CHIEF COMPLAINT: 23 yo male s/p assault with head trauma against the ground and +
LOC and ? possible seizure

PRESENT ILLNESS: 23 yo male assaulted and dropped on head.  Transferred from OSH
intubated with GCS of 8.  Question of seizure at the scene and +
LOC.  CT with + SAH at OSH.

MEDICAL HISTORY: Asthma

MEDICATION ON ADMISSION: None

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: HEENT:  R Occiput hematoma, pupils 2mm sluggish on admission, R
TM clear, L TM with blood in external meatus at admit
Skin:  L occipital abrasion
CV:  RRR
Lungs:  CTA B, trachea midline
Abdomen:  + BS NT/ND
Extremities:  2+ pulses B UE, B LE, no long bone instability,
stable pelvis
Neuro:  intubated and sedated at admission, good rectal tone

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: + smoker, + ETOH use, Lives in [**Hospital1 487**], MA.
Subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration,Assault by unspecified means,Closed fracture of malar and maxillary bones,Closed dislocation of acromioclavicular (joint)
Subarach hem-coma NOS,Assault NOS,Fx malar/maxillary-close,Disloc acromioclavic-cl
Admission Date:  [**2170-7-26**]              Discharge Date:   [**2170-7-28**]

Date of Birth:  [**2149-2-13**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1556**]
Chief Complaint:
23 yo male s/p assault with head trauma against the ground and +
LOC and ? possible seizure

Major Surgical or Invasive Procedure:
None


History of Present Illness:
23 yo male assaulted and dropped on head.  Transferred from OSH
intubated with GCS of 8.  Question of seizure at the scene and +
LOC.  CT with + SAH at OSH.

Past Medical History:
Asthma

Social History:
+ smoker, + ETOH use, Lives in [**Hospital1 487**], MA.

Family History:
Non-contributory

Physical Exam:
HEENT:  R Occiput hematoma, pupils 2mm sluggish on admission, R
TM clear, L TM with blood in external meatus at admit
Skin:  L occipital abrasion
CV:  RRR
Lungs:  CTA B, trachea midline
Abdomen:  + BS NT/ND
Extremities:  2+ pulses B UE, B LE, no long bone instability,
stable pelvis
Neuro:  intubated and sedated at admission, good rectal tone

Pertinent Results:
[**2170-7-28**] 07:15AM BLOOD WBC-9.0 RBC-4.10* Hgb-12.1* Hct-35.8*
MCV-87 MCH-29.5 MCHC-33.8 RDW-12.7 Plt Ct-191
[**2170-7-27**] 02:51AM BLOOD Glucose-100 UreaN-9 Creat-1.0 Na-141
K-4.0 Cl-106 HCO3-26 AnGap-13
[**2170-7-26**] 10:59PM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG
Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
[**2170-7-26**] 11:03PM   TYPE-ART TEMP-38.1 PO2-391* PCO2-42 PH-7.37
TOTAL CO2-

Brief Hospital Course:
Pt. admitted to Trauma surgery service initially
intubated/sedated and was sent to the ICU.  Initial CT results
showed a SAH as well as Left Zygomatic Arch Fracture and an
initial question of temporal bone Fx.  HD #2 Pt. was extubated
and Transferred to the floor.  Plastic Surgery evaluated
Zygomatic Arch FX and it was deemed non-operative.  Temporal
Bone CT showed no evidence of FX.  Pt. recovered consciousness
and was GCS 15 at D/C.  Left shoulder pain work-up led to Dx of
AC separation and Pt. is to F/U with Ortho upon D/C.

Medications on Admission:
None

Discharge Medications:
1. Phenytoin Sodium Extended 100 mg Capsule Sig: One (1) Capsule
PO TID (3 times a day) for 4 days.
Disp:*12 Capsule(s)* Refills:*0*
2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed.
Disp:*30 Tablet(s)* Refills:*0*
3. Clindamycin HCl 150 mg Capsule Sig: Two (2) Capsule PO Q6H
(every 6 hours) for 7 days.
Disp:*56 Capsule(s)* Refills:*0*


Discharge Disposition:
Home

Discharge Diagnosis:
Right Subarachnoid Hemorrhage
Left Zygoma Fracture
Left AC Shoulder Separation


Discharge Condition:
Good


Discharge Instructions:
Return to Emergency Department for:
Loss of Consciousness
Severe Headache
Numbness, Weakness, Tingling
Dizziness or Vertigo
Chest Pain
Shortness of Breath
Fever Greater than 101.5

Followup Instructions:
[**Hospital 3595**] Clinic ([**Telephone/Fax (1) 7138**] in [**2-5**] weeks
[**Hospital 9696**] Clinic ([**Telephone/Fax (1) 2007**] or your orthopaedic surgeon in
[**2-5**] weeks
Trauma Clinic ([**Telephone/Fax (1) 376**] in 1 week



Completed by:[**2170-7-28**]
{'Subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration,Assault by unspecified means,Closed fracture of malar and maxillary bones,Closed dislocation of acromioclavicular (joint)'}


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: 23 yo male s/p assault with head trauma against the ground and +
LOC and ? possible seizure

PRESENT ILLNESS: 23 yo male assaulted and dropped on head.  Transferred from OSH
intubated with GCS of 8.  Question of seizure at the scene and +
LOC.  CT with + SAH at OSH.

MEDICAL HISTORY: Asthma

MEDICATION ON ADMISSION: None

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: HEENT:  R Occiput hematoma, pupils 2mm sluggish on admission, R
TM clear, L TM with blood in external meatus at admit
Skin:  L occipital abrasion
CV:  RRR
Lungs:  CTA B, trachea midline
Abdomen:  + BS NT/ND
Extremities:  2+ pulses B UE, B LE, no long bone instability,
stable pelvis
Neuro:  intubated and sedated at admission, good rectal tone

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: + smoker, + ETOH use, Lives in [**Hospital1 487**], MA. 

### Response:
{'Subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration,Assault by unspecified means,Closed fracture of malar and maxillary bones,Closed dislocation of acromioclavicular (joint)'}
