CHIEF COMPLAINT: s/p pedestrian struck

PRESENT ILLNESS: Ms. [**Known lastname 83124**] is an 18 year old female who was a pedestrian
struck by a car.  She was taken to [**Hospital3 **] Hospital for
evaluation.  She was found to have pelivc fractures and a left
femur fracture.  She was then transferred to the [**Hospital1 18**] for
further evaluation and care.

MEDICAL HISTORY: Denies

MEDICATION ON ADMISSION: denies

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: n/a

SOCIAL HISTORY: 
Open fracture of upper end of tibia alone,Closed fracture of pubis,Acute posthemorrhagic anemia,Closed fracture of subtrochanteric section of neck of femur,Closed fracture of sacrum and coccyx without mention of spinal cord injury,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian
Fx upper end tibia-open,Fracture of pubis-closed,Ac posthemorrhag anemia,Subtrochanteric fx-close,Fx sacrum/coccyx-closed,Mv coll w pedest-pedest
Admission Date:  [**2141-9-29**]              Discharge Date:   [**2141-10-6**]

Date of Birth:  [**2122-11-9**]             Sex:   F

Service: ORTHOPAEDICS

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 11415**]
Chief Complaint:
s/p pedestrian struck

Major Surgical or Invasive Procedure:
[**2141-9-30**]:  Left femoral nail, I&D right proximal tibia wound
[**2141-10-1**]:  L SI screw and R superior pubic rami screw


History of Present Illness:
Ms. [**Known lastname 83124**] is an 18 year old female who was a pedestrian
struck by a car.  She was taken to [**Hospital3 **] Hospital for
evaluation.  She was found to have pelivc fractures and a left
femur fracture.  She was then transferred to the [**Hospital1 18**] for
further evaluation and care.

Past Medical History:
Denies

Family History:
n/a

Brief Hospital Course:
Ms. [**Known lastname 83124**] presented to the [**Hospital1 18**] on [**2141-9-29**] via transfer
from [**Hospital3 **] Hospital.  She was evaluated by the orthopaedic
and trauma surgery services.  She was found to have a left femur
fracture, LC1 pelvic fracture with L sacrum and pubic rami
fractures, right proximal tibia fracture with open wound.  She
was admitted, consented, and prepped for surgery.  On [**2141-9-30**]
she was taken to the operating room and underwent a left femur
IM nail with I&D of her right proximal tibia wound.  On [**2141-10-1**]
she was again taken to the operating room and underwent a left
SI screw and a right superior pubic ramus screw.  She was also
transfused with 2 units of packed red blood cells due to acute
blood loss anemia.  She was seen by physical and occupational
therapy to improve her strength and mobility.

The rest of her hospital stay was uneventful with her lab data
and vital signs within normal limits and her pain controlled.
She is being discharged today in stable condition.

Medications on Admission:
denies

Discharge Medications:
1. Enoxaparin 40 mg/0.4 mL Syringe Sig: One (1) syrigne
Subcutaneous QPM (once a day (in the evening)) for 4 weeks.
Disp:*28 syrigne* Refills:*0*
2. Wheelchair
With elevating and removal leg rests and removable arm rests.
Disp # 1
3. Bedside Commode
Drop arm commode
Disp # 1
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
5. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4
hours) as needed for pain.
Disp:*90 Tablet(s)* Refills:*0*


Discharge Disposition:
Home With Service

Facility:
VNA Assoc. of [**Hospital3 **]

Discharge Diagnosis:
s/p pedestrian struck
Left femur fracture
LC1 pelivc fx with L sacrum fx and pubic rami fractures
Right proximal tibia fracture
Actue blood loss anemia


Discharge Condition:
Stable


Discharge Instructions:
Continue to be non-weight bearing on both your legs

Continue your lovenox injections as instructed

Please take all medication as prescribed

You have been prescribed a narcotic pain medication.  Please
take only as directed and do not drive or operate any machinery
while taking this medication.  There is a 72 hour (Monday
through Friday, 9am to 4pm) response time for prescription refil
requests.  There will be no prescription refils on Saturdays,
Sundays, or holidays.  Please plan accordingly.

If you have any increased redness, drainage, or swelling, or if
you have a temperature greater than 101.5, please call the
office or come to the emergency department
Physical Therapy:
Activity:  As tolerated
 Right lower extremity:  Non weight bearing
 Left lower extremity:  Non weight bearing
NWB BLE including transfers
[**Doctor Last Name **] brace unlocked, may have off in bed

Treatments Frequency:
Staples/Sutures out 14 days after surgery

Dry dressing daily or as needed for drainge or comfort

Lovenox x4 weeks

Followup Instructions:
Please follow up with [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], NP in orthopaedics in 2
weeks, please call [**Telephone/Fax (1) 1228**] to schedule that appointment.


                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2235**] MD, [**MD Number(3) 11417**]
{'Open fracture of upper end of tibia alone,Closed fracture of pubis,Acute posthemorrhagic anemia,Closed fracture of subtrochanteric section of neck of femur,Closed fracture of sacrum and coccyx without mention of spinal cord injury,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian'}


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: s/p pedestrian struck

PRESENT ILLNESS: Ms. [**Known lastname 83124**] is an 18 year old female who was a pedestrian
struck by a car.  She was taken to [**Hospital3 **] Hospital for
evaluation.  She was found to have pelivc fractures and a left
femur fracture.  She was then transferred to the [**Hospital1 18**] for
further evaluation and care.

MEDICAL HISTORY: Denies

MEDICATION ON ADMISSION: denies

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: n/a

SOCIAL HISTORY:  

### Response:
{'Open fracture of upper end of tibia alone,Closed fracture of pubis,Acute posthemorrhagic anemia,Closed fracture of subtrochanteric section of neck of femur,Closed fracture of sacrum and coccyx without mention of spinal cord injury,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian'}
