CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Name13 (STitle) 116**] is an otherwise healthy
20 year old male who is status post assault with a bottle
being broken over his scalp as well as undergoing a slash
wound to the left axilla.  The patient was intoxicated at the
time of the altercation.  He was admitted with [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 2611**] Coma
Scale of 14.  He was initially seen in the Emergency
Department where they initially thought his only wound was a
scalp laceration.  However, after further investigation and
listening to the patient describe a left axillary pain,
declothing the patient revealed a very large 12 centimeter
deep full thickness left axillary wound.  A Basic Trauma
Activation thereafter incurred.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Open wound of axillary region, without mention of complication,Alcohol abuse, unspecified,Assault by cutting and piercing instrument,Open wound of scalp, without mention of complication
Open wound of axilla,Alcohol abuse-unspec,Assault-cutting instr,Open wound of scalp
Admission Date:  [**2113-4-2**]       Discharge Date:  [**2113-4-2**]

Date of Birth:   [**2092-7-26**]       Sex:  M

Service:  TRAUMA

HISTORY OF PRESENT ILLNESS:   Mr. [**Name13 (STitle) 116**] is an otherwise healthy
20 year old male who is status post assault with a bottle
being broken over his scalp as well as undergoing a slash
wound to the left axilla.  The patient was intoxicated at the
time of the altercation.  He was admitted with [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 2611**] Coma
Scale of 14.  He was initially seen in the Emergency
Department where they initially thought his only wound was a
scalp laceration.  However, after further investigation and
listening to the patient describe a left axillary pain,
declothing the patient revealed a very large 12 centimeter
deep full thickness left axillary wound.  A Basic Trauma
Activation thereafter incurred.

The patient was seen.  He was found to be somewhat combative
and did smell of alcohol.  Due to his combativeness and
inability to obtain CT scan imaging, he was intubated.

PHYSICAL EXAMINATION:  His initial assessment revealed [**Initials (NamePattern4) **]
[**Last Name (NamePattern4) 2611**] Coma Scale of 14; his pupils were equal and reactive.
His head was notable for a 3.5 centimeter laceration, full
thickness, down to the galea at the apex of his head.  There
was minimal blood loss there. The blood loss at the scene was
not otherwise revealed.  His trachea was midline.  There was
no neck crepitus.  No pulsatile mass.  Mid-face was stable.
Orbits were normal.  There was a small inferior canthal 1.5
centimeter laceration.  There was no evidence of gross
corneal abrasion.  The patient's initial complaint did not
include eye complaints.  Tympanic membranes were clear.
Lungs were clear bilaterally; there was no crepitus.  Sternum
was stable.  Abdomen was protuberant but obese, soft,
nontender.  Pelvis was stable.  Rectal guaiac negative with
normal tone.  Extremities were without any obvious deformity.

He did have a 12 centimeter laceration across the left mid
axilla just below the area of the hair bearing region
extending down to the level of the latissimus dorsi.  There
was no evidence of major arterial or venous plexus injury.

HOSPITAL COURSE:   The patient underwent a Trauma Survey
including plain films of the chest and pelvis which were
negative; CT scan of the head showed just a soft tissue
injury in the area of his predescribed scalp laceration,
however, there is no evidence of skull fracture or
intraparenchymal injury.  The patient's CT scan of his
cervical spine was otherwise negative.

A CT scan of his chest was negative, showing no evidence of
great vessel injury or pneumothorax.  The incision over his
left axilla extended down to the level of the latissimus but
did not appear to violate this muscle plane.  A CT scan of
the abdomen and pelvis was otherwise unremarkable.

The patient was found to have a hematocrit of 38.0; his other
labs were unremarkable.  He did have a relatively [**Name2 (NI) **] tox
with 87 for his alcohol level.

He was placed on the Trauma Surgical Intensive Care Unit for
further care.  On the morning of [**2113-4-2**], the patient was
awoken from sedation.  He was moving all extremities and
following commands.  He was extubated without incident.
Further evaluation of his left eye revealed that there was no
major ocular damage.  His diet was advanced.  His airway was
easily protected with his own gag reflex.  The patient was
out of bed and ambulating, tolerating a diet, having minimal
pain.

He was therefore discharged to follow-up in the Trauma Clinic
in seven to ten days for skin clip removal of the scalp
laceration and left axillary wound laceration.

DISCHARGE INSTRUCTIONS:
1.  The patient was instructed to begin showering the day
after next.  He should leave his dry dressing intact until
that time.  He may sponge bath or wash his hair, but will not
submerse the wound.
2.  The patient received percocet 5/325, one to two tablets
p.o. q. four to six p.r.n.
3.  Motrin as needed.
4.  He should take a stool softener such as Colace 100 mg
p.o. twice a day while on the Percocet.
5.  Follow-up in seven to ten days for skin clip removal in
the Trauma Clinic.

DISCHARGE STATUS:   To home without services.


                         [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 9325**], M.D.  [**MD Number(1) 10637**]

Dictated By:[**Last Name (NamePattern4) 3204**]
MEDQUIST36

D:  [**2113-4-2**]  11:53
T:  [**2113-4-2**]  14:58
JOB#:  [**Job Number 54938**]
{'Open wound of axillary region, without mention of complication,Alcohol abuse, unspecified,Assault by cutting and piercing instrument,Open wound of scalp, without mention of complication'}


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: Mr. [**Name13 (STitle) 116**] is an otherwise healthy
20 year old male who is status post assault with a bottle
being broken over his scalp as well as undergoing a slash
wound to the left axilla.  The patient was intoxicated at the
time of the altercation.  He was admitted with [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 2611**] Coma
Scale of 14.  He was initially seen in the Emergency
Department where they initially thought his only wound was a
scalp laceration.  However, after further investigation and
listening to the patient describe a left axillary pain,
declothing the patient revealed a very large 12 centimeter
deep full thickness left axillary wound.  A Basic Trauma
Activation thereafter incurred.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Open wound of axillary region, without mention of complication,Alcohol abuse, unspecified,Assault by cutting and piercing instrument,Open wound of scalp, without mention of complication'}
