CHIEF COMPLAINT: pedestrian struck

PRESENT ILLNESS: Patient was pedestrian struck by motor vehicle, thrown on [**Doctor Last Name **]
and hit head on windshield.  Negative LOC at time.  Patient was
awake but combative at the scene and mildly confused.  Patient
entered trauma bay and found to have right frontal traumatic
subarachnoid hemorrhage and intraventricular hemorrhage with
multiple facial fractures

MEDICAL HISTORY: hypertension

MEDICATION ON ADMISSION: aspirin

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: T 97.9 P 101 BP 157/79 RR 23 O2-98%2L
GCS 15, PERRLA, bruising near eys bilaterally, right eyebrow lac
Chest: CTAB, normal effort
CV: stable VS, palpable pulses
Abd: soft/NT/ND, pelvis stable

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: lives with wife, denies tobacco/alcohol
Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian,Street and highway accidents,Closed fracture of nasal bones,Unspecified essential hypertension
Cl skul base fx-coma NOS,Mv coll w pedest-pedest,Accid on street/highway,Nasal bone fx-closed,Hypertension NOS
Admission Date:  [**2136-11-15**]              Discharge Date:   [**2136-11-18**]

Date of Birth:  [**2077-11-9**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 2534**]
Chief Complaint:
pedestrian struck

Major Surgical or Invasive Procedure:
none


History of Present Illness:
Patient was pedestrian struck by motor vehicle, thrown on [**Doctor Last Name **]
and hit head on windshield.  Negative LOC at time.  Patient was
awake but combative at the scene and mildly confused.  Patient
entered trauma bay and found to have right frontal traumatic
subarachnoid hemorrhage and intraventricular hemorrhage with
multiple facial fractures

Past Medical History:
hypertension

Social History:
lives with wife, denies tobacco/alcohol

Family History:
noncontributory

Physical Exam:
T 97.9 P 101 BP 157/79 RR 23 O2-98%2L
GCS 15, PERRLA, bruising near eys bilaterally, right eyebrow lac
Chest: CTAB, normal effort
CV: stable VS, palpable pulses
Abd: soft/NT/ND, pelvis stable

Pertinent Results:
[**2136-11-15**] 04:24PM BLOOD WBC-4.8 RBC-3.22* Hgb-9.3* Hct-26.8*
MCV-83 MCH-28.7 MCHC-34.5 RDW-13.2 Plt Ct-197
[**2136-11-17**] 07:30AM BLOOD WBC-7.8 RBC-3.92* Hgb-11.5* Hct-32.6*
MCV-83 MCH-29.3 MCHC-35.2* RDW-13.5 Plt Ct-231
[**2136-11-15**] 04:24PM BLOOD PT-15.3* PTT-28.2 INR(PT)-1.4*
[**2136-11-15**] 10:21PM BLOOD PT-13.0 PTT-19.8* INR(PT)-1.1
[**2136-11-15**] 05:00PM BLOOD Glucose-109* UreaN-13 Creat-1.0 Na-134
K-3.3 Cl-98 HCO3-27 AnGap-12
[**2136-11-15**] 04:24PM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG
Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
[**2136-11-15**] 05:15PM BLOOD K-3.2*
[**2136-11-15**] 04:32PM BLOOD Glucose-89 Lactate-2.2* Na-140 K-2.1*
Cl-105 calHCO3-21

CT head [**11-15**]: Fracture extending from the floor of the left
middle cranial fossa through the sphenoid bone and exiting
through the right orbital roof. Adjacent pneumocephalus.
Traumatic subarachnoid hemorrhage, small intraventricular
hemorrhage, possible left temporal contusion. Multiple facial
fractures.

CT head [**11-16**]: There is no new hemorrhage, no hydrocephalus, mass
effect, or shift of normally midline structures. Previously seen
small subarachnoid hemorrhage is less apparent on this study.
There is no new fracture or change in pre-existing fractures;
please refer to the report of [**2136-11-15**] for detailed
assessment of the fracture pattern.


Brief Hospital Course:
Patient was admitted to the ICU for hourly neuro checks directly
after the trauma.  His neuro status remained intact and received
dilantin throughout his hospital course as was recommended by
neurosurgery.  He had no change in this neuro status and a
repeat CT scan showed no changes in his intracranial bleed.
Plastic surgery evaluated him during this hospitalization and
told the patient to follow-up for further monitoring.  He was
then sent to the floor for further monitoring.  The remainder of
his stay was uneventful and he was discharged in good, stable
condition.

Medications on Admission:
aspirin

Discharge Medications:
1. Dilantin Extended 100 mg Capsule Sig: One (1) Capsule PO
three times a day for 8 days.
Disp:*24 Capsule(s)* Refills:*0*
2. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6
hours) as needed.


Discharge Disposition:
Home

Discharge Diagnosis:
small subarachnoid hemorrhage, small intraventricular
hemorrhage, fracture extending from the left middle cranial
fossa through the sphenoid bone and exiting through the right
orbital roof


Discharge Condition:
stable, good


Discharge Instructions:
Please follow-up with the Dr. [**Last Name (STitle) **] from neurosurgery and Dr.
[**Last Name (STitle) 7474**] with plastic surgery.  Please continue to take your
dilantin for another 8 days.

Followup Instructions:
Please follow-up with Dr. [**Last Name (STitle) 7474**] (plastic surgery) in his
clinic.  Call [**Telephone/Fax (1) 64495**].  Please follow-up with Dr. [**Last Name (STitle) **]
(neurosurgery).  Call [**Telephone/Fax (1) 1669**].
{'Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian,Street and highway accidents,Closed fracture of nasal bones,Unspecified essential hypertension'}


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: pedestrian struck

PRESENT ILLNESS: Patient was pedestrian struck by motor vehicle, thrown on [**Doctor Last Name **]
and hit head on windshield.  Negative LOC at time.  Patient was
awake but combative at the scene and mildly confused.  Patient
entered trauma bay and found to have right frontal traumatic
subarachnoid hemorrhage and intraventricular hemorrhage with
multiple facial fractures

MEDICAL HISTORY: hypertension

MEDICATION ON ADMISSION: aspirin

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: T 97.9 P 101 BP 157/79 RR 23 O2-98%2L
GCS 15, PERRLA, bruising near eys bilaterally, right eyebrow lac
Chest: CTAB, normal effort
CV: stable VS, palpable pulses
Abd: soft/NT/ND, pelvis stable

FAMILY HISTORY: noncontributory

SOCIAL HISTORY: lives with wife, denies tobacco/alcohol 

### Response:
{'Closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration,Motor vehicle traffic accident involving collision with pedestrian injuring pedestrian,Street and highway accidents,Closed fracture of nasal bones,Unspecified essential hypertension'}
