CHIEF COMPLAINT: 

PRESENT ILLNESS: This is an 86 year old male
pedestrian struck by a car travelling at about 20 to 25 mph.
The patient denies loss of consciousness but could not recall
all the events surrounding the actual impact.  He was found
alert and responsive at the scene with [**Location (un) 2611**] coma scale 15
in the field.  Vital signs were stable on transfer.  The
patient complains of mild right orbit pain.

MEDICAL HISTORY: Hypertension.

MEDICATION ON ADMISSION: No information.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: Nonsmoker, past ethyl alcohol, quit one year
ago.
Subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian,Contusion of face, scalp, and neck except eye(s),Open wound of forehead, without mention of complication,Open wound of finger(s), without mention of complication,Black eye, not otherwise specified,Abnormal pupillary function, unspecified,Unspecified essential hypertension
Subdural hem w/o coma,Mv coll w pedest-pedest,Contusion face/scalp/nck,Open wound of forehead,Open wound of finger,Black eye NOS,Abn pupil function NOS,Hypertension NOS
Admission Date:  [**2117-1-30**]       Discharge Date:  [**2117-2-2**]


Service:

HISTORY OF PRESENT ILLNESS:  This is an 86 year old male
pedestrian struck by a car travelling at about 20 to 25 mph.
The patient denies loss of consciousness but could not recall
all the events surrounding the actual impact.  He was found
alert and responsive at the scene with [**Location (un) 2611**] coma scale 15
in the field.  Vital signs were stable on transfer.  The
patient complains of mild right orbit pain.

PAST MEDICAL HISTORY:  Hypertension.

MEDICATIONS ON ADMISSION:  No information.

ALLERGIES:  No known drug allergies.

SOCIAL HISTORY:  Nonsmoker, past ethyl alcohol, quit one year
ago.

PHYSICAL EXAMINATION:  On admission, temperature 96.8,
heartrate 116, blood pressure 176/palpable, respiratory rate
24, saturations of 98%.  General, in no apparent distress.
Speech fluent.  Normal breathing, nonlabored.  Head, eyes,
ears, nose and throat, pupils equal, round and reactive to
light, extraocular movements intact, tympanic membranes
clear, face stable.  +Blood from right nare.  +Right
supraorbital laceration, about 3 to 3.5 cm in length.  Chest,
stable, no crepitus, clear to auscultation bilaterally.
Cardiac regular rate and rhythm.  Abdomen, soft, nontender,
nondistended.  Extremities with no deformities.  +Small left
thumb laceration.  Peripheral pulses palpable bilaterally.
Neuromotor intact.  Rectal normal tone, guaiac negative.

LABORATORY DATA:  Laboratory data on admission revealed white
count 12.5, hematocrit 37.4, platelets 316.  Sodium 142,
potassium 3.8, chloride 104, bicarbonate 29, BUN 25,
creatinine 1.4, glucose 102.  Coagulation screen, PT 15, INR
1.5, PTT 26.4.  Blood gas was pH 7.44, pCO2 41, pAO2 of 88,
bicarbonate 29, base excess of 3.  Serum toxicology was
negative.  Urinalysis was negative.  Urine toxicology was
negative.

Radiology studies on admission - Chest x-ray, no pneumothorax
or fractures and no widened mediastinum.  Pelvis showed no
acute fracture.  Computerized tomography scan of the head
showed left temporoparietal epidural versus subdural and left
occipital parenchymal bleed.  Computerized tomography scan of
the cervical spine showed no fractures or dislocation.

HOSPITAL COURSE:  The patient was admitted to the Intensive
Care Unit for his acute head injury where he was followed
closely with neurological checks q. one hour.  After being
evaluated by both the Neurosurgery Service and Ophthalmology
he was found to be stable, able to go to the floor and to
follow up as an outpatient with the above services.  On the
floor he was seen by physical therapy and occupational
therapy who found him safe for discharge home.  He was
discharged home in stable condition with the following
recommendations.

DISCHARGE RECOMMENDATIONS:
1.  Follow up with Neurosurgery and Ophthalmology
2.  Follow up with primary care physician




                            [**Name6 (MD) 19851**] [**Name8 (MD) 19852**], M.D.  [**MD Number(1) 19853**]

Dictated By:[**Dictator Info **]
MEDQUIST36

D:  [**2117-5-6**]  14:15
T:  [**2117-5-6**]  16:01
JOB#:  [**Job Number 46070**]
{'Subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian,Contusion of face, scalp, and neck except eye(s),Open wound of forehead, without mention of complication,Open wound of finger(s), without mention of complication,Black eye, not otherwise specified,Abnormal pupillary function, unspecified,Unspecified essential hypertension'}


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 an 86 year old male
pedestrian struck by a car travelling at about 20 to 25 mph.
The patient denies loss of consciousness but could not recall
all the events surrounding the actual impact.  He was found
alert and responsive at the scene with [**Location (un) 2611**] coma scale 15
in the field.  Vital signs were stable on transfer.  The
patient complains of mild right orbit pain.

MEDICAL HISTORY: Hypertension.

MEDICATION ON ADMISSION: No information.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: Nonsmoker, past ethyl alcohol, quit one year
ago. 

### Response:
{'Subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian,Contusion of face, scalp, and neck except eye(s),Open wound of forehead, without mention of complication,Open wound of finger(s), without mention of complication,Black eye, not otherwise specified,Abnormal pupillary function, unspecified,Unspecified essential hypertension'}
