CHIEF COMPLAINT: MVA

PRESENT ILLNESS: This patient was transferred from an outside hospital following
a motor scooter accident where she was driving a motor scooter
and was struck by a car; there was positive loss of
consciousness; she was taken to [**Hospital **] Hospital where she was
evaluated there in the emergency department; she had a CT of her
head, chest, abdomen, neck, and was found to have an
intracranial hemorrhage, multiple rib fractures on the left,
left clavicle fracture, and a small left-sided pneumothorax; no
chest tube was placed at the outside hospital due to concern for
bleeding; she was given FFP as she is on Coumadin; on arrival
here in the emergency department her mental status was normal,
her GCS was 15, she
was complaining of pain in her chest and left arm; her O2 sat
was in the low to mid 90s on [**3-16**] L of nasal cannula at [**Hospital **]
Hospital, in the emergency department her O2 sat dropped to the
high 70s and needed to be supplemented with nonrebreather
facemask which brought her O2 sat up to 100%.

MEDICAL HISTORY: Type 2 diabetes
Opiate dependent chronic pain syndrome on methadone maintenance
Hepatitis C
History of embolic stroke x 2 On coumadin
Migraine headaches

MEDICATION ON ADMISSION: - methadine 60 mg po q 7am, 12 pm
- levemir 20 mg sc daily
- coumadin 10mg/1mg po daily
- asa 325 mg po daily
- percocet 5/325 mg  1-2 tabs po q6h
- bupropion 150 mg po daily
- lisinopril 5 mg po daily
- vit D 5000 iu po daily
- lovastatin 20 mg po daily
- methadone 60 mg po daily
- insulin

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Temp:98.6 HR:106 BP:182/90 Resp:16 O(2)Sat:94

FAMILY HISTORY: unkown

SOCIAL HISTORY: - Tobacco Use: positive
- Alcohol Use: unkown
- Recreational Drug Use: opiates
Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Urinary tract infection, site not specified,Closed fracture of seven ribs,Other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist,Closed fracture of scapula, unspecified part,Closed fracture of shaft of clavicle,Traumatic pneumothorax without mention of open wound into thorax,Long-term (current) use of anticoagulants,Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus,Unspecified viral hepatitis C without hepatic coma,Homonymous bilateral field defects
Brain hem NEC-brief coma,Urin tract infection NOS,Fracture seven ribs-clos,Mv collis NOS-motorcycl,Fx scapula NOS-closed,Fx clavicle shaft-closed,Traum pneumothorax-close,Long-term use anticoagul,Hx TIA/stroke w/o resid,DMII wo cmp nt st uncntr,Migrne unsp wo ntrc mgrn,Hpt C w/o hepat coma NOS,Homonymous hemianopsia
Admission Date:  [**2197-7-14**]              Discharge Date:   [**2197-7-31**]

Date of Birth:  [**2141-6-5**]             Sex:   F

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 598**]
Chief Complaint:
MVA

Major Surgical or Invasive Procedure:
Left thoracostomy tube x3


History of Present Illness:
This patient was transferred from an outside hospital following
a motor scooter accident where she was driving a motor scooter
and was struck by a car; there was positive loss of
consciousness; she was taken to [**Hospital **] Hospital where she was
evaluated there in the emergency department; she had a CT of her
head, chest, abdomen, neck, and was found to have an
intracranial hemorrhage, multiple rib fractures on the left,
left clavicle fracture, and a small left-sided pneumothorax; no
chest tube was placed at the outside hospital due to concern for
bleeding; she was given FFP as she is on Coumadin; on arrival
here in the emergency department her mental status was normal,
her GCS was 15, she
was complaining of pain in her chest and left arm; her O2 sat
was in the low to mid 90s on [**3-16**] L of nasal cannula at [**Hospital **]
Hospital, in the emergency department her O2 sat dropped to the
high 70s and needed to be supplemented with nonrebreather
facemask which brought her O2 sat up to 100%.

Past Medical History:
Type 2 diabetes
Opiate dependent chronic pain syndrome on methadone maintenance
Hepatitis C
History of embolic stroke x 2 On coumadin
Migraine headaches


Social History:
- Tobacco Use: positive
- Alcohol Use: unkown
- Recreational Drug Use: opiates

Family History:
unkown


Physical Exam:
Temp:98.6 HR:106 BP:182/90 Resp:16 O(2)Sat:94

Constitutional: Awake alert and oriented
HEENT: Multiple abrasions, Pupils equal, round and reactive to
light. Extraocular muscles intact
Patient is protecting her own airway
Chest: Clear to auscultation, tenderness to palpation over the
left chest, breath sounds are slightly diminished on the left.
Cardiovascular: Regular Rate and Rhythm
Abdominal: Soft, Nontender
Pelvic: Pelvis is stable to palpation, there is a large hematoma
over the left hip
Extr/Back: She is moving her lower extremities equally and has
normal sensation, capillary refill, and pulses distally
Neuro: Speech fluent




Pertinent Results:
[**2197-7-14**] 02:55PM BLOOD WBC-18.1* RBC-3.97* Hgb-11.0* Hct-33.3*
MCV-84 MCH-27.8 MCHC-33.1 RDW-14.0 Plt Ct-308
[**2197-7-15**] 03:52AM BLOOD WBC-13.8* RBC-3.75* Hgb-10.5* Hct-31.9*
MCV-85 MCH-27.8 MCHC-32.7 RDW-14.0 Plt Ct-320
[**2197-7-16**] 02:38AM BLOOD WBC-16.2* RBC-3.67* Hgb-10.3* Hct-30.7*
MCV-84 MCH-28.0 MCHC-33.4 RDW-14.2 Plt Ct-282
[**2197-7-16**] 06:38PM BLOOD WBC-14.8* RBC-3.75* Hgb-10.3* Hct-31.3*
MCV-83 MCH-27.4 MCHC-32.8 RDW-13.9 Plt Ct-250
[**2197-7-17**] 04:55AM BLOOD WBC-12.9* RBC-3.56* Hgb-10.1* Hct-29.6*
MCV-83 MCH-28.4 MCHC-34.2 RDW-14.0 Plt Ct-375
[**2197-7-18**] 01:14AM BLOOD WBC-8.2 RBC-3.04* Hgb-8.4* Hct-25.2*
MCV-83 MCH-27.5 MCHC-33.2 RDW-14.0 Plt Ct-336
[**2197-7-20**] 12:50PM BLOOD WBC-13.1*# RBC-3.13* Hgb-8.6* Hct-26.6*
MCV-85 MCH-27.6 MCHC-32.5 RDW-14.2 Plt Ct-586*#
[**2197-7-22**] 09:00AM BLOOD WBC-10.6 RBC-2.93* Hgb-7.9* Hct-25.4*
MCV-87 MCH-27.0 MCHC-31.0 RDW-14.6 Plt Ct-578*
[**2197-7-27**] 06:20AM BLOOD WBC-11.8* RBC-3.03* Hgb-8.3* Hct-26.9*
MCV-89 MCH-27.5 MCHC-31.0 RDW-16.9* Plt Ct-856*
[**2197-7-28**] 07:10AM BLOOD WBC-10.4 RBC-2.99* Hgb-8.2* Hct-26.5*
MCV-89 MCH-27.4 MCHC-30.9* RDW-17.2* Plt Ct-824*
[**2197-7-14**] 02:55PM BLOOD PT-17.3* PTT-24.6 INR(PT)-1.6*
[**2197-7-16**] 02:38AM BLOOD PT-12.1 PTT-21.7* INR(PT)-1.0
[**2197-7-27**] 06:20AM BLOOD PT-12.7 PTT-23.1 INR(PT)-1.1
[**2197-7-28**] 07:10AM BLOOD PT-13.8* PTT-24.7 INR(PT)-1.2*
[**2197-7-29**] 07:25AM BLOOD PT-16.8* PTT-26.5 INR(PT)-1.5*
[**2197-7-14**] 02:55PM BLOOD Glucose-217* UreaN-13 Creat-0.7 Na-137
K-3.6 Cl-100 HCO3-27 AnGap-14
[**2197-7-15**] 03:52AM BLOOD Glucose-223* UreaN-11 Creat-0.6 Na-133
K-3.4 Cl-99 HCO3-23 AnGap-14
[**2197-7-16**] 06:38PM BLOOD Glucose-328* UreaN-15 Creat-0.6 Na-130*
K-3.9 Cl-94* HCO3-23 AnGap-17
[**2197-7-18**] 01:14AM BLOOD Glucose-178* UreaN-19 Creat-0.6 Na-132*
K-3.9 Cl-97 HCO3-27 AnGap-12
[**2197-7-19**] 06:00AM BLOOD Glucose-60* UreaN-14 Creat-0.5 Na-132*
K-3.9 Cl-96 HCO3-29 AnGap-11
[**2197-7-22**] 01:35PM BLOOD Glucose-190* UreaN-14 Creat-0.7 Na-134
K-4.3 Cl-96 HCO3-32 AnGap-10

Ucx [**7-22**]
  STAPHYLOCOCCUS, COAGULASE NEGATIVE
                             |          STAPHYLOCOCCUS,
COAGULASE NEGATIVE
                             |          |
GENTAMICIN------------ <=0.5 S    <=0.5 S
LEVOFLOXACIN----------<=0.12 S   <=0.12 S
NITROFURANTOIN--------  <=16 S     <=16 S
OXACILLIN-------------<=0.25 S   <=0.25 S
TETRACYCLINE----------   <=1 S      <=1 S
VANCOMYCIN------------     1 S        2 S

[**2197-7-22**] 10:00 am SPUTUM      Source: Expectorated.

   GRAM STAIN (Final [**2197-7-22**]):
      >25 PMNs and <10 epithelial cells/100X field.
      1+    (<1 per 1000X FIELD):   MULTIPLE ORGANISMS
CONSISTENT WITH
                                    OROPHARYNGEAL FLORA.

   RESPIRATORY CULTURE (Final [**2197-7-24**]):
      MODERATE GROWTH Commensal Respiratory Flora.

   LEGIONELLA CULTURE (Final [**2197-7-29**]):    NO LEGIONELLA
ISOLATED.

   FUNGAL CULTURE (Preliminary):
      YEAST.

   ACID FAST SMEAR (Final [**2197-7-24**]):
      NO ACID FAST BACILLI SEEN ON DIRECT SMEAR.
      NO ACID FAST BACILLI SEEN ON CONCENTRATED SMEAR.

MRSA screen: Neg

Brief Hospital Course:
56 yo F transferred from an outside hospital following a motor
scooter accident where she was driving a motor scooter and was
struck by a car; there was positive loss of consciousness; she
was taken to [**Hospital **] Hospital where she was evaluated there in
the emergency department; she had a CT of her head, chest,
abdomen, neck, and was found to have an intracranial hemorrhage,
multiple rib fractures on the left, left clavicle fracture, and
a small left-sided pneumothorax; no chest tube was placed at the
outside hospital due to concern for bleeding; she was given FFP
as she is on Coumadin
Also Recieved Vitamin K and factor 9 in ED here.

Injuries:
punctate foci hem L ftl, suporb ftl
L frontal SDH
lt clavicular & scapular fx
lt ribs 1-7fx
tiny lt PTX (seen on CT only) ->CT placed in TICU

IMAGING:
[**7-14**] Admitted TSICU. Home methadone use .
CT head: mult punctate foci of hemorrhage in L superior frontal
lobe. New 4 mm left frontal acute SDH. Bilat occipital old
infrcts. New small left IVH. New foci punctate hemorrgae in the
supra orbital parts of the frontal lobes.
[**7-15**] Reg diet. Nsurg recs rpt CT head unchanged, sign-off, okay
for HSQ, f/u Dr. [**First Name (STitle) **] 1 month. NPH 10u qpm, insulin gtt. d/c
PCA, percocet.
CXR: reexpansion of the left lung. L CT basal.
CT head: Tiny punctate hyperdensity in the right temporal lobe
just medial to the temporal [**Doctor Last Name 534**] of the right lateral ventricle.
Stable appearance of intraparenchymal and intraventricular
hemorrhages. Stable appearance of bilateral occipital lobe
infarcts. Interval decrease in left frontal subdural hematoma.
[**7-16**]
[**Name (NI) 85277**] No PTX. LLLatelectasis and RML and RLL opacities unchanged.

[**7-17**]: Left Hip Xray:no e/o fracture

EVENTS:  .

[**7-16**] CPS consulted for pain regimen. Started Ocycontin 40 mg (
recs to inc to 60) and oxycodone 10 mg with methadone maintence.
OT / PT consult. Hyperglycemic to 400s immediatley before given
NPH.
[**7-18**]: Neuro consult for hx CVA's. CT waterseal, CXR post no
expand PTX, placed back on suction. Records from PCP [**Name Initial (PRE) **].
CPS recs d/c oxycontin, inc methadone to home dose 60 [**Hospital1 **].

Neurologic: Neuro checks Q: 4 hr, L frontal/supraorbital IPH, L
frontal SDH stable on repeat CT. F/u with Dr. [**First Name (STitle) **] 1 month.
Chornic pain consulted re tranisitional pain regimen.
Pain control - methadone 40mg qd, Oxycontin 40mg, Oxycodone 10
prn.Tylenol 1000 q6h.[**Month (only) 116**] increase Oxycontin and add Gabapentin
or Tizanidine as adjuncts.No epidural for now per Pain team
ASA 325 Started [**7-17**]
.
Left hip Xray:no e/o fracture
Cardiovascular: Goal Maintain SBP < 160.
Autoregulating.Lopressor PRN

Pulmonary: Multiple rib fractures left side, left clavicle and
scapula fracture.
- Sling to left arm
- cont CT to suction

Gastrointestinal / Abdomen: - bowel regimen
Nutrition: - regular diet.Not eating much therefore IV Fluids
continued
Renal: Foley, Adequate UO, No active issues.
Hematology: Stable HCT.
Endocrine: Type 2 DM. glucose control improved.on NPH and
sliding scale
Infectious Disease: No active infectious issues.

Patient improved, was transferred to the floor.  OT and PT
started working with her, recommended rehabilitation services at
the moment of discharge. Patient was not able to get
rehabilitation services due to insurance coverage,

Neurology was consulted We were asked to comment on the need for
resumption of OAC given her history of recurrent strokes and
recent MVA.  We obtained records from her PCP in an attempt to
clarify her previous work up and the cause(s) of her prior
strokes.
On neurological examination is mostly noted for a dense right
field cut and a milder left field cut.  Testing muscle strength
in the left arm is limited due to pain. Toes appear upgoing
bilaterally. She is in NSR.  Her head
CT scan shows small scattered ICHs and a small IVH in the left
occipital [**Doctor Last Name 534**], a left frontal SDH, and old bilateral occipital
lobe infarcts (left > right).

It is unclear from the faxed records why she was started on OAC
after her first stroke. However, she tolerated it well and had
no recurrent strokes until she stopped taking coumadin.  Based
on the available information , it is likely reasonable to resume
OAC in [**8-19**] days. In the meantime, we will attempt to contact
her
Neurologist to obtain further information and to discuss the
issue of resuming OAC with him since he has been primarily
involved in her care.

Pain service was consulted for management of pain. We continue
Methadone, Oxycodone and Tylenol for management of her pain.

Chest x ray showed left apical pneumothorax with no interval
change in spite left basilar and apical CT in place, on suction.

Anterior chest tube was place, apical pneumothorax discharge.

CXR [**7-29**]
Previously reported left pneumothorax is no longer evident.
Multiple contiguous rib fractures are again demonstrated
throughout the left hemithorax, some of which are segmental.
Adjacent pleural opacity has
apparently slightly worsened and could reflect areas of
loculated pleural fluid and/or extrapleural hematoma. New subtle
interstitial opacities have developed in the mid and lower lungs
and may reflect interstitial edema
superimposed upon known underlying emphysema. Infectious
etiology is also possible in the appropriate clinical setting.

CXR 6/20Multiple consecutive rib fractures are again visualized
in the left hemithorax as well as left clavicular fracture.
Adjacent area of pleural or extrapleural opacity has decreased.
Band-like areas of linear atelectasis in
the left mid and lower lung are not appreciably changed. No
pneumothorax.

Physical therapy cleared her to go home due to improvement on
ambulation. At the moment of discharge she was alert and
oriented , ambulating with out assistant.

Coumadin was restarted on HD 10 as recommended for Neurology
service. Patient schedule a follow up appointment with PCP the
day after discharge for INR check. PCP was informed of
Hospitalization details.

Medications on Admission:
- methadine 60 mg po q 7am, 12 pm
- levemir 20 mg sc daily
- coumadin 10mg/1mg po daily
- asa 325 mg po daily
- percocet 5/325 mg  1-2 tabs po q6h
- bupropion 150 mg po daily
- lisinopril 5 mg po daily
- vit D 5000 iu po daily
- lovastatin 20 mg po daily
- methadone 60 mg po daily
- insulin


Discharge Medications:
1. Famotidine 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day).
2. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) ML
Injection TID (3 times a day).
3. Ipratropium Bromide 0.02 % Solution Sig: One (1) Neb
Inhalation Q6H (every 6 hours).
4. Albuterol Sulfate 2.5 mg /3 mL (0.083 %) Solution for
Nebulization Sig: One (1) Neb Inhalation every six (6) hours.
5. Bupropion HCl 150 mg Tablet Sustained Release Sig: One (1)
Tablet Sustained Release PO QAM (once a day (in the morning)).
6. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY
(Daily).
7. Lisinopril 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

8. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2)
Tablet PO DAILY (Daily).
9. Calcium 500 mg Tablet Sig: Two (2) Tablet PO three times a
day.
10. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID
(2 times a day).
11. Senna 8.6 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily).
12. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30)
ML PO Q6H (every 6 hours) as needed for constipation.
13. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily).

14. Acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO Q6H
(every 6 hours).
15. Methadone 10 mg Tablet Sig: Six (6) Tablet PO BID (2 times a
day): On for chronic pain syndrome.
16. Oxycodone 5 mg Tablet Sig: 2-3 Tablets PO Q3H (every 3
hours) as needed for breakthrough pain.
17. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for
constipation.
18. Warfarin 5 mg Tablet Sig: One (1) Tablet PO ONCE (Once):
dose coumadin daily until goal range 2-3 reached.
19. NPH Insulin Human Recomb 100 unit/mL Suspension Sig: Fifteen
(15) Units Subcutaneous Every morning at breakfast.
20. NPH Insulin Human Recomb 100 unit/mL Suspension Sig: Ten
(10) Units Subcutaneous at bedtime.
21. Insulin Regular Human 100 unit/mL Solution Sig: One (1) dose
Injection four times a day as needed for per sliding scale: see
attached scale.


Discharge Disposition:
Home

Discharge Diagnosis:
s/p Motorscooter crash vs auto
Left frontal subdural hemorrhage
Left comminuted left clavicle and scapula fractures
Multiple left sided rib fractures [**2-16**]
Left pneumothorax

Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Ambulatory - requires assistance or aid (walker
or cane).

Discharge Instructions:
YOU SHOULD NOT DRIVE OR OPERATE ANY MOTORIZED VEHICLES PER
RECOMMENDATION OF NEUROLOGY.

You were hospitalized following a crash on your motorized
scooter vs. a car. You sustained multiple injuries including a
bleeding injury to your brain; a broken collar bone & shoulder
blade; left sided rib fractures [**2-16**] and a collapsed lung. Your
collapsed lung required that you have a chest tube that was
placed x3. Chest xrays were followed closely and once the
collapsed area improved the chest tubes were removed.

Followup Instructions:
Follow up in [**Hospital 1957**] clinic in 2 weeks with [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 85278**] NP;
call [**Telephone/Fax (1) 9769**] for an appointment.

Follow up in 4 weeks with Dr. [**First Name (STitle) **], Neurosurgery with a repeat
non contrast head CT scan; call [**Telephone/Fax (1) 1669**] for an appointment.

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

Completed by:[**2197-8-7**]
{'Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Urinary tract infection, site not specified,Closed fracture of seven ribs,Other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist,Closed fracture of scapula, unspecified part,Closed fracture of shaft of clavicle,Traumatic pneumothorax without mention of open wound into thorax,Long-term (current) use of anticoagulants,Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus,Unspecified viral hepatitis C without hepatic coma,Homonymous bilateral field defects'}


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: MVA

PRESENT ILLNESS: This patient was transferred from an outside hospital following
a motor scooter accident where she was driving a motor scooter
and was struck by a car; there was positive loss of
consciousness; she was taken to [**Hospital **] Hospital where she was
evaluated there in the emergency department; she had a CT of her
head, chest, abdomen, neck, and was found to have an
intracranial hemorrhage, multiple rib fractures on the left,
left clavicle fracture, and a small left-sided pneumothorax; no
chest tube was placed at the outside hospital due to concern for
bleeding; she was given FFP as she is on Coumadin; on arrival
here in the emergency department her mental status was normal,
her GCS was 15, she
was complaining of pain in her chest and left arm; her O2 sat
was in the low to mid 90s on [**3-16**] L of nasal cannula at [**Hospital **]
Hospital, in the emergency department her O2 sat dropped to the
high 70s and needed to be supplemented with nonrebreather
facemask which brought her O2 sat up to 100%.

MEDICAL HISTORY: Type 2 diabetes
Opiate dependent chronic pain syndrome on methadone maintenance
Hepatitis C
History of embolic stroke x 2 On coumadin
Migraine headaches

MEDICATION ON ADMISSION: - methadine 60 mg po q 7am, 12 pm
- levemir 20 mg sc daily
- coumadin 10mg/1mg po daily
- asa 325 mg po daily
- percocet 5/325 mg  1-2 tabs po q6h
- bupropion 150 mg po daily
- lisinopril 5 mg po daily
- vit D 5000 iu po daily
- lovastatin 20 mg po daily
- methadone 60 mg po daily
- insulin

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: Temp:98.6 HR:106 BP:182/90 Resp:16 O(2)Sat:94

FAMILY HISTORY: unkown

SOCIAL HISTORY: - Tobacco Use: positive
- Alcohol Use: unkown
- Recreational Drug Use: opiates 

### Response:
{'Other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness,Urinary tract infection, site not specified,Closed fracture of seven ribs,Other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist,Closed fracture of scapula, unspecified part,Closed fracture of shaft of clavicle,Traumatic pneumothorax without mention of open wound into thorax,Long-term (current) use of anticoagulants,Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus,Unspecified viral hepatitis C without hepatic coma,Homonymous bilateral field defects'}
