CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient is a 76-year-old man
transferred from [**Hospital3 **] for acute management of
large basal ganglia bleed on CAT scan.  The history is
obtained from records since the patient cannot communicate
and family was not present at time of initial event.  At 8:45
p.m. today, the patient felt sudden onset of right sided
facial weakness and hemiplegia.  He called his neighbor, who
found patient having speech difficulties.  At this point,
patient was oriented, able to follow simple commands, and
could grasp full strength with left hand.

MEDICAL HISTORY: 1. Hypertension, which is well controlled.
2. Asbestosis.
3. Pleural effusions.
4. Pneumonia.
5. Prostatitis.

MEDICATION ON ADMISSION: 

ALLERGIES: Sulfa.

PHYSICAL EXAM: He is afebrile.  His blood pressure is
138/74, heart rate is 79.  He is breathing at 15.  In
general, he is intubated and sedated.  HEENT shows no signs
of trauma.  Neck is supple, no carotid bruits.  Chest was
clear to auscultation bilaterally.  Cardiovascular:  Regular
rate, normal S1, S2, no murmurs, rubs, or gallops.  Abdomen
is soft and nontender.  Extremities:  No clubbing, cyanosis,
or edema, 2+ pulses.  Neurologic examination:  Mental status:
He is intubated, sedated, and does not respond to verbal
stimuli or noxious stimuli.  Cranial nerves:  His left pupil
is 4.  His right pupil is 3.5 mm.  Both pupils are fixed to
strong light stimuli.  Patient with no conjugate eye
movement.  Doll's, corneals, and gag reflex are absent.
Motor examination:  Normal tone and bulk, no adventitious
movements noted.  Does not move extremities to noxious
stimuli in any quadrant.  Reflexes are symmetric throughout.
Sensory:  No response to painful stimulation in all four
quadrants.  Gait and coordination are not tested.

FAMILY HISTORY: 

SOCIAL HISTORY: Lived with wife at home and retired.
Intracerebral hemorrhage,Unspecified essential hypertension
Intracerebral hemorrhage,Hypertension NOS
Admission Date:  [**2143-10-20**]     Discharge Date:  [**2143-10-21**]

Date of Birth:                  Sex:  M

Service:  Neurology

HISTORY OF PRESENT ILLNESS:  Patient is a 76-year-old man
transferred from [**Hospital3 **] for acute management of
large basal ganglia bleed on CAT scan.  The history is
obtained from records since the patient cannot communicate
and family was not present at time of initial event.  At 8:45
p.m. today, the patient felt sudden onset of right sided
facial weakness and hemiplegia.  He called his neighbor, who
found patient having speech difficulties.  At this point,
patient was oriented, able to follow simple commands, and
could grasp full strength with left hand.

Son was called and EMS was summoned and his blood pressure
was found to be 218/118 on the scene.  He was transferred to
[**Hospital3 **].  On the way to [**Hospital1 392**], patient's mental
status deteriorated dramatically.  He was barely responsive
when he arrived there.  CT showed massive 6 x 6 x 8 cm left
sided intraparenchymal bleed with interventricular extension
including the third and fourth ventricles.  The patient was
given decadron, Dilantin, mannitol, Ativan, plus Pavulon
prior to arrival at [**Hospital1 **].  He was intubated
at [**Hospital3 **].

PAST MEDICAL HISTORY:
1. Hypertension, which is well controlled.
2. Asbestosis.
3. Pleural effusions.
4. Pneumonia.
5. Prostatitis.

MEDICATIONS:
1. Verapamil.
2. Pepcid.
3. Hytrin.
4. Lasix.
5. Terazosin.

ALLERGIES:  Sulfa.

SOCIAL HISTORY:  Lived with wife at home and retired.

PHYSICAL EXAM:  He is afebrile.  His blood pressure is
138/74, heart rate is 79.  He is breathing at 15.  In
general, he is intubated and sedated.  HEENT shows no signs
of trauma.  Neck is supple, no carotid bruits.  Chest was
clear to auscultation bilaterally.  Cardiovascular:  Regular
rate, normal S1, S2, no murmurs, rubs, or gallops.  Abdomen
is soft and nontender.  Extremities:  No clubbing, cyanosis,
or edema, 2+ pulses.  Neurologic examination:  Mental status:
He is intubated, sedated, and does not respond to verbal
stimuli or noxious stimuli.  Cranial nerves:  His left pupil
is 4.  His right pupil is 3.5 mm.  Both pupils are fixed to
strong light stimuli.  Patient with no conjugate eye
movement.  Doll's, corneals, and gag reflex are absent.
Motor examination:  Normal tone and bulk, no adventitious
movements noted.  Does not move extremities to noxious
stimuli in any quadrant.  Reflexes are symmetric throughout.
Sensory:  No response to painful stimulation in all four
quadrants.  Gait and coordination are not tested.

LABORATORIES AND TESTS:  Head CT:  Results as above.  Coags
were within normal limits.  Hemoglobin was 12, hematocrit was
35.  Sodium 142, potassium 3.1, BUN and creatinine were 19
and 0.9, glucose is 143.  LFTs were normal.  Urinalysis is
negative.

HOSPITAL COURSE:  Patient was admitted to the Neuro ICU.  He
was started on mannitol and decadron for a large intracranial
bleed.  The prognosis of this bleed was poor.  After
extensive discussion with the family, it was determined that
the patient's wishes were not to remain in a vegetative
state, which would be the likely outcome.  His decadron and
mannitol were stopped.  The Nipride drip, which he was on for
hypertension was also stopped.  The patient expired on
[**2143-10-21**].  His family were present at the bedside
and declined an autopsy.

DISCHARGE CONDITION:  Expired.



                          [**Name6 (MD) 4267**] [**Last Name (NamePattern4) 4268**], M.D.

Dictated By:[**Last Name (NamePattern1) 5476**]

MEDQUIST36

D:  [**2144-3-6**]  10:42
T:  [**2144-3-9**]  08:52
JOB#:  [**Job Number 97118**]
{'Intracerebral hemorrhage,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: Patient is a 76-year-old man
transferred from [**Hospital3 **] for acute management of
large basal ganglia bleed on CAT scan.  The history is
obtained from records since the patient cannot communicate
and family was not present at time of initial event.  At 8:45
p.m. today, the patient felt sudden onset of right sided
facial weakness and hemiplegia.  He called his neighbor, who
found patient having speech difficulties.  At this point,
patient was oriented, able to follow simple commands, and
could grasp full strength with left hand.

MEDICAL HISTORY: 1. Hypertension, which is well controlled.
2. Asbestosis.
3. Pleural effusions.
4. Pneumonia.
5. Prostatitis.

MEDICATION ON ADMISSION: 

ALLERGIES: Sulfa.

PHYSICAL EXAM: He is afebrile.  His blood pressure is
138/74, heart rate is 79.  He is breathing at 15.  In
general, he is intubated and sedated.  HEENT shows no signs
of trauma.  Neck is supple, no carotid bruits.  Chest was
clear to auscultation bilaterally.  Cardiovascular:  Regular
rate, normal S1, S2, no murmurs, rubs, or gallops.  Abdomen
is soft and nontender.  Extremities:  No clubbing, cyanosis,
or edema, 2+ pulses.  Neurologic examination:  Mental status:
He is intubated, sedated, and does not respond to verbal
stimuli or noxious stimuli.  Cranial nerves:  His left pupil
is 4.  His right pupil is 3.5 mm.  Both pupils are fixed to
strong light stimuli.  Patient with no conjugate eye
movement.  Doll's, corneals, and gag reflex are absent.
Motor examination:  Normal tone and bulk, no adventitious
movements noted.  Does not move extremities to noxious
stimuli in any quadrant.  Reflexes are symmetric throughout.
Sensory:  No response to painful stimulation in all four
quadrants.  Gait and coordination are not tested.

FAMILY HISTORY: 

SOCIAL HISTORY: Lived with wife at home and retired. 

### Response:
{'Intracerebral hemorrhage,Unspecified essential hypertension'}
