CHIEF COMPLAINT: 60F on coumadin; was found slightly drowsy tonight; then
fell down stairs; paramedic found her unconscious and she was
intubated w/o any medication; head CT shows multiple IPH;
transferred to [**Hospital1 18**] for further eval

PRESENT ILLNESS: 

MEDICAL HISTORY: Her medical history is significant for hypertension,
osteoarthritis involving bilateral knee joints with a dependence
on cane for ambulation, chronic back pain.  She also has a
history of a right lung cancer requiring right lobectomy in
[**2099**].
 No metastasis was known and she has since recovered well and is
considered cured.

MEDICATION ON ADMISSION: Unknown

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: PHYSICAL EXAM:
124/82  108  20  100%
Intubated, non sedated; received no paralytic medication;
No eye opening; pupil: Rt: 5 mm, Lt: 4 mm, both non reactive;
Corneal + bilat;
Extends both UE to stim; min withdrawal/triple flexion both LE;
Upgoing toes bilat;

FAMILY HISTORY: NC

SOCIAL HISTORY: Unknown
Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level,Compression of brain,Closed fracture of sixth cervical vertebra,Closed fracture of one rib,Disruption of wound, unspecified,Pressure ulcer, stage IV,Accidental fall on or from other stairs or steps,Atrial fibrillation,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Long-term (current) use of anticoagulants,Hip joint replacement,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation
Cl skl base fx-deep coma,Compression of brain,Fx c6 vertebra-closed,Fracture one rib-closed,Wound disruption NOS,Pressure ulcer, stage IV,Fall on stair/step NEC,Atrial fibrillation,Crnry athrscl natve vssl,Hypertension NOS,Long-term use anticoagul,Joint replaced hip,Abn react-artif implant
Admission Date:  [**2129-6-28**]              Discharge Date:   [**2129-6-28**]

Date of Birth:  [**2069-6-26**]             Sex:   F

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 3223**]
Chief Complaint:
60F on coumadin; was found slightly drowsy tonight; then
fell down stairs; paramedic found her unconscious and she was
intubated w/o any medication; head CT shows multiple IPH;
transferred to [**Hospital1 18**] for further eval

Major Surgical or Invasive Procedure:
None

Past Medical History:
Her medical history is significant for hypertension,
osteoarthritis involving bilateral knee joints with a dependence
on cane for ambulation, chronic back pain.  She also has a
history of a right lung cancer requiring right lobectomy in
[**2099**].
 No metastasis was known and she has since recovered well and is
considered cured.


Social History:
Unknown

Family History:
NC

Physical Exam:
PHYSICAL EXAM:
124/82  108  20  100%
Intubated, non sedated; received no paralytic medication;
No eye opening; pupil: Rt: 5 mm, Lt: 4 mm, both non reactive;
Corneal + bilat;
Extends both UE to stim; min withdrawal/triple flexion both LE;
Upgoing toes bilat;


Brief Hospital Course:
CT scan revealed very severe
IPH.  Given her poor prognosis with fixed pupils and posturing,
patient was made CMO by family. She expired shortly after
arrival to hospital.


Medications on Admission:
Unknown

Discharge Medications:
Expired

Discharge Disposition:
Expired

Discharge Diagnosis:
IPH

Discharge Condition:
Expired

Discharge Instructions:
None

Followup Instructions:
None

                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 520**] MD, [**MD Number(3) 3226**]

Completed by:[**2129-9-18**]
{'Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level,Compression of brain,Closed fracture of sixth cervical vertebra,Closed fracture of one rib,Disruption of wound, unspecified,Pressure ulcer, stage IV,Accidental fall on or from other stairs or steps,Atrial fibrillation,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Long-term (current) use of anticoagulants,Hip joint replacement,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation'}


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: 60F on coumadin; was found slightly drowsy tonight; then
fell down stairs; paramedic found her unconscious and she was
intubated w/o any medication; head CT shows multiple IPH;
transferred to [**Hospital1 18**] for further eval

PRESENT ILLNESS: 

MEDICAL HISTORY: Her medical history is significant for hypertension,
osteoarthritis involving bilateral knee joints with a dependence
on cane for ambulation, chronic back pain.  She also has a
history of a right lung cancer requiring right lobectomy in
[**2099**].
 No metastasis was known and she has since recovered well and is
considered cured.

MEDICATION ON ADMISSION: Unknown

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: PHYSICAL EXAM:
124/82  108  20  100%
Intubated, non sedated; received no paralytic medication;
No eye opening; pupil: Rt: 5 mm, Lt: 4 mm, both non reactive;
Corneal + bilat;
Extends both UE to stim; min withdrawal/triple flexion both LE;
Upgoing toes bilat;

FAMILY HISTORY: NC

SOCIAL HISTORY: Unknown 

### Response:
{'Closed fracture of base of skull with other and unspecified intracranial hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level,Compression of brain,Closed fracture of sixth cervical vertebra,Closed fracture of one rib,Disruption of wound, unspecified,Pressure ulcer, stage IV,Accidental fall on or from other stairs or steps,Atrial fibrillation,Coronary atherosclerosis of native coronary artery,Unspecified essential hypertension,Long-term (current) use of anticoagulants,Hip joint replacement,Surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation'}
