CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 60 year old
woman diagnosed with breast cancer in [**2191**], with metastasis
to the right hip, left spine, left proximal humerus and left
ankle, and also the brain.

MEDICAL HISTORY: 1.  Rheumatic fever as a child.
2.  Hypertension.
3.  Positive for H. pylori in the past.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Secondary malignant neoplasm of brain and spinal cord,Personal history of malignant neoplasm of breast,Other convulsions,Unspecified essential hypertension,Diaphragmatic hernia without mention of obstruction or gangrene,Tobacco use disorder,Esophageal reflux
Sec mal neo brain/spine,Hx of breast malignancy,Convulsions NEC,Hypertension NOS,Diaphragmatic hernia,Tobacco use disorder,Esophageal reflux
Admission Date:  [**2197-5-10**]     Discharge Date:  [**2197-5-13**]

Date of Birth:   [**2137-1-4**]     Sex:  F

Service:  NEUROSURGE

HISTORY OF PRESENT ILLNESS: The patient is a 60 year old
woman diagnosed with breast cancer in [**2191**], with metastasis
to the right hip, left spine, left proximal humerus and left
ankle, and also the brain.

On [**2197-5-1**], the patient had a tonoclonic seizure on the
right side for which she was placed on antiseizure
medication.  A CT scan at an outside hospital revealed white
matter edema involving the proximal parietal lobe with
metastatic tumor.  She underwent chemotherapy at that time.
CT of the chest and abdomen at that time were negative for
metastatic disease.

PAST MEDICAL HISTORY:
1.  Rheumatic fever as a child.
2.  Hypertension.
3.  Positive for H. pylori in the past.

PAST SURGICAL HISTORY:
1.  Tonsillectomy and adenoidectomy.
2.  Breast biopsy.

ALLERGIES:  The patient has no known drug allergies.

PHYSICAL EXAMINATION:  On physical examination, the patient
is alert, oriented times three.  The pupils are 3.0
millimeters and regular reactive to light.  The face is
symmetric.  Motor strength is [**4-29**] in all extremities.  The
chest is clear to auscultation.  Cardiac is regular rate and
rhythm.  Extremities are warm with no edema, positive pulses.
Neurologically, no drift, extraocular movements are full.
The pupils are equal, round, and reactive to light and
accommodation.  IPs are [**4-29**] bilaterally.

HOSPITAL COURSE:  The patient on [**2197-5-10**], underwent left
parietal craniotomy for resection of tumor without
complications.  Postoperatively, the patient was monitored in
the Surgical Intensive Care Unit and was transferred to the
regular floor on postoperative day one.  Vital signs remained
stable.  The patient was afebrile.

The patient's condition remained stable.  She was afebrile
and neurologically intact. The patient was discharged to home
on [**2197-5-13**], with follow-up in the Brain [**Hospital 341**] Clinic in one
to two weeks and follow-up for staple removal in one week.

MEDICATIONS ON DISCHARGE:
1.  Dilantin 100 mg p.o. q8hours.
2.  Hydrochlorothiazide 12.5 mg p.o. q.d.
3.  Decadron taper to 2 mg p.o. b.i.d.
4.  Zantac 150 mg p.o. b.i.d.
5.  Percocet one to two tablets p.o. q4hours p.r.n.

CONDITION ON DISCHARGE:  Stable.




                          [**First Name11 (Name Pattern1) 125**] [**Last Name (NamePattern4) 342**], M.D.  [**MD Number(1) 343**]

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

MEDQUIST36

D:  [**2197-8-16**]  12:58
T:  [**2197-8-20**]  11:37
JOB#:  [**Job Number 35002**]
{'Secondary malignant neoplasm of brain and spinal cord,Personal history of malignant neoplasm of breast,Other convulsions,Unspecified essential hypertension,Diaphragmatic hernia without mention of obstruction or gangrene,Tobacco use disorder,Esophageal reflux'}


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 60 year old
woman diagnosed with breast cancer in [**2191**], with metastasis
to the right hip, left spine, left proximal humerus and left
ankle, and also the brain.

MEDICAL HISTORY: 1.  Rheumatic fever as a child.
2.  Hypertension.
3.  Positive for H. pylori in the past.

MEDICATION ON ADMISSION: 

ALLERGIES: The patient has no known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Secondary malignant neoplasm of brain and spinal cord,Personal history of malignant neoplasm of breast,Other convulsions,Unspecified essential hypertension,Diaphragmatic hernia without mention of obstruction or gangrene,Tobacco use disorder,Esophageal reflux'}
