CHIEF COMPLAINT: Right ankle pain

PRESENT ILLNESS: 40 year old male s/p unrestrained driver in MVA drove into
graveyard strinking 2 gravestones with intrusion into vehicle.
Denies LOC, SOB, CP or abd pain.  Complains of right ankle pain.
 Seen initially at OSH then transfer to [**Hospital1 18**].

MEDICAL HISTORY: Denies

MEDICATION ON ADMISSION: Denies

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Awake, alert, appears intoxicated
c-collar in place
RRR
CTA B
Abd soft, NT/ND
Ext- clavicles, shoulder, elbow, forearm, wrists, hands without
deformity, tenderness, FROM with 5/5 strength and intact
sensation.  Sternum stqable but pt states is sore, no obvious
deformity.  Pelvis non-tender/stable.
LLE- no deformity thigh, knee, leg, ankle, foot.  [**4-24**] throughout
with FROM of all joints and sensation intact.
RLE- no deformity and non-tender at thigh, knee, proximal tibia.
 Right distal leg/ankle with 2+ edema/ecchymosis, tender to
palpation, no skin defects.  Right foot warm 2+ PT/DP, sensation
intact.

FAMILY HISTORY: N/C

SOCIAL HISTORY: + EtOH abuse
Unspecified fracture of ankle, closed,Alcohol withdrawal delirium,Alcohol abuse, unspecified,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle
Fx ankle NOS-closed,Delirium tremens,Alcohol abuse-unspec,Loss control mv acc-driv
Admission Date:  [**2148-11-7**]              Discharge Date:   [**2148-11-11**]

Date of Birth:  [**2108-6-27**]             Sex:   M

Service: ORTHOPAEDICS

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 11415**]
Chief Complaint:
Right ankle pain

Major Surgical or Invasive Procedure:
Ex-fix of right Pilon fracture.


History of Present Illness:
40 year old male s/p unrestrained driver in MVA drove into
graveyard strinking 2 gravestones with intrusion into vehicle.
Denies LOC, SOB, CP or abd pain.  Complains of right ankle pain.
 Seen initially at OSH then transfer to [**Hospital1 18**].

Past Medical History:
Denies

Social History:
+ EtOH abuse

Family History:
N/C

Physical Exam:
Awake, alert, appears intoxicated
c-collar in place
RRR
CTA B
Abd soft, NT/ND
Ext- clavicles, shoulder, elbow, forearm, wrists, hands without
deformity, tenderness, FROM with 5/5 strength and intact
sensation.  Sternum stqable but pt states is sore, no obvious
deformity.  Pelvis non-tender/stable.
LLE- no deformity thigh, knee, leg, ankle, foot.  [**4-24**] throughout
with FROM of all joints and sensation intact.
RLE- no deformity and non-tender at thigh, knee, proximal tibia.
 Right distal leg/ankle with 2+ edema/ecchymosis, tender to
palpation, no skin defects.  Right foot warm 2+ PT/DP, sensation
intact.

Brief Hospital Course:
Mr [**Known lastname 60158**] was admitted to the Trauma service and a full
work-up performed in the ED.  All of shich was negative except
for a distal tibia/fibular Pilon fracture of the right ankle.
His c-spine was cleared and he had no other injuries.  He was
taken to the OR by Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 1005**] for ex-fix placement.  He
had an uneventful perioperative course and was transferred to
the PACU for recovery from anesthesia.  He was then transferred
to the floor for further management.
Pt was placed on CIWA precautions for alcohol withdrawl.
Physcial therapy was seeing him on a daily basis and evaluating
for home versus a rehab placement.  He was coached on manuvering
stairs with crutches and was deemed safe to be discharged to
home with follow-up in Dr. [**Last Name (STitle) 1005**] clinic n two weeks for
decision of further management, open reduction internal fixation
vs. ankle fusion.  He was discharged hemodynamically stable and
in good condition.

Medications on Admission:
Denies

Discharge Disposition:
Home With Service

Facility:
[**Last Name (LF) 486**], [**First Name3 (LF) 487**]

Discharge Diagnosis:
Right Tib/Fib Pilon fracture


Discharge Condition:
Good

Discharge Instructions:
Please continue pin care with 1/2 hydrogen peroxide and [**12-22**]
water twice per day.  Remain non-weight bearing to the right
lower extremity.

Followup Instructions:
Please follow up with Dr. [**Last Name (STitle) 1005**] in his clinic in 2 weeks.
Call [**Telephone/Fax (1) 8746**] for an appointment.


                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2235**] MD, [**MD Number(3) 11417**]

Completed by:[**2148-12-27**]
{'Unspecified fracture of ankle, closed,Alcohol withdrawal delirium,Alcohol abuse, unspecified,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle'}


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: Right ankle pain

PRESENT ILLNESS: 40 year old male s/p unrestrained driver in MVA drove into
graveyard strinking 2 gravestones with intrusion into vehicle.
Denies LOC, SOB, CP or abd pain.  Complains of right ankle pain.
 Seen initially at OSH then transfer to [**Hospital1 18**].

MEDICAL HISTORY: Denies

MEDICATION ON ADMISSION: Denies

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Awake, alert, appears intoxicated
c-collar in place
RRR
CTA B
Abd soft, NT/ND
Ext- clavicles, shoulder, elbow, forearm, wrists, hands without
deformity, tenderness, FROM with 5/5 strength and intact
sensation.  Sternum stqable but pt states is sore, no obvious
deformity.  Pelvis non-tender/stable.
LLE- no deformity thigh, knee, leg, ankle, foot.  [**4-24**] throughout
with FROM of all joints and sensation intact.
RLE- no deformity and non-tender at thigh, knee, proximal tibia.
 Right distal leg/ankle with 2+ edema/ecchymosis, tender to
palpation, no skin defects.  Right foot warm 2+ PT/DP, sensation
intact.

FAMILY HISTORY: N/C

SOCIAL HISTORY: + EtOH abuse 

### Response:
{'Unspecified fracture of ankle, closed,Alcohol withdrawal delirium,Alcohol abuse, unspecified,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle'}
