CHIEF COMPLAINT: Subarachnoid hemorrhage.

PRESENT ILLNESS: 54-year-old male transferred
from [**Hospital6 8283**] with subarachnoid hemorrhage,
headache was of sudden onset above the right eye, beginning
last night.  He had never had a headache like this before.
There was no history of vomiting, no fevers or chills, no
history of trauma or falls.  The blood pressure was 220/100
and he received 20 mg of Labetalol, 1 gm of Dilantin and was
started on a sodium Nitroprusside infusion for blood pressure
control.  The patient gave no history of loss of

MEDICAL HISTORY: Nephritis at the age of 18,
hypertension, alcoholic.  According to wife, takes 7 drinks
per day.  The patient is a smoker.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subarachnoid hemorrhage,Hematoma complicating a procedure,Other and unspecified alcohol dependence, continuous,Hemiplegia, unspecified, affecting nondominant side,Unspecified essential hypertension,Tobacco use disorder,Rash and other nonspecific skin eruption,Alcoholic gastritis, without mention of hemorrhage
Subarachnoid hemorrhage,Hematoma complic proc,Alcoh dep NEC/NOS-contin,Unsp hmiplga nondmnt sde,Hypertension NOS,Tobacco use disorder,Nonspecif skin erupt NEC,Alchl gastrtis w/o hmrhg
Admission Date:  [**2188-10-6**]       Discharge Date: [**2188-10-24**]

Date of Birth:   [**2134-9-11**]       Sex:  M


CHIEF COMPLAINT:  Subarachnoid hemorrhage.

HISTORY OF PRESENT ILLNESS:  54-year-old male transferred
from [**Hospital6 8283**] with subarachnoid hemorrhage,
headache was of sudden onset above the right eye, beginning
last night.  He had never had a headache like this before.
There was no history of vomiting, no fevers or chills, no
history of trauma or falls.  The blood pressure was 220/100
and he received 20 mg of Labetalol, 1 gm of Dilantin and was
started on a sodium Nitroprusside infusion for blood pressure
control.  The patient gave no history of loss of

PAST MEDICAL HISTORY:  Nephritis at the age of 18,
hypertension, alcoholic.  According to wife, takes 7 drinks
per day.  The patient is a smoker.

ALLERGIES:  No known drug allergies.

MEDICATIONS:  Takes Enalapril and Toprol at home.

PHYSICAL EXAMINATION:  Patient is alert and oriented times
three.  Heart rate 83, blood pressure 168/96, respirations
24, oxygen saturation on room air 95.  Pupils equal and
reactive to light, extraocular movements intact.  Chest clear
to auscultation bilaterally.  Cardiac, S1 and S2 normal,
regular rate and rhythm.  Abdomen soft, nontender, non
distended, bowel sounds present.  Extremities warm, no edema.
Neuro examination, cranial nerves II through XII intact,
motor left upper extremity [**6-14**], left lower extremity [**5-15**]
throughout.  Right upper extremity [**6-14**], right lower extremity
[**6-14**] throughout.  Babinski bilaterally downgoing.

LABORATORY DATA:  White blood cells 9.0, hemoglobin 15.1,
hematocrit 44, platelet count 232,000, sodium 139, potassium
4.3, chloride 102, CO2 23, BUN 16, creatinine 0.8, blood
sugar 115.  PT 12.2, PTT 29.6, INR 1.03, calcium 9.7.  EKG,
normal sinus rhythm at 70, normal axis, [**5-16**] ST downgoing,
biphasic T waves in V5 and V6.  CT of the head showed large
hematoma in the region of the corpus callosum with
subarachnoid blood in the anterior hemispheric fissure and
adjacent sulci.  AVM of the right posterior frontal region with
communication to the right lateral ventricle and deep venous
system.  Aneurysm of the anterior communicating artery.
Subparietal hematoma with flattening of the corpus callosum and
lateral ventricles.

HOSPITAL COURSE:  The patient was admitted to the hospital on
[**2188-10-6**].  Blood pressure was controlled with sodium
Nitroprusside drip.  The patient underwent coiling of the
aneurysm on [**2188-10-6**] without any complication.  The patient
was then transferred to the SICU with a goal to maintain
systolic blood pressures between 150-180 with large volumes
of IV fluids, albumin and vasopressors.  Repeated
transcranial dopplers were done to ascertain the intracranial
blood flow and to check for vasospasm.  The postoperative
period remained uneventful and the patient was transferred to
the floor after stay of 15 days in the ICU.  The patient was
neurologically stable and doing well.

DISCHARGE DIAGNOSIS:
1.  Subarachnoid hemorrhage secondary to ACOM aneurysm
treated with endovascular coiling and untreated incidental
posterior frontal AVM.

CONDITION ON DISCHARGE:  Stable.

DISCHARGE STATUS:  Discharged to home.




                            [**First Name8 (NamePattern2) **] [**Name8 (MD) **], M.D.  [**MD Number(1) 1133**]

Dictated By:[**Doctor Last Name 35285**]
MEDQUIST36

D:  [**2188-10-24**]  10:58
T:  [**2188-10-24**]  12:13
JOB#:  [**Job Number 35286**]
{'Subarachnoid hemorrhage,Hematoma complicating a procedure,Other and unspecified alcohol dependence, continuous,Hemiplegia, unspecified, affecting nondominant side,Unspecified essential hypertension,Tobacco use disorder,Rash and other nonspecific skin eruption,Alcoholic gastritis, without mention of hemorrhage'}


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: Subarachnoid hemorrhage.

PRESENT ILLNESS: 54-year-old male transferred
from [**Hospital6 8283**] with subarachnoid hemorrhage,
headache was of sudden onset above the right eye, beginning
last night.  He had never had a headache like this before.
There was no history of vomiting, no fevers or chills, no
history of trauma or falls.  The blood pressure was 220/100
and he received 20 mg of Labetalol, 1 gm of Dilantin and was
started on a sodium Nitroprusside infusion for blood pressure
control.  The patient gave no history of loss of

MEDICAL HISTORY: Nephritis at the age of 18,
hypertension, alcoholic.  According to wife, takes 7 drinks
per day.  The patient is a smoker.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subarachnoid hemorrhage,Hematoma complicating a procedure,Other and unspecified alcohol dependence, continuous,Hemiplegia, unspecified, affecting nondominant side,Unspecified essential hypertension,Tobacco use disorder,Rash and other nonspecific skin eruption,Alcoholic gastritis, without mention of hemorrhage'}
