CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 36-year-old
female with ethanol abuse, status post a motor vehicle
accident.  The patient was a pedestrian who was struck three
days ago and had refused treatment at that time.

MEDICAL HISTORY: 1.  Anorexia.
2.  Depression.
3.  Borderline diabetes.
4.  Ethanol abuse.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Other convulsions,Alcohol abuse, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Contusion of thigh,Edema of eyelid,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian
Traumatic subdural hem,Convulsions NEC,Alcohol abuse-unspec,DMII wo cmp nt st uncntr,Contusion of thigh,Edema of eyelid,Mv coll w pedest-pedest
Admission Date:  [**2185-10-29**]     Discharge Date:  [**2185-11-4**]

Date of Birth:   [**2149-2-12**]     Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 36-year-old
female with ethanol abuse, status post a motor vehicle
accident.  The patient was a pedestrian who was struck three
days ago and had refused treatment at that time.

The patient's mother brought the patient to an outside
hospital from mental status changes.  While in the Emergency
Department, the patient developed a seizure.  A head computed
tomography showed a left subdural hematoma with a midline
shift.   The patient was transferred to [**Hospital1 190**] for acute management.

PAST MEDICAL HISTORY:
1.  Anorexia.
2.  Depression.
3.  Borderline diabetes.
4.  Ethanol abuse.

ALLERGIES:  No known drug allergies.

PHYSICAL EXAMINATION ON PRESENTATION:  On physical
examination, the patient's blood pressure was 130/73, her
heart rate was 96, and her oxygen saturation was 100%, and
her respiratory rate was 18, and her temperature was 98.2
degrees Fahrenheit.  The patient was intubated and sedated.
The patient's pupils were constricted bilaterally.
Cardiovascular examination revealed a regular rate and
rhythm.  Pulmonary examination revealed the lungs were clear
to auscultation.  The abdomen was soft, nontender, and
nondistended.  There were positive bowel sounds.  Extremity
examination revealed no edema.

BRIEF SUMMARY OF HOSPITAL COURSE:   The patient was taken
emergently to the operating room for an evacuation of the
left subdural hematoma.  There were no intraoperative
complications.

Postoperatively, the patient's condition revealed the pupils
were 3 mm down to 2 mm and equally reactive.  She was still
intubated and sedated with a drain in place.  The patient was
awake and opened eyes.  She was following commands.  Two
fingers on the left with squeezing.  She withdrew briskly
with all extremities.  A postoperative computed tomography
scan showed a continued left subdural hematoma of
approximately 1.5 cm at the greatest width with 7 mm of
midline shift.  There was decreased effacement of the right
lateral ventricle compared with the preoperative head
computed tomography.

On [**2185-10-30**] the patient was moving all extremities.
She was following commands in the left upper extremities.
Squeezing on the right.  The patient was somewhat stable.
The drain continued to be in place.  The patient was to get a
repeat head computed tomography.  The head computed
tomography showed no change with the continued presence of
recurrent subdural hematoma.

Therefore, the patient was take back to the operating room on
[**2185-11-1**] for a second evacuation of what turned out
to be an epidural hematoma.  A postoperative head computed
tomography after the second surgery showed a significant
reduction of the epidural hematoma and midline shift.  The
patient was opening eyes to stimulation purposefully with
bilateral upper extremities showing exophthalmia on the left.
There was good motor function in the bilateral upper
extremities.  The patient was extubated and remained
neurologically stable.

The patient was extubated status post the second surgery
without difficulties. She was transferred to the regular
floor on [**2185-11-3**].  The remainder of her
postoperative course was uneventful.  She was discharged to
home after being cleared by the Physical Therapy Service with
a home safety evaluation.

DISCHARGE DISPOSITION:   The patient was discharged on
[**2185-11-4**] in stable condition with followup with Dr.
[**First Name (STitle) **] [**Name (STitle) 739**] in one month with a repeat head
computed tomography and followup for staple removal in 10
days.

CONDITION AT DISCHARGE:  The patient's condition on discharge
was stable.






                          [**Name6 (MD) 742**] [**Name8 (MD) **], M.D.
[**MD Number(1) 743**]

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

MEDQUIST36

D:  [**2186-1-26**]  13:04
T:  [**2186-1-28**]  10:03
JOB#:  [**Job Number 52127**]
{'Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Other convulsions,Alcohol abuse, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Contusion of thigh,Edema of eyelid,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian'}


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 36-year-old
female with ethanol abuse, status post a motor vehicle
accident.  The patient was a pedestrian who was struck three
days ago and had refused treatment at that time.

MEDICAL HISTORY: 1.  Anorexia.
2.  Depression.
3.  Borderline diabetes.
4.  Ethanol abuse.

MEDICATION ON ADMISSION: 

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Other convulsions,Alcohol abuse, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Contusion of thigh,Edema of eyelid,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian'}
