CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 63 year-old
woman transferred from an outside hospital who presented with
one week history of headache on and off becoming severe over
the last two days prior to admission.  She was seen in the
Emergency Room two days prior to admission.  She had a CT and
sent home.  She was called back after the CT and MRI were
reevaluated.  It was positive for a question of a right MCA
distribution subarachnoid hemorrhage.  An MRA showed a
question of small right internal carotid artery aneurysm and
LP was positive for blood.

MEDICAL HISTORY: Negative.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subarachnoid hemorrhage
Subarachnoid hemorrhage
Admission Date:  [**2175-4-27**]     Discharge Date:  [**2175-5-8**]

Date of Birth:   [**2112-3-28**]     Sex:  F

Service:
HISTORY OF PRESENT ILLNESS:  The patient is a 63 year-old
woman transferred from an outside hospital who presented with
one week history of headache on and off becoming severe over
the last two days prior to admission.  She was seen in the
Emergency Room two days prior to admission.  She had a CT and
sent home.  She was called back after the CT and MRI were
reevaluated.  It was positive for a question of a right MCA
distribution subarachnoid hemorrhage.  An MRA showed a
question of small right internal carotid artery aneurysm and
LP was positive for blood.

The patient neurologically is awake, alert and oriented times
are equal, round and reactive to light.  Extraocular
movements intact.  Visual fields were full.  Her face was
symmetric.  Her motor strength was 5 out of 5 throughout.
Her sensation was intact to light touch throughout.  She had
no dysarthria and no dysmetria.  Her reflexes were symmetric.
Her cardiac examination was intact.  Regular rate and rhythm.
Lungs were clear to auscultation.  Abdomen soft, nontender,
nondistended.

PAST MEDICAL HISTORY:  Negative.

LABORATORIES ON ADMISSION:  White blood cell count 7.8,
platelet count 257 and her hematocrit was 35.7.

HOSPITAL COURSE:  She was taken emergently to angiography.  Her
cerebral angiogram showed an aneurysm at the origin of the fetal
right posterior cerebral artery which was treated by endovascular
GDC embolization on [**2175-4-28**].  Postoperatively, she was
monitored in the Intensive Care Unit.  Her vital signs were
stable.  She remained awake, alert and oriented times three,
moving all extremities strongly.  The patient was monitored
in the Intensive Care Unit until [**2175-5-4**] when she was
transferred to the regular floor.  She remained
neurologically intact.  Her vital signs remained stable.  She
was afebrile and she was discharged to home on [**2175-5-8**] in
stable condition with follow up with Dr. [**Last Name (STitle) 1132**] in six months.

MEDICATIONS ON DISCHARGE:  Nimodipine 60 mg po q 4 hours,
Oxycodone one to two tabs po q 4 hours prn.  Effexor 75 mg po
b.i.d., Nimodipine 30 mg po q 4 hours, Colace 100 mg po
b.i.d.

CONDITION ON DISCHARGE:  Stable at the time of discharge.








                          [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 1133**]

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

MEDQUIST36

D:  [**2175-5-8**]  09:38
T:  [**2175-5-10**]  10:05
JOB#:  [**Job Number 36235**]
{'Subarachnoid 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: 

PRESENT ILLNESS: The patient is a 63 year-old
woman transferred from an outside hospital who presented with
one week history of headache on and off becoming severe over
the last two days prior to admission.  She was seen in the
Emergency Room two days prior to admission.  She had a CT and
sent home.  She was called back after the CT and MRI were
reevaluated.  It was positive for a question of a right MCA
distribution subarachnoid hemorrhage.  An MRA showed a
question of small right internal carotid artery aneurysm and
LP was positive for blood.

MEDICAL HISTORY: Negative.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subarachnoid hemorrhage'}
