CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname **] was a 74 year-old
right handed white male who was admitted to [**Hospital1 346**] on [**2154-12-11**] presenting with left
facial droop, dysarthria, difficulty standing and left
hemiparesis.  It was documented by imaging a right basal
ganglia stroke.  He was transferred to Neurology Intensive
Care Unit on [**2154-12-13**], because of respiratory distress,
documented right lower lobe pneumonia, assuming aspiration
pneumonia.  He required intubation for respiratory support.
During his Intensive Care Unit stay it was complicated with
gastrointestinal bleed and clinically he continued to
deteriorate.  As per family wishes on [**2154-12-17**] he was made
DNR/DNI.  He was extubated and transferred on [**2154-12-18**].

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He smoked two to three packs per day for
sixty years.  He quit eight months ago.  He lived alone in an
elderly apartment complex.
Cerebral embolism with cerebral infarction,Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,Hemorrhage of gastrointestinal tract, unspecified,Unspecified essential hypertension
Crbl emblsm w infrct,Food/vomit pneumonitis,Acute respiratry failure,Gastrointest hemorr NOS,Hypertension NOS
Admission Date:  [**2154-12-11**]     Discharge Date:  [**2154-12-24**]

Date of Birth:   [**2078-12-5**]     Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  Mr. [**Known lastname **] was a 74 year-old
right handed white male who was admitted to [**Hospital1 346**] on [**2154-12-11**] presenting with left
facial droop, dysarthria, difficulty standing and left
hemiparesis.  It was documented by imaging a right basal
ganglia stroke.  He was transferred to Neurology Intensive
Care Unit on [**2154-12-13**], because of respiratory distress,
documented right lower lobe pneumonia, assuming aspiration
pneumonia.  He required intubation for respiratory support.
During his Intensive Care Unit stay it was complicated with
gastrointestinal bleed and clinically he continued to
deteriorate.  As per family wishes on [**2154-12-17**] he was made
DNR/DNI.  He was extubated and transferred on [**2154-12-18**].

Head CT was repeated on the day of transfer to the Neurology
Floor and showed the same findings from before, right corona
radiata not well visualized, right basal ganglia stroke,
extending to the body of the caudate and the right internal
capsule.  They also noted chronic microvascular ischemic
changes.  He was transferred to the Neurology Service and as
per family wishes he was made CMO on [**2154-12-19**].  Nasogastric
tube and medications were stopped.  Morphine drip was started
for comfort measures and Mr. [**Known lastname **] continued with change in
respiratory pattern.  On [**2154-12-24**] at 1:04 p.m. he was
declared dead.  At that moment the medical staff documented
his death in the chart.

ALLERGIES:  No known drug allergies.

MEDICATIONS PRIOR TO ADMISSION:  Lipitor 10 mg po q day,
Metoprolol 100 mg po b.i.d.  On admission heparin 5000 units
subQ q 12 hours, Pantoprazole 40 mg intravenous q 12,
Levofloxacin 500 mg po q 24 hours, Lipitor 10 mg po q day,
Metoprolol 50 mg po t.i.d., Lasix 20 mg nasogastric b.i.d.,
Hydralazine 25 mg po q 6, Ativan 0.5 mg intravenous q 3 hours
prn, morphine 2 mg intravenous q 4 hours prn.

SOCIAL HISTORY:  He smoked two to three packs per day for
sixty years.  He quit eight months ago.  He lived alone in an
elderly apartment complex.

Mr. [**Known lastname **] family was [**Name (NI) 653**], and hospice volunteers and
hospice care was given all throughout since he started being
on CMO.






                          [**Doctor Last Name **] [**Name8 (MD) 8346**], M.D.  [**MD Number(1) **]

Dictated By:[**Last Name (NamePattern4) 47350**]

MEDQUIST36

D:  [**2154-12-24**]  13:36
T:  [**2154-12-31**]  08:07
JOB#:  [**Job Number 47351**]
{'Cerebral embolism with cerebral infarction,Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,Hemorrhage of gastrointestinal tract, 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: Mr. [**Known lastname **] was a 74 year-old
right handed white male who was admitted to [**Hospital1 346**] on [**2154-12-11**] presenting with left
facial droop, dysarthria, difficulty standing and left
hemiparesis.  It was documented by imaging a right basal
ganglia stroke.  He was transferred to Neurology Intensive
Care Unit on [**2154-12-13**], because of respiratory distress,
documented right lower lobe pneumonia, assuming aspiration
pneumonia.  He required intubation for respiratory support.
During his Intensive Care Unit stay it was complicated with
gastrointestinal bleed and clinically he continued to
deteriorate.  As per family wishes on [**2154-12-17**] he was made
DNR/DNI.  He was extubated and transferred on [**2154-12-18**].

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: He smoked two to three packs per day for
sixty years.  He quit eight months ago.  He lived alone in an
elderly apartment complex. 

### Response:
{'Cerebral embolism with cerebral infarction,Pneumonitis due to inhalation of food or vomitus,Acute respiratory failure,Hemorrhage of gastrointestinal tract, unspecified,Unspecified essential hypertension'}
