CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 41 year-old
left handed gentleman without significant past medical
history who was admitted urgently on [**2145-11-4**] to the
neurology service after several episodes of focal sensory
motor seizure symptoms of the left arm and leg on the day of
admission.  MRI scan revealed a right frontal cingular gyrus
mass with intrapyranchamal hemorrhage and large surrounding
edema.  The patient was in the hospital for two days and then
discharged with follow up for surgery.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Secondary malignant neoplasm of brain and spinal cord,Other convulsions,Malignant neoplasm of kidney, except pelvis
Sec mal neo brain/spine,Convulsions NEC,Malig neopl kidney
Admission Date:  [**2145-11-17**]     Discharge Date:  [**2145-11-20**]

Date of Birth:   [**2104-5-9**]     Sex:  M

Service:  NEUROSURGERY

HISTORY OF PRESENT ILLNESS:  The patient is a 41 year-old
left handed gentleman without significant past medical
history who was admitted urgently on [**2145-11-4**] to the
neurology service after several episodes of focal sensory
motor seizure symptoms of the left arm and leg on the day of
admission.  MRI scan revealed a right frontal cingular gyrus
mass with intrapyranchamal hemorrhage and large surrounding
edema.  The patient was in the hospital for two days and then
discharged with follow up for surgery.

HOSPITAL COURSE:  The patient was readmitted on [**2145-11-17**]
status post a right frontal craniotomy for excision of tumor.
 Postoperatively, he was awake, alert with no diplopia.
Pupils are equal, round and reactive to light with left
facial weakness and left upper extremity and lower extremity
plegia.  Right side was intact. Toes were downgoing.  The
patient was monitored in the Recovery Room overnight and
transferred to the regular floor on postoperative day one
where he was awake and alert with again left facial droop.
Able to close eyes completely.  He continued to have left
hemiplegia with toes downgoing.  Sensation was intact on the
left.  Moving lower extremity with stimulation.  Right side
was 5 out of 5.  He was transferred to the regular floor and
loaded with a gram of Dilantin and was assessed for a bedside
swallow.  He was seen by physical therapy and occupational
therapy.  Postoperative MRI showed swelling, but no residual
tumor.  The patient was followed by physical therapy and had
doppler of the left lower extremity due to swelling, which
was negative.  The patient was then transferred to rehab on
[**2145-11-20**] with follow up with Dr. [**First Name (STitle) **] in two weeks in the
Brain [**Hospital 341**] Clinic.  His staples should be removed on
postoperative day number ten.

MEDICATIONS ON DISCHARGE:
1.  Decadron taper down to 2 mg po b.i.d. over ten days.
2.  Dilantin 100 mg po t.i.d.
3.  Colace 100 mg po b.i.d.
4.  Ferrous sulfate 325 po q day.
5.  Clonazepam .5 po q.h.s.
6.  Insulin sliding scale to cover while on Decadron.
7.  Percocet one to two tabs po q 4 hours prn for pain.

CONDITION ON DISCHARGE:  Stable on discharge.






                          [**First Name11 (Name Pattern1) 125**] [**Last Name (NamePattern4) 342**], M.D.  [**MD Number(1) 343**]

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

MEDQUIST36

D:  [**2146-1-4**]  11:55
T:  [**2146-1-4**]  12:19
JOB#:  [**Job Number 16530**]
{'Secondary malignant neoplasm of brain and spinal cord,Other convulsions,Malignant neoplasm of kidney, except pelvis'}


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 41 year-old
left handed gentleman without significant past medical
history who was admitted urgently on [**2145-11-4**] to the
neurology service after several episodes of focal sensory
motor seizure symptoms of the left arm and leg on the day of
admission.  MRI scan revealed a right frontal cingular gyrus
mass with intrapyranchamal hemorrhage and large surrounding
edema.  The patient was in the hospital for two days and then
discharged with follow up for surgery.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Secondary malignant neoplasm of brain and spinal cord,Other convulsions,Malignant neoplasm of kidney, except pelvis'}
