CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 57-year-old
gentleman with progressive headache, dizziness, unsteady gait
and memory loss since [**2165-7-10**].  An MRI of the head done
on [**2165-9-4**] revealed hemangioblastoma in the cerebellum.
The symptoms improved when he was given Decadron.  The
patient was admitted for craniotomy and resection of the
cerebellar tumor.

MEDICAL HISTORY: The past medical history included
hypertension, hypercholesterolemia, a history of hepatitis A,
hepatitis B and hepatitis C times six years with liver biopsy
on [**2165-5-10**] which showed fibrosis and inflammation and a
history of sciatica.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Neoplasm of uncertain behavior of brain and spinal cord,Cirrhosis of liver without mention of alcohol,Unspecified essential hypertension,Pure hypercholesterolemia,Person awaiting admission to adequate facility elsewhere
Unc beh neo brain/spinal,Cirrhosis of liver NOS,Hypertension NOS,Pure hypercholesterolem,Wait adm to oth facility
Admission Date:  [**2165-9-10**]       Discharge Date:  [**2165-9-13**]

Date of Birth:   [**2107-11-14**]       Sex:  M

Service:  NEUROSURG

HISTORY OF PRESENT ILLNESS:  The patient is a 57-year-old
gentleman with progressive headache, dizziness, unsteady gait
and memory loss since [**2165-7-10**].  An MRI of the head done
on [**2165-9-4**] revealed hemangioblastoma in the cerebellum.
The symptoms improved when he was given Decadron.  The
patient was admitted for craniotomy and resection of the
cerebellar tumor.

PAST MEDICAL HISTORY:  The past medical history included
hypertension, hypercholesterolemia, a history of hepatitis A,
hepatitis B and hepatitis C times six years with liver biopsy
on [**2165-5-10**] which showed fibrosis and inflammation and a
history of sciatica.

PAST SURGICAL HISTORY:  The past surgical history was
significant for a ruptured appendectomy and hemorrhoid
surgery.

PHYSICAL EXAMINATION:  On physical examination, the patient
was awake and alert.  The pupils were equal, round and
reactive to light.  There was no lymphadenopathy.  The
cardiovascular examination revealed a regular rate and rhythm
with no murmur.  The chest was clear to auscultation.  The
abdomen was soft and nontender with positive bowel sounds.
The extremities had 5/5 strength.  Sensation was intact.
There was no edema.

LABORATORY DATA:  The patient had a white blood cell count of
15,700, hematocrit of 41.2 and platelet count of 373,000.
There was a sodium of 140, potassium of 4.1, chloride of 102,
bicarbonate of 22, BUN of 21, creatinine of 0.9 and glucose
of 176.

HOSPITAL COURSE:  The patient underwent suboccipital
craniotomy for resection of cerebellar tumor on [**2165-9-10**]
without intraoperative complications.  Postoperatively, he
was monitored in the surgical intensive care unit.  His vital
signs were stable.  He was awake, alert and oriented times
three, complaining of neck pain.  His extraocular movements
were full.  His tongue was midline.  He had no drift.  He
moved all extremities strongly.

The patient was transferred to the regular floor.  He was
seen by the physical therapy and occupational therapy service
and was found to require a short rehabilitation stay prior to
discharge to home.

DISCHARGE MEDICATIONS:
Hydrochlorothiazide 25 mg p.o. q.d.
Norvasc 10 mg p.o. q.d.
Decadron to be weaned off over one week's time.
Tylenol #3 one to two p.o. every four hours p.r.n. for pain.

CONDITION ON DISCHARGE:  The patient's condition was stable
at the time of discharge.

FOLLOW UP:  The patient will follow up in the brain tumor
clinic in one to two weeks.  He is to follow up in ten days
for staple removal.




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

Dictated By:[**Last Name (NamePattern1) 344**]
MEDQUIST36

D:  [**2165-9-13**]  09:59
T:  [**2165-9-13**]  10:19
JOB#:  [**Job Number 28537**]


Name:  [**Known lastname 17140**], [**Known firstname 63**]                    Unit No:  [**Numeric Identifier 17141**]

Admission Date:  [**2165-9-10**]     Discharge Date:  [**2165-9-16**]

Date of Birth:   [**2107-11-14**]     Sex:  M

Service:  Neurosurgery

ADDENDUM:  The patient's discharge was delayed secondary to
lack of rehabilitation bed.  He was neurologically stable and
intact.  Vital signs were stable and he was afebrile at the
time of discharge.  He will follow up at the Brain [**Hospital 26**]
Clinic on [**2165-9-23**] at 2 PM for staple removal and
follow up with Dr. [**First Name (STitle) 24**].  He is stable at the time of discharge
to rehabilitation.




                          DR.[**First Name (STitle) **],[**First Name3 (LF) 919**] K. 14-118

Dictated By:[**Last Name (NamePattern1) 366**]

MEDQUIST36

D:  [**2165-9-16**]  09:43
T:  [**2165-9-16**]  09:56
JOB#:  [**Job Number 17142**]
{'Neoplasm of uncertain behavior of brain and spinal cord,Cirrhosis of liver without mention of alcohol,Unspecified essential hypertension,Pure hypercholesterolemia,Person awaiting admission to adequate facility elsewhere'}


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 57-year-old
gentleman with progressive headache, dizziness, unsteady gait
and memory loss since [**2165-7-10**].  An MRI of the head done
on [**2165-9-4**] revealed hemangioblastoma in the cerebellum.
The symptoms improved when he was given Decadron.  The
patient was admitted for craniotomy and resection of the
cerebellar tumor.

MEDICAL HISTORY: The past medical history included
hypertension, hypercholesterolemia, a history of hepatitis A,
hepatitis B and hepatitis C times six years with liver biopsy
on [**2165-5-10**] which showed fibrosis and inflammation and a
history of sciatica.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Neoplasm of uncertain behavior of brain and spinal cord,Cirrhosis of liver without mention of alcohol,Unspecified essential hypertension,Pure hypercholesterolemia,Person awaiting admission to adequate facility elsewhere'}
