CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 76 year old
woman who was found on the floor in her nursing home at 3:00
a.m. on the day of admission, status post a fall out of bed.
The patient was taken to an outside hospital where a head CT
showed a right frontal contusion.  The patient was
transferred to [**Hospital6 256**] for
further management.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness,Atrial fibrillation,Accidental fall from bed,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
Cerebel/brain stm contus,Atrial fibrillation,Fall from bed,Hypertension NOS,DMII wo cmp nt st uncntr
Admission Date:  [**2153-2-7**]       Discharge Date:  [**2153-2-8**]

Date of Birth:   [**2076-10-5**]       Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 76 year old
woman who was found on the floor in her nursing home at 3:00
a.m. on the day of admission, status post a fall out of bed.
The patient was taken to an outside hospital where a head CT
showed a right frontal contusion.  The patient was
transferred to [**Hospital6 256**] for
further management.

HOSPITAL COURSE:  On admission, the patient was awake, alert,
moving all extremities spontaneously following commands, but
not speaking.  She was admitted to the Neurological Intensive
Care Unit for close neurologic observation and blood pressure
control.  The patient was being monitored for increase in ICP
and change in mental status.

The patient had a repeat head CT on [**2153-2-8**] which showed
an increase and blossoming of contusions on the right side,
in the right frontal and the whole right hemisphere of her
brain.

It was discussed with the family and the patient was made
comfort measures only and was transferred back to her nursing
home to be close to her family.

MEDICATIONS AT THE TIME OF DISCHARGE INCLUDE:
1.  Digoxin .125 mg p.o. q day.
2.  Morphine suppository 30 mg q 4 h prn for pain and
comfort.

The patient's condition had deteriorated overnight and she
was unresponsive, still moving extremities, but not following
commands or opening her eyes prior to discharge.  The
patient's condition was otherwise unchanged and the patient
was discharged to nursing home to be close to her family.


                            [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.

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

D:  [**2153-2-8**]  13:53
T:  [**2153-2-8**]  13:52
JOB#:  [**Job Number 49551**]
{'Cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness,Atrial fibrillation,Accidental fall from bed,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}


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 76 year old
woman who was found on the floor in her nursing home at 3:00
a.m. on the day of admission, status post a fall out of bed.
The patient was taken to an outside hospital where a head CT
showed a right frontal contusion.  The patient was
transferred to [**Hospital6 256**] for
further management.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness,Atrial fibrillation,Accidental fall from bed,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled'}
