CHIEF COMPLAINT: intermittent h/a

PRESENT ILLNESS: 38-year-old right-handed female who had complaints of headaches
on her right side of the head since [**Month (only) 956**].  This is
associated with intermittent dizziness and blurring of vision of
the right eye.  She denies any nausea, vomiting, dysarthria or
weakness. She underwent a CTA and subsequent angiogram which
confirmed a R ICA aneurysm. She was scheduled for an elective
stent assisted coiling and started taking plavix 5 days prior to
this presentation.

MEDICAL HISTORY: ovarian cyst
tubal ligation
palpitations

MEDICATION ON ADMISSION: plavix,verapamil

ALLERGIES: Penicillins

PHYSICAL EXAM: 

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: She is currently working as a nanny and lives with her husband
and three daughters.  She smoked for 10 years and quit five
years ago.  She takes about one glass of wine per night.
Cerebral aneurysm, nonruptured
Nonrupt cerebral aneurym
Admission Date:  [**2164-5-30**]              Discharge Date:   [**2164-5-31**]

Date of Birth:  [**2126-1-1**]             Sex:   F

Service: NEUROSURGERY

Allergies:
Penicillins

Attending:[**First Name3 (LF) 78**]
Chief Complaint:
intermittent h/a

Major Surgical or Invasive Procedure:
[**2164-5-30**]- stent assisted coiling of R ICA aneurysm


History of Present Illness:
38-year-old right-handed female who had complaints of headaches
on her right side of the head since [**Month (only) 956**].  This is
associated with intermittent dizziness and blurring of vision of
the right eye.  She denies any nausea, vomiting, dysarthria or
weakness. She underwent a CTA and subsequent angiogram which
confirmed a R ICA aneurysm. She was scheduled for an elective
stent assisted coiling and started taking plavix 5 days prior to
this presentation.


Past Medical History:
ovarian cyst
tubal ligation
palpitations

Social History:
She is currently working as a nanny and lives with her husband
and three daughters.  She smoked for 10 years and quit five
years ago.  She takes about one glass of wine per night.


Family History:
non-contributory

Pertinent Results:
CTA Head: no read, no hemorrhage.

Brief Hospital Course:
Pt electively presented and underwent a stent assisted coiling
of her R ICA aneurysm under general anesthesia. The procedure
was without complication. She was extubated and transferred to
the ICU in stable condition. She was on ASA and Plavix. Her POC
revealed that she was intact.  She resumed her diet and was able
to ambulate freely.  She had hot flashed through the night but
these resolved in the afternoon of [**5-31**]. She had a sudden sharp
headache in the pm and CT was done. There was no hemorrhage. Dr.
[**First Name (STitle) **] reviewed the CTA. She was discharged to home.


Medications on Admission:
plavix,verapamil

Discharge Medications:
1. Clopidogrel 75 mg PO DAILY
RX *clopidogrel 75 mg 1 Tablet(s) by mouth qday Disp #*30 Tablet
Refills:*0
2. Verapamil 120 mg PO Q24H
3. Acetaminophen 325-650 mg PO Q6H:PRN pain, T>38.5
4. Acetaminophen-Caff-Butalbital [**12-5**] TAB PO Q8H:PRN Headache
RX *butalbital-acetaminophen-caff 50 mg-325 mg-40 mg [**12-5**]
Capsule(s) by mouth every eight (8) hours Disp #*30 Capsule
Refills:*0
5. Aspirin 325 mg PO DAILY
6. Docusate Sodium 100 mg PO BID
RX *Colace 100 mg 1 Capsule(s) by mouth twice a day Disp #*60
Capsule Refills:*0
7. HYDROmorphone (Dilaudid) 2-4 mg PO Q4H:PRN pain
RX *Dilaudid 2 mg [**12-5**] Tablet(s) by mouth every four (4) hours
Disp #*60 Tablet Refills:*0


Discharge Disposition:
Home

Discharge Diagnosis:
R ICA aneurysm


Discharge Condition:
Mental Status: Clear and coherent.
Level of Consciousness: Alert and interactive.
Activity Status: Ambulatory - Independent.


Discharge Instructions:
Angiogram with Embolization and/or Stent placement
Dr. [**First Name8 (NamePattern2) **] [**Name (STitle) **]
Medications:
??????	Take Aspirin 325mg (enteric coated) once daily indefinately
??????	Take Plavix (Clopidogrel) 75mg once daily for 30 days
??????	Continue all other medications you were taking before surgery,
unless otherwise directed
??????	You make take Tylenol or prescribed pain medications for any
post procedure pain or discomfort.

What activities you can and cannot do:
??????	When you go home, you may walk and go up and down stairs.
??????	You may shower (let the soapy water run over groin incision,
rinse and pat dry)
??????	Your incision may be left uncovered, unless you have small
amounts of drainage from the wound, then place a dry dressing or
band aid over the area that is draining, as needed
??????	No heavy lifting, pushing or pulling (greater than 5 lbs) for
1 week (to allow groin puncture to heal).
??????	After 1 week, you may resume sexual activity.
??????	After 1 week, gradually increase your activities and distance
walked as you can tolerate.
??????	No driving until you are no longer taking pain medications


Followup Instructions:
Please call [**Telephone/Fax (1) 1669**] to make a follow up appt with Dr.
[**First Name (STitle) **] in 4 weeks. You will not need imaging



Completed by:[**2164-5-31**]
{'Cerebral aneurysm, nonruptured'}


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: intermittent h/a

PRESENT ILLNESS: 38-year-old right-handed female who had complaints of headaches
on her right side of the head since [**Month (only) 956**].  This is
associated with intermittent dizziness and blurring of vision of
the right eye.  She denies any nausea, vomiting, dysarthria or
weakness. She underwent a CTA and subsequent angiogram which
confirmed a R ICA aneurysm. She was scheduled for an elective
stent assisted coiling and started taking plavix 5 days prior to
this presentation.

MEDICAL HISTORY: ovarian cyst
tubal ligation
palpitations

MEDICATION ON ADMISSION: plavix,verapamil

ALLERGIES: Penicillins

PHYSICAL EXAM: 

FAMILY HISTORY: non-contributory

SOCIAL HISTORY: She is currently working as a nanny and lives with her husband
and three daughters.  She smoked for 10 years and quit five
years ago.  She takes about one glass of wine per night. 

### Response:
{'Cerebral aneurysm, nonruptured'}
