CHIEF COMPLAINT: CC:[**CC Contact Info 80944**]

PRESENT ILLNESS: HPI:  Patient is a 47 yo woman with no PMH who had a dull
occipital HA starting 2 weeks ago.  Intermittent and lasting 2-6
minutes each time.  Then developed URI sxs about 1 week ago and
HA continued to worsen.  Was significantly worse last night so
went to OSH ED where hyperintensity in right BG identified as
possibly being hemorrhage or other.  Patient denies any
neurological deficits such as weakness, paresthesias, vision
change, confusion, language changes, clumsiness.

MEDICAL HISTORY: PMHx: none

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On Admission

FAMILY HISTORY: Family Hx: no ICH.  Breast CA.

SOCIAL HISTORY: Social Hx: quit tob recently.  Occasional ETOH.
Intracerebral hemorrhage,Family history of malignant neoplasm of breast
Intracerebral hemorrhage,Family hx-breast malig
Admission Date:  [**2179-3-1**]              Discharge Date:   [**2179-3-4**]

Date of Birth:  [**2131-5-31**]             Sex:   F

Service: NEUROSURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 1835**]
Chief Complaint:
CC:[**CC Contact Info 80944**]

Major Surgical or Invasive Procedure:
Cerebral angiogram


History of Present Illness:
HPI:  Patient is a 47 yo woman with no PMH who had a dull
occipital HA starting 2 weeks ago.  Intermittent and lasting 2-6
minutes each time.  Then developed URI sxs about 1 week ago and
HA continued to worsen.  Was significantly worse last night so
went to OSH ED where hyperintensity in right BG identified as
possibly being hemorrhage or other.  Patient denies any
neurological deficits such as weakness, paresthesias, vision
change, confusion, language changes, clumsiness.


Past Medical History:
PMHx: none


Social History:
Social Hx: quit tob recently.  Occasional ETOH.


Family History:
Family Hx: no ICH.  Breast CA.


Physical Exam:
On Admission

PHYSICAL EXAM:
O: T: 97  BP: 110/77         HR:  77  R  12      O2Sats 95 RA
Gen: WD/WN, comfortable, NAD.
HEENT: Pupils: 4-2mm bilaterally       EOMs intact
Neck: Supple.
Lungs: CTA bilaterally.
Cardiac: RRR. S1/S2.
Abd: Soft, NT, BS+
Extrem: Warm and well-perfused.
Neuro:
Mental status: Awake and alert, cooperative with exam, normal
affect.
Orientation: Oriented to person, place, and date.
Recall: [**2-2**] objects at 5 minutes.
Language: Speech fluent with good comprehension and repetition.
Naming intact. No dysarthria or paraphasic errors.

Cranial Nerves:
I: Not tested
II: Pupils equally round and reactive to light, to
mm bilaterally. Visual fields are full to confrontation.
III, IV, VI: Extraocular movements intact bilaterally without
nystagmus.
V, VII: Facial strength and sensation intact and symmetric.
VIII: Hearing intact to voice.
IX, X: Palatal elevation symmetrical.
[**Doctor First Name 81**]: Sternocleidomastoid and trapezius normal bilaterally.
XII: Tongue midline without fasciculations.

Motor: Normal bulk and tone bilaterally. No abnormal movements,
tremors. Strength full power [**4-6**] throughout. No pronator drift

Sensation: Intact to light touch bilaterally.

Reflexes: B T Br Pa Ac
Right     2 2 2  2  1
Left      2 2 2  2  1

Toes downgoing bilaterally

Coordination: normal on finger-nose-finger, rapid alternating
movements, heel to shin
or shift of normally midline structures.

On Discharge she has non-focal exam.


Pertinent Results:
Head CT [**3-1**] IMPRESSION:
Right basal ganglia intraparenchymal hemorrhage as described
above. Dedicated CTA or MRA is suggested for further evaluation
of an underlying vascular malformation (developmental venous
anomaly). No evidence of hydrocephalus or shift of normally
midline structures.

MRI [**3-1**] IMPRESSION: 18 x 18 x 17 mm right basal ganglia
cavernoma with adjacent
developmental venous anomaly.

[**2179-3-1**] 08:00PM BLOOD WBC-14.7* RBC-4.02* Hgb-12.6 Hct-36.6
MCV-91 MCH-31.4 MCHC-34.4 RDW-12.7 Plt Ct-339
[**2179-3-2**] 02:15AM BLOOD WBC-14.5* RBC-4.01* Hgb-12.7 Hct-36.8
MCV-92 MCH-31.6 MCHC-34.4 RDW-12.9 Plt Ct-349
[**2179-3-1**] 08:00PM BLOOD PT-13.2 PTT-28.9 INR(PT)-1.1
[**2179-3-2**] 02:15AM BLOOD Glucose-105 UreaN-8 Creat-0.5 Na-139
K-4.4 Cl-105 HCO3-29 AnGap-9
[**2179-3-2**] 02:15AM BLOOD Calcium-9.0 Phos-4.0 Mg-2.1

Brief Hospital Course:
Admitted after of 2 days of progressive HA. CT shows basal
ganglia bleed in CT. MRI done to better evaluate and shows
cavernoma. Admitted to ICU for serial neuro checks. Transferred
to floor and had cerebral angiogram which shows no source of
bleeding. Her groin was c/d/i with no hematoma and +PP.

Medications on Admission:
none

Discharge Disposition:
Home

Discharge Diagnosis:
Right Basal Ganglia Bleed


Discharge Condition:
Neurologically stable



Completed by:[**2179-3-4**]
{'Intracerebral hemorrhage,Family history of malignant neoplasm of breast'}


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: CC:[**CC Contact Info 80944**]

PRESENT ILLNESS: HPI:  Patient is a 47 yo woman with no PMH who had a dull
occipital HA starting 2 weeks ago.  Intermittent and lasting 2-6
minutes each time.  Then developed URI sxs about 1 week ago and
HA continued to worsen.  Was significantly worse last night so
went to OSH ED where hyperintensity in right BG identified as
possibly being hemorrhage or other.  Patient denies any
neurological deficits such as weakness, paresthesias, vision
change, confusion, language changes, clumsiness.

MEDICAL HISTORY: PMHx: none

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: On Admission

FAMILY HISTORY: Family Hx: no ICH.  Breast CA.

SOCIAL HISTORY: Social Hx: quit tob recently.  Occasional ETOH. 

### Response:
{'Intracerebral hemorrhage,Family history of malignant neoplasm of breast'}
