CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 50-year-old
male with mild frontal headache on the day before admission.
He took two aspirin and had the worst headache of his life, 8
or 10 in the right frontal region with neck stiffness.  There
was no loss of consciousness, positive dizziness.  He had
left handed weakness and numbness.  He presented to the
emergency room.  In the emergency room the patient was noted
to have bilateral subarachnoid hemorrhage along the Circle of
[**Location (un) 431**] with intraventricular hemorrhage in the occipital [**Doctor Last Name 534**]
with mild hydrocephalus.  He was taken the Angiography
Department, which showed a right anterior communicating artery
aneurysm.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subarachnoid hemorrhage
Subarachnoid hemorrhage
Admission Date:  [**2199-12-27**]       Discharge Date:  [**2200-1-7**]

Date of Birth:   [**2149-11-12**]       Sex:  M

Service:  Neurosurgery

HISTORY OF THE PRESENT ILLNESS:  The patient is a 50-year-old
male with mild frontal headache on the day before admission.
He took two aspirin and had the worst headache of his life, 8
or 10 in the right frontal region with neck stiffness.  There
was no loss of consciousness, positive dizziness.  He had
left handed weakness and numbness.  He presented to the
emergency room.  In the emergency room the patient was noted
to have bilateral subarachnoid hemorrhage along the Circle of
[**Location (un) 431**] with intraventricular hemorrhage in the occipital [**Doctor Last Name 534**]
with mild hydrocephalus.  He was taken the Angiography
Department, which showed a right anterior communicating artery
aneurysm.

PAST MEDICAL HISTORY:  None.

PHYSICAL EXAMINATION:  On examination, the blood pressure was
124/55, heart rate 88, temperature 98.4, respiratory rate 16
and 96% on room air.

HOSPITAL COURSE:  The patient was taken to the operating room
for clipping of the right anterior communicating artery
aneurysm.  His estimated blood loss was 300 cc.  He was
extubated in the
PACU and transferred to the Surgical Intensive Care Unit for
close monitoring.  Pupils were 3-mm down to 2-mm.  He was
oriented to person, place, and hospital, sleepy, but
arousable.  LUNGS:  Lungs were clear to auscultation.
CARDIAC:  Status S1 and S2, no murmurs, rubs, or gallops.
ABDOMEN:  Soft, nontender, nondistended, positive bowel
sounds.  EXTREMITIES:  No edema, palpable DP pulses.  The
patient was awake and alert moving all extremities
spontaneously.

LABORATORY DATA:  Data revealed the following:  White count
4.8, platelet count 175,000, hematocrit 39.8, sodium 140,
potassium 3.9, 100/26, 12/1.1, and 158.

HOSPITAL COURSE:  The patient was taken to the Arteriogram
Department, where a right anterior communicating artery
aneurysm was identified.  The patient was taken directly to
the operating room for clipping of the right anterior
communicating artery aneurysm without intraoperative
complications.  The patient had the aneurysm clipped under
general anesthesia, extubated in the PACU, and transferred to
the Surgical Intensive Care Unit for close monitoring.  The
patient remained in the Surgical Intensive Care Unit for
seven days for monitoring for possible vasospasm.  The
patient had no complications.  The patient was transferred to
the regular floor after repeat angiogram showed good clipping
of the aneurysm.  The patient was transferred to the regular
floor.  He was seen by the Department of Physical Therapy and
Occupational Therapy and found to be safe for discharge to
home.  He will be discharged to home and followup with
Dr.  [**Last Name (STitle) 6910**] in ten to fourteen days.

MEDICATIONS ON DISCHARGE:
1.  Nimodipine 60 mg p.o.q.4h.
2.  Zantac 150 mg p.o.b.i.d.
3.  Colace 100 mg p.o.b.i.d.
4.  Percocet one to two tablets p.o.q.4h.p.r.n.
5.  Keflex 500 mg p.o.q.i.d. time one week for gram-positive
cocci at a peripheral IV site, which was sent for culture the
day before discharge.

CONDITION ON DISCHARGE:  The patient was in stable condition
at the time of discharge.

FOLLOW-UP CARE:  The patient will followup with
Dr.  [**Last Name (STitle) 6910**] in ten to fourteen days.




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

Dictated By:[**Last Name (NamePattern1) 344**]
MEDQUIST36

D:  [**2200-1-7**]  11:23
T:  [**2200-1-7**]  12:05
JOB#:  [**Job Number 15822**]/[**Numeric Identifier 15823**]
{'Subarachnoid hemorrhage'}


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: The patient is a 50-year-old
male with mild frontal headache on the day before admission.
He took two aspirin and had the worst headache of his life, 8
or 10 in the right frontal region with neck stiffness.  There
was no loss of consciousness, positive dizziness.  He had
left handed weakness and numbness.  He presented to the
emergency room.  In the emergency room the patient was noted
to have bilateral subarachnoid hemorrhage along the Circle of
[**Location (un) 431**] with intraventricular hemorrhage in the occipital [**Doctor Last Name 534**]
with mild hydrocephalus.  He was taken the Angiography
Department, which showed a right anterior communicating artery
aneurysm.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subarachnoid hemorrhage'}
