CHIEF COMPLAINT: EtOH withdrawal

PRESENT ILLNESS: 27 yo male with alcohol intoxication with a level to 600
presenting to the ICU with alcoholic withdrawal symptoms.

MEDICAL HISTORY: none

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: none

SOCIAL HISTORY: EtOH use/ abuse
Pneumonitis due to inhalation of food or vomitus,Alcohol abuse, unspecified,Alcohol withdrawal,Acute respiratory failure,Unspecified essential hypertension
Food/vomit pneumonitis,Alcohol abuse-unspec,Alcohol withdrawal,Acute respiratry failure,Hypertension NOS
Admission Date:  [**2156-10-23**]              Discharge Date:   [**2156-10-29**]

Date of Birth:  [**2129-1-10**]             Sex:   M

Service: MEDICINE

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 613**]
Chief Complaint:
EtOH withdrawal

Major Surgical or Invasive Procedure:
intubation


History of Present Illness:
27 yo male with alcohol intoxication with a level to 600
presenting to the ICU with alcoholic withdrawal symptoms.

Past Medical History:
none

Social History:
EtOH use/ abuse

Family History:
none

Pertinent Results:
[**2156-10-22**] 11:15PM   WBC-26.6* RBC-5.12 HGB-15.8 HCT-43.6 MCV-85
MCH-30.9 MCHC-36.3* RDW-12.9
[**2156-10-22**] 11:15PM URINE  bnzodzpn-NEG barbitrt-NEG opiates-NEG
cocaine-NEG amphetmn-NEG mthdone-NEG
[**2156-10-22**] 11:15PM   ASA-NEG ETHANOL-454* ACETMNPHN-NEG
bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
[**2156-10-22**] 11:15PM   ALT(SGPT)-47* AST(SGOT)-39 ALK PHOS-94
AMYLASE-109* TOT BILI-0.3

Brief Hospital Course:
Per an OMR note from Dr [**Last Name (STitle) **] [**Doctor Last Name **] to his new PCP:

27yo man who has received little medical care
and is here visiting from [**Country 7192**]. He was originally admitted
to the MICU after drinking about a case of beer and a bottle of
whiskey, resulting in an EtOH level near 600. He denies
depression or suicidality but acknowledges missing his family
in [**Country 7192**], and he "just drank too much." He required
intubation for airway protection, was found to have an
aspiration pneumonia, and at one point required pressors. After
extubation, he became markedly hypertensive, and he was treated
for EtOH withdrawal via CIWA scale.

He was transferred out to the floor on [**10-27**]. . At that point he
was doing very well, showing no signs
of EtOH WD and was asymptomatic from his pneumonia. He
minimized how much he drinks at baseline but repeatedly
acknowledged how this drinking episode was excessive, and he
has never experienced anything like this before. Eventually, he
stated he drinks about 10-11 beers about 2x/week, "but no
whiskey." Later he corrected himself and said his drinks this
much 2x/month. We had [**First Name8 (NamePattern2) 2411**] [**Last Name (NamePattern1) 2412**] of Addicitions Counselling
see him, and he demonstrated insight into the severity of this
episode. He was advised not to drink any EtOH, and he agreed to
attend AA meetings. He spoke to his brother here in [**Name (NI) 86**], who
convinced him not to return to [**Country 7192**] until he gets the
appropriate medical care and remains sober.

In addition, he remained hypertensive on captopril, and we
eventually switched him to lisinopril for ease of dosing. He
will follow up with you for further BP management as well as
general Primary Care.


Medications on Admission:
none

Discharge Medications:
1. Levofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q24H (every
24 hours) for 10 days.
Disp:*10 Tablet(s)* Refills:*0*
2. Lisinopril 20 mg Tablet Sig: One (1) Tablet PO once a day.
Disp:*30 Tablet(s)* Refills:*2*


Discharge Disposition:
Home

Discharge Diagnosis:
EtOH intoxication
Aspiration pneumonia


Discharge Condition:
stable and improving


Discharge Instructions:
You are being discharged home today.  You were admitted for your
alcohol overdose.  You were very sick and had to be managed in
the ICU for 4 days.  You have a pneumonia and need to continue
the antibiotics that are being prescribed.  You should take them
for their full course.  You also have high blood pressure and
have been prescribed a medication for this.

You should follow up with the appointments scheduled for you.
They are listed below.

You should call your doctor or return to the emergency
department if you develop a fever, chills, nausea, vomiting,
shortness of breath, chest pain, worsening cough, shaking,
tremors or any other concerns.

Followup Instructions:
Provider: [**Name10 (NameIs) 62718**] [**Last Name (NamePattern4) 62719**], MD Phone:[**Telephone/Fax (1) 250**]
Date/Time:[**2156-11-26**] 9:20


                             [**First Name5 (NamePattern1) **] [**Last Name (NamePattern1) **] MD [**MD Number(2) 617**]
{'Pneumonitis due to inhalation of food or vomitus,Alcohol abuse, unspecified,Alcohol withdrawal,Acute respiratory failure,Unspecified essential hypertension'}


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: EtOH withdrawal

PRESENT ILLNESS: 27 yo male with alcohol intoxication with a level to 600
presenting to the ICU with alcoholic withdrawal symptoms.

MEDICAL HISTORY: none

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: none

SOCIAL HISTORY: EtOH use/ abuse 

### Response:
{'Pneumonitis due to inhalation of food or vomitus,Alcohol abuse, unspecified,Alcohol withdrawal,Acute respiratory failure,Unspecified essential hypertension'}
