CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is an 81 year old
woman with a history of meningioma removal in [**2091**], stroke in
[**2105**], pulmonary embolism in [**2102**].  She is on Coumadin. She
had a fall five days ago, hitting her head.  Yesterday, she
was standing by the bed when she again fell.  This time, she
hit the back of her head around 8:30 p.m.  She was lying on
the floor for ten hours before being found by her son in the
morning.  She could not stand up. She was taken to an outside
hospital, which showed a subdural hematoma. She was
transferred to [**Hospital1 69**].  She had
no loss of consciousness the morning of the fall.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness,Fall from other slipping, tripping, or stumbling,Personal history of other diseases of circulatory system,Long-term (current) use of anticoagulants,Unspecified essential hypertension
Subdural hem w/o coma,Fall from slipping NEC,Hx-circulatory dis NEC,Long-term use anticoagul,Hypertension NOS
Admission Date:  [**2112-12-20**]       Discharge Date:  [**2112-12-23**]


Service:

HISTORY OF PRESENT ILLNESS:  The patient is an 81 year old
woman with a history of meningioma removal in [**2091**], stroke in
[**2105**], pulmonary embolism in [**2102**].  She is on Coumadin. She
had a fall five days ago, hitting her head.  Yesterday, she
was standing by the bed when she again fell.  This time, she
hit the back of her head around 8:30 p.m.  She was lying on
the floor for ten hours before being found by her son in the
morning.  She could not stand up. She was taken to an outside
hospital, which showed a subdural hematoma. She was
transferred to [**Hospital1 69**].  She had
no loss of consciousness the morning of the fall.

PHYSICAL EXAMINATION:  On physical examination, her
temperature was 97.9; blood pressure was 221/74, heart rate
63; respiratory rate 14; saturation 98% on room air.  In
general, she was in no acute distress.  Cardiac:  Regular
rate and rhythm, no murmur.  Chest was clear to auscultation.
Neurologically, she was alert and attentive, oriented times
three, fluent speech.  Extraocular movements full.  Face:
Sensation was intact.  She had no facial droop; question of a
left old one from her old stroke. Tongue was midline.  Palate
was gross symmetrically.  Strength was [**5-16**] in all muscle
groups.  Sensation was intact to light touch.  Finger to nose
and coordination were intact. Her gait was deferred secondary
to her critical condition on admission. She also had a left
ptosis and history of right leg weakness and left ptosis from
previous stroke and surgery.

HOSPITAL COURSE:  She was admitted to the Intensive Care
Unit.  She was monitored in the Intensive Care Unit.  She had
a repeat CAT scan which showed stable appearance of a left
subdural hematoma. She also has a right subdural hematoma
which was found to be stable as well.  The patient was
monitored in the Intensive Care Unit. Her blood pressure was
kept under 150.  She was restarted on her p.o. medications
although she still continued to have some episodes of
hypertension, requiring some intravenous medication.  She did
remain stable and was transferred to the floor on [**2112-12-21**].
She remains neurologically stable.  Repeat head CT today is
stable. She was offered surgery (craniotomy) to decompress the
Left Subdural hematoma, but the patient refused.

She was seen by physical therapy and occupational therapy and
found to be safe for discharge to home with a walker and home
safety evaluation.  Her condition was stable at the time of
discharge.

MEDICATIONS:
Metoprolol XL 250 mg p.o. q h.s.; hold for systolic less than
100 and heart rate less than 50.
Heparin 5000 subcutaneous which will be discontinued before
discharge.
Manoxapril 15 mg p.o. q. day.
Diltiazem extended release 80 mg p.o. q. day.
Atorvastatin 10 mg p.o. q. day.

CONDITION:  Stable at the time of discharge.

She will follow-up with DR. [**First Name (STitle) 742**] [**Name (STitle) **], M.D. in
two weeks with a repeat head CT at that time.







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

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

D:  [**2112-12-23**]  10:52
T:  [**2112-12-23**]  10:56
JOB#:  [**Job Number 53954**]
{'Subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness,Fall from other slipping, tripping, or stumbling,Personal history of other diseases of circulatory system,Long-term (current) use of anticoagulants,Unspecified essential hypertension'}


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 an 81 year old
woman with a history of meningioma removal in [**2091**], stroke in
[**2105**], pulmonary embolism in [**2102**].  She is on Coumadin. She
had a fall five days ago, hitting her head.  Yesterday, she
was standing by the bed when she again fell.  This time, she
hit the back of her head around 8:30 p.m.  She was lying on
the floor for ten hours before being found by her son in the
morning.  She could not stand up. She was taken to an outside
hospital, which showed a subdural hematoma. She was
transferred to [**Hospital1 69**].  She had
no loss of consciousness the morning of the fall.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness,Fall from other slipping, tripping, or stumbling,Personal history of other diseases of circulatory system,Long-term (current) use of anticoagulants,Unspecified essential hypertension'}
