CHIEF COMPLAINT: abdominal trauma with projectil evisceration

PRESENT ILLNESS: 59 year old male with work related injury invlving centrifuge
rotor. The rotor broke and showered his lower abdomen with
plastic shards, immediately eviscerating the patient. He had
continuous nonpulsatile bleeding from his wound, and was alert
and hemodynamically stable throughout his transport to [**Hospital1 18**].

MEDICAL HISTORY: 1. Prostate ca s/p seeds
2. uveal ca

MEDICATION ON ADMISSION: None

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VITALS P 88  BP 150/palp  RR 18   97% RA
GCS 15 Alert
RRR
CTA B
soft abdomen with small bowel protruding from LLQ
Rectal - guaiac negative
Foley - clear yellow urine
EXTREMITIES - warm well perfused no deformities

FAMILY HISTORY: nonsontributory

SOCIAL HISTORY: married, non drug use.
Other injury to small intestine, with open wound into cavity,Acute posthemorrhagic anemia,Paralytic ileus,Accidents caused by other powered hand tools,Personal history of malignant neoplasm of prostate
Small intest inj NEC-opn,Ac posthemorrhag anemia,Paralytic ileus,Acc-power hand tool NEC,Hx-prostatic malignancy
Admission Date:  [**2151-8-2**]              Discharge Date:   [**2151-8-10**]

Date of Birth:  [**2091-8-9**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 3223**]
Chief Complaint:
abdominal trauma with projectil evisceration

Major Surgical or Invasive Procedure:
1. exploratory laparotomy
2. small bowel enterotomy with primary anastomosis

History of Present Illness:
59 year old male with work related injury invlving centrifuge
rotor. The rotor broke and showered his lower abdomen with
plastic shards, immediately eviscerating the patient. He had
continuous nonpulsatile bleeding from his wound, and was alert
and hemodynamically stable throughout his transport to [**Hospital1 18**].

Past Medical History:
1. Prostate ca s/p seeds
2. uveal ca

Social History:
married, non drug use.

Family History:
nonsontributory

Physical Exam:
VITALS P 88  BP 150/palp  RR 18   97% RA
GCS 15 Alert
RRR
CTA B
soft abdomen with small bowel protruding from LLQ
Rectal - guaiac negative
Foley - clear yellow urine
EXTREMITIES - warm well perfused no deformities

Pertinent Results:
[**2151-8-10**] 05:17AM BLOOD Hct-24.2*
[**2151-8-9**] 06:20PM BLOOD Hct-25.5*
[**2151-8-9**] 05:23AM BLOOD Hct-24.8*
[**2151-8-8**] 04:35PM BLOOD Hct-25.2*
[**2151-8-8**] 06:35AM BLOOD Hct-25.8*
[**2151-8-7**] 09:55PM BLOOD Hct-24.2*
[**2151-8-7**] 05:40AM BLOOD Hct-25.3*
[**2151-8-6**] 05:12AM BLOOD WBC-4.6 RBC-3.16* Hgb-9.6* Hct-28.3*
MCV-90 MCH-30.3 MCHC-33.8 RDW-14.3 Plt Ct-262
[**2151-8-5**] 01:35PM BLOOD Hct-27.9*
[**2151-8-5**] 09:30AM BLOOD Hct-26.6*
[**2151-8-5**] 03:55AM BLOOD WBC-9.0 RBC-2.76* Hgb-8.5* Hct-24.3*
MCV-88 MCH-30.9 MCHC-35.1* RDW-13.9 Plt Ct-213
[**2151-8-4**] 07:20PM BLOOD Hct-24.1*
[**2151-8-4**] 01:45PM BLOOD Hct-25.2*
[**2151-8-2**] 06:10PM BLOOD Mg-1.4*
[**2151-8-2**] 02:56PM BLOOD Amylase-50
[**2151-8-2**] 02:56PM BLOOD UreaN-13 Creat-0.9
[**2151-8-2**] 06:10PM BLOOD K-3.9
[**2151-8-2**] 02:56PM BLOOD PT-12.0 PTT-19.5* INR(PT)-1.0
[**2151-8-2**] 02:56PM BLOOD Fibrino-304
[**2151-8-2**] 02:56PM BLOOD WBC-2.6* RBC-5.01 Hgb-15.5 Hct-42.5
MCV-85 MCH-30.9 MCHC-36.3* RDW-13.0

[**Last Name (un) **] series negative

Brief Hospital Course:
Upon arrival, patient was immediately brought to the OR for
emergent exlap, which found 2 surface enterotomies, one each in
the proximal and distal jejunem. There was a large piece of
impacted plastic in the mid jejunum. The patient had small bowel
enterotomy with primary anastamosis of the small bowel ends. The
surgery was without complications.
  Post operatively, the patient did well. The patient was in the
SICU until POD # 2, when he was transferred to the floor.
Hematocrits were monitored daily, and remained fairly stable
throughout the admission, although the patient did require
transfusion of 2 U pRBC post operatively. THe incision was left
open and packed with Wet to Dry dressings.
   The patient had persistent melanotic stools throughout the
admission, as well as some dark blood by nasogastric lavage. GI
was consulted and reccomended further monitoring and supportive
care. It was felt to be likely that this was secondary to the
perforated small bowel viscus. It will be folloewed up as an
outpatient.
   By the end of the hospital stay, the wound was beginning to
granulate, hematocrits remained stable, the patient was
ambulatory, tolerating a po diet, and generally without
significant complaintes.

Medications on Admission:
None

Discharge Medications:
1. Multivitamin     Capsule Sig: One (1) Cap PO DAILY (Daily).
Disp:*30 Cap(s)* Refills:*2*
2. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
3. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed for pain.
Disp:*30 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
[**Hospital3 6011**] Care

Discharge Diagnosis:
Abdominal wound and small bowel injury, s/p projectile
evisceration
anemia


Discharge Condition:
Stable

Discharge Instructions:
Follow up with Trauma clinic.  Take medications as perscribed.
Return to the Emergency Department if you have severe abdominal
pain, nausea, vomiting, abdominal distension, or other concerns

Followup Instructions:
Follow up with Dr. [**Last Name (STitle) 519**] in [**7-25**] days. Call [**Telephone/Fax (1) 6554**] for an
appointment. Follow up with Trauma clinic in 2 weeks, call ([**Telephone/Fax (1) 4336**] for an appointment


                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 520**] MD, [**MD Number(3) 3226**]
{'Other injury to small intestine, with open wound into cavity,Acute posthemorrhagic anemia,Paralytic ileus,Accidents caused by other powered hand tools,Personal history of malignant neoplasm of prostate'}


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: abdominal trauma with projectil evisceration

PRESENT ILLNESS: 59 year old male with work related injury invlving centrifuge
rotor. The rotor broke and showered his lower abdomen with
plastic shards, immediately eviscerating the patient. He had
continuous nonpulsatile bleeding from his wound, and was alert
and hemodynamically stable throughout his transport to [**Hospital1 18**].

MEDICAL HISTORY: 1. Prostate ca s/p seeds
2. uveal ca

MEDICATION ON ADMISSION: None

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: VITALS P 88  BP 150/palp  RR 18   97% RA
GCS 15 Alert
RRR
CTA B
soft abdomen with small bowel protruding from LLQ
Rectal - guaiac negative
Foley - clear yellow urine
EXTREMITIES - warm well perfused no deformities

FAMILY HISTORY: nonsontributory

SOCIAL HISTORY: married, non drug use. 

### Response:
{'Other injury to small intestine, with open wound into cavity,Acute posthemorrhagic anemia,Paralytic ileus,Accidents caused by other powered hand tools,Personal history of malignant neoplasm of prostate'}
