CHIEF COMPLAINT: 46 year-old male unwithnessed fall at work about 15-20 feet from
a ladder on contrauction site, was ambulatory on scene,
transferred to [**Hospital1 18**] with [**Location (un) **].Initialy was hypotensive in
ED, ? recieved 2L NS bolus and given 3units of PRBC.c/o left
shoulde pain and thingling on bilateral fingers.

PRESENT ILLNESS: see above

MEDICAL HISTORY: Acoustic neuroma
PSH: cochlear implants, intracranial tumor resection

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: none

SOCIAL HISTORY: lives at home
Closed fracture of second cervical vertebra,Open wound of finger(s), without mention of complication,Open wound of scalp, without mention of complication,Acquired spondylolisthesis,Accidental fall from ladder
Fx c2 vertebra-closed,Open wound of finger,Open wound of scalp,Acq spondylolisthesis,Fall from ladder
Admission Date:  [**2128-12-6**]              Discharge Date:   [**2128-12-11**]

Date of Birth:  [**2082-2-24**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 371**]
Chief Complaint:
46 year-old male unwithnessed fall at work about 15-20 feet from
a ladder on contrauction site, was ambulatory on scene,
transferred to [**Hospital1 18**] with [**Location (un) **].Initialy was hypotensive in
ED, ? recieved 2L NS bolus and given 3units of PRBC.c/o left
shoulde pain and thingling on bilateral fingers.

Major Surgical or Invasive Procedure:
Left femoral groin line

History of Present Illness:
see above

Past Medical History:
Acoustic neuroma
PSH: cochlear implants, intracranial tumor resection

Social History:
lives at home

Family History:
none

Pertinent Results:
[**2128-12-7**] 10:30AM BLOOD Hct-34.7*
[**2128-12-7**] 02:54AM BLOOD WBC-11.6* RBC-4.03* Hgb-12.3* Hct-34.2*
MCV-85 MCH-30.5 MCHC-35.9* RDW-13.4 Plt Ct-151
[**2128-12-6**] 02:10PM BLOOD WBC-11.1* RBC-3.84* Hgb-11.5* Hct-31.5*
MCV-82 MCH-30.0 MCHC-36.6* RDW-13.2 Plt Ct-221
[**2128-12-7**] 02:54AM BLOOD Plt Ct-151
[**2128-12-6**] 02:10PM BLOOD PT-12.7 PTT-23.8 INR(PT)-1.1
[**2128-12-6**] 02:10PM BLOOD Plt Ct-221
[**2128-12-6**] 02:10PM BLOOD Fibrino-174
[**2128-12-7**] 02:54AM BLOOD Glucose-133* UreaN-8 Creat-0.8 Na-138
K-3.7 Cl-105 HCO3-26 AnGap-11
[**2128-12-7**] 02:54AM BLOOD Calcium-8.1* Phos-3.4 Mg-1.5*
[**2128-12-6**] 02:42PM BLOOD Type-ART pO2-203* pCO2-38 pH-7.39
calHCO3-24 Base XS--1
[**2128-12-6**] 02:10PM BLOOD ASA-NEG Ethanol-NEG Acetmnp-9.4
Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
[**2128-12-6**] 02:21PM BLOOD Glucose-95 Lactate-2.5* Na-141 K-4.0
Cl-110 calHCO3-23
[**2128-12-6**] 02:42PM BLOOD Hgb-10.3* calcHCT-31 O2 Sat-97 COHgb-2
MetHgb-0

IMPRESSION:

Large extracranial right occipital soft tissue hematoma. Right
frontal lobe edema likely suggests contra-coup contusion until
proven otherwise. As the presence of a cochlear implant
precludes the ability to obtain an MRI exam, a contrast-enhanced
CT could help to distinguish contusion from other less likely
etiologies, e.g. a tumor.
2. A small focus of paraifalcine hemorrhage in the right
parietal lobe. This could be in a gyrus or subarachnoid in
locale.
3. Extensive posterior fossa surgery and left cochlear implant.

IMPRESSION:
1. Fracture of the left body of C2, extending into the adjacent
pedicle and lamina.
2. Fracture of the left superior facet of C7.
3. Traumatic grade I anterolisthesis of C6 on C7.

IMPRESSION:
1. Tiny 1- to 2-mm radiodensity (? foreign body) associated with
soft tissue swelling along the palmar aspect of the distal
phalanx of the index finger of the left hand.
2. No evidence of fracture or dislocation within the left
shoulder, elbow, and wrist.

IMPRESSION:
1. No evidence of trauma within the chest, abdomen, or pelvis.
2. Two soft tissue density masses within bilateral axillary
regions. These findings are concerning for metastatic disease.
3. Post-surgical changes within the left lung base, consistent
with segmentectomy. Correlation with the patient's history is
recommended.
4. Gas within the left iliac vein and IVC, presumably related to
traumatic groin catheter placement.
5. Cholelithiasis without evidence of acute cholecystitis.
6. 5-mm right renal pelvis non-obstructing stone.


Brief Hospital Course:
Admitted to trauma service- TSICU given concern of new
intraparenchymal hemorrhage and cervical spine fracture.
Patient stable in SICU.  Transferred to the floor on HD #2.
Followed by ortho spine service for complex C2 fracture and C6-7
fracture.  Taken to OR on [**2128-12-9**] for anterior fusion and
discketomy of C6-7.  NO complications.  Patient noted decrease
in neck and left shoulder pain postoperatively.  Physical
therapy evaluated, deamed strong and balanced with need for 1.5
days of therapy in house.

Plain film of left foot indicated avulsion fracture of 3rd
metatarsal

Medications on Admission:
none

Discharge Medications:
Percocet
Colace

Discharge Disposition:
Home

Discharge Diagnosis:
1. C2 complex fracture
2. C6-7 fracture
3. Scalp laceration
4.  Index finger laceration


Discharge Condition:
good


Discharge Instructions:
Wear your cervical collar at all times for 6 weeks or until
cleared by orthopedic surgery. Call your surgeon or return to
emergency room if you experience weakness in your upper
extremities or any significant change in your medical condition.

Followup Instructions:
1. Trauma clinic in 1 wekk. Call [**Telephone/Fax (1) 24689**] to schedule
2. [**Hospital **] clinic, Dr. [**Last Name (STitle) 363**] in 1 month at [**Telephone/Fax (1) 54028**]
{'Closed fracture of second cervical vertebra,Open wound of finger(s), without mention of complication,Open wound of scalp, without mention of complication,Acquired spondylolisthesis,Accidental fall from ladder'}


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: 46 year-old male unwithnessed fall at work about 15-20 feet from
a ladder on contrauction site, was ambulatory on scene,
transferred to [**Hospital1 18**] with [**Location (un) **].Initialy was hypotensive in
ED, ? recieved 2L NS bolus and given 3units of PRBC.c/o left
shoulde pain and thingling on bilateral fingers.

PRESENT ILLNESS: see above

MEDICAL HISTORY: Acoustic neuroma
PSH: cochlear implants, intracranial tumor resection

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: none

SOCIAL HISTORY: lives at home 

### Response:
{'Closed fracture of second cervical vertebra,Open wound of finger(s), without mention of complication,Open wound of scalp, without mention of complication,Acquired spondylolisthesis,Accidental fall from ladder'}
