CHIEF COMPLAINT: s/p MVC

PRESENT ILLNESS: 46 year old male who was an unrestrained passenger in head-on
MVC.  He presented to the emergency room with bilateral hand
weakness and right lower extremity weakness.

MEDICAL HISTORY: pt denies

MEDICATION ON ADMISSION: 

ALLERGIES: Codeine

PHYSICAL EXAM: Upon discharge:
AVSS
NAD
A+O
c-collar in place
incision c/d/i
RUE: WF/WE/FF/FE/[**Hospital1 **]/tri 3-4 strength
LUE: WF/WE/FF/FE/[**Hospital1 **]/tri 3-4 strength
RLE: IP/[**Last Name (un) 938**]/GS [**3-12**],
LLE: [**4-11**] throughout

FAMILY HISTORY: NC

SOCIAL HISTORY: + tobacco
+ ETOH
Intervertebral disc disorder with myelopathy, cervical region,Motor vehicle traffic accident involving collision with other vehicle injuring passenger in motor vehicle other than motorcycle
Cerv disc dis w myelopat,Mv-oth veh coll-pasngr
Admission Date:  [**2127-5-14**]              Discharge Date:   [**2127-5-20**]

Date of Birth:  [**2080-7-23**]             Sex:   M

Service: ORTHOPAEDICS

Allergies:
Codeine

Attending:[**First Name3 (LF) 58653**]
Chief Complaint:
s/p MVC

Major Surgical or Invasive Procedure:
C5/C6 decompresssion


History of Present Illness:
46 year old male who was an unrestrained passenger in head-on
MVC.  He presented to the emergency room with bilateral hand
weakness and right lower extremity weakness.

Past Medical History:
pt denies

Social History:
+ tobacco
+ ETOH

Family History:
NC

Physical Exam:
Upon discharge:
AVSS
NAD
A+O
c-collar in place
incision c/d/i
RUE: WF/WE/FF/FE/[**Hospital1 **]/tri 3-4 strength
LUE: WF/WE/FF/FE/[**Hospital1 **]/tri 3-4 strength
RLE: IP/[**Last Name (un) 938**]/GS [**3-12**],
LLE: [**4-11**] throughout

SILT
brisk cap refill

Pertinent Results:
[**2127-5-14**] 10:38PM   UREA N-10 CREAT-1.0
[**2127-5-14**] 10:38PM   AMYLASE-113*
[**2127-5-14**] 10:38PM   ASA-NEG ETHANOL-189* ACETMNPHN-NEG
bnzodzpn-NEG barbitrt-NEG tricyclic-NEG
[**2127-5-14**] 10:38PM URINE  HOURS-RANDOM
[**2127-5-14**] 10:38PM URINE  bnzodzpn-NEG barbitrt-NEG opiates-NEG
cocaine-NEG amphetmn-NEG mthdone-NEG
[**2127-5-14**] 10:38PM   TYPE-[**Last Name (un) **] PO2-48* PCO2-52* PH-7.33* TOTAL
CO2-29 BASE XS-0 COMMENTS-GREEN TOP
[**2127-5-14**] 10:38PM   GLUCOSE-113* LACTATE-1.7 NA+-148 K+-4.8
CL--110
[**2127-5-14**] 10:38PM   HGB-14.7 calcHCT-44 O2 SAT-78 CARBOXYHB-5.6*
MET HGB-0.8
[**2127-5-14**] 10:38PM   freeCa-1.16
[**2127-5-14**] 10:38PM   WBC-9.0 RBC-4.46* HGB-14.4 HCT-41.2 MCV-92
MCH-32.3* MCHC-35.0 RDW-12.6
[**2127-5-14**] 10:38PM   PLT COUNT-278
[**2127-5-14**] 10:38PM   PT-16.0* PTT-27.2 INR(PT)-1.5*
[**2127-5-14**] 10:38PM URINE  COLOR-Straw APPEAR-Clear SP [**Last Name (un) 155**]-1.011
[**2127-5-14**] 10:38PM URINE  BLOOD-NEG NITRITE-NEG PROTEIN-NEG
GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0
LEUK-NEG
[**2127-5-14**] 10:38PM URINE  RBC-0-2 WBC-0-2 BACTERIA-OCC YEAST-NONE
EPI-0-2
[**2127-5-14**] 10:38PM URINE  HYALINE-[**10-27**]*

Brief Hospital Course:
The patient was evaluated in the emergency room and admitted to
the TSICU for observation and workup of his b/l upper extremity
weakness.  He was placed on 24 hours of steroid.  A CT scan was
done of his spine.  This showed no fractures or dislocations.  A
MRI was then done which showed cord compression.  He was taken
emergently to the operating room for decompression of C5/C6.
See operative note for details.  He tolerated the procedure
well.  He remained intubated and was brought back to the TSICU.
In the am on POD#1 he was extubated without difficulty.  In the
afternoon on POD#1 he was transferred to the floor to the
orthopaedic spine service.  On the floor he did well.  He was
seen by OT and PT and progressed well.  His strength in his
upper extremities improved daily.  His labs and vital signs
remained stable.  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. Nicotine 14 mg/24 hr Patch 24HR Sig: One (1) Patch 24HR
Transdermal DAILY (Daily).
3. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
4. Multivitamin     Capsule Sig: One (1) Cap PO DAILY (Daily).
5. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

6. Thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
7. Lorazepam 1 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every 4 to 6
hours) as needed: for anxiety.
8. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO
every 4-6 hours as needed.
9. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
10. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed.
11. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed.
12. Hydromorphone 2 mg Tablet Sig: One (1) Tablet PO Q3-4H
(Every 3 to 4 Hours) as needed for btp.


Discharge Disposition:
Extended Care

Facility:
[**Hospital6 2222**] - [**Location (un) 538**]

Discharge Diagnosis:
C5/C6 cord compression


Discharge Condition:
Stable


Discharge Instructions:
Please keep incision clean and dry.  If you notice any increased
redness, swelling, drainage, temperature >101.4, shortness of
emergency room.  Take all medications as prescribed.  You may
continue any normal home medications.  Please follow up as
below. Call with any questions.

Followup Instructions:
Please follow up with Dr. [**Last Name (STitle) **] in 2 weeks.  Call
[**Telephone/Fax (1) **] to make an appointment.


                             [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 17007**] MD [**MD Number(2) 58655**]

Completed by:[**2127-5-20**]
{'Intervertebral disc disorder with myelopathy, cervical region,Motor vehicle traffic accident involving collision with other vehicle injuring passenger in motor vehicle other than motorcycle'}


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: s/p MVC

PRESENT ILLNESS: 46 year old male who was an unrestrained passenger in head-on
MVC.  He presented to the emergency room with bilateral hand
weakness and right lower extremity weakness.

MEDICAL HISTORY: pt denies

MEDICATION ON ADMISSION: 

ALLERGIES: Codeine

PHYSICAL EXAM: Upon discharge:
AVSS
NAD
A+O
c-collar in place
incision c/d/i
RUE: WF/WE/FF/FE/[**Hospital1 **]/tri 3-4 strength
LUE: WF/WE/FF/FE/[**Hospital1 **]/tri 3-4 strength
RLE: IP/[**Last Name (un) 938**]/GS [**3-12**],
LLE: [**4-11**] throughout

FAMILY HISTORY: NC

SOCIAL HISTORY: + tobacco
+ ETOH 

### Response:
{'Intervertebral disc disorder with myelopathy, cervical region,Motor vehicle traffic accident involving collision with other vehicle injuring passenger in motor vehicle other than motorcycle'}
