CHIEF COMPLAINT: s/p hanging attempt

PRESENT ILLNESS: 77M was found s/p hanging attempt by son. [**Name (NI) **] was asystolic
in field, EMS initiated CPR on the scene. En route to ED he was
found to be in asystole and given epinephrine x3. In the ED he
was given another epi X 3, 3 amp atropine, 3 amp bicarb, and 3
amp calcium. A levophed gtt and amiodarone gtt were also
started, and the patient was intubated. The patient was in and
out of Vfib and bradycardia. He had a sustainable rhythm for 1
hr and was brought to the TSICU.

MEDICAL HISTORY: PMH: HTN, ^cholest, Dm, Prostate cancer s/p xrt and resection,
brain tumor

MEDICATION ON ADMISSION: glipizide 5mg [**Hospital1 **], triamterene-HCTZ as needed for leg
swelling,Diovan, aspirin, and Vitamin D 1.25mg by mouth every 10
days.

ALLERGIES: Penicillins / Lipitor / Ace Inhibitors

PHYSICAL EXAM: Deceased

FAMILY HISTORY: son - DM
father TB

SOCIAL HISTORY: lives with son, widower, former smoker x 40yrs, quit 5 yrs ago,
no Etoh
Ventricular fibrillation,Acute and subacute necrosis of liver,Acute respiratory failure,Other and unspecified coagulation defects,Asphyxiation and strangulation,Anoxic brain damage,Unspecified essential hypertension,Pure hypercholesterolemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of prostate,Suicide and self-inflicted injury by hanging,Do not resuscitate status,Examination of participant in clinical trial
Ventricular fibrillation,Acute necrosis of liver,Acute respiratry failure,Coagulat defect NEC/NOS,Asphyxiation/strangulat,Anoxic brain damage,Hypertension NOS,Pure hypercholesterolem,DMII wo cmp nt st uncntr,Hx-prostatic malignancy,Injury-hanging,Do not resusctate status,Exam-clincal trial
Admission Date:  [**2178-6-17**]              Discharge Date:   [**2178-6-19**]

Date of Birth:  [**2101-6-15**]             Sex:   M

Service: SURGERY

Allergies:
Penicillins / Lipitor / Ace Inhibitors

Attending:[**First Name3 (LF) 598**]
Chief Complaint:
s/p hanging attempt

Major Surgical or Invasive Procedure:
none

History of Present Illness:
77M was found s/p hanging attempt by son. [**Name (NI) **] was asystolic
in field, EMS initiated CPR on the scene. En route to ED he was
found to be in asystole and given epinephrine x3. In the ED he
was given another epi X 3, 3 amp atropine, 3 amp bicarb, and 3
amp calcium. A levophed gtt and amiodarone gtt were also
started, and the patient was intubated. The patient was in and
out of Vfib and bradycardia. He had a sustainable rhythm for 1
hr and was brought to the TSICU.

Past Medical History:
PMH: HTN, ^cholest, Dm, Prostate cancer s/p xrt and resection,
brain tumor

PSh: Radical prostatectomy, Brain tumor excision [**2161**]
hypercholesterolemia, diabetes, prostate cancer status-post,
left CVA with transient right hemiparesis, allergic rhinitis,
glomerulopathy, osteopenia,chronic gastritis, multi-nodular
goiter with elevated T4,myositis, mitral regurgitation and
aortic insufficiency.


Social History:
lives with son, widower, former smoker x 40yrs, quit 5 yrs ago,
no Etoh

Family History:
son - DM
father TB

Physical Exam:
Deceased

Pertinent Results:
[**2178-6-19**] 01:37AM BLOOD WBC-17.8* RBC-4.51* Hgb-13.1* Hct-37.5*
MCV-83 MCH-29.0 MCHC-34.9 RDW-14.3 Plt Ct-133*
[**2178-6-19**] 01:37AM BLOOD Glucose-91 UreaN-42* Creat-2.6* Na-138
K-3.6 Cl-107 HCO3-19* AnGap-16
[**2178-6-19**] 01:37AM BLOOD ALT-299* AST-501* AlkPhos-47 TotBili-0.5
[**2178-6-18**] 03:00AM BLOOD CK-MB-64* MB Indx-5.1 cTropnT-3.72*
[**2178-6-19**] 01:48AM BLOOD Type-ART pO2-74* pCO2-29* pH-7.42
calTCO2-19* Base XS--3
[**2178-6-19**] 01:48AM BLOOD Glucose-81 Lactate-3.4*

Brief Hospital Course:
The patient was admitted to the TICU on pressors,
intubated/sedated. A family meeting was held on [**6-17**], and
patient was made DNR, but full measures x 24hrs. Neurology was
consulted and cooling protocol was initiated. The patient
remained hypotensive, requiring increase in pressor requirment.
A ppi gtt was started due to 400cc bloody output after NGT
placement. A central line was placed, but found to be in the
Left subclavian artery. Vascular surgery was consulted, but said
to leave catheter in place, due to patient's other concurrent
issues. CTA of the head showed no acute process, and CTA of the
neck showed no vascular injury. CT c-spine also did not show any
definite fracture or malalignment. On [**6-18**], the patient's
pressor requirement increased and he was at maximum rate on two
pressors. There was no change in his ventilation status. Warming
protocol was initiated, and family wanted to see if mental
status improved after warming. However, the patient's mental
status did not improve, and on the morning of [**2178-6-19**], the
patient was made CMO. The patient expired approx 30 min after
supportive care was shut off.


Medications on Admission:
glipizide 5mg [**Hospital1 **], triamterene-HCTZ as needed for leg
swelling,Diovan, aspirin, and Vitamin D 1.25mg by mouth every 10
days.


Discharge Medications:
none

Discharge Disposition:
Expired

Discharge Diagnosis:
s/p hanging attempt, anoxic brain injury, cardiopulmonary arrest

Discharge Condition:
deceased

Discharge Instructions:
none

Followup Instructions:
none

                             [**First Name8 (NamePattern2) **] [**Name8 (MD) **] MD [**MD Number(2) 601**]

Completed by:[**2178-6-19**]
{'Ventricular fibrillation,Acute and subacute necrosis of liver,Acute respiratory failure,Other and unspecified coagulation defects,Asphyxiation and strangulation,Anoxic brain damage,Unspecified essential hypertension,Pure hypercholesterolemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of prostate,Suicide and self-inflicted injury by hanging,Do not resuscitate status,Examination of participant in clinical trial'}


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: s/p hanging attempt

PRESENT ILLNESS: 77M was found s/p hanging attempt by son. [**Name (NI) **] was asystolic
in field, EMS initiated CPR on the scene. En route to ED he was
found to be in asystole and given epinephrine x3. In the ED he
was given another epi X 3, 3 amp atropine, 3 amp bicarb, and 3
amp calcium. A levophed gtt and amiodarone gtt were also
started, and the patient was intubated. The patient was in and
out of Vfib and bradycardia. He had a sustainable rhythm for 1
hr and was brought to the TSICU.

MEDICAL HISTORY: PMH: HTN, ^cholest, Dm, Prostate cancer s/p xrt and resection,
brain tumor

MEDICATION ON ADMISSION: glipizide 5mg [**Hospital1 **], triamterene-HCTZ as needed for leg
swelling,Diovan, aspirin, and Vitamin D 1.25mg by mouth every 10
days.

ALLERGIES: Penicillins / Lipitor / Ace Inhibitors

PHYSICAL EXAM: Deceased

FAMILY HISTORY: son - DM
father TB

SOCIAL HISTORY: lives with son, widower, former smoker x 40yrs, quit 5 yrs ago,
no Etoh 

### Response:
{'Ventricular fibrillation,Acute and subacute necrosis of liver,Acute respiratory failure,Other and unspecified coagulation defects,Asphyxiation and strangulation,Anoxic brain damage,Unspecified essential hypertension,Pure hypercholesterolemia,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Personal history of malignant neoplasm of prostate,Suicide and self-inflicted injury by hanging,Do not resuscitate status,Examination of participant in clinical trial'}
