CHIEF COMPLAINT: Brain mass

PRESENT ILLNESS: The patient is a 48-year-old woman who had resection of the
right temporal low-grade astrocytoma in [**2188**]. She was followed
with series of scans, seen in Brain [**Hospital 341**] clinic for recurrent
astrocytoma.

MEDICAL HISTORY: Brain tumor.
Thyroid disease.
Gastroesophageal reflux disease.
Hypertension
Depression.

MEDICATION ON ADMISSION: 1. Prilosec 40 mg per day.
2. Trileptal 600 mg.
3. [**Doctor First Name **] 180 mg.
4. Klonopin 1 mg.
5. Ditropan 15 mg.
6. Levoxyl 137 mcg.
7. Plendil 5 mg.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She does smoke 1 to 1-1/2 pack of cigarettes per day.  She does
not drink.
Malignant neoplasm of other parts of brain,Other convulsions,Unspecified essential hypertension,Esophageal reflux
Malig neo brain NEC,Convulsions NEC,Hypertension NOS,Esophageal reflux
Admission Date:  [**2197-1-4**]              Discharge Date:   [**2197-1-6**]

Date of Birth:  [**2148-7-18**]             Sex:   F

Service: NEUROSURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1835**]
Chief Complaint:
Brain mass

Major Surgical or Invasive Procedure:
Right craniotomy and recurrent glioma resection


History of Present Illness:
The patient is a 48-year-old woman who had resection of the
right temporal low-grade astrocytoma in [**2188**]. She was followed
with series of scans, seen in Brain [**Hospital 341**] clinic for recurrent
astrocytoma.

Past Medical History:
Brain tumor.
Thyroid disease.
Gastroesophageal reflux disease.
Hypertension
Depression.


Social History:
She does smoke 1 to 1-1/2 pack of cigarettes per day.  She does
not drink.


Pertinent Results:
[**2197-1-4**] 04:27PM   GLUCOSE-175* UREA N-11 CREAT-1.0 SODIUM-142
POTASSIUM-4.6 CHLORIDE-106 TOTAL CO2-23 ANION GAP-18
[**2197-1-4**] 04:27PM   CALCIUM-9.1 PHOSPHATE-4.7* MAGNESIUM-1.8
[**2197-1-4**] 04:27PM   WBC-10.3# RBC-4.23 HGB-11.4* HCT-34.4*
MCV-81* MCH-26.9* MCHC-33.2 RDW-15.7*
[**2197-1-4**] 04:27PM   PLT COUNT-313
[**2197-1-4**] 12:52PM   TYPE-ART PO2-99 PCO2-33* PH-7.45 TOTAL CO2-24
BASE XS-0
[**2197-1-4**] 12:52PM   GLUCOSE-112* LACTATE-2.7* NA+-136 K+-4.4
CL--103
[**2197-1-4**] 12:52PM   HGB-11.6* calcHCT-35
[**2197-1-4**] 12:52PM   freeCa-1.25
[**2197-1-4**] 10:31AM   TYPE-ART PO2-98 PCO2-32* PH-7.43 TOTAL CO2-22
BASE XS--1
[**2197-1-4**] 10:31AM   GLUCOSE-87 LACTATE-0.7 NA+-136 K+-3.3*
[**2197-1-4**] 10:31AM   HGB-8.9* calcHCT-27
[**2197-1-4**] 10:31AM   freeCa-1.02*

RADIOLOGY   Preliminary Report

MR HEAD W & W/O CONTRAST  [**2197-1-5**] 9:04 AM
IMPRESSION: Multiple right-sided enhancing masses as shown on
the pre- procedure examination, which have grown since [**2196-12-19**].
Many of these now show increased central susceptibility, which
was not present on the prior examinations, consistent with
interval hemorrhage into lesions. At least one enhancing lesion
in the right anterior cranial fossa which was shown on the prior
examination is no longer seen, presumably post resection.


Brief Hospital Course:
She was brought to the operating room on [**2197-1-4**], where under
general anesthesia, she underwent a right frontal craniotomy for
resection of recurrent astrocytoma.  Postoperatively, she was
transferred to the PACU, where she was monitored overnight
for close neurosurgical checks.  Postoperatively, her vital
signs were stable.  She was afebrile.  She was alert and
oriented times 3.  She had no complaints.  Her face was
symmetric.  Her extraocular movements were intact.  Tongue was
midline.  Pupils were brisk and reactive bilaterally. She was
strong in all 4 extremities.  She continued to do well.  Her
diet and activity were increased.  She was on steroids, which
was started to be tapered.  She continued to do well and she was
discharged to
home on [**1-6**]/6.  She was discharged on the same medications that
she was taking preoperatively with the addition of Percocet and
Decadron, which was to be tapered over 2 days to 2 mg b.i.d.

Medications on Admission:
1. Prilosec 40 mg per day.
2. Trileptal 600 mg.
3. [**Doctor First Name **] 180 mg.
4. Klonopin 1 mg.
5. Ditropan 15 mg.
6. Levoxyl 137 mcg.
7. Plendil 5 mg.


Discharge Medications:
1. Dexamethasone 4 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day) for 2 doses.
Disp:*2 Tablet(s)* Refills:*0*
2. Dexamethasone 2 mg Tablet Sig: One (1) Tablet PO BID (2 times
a day) for 2 weeks.
Disp:*28 Tablet(s)* Refills:*0*
3. Acetaminophen-Codeine 300-30 mg Tablet Sig: One (1) Tablet PO
Q3-4H (Every 3 to 4 Hours) as needed for 2 weeks.
Disp:*30 Tablet(s)* Refills:*0*


Discharge Disposition:
Home

Discharge Diagnosis:
Recurrent Glioma


Discharge Condition:
Good


Discharge Instructions:
-Please call to make an appointment with the Brain [**Hospital 341**] Clinic.
-Please call to make an appointment with Dr [**Last Name (STitle) **] Clinic at
[**Telephone/Fax (1) 2992**].
-If you have any wound readness, swollen or increasing pain,
please call Dr[**Name (NI) 9034**] office


Followup Instructions:
With the Brain [**Hospital 341**] Clinic and Dr [**Last Name (STitle) **].



Completed by:[**2197-1-6**]
{'Malignant neoplasm of other parts of brain,Other convulsions,Unspecified essential hypertension,Esophageal reflux'}


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: Brain mass

PRESENT ILLNESS: The patient is a 48-year-old woman who had resection of the
right temporal low-grade astrocytoma in [**2188**]. She was followed
with series of scans, seen in Brain [**Hospital 341**] clinic for recurrent
astrocytoma.

MEDICAL HISTORY: Brain tumor.
Thyroid disease.
Gastroesophageal reflux disease.
Hypertension
Depression.

MEDICATION ON ADMISSION: 1. Prilosec 40 mg per day.
2. Trileptal 600 mg.
3. [**Doctor First Name **] 180 mg.
4. Klonopin 1 mg.
5. Ditropan 15 mg.
6. Levoxyl 137 mcg.
7. Plendil 5 mg.

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She does smoke 1 to 1-1/2 pack of cigarettes per day.  She does
not drink. 

### Response:
{'Malignant neoplasm of other parts of brain,Other convulsions,Unspecified essential hypertension,Esophageal reflux'}
