CHIEF COMPLAINT: 

PRESENT ILLNESS: This is a 36 year old male
status post gunshot wound to the abdomen at 2 AM on [**2183-8-6**].  He was intubated in the field secondary to
agitation and tachycardia and transferred to our Emergency
Room.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: It is unknown if he is taking any
medications.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other injury to small intestine, with open wound into cavity,Acidosis,Accident caused by unspecified firearm missile
Small intest inj NEC-opn,Acidosis,Firearm accident NOS
Admission Date:  [**2183-8-6**]       Discharge Date:  [**2183-8-7**]

Date of Birth:   [**2146-3-4**]       Sex:  M

Service:  Trauma Surgery

HISTORY OF PRESENT ILLNESS:  This is a 36 year old male
status post gunshot wound to the abdomen at 2 AM on [**2183-8-6**].  He was intubated in the field secondary to
agitation and tachycardia and transferred to our Emergency
Room.

PAST MEDICAL/SURGICAL HISTORY:  He has no known past medical
history, past surgical history.

MEDICATIONS ON ADMISSION:  It is unknown if he is taking any
medications.

ALLERGIES:  No known drug allergies.

PHYSICAL EXAMINATION:  Blood pressure is 97/57, heartrate
122, saturations 100%.  He was intubated and sedated.  His
pupils equal, round and reactive to light at 3 mm.  His
trachea was midline.  His chest was clear to auscultation
with no crepitus.  His abdomen had an entry and exit wound,
both below the level of the umbilicus.  His periphery was
intact.

LABORATORY DATA:  Laboratory studies on admission revealed
white count 28, hematocrit 33, platelets 225, PT/PTT 14 and
24 with an INR of 1.4.  His sodium was 143, potassium 4.3,
BUN 5, and creatinine .9.  His glucose was 221.  His amylase
was 38.  Lactate was 3.4.  His ethyl alcohol level was 206.

HOSPITAL COURSE:  Within less than ten minutes from arrival
the patient was taken emergently to the Operating Room.  He
underwent an exploratory laparotomy which demonstrated some
mesenteric bleeds and small bowel injuries.  He had three
segmental resections with segmental enterotomies and a
primary repair of an injury to the ileum.  He underwent an
appendectomy.  The patient was stable in the Operating Room
and tolerated the procedure well.  His postoperative course
was unremarkable.  He was alert, oriented and his pain was
controlled with a morphine PCA.  He was stable
hemodynamically.  He extubated with no difficulty and was
sating well post extubation.  He had an nasogastric tube
connected to low wall suction with minimal output and he is
NPO.  His urine output was good and his kidney functions were
maintained.  His hematocrit on postoperative day #1 was 29.7
and his white count is down to 15.4.  Perioperatively he was
covered with Kefzol and Flagyl and these were discontinued.
After arraignment by the police on [**2183-8-7**], they
requested that the patient be transferred to [**Hospital 9301**]
Hospital for further treatment and follow up.  After
discussion with the Surgical Service there the patient was
transferred in stable condition with the following
recommendations:  1.  Continue current medications, heparin
subcutaneously 5000 units b.i.d., Morphine PCA, currently at
1 mg q. 6 minutes with a lockout at 10 mg/hr and Pantoprazole
40 mg intravenously q. 24 hours; 2.  The patient is currently
NPO and has a nasogastric tube.  Once he regains bowel
function according to the examination of the following
surgical team, nasogastric tube can be discontinued and diet
advanced; 3.  The patient is getting out of bed to chair
currently, this should be continued.  He can be ambulated as
tolerated.  It is recommended that he use his incentive
spirometry as frequently as possible.

Transfer was discussed with the surgical resident at [**Hospital 9301**]
Hospital and the patient is being transferred to the care of
the attending, Dr. [**Last Name (STitle) 7871**].




                            [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2213**], M.D.  [**MD Number(1) 2214**]

Dictated By:[**Name8 (MD) 28532**]
MEDQUIST36

D:  [**2183-8-7**]  17:31
T:  [**2183-8-7**]  17:26
JOB#:  [**Job Number **]
{'Other injury to small intestine, with open wound into cavity,Acidosis,Accident caused by unspecified firearm missile'}


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: This is a 36 year old male
status post gunshot wound to the abdomen at 2 AM on [**2183-8-6**].  He was intubated in the field secondary to
agitation and tachycardia and transferred to our Emergency
Room.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: It is unknown if he is taking any
medications.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other injury to small intestine, with open wound into cavity,Acidosis,Accident caused by unspecified firearm missile'}
