CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient is a 36-year-old male
who is HIV positive, diagnosed with HIV in [**2142**].  In [**2153**], he
had a right frontal lesion which turned out to be a
microbacterial lesion which was treated.  In [**2157-2-26**], Mr.
[**Known lastname 15225**] had a grand mal seizure and had been on antiepileptic
medication.  About two months ago, he was in an altercation,
was hit and kicked in the head.  Particularly, but maybe to
some degree before, there had been progressive difficulties
with balance and a tendency for left lower extremity to
freeze in the middle of motion.  He also had increased
episodic tremor of the left-sided extremities with periodic
uncontrolled shaking of the left arm to the point that he
throws whatever he has in his hand out into the room.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Other convulsions,Human immunodeficiency virus [HIV] disease,Unspecified essential hypertension
Traumatic subdural hem,Convulsions NEC,Human immuno virus dis,Hypertension NOS
Admission Date:  [**2157-12-15**]     Discharge Date:  [**2157-12-20**]

Date of Birth:   [**2121-2-5**]     Sex:  M

Service:

HISTORY OF PRESENT ILLNESS:  Patient is a 36-year-old male
who is HIV positive, diagnosed with HIV in [**2142**].  In [**2153**], he
had a right frontal lesion which turned out to be a
microbacterial lesion which was treated.  In [**2157-2-26**], Mr.
[**Known lastname 15225**] had a grand mal seizure and had been on antiepileptic
medication.  About two months ago, he was in an altercation,
was hit and kicked in the head.  Particularly, but maybe to
some degree before, there had been progressive difficulties
with balance and a tendency for left lower extremity to
freeze in the middle of motion.  He also had increased
episodic tremor of the left-sided extremities with periodic
uncontrolled shaking of the left arm to the point that he
throws whatever he has in his hand out into the room.

PHYSICAL EXAMINATION:  This is a 35-year-old gentlemen in no
acute distress.  Speech and affect seem within normal limits.
There was hyperreflexia of the left upper extremity, to a
lesser degree of the left lower extremity.  Upgoing toes on
the left side.  Tone seems by and large equal.  There was
mild weakness 4/5 in the left hand, but otherwise, there was
virtually equal muscle function in the extremities.  An MRI
scan from [**2157-11-22**] showed a 12 x 14 mm thick
subdural collection with a 4 mm midline shift from right to
left.  Patient has a right chronic subdural hematoma.

HOSPITAL COURSE:  The patient had right frontal and parietal
bur holes on [**2157-12-15**] for drainage of subdural
hematoma.  Patient was monitored in the Surgical Intensive
Care Unit.  He was awake and alert.  Dressing was clean, dry
and intact.  He was oriented times three.  Mild tenderness
over the incisional site.  No obvious drift.  Pupils:  Left
pupil was 6 mm and trace reactive.  The right was 5.  Motor
strength, strong grasp.  Patient perseverating.
On postoperative day one, patient stable in stable condition
and ready for transfer to floor.  On [**12-16**], patient had
a generalized seizure with 02 saturations dropping to the
40s.  Patient was emergently intubated.  Gas was 6.49, 42,
163 and 10.  He had an emergent head CT which showed
extraaxial collection with some frontal air with no new
hemorrhage.  On [**2157-12-18**], patient was awake and
alert, oriented to person, place, month and year.  Pupils
equal and reactive.  Patient had a left pronator drift.
Muscle strength 5/5 in all muscles groups on the right.  On
the left he was 4+/5 in the deltoid, 5- in the biceps, [**3-2**] in
the tricep, 4+ in the AT and extensor hallucis longus on the
left.  Patient was extubated and transferred to the regular
floor on [**2157-12-18**].

On [**2157-12-19**], patient was awake and alert.  Vital
signs were stable.  He was afebrile.  Dressing was clean, dry
and intact.  He was oriented times three, still with the left
pronation.  Patient was discharged to home on [**2157-12-20**] with follow-up with Dr. [**Last Name (STitle) 6910**] in two weeks time.

MEDICATIONS AT THE TIME OF DISCHARGE:  At the time of
discharge, patient will resume all his antiviral medications
from preop and was discharged home on Dilantin and Percocet
for pain.

FOLLOW-UP:  Patient will follow-up with Dr. [**Last Name (STitle) 6910**] in two
weeks time.

DISCHARGE CONDITION:  Stable at the time of discharge.





                          [**Name6 (MD) 6911**] [**Name8 (MD) **], MD  [**MD Number(1) 6913**]

Dictated By:[**Last Name (NamePattern1) 344**]

MEDQUIST36

D:  [**2158-5-12**]  19:14
T:  [**2158-5-12**]  19:14
JOB#:  [**Job Number 15226**]
{'Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Other convulsions,Human immunodeficiency virus [HIV] disease,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: 

PRESENT ILLNESS: Patient is a 36-year-old male
who is HIV positive, diagnosed with HIV in [**2142**].  In [**2153**], he
had a right frontal lesion which turned out to be a
microbacterial lesion which was treated.  In [**2157-2-26**], Mr.
[**Known lastname 15225**] had a grand mal seizure and had been on antiepileptic
medication.  About two months ago, he was in an altercation,
was hit and kicked in the head.  Particularly, but maybe to
some degree before, there had been progressive difficulties
with balance and a tendency for left lower extremity to
freeze in the middle of motion.  He also had increased
episodic tremor of the left-sided extremities with periodic
uncontrolled shaking of the left arm to the point that he
throws whatever he has in his hand out into the room.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Other convulsions,Human immunodeficiency virus [HIV] disease,Unspecified essential hypertension'}
