CHIEF COMPLAINT: Patient status post high speed motor vehicle accident

PRESENT ILLNESS: 21 year old female unrestrained rear seat passanger in a taxi
that was ejected from the vehicle. Asisted by EMS and transfer
to the Emergency Department at the [**Hospital1 1170**].

MEDICAL HISTORY: None

MEDICATION ON ADMISSION: None

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Patient was brought to eh ER by EMS after MVA responsive. She
became unresponsive and was placed on Endotracheal Entubation.
Gen: unresponsive.
Neck: cervical collar.
Chest: clear to auscultation bilaterally.
Abdomen: soft, non tender, non distended. FAST ultrasound exam
with fluid in [**Location (un) 6813**] pouch.
Extremeties: good pulses, no deformities.

FAMILY HISTORY: Patient is one of six children, family very close.

SOCIAL HISTORY: Swim coach.
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with no loss of consciousness,Injury to spleen with open wound into cavity, laceration extending into parenchyma,Closed fracture of pubis,Closed fracture of sacrum and coccyx without mention of spinal cord injury,Traumatic pneumothorax without mention of open wound into thorax,Pulmonary collapse,Other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle,Street and highway accidents,Closed fracture of one rib,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation
Brain lacer NEC w/o coma,Spleen parnchym lac-opn,Fracture of pubis-closed,Fx sacrum/coccyx-closed,Traum pneumothorax-close,Pulmonary collapse,Mv collision NOS-pasngr,Accid on street/highway,Fracture one rib-closed,Abn react-surg proc NEC
Admission Date:  [**2129-5-21**]              Discharge Date:   [**2129-5-29**]

Date of Birth:  [**2106-6-18**]             Sex:   F

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 371**]
Chief Complaint:
Patient status post high speed motor vehicle accident

Major Surgical or Invasive Procedure:
-Left Rib fracture with Pneumothorax s/p Chest Tube 7/2/5
-Splenectomy & right craniotomy for R sided subdural (7/2/5)


History of Present Illness:
21 year old female unrestrained rear seat passanger in a taxi
that was ejected from the vehicle. Asisted by EMS and transfer
to the Emergency Department at the [**Hospital1 1170**].

Past Medical History:
None

Social History:
Swim coach.

Family History:
Patient is one of six children, family very close.

Physical Exam:
Patient was brought to eh ER by EMS after MVA responsive. She
became unresponsive and was placed on Endotracheal Entubation.
Gen: unresponsive.
Neck: cervical collar.
Chest: clear to auscultation bilaterally.
Abdomen: soft, non tender, non distended. FAST ultrasound exam
with fluid in [**Location (un) 6813**] pouch.
Extremeties: good pulses, no deformities.

Pertinent Results:
[**2129-5-21**] 06:26PM   HCT-26.8*
[**2129-5-21**] 06:26PM   PT-14.8* PTT-30.2 INR(PT)-1.4
[**2129-5-21**] 03:18PM   TYPE-ART PO2-208* PCO2-38 PH-7.38 TOTAL
CO2-23 BASE XS--1
[**2129-5-21**] 03:18PM   LACTATE-3.9*
[**2129-5-21**] 03:07PM   UREA N-11 CREAT-0.7 SODIUM-143 POTASSIUM-4.5
CHLORIDE-114* TOTAL CO2-21* ANION GAP-13
[**2129-5-21**] 03:07PM   HCT-30.7*
[**2129-5-21**] 03:07PM   PLT COUNT-92*
[**2129-5-21**] 03:07PM   PT-14.4* PTT-30.5 INR(PT)-1.4
[**2129-5-21**] 12:25PM   TYPE-ART PO2-194* PCO2-35 PH-7.40 TOTAL
CO2-22 BASE XS--1
[**2129-5-21**] 12:25PM   GLUCOSE-155* K+-5.7*
[**2129-5-21**] 09:41AM   TYPE-ART TIDAL VOL-650 PEEP-10 O2-50 PO2-239*
PCO2-36 PH-7.39 TOTAL CO2-23 BASE XS--2
[**2129-5-21**] 09:41AM   LACTATE-4.7*
[**2129-5-21**] 09:30AM   PHENYTOIN-11.3
[**2129-5-21**] 09:30AM   WBC-12.0* RBC-4.27 HGB-12.9 HCT-37.0 MCV-87
MCH-30.2 MCHC-34.9 RDW-13.9
[**2129-5-21**] 09:30AM   PLT COUNT-106*
[**2129-5-21**] 08:27AM   LACTATE-4.8* NA+-139 K+-4.3 CL--111
[**2129-5-21**] 08:27AM   HGB-12.5 calcHCT-38
[**2129-5-21**] 06:55AM   PT-14.0* PTT-25.3 INR(PT)-1.3
[**2129-5-21**] 06:17AM   GLUCOSE-145* LACTATE-3.6* NA+-138 K+-4.2
CL--112
[**2129-5-21**] 02:55AM URINE  bnzodzpn-NEG barbitrt-NEG opiates-NEG
cocaine-NEG amphetmn-NEG mthdone-NEG
[**2129-5-21**] 02:55AM URINE  BLOOD-LGE NITRITE-NEG PROTEIN-30
GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0
LEUK-NEG
[**2129-5-21**] 02:44AM   PLT COUNT-262

Brief Hospital Course:
Patient went to SICU after splenectomy + Craniotomy with good
recovery. Transfer to the floor and follow up with Trauma
Surgery and Neuro Surgery. Had an episode of fever with negative
workout. Her diet was advanced and tolerated. She will be
schedule for Neurosurgery (closure) in two weeks.

Medications on Admission:
None

Discharge Medications:
1. Phenytoin 50 mg Tablet, Chewable Sig: One (1) Tablet,
Chewable PO TID (3 times a day).
2. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every
4 to 6 hours) as needed for fever.
3. Hydrocodone-Acetaminophen 5-500 mg Tablet Sig: 1-2 Tablets PO
Q4-6H (every 4 to 6 hours) as needed for pain for 3 days.
4. Ketorolac Tromethamine 15 mg/mL Solution Sig: One (1)
Injection Q6H (every 6 hours) as needed for 3 days.
5. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.) Sig:
One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).



Discharge Disposition:
Extended Care

Facility:
[**Hospital6 85**] - [**Location (un) 86**]

Discharge Diagnosis:
-Lef rib fracture
-Slenic laceration (Splenectomy)
-Right Subdural Hematoma (Craniotomy)
-Non operative pelvic/acetabular fracture

Discharge Condition:
Stable, oriented, alert, tolerating diet, walking

Discharge Instructions:
1. Diet as tolerated.
2. Analgesic for pain control
3. Follow up with Neurosurgery Dr [**First Name (STitle) 23161**] [**Telephone/Fax (1) 61628**]
4. Follow up with Trauma Surgery Clinic

Followup Instructions:
1. Follow up with Dr [**Last Name (STitle) **] (Neuro surgery)
2. Follow up with Trauma Surgery Clinic ([**Doctor Last Name **] Splenectomy)



Completed by:[**2129-5-29**]
{'Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with no loss of consciousness,Injury to spleen with open wound into cavity, laceration extending into parenchyma,Closed fracture of pubis,Closed fracture of sacrum and coccyx without mention of spinal cord injury,Traumatic pneumothorax without mention of open wound into thorax,Pulmonary collapse,Other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle,Street and highway accidents,Closed fracture of one rib,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}


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: Patient status post high speed motor vehicle accident

PRESENT ILLNESS: 21 year old female unrestrained rear seat passanger in a taxi
that was ejected from the vehicle. Asisted by EMS and transfer
to the Emergency Department at the [**Hospital1 1170**].

MEDICAL HISTORY: None

MEDICATION ON ADMISSION: None

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Patient was brought to eh ER by EMS after MVA responsive. She
became unresponsive and was placed on Endotracheal Entubation.
Gen: unresponsive.
Neck: cervical collar.
Chest: clear to auscultation bilaterally.
Abdomen: soft, non tender, non distended. FAST ultrasound exam
with fluid in [**Location (un) 6813**] pouch.
Extremeties: good pulses, no deformities.

FAMILY HISTORY: Patient is one of six children, family very close.

SOCIAL HISTORY: Swim coach. 

### Response:
{'Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with no loss of consciousness,Injury to spleen with open wound into cavity, laceration extending into parenchyma,Closed fracture of pubis,Closed fracture of sacrum and coccyx without mention of spinal cord injury,Traumatic pneumothorax without mention of open wound into thorax,Pulmonary collapse,Other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle,Street and highway accidents,Closed fracture of one rib,Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation'}
