CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 32 year old man,
admitted on [**2125-9-8**] when he was assaulted by his roommate,
early in the morning. There was positive loss of
consciousness.  When he regained consciousness, he crawled to
a phone and called 911.  On the scene, he had a GCS of 15 and
a large amount of blood as described by EMS.  He was taken to
an outside hospital.  There, he had a head CT which was
negative.  Besides the facial trauma he had sustained, he
began to complain of abdominal pain and was transferred at
that time to [**Hospital1 69**] trauma bay.
He was hemodynamically stable en route and complaining only
of left sided chest pain and abdominal pain.  There was no
previous medical history of surgical history.  He is not
taking any medications and denies having any allergies.  The
patient smokes and drinks.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Injury to liver without mention of open wound into cavity, hematoma and contusion,Closed fracture of other facial bones,Closed fracture of lumbar vertebra without mention of spinal cord injury,Assault by unspecified means,Open wound of other and multiple sites of face, without mention of complication
Liver hematoma/contusion,Fx facial bone NEC-close,Fx lumbar vertebra-close,Assault NOS,Open wound of face NEC
Admission Date: [**2125-9-8**]       Discharge Date: [**2125-9-10**]

Date of Birth:   [**2093-3-30**]       Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  This is a 32 year old man,
admitted on [**2125-9-8**] when he was assaulted by his roommate,
early in the morning. There was positive loss of
consciousness.  When he regained consciousness, he crawled to
a phone and called 911.  On the scene, he had a GCS of 15 and
a large amount of blood as described by EMS.  He was taken to
an outside hospital.  There, he had a head CT which was
negative.  Besides the facial trauma he had sustained, he
began to complain of abdominal pain and was transferred at
that time to [**Hospital1 69**] trauma bay.
He was hemodynamically stable en route and complaining only
of left sided chest pain and abdominal pain.  There was no
previous medical history of surgical history.  He is not
taking any medications and denies having any allergies.  The
patient smokes and drinks.

PHYSICAL EXAMINATION:  Initial vital signs reveal a
temperature of 99.4; 81; 110 by palpable; 100% on room air;
GCS of 15; pupils are equal, round, and reactive to light and
accommodation. Extraocular movements intact, without pain.
Significant amount of facial edema as well as several
lacerations.  Mandible was intact. There were no missing
teeth. The mid face was stable.  The neck revealed a midline
trachea without any obvious crepitus or deformities.  The
left side of the chest was tender without crepitus.  There
was a regular rate with equal breath sounds bilaterally. The
abdomen was diffusely tender, had bowel sounds. There was
guarding but there was no rebound.  The rectum had normal
tone, guaiac positive.  Brown stool.  Prostate in the normal
spot. The back was without step-off and was nontender.  There
was no edema or gross deformity in any of the extremities,
which the patient was able to move without pain.

LABORATORY DATA:  Significant for a urinalysis with large
blood, greater than 50 red blood cells, lactate of 234,
normal amylase.

RADIOLOGIC DATA:  CXR and PXR without fracture, pneumothorax
or other acute disease.

CT of the head, repeated, revealed no bleed, mass or shift,
although there was a right maxillary sinus fracture.  CT of
the C spine was negative.  CT of the abdomen revealed a grade
I to II liver laceration and contusion, without free fluid in
the abdomen.  A cystogram was negative for extravasation,
although there was no contrast noted in the left ureter,
raising the question of a ureteral injury but again, there
was no free fluid noted in the abdomen. The spleen and
kidneys were otherwise unremarkable.  Facial cuts of the head
revealed a non displaced fracture of the left lateral orbital
wall and fracture of the nasal bones and septum.  There was
no right maxillary fracture noticed on the facial cut CT.
TLS films revealed transverse process fractures on the right
sided L2 and L3.

HOSPITAL COURSE:  The patient was admitted to the T-SICU for
serial hematocrits and abdominal examination.  His hematocrit
remained stable and his abdominal examination improved
progressively.  Ophthalmology and plastic surgery were both
consulted regarding the patient's facial fracture.  It is
likely that the patient will be able to enjoy non operative
management of his injuries, although he will be following up
with plastic surgery in a week as an outpatient.  An
orthopedic spine consult was also obtained and again, no
brace or operation was felt to be needed to manage this
patient's injuries. His urinalysis gradually cleared of the
red cells and as his abdominal examination remained so
benign, it was felt that a ureteral injury was extremely
unlikely and no further work-up was obtained for that
possible injury.  The patient is discharged home with the
aforementioned follow-up.

FINAL DIAGNOSES:
Status post assault.
Liver contusion.
Left orbital wall fracture.
L2 and L3 transverse process fracture on the right.
Facial lacerations.

The patient will have his sutures out when he returns to the
Emergency Department within two days and he will be seen in
trauma clinic within two weeks as well. Dr. [**Last Name (STitle) 363**] will be
following his spine.

DISCHARGE MEDICATIONS:
Bacitracin to the various facial abrasions he sustained.
Erythromycin ointment to the eye four times a day for a week
prophylactically.
Docusate.
Percocet prn with 30 dispense.
Ibuprofen 600 mg three times a day with food.

                            [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 520**], M.D.  [**MD Number(1) 521**]

Dictated By:  [**First Name8 (NamePattern2) 20**] [**Last Name (NamePattern1) **], M.D.
MEDQUIST36/D:  [**2125-9-10**]  07:01/T:  [**2125-9-10**]  18:07
JOB#:  [**Job Number **]
{'Injury to liver without mention of open wound into cavity, hematoma and contusion,Closed fracture of other facial bones,Closed fracture of lumbar vertebra without mention of spinal cord injury,Assault by unspecified means,Open wound of other and multiple sites of face, without mention of complication'}


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: This is a 32 year old man,
admitted on [**2125-9-8**] when he was assaulted by his roommate,
early in the morning. There was positive loss of
consciousness.  When he regained consciousness, he crawled to
a phone and called 911.  On the scene, he had a GCS of 15 and
a large amount of blood as described by EMS.  He was taken to
an outside hospital.  There, he had a head CT which was
negative.  Besides the facial trauma he had sustained, he
began to complain of abdominal pain and was transferred at
that time to [**Hospital1 69**] trauma bay.
He was hemodynamically stable en route and complaining only
of left sided chest pain and abdominal pain.  There was no
previous medical history of surgical history.  He is not
taking any medications and denies having any allergies.  The
patient smokes and drinks.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Injury to liver without mention of open wound into cavity, hematoma and contusion,Closed fracture of other facial bones,Closed fracture of lumbar vertebra without mention of spinal cord injury,Assault by unspecified means,Open wound of other and multiple sites of face, without mention of complication'}
