CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 60 year-old
female with a history of diabetes mellitus, end stage renal
disease on hemodialysis and hypertension who was found
unresponsive on her floor on [**2188-9-22**].  The patient
was last seen awake and talking the previous night.  The
patient was intubated in the field and brought in at [**Hospital1 **] [**First Name (Titles) 2142**] [**Last Name (Titles) **].  Blood pressure on admission
was 230 to 260/80 to 100, pulse 55 to 70.  On initial
examination the patient was unresponsive to voice.  The
patient was intubated.  The patient showed decerebrate
posturing to sternal rub.  Face symmetric.  Pupils 2 mm
fixed, positive OCR.  No blink.  Decreased tone throughout.
Head CT revealed subarachnoid hemorrhage, large right basal
ganglia bleed and extension into the ventricles with evidence
of hydrocephalus and a 1 cm midline shift.  The patient the
same day on [**2188-9-22**] underwent a right frontal
intraventricular drain placement.  The patient continued to
be monitored in an Intensive Care Unit setting.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subarachnoid hemorrhage,Obstructive hydrocephalus,Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Mechanical complication of other vascular device, implant, and graft,Acute respiratory failure
Subarachnoid hemorrhage,Obstructiv hydrocephalus,DMII renl nt st uncntrld,Hyp kid NOS w cr kid V,Malfunc vasc device/graf,Acute respiratry failure
Admission Date:  [**2188-9-22**]     Discharge Date:  [**2188-9-26**]

Date of Birth:   [**2128-8-8**]     Sex:  F

Service:  NEUROSURGERY

HISTORY OF PRESENT ILLNESS:  The patient is a 60 year-old
female with a history of diabetes mellitus, end stage renal
disease on hemodialysis and hypertension who was found
unresponsive on her floor on [**2188-9-22**].  The patient
was last seen awake and talking the previous night.  The
patient was intubated in the field and brought in at [**Hospital1 **] [**First Name (Titles) 2142**] [**Last Name (Titles) **].  Blood pressure on admission
was 230 to 260/80 to 100, pulse 55 to 70.  On initial
examination the patient was unresponsive to voice.  The
patient was intubated.  The patient showed decerebrate
posturing to sternal rub.  Face symmetric.  Pupils 2 mm
fixed, positive OCR.  No blink.  Decreased tone throughout.
Head CT revealed subarachnoid hemorrhage, large right basal
ganglia bleed and extension into the ventricles with evidence
of hydrocephalus and a 1 cm midline shift.  The patient the
same day on [**2188-9-22**] underwent a right frontal
intraventricular drain placement.  The patient continued to
be monitored in an Intensive Care Unit setting.

On [**2188-9-24**], the patient had evidence of brain stem
compression with a left cranial nerve III palsy.  This was
explained to the family.  On [**9-26**] on neurological
examination the patient had no pupillary response to light.
No OCR.  No corneals, no gag reflux with ETT movement.  No
cold cholurics bilaterally, no withdraw to pain in any
extremities.  No posturing or movement with sternal rub.
Neurological no brain stem reflexes were elicited and given
the lack of response, this is consistent with brain death.

The patient was reexamined later that day and again fulfilled
brain death criteria.  This was discussed with the family and
the family made the decision to withdraw the patient off life
support and off the ventilator.  The ventilator was shut off
in the evening of [**9-26**] and the patient was declared
dead at 8:22 p.m.

                          [**First Name8 (NamePattern2) **] [**Name8 (MD) **], M.D.  [**MD Number(1) 1133**]

Dictated By:[**Last Name (NamePattern1) 4039**]
MEDQUIST36
D:  [**2188-9-27**]  08:37
T:  [**2188-9-29**]  08:29
JOB#:  [**Job Number 9081**]
{'Subarachnoid hemorrhage,Obstructive hydrocephalus,Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Mechanical complication of other vascular device, implant, and graft,Acute respiratory failure'}


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 60 year-old
female with a history of diabetes mellitus, end stage renal
disease on hemodialysis and hypertension who was found
unresponsive on her floor on [**2188-9-22**].  The patient
was last seen awake and talking the previous night.  The
patient was intubated in the field and brought in at [**Hospital1 **] [**First Name (Titles) 2142**] [**Last Name (Titles) **].  Blood pressure on admission
was 230 to 260/80 to 100, pulse 55 to 70.  On initial
examination the patient was unresponsive to voice.  The
patient was intubated.  The patient showed decerebrate
posturing to sternal rub.  Face symmetric.  Pupils 2 mm
fixed, positive OCR.  No blink.  Decreased tone throughout.
Head CT revealed subarachnoid hemorrhage, large right basal
ganglia bleed and extension into the ventricles with evidence
of hydrocephalus and a 1 cm midline shift.  The patient the
same day on [**2188-9-22**] underwent a right frontal
intraventricular drain placement.  The patient continued to
be monitored in an Intensive Care Unit setting.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subarachnoid hemorrhage,Obstructive hydrocephalus,Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease,Mechanical complication of other vascular device, implant, and graft,Acute respiratory failure'}
