CHIEF COMPLAINT: pain in rt wrist

PRESENT ILLNESS: 34 yo male trying to escape the authorities jumped out window 3
stories fall
brought to osh  and intubatted for agigtation tx to [**Hospital1 **] for
eval of open drf
seen by ortho and scheduled for surgery

MEDICAL HISTORY: ivda

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: heent wnl
chest clear
[**Last Name (un) **] rrr no mrg
abd sft nt nd
ext rt wwrist splinted epl fdp intact sensation intact
neuro non focal

FAMILY HISTORY: n/a

SOCIAL HISTORY: numerous criminal record
Other open fractures of distal end of radius (alone),Open wound of forearm, complicated,Other accidental fall from one level to another,Accidents occurring in unspecified place,Other, mixed, or unspecified drug abuse, unspecified,Other and unspecified special symptoms or syndromes, not elsewhere classified
Fx distal radius NEC-opn,Open wound forearm-compl,Fall-1 level to oth NEC,Accident in place NOS,Drug abuse NEC-unspec,Special symptom NEC/NOS
Admission Date:  [**2138-2-1**]              Discharge Date:   [**2138-2-4**]

Date of Birth:  [**2103-5-19**]             Sex:   M

Service: ORTHOPAEDICS

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 11415**]
Chief Complaint:
pain in rt wrist

Major Surgical or Invasive Procedure:
washout rt open distal radius fx
orif rt distal radius fx


History of Present Illness:
34 yo male trying to escape the authorities jumped out window 3
stories fall
brought to osh  and intubatted for agigtation tx to [**Hospital1 **] for
eval of open drf
seen by ortho and scheduled for surgery

Past Medical History:
ivda


Social History:
numerous criminal record

Family History:
n/a

Physical Exam:
heent wnl
chest clear
[**Last Name (un) **] rrr no mrg
abd sft nt nd
ext rt wwrist splinted epl fdp intact sensation intact
neuro non focal

Pertinent Results:
[**2138-2-4**] 04:50AM BLOOD WBC-7.4 RBC-3.90* Hgb-11.1* Hct-32.9*
MCV-84 MCH-28.5 MCHC-33.8 RDW-13.8 Plt Ct-190
[**2138-2-2**] 01:47AM BLOOD WBC-8.0 RBC-4.15* Hgb-11.6* Hct-34.6*
MCV-84 MCH-28.0 MCHC-33.5 RDW-13.9 Plt Ct-185
[**2138-2-1**] 07:55PM BLOOD WBC-13.5* RBC-4.78 Hgb-13.6* Hct-40.1
MCV-84 MCH-28.5 MCHC-34.0 RDW-14.8 Plt Ct-234
[**2138-2-4**] 04:50AM BLOOD Plt Ct-190
[**2138-2-2**] 01:47AM BLOOD Plt Ct-185
[**2138-2-1**] 07:55PM BLOOD Plt Ct-234
[**2138-2-1**] 07:55PM BLOOD PT-13.9* PTT-29.5 INR(PT)-1.2*
[**2138-2-1**] 07:55PM BLOOD Fibrino-300
[**2138-2-4**] 04:50AM BLOOD Glucose-96 UreaN-9 Creat-1.0 Na-138 K-4.6
Cl-102 HCO3-32 AnGap-9
[**2138-2-1**] 07:55PM BLOOD UreaN-15 Creat-1.0
[**2138-2-1**] 07:55PM BLOOD Amylase-92
[**2138-2-1**] 10:30PM BLOOD HBsAg-NEGATIVE
[**2138-2-1**] 10:30PM BLOOD HIV Ab-NEGATIVE
[**2138-2-1**] 07:55PM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG
Bnzodzp-NEG Barbitr-NEG Tricycl-NEG
[**2138-2-1**] 10:30PM BLOOD HCV Ab-POSITIVE
[**2138-2-2**] 05:05AM BLOOD Glucose-96
[**2138-2-1**] 08:04PM BLOOD Glucose-89 Lactate-1.6 Na-144 K-3.7
Cl-101 calHCO3-28
[**2138-2-1**] 08:04PM BLOOD Hgb-14.3 calcHCT-43 O2 Sat-94
[**2138-2-1**] 08:04PM BLOOD freeCa-1.12

Brief Hospital Course:
he was taken to the or and had a washout and reduction of the
distal radius fracure. Wsa splinted
and taken to the PACU  and then to cc6. He then returned to the
OR and underwent fixation of his fracture. Was then sent to cc6
in custody was placed in a cast. His wounds  looked clean and
dry and he was arrained and was tx the custody of authorities.

Medications on Admission:
none

Discharge Medications:
1. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6
hours) as needed for pain, fever.
2. Methadone 10 mg Tablet Sig: Two (2) Tablet PO BID (2 times a
day).
3. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3H (every 3
hours) as needed.
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
5. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30)
ML PO Q6H (every 6 hours) as needed.
6. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One
(1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours).
7. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a
day) as needed.
8. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2)
Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed.
9. Zolpidem 5 mg Tablet Sig: One (1) Tablet PO HS (at bedtime)
as needed.


Discharge Disposition:
Extended Care

Facility:
Department of correction, [**Location (un) **] MA

Discharge Diagnosis:
open rt distal radius fx


Discharge Condition:
good to custody of doc ma.


Discharge Instructions:
dc to the custody of doc ma.
take dc meds as ordered
keep cast clean and dry
non weight bearing rt arm

Physical Therapy:
Activity:  Activity as tolerated
 Right upper extremity:  Non weight bearing

Treatments Frequency:
 Site: right wrist
 Type:  Surgical
 no dsd till f/u visit


Followup Instructions:
2 weeks with [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] np call [**Telephone/Fax (1) 9769**]


                             [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2235**] MD, [**MD Number(3) 11417**]

Completed by:[**2138-2-4**]
{'Other open fractures of distal end of radius (alone),Open wound of forearm, complicated,Other accidental fall from one level to another,Accidents occurring in unspecified place,Other, mixed, or unspecified drug abuse, unspecified,Other and unspecified special symptoms or syndromes, not elsewhere classified'}


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: pain in rt wrist

PRESENT ILLNESS: 34 yo male trying to escape the authorities jumped out window 3
stories fall
brought to osh  and intubatted for agigtation tx to [**Hospital1 **] for
eval of open drf
seen by ortho and scheduled for surgery

MEDICAL HISTORY: ivda

MEDICATION ON ADMISSION: none

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: heent wnl
chest clear
[**Last Name (un) **] rrr no mrg
abd sft nt nd
ext rt wwrist splinted epl fdp intact sensation intact
neuro non focal

FAMILY HISTORY: n/a

SOCIAL HISTORY: numerous criminal record 

### Response:
{'Other open fractures of distal end of radius (alone),Open wound of forearm, complicated,Other accidental fall from one level to another,Accidents occurring in unspecified place,Other, mixed, or unspecified drug abuse, unspecified,Other and unspecified special symptoms or syndromes, not elsewhere classified'}
