CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 52-year-old
man who woke up on the day of admission with the worst
headache of his life.  He fell to the floor unconscious.
There were no neurologic deficits.  He was taken to
[**Doctor Last Name 40277**] Hospital, where a head CT revealed a subarachnoid
[**Hospital **] [**First Name (Titles) **] [**Last Name (Titles) **] for further management.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Intracerebral hemorrhage,Hyposmolality and/or hyponatremia
Intracerebral hemorrhage,Hyposmolality
Admission Date:  [**2159-7-28**]       Discharge Date:  [**2159-8-13**]

Date of Birth:   [**2106-12-11**]       Sex:  M

Service:
HISTORY OF THE PRESENT ILLNESS:  The patient is a 52-year-old
man who woke up on the day of admission with the worst
headache of his life.  He fell to the floor unconscious.
There were no neurologic deficits.  He was taken to
[**Doctor Last Name 40277**] Hospital, where a head CT revealed a subarachnoid
[**Hospital **] [**First Name (Titles) **] [**Last Name (Titles) **] for further management.

PAST MEDICAL HISTORY:  None.

PAST SURGICAL HISTORY:
1.  Umbilical hernia repair.
2.  Status post knee surgery.
MEDICATIONS:  None.

ALLERGIES:  None.

HOSPITAL COURSE:  The patient was taken to angio upon
arrival, which revealed an ACOM aneurysm and he was taken to the
operating room and underwent clipping of the aneurysm.  He
tolerated the procedure well with no intraoperative
complications.

VITAL SIGNS:  Heart rate 57, blood pressure 113/60,
respiratory rate 17, saturations 98%.  Postoperatively, he
was alert, oriented times three.  Sensation was grossly
intact.  Pupils equal, round, and reactive to light.  Cranial
nerves II through XII intact.  CARDIOVASCULAR:  Regular rate
and rhythm.  RESPIRATORY:  Clear to auscultation bilaterally.
ABDOMEN:  Soft, nontender, nondistended.  EXTREMITIES:  No
clubbing, cyanosis or edema.  The patient was status post
craniotomy with clipping of an ACOM aneurysm.  He was in
stable condition.  The patient also had vent drain placed at
the time of surgery.  On [**7-30**], the patient was somewhat
sleepy.  The patient received a 500 cc fluid bolus.  He also
had question of a right drift.  The patient was taken to
angio for evaluation for vasospasm, which was negative.  On
[**2159-8-2**], the patient went back to angio, which showed no
residual aneurysm and minimal vasospasm.  There was no
treatment done at that tine.  The patient was transferred
back to the Intensive Care Unit for close monitoring.

On [**2159-8-4**], the patient spiked to 102.  CSF was sent for
culture.  The patient continued to be on a high rate of IV
fluid and monitored for vasospasm.  He was alert, oriented
times three with slight right pronator drift.

The patient remained neurologically stable with drain,
eventually raised up to 20 cm above the tragus on [**2159-8-7**].
All cultures to date have been negative.  The patient
continued to have low grade temperature.  Vital signs were
stable.  He was afebrile.  CSF was negative.

On [**2159-8-9**], the patient neurologically was awake, alert,
and oriented times three.  Face was symmetrical with no drift
and he was moving all extremities with good strength.  The
ventriculostomy drain was discontinued.

On [**2159-8-10**], the patient had LP to check opening pressure,
which was 22.  Ventriculostomy drain was discontinued on the
26th.  The patient was transferred to the regular floor on
[**2159-8-10**] in stable condition.  The patient was seen by the
Departments of Physical Therapy and Occupational Therapy.

On [**8-13**]/2902 the patient had a repeat head CT, which showed
increased size of the ventricles.  He had LP, which did not
show a significant opening pressure.  The patient was
discharged to home in stable condition with followup with
Dr. [**Last Name (STitle) 1132**] in one to two weeks.

MEDICATIONS ON DISCHARGE:
1.  Dilantin 100 mg PO t.i.d.
2.  Nimodipine 60 mg q.4h.
3.  Senna one tablet PO b.i.d.
4.  Colace 100 mg PO b.i.d.
5.  Zantac 150 mg PO b.i.d.

CONDITION ON DISCHARGE:  Stable on discharge.

FOLLOW-UP CARE:  The patient will followup with Dr. [**Last Name (STitle) 1132**] in
two weeks' time.

                            [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 1133**]

Dictated By:[**Last Name (NamePattern1) 344**]
MEDQUIST36

D:  [**2159-11-14**]  11:38
T:  [**2159-11-14**]  11:49
JOB#:  [**Job Number 43164**]
{'Intracerebral hemorrhage,Hyposmolality and/or hyponatremia'}


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 is a 52-year-old
man who woke up on the day of admission with the worst
headache of his life.  He fell to the floor unconscious.
There were no neurologic deficits.  He was taken to
[**Doctor Last Name 40277**] Hospital, where a head CT revealed a subarachnoid
[**Hospital **] [**First Name (Titles) **] [**Last Name (Titles) **] for further management.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: None.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Intracerebral hemorrhage,Hyposmolality and/or hyponatremia'}
