgb-16.4 Hct-46.0
MCV-93 MCH-33.1* MCHC-35.5* RDW-13.0 Plt Ct-282
[**2132-10-24**] 04:51AM BLOOD Glucose-170* UreaN-12 Creat-0.8 Na-134
K-4.5 Cl-101 HCO3-27 AnGap-11
[**2132-10-23**] 03:20PM BLOOD UreaN-15 Creat-0.8
[**2132-10-23**] 03:20PM BLOOD Amylase-61
[**2132-10-23**] 03:20PM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG
Bnzodzp-NEG Barbitr-NEG Tricycl-NEG

Brief Hospital Course:
Mr. [**Known lastname 70305**] is a 19 year old man who was a restrained driver of a
car which was hit head on.  He was initially seen at [**Hospital3 12748**] and then transferred to [**Hospital1 18**] on [**2132-10-23**] for
further care.  He was evaluated by trauma surgery and consulted
on by orthopaedics.  He was found to have a right open femur fx
and a right open radius/ulnar fx.  He was consented and taken to
the operating room.  In the operating room he remained
hemodynamically stable and was extubated and taken to the
recovery room.  He remained hemodynamically stable in the
recovery room and was then transferred to the floor for further
care.  On [**2132-10-24**] his cervical collar was removed and his TLS
spine was cleared by trauma surgery, his care was then
transferred to the orthopaedic service.  He was seen by physical
and occupational therapy to improve his strength and mobility.
On [**2132-10-25**] he was noted to have paresthesias to his right hand.
 He was also seen by social work throughout his hospital stay as
his younger sister was killed in the crash.  On [**2132-10-29**] and
[**2132-10-30**] he was given a day pass to go to his sister's wake and
funeral.  Both these days were without incident and he returned
the hospital each night for further care.  During his stay he
worked with physical and occupational therapy to improve his
strength and mobility.  Also during this time his paresthesias
in his right hand improved.  On [**2132-11-4**] he was again taken to
the operating room for a carpal tunnel release, ORIF distal
radius fracture with K wires, and adjustment external fixator.
He tolerated the procedure well.  He continued to work with
physical and occupational therapy in improve his strength and
mobility.  He was discharged home with instructions on exercises
and follow up appointments.

Medications on Admission:
denies

Discharge Medications:
1. Enoxaparin 30 mg/0.3 mL Syringe Sig: One (1) 30 mg syringe
Subcutaneous Q12H (every 12 hours) for 4 weeks.
Disp:*56 30 mg syringe* Refills:*0*
2. Oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q3H (every 3 hours)
as needed for pain.
Disp:*90 Tablet(s)* Refills:*0*
3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*


Discharge Disposition:
Home With Service

Facility:
[**Company 1519**]

Discharge Diagnosis:
s/p MVC


Discharge Condition:
Stable


Discharge Instructions:
Continue to be non-weight bearing on your right arm

Continue to bear weight as tolerated on your right leg

Continue your lovenox injections as instructed

If you notice any redness, drainage, or edema at any of your
incisions, or if you become short of breath please call the
office or come to the emergency department.
Physical Therapy:
Activity:  Activity as tolerated
 Right lower extremity:  Full weight bearing
 Right upper extremity:  Non weight bearing

Treatments Frequency:
Please do daily pin care to your right arm external fixator as
instructed with 1/2 strenght hydrogen peroxide


Followup Instructions:
Please follow up with Dr. [**Last Name (STitle) 7376**] in 2weeks, please call
[**Telephone/Fax (1) 1228**] to schedule that appointment.

Please follow up with Dr. [**Last Name (STitle) **] in [**9-13**] days, please call
[**Telephone/Fax (1) 1228**] to schedule that appointment


                             [**Name6 (MD) 13978**] [**Name8 (MD) **] MD [**MD Number(2) 16614**]

Completed by:[**2132-11-7**]
{'Open fracture of unspecified part of femur,Open fracture of lower end of radius with ulna,Carpal tunnel syndrome,Other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle'}


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: s/p motorvehicle crash

PRESENT ILLNESS: Mr. [**Known lastname 70305**] is a 19 year old man who was a restrained driver of a
car which was hit head on.

MEDICAL HISTORY: denies

MEDICATION ON ADMISSION: denies

ALLERGIES: Augmentin

PHYSICAL EXAM: Upon admission:

FAMILY HISTORY: N/A

SOCIAL HISTORY: Lives with mother on [**Location (un) 470**] of a house 

### Response:
{'Open fracture of unspecified part of femur,Open fracture of lower end of radius with ulna,Carpal tunnel syndrome,Other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle'}
