CHIEF COMPLAINT: 

PRESENT ILLNESS: Ms. [**Known lastname 19314**] is a 72-year-old
woman with a past medical history significant for breast
cancer (status post lumpectomy times two in [**2141**] on the right
and in [**2154**] on the left, status post radiation therapy and
times two in [**2143**] and [**2152**]), and autoimmune hemolytic anemia
treated with prednisone times three months in [**2152**] who
presented with complaints of severe headache not relieved by
over-the-counter medications with no focal neurologic
symptoms who presented to her primary care physician with [**Name Initial (PRE) **]
severe headache.

MEDICAL HISTORY: 1.  Breast cancer, status post lumpectomy times two (in [**2141**]
on the right and in [**2154**] on the left), status post radiation
therapy and tamoxifen.
2.  Left sphenoid/frontal meningioma, status post left
frontal craniotomy times two (in [**2143**] and [**2152**]).
3.  Autoimmune hemolytic anemia in [**2152**], status post
prednisone times three months.
4.  Total abdominal hysterectomy/bilateral
salpingo-oophorectomy in [**2153**].
5.  Bilateral carpal tunnel release surgery.

MEDICATION ON ADMISSION: Medications at home included
multivitamin, and Decadron, and Prilosec which were started
prior to angiograph.

ALLERGIES: INTRAVENOUS CONTRAST DYE to which she gets a
full-body rash, HEPARIN causes thrombocytopenia, and
CIPROFLOXACIN.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She does not drink alcohol, and she quit
smoking.
Cerebral aneurysm, nonruptured,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of breast
Nonrupt cerebral aneurym,Hypertension NOS,DMII wo cmp nt st uncntr,Hx of breast malignancy
Admission Date:  [**2156-1-16**]       Discharge Date:  [**2156-1-22**]

Date of Birth:   [**2083-8-18**]       Sex:  F


HISTORY OF PRESENT ILLNESS:  Ms. [**Known lastname 19314**] is a 72-year-old
woman with a past medical history significant for breast
cancer (status post lumpectomy times two in [**2141**] on the right
and in [**2154**] on the left, status post radiation therapy and
times two in [**2143**] and [**2152**]), and autoimmune hemolytic anemia
treated with prednisone times three months in [**2152**] who
presented with complaints of severe headache not relieved by
over-the-counter medications with no focal neurologic
symptoms who presented to her primary care physician with [**Name Initial (PRE) **]
severe headache.

which was suggestive of an arteriovenous malformation.

PAST MEDICAL HISTORY:
1.  Breast cancer, status post lumpectomy times two (in [**2141**]
on the right and in [**2154**] on the left), status post radiation
therapy and tamoxifen.
2.  Left sphenoid/frontal meningioma, status post left
frontal craniotomy times two (in [**2143**] and [**2152**]).
3.  Autoimmune hemolytic anemia in [**2152**], status post
prednisone times three months.
4.  Total abdominal hysterectomy/bilateral
salpingo-oophorectomy in [**2153**].
5.  Bilateral carpal tunnel release surgery.

MEDICATIONS ON ADMISSION:  Medications at home included
multivitamin, and Decadron, and Prilosec which were started
prior to angiograph.

ALLERGIES:  INTRAVENOUS CONTRAST DYE to which she gets a
full-body rash, HEPARIN causes thrombocytopenia, and
CIPROFLOXACIN.

SOCIAL HISTORY:  She does not drink alcohol, and she quit
smoking.


HOSPITAL COURSE:   She was admitted to [**Hospital1 190**] on [**1-16**] for angiography.  Angiography
showed a dural arteriovenous fistula of the occipital sinus
with solitary supply from the right posterior meningeal artery
and venous hypertension of the left cerebellar veins with
cortical venous drainage into perimesencephalic veins into
vein of [**Male First Name (un) 2096**] and the straight sinus.  This single feeder
(right posterior meningeal artery) was coil-occluded using GDC
electrolytically detachable coils.

The patient was admitted to the Surgical Intensive Care Unit
after the procedure for observation.  Her blood pressure was
controlled to remain under a systolic pressure of 180, and
she remained neurologically stable.  She was started on
Decadron postoperatively, which was weaned off over the next
two days.

She was transferred to the floor on [**1-17**].  She
remained neurologically stable throughout her hospital
course.  Her headache resolved, and her blood pressure was
controlled with antihypertensives to remain under a systolic
pressure of 180.

On [**1-20**], she had an episode of brief decreased
responsiveness where she was seen by nurses to be trembling
in her extremities.  This episode was felt to be seizure
versus vasovagal episode, as it occurred while she was in the
bathroom.  She was somewhat drowsy after this episode, but
returned to her baseline soon after.  She was started on
Dilantin at the time of that episode which she will continue
for now.

CONDITION AT DISCHARGE:  At the time of discharge she was
stable.

DISCHARGE STATUS:  To be discharged to rehabilitation.

MEDICATIONS ON DISCHARGE:   Dilantin 300 mg p.o. q.d.

DISCHARGE DIAGNOSES:  Dural arteriovenous fistula at the
posterior meningeal artery, status post coil embolization.
She will need follow-up angiography to determine any residual or
recanalization.  If such is found she will need to undergo
craniotomy and skeletenization of her occipital sinus to effect
cure.


                            [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D., Ph.D.  14-133

Dictated By:[**Last Name (NamePattern1) 19315**]
MEDQUIST36

D:  [**2156-1-22**]  14:44
T:  [**2156-1-22**]  13:48
JOB#:  [**Job Number 19316**]
{'Cerebral aneurysm, nonruptured,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of breast'}


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: Ms. [**Known lastname 19314**] is a 72-year-old
woman with a past medical history significant for breast
cancer (status post lumpectomy times two in [**2141**] on the right
and in [**2154**] on the left, status post radiation therapy and
times two in [**2143**] and [**2152**]), and autoimmune hemolytic anemia
treated with prednisone times three months in [**2152**] who
presented with complaints of severe headache not relieved by
over-the-counter medications with no focal neurologic
symptoms who presented to her primary care physician with [**Name Initial (PRE) **]
severe headache.

MEDICAL HISTORY: 1.  Breast cancer, status post lumpectomy times two (in [**2141**]
on the right and in [**2154**] on the left), status post radiation
therapy and tamoxifen.
2.  Left sphenoid/frontal meningioma, status post left
frontal craniotomy times two (in [**2143**] and [**2152**]).
3.  Autoimmune hemolytic anemia in [**2152**], status post
prednisone times three months.
4.  Total abdominal hysterectomy/bilateral
salpingo-oophorectomy in [**2153**].
5.  Bilateral carpal tunnel release surgery.

MEDICATION ON ADMISSION: Medications at home included
multivitamin, and Decadron, and Prilosec which were started
prior to angiograph.

ALLERGIES: INTRAVENOUS CONTRAST DYE to which she gets a
full-body rash, HEPARIN causes thrombocytopenia, and
CIPROFLOXACIN.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: She does not drink alcohol, and she quit
smoking. 

### Response:
{'Cerebral aneurysm, nonruptured,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of breast'}
