CHIEF COMPLAINT: Stab wound right back

PRESENT ILLNESS: 20M who stabbed in the right back by an unknown male.  He was
brought the ED at [**Hospital1 18**] where a right thoracostomy tube was
placed for a right hemopneumothorax.

MEDICAL HISTORY: Psychiatric history

MEDICATION ON ADMISSION: Depakote, Prilosec, Haldol

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On Discharge:
VS: 99.7, 90, 120/80, 18, 100% on 2L NC
Gen: no distress, alert and oriented x 3
HEENT: NC/AT, PERLA, EOMi, mucus membranes moist
Neck: supple, no LAD
Chest: RRR, lungs clear bilaterally, pigtail and thoracostomy
tube sites with dressings that are clean/dry/intact
Abd: soft, nontender, nondistended
Ext: palplable pulses, no edema

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: He denies tobacco and ETOH use.
Open wound of back, without mention of complication,Traumatic pneumohemothorax without mention of open wound into thorax,Unspecified pleural effusion,Assault by cutting and piercing instrument
Open wound of back,Traum pneumohemothor-cl,Pleural effusion NOS,Assault-cutting instr
Admission Date:  [**2137-9-23**]              Discharge Date:   [**2137-9-28**]

Date of Birth:  [**2116-10-30**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 974**]
Chief Complaint:
Stab wound right back

Major Surgical or Invasive Procedure:
Thoracostomy tube placement [**2137-9-23**]
Pigtail catheter placement [**2137-9-26**]


History of Present Illness:
20M who stabbed in the right back by an unknown male.  He was
brought the ED at [**Hospital1 18**] where a right thoracostomy tube was
placed for a right hemopneumothorax.

Past Medical History:
Psychiatric history

Social History:
He denies tobacco and ETOH use.

Family History:
Noncontributory

Physical Exam:
On Discharge:
VS: 99.7, 90, 120/80, 18, 100% on 2L NC
Gen: no distress, alert and oriented x 3
HEENT: NC/AT, PERLA, EOMi, mucus membranes moist
Neck: supple, no LAD
Chest: RRR, lungs clear bilaterally, pigtail and thoracostomy
tube sites with dressings that are clean/dry/intact
Abd: soft, nontender, nondistended
Ext: palplable pulses, no edema

Pertinent Results:
Admission labs:
[**2137-9-23**] 04:30PM BLOOD WBC-5.0 RBC-4.80 Hgb-12.9* Hct-39.7*
MCV-83 MCH-26.8* MCHC-32.4 RDW-14.4 Plt Ct-191
[**2137-9-23**] 07:10PM BLOOD Neuts-70.3* Lymphs-23.4 Monos-4.8 Eos-1.4
Baso-0.1
[**2137-9-23**] 04:30PM BLOOD PT-15.0* PTT-25.7 INR(PT)-1.3*
[**2137-9-23**] 11:16PM BLOOD Glucose-98 UreaN-7 Creat-1.0 Na-136 K-4.3
Cl-104 HCO3-22 AnGap-14

Discharge labs:
[**2137-9-25**] 07:51AM BLOOD WBC-6.0 RBC-4.27* Hgb-11.5* Hct-34.8*
MCV-82 MCH-27.1 MCHC-33.1 RDW-13.9 Plt Ct-145*
[**2137-9-25**] 07:51AM BLOOD Glucose-94 UreaN-3* Creat-1.0 Na-137
K-3.4 Cl-100 HCO3-26 AnGap-14
[**2137-9-25**] 07:51AM BLOOD Calcium-8.7 Phos-2.1* Mg-1.9

Imaging:
[**9-23**] CXR: Hemopneumothorax (pre chest tube placement)
[**9-23**] CT Torso: Right chest tube in place. residual blood,
multicomponent PTX including anterior, inferior, and medial
components. Bibasilar effusion, some collapse of RUL and RLL. No
subdiaphragmatic injury.
[**9-26**] CXR: Unchanged PTX s/p right pigtail. R chest tube
unchanged
[**9-28**] CXR: no PTX after pigtail removal

Brief Hospital Course:
Mr. [**Known lastname **] was admitted on [**2137-9-23**] after he received a stab
wound to his right back by an unknown male.  A right
thoracostomy tube was place in the ED for a right
hydropneumothorax.  Serial chest x-rays were performed to ensure
adequate drainage of the hemothorax with re-expansion of the
right lung.  He developed a persistent effusion in the right
chest so a pigtail [**Last Name (un) **] was placed into the right chest on HD4
and the right thoracostomy tube was removed.  The pneumothorax
resolved and the effusion was drained adequately.  The pigtail
catheter was removed on HD6 and a post-pull CXR showed no
pneumothorax.  He was tolerating a regular diet and had adequate
pain control and PO medications.  He did not have respiratory
complaints or chest pain after pigtail catheter removal.  He was
discharged in good condition with appropriate follow up.

Medications on Admission:
Depakote, Prilosec, Haldol

Discharge Medications:
All home medications plus:
1. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
Q4H (every 4 hours) as needed.
Disp:*40 Tablet(s)* Refills:*0*
2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*30 Capsule(s)* Refills:*0*


Discharge Disposition:
Home

Discharge Diagnosis:
Stab wound to right chest
Right hemopneumothorax


Discharge Condition:
Good


Discharge Instructions:
Return to the Emergency Department if you experience:
- fever >101.5 or chills
- increasing pain not relieved by your medication
- inability to eat or drink
- persistent nausea or vomiting
- drainage from your chest incisions
- increasing redness around your incisions
- increasing shortness of breath or chest pain
- any other concerns that you may have

Continue taking all of your home medications.

You will be give a prescription for pain medication.  Do not
drive while taking this medication as it may make you drowsy.

Do not take a tub bath.  You may shower.  You may remove the
dressings on Monday.

Followup Instructions:
Provider: [**Name10 (NameIs) **],[**Name11 (NameIs) **] [**Name Initial (NameIs) **].  [**Telephone/Fax (1) 2359**]  Call to schedule
appointment or if you have any questions.
{'Open wound of back, without mention of complication,Traumatic pneumohemothorax without mention of open wound into thorax,Unspecified pleural effusion,Assault by cutting and piercing instrument'}


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: Stab wound right back

PRESENT ILLNESS: 20M who stabbed in the right back by an unknown male.  He was
brought the ED at [**Hospital1 18**] where a right thoracostomy tube was
placed for a right hemopneumothorax.

MEDICAL HISTORY: Psychiatric history

MEDICATION ON ADMISSION: Depakote, Prilosec, Haldol

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On Discharge:
VS: 99.7, 90, 120/80, 18, 100% on 2L NC
Gen: no distress, alert and oriented x 3
HEENT: NC/AT, PERLA, EOMi, mucus membranes moist
Neck: supple, no LAD
Chest: RRR, lungs clear bilaterally, pigtail and thoracostomy
tube sites with dressings that are clean/dry/intact
Abd: soft, nontender, nondistended
Ext: palplable pulses, no edema

FAMILY HISTORY: Noncontributory

SOCIAL HISTORY: He denies tobacco and ETOH use. 

### Response:
{'Open wound of back, without mention of complication,Traumatic pneumohemothorax without mention of open wound into thorax,Unspecified pleural effusion,Assault by cutting and piercing instrument'}
