CHIEF COMPLAINT: patient was playing tennis with his friends, while reaching the
ball fell backwards, striking back of his head on ground.GCS
upon arrival to ED was 15, alert, awake, following commands,
vomiting multiple times in ED. CSF leakage noted [**Last Name (un) 834**] his left
ear.Patient admiited to Neuro ICU on [**2126-3-28**].

PRESENT ILLNESS: patient was playing tennis with his friends, while reaching the
ball fell backwards, striking back of his head on ground.GCS
upon arrival to ED was 15, alert, awake, following commands,
vomiting multiple times in ED. CSF leakage noted [**Last Name (un) 834**] his left
ear.Patient admiited to Neuro ICU on [**2126-3-28**].

MEDICAL HISTORY: BPH, NIDDM, HTN

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: vital signs; Temp 100.2 Hr 78, BP 210/P, RR 18 100%

FAMILY HISTORY: noncontributary

SOCIAL HISTORY: MARRIED, has a son
Closed fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness,Atrial fibrillation,Unspecified fall,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified sleep apnea,Unspecified essential hypertension,Asthma, unspecified type, unspecified
Cl skl base fx/cereb lac,Atrial fibrillation,Fall NOS,DMII wo cmp nt st uncntr,Sleep apnea NOS,Hypertension NOS,Asthma NOS
Admission Date:  [**2126-3-28**]              Discharge Date:   [**2126-4-8**]

Date of Birth:  [**2064-9-10**]             Sex:   M

Service: NEUROSURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1271**]
Chief Complaint:
patient was playing tennis with his friends, while reaching the
ball fell backwards, striking back of his head on ground.GCS
upon arrival to ED was 15, alert, awake, following commands,
vomiting multiple times in ED. CSF leakage noted [**Last Name (un) 834**] his left
ear.Patient admiited to Neuro ICU on [**2126-3-28**].

Major Surgical or Invasive Procedure:
Lumbar drain


History of Present Illness:
patient was playing tennis with his friends, while reaching the
ball fell backwards, striking back of his head on ground.GCS
upon arrival to ED was 15, alert, awake, following commands,
vomiting multiple times in ED. CSF leakage noted [**Last Name (un) 834**] his left
ear.Patient admiited to Neuro ICU on [**2126-3-28**].

Past Medical History:
BPH, NIDDM, HTN

Social History:
MARRIED, has a son

Family History:
noncontributary

Physical Exam:
vital signs; Temp 100.2 Hr 78, BP 210/P, RR 18 100%

alert awake, follows comands, NAD.
HEENT: CSF leakage left ear.
NECK ;In collar.
CHEST: CTA A/P
CVS: RRR, NO M/G/R
ABD;soft , nontender, bowel sounds present.
EXT: warm , no edema BLE
NEURO: alert awake, oriented x3 , language fluent, PERRLA, CN
II-XII grossly intact, face symmetric tongue midline, normal
bulk bilaterally, full stength. sensation intact to light touch
T/O.Reflexes 2+ toes, downward. coordination intact.

Pertinent Results:
[**2126-3-28**] 10:42PM URINE  COLOR-Straw APPEAR-Clear SP [**Last Name (un) 155**]-1.013
[**2126-3-28**] 10:38PM   GLUCOSE-218* LACTATE-3.0* NA+-141 K+-4.8
CL--106
[**2126-3-28**] 10:38PM   HGB-11.1* calcHCT-33 O2 SAT-99 CARBOXYHB-0
MET HGB-0
[**2126-3-28**] 10:34PM   FIBRINOGE-312
[**2126-3-28**] 10:34PM   PT-13.5 PTT-18.4* INR(PT)-1.2

Brief Hospital Course:
   Patient S/P fall with basal skull fracture, right frontal
contusion, bilateral smal SDH admitted on [**3-28**] to neuro ICU.
Left ear CSF leakge was present upon arrival which required
lumbar drain, also followed by trauma ICU team.while in ICU stay
patient had an 4 beat  NSVT, cardiology seen, echo showed
EF>55%, mild LVH. Bilateral lower extremity ultrasound showed
superficial thorombosis.  Bilateral lower extremity ultrasound
to be repeated in two weeks.Patient no longer has left ear CSF
leakage. Doing well, low grade temp present.Pneumonia found on
chest xray and was started on Levofloxacin for 10d. Fevers
cleared.

Discharge Medications:
1. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every
4 to 6 hours) as needed.
2. Losartan Potassium 25 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
Disp:*30 Tablet(s)* Refills:*2*
3. Phenytoin Sodium Extended 100 mg Capsule Sig: One (1) Capsule
PO TID (3 times a day).
Disp:*90 Capsule(s)* Refills:*2*
4. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).
Disp:*30 Tablet(s)* Refills:*2*
5. Metoprolol Tartrate 50 mg Tablet Sig: 2.5 Tablets PO TID (3
times a day).
Disp:*225 Tablet(s)* Refills:*2*


Discharge Disposition:
Extended Care

Facility:
[**Hospital1 700**] - [**Location (un) 701**]

Discharge Diagnosis:
basilar skull fracture
small right frontal pole contusion.
Bilateral small subdural hematoma.


Discharge Condition:
neurologically stable.

Discharge Instructions:
Report any mental status changes, leakage from ear,  fever
greater then 101.

Followup Instructions:
Follow up in 6 weeks with Dr.[**Last Name (STitle) 739**] and Head CT. Call for
an appointment at [**Telephone/Fax (1) 3571**].


                             [**Name6 (MD) 742**] [**Name8 (MD) **] MD [**MD Number(2) 1273**]

Completed by:[**2126-4-8**]
{'Closed fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness,Atrial fibrillation,Unspecified fall,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified sleep apnea,Unspecified essential hypertension,Asthma, unspecified type, 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: patient was playing tennis with his friends, while reaching the
ball fell backwards, striking back of his head on ground.GCS
upon arrival to ED was 15, alert, awake, following commands,
vomiting multiple times in ED. CSF leakage noted [**Last Name (un) 834**] his left
ear.Patient admiited to Neuro ICU on [**2126-3-28**].

PRESENT ILLNESS: patient was playing tennis with his friends, while reaching the
ball fell backwards, striking back of his head on ground.GCS
upon arrival to ED was 15, alert, awake, following commands,
vomiting multiple times in ED. CSF leakage noted [**Last Name (un) 834**] his left
ear.Patient admiited to Neuro ICU on [**2126-3-28**].

MEDICAL HISTORY: BPH, NIDDM, HTN

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: vital signs; Temp 100.2 Hr 78, BP 210/P, RR 18 100%

FAMILY HISTORY: noncontributary

SOCIAL HISTORY: MARRIED, has a son 

### Response:
{'Closed fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness,Atrial fibrillation,Unspecified fall,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Unspecified sleep apnea,Unspecified essential hypertension,Asthma, unspecified type, unspecified'}
