CHIEF COMPLAINT: Motorcycle collision

PRESENT ILLNESS: 40 y/o  male s/p mvc  v pole. Restrained driver, intoxicated,
self-extricated.  Ambulatory at scene. Taken to [**Hospital **]
Hospital. CT c/s showed ?C1 fracture.  Rescucitated in ED and
rescanned.  CT head showed same c1 frature but could be an old
injury.  Pt also had multiple factial fractures and facial
lacerations

MEDICAL HISTORY: Denies PMH, PSH

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: A&Ox3 NAD, in collar
HEENT: PERRL [**4-3**], mulitple lacs on face
C-spine: TTP
Chest: Coarse breath sounds, RRR no m/r/g
Abd: NT, ND +BS
Ext: MAEW no edema or long bone deformity
Pelvis: stable

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: 2ppd smoking
+ EtOH
Denies illicits
Closed fracture of orbital floor (blow-out),Alcohol abuse, unspecified,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Open wound of forehead, without mention of complication
Fx orbital floor-closed,Alcohol abuse-unspec,Loss control mv acc-driv,Accid on street/highway,Open wound of forehead
Admission Date:  [**2127-11-10**]              Discharge Date:   [**2127-11-13**]

Date of Birth:  [**2087-1-3**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 371**]
Chief Complaint:
Motorcycle collision

Major Surgical or Invasive Procedure:
Repair of orbital fractures


History of Present Illness:
40 y/o  male s/p mvc  v pole. Restrained driver, intoxicated,
self-extricated.  Ambulatory at scene. Taken to [**Hospital **]
Hospital. CT c/s showed ?C1 fracture.  Rescucitated in ED and
rescanned.  CT head showed same c1 frature but could be an old
injury.  Pt also had multiple factial fractures and facial
lacerations

Past Medical History:
Denies PMH, PSH

Social History:
2ppd smoking
+ EtOH
Denies illicits

Family History:
non-contributory


Physical Exam:
Gen: A&Ox3 NAD, in collar
HEENT: PERRL [**4-3**], mulitple lacs on face
C-spine: TTP
Chest: Coarse breath sounds, RRR no m/r/g
Abd: NT, ND +BS
Ext: MAEW no edema or long bone deformity
Pelvis: stable


Pertinent Results:
[**2127-11-10**] 05:46AM   COMMENTS-GREEN TOP
[**2127-11-10**] 05:46AM   GLUCOSE-129* LACTATE-1.4 NA+-141 K+-4.9
CL--99* TCO2-32*
[**2127-11-10**] 05:35AM   UREA N-16 CREAT-0.8
[**2127-11-10**] 05:35AM   AMYLASE-43
[**2127-11-10**] 05:35AM   ASA-NEG ETHANOL-NEG ACETMNPHN-NEG
bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
[**2127-11-10**] 05:35AM URINE  HOURS-RANDOM
[**2127-11-10**] 05:35AM URINE  bnzodzpn-NEG barbitrt-NEG opiates-NEG
cocaine-POS amphetmn-NEG mthdone-NEG
[**2127-11-10**] 05:35AM   WBC-21.8* RBC-4.94 HGB-15.4 HCT-45.7 MCV-93
MCH-31.2 MCHC-33.7 RDW-13.6
[**2127-11-10**] 05:35AM   PLT COUNT-367
[**2127-11-10**] 05:35AM   PT-11.2 PTT-24.2 INR(PT)-0.9
[**2127-11-10**] 05:35AM   FIBRINOGE-446*
[**2127-11-10**] 05:35AM URINE  COLOR-Yellow APPEAR-Clear SP
[**Last Name (un) 155**]->=1.035
[**2127-11-10**] 05:35AM URINE  BLOOD-SM NITRITE-NEG PROTEIN-NEG
GLUCOSE-NEG KETONE-15 BILIRUBIN-NEG UROBILNGN-1 PH-6.5 LEUK-NEG
[**2127-11-10**] 05:35AM URINE  RBC-0-2 WBC-0-2 BACTERIA-RARE YEAST-NONE
EPI-0

Brief Hospital Course:
Pt admitted to Trauma ICU for because patient had episodes of
desturation to mid 70's while sleeping.

C-spine cleared by orthopaedics

Plastics consulted for facial fractures seen on CT face.  Pt
pre-oped for OR for repair of fractures.

[**11-11**] Pt transferred to floor

[**11-12**] Pt to OR with plastics for repair of orbital blowout of
left medial and inferior wall.

[**11-12**] Pt was seen by Sleep for apnea.  Sleep said pt should not
drive because apnea may have caused his accident and pt can
follow up in clinic for sleep apnea and fitting for CPAP machine
after swelling goes down.

Medications on Admission:
none

Discharge Disposition:
Home

Discharge Diagnosis:
Motor Vehicle Crash
Left medial & inferior orbital blowout fractures w/ hemorrhage
in maxillary and ethmoid sinuses
Small cortical defect in the anterior C1 vertebral foramen of
unclear etiology, may represent tiny fracture line


Discharge Condition:
Good


Discharge Instructions:
Based on your clinical presentation, we suspect you may have
obstructive sleep apnea.  If left untreated, this may result in
extreme daytime fatigue which may cause you to fall asleep at
unpredictable times.  We recommend that until you follow-up with
the Sleep Clinic and are properly treated, that you do not drive
because you may fall asleep while driving.

Followup Instructions:
Please follow-up with the Sleep Clinic for further evaluation of
your possible sleep apnea.  Please call [**Telephone/Fax (1) 612**] to schedule
an appointment.

Please follow-up with Opthalmology in one week.  Please call
[**Telephone/Fax (1) 253**] to schedule an appointment.

Please follow-up with Plastic Surgery in one week.  Please call
[**Telephone/Fax (1) 274**] to schedule an appointment.
{'Closed fracture of orbital floor (blow-out),Alcohol abuse, unspecified,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Open wound of forehead, without mention of complication'}


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: Motorcycle collision

PRESENT ILLNESS: 40 y/o  male s/p mvc  v pole. Restrained driver, intoxicated,
self-extricated.  Ambulatory at scene. Taken to [**Hospital **]
Hospital. CT c/s showed ?C1 fracture.  Rescucitated in ED and
rescanned.  CT head showed same c1 frature but could be an old
injury.  Pt also had multiple factial fractures and facial
lacerations

MEDICAL HISTORY: Denies PMH, PSH

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Gen: A&Ox3 NAD, in collar
HEENT: PERRL [**4-3**], mulitple lacs on face
C-spine: TTP
Chest: Coarse breath sounds, RRR no m/r/g
Abd: NT, ND +BS
Ext: MAEW no edema or long bone deformity
Pelvis: stable

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: 2ppd smoking
+ EtOH
Denies illicits 

### Response:
{'Closed fracture of orbital floor (blow-out),Alcohol abuse, unspecified,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Open wound of forehead, without mention of complication'}
