CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient was a [**Age over 90 **]-year-old
gentleman recently admitted status post a fall on [**2159-1-18**], with a small left-sided subdural hematoma which was
stable on CT on [**2159-1-20**].  The patient was discharged
to home at that time.

MEDICAL HISTORY: Status post pacemaker placement.
Surgical eye implant.  Subdural hematoma.

MEDICATION ON ADMISSION: Lisinopril 20 p.o. q.d.,
Allopurinol 100 mg q.d., Glucotrol XL 10 mg q.d., Epogen
10,000 U q.week, Lasix 40 mg twice a week.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Acidosis,Unspecified fall,Cardiac pacemaker in situ,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Gout, unspecified
Traumatic subdural hem,Acidosis,Fall NOS,Status cardiac pacemaker,Hypertension NOS,DMII wo cmp nt st uncntr,Gout NOS
Admission Date:  [**2159-2-4**]       Discharge Date:  [**2159-2-12**]


Service:

HISTORY OF PRESENT ILLNESS:  The patient was a [**Age over 90 **]-year-old
gentleman recently admitted status post a fall on [**2159-1-18**], with a small left-sided subdural hematoma which was
stable on CT on [**2159-1-20**].  The patient was discharged
to home at that time.

Today while eating lunch, he became progressively more
somnolent and was difficult to arouse, responding only to
voice.  He complained of a left-sided headache.  He was taken
to an outside hospital where the CT scan showed a large
subdural hematoma with midline shift.  The patient was
transferred to [**Hospital6 256**] for
urgent evaluation.

PHYSICAL EXAMINATION:  Vital signs:  Blood pressure 175/79,
heart rate 92, respirations 20, oxygen saturation 99% on 2 L.
General:  The patient was awake but not alert.  He attended
to voice briefly.  He followed simple commands.  He was
moving all extremities with a right drift.  Sensory exam was
deferred.  HEENT:  Pupil were equal and brisk.  Extraocular
movements full.  Face was symmetric.  Tongue was midline.
Reflexes were 1+ throughout, and toes were downgoing
bilaterally.

PAST MEDICAL HISTORY:  Status post pacemaker placement.
Surgical eye implant.  Subdural hematoma.

MEDICATIONS ON ADMISSION:  Lisinopril 20 p.o. q.d.,
Allopurinol 100 mg q.d., Glucotrol XL 10 mg q.d., Epogen
10,000 U q.week, Lasix 40 mg twice a week.

LABORATORY DATA:  The patient's CT scan on admission showed a
large 1.5-2.0 cm left subdural hematoma with midline shift.

HOSPITAL COURSE:  The patient went to the operating room and
had emergent evacuation of the left subdural hematoma without
intraoperative complications.

Postoperatively the patient was monitored in the Intensive
Care Unit where he was awake and alert and following commands
bilaterally.  He was squeezing fingers, showing two fingers.
Tongue was midline.  Extraocular movements full.  He was
lifting both arms and legs off the bed.  Subdural drain
remained in place.

The patient had a repeat scan done on [**2159-2-6**], which
showed good evacuation of the subdural hematoma.  The patient
was then transferred to the regular floor.  On [**2159-2-8**], the patient was seen by Physical Therapy, Occupational
Therapy and Speech Therapy and found to be safe for p.o.
diets, puree consistency, with thin liquid and crushed pills.
He was also felt to require a short rehabilitation stay prior
to discharge to home.

DISCHARGE MEDICATIONS:  Cosopt 2%, Timolol 0.5% ophthalmic
drop 1 drop O.U. b.i.d., Lumigan 1 drop ophthalmic ointment
O.U. q.d., ................. 0.5% 1 drop O.U. b.i.d.,
Protonix 40 mg p.o. q.d., Epogen 10,000 U IV once a week on
Tuesday, Colace 100 mg p.o. b.i.d., Lisinopril 20 mg p.o.
q.d., Ferrous Sulfate 325 p.o. t.i.d., Methazolamide 25 p.o.
t.i.d. with meals, Lasix 40 mg p.o. 3 times a week q.Monday,
Wednesday and Friday, Allopurinol 100 mg p.o. q.d.,
Multivitamin with minerals 1 tab p.o. q.d., Glucotrol 5 mg
p.o. b.i.d.

CONDITION ON DISCHARGE:  Stable at the time of discharge.

FOLLOW-UP:  He will follow-up with Dr. [**Last Name (STitle) 1327**] in one week.






                            [**Name6 (MD) 1339**] [**Last Name (NamePattern4) 1340**], M.D.  [**MD Number(1) 1341**]

Dictated By:[**Last Name (NamePattern1) 344**]
MEDQUIST36

D:  [**2159-2-12**]  13:36
T:  [**2159-2-12**]  14:34
JOB#:  [**Job Number 45226**]
{'Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Acidosis,Unspecified fall,Cardiac pacemaker in situ,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Gout, unspecified'}


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 was a [**Age over 90 **]-year-old
gentleman recently admitted status post a fall on [**2159-1-18**], with a small left-sided subdural hematoma which was
stable on CT on [**2159-1-20**].  The patient was discharged
to home at that time.

MEDICAL HISTORY: Status post pacemaker placement.
Surgical eye implant.  Subdural hematoma.

MEDICATION ON ADMISSION: Lisinopril 20 p.o. q.d.,
Allopurinol 100 mg q.d., Glucotrol XL 10 mg q.d., Epogen
10,000 U q.week, Lasix 40 mg twice a week.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness,Acidosis,Unspecified fall,Cardiac pacemaker in situ,Unspecified essential hypertension,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Gout, unspecified'}
