CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 47 year old
male with no significant past medical history who started
vomiting after eating a buffet lunch the day prior to
admission.  He was sleepy when brought home and was found on
the floor near the bed.  It is unknown if he fell, but he was
taken to bed, where he continued to vomit.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Intracerebral hemorrhage,Acute respiratory failure,Foreign body in larynx
Intracerebral hemorrhage,Acute respiratry failure,Foreign body in larynx
Admission Date:  [**2188-12-8**]     Discharge Date:  [**2188-12-16**]

Date of Birth:   [**2136-4-20**]     Sex:  M

Service:  Neurosurgery

DIAGNOSIS: Massive basal ganglia intraparenchymal bleed and
brain stem death.

HISTORY OF PRESENT ILLNESS:  The patient is a 47 year old
male with no significant past medical history who started
vomiting after eating a buffet lunch the day prior to
admission.  He was sleepy when brought home and was found on
the floor near the bed.  It is unknown if he fell, but he was
taken to bed, where he continued to vomit.

The patient's wife brought him to a center for [**Doctor First Name **]
Scientists, where he was observed and there he slept most of
the night but continued to vomit.  The patient was brought to
the [**First Name4 (NamePattern1) 3867**] [**Last Name (NamePattern1) **] [**First Name (Titles) **] [**Last Name (Titles) **] Emergency Room.  In
the Emergency Room, his blood pressure was 220/140.

PHYSICAL EXAMINATION:  On examination, his blood pressure was
160/80, heart rate 112 and he was intubated.  Pupils were 2.5
cm on the right and 3 cm on the left.  Both were reactive.
He opened his eyes and followed single commands but he was
not moving his left side.  A CT scan showed a large deep
basal ganglia bleed with ventricular obliteration and midline
shift of at least 8 mm.  The patient was admitted to the
Neurology Intensive Care Unit, where he was intubated and
ventilated.

HOSPITAL COURSE:  On [**2188-12-8**], the patient had an
angiogram in the endovascular suite of the right and left
coronary arteries.  He was prepped and draped in the usual
sterile fashion.  A small arteriotomy was performed in the
right common femoral artery and upon return of brisk arterial
blood, a guide wire was advanced and an arteriogram was
performed.  This showed that there was no evidence of
aneurysm or arteriovenous malformation to suggest a source
for the intracranial hemorrhage.

On [**2188-12-12**], the patient's condition deteriorated.
He had a dilated right pupil.  A repeat CT scan was performed
and findings were consistent with increasing intracranial
pressure with worsening of subfalcine and uncal herniation.
In addition, there was a new cerebellar infarction.

At this point, the patient was hyperventilated and his blood
pressure was supported.  He was receiving mannitol to prevent
further worsening of his cerebral edema.  Despite this, the
patient's condition deteriorated progressively.  He had a
repeat head CT scan on [**2188-12-15**] and this showed an
increase leftward subfalcine herniation and ongoing massive
posterior infarction, and also evidence of herniation.

At this point, clinically, the patient had fixed dilated
bilateral pupils.  There was no response to pain and it was
decided that the brain stem function was compromised and
brain stem functions were being performed.  In the meanwhile,
he also had a CT scan of the abdomen and pelvis to evaluate
for his refractory hypertension.  There was no evidence of
pheochromocytoma or renal artery stenosis.

There was gradual severe deterioration in the patient's
general condition and two sets of brain stem tests were
performed on [**2188-12-16**] and the patient was declared
brain stem dead on [**2188-12-16**].

The [**Location (un) 511**] Organ Bank was contact[**Name (NI) **] in the meanwhile and
the family agreed to organ harvest.  The patient was declared
brain stem dead at 13:30 on [**2188-12-16**] and was being
maintained for organ harvest after this time.



                          [**Name6 (MD) 6911**] [**Name8 (MD) **], MD  [**MD Number(1) 6913**]

Dictated By:[**Name8 (MD) 1134**]

MEDQUIST36

D:  [**2188-12-17**]  11:12
T:  [**2188-12-22**]  18:46
JOB#:  [**Job Number 37104**]
{'Intracerebral hemorrhage,Acute respiratory failure,Foreign body in larynx'}


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 47 year old
male with no significant past medical history who started
vomiting after eating a buffet lunch the day prior to
admission.  He was sleepy when brought home and was found on
the floor near the bed.  It is unknown if he fell, but he was
taken to bed, where he continued to vomit.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Intracerebral hemorrhage,Acute respiratory failure,Foreign body in larynx'}
