CHIEF COMPLAINT: 

PRESENT ILLNESS: Patient is a 45-year-old woman
with a longstanding history of headaches since her teens with
a pulling feeling of her scalp x2 years with no numbness,
tingling, or weakness.  She is preoped for a craniotomy,
clipping of a posterior communicating artery aneurysm.  On
physical exam, she denies hypertension or CAD.

MEDICAL HISTORY: She has a negative past medical
history.  She had cesarean section x2 and angio on
[**2123-3-2**].

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: She is a petite woman in no acute distress.
Heart:  Regular rate and rhythm, S1, S2.  Lungs are clear to
auscultation.  Abdomen is soft, nontender, and nondistended.
Extremities:  No edema, warm, and dry.  Mental status:
Anxious, but had a bad experience with angio in the past.
She is nonicteric.  Pupils are equal, round, and reactive to
light, no lymphadenopathy, no thyromegaly.  Neck is supple.

FAMILY HISTORY: 

SOCIAL HISTORY: 
Cerebral aneurysm, nonruptured,Other iatrogenic hypotension,Edema,Tobacco use disorder
Nonrupt cerebral aneurym,Iatrogenc hypotnsion NEC,Edema,Tobacco use disorder
Admission Date:  [**2123-3-9**]     Discharge Date:  [**2123-3-12**]

Date of Birth:   [**2077-9-24**]     Sex:  F

Service: Neurosurgery

HISTORY OF PRESENT ILLNESS:  Patient is a 45-year-old woman
with a longstanding history of headaches since her teens with
a pulling feeling of her scalp x2 years with no numbness,
tingling, or weakness.  She is preoped for a craniotomy,
clipping of a posterior communicating artery aneurysm.  On
physical exam, she denies hypertension or CAD.

PAST MEDICAL HISTORY:  She has a negative past medical
history.  She had cesarean section x2 and angio on
[**2123-3-2**].

PHYSICAL EXAM:  She is a petite woman in no acute distress.
Heart:  Regular rate and rhythm, S1, S2.  Lungs are clear to
auscultation.  Abdomen is soft, nontender, and nondistended.
Extremities:  No edema, warm, and dry.  Mental status:
Anxious, but had a bad experience with angio in the past.
She is nonicteric.  Pupils are equal, round, and reactive to
light, no lymphadenopathy, no thyromegaly.  Neck is supple.

She was admitted status post a clipping of a posterior
communicating artery aneurysm.  There were no intraoperative
complications.  Postoperatively, she was monitored in the
Surgical ICU.  She was awake and alert.  Her strength was [**3-15**]
in grasp, IPs, ATs, and gastrocs were [**4-14**] bilaterally.
Pupils:  The right was 1 mm, the left was 4 mm, both were
reactive.  The left is postsurgical.  She was able to follow
commands x4.

Remained neurologically stable overnight on [**2123-3-10**].  She
was awake, alert, and oriented times two.  Pupils were 2 down
to 1.5 bilaterally.  Face was symmetric.  She had no drift.
Her strength was [**4-14**].  She was weaned off Neo-Synephrine to
keep her blood pressure over 100 and her blood pressure
remained stable after coming off Neo-Synephrine.  She was
then transferred to the regular floor.

She was seen by Physical Therapy and Occupational Therapy,
and found to be safe for discharge to home.  She went on
[**2123-3-11**] for angiogram to check placement of a clip.  It
showed good evidence of clip of the aneurysm with no
residual.  Her groin site post procedure was clean, dry, and
intact.  Her pedal pulses were present and intact.  Her vital
signs remained stable throughout her hospital stay.

She was discharged to home on [**2123-3-12**] in stable condition
with followup with Dr. [**Last Name (STitle) 1132**] in [**12-11**] weeks for staple removal.

CONDITION ON DISCHARGE:  Stable.

MEDICATIONS ON DISCHARGE:
1. Colace 100 mg p.o. b.i.d.
2. Pantoprazole 40 mg q.24h.
3. Percocet 1-2 tablets p.o. q.4h. prn for headache.

CONDITION ON DISCHARGE:  Stable.



                          [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D.  [**MD Number(1) 1133**]

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

MEDQUIST36

D:  [**2123-3-12**]  10:57
T:  [**2123-3-15**]  09:32
JOB#:  [**Job Number 100786**]
{'Cerebral aneurysm, nonruptured,Other iatrogenic hypotension,Edema,Tobacco use disorder'}


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: Patient is a 45-year-old woman
with a longstanding history of headaches since her teens with
a pulling feeling of her scalp x2 years with no numbness,
tingling, or weakness.  She is preoped for a craniotomy,
clipping of a posterior communicating artery aneurysm.  On
physical exam, she denies hypertension or CAD.

MEDICAL HISTORY: She has a negative past medical
history.  She had cesarean section x2 and angio on
[**2123-3-2**].

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: She is a petite woman in no acute distress.
Heart:  Regular rate and rhythm, S1, S2.  Lungs are clear to
auscultation.  Abdomen is soft, nontender, and nondistended.
Extremities:  No edema, warm, and dry.  Mental status:
Anxious, but had a bad experience with angio in the past.
She is nonicteric.  Pupils are equal, round, and reactive to
light, no lymphadenopathy, no thyromegaly.  Neck is supple.

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Cerebral aneurysm, nonruptured,Other iatrogenic hypotension,Edema,Tobacco use disorder'}
