CHIEF COMPLAINT: altered mental status

PRESENT ILLNESS: 87 yo F was standing at home and slumped over.  She was brought
to [**Hospital3 **] and found to have a large R basal ganglia
IPH with midline shift and was transferred to [**Hospital1 18**] for
neurosurgical evaluation.  She was intubated at the outside
hospital.

MEDICAL HISTORY: HTN, arthritis, cpinal stenosis, sciatica, GERD, hiatal hernia

MEDICATION ON ADMISSION: amlodipine, alendronate, diovan,fexofenadine, fluticasone,
lasix, vicodin, klorcon, lopressor,protonix, synthroid, ASA,
calcium-vitamin D,
glucosamine-chondrochoitin, MVI, senna

ALLERGIES: No Drug Allergy Information on File

PHYSICAL EXAM: PHYSICAL EXAM: (upon admission)
O: T:  BP: 102/54         HR: 56   R 14       O2Sats 100%
Gen: intubated
HEENT: Pupils: 2mm nonreactive bilat
Neck: Supple.
Lungs: CTA bilaterally.
Cardiac: RRR. S1/S2.
Abd: Soft, NT, BS+
Extrem: Warm and well-perfused.
Neuro:
Mental status: intubated, no eye opening, no commanda, withdraws
bilateral upper extremities to pain
+R corneal, no L corneal, +gag

FAMILY HISTORY: nc

SOCIAL HISTORY: fully functional at home, working, lives with her daughter
Intracerebral hemorrhage,Compression of brain,Unspecified essential hypertension,Diaphragmatic hernia without mention of obstruction or gangrene,Esophageal reflux,Arthropathy, unspecified, site unspecified,Spinal stenosis, unspecified region,Encounter for palliative care,Do not resuscitate status
Intracerebral hemorrhage,Compression of brain,Hypertension NOS,Diaphragmatic hernia,Esophageal reflux,Arthropathy NOS-unspec,Spinal stenosis NOS,Encountr palliative care,Do not resusctate status
Admission Date:  [**2191-1-3**]              Discharge Date:   [**2191-1-5**]


Service: NEUROSURGERY

Allergies:
No Drug Allergy Information on File

Attending:[**First Name3 (LF) 2724**]
Chief Complaint:
altered mental status

Major Surgical or Invasive Procedure:
none

History of Present Illness:
87 yo F was standing at home and slumped over.  She was brought
to [**Hospital3 **] and found to have a large R basal ganglia
IPH with midline shift and was transferred to [**Hospital1 18**] for
neurosurgical evaluation.  She was intubated at the outside
hospital.

Past Medical History:
HTN, arthritis, cpinal stenosis, sciatica, GERD, hiatal hernia

Social History:
fully functional at home, working, lives with her daughter

Family History:
nc

Physical Exam:
PHYSICAL EXAM: (upon admission)
O: T:  BP: 102/54         HR: 56   R 14       O2Sats 100%
Gen: intubated
HEENT: Pupils: 2mm nonreactive bilat
Neck: Supple.
Lungs: CTA bilaterally.
Cardiac: RRR. S1/S2.
Abd: Soft, NT, BS+
Extrem: Warm and well-perfused.
Neuro:
Mental status: intubated, no eye opening, no commanda, withdraws
bilateral upper extremities to pain
+R corneal, no L corneal, +gag

Toes upgoing bilaterally

Pertinent Results:
CT: R basal ganglia IPH, 5x7x6cm with 1.3 cm right to left
midline shift

Labs: INR 1.1, Plt 174


Brief Hospital Course:
Pt was admitted to the ICU and monitored closely. The grave
prognosis was discussed with the family and she was made DNR.
Family arrived from out of state and after discussion she was
made CMO.  She was extubated and maintained on morphine IV. The
patient expired at 2:21 PM on [**2191-1-5**] and an autopsy was
declined. Organ donation services were notified and the patient
was not deemed an organ donation candidate.

Medications on Admission:
amlodipine, alendronate, diovan,fexofenadine, fluticasone,
lasix, vicodin, klorcon, lopressor,protonix, synthroid, ASA,
calcium-vitamin D,
glucosamine-chondrochoitin, MVI, senna


Discharge Medications:
N/A

Discharge Disposition:
Expired

Discharge Diagnosis:
cerbral hemorrhage


Discharge Condition:
Expired.


Discharge Instructions:
N/A

Followup Instructions:
N/A
{'Intracerebral hemorrhage,Compression of brain,Unspecified essential hypertension,Diaphragmatic hernia without mention of obstruction or gangrene,Esophageal reflux,Arthropathy, unspecified, site unspecified,Spinal stenosis, unspecified region,Encounter for palliative care,Do not resuscitate status'}


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: altered mental status

PRESENT ILLNESS: 87 yo F was standing at home and slumped over.  She was brought
to [**Hospital3 **] and found to have a large R basal ganglia
IPH with midline shift and was transferred to [**Hospital1 18**] for
neurosurgical evaluation.  She was intubated at the outside
hospital.

MEDICAL HISTORY: HTN, arthritis, cpinal stenosis, sciatica, GERD, hiatal hernia

MEDICATION ON ADMISSION: amlodipine, alendronate, diovan,fexofenadine, fluticasone,
lasix, vicodin, klorcon, lopressor,protonix, synthroid, ASA,
calcium-vitamin D,
glucosamine-chondrochoitin, MVI, senna

ALLERGIES: No Drug Allergy Information on File

PHYSICAL EXAM: PHYSICAL EXAM: (upon admission)
O: T:  BP: 102/54         HR: 56   R 14       O2Sats 100%
Gen: intubated
HEENT: Pupils: 2mm nonreactive bilat
Neck: Supple.
Lungs: CTA bilaterally.
Cardiac: RRR. S1/S2.
Abd: Soft, NT, BS+
Extrem: Warm and well-perfused.
Neuro:
Mental status: intubated, no eye opening, no commanda, withdraws
bilateral upper extremities to pain
+R corneal, no L corneal, +gag

FAMILY HISTORY: nc

SOCIAL HISTORY: fully functional at home, working, lives with her daughter 

### Response:
{'Intracerebral hemorrhage,Compression of brain,Unspecified essential hypertension,Diaphragmatic hernia without mention of obstruction or gangrene,Esophageal reflux,Arthropathy, unspecified, site unspecified,Spinal stenosis, unspecified region,Encounter for palliative care,Do not resuscitate status'}
