CHIEF COMPLAINT: 

PRESENT ILLNESS: Mr. [**Known lastname 7518**] is a 70-year-old
a 70-year-old gentleman with a past medical history
significant for diverticulitis and hyperlipidemia.  According
to his wife, he had mental status changes in [**Month (only) **] and
[**Month (only) **].  He was seen by his primary care physician where he
had polyuria, polyphagia, and polydipsia.  He also described
incontinence, unsteady gait, and mental status changes.  He
was scheduled for a CT scan of the brain on [**12-29**] which
admitted to the hospital for further treatment.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: His present medications were NPH
insulin 20 units in the morning and evening, sliding-scale
regular insulin, ProMod with fiber via the nasogastric tube
with a goal of 75 cc, Dilantin 100 mg per nasogastric tube
b.i.d., nitroglycerin past 2 inches to chest (which should be
held if systolic blood pressure is less than 100),
Prevacid 30 mg per nasogastric tube q.d., Tylenol 650 mg per
nasogastric tube q.4-6h. p.r.n., dexamethasone 20 mg
intravenously q.6h., Colace 100 mg t.i.d., hydralazine 40 mg
per nasogastric tube q.6h., Lopressor 50 mg per nasogastric
tube b.i.d.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Malignant neoplasm of brain, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia
Malig neo brain NOS,DMII wo cmp nt st uncntr,Hyperlipidemia NEC/NOS
Admission Date:  [**2129-1-10**]       Discharge Date:  [**2129-1-20**]

Date of Birth:   [**2058-3-17**]       Sex:  M


DIAGNOSIS:  Status post excision of glioblastoma multiforme,
status post craniotomy.

HISTORY OF PRESENT ILLNESS:  Mr. [**Known lastname 7518**] is a 70-year-old
a 70-year-old gentleman with a past medical history
significant for diverticulitis and hyperlipidemia.  According
to his wife, he had mental status changes in [**Month (only) **] and
[**Month (only) **].  He was seen by his primary care physician where he
had polyuria, polyphagia, and polydipsia.  He also described
incontinence, unsteady gait, and mental status changes.  He
was scheduled for a CT scan of the brain on [**12-29**] which
admitted to the hospital for further treatment.

At [**Hospital3 1280**] Hospital he had a stereotactic biopsy of the
right temporal mass on [**1-3**] with a tissue diagnosis of
high-grade glioblastoma multiforme.  He was transferred to
[**Hospital1 69**] for craniotomy and
excision of tumor on [**1-10**].

MEDICATIONS ON ADMISSION:  His present medications were NPH
insulin 20 units in the morning and evening, sliding-scale
regular insulin, ProMod with fiber via the nasogastric tube
with a goal of 75 cc, Dilantin 100 mg per nasogastric tube
b.i.d., nitroglycerin past 2 inches to chest (which should be
held if systolic blood pressure is less than 100),
Prevacid 30 mg per nasogastric tube q.d., Tylenol 650 mg per
nasogastric tube q.4-6h. p.r.n., dexamethasone 20 mg
intravenously q.6h., Colace 100 mg t.i.d., hydralazine 40 mg
per nasogastric tube q.6h., Lopressor 50 mg per nasogastric
tube b.i.d.

PHYSICAL EXAMINATION ON PRESENTATION:  On examination, he was
awake and alert, and he was speaking but was disoriented to
month and time and place consistently.  Pupils were equal,
both were postsurgical, reactive from 3 to 2.5.  Extraocular
muscles were intact.  No nystagmus.  No diplopia.  No visual
field deficits.  No facial asymmetry.  His left upper
extremity showed a mild pronator drift.  Plantars were
withdrawn.  There was no sensory deficits.  Proprioception
was intact.

HOSPITAL COURSE:  The morning after admission his mental status
was worse and he was quite obtunded.MRI was done for the
stereotactic procedure.  He underwent craniotomy on [**1-11**].
Prior to the craniotomy, there was a gradual change in mental
status where he was progressively more asleep.  This was treated
with a dose of Decadron 20 mg intravenously and also followed
by mannitol.

In the immediate postoperative period, Mr. [**Known lastname 7518**] was
found to be more poorly responsive compared to the
preoperative period.  He was admitted to the Neurosurgery
Intensive Care Unit for close monitoring, and he stayed there
for 72 hours, after which he was transferred to the floor.
Hewas given high-dose decadron, 20 mg q 6h.

CONDITION AT DISCHARGE:  Mr. [**Known lastname 7518**] had waxing and [**Doctor Last Name 688**]
levels of consciousness.  He awakened to brisk stimuli and
followed commands inconsistently.  He did show he could
follow very simple commands like showing two fingers, and
trying to mumble his name, and attempts to wiggle his toes.

DISCHARGE PLAN:  The plan was to continue the Decadron at the
same dose of 20 mg p.o. q.6h. for the moment and continue
with the antacid prophylaxis.  We are arranging transfer to
a Transitional Care Unit in
[**Hospital 47**] Hospital where he will need PEG placement as he is
unable to feed orally, and at present he has a nasogastric
tube.



                            [**Known firstname 1569**] [**Last Name (NamePattern4) 9923**], M.D.  [**MD Number(1) 9924**]

Dictated By:[**Name8 (MD) 37363**]
MEDQUIST36

D:  [**2129-1-20**]  11:07
T:  [**2129-1-20**]  11:22
JOB#:  [**Job Number 37364**]
{'Malignant neoplasm of brain, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,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: Mr. [**Known lastname 7518**] is a 70-year-old
a 70-year-old gentleman with a past medical history
significant for diverticulitis and hyperlipidemia.  According
to his wife, he had mental status changes in [**Month (only) **] and
[**Month (only) **].  He was seen by his primary care physician where he
had polyuria, polyphagia, and polydipsia.  He also described
incontinence, unsteady gait, and mental status changes.  He
was scheduled for a CT scan of the brain on [**12-29**] which
admitted to the hospital for further treatment.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: His present medications were NPH
insulin 20 units in the morning and evening, sliding-scale
regular insulin, ProMod with fiber via the nasogastric tube
with a goal of 75 cc, Dilantin 100 mg per nasogastric tube
b.i.d., nitroglycerin past 2 inches to chest (which should be
held if systolic blood pressure is less than 100),
Prevacid 30 mg per nasogastric tube q.d., Tylenol 650 mg per
nasogastric tube q.4-6h. p.r.n., dexamethasone 20 mg
intravenously q.6h., Colace 100 mg t.i.d., hydralazine 40 mg
per nasogastric tube q.6h., Lopressor 50 mg per nasogastric
tube b.i.d.

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Malignant neoplasm of brain, unspecified,Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled,Other and unspecified hyperlipidemia'}
