CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 69-year-old
woman with a sudden onset of blinding headache on the day of
admission with no neck pain, nausea, vomiting, blurry vision
or trauma.  She had no chest pain or shortness of breath or
dizziness.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: GENERAL:  She is awake, alert and oriented x3.
VITAL SIGNS:  Her temperature was 96??????, heart rate 62, blood
pressure 131/72, respiratory rate 18.  Saturations were 99%
on room air.
HEAD, EARS, EYES, NOSE AND THROAT:  Her pupils equal, round
and reactive to light.
NEUROLOGIC:  Cranial nerves II through XII were intact.  On
motor strength, she had no pronator drift and she was [**6-6**] in
all muscle groups.
CARDIOVASCULAR:  She had a S1 and S2, no S3 or S4.
ABDOMEN:  Soft, nontender, nondistended.
EXTREMITIES:  No cyanosis, clubbing or edema.

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subarachnoid hemorrhage,Unspecified essential hypertension,Pneumonia, organism unspecified,Urinary tract infection, site not specified
Subarachnoid hemorrhage,Hypertension NOS,Pneumonia, organism NOS,Urin tract infection NOS
Admission Date:  [**2106-6-10**]       Discharge Date:  [**2106-6-25**]

Date of Birth:   [**2036-7-7**]       Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 69-year-old
woman with a sudden onset of blinding headache on the day of
admission with no neck pain, nausea, vomiting, blurry vision
or trauma.  She had no chest pain or shortness of breath or
dizziness.

PHYSICAL EXAM:
GENERAL:  She is awake, alert and oriented x3.
VITAL SIGNS:  Her temperature was 96??????, heart rate 62, blood
pressure 131/72, respiratory rate 18.  Saturations were 99%
on room air.
HEAD, EARS, EYES, NOSE AND THROAT:  Her pupils equal, round
and reactive to light.
NEUROLOGIC:  Cranial nerves II through XII were intact.  On
motor strength, she had no pronator drift and she was [**6-6**] in
all muscle groups.
CARDIOVASCULAR:  She had a S1 and S2, no S3 or S4.
ABDOMEN:  Soft, nontender, nondistended.
EXTREMITIES:  No cyanosis, clubbing or edema.

CT showed subarachnoid hemorrhage.

HOSPITAL COURSE:  She was admitted to the Neurosurgical
Intensive Care Unit for blood pressure control.  On
[**2106-6-11**], she underwent a coiling of a right posterior
communicating artery aneurysm.  Coiling was successful and
the patient was monitored in the Neurologic Intensive Care
Unit for 10 days to watch for vasospasm.  The patient had no
episodes of vasospasm while in the Intensive Care Unit.  Her
vital signs remained stable.  She was afebrile.  She did have
complaints of headache on and off.  She was medicated with
Percocet.  She had transcranial Dopplers which showed some
mild elevation, but no clinical evidence of vasospasm.  She
had repeat arteriogram on [**2106-6-18**] which showed no evidence
of vasospasm.

The patient continued to be monitored for blood pressure
monitoring and was started on Neo-Synephrine to keep her
blood pressure greater than 150.  On [**2106-6-19**], the patient
had a temperature of 101.2?????? and she was started on
ceftriaxone for left lower lobe pneumonia.  The patient
developed loose stools, most likely it was thought to be
related to her lactose intolerance, however it persisted
after lactose diet was initiated and a Clostridium difficile
toxin was sent.  The patient is on a 10 day course of
ceftriaxone and she is day 7 of 10 days.  She was transferred
to the regular floor on [**2106-6-23**].  She remains in stable
condition.  She was seen by physical therapy and occupational
therapy and found to require rehabilitation.

DISCHARGE MEDICATIONS:
1.  Percocet 1 to 2 tablets po q4h prn
2.  Ceftriaxone 2 gm intravenous q 24 hours to be continued
until [**2106-6-28**].
3.  Heparin 5000 units subcutaneous q 12 hours.

The patient was in stable condition at the time of discharge
and will follow up with Dr. [**Last Name (STitle) 1132**] in two weeks' time.




                            [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 1133**]

Dictated By:[**Last Name (NamePattern1) 344**]
MEDQUIST36

D:  [**2106-6-24**]  11:25
T:  [**2106-6-24**]  12:05
JOB#:  [**Job Number **]
{'Subarachnoid hemorrhage,Unspecified essential hypertension,Pneumonia, organism unspecified,Urinary tract infection, site not specified'}


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: The patient is a 69-year-old
woman with a sudden onset of blinding headache on the day of
admission with no neck pain, nausea, vomiting, blurry vision
or trauma.  She had no chest pain or shortness of breath or
dizziness.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: GENERAL:  She is awake, alert and oriented x3.
VITAL SIGNS:  Her temperature was 96??????, heart rate 62, blood
pressure 131/72, respiratory rate 18.  Saturations were 99%
on room air.
HEAD, EARS, EYES, NOSE AND THROAT:  Her pupils equal, round
and reactive to light.
NEUROLOGIC:  Cranial nerves II through XII were intact.  On
motor strength, she had no pronator drift and she was [**6-6**] in
all muscle groups.
CARDIOVASCULAR:  She had a S1 and S2, no S3 or S4.
ABDOMEN:  Soft, nontender, nondistended.
EXTREMITIES:  No cyanosis, clubbing or edema.

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subarachnoid hemorrhage,Unspecified essential hypertension,Pneumonia, organism unspecified,Urinary tract infection, site not specified'}
