CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 48-year-old lady with
a complicated past medical history, transferred from [**Location (un) **],
[**Location (un) 3844**] from the [**Hospital **] [**Hospital 107**] Hospital.  She was
admitted with a one-day history of the worse headache of her
life which was gradually increasing in severity.  On the day
before admission (on [**2197-4-1**]), the patient lost
consciousness in her bathroom and was found down by her
relatives.  Unsure whether the patient had seizures or not.
The patient also had a two-week history of right ear block.
She was seen both by her neurologist and primary care
physician and was prescribed Medrol dose pack.  The patient
was found to have a hemotympanum on the same side.

MEDICAL HISTORY: (Past medical history is significant
for)
1.  Coronary artery disease, status post non-Q-wave
myocardial infarction in [**2196-10-31**], status post a
coronary artery bypass graft in [**2193**], and multiple
percutaneous transluminal coronary angioplasties and stents;
the last one was one month ago.
2.  She also has a history of peripheral vascular disease,
status post aortobifemoral and right subclavian
femoral-femoral bypass graft.
3.  She also has a history of hyperlipidemia.
4.  Seizure disorder.
5.  Hypertension.
6.  Hypothyroidism.

MEDICATION ON ADMISSION: Her medications include Neurontin,
Depakote, Pepcid, Synthroid, Zocor, and TriCor, aspirin,
Coumadin, metoprolol, Accupril, Isordil, Flexeril, and Plavix
(which she had discontinued just the day before).

ALLERGIES: Her allergies are to HEPARIN; she has a history
of HEPARIN-INDUCED thrombocytopenia.  CODEINE, SULFA, and
CECLOR.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subdural hemorrhage,Other convulsions,Other disorders of middle ear and mastoid,Anemia, unspecified,Aortocoronary bypass status,Old myocardial infarction,Unspecified acquired hypothyroidism,Peripheral vascular disease, unspecified
Subdural hemorrhage,Convulsions NEC,Dis mid ear/mastoid NEC,Anemia NOS,Aortocoronary bypass,Old myocardial infarct,Hypothyroidism NOS,Periph vascular dis NOS
Admission Date:  [**2197-4-2**]     Discharge Date: [**2197-4-6**]

Date of Birth:   [**2148-4-6**]     Sex:  F

Service:  Neurosurgery

HISTORY OF PRESENT ILLNESS:  This is a 48-year-old lady with
a complicated past medical history, transferred from [**Location (un) **],
[**Location (un) 3844**] from the [**Hospital **] [**Hospital 107**] Hospital.  She was
admitted with a one-day history of the worse headache of her
life which was gradually increasing in severity.  On the day
before admission (on [**2197-4-1**]), the patient lost
consciousness in her bathroom and was found down by her
relatives.  Unsure whether the patient had seizures or not.
The patient also had a two-week history of right ear block.
She was seen both by her neurologist and primary care
physician and was prescribed Medrol dose pack.  The patient
was found to have a hemotympanum on the same side.

The patient was taken to the [**Hospital **] [**Hospital 107**] Hospital in
Dairy, [**Location (un) 3844**], and CT scan was done.  CT showed a
right frontal subdural hemorrhage which was probably
subacute.

PAST MEDICAL HISTORY:  (Past medical history is significant
for)
1.  Coronary artery disease, status post non-Q-wave
myocardial infarction in [**2196-10-31**], status post a
coronary artery bypass graft in [**2193**], and multiple
percutaneous transluminal coronary angioplasties and stents;
the last one was one month ago.
2.  She also has a history of peripheral vascular disease,
status post aortobifemoral and right subclavian
femoral-femoral bypass graft.
3.  She also has a history of hyperlipidemia.
4.  Seizure disorder.
5.  Hypertension.
6.  Hypothyroidism.

ALLERGIES:  Her allergies are to HEPARIN; she has a history
of HEPARIN-INDUCED thrombocytopenia.  CODEINE, SULFA, and
CECLOR.

MEDICATIONS ON ADMISSION:  Her medications include Neurontin,
Depakote, Pepcid, Synthroid, Zocor, and TriCor, aspirin,
Coumadin, metoprolol, Accupril, Isordil, Flexeril, and Plavix
(which she had discontinued just the day before).

PHYSICAL EXAMINATION ON PRESENTATION:   On examination, her
vital signs were stable.  Respiratory rate was 12, heart rate
was 74, blood pressure was 124/54, and oxygen saturation was
100%.  On neurologic examination she was alert and oriented
times three.  Pupils were equal, round, and reactive to
light; 2 mm in size.  Extraocular movements were full.  She
followed commands.  There was no facial droop.  The tongue
was midline.  Shoulder shrug was [**6-4**].  There was a left-sided
drift.  She did have a prior left-sided Erb palsy in hands.
Left upper extremity muscle strength was 4+.  Right upper
extremity muscle strength was 5; and all other muscle groups
were 5.  Fine touch was slightly decreased on the left side
of the body.  Her reflexes were bilateral and equal.

RADIOLOGY/IMAGING:  CT scan showed a subacute subdural
hemorrhage with a midline shift.

PERTINENT LABORATORY DATA ON PRESENTATION:  INR was 2.05.
These laboratories were done at the outside hospital.

HOSPITAL COURSE:   She was admitted to the Surgical Intensive
Care Unit on [**2197-4-2**].  Her INR was corrected with fresh
frozen plasma.  Her ventricular drain was placed on [**2197-4-3**].  She was started on intravenous oxacillin.

In the early morning of [**2197-4-4**], her neurologic status
deteriorated, and she became unresponsive.  She was taken to
the operating room emergently.  There, a craniotomy and
drainage of the subdural hematoma was done.  She was
transferred to the Surgical Intensive Care Unit soon
afterward and was extubated there.

Post extubation she was moving all four limbs, was alert,
awake, and oriented, and her status continued to improve.
While she was in the Surgical Intensive Care Unit, she was
also seen by the Vascular team and cardiologist in relation
to her past medical issues.

She was transferred to the floor on [**2197-4-4**].  She
continued to improve neurologically.  At the time of this
Discharge Summary she was pending rehabilitation placement.

DISCHARGE DIAGNOSES:  Right-sided subacute subdural hematoma.



                          [**Name6 (MD) 6911**] [**Name8 (MD) **], MD  [**MD Number(1) 6913**]

Dictated By:[**Name8 (MD) 33593**]
MEDQUIST36
D:  [**2197-4-6**]  09:18
T:  [**2197-4-6**]  14:30
JOB#:  [**Job Number 11834**]


Name:  [**Known lastname 5318**], [**Known firstname **]                     Unit No:  [**Numeric Identifier 5882**]

Admission Date:  [**2197-4-2**]     Discharge Date: [**2197-4-7**]

Date of Birth:   [**2148-4-6**]     Sex:  F

Service:

DISCHARGE SUMMARY ADDENDUM:  This is an addendum to the
summary done [**2197-4-6**]. The patient was discharged to rehab
[**Hospital 5904**] Rehabilitation South Network at [**Hospital1 2314**], [**Location (un) 5905**].  She was discharged in stable condition.

DISCHARGE MEDICATIONS:
1.  Neurontin 600 milligrams three times daily.
2.  Depakote 500 milligrams three times daily.
3.  Pepcid 150 milligrams twice a day.
4.  Synthroid 125 milligrams once a day.
5.  Zocor 80 milligrams once a day.
6.  Tricor 134 milligrams once a day.
7.  Lopressor 100 milligrams three times a day.
8.  Accupril 5 milligrams once a day.
9.  Isordil 10 milligrams three times a day.
10. Folic Acid 1 milligram once a day.
11. Flexeril 10 milligrams three times a day.
12. Percocet 5 milligrams every four to six hours as needed.

DISCHARGE CONDITION:  The patient was discharged in stable
condition to rehab.

                          DR.[**Last Name (STitle) 5906**],[**First Name3 (LF) **] 14-120


Dictated By:[**Doctor Last Name 5907**]

MEDQUIST36

D:  [**2197-4-7**]  09:41
T:  [**2197-4-7**]  09:57
JOB#:  [**Job Number 5908**]
{'Subdural hemorrhage,Other convulsions,Other disorders of middle ear and mastoid,Anemia, unspecified,Aortocoronary bypass status,Old myocardial infarction,Unspecified acquired hypothyroidism,Peripheral vascular disease, unspecified'}


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: This is a 48-year-old lady with
a complicated past medical history, transferred from [**Location (un) **],
[**Location (un) 3844**] from the [**Hospital **] [**Hospital 107**] Hospital.  She was
admitted with a one-day history of the worse headache of her
life which was gradually increasing in severity.  On the day
before admission (on [**2197-4-1**]), the patient lost
consciousness in her bathroom and was found down by her
relatives.  Unsure whether the patient had seizures or not.
The patient also had a two-week history of right ear block.
She was seen both by her neurologist and primary care
physician and was prescribed Medrol dose pack.  The patient
was found to have a hemotympanum on the same side.

MEDICAL HISTORY: (Past medical history is significant
for)
1.  Coronary artery disease, status post non-Q-wave
myocardial infarction in [**2196-10-31**], status post a
coronary artery bypass graft in [**2193**], and multiple
percutaneous transluminal coronary angioplasties and stents;
the last one was one month ago.
2.  She also has a history of peripheral vascular disease,
status post aortobifemoral and right subclavian
femoral-femoral bypass graft.
3.  She also has a history of hyperlipidemia.
4.  Seizure disorder.
5.  Hypertension.
6.  Hypothyroidism.

MEDICATION ON ADMISSION: Her medications include Neurontin,
Depakote, Pepcid, Synthroid, Zocor, and TriCor, aspirin,
Coumadin, metoprolol, Accupril, Isordil, Flexeril, and Plavix
(which she had discontinued just the day before).

ALLERGIES: Her allergies are to HEPARIN; she has a history
of HEPARIN-INDUCED thrombocytopenia.  CODEINE, SULFA, and
CECLOR.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subdural hemorrhage,Other convulsions,Other disorders of middle ear and mastoid,Anemia, unspecified,Aortocoronary bypass status,Old myocardial infarction,Unspecified acquired hypothyroidism,Peripheral vascular disease, unspecified'}
