CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 57 year old man
with a negative past medical history who presents with
several hour history of headache, denies photophobia and says
now he has a new blurry vision in the left eye, but no
numbness, paresthesias or inability to walk. The headache is
stable. The patient's exam is nonfocal. He has no history of
malignancy or hypertension, just hyperlipidemia.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Intracerebral hemorrhage,Other and unspecified hyperlipidemia
Intracerebral hemorrhage,Hyperlipidemia NEC/NOS
Name:  [**Known lastname 10845**],[**Known firstname 126**]              Unit No:   [**Numeric Identifier 10846**]

Admission Date:  [**2192-1-25**]              Discharge Date:   [**2192-2-10**]

Date of Birth:  [**2134-10-19**]             Sex:   M

Service: NEUROSURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 10598**]
Addendum:
patient was transfered to the regular floor on [**2192-2-7**] he
remained neurologically stable. He was evaluated by Dr [**First Name8 (NamePattern2) **]
[**Last Name (NamePattern1) **] from Behavior Neurology who felt he needed 24
supervision and would improve in [**Doctor Last Name **]-four weeks. He will
followup with Dr [**Last Name (STitle) 365**] in two weeks with repeat head Ct and
rpeat MRI in six weeks and followup with Dr [**First Name (STitle) **] in four
weeks call 1-[**Telephone/Fax (1) 810**] for appointment.

Discharge Disposition:
Extended Care

Facility:
Life Care Center of [**Location (un) 10016**]

                             [**Name6 (MD) **] [**Last Name (NamePattern4) **] MD, [**MD Number(3) 10600**]

Completed by:[**2192-2-10**]

Name:  [**Known lastname 10845**],[**Known firstname 126**]              Unit No:   [**Numeric Identifier 10846**]

Admission Date:  [**2192-1-25**]              Discharge Date:   [**2192-2-10**]

Date of Birth:  [**2134-10-19**]             Sex:   M

Service: NEUROSURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 10598**]
Addendum:
Patient's discharge was delayed due to lack of rehab bed. he
remains neurlogically stable. He will followup with Dr [**Last Name (STitle) 365**] in
three-four weeks with repeat head Ct and  repeat MRI scan in six
weeks. follow up with Dr [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] Behavior neurology
in four weeks call [**Telephone/Fax (1) 810**]

Discharge Disposition:
Extended Care

Facility:
Life Care Center of [**Location (un) 10016**]

                             [**Name6 (MD) **] [**Last Name (NamePattern4) **] MD, [**MD Number(3) 10600**]

Completed by:[**2192-2-10**]

Admission Date: [**2192-1-25**]        Discharge Date:

Date of Birth:  [**2134-10-19**]        Sex:  M

Service:  NSU


HISTORY OF PRESENT ILLNESS:  The patient is a 57 year old man
with a negative past medical history who presents with
several hour history of headache, denies photophobia and says
now he has a new blurry vision in the left eye, but no
numbness, paresthesias or inability to walk. The headache is
stable. The patient's exam is nonfocal. He has no history of
malignancy or hypertension, just hyperlipidemia.

PHYSICAL EXAMINATION:  On physical examination, his
temperature was 98. Blood pressure was 160/60. Heart rate was
60's. He was in no acute distress. HEENT examination showed
neck was supple. Pupils are equal, round, reactive to light.
Cardiovascular - regular rate and rhythm, no murmur.
Pulmonary - chest to clear to auscultation bilaterally.
Abdomen was soft, nontender, nondistended with positive bowel
sounds. Neurological - awake, alert and oriented times three,
slow to respond, obeys commands, left visual field cuts and
an active left motor neglect. Strength was [**5-24**] in all muscle
groups. There was no clonus.

HOSPITAL COURSE:  The patient was admitted to the ICU for
close neurologic observation and was started on mannitol 50 g
IV q6h and Nipride to keep his blood pressure less than 130.
He had an MRI/MRA of the head that showed no evidence of
vascular malformation or underlying lesion. The patient was
evaluated by the Neurology Service for persistent headaches.
They recommended keeping blood pressure less than 180,
doing an MRI/MRV/MRA to rule out any carotid dissection which
did not show any evidence of that and also the patient had a
carotid conventional angio which again showed no evidence of
carotid dissection. A head CT on admission showed a large
right parietal temporal intraparenchymal hemorrhage with
blood in the right ventricle and midline shift and mass
effect. On [**1-28**], the patient was awake, alert and oriented
times three, moving all four extremities spontaneously. He
was transferred to the Step-Down Unit on [**2192-1-28**],
continued on mannitol 50 q8h and Dilantin. The patient
remains with severe headache and slow to move around. He was
seen by Physical Therapy and Occupational Therapy and felt to
require rehab due to his left field cut and his inability to
compensate for that left field cut as he is walking into
walls. He continued to remain stable and being monitored in
the Step-Down Unit. He continued to have a left drift and a
left field cut. Vital signs were stable. Neurologically,
otherwise he was intact. He continued to be followed by
Physical Therapy and Occupational Therapy and felt to require
a short rehab stay prior to discharge to home.

DISCHARGE MEDICATIONS:  Colace 100 mg po tid, lisinopril 10
po daily, Dilantin 200 po bid, amlodipine 5 po daily,
metoprolol 25 po bid, heparin 5000 units subcutaneously [**Hospital1 **],
hydromorphone 2-6 mg po q3-4h prn for headache, pantoprazole
40 mg po daily, hydralazine 10 mg po q4h, give for SBP
greater than 150, Fioricet one to two tabs po q4h prn for
headache, atorvastatin 40 mg po daily.

CONDITION ON DISCHARGE:  The patient's condition was stable
at the time of discharge.

DISCHARGE INSTRUCTIONS:  He will follow up with Dr. [**Last Name (STitle) 1327**] in
four weeks with repeat head CT.



                        [**Name6 (MD) **] [**Last Name (NamePattern4) **], [**MD Number(1) 12001**]

Dictated By:[**Last Name (NamePattern1) **]
MEDQUIST36
D:  [**2192-2-7**] 11:48:25
T:  [**2192-2-7**] 12:14:25
Job#:  [**Job Number 58912**]
{'Intracerebral hemorrhage,Other and unspecified hyperlipidemia'}


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: The patient is a 57 year old man
with a negative past medical history who presents with
several hour history of headache, denies photophobia and says
now he has a new blurry vision in the left eye, but no
numbness, paresthesias or inability to walk. The headache is
stable. The patient's exam is nonfocal. He has no history of
malignancy or hypertension, just hyperlipidemia.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Intracerebral hemorrhage,Other and unspecified hyperlipidemia'}
