CHIEF COMPLAINT: Crush injury

PRESENT ILLNESS: The patient is a 24 year old male who presented to ED via the
trauma service by medlfight. Pt was involved in a construction
accident at his work where he was pinned between a moving truck
and a stationary truck.  He was medflighted in secondary to a
pulseless extremity

MEDICAL HISTORY: None

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Upon discharge:
AVSS
NAD
A+O
CTA
RRR
S/NT/ND/+BS
RLE: incisions c/d/i
     +[**Last Name (un) 938**]/FHL/AT/G/S
     SILT
     2+ DP/PT
     brisk cap refill

FAMILY HISTORY: NC

SOCIAL HISTORY: construction worker
Injury to popliteal artery,Acute posthemorrhagic anemia,Retention of urine, unspecified,Closed fracture of patella,Crushing injury of knee,Closed fracture of condyle, femoral,Closed fracture of upper end of tibia alone,Nontraffic accident involving other off-road motor vehicle injuring pedestrian,Traumatic compartment syndrome of lower extremity,Acute pain due to trauma,Tobacco use disorder
Injury popliteal artery,Ac posthemorrhag anemia,Retention urine NOS,Fracture patella-closed,Crushing injury knee,Fx femoral condyle-close,Fx upper end tibia-close,Oth off-road mv-pedest,Trauma comp synd low ext,Acute pain due to trauma,Tobacco use disorder
Admission Date:  [**2172-10-24**]              Discharge Date:   [**2172-11-3**]

Date of Birth:  [**2148-10-12**]             Sex:   M

Service: ORTHOPAEDICS

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 8587**]
Chief Complaint:
Crush injury

Major Surgical or Invasive Procedure:
[**2172-10-24**]:
fem-[**Doctor Last Name **] bypass graft
repair of gastrocnemius + gracilis tear
[**2172-10-25**]: RLE fasciotomies
[**2172-10-30**]: ORIF Right patella


History of Present Illness:
The patient is a 24 year old male who presented to ED via the
trauma service by medlfight. Pt was involved in a construction
accident at his work where he was pinned between a moving truck
and a stationary truck.  He was medflighted in secondary to a
pulseless extremity

Past Medical History:
None

Social History:
construction worker

Family History:
NC

Physical Exam:
Upon discharge:
AVSS
NAD
A+O
CTA
RRR
S/NT/ND/+BS
RLE: incisions c/d/i
     +[**Last Name (un) 938**]/FHL/AT/G/S
     SILT
     2+ DP/PT
     brisk cap refill

Brief Hospital Course:
The patient was admitted to the trauma service.  He was
emergently taken to the operating room with the vascular service
for repair of his popliteal artery injury.  He tolerated the
procedure well.  He was extubated and brought to the TSICU for
close monitoring.  On POD#1 his compartments were closely
monitored.  He developed increased swelling and some diminished
sensation over toes [**2-23**].  Vascular surgery then took him back to
the operating room for RLE fasciotomies.  He tolerated the
procedure well.  He was extubated and brought to the recovery
room in stable condition.  Post-operatively he was transferred
to the vascular service.  Once stable in the PACU he was
transferred to the floor.  On the floor he did well.  His pain
was well controlled.  He was seen by social work for emotional
support.  He was transfused 2 units PRBC's on [**2172-10-29**] for post
op anemia.  On [**2172-10-30**] he was brought back to the operating
room for ORIF of his right patella with orthopedics.  He
tolerated the procedure well.  He was extubated and brought to
the recovery room in stable condition.  Once stable in the PACU
he was transferred to the floor.  On the floor he did well.  He
was seen by physical therapy and progressed well.  He was also
seen by chronic pain service to help control his post-operative
pain.  His labs and vitals remained stable.  His pain was well
controlled.  His hospital course was otherwise without incident.
 He is being discharged today to rehab in stable condition.

Discharge Medications:
1. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every
4 to 6 hours) as needed.
2. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1)
Tablet, Chewable PO DAILY (Daily).
3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
4. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed.
5. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO BID (2 times a day) as needed.

6. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO
DAILY (Daily).
7. Enoxaparin 30 mg/0.3 mL Syringe Sig: One (1) 30 mg syringe
Subcutaneous Q12H (every 12 hours) for 4 weeks.
8. Simethicone 80 mg Tablet, Chewable Sig: 0.5-1 Tablet,
Chewable PO QID (4 times a day) as needed.
9. Tizanidine 2 mg Tablet Sig: One (1) Tablet PO TID (3 times a
day).
10. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO TID (3
times a day).
11. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3-4H (Every 3
to 4 Hours) as needed.


Discharge Disposition:
Extended Care

Facility:
[**Hospital6 979**] - [**Location (un) 24402**], ME

Discharge Diagnosis:
Right popliteal artery injury
Right patella fracture
Right lateral femoral condyle fracture
Right lateral tibial plateau fracture
Post operative anemia


Discharge Condition:
Stable


Discharge Instructions:
Please keep incision clean and dry.  Dry sterile dressing daily
as needed.  If you notice any increased redness, swelling,
drainage, temperature >101.4, or shortness of breathe please
[**Name8 (MD) 138**] MD or report to the emergency room.

Please take all medications as prescribed.  You need to take the
lovenox shots to prevent blood clots.  You may resume any normal
home medication.

Please follow up as below.  Call with any questions.
Physical Therapy:
WBAT
ROM as tol
Treatments Frequency:
Dry sterile dressing daily

Followup Instructions:
Please follow up with Dr. [**Last Name (STitle) **] at the [**Hospital1 18**] orthopedic
clinic clinic in 2 weeks.  Call [**Telephone/Fax (1) **] to make that
appointment.

Please follow up with Dr. [**Last Name (STitle) **] at the [**Hospital1 18**] vascular
clinic in 2 weeks.  Call [**Telephone/Fax (1) **] to make that appointment.



Completed by:[**2172-11-3**]
{'Injury to popliteal artery,Acute posthemorrhagic anemia,Retention of urine, unspecified,Closed fracture of patella,Crushing injury of knee,Closed fracture of condyle, femoral,Closed fracture of upper end of tibia alone,Nontraffic accident involving other off-road motor vehicle injuring pedestrian,Traumatic compartment syndrome of lower extremity,Acute pain due to trauma,Tobacco use disorder'}


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: Crush injury

PRESENT ILLNESS: The patient is a 24 year old male who presented to ED via the
trauma service by medlfight. Pt was involved in a construction
accident at his work where he was pinned between a moving truck
and a stationary truck.  He was medflighted in secondary to a
pulseless extremity

MEDICAL HISTORY: None

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Upon discharge:
AVSS
NAD
A+O
CTA
RRR
S/NT/ND/+BS
RLE: incisions c/d/i
     +[**Last Name (un) 938**]/FHL/AT/G/S
     SILT
     2+ DP/PT
     brisk cap refill

FAMILY HISTORY: NC

SOCIAL HISTORY: construction worker 

### Response:
{'Injury to popliteal artery,Acute posthemorrhagic anemia,Retention of urine, unspecified,Closed fracture of patella,Crushing injury of knee,Closed fracture of condyle, femoral,Closed fracture of upper end of tibia alone,Nontraffic accident involving other off-road motor vehicle injuring pedestrian,Traumatic compartment syndrome of lower extremity,Acute pain due to trauma,Tobacco use disorder'}
