CHIEF COMPLAINT: 

PRESENT ILLNESS: [**Known firstname **] [**Known lastname **] is a 62-year-old
gentleman who was involved in a motor vehicle collision where
he lost consciousness. He did not recall the events prior to
the accident or shortly thereafter.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with loss of consciousness of unspecified duration,Human immunodeficiency virus [HIV] disease,Motor vehicle traffic accident involving collision with other vehicle injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic kidney disease, unspecified,Pure hypercholesterolemia,Coronary atherosclerosis of native coronary artery,Other nonspecific abnormal serum enzyme levels
Brain lacer NEC-coma NOS,Human immuno virus dis,Mv-oth veh coll-driver,Accid on street/highway,Hy kid NOS w cr kid I-IV,Chronic kidney dis NOS,Pure hypercholesterolem,Crnry athrscl natve vssl,Abn serum enzy level NEC
Admission Date: [**2116-12-2**]        Discharge Date: [**2116-12-5**]

Date of Birth:  [**2055-1-2**]        Sex:  M

Service:  TRA


ADMISSION DIAGNOSES:
1. Status post motor vehicle collision.
2. Right frontal intraparenchymal hemorrhage.
3. Right frontal subdural hematoma.
4. HIV.
5. Hypertension.
6. Chronic renal insufficiency.

DISCHARGE DIAGNOSES:
1. status post motor vehicle collision.
2. Subarachnoid hemorrhage.

HISTORY OF PRESENT ILLNESS:  [**Known firstname **] [**Known lastname **] is a 62-year-old
gentleman who was involved in a motor vehicle collision where
he lost consciousness. He did not recall the events prior to
the accident or shortly thereafter.

HOSPITAL COURSE:  Upon arrival to the emergency department
via emergency medical services, he had [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 2611**] Coma Scale
of 15. He, otherwise, was hemodynamically normal and had no
other external evidence of injury. Given the mechanism of his
accident, the patient underwent CT of the head, C spine and
torso. The CT scans of the C spine and torso were normal.
But, the CT scan of the head demonstrated a 10 mm right
inferior frontal intraparenchymal hemorrhage as well as a
small right frontal subdural hematoma. The neurosurgical
service was consulted and the patient was admitted to the
trauma surgical service for further management. In terms of
his neurologic issues, the patient was started on Dilantin as
a seizure prophylaxis. He underwent serial CT scanning of the
head which actually demonstrated small increase in the amount
of subdural hematoma on hospital day 2. This was followed
clinically. The patient did not demonstrate any deterioration
in neurologic function. Subsequent CT scans remained stable.
Therefore, on conjunction with the neurosurgical services, it
was decided that the patient was stable without evidence of
further bleeding. He demonstrated no neurologic deficits.
There was the question as to whether this may have been a
primary cardiac event leading up to the accident, given that
there were small ST segment depressions in the lateral leads
on his admission EKG. His cardiac enzymes were mildly
elevated in terms of troponin but this was difficult to
interpret given his chronic renal insufficiency. Cardiology
service was consulted and felt that this was not secondary to
myocardial ischemia although they did recommend that the
patient undergo an echocardiogram. The echocardiogram
demonstrated mild symmetrica left ventricular hypertrophy and
otherwise an ejection fraction of 50-55% was seen. There was
1+ mitral regurgitation. There was also mild pulmonary
hypertension. Otherwise, no significant abnormalities. The
cardiology service recommended that the patient started
aspirin and change from diltiazem over to a beta blocker as
well as start lisinopril. The cardiology service
recommendations were followed. Otherwise, the patient was
maintained on his pre-accident antiretroviral medications for
treatment of his HIV. As the patient was doing well by
[**12-6**], ambulating with no significant pain, no
neurological deficits and tolerating a regular diet well, it
was felt that he was safe for discharge. He was, therefore,
discharged to home and to follow with Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] of
cardiology in one week. The patient would need an outpatient
stress test prior to that visit. In addition, he was to
follow up with [**First Name8 (NamePattern2) **] [**Doctor Last Name **] of neurosurgery.

DISCHARGE MEDICATIONS:
1. Phenantoin 100 mg p.o. t.i.d. for 7 days to complete a
    10 day course as per neurosurgical recommendation. 2.
    Lopressor 25 mg p.o. b.i.d.
2. He was to continue his antiretrovirals which included
    Efavirenz 600 mg once daily, Combivir b.i.d.
3. The patient's diltiazem was discontinued.



                        [**First Name11 (Name Pattern1) 449**] [**Initial (NamePattern1) **] [**Last Name (NamePattern1) **], M.D. [**MD Number(2) 67332**]

Dictated By:[**Doctor Last Name 3763**]
MEDQUIST36
D:  [**2116-12-8**] 16:10:09
T:  [**2116-12-8**] 16:35:37
Job#:  [**Job Number 108338**]
{'Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with loss of consciousness of unspecified duration,Human immunodeficiency virus [HIV] disease,Motor vehicle traffic accident involving collision with other vehicle injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic kidney disease, unspecified,Pure hypercholesterolemia,Coronary atherosclerosis of native coronary artery,Other nonspecific abnormal serum enzyme levels'}


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: [**Known firstname **] [**Known lastname **] is a 62-year-old
gentleman who was involved in a motor vehicle collision where
he lost consciousness. He did not recall the events prior to
the accident or shortly thereafter.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with loss of consciousness of unspecified duration,Human immunodeficiency virus [HIV] disease,Motor vehicle traffic accident involving collision with other vehicle injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified,Chronic kidney disease, unspecified,Pure hypercholesterolemia,Coronary atherosclerosis of native coronary artery,Other nonspecific abnormal serum enzyme levels'}
