CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient was a 59-year-old
male sent from [**Hospital6 3105**] status post fall
from a truck.  It was unknown if the patient was acting
unusual prior to the fall.  Status quickly deteriorated such
that his mental status worsened.  The patient blew both of
his pupils.  He experienced left-sided posturing.  His
breathing became labored and he was intubated at the outside
hospital.  He was at that time given paralytic and one dose
of mannitol.  At the outside hospital, the patient was noted
to have a subdural hemorrhage on CAT scan with cerebral shift
and a frontal skull fracture.  The patient was at that time
transferred to [**Hospital1 69**].

MEDICAL HISTORY: Hypertension.

MEDICATION ON ADMISSION: 

ALLERGIES: Unknown.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient is married.
Subdural hemorrhage,Unspecified essential hypertension,Compression of brain
Subdural hemorrhage,Hypertension NOS,Compression of brain
Admission Date: [**2200-11-3**]        Discharge Date: [**2200-11-4**]

Date of Birth:  [**2141-5-29**]        Sex:  M

Service:  TRA


HISTORY OF PRESENT ILLNESS:  The patient was a 59-year-old
male sent from [**Hospital6 3105**] status post fall
from a truck.  It was unknown if the patient was acting
unusual prior to the fall.  Status quickly deteriorated such
that his mental status worsened.  The patient blew both of
his pupils.  He experienced left-sided posturing.  His
breathing became labored and he was intubated at the outside
hospital.  He was at that time given paralytic and one dose
of mannitol.  At the outside hospital, the patient was noted
to have a subdural hemorrhage on CAT scan with cerebral shift
and a frontal skull fracture.  The patient was at that time
transferred to [**Hospital1 69**].

PAST MEDICAL HISTORY:  Hypertension.

HOME MEDICATIONS:  An antihypertensive of unknown name.

ALLERGIES:  Unknown.

SOCIAL HISTORY:  The patient is married.

PHYSICAL EXAMINATION:  Temperature 97.4, heart rate 89, blood
pressure 189/109, respiratory rate 13, saturating at 100
percent, ventilated.  The patient was unresponsive and
intubated.  Both pupils are 5 mm and fixed.  Tympanic
membranes are clear.  Cranial nerves are not assessable due
to unresponsiveness.  Trachea is midline.  There is blood in
the oropharynx.  Heart has a regular rate and rhythm.  Chest
is clear to auscultation bilaterally.  Abdomen soft,
nondistended, with no masses.  The patient was guaiac
positive.  He had weak rectal tone.  The patient had palpable
radial pulses and dorsalis pedis pulses bilaterally, but were
weak.  The patient had an abrasion on the left shin, but had
no other extremity deformity.  Back had no step-off
deformities.

LABORATORY STUDIES:  Significant for a white blood cell count
of 18.7, a hematocrit of 38.  Electrolytes were normal.
Coagulation profile was normal.  The patient had a lactate of
2.8.  Blood gases 7.5, 27, 72, 22 and 0.  Chest x-ray was
negative.  Pelvic x-ray was negative.  Head CT was repeated
and it showed a left subdural hematoma with mass effect
causing herniation.  There was a left frontal fracture.  FAST
exam was negative.  Neck CT and abdominal CTs were negative.

HOSPITAL COURSE:  The patient was immediately transferred to
the ICU and a neurosurgery consult was obtained.  The
neurosurgery department felt that decompression of the
subdural hematoma would not result in the patient's benefit.
This was discussed with the wife.  Apnea test was performed
and was positive for brain death.  It was at that time that
the family decided to make the patient CMO.  The organ bank
was notified and rejected the patient.



                        [**Name6 (MD) **] [**Name8 (MD) **] M.D. [**MD Number(1) **]

Dictated By:[**Last Name (NamePattern1) 3956**]
MEDQUIST36
D:  [**2200-11-4**] 15:30:19
T:  [**2200-11-5**] 02:50:23
Job#:  [**Job Number 56907**]
{'Subdural hemorrhage,Unspecified essential hypertension,Compression of brain'}


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 was a 59-year-old
male sent from [**Hospital6 3105**] status post fall
from a truck.  It was unknown if the patient was acting
unusual prior to the fall.  Status quickly deteriorated such
that his mental status worsened.  The patient blew both of
his pupils.  He experienced left-sided posturing.  His
breathing became labored and he was intubated at the outside
hospital.  He was at that time given paralytic and one dose
of mannitol.  At the outside hospital, the patient was noted
to have a subdural hemorrhage on CAT scan with cerebral shift
and a frontal skull fracture.  The patient was at that time
transferred to [**Hospital1 69**].

MEDICAL HISTORY: Hypertension.

MEDICATION ON ADMISSION: 

ALLERGIES: Unknown.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: The patient is married. 

### Response:
{'Subdural hemorrhage,Unspecified essential hypertension,Compression of brain'}
