CHIEF COMPLAINT: s/p motorcycle crash

PRESENT ILLNESS: The patient is a 24 year old female who was involved in a
motorcycle crash.  She was not helmeted and she fell off the
back of the motorcycle.  No LOC.  She was intially brought to
[**Hospital 8641**] Hospital and transferred to [**Hospital1 18**].

MEDICAL HISTORY: Asthma

MEDICATION ON ADMISSION: OCP
MVI

ALLERGIES: Sulfa (Sulfonamides)

PHYSICAL EXAM: Upon admission

FAMILY HISTORY: NC

SOCIAL HISTORY: Lives with parents in [**State 4260**]
Open supracondylar fracture of femur,Open fracture of unspecified part of fibula with tibia,Other motor vehicle traffic accident involving collision with motor vehicle injuring passenger on motorcycle,Acute posthemorrhagic anemia,Asthma, unspecified type, unspecified
Supracondyl fx femur-opn,Fx tibia w fib NOS-open,Mv coll NOS-mcycl psngr,Ac posthemorrhag anemia,Asthma NOS
Admission Date:  [**2136-5-26**]              Discharge Date:   [**2136-6-6**]

Date of Birth:  [**2111-11-12**]             Sex:   F

Service: ORTHOPAEDICS

Allergies:
Sulfa (Sulfonamides)

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

Major Surgical or Invasive Procedure:
[**2136-5-26**]: external fixator placement LLE + I+D
[**2136-5-30**]: ORIF with [**Last Name (un) 101**] plates femur and tibia


History of Present Illness:
The patient is a 24 year old female who was involved in a
motorcycle crash.  She was not helmeted and she fell off the
back of the motorcycle.  No LOC.  She was intially brought to
[**Hospital 8641**] Hospital and transferred to [**Hospital1 18**].

Past Medical History:
Asthma

Social History:
Lives with parents in [**State 4260**]

Family History:
NC

Physical Exam:
Upon admission

BP: 77/58   HR: 116   RR: 21

HEAD: NCAT, EOMI, OP WNL, C-collar in place
LUNGS: CTA b/l
HEART: Regular
ABD: soft, NT/ND, FAST -
BUE: uninjured, NVI
RLE: uninjured, NVI
LLE: laceration of medial femoral condyle, laceration to
anterior tibia
     compartments soft
     pulses dopplerable

Brief Hospital Course:
The patient was evaluated in the emergency room by the trauma
team and orthopedics.  Her FAST US was negative.  She was given
gentamycin and clindamycin.  She was hypotensive and emergently
given 3 units of PRBC's.  She was admitted to the trauma team
under the care of the TSICU.  She was brought emergently to the
operating room with orthopedics for an I+D and external fixator
placement to her left leg.  She tolerated the procedure well.
She was extubated and brought to the recovery room in stable
condition.  Once stable in the PACU she was transferred to the
floor.  Her c-collar was cleared by the trauma services and she
was then transferred to orthopedics.  On POD#2 she was
hypotensive and her hematocrit was 17.1 secondary to post
operative anemia.  She was transfused 2 units PRBC's bring her
Hct up to 21.6 and stabilizing her blood pressure.  On [**2136-5-30**]
she was brought back to the operating room for ORIF of her left
femur and tibia.  She tolerated the procedure well.  She was
extubated and brought to the recovery room in stable condition.
On [**2136-6-1**] she was transfused one unit PRBC's for post operative
anemia.  She was evaluated by physical therapy and progressed
well.  The remainder of her hospital course was without
incident.  Her pain was well controlled.  Her labs and vitals
signs remained stable.  She is being discharged today in stable
condition.

Medications on Admission:
OCP
MVI

Discharge Medications:
1. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3H (every 3
hours) as needed for pain.
Disp:*20 Tablet(s)* Refills:*0*
2. Enoxaparin 30 mg/0.3 mL Syringe Sig: One (1)  Subcutaneous
Q12H (every 12 hours) for 4 weeks.
Disp:*56 * Refills:*0*
3. Morphine 30 mg Tablet Sustained Release Sig: One (1) Tablet
Sustained Release PO Q12H (every 12 hours) as needed for pain.
Disp:*20 Tablet Sustained Release(s)* Refills:*0*
4. Docusate Sodium 100 mg Tablet Sig: One (1) Tablet PO BID (2
times a day) as needed for constipation: take if needed for
constipation.
5. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed for constipation: take if needed for
constipation.


Discharge Disposition:
Home With Service

Facility:
Home Care of [**Doctor Last Name **] County

Discharge Diagnosis:
Left open distal femur fracture and open tibial plateau fracture

Acute blood loss anemia
Post operative anemia


Discharge Condition:
Stable


Discharge Instructions:
Please do not bear weight on your left leg.

Please keep incisions clean and dry.  Dry dressing daily as
needed.  If you notice any increased redness, swelling,
drainage, temperature >101.4, or difficulty breathing please
[**Name8 (MD) 138**] MD or report to the emergency room.

Please take all medications as prescribed.  You need to take the
lovenox shots for 4 weeks to prevent blood clots.  You may
resume any normal home medications.

Please follow up as below.  Call with any questions.
Physical Therapy:
TDWB LLE knee locked in extension, can do ROM 0-90.
Treatments Frequency:
Dry dressing daily as needed

Followup Instructions:
Please follow up with Dr. [**Last Name (STitle) **] in 2 weeks.  Call
[**Telephone/Fax (1) **] to make that appointment.


                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2235**] MD, [**MD Number(3) 11417**]

Completed by:[**2136-6-6**]
{'Open supracondylar fracture of femur,Open fracture of unspecified part of fibula with tibia,Other motor vehicle traffic accident involving collision with motor vehicle injuring passenger on motorcycle,Acute posthemorrhagic anemia,Asthma, unspecified type, unspecified'}


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 motorcycle crash

PRESENT ILLNESS: The patient is a 24 year old female who was involved in a
motorcycle crash.  She was not helmeted and she fell off the
back of the motorcycle.  No LOC.  She was intially brought to
[**Hospital 8641**] Hospital and transferred to [**Hospital1 18**].

MEDICAL HISTORY: Asthma

MEDICATION ON ADMISSION: OCP
MVI

ALLERGIES: Sulfa (Sulfonamides)

PHYSICAL EXAM: Upon admission

FAMILY HISTORY: NC

SOCIAL HISTORY: Lives with parents in [**State 4260**] 

### Response:
{'Open supracondylar fracture of femur,Open fracture of unspecified part of fibula with tibia,Other motor vehicle traffic accident involving collision with motor vehicle injuring passenger on motorcycle,Acute posthemorrhagic anemia,Asthma, unspecified type, unspecified'}
