CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 64-year-old
white female who reportedly fell down a step in a bar
striking the back of her head.  She had a GCS of 3 and was
sent intubated by [**Location (un) 86**] [**Location (un) **] and transported to [**Hospital1 1444**].

MEDICAL HISTORY: Unavailable.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level,Compression of brain,Accidental fall on or from other stairs or steps,Other specified hypotension
Opn skl fx NEC-deep coma,Compression of brain,Fall on stair/step NEC,Hypotension NEC
Admission Date: [**2132-9-19**]        Discharge Date: [**2132-9-20**]

Date of Birth:  [**2069-11-21**]        Sex:  F

Service:  TRA


HISTORY OF PRESENT ILLNESS:  The patient is a 64-year-old
white female who reportedly fell down a step in a bar
striking the back of her head.  She had a GCS of 3 and was
sent intubated by [**Location (un) 86**] [**Location (un) **] and transported to [**Hospital1 1444**].

PAST MEDICAL HISTORY:  Unavailable.

PHYSICAL EXAMINATION:  The patient was an obese white female,
intubated.  Vital Signs:  Blood pressure 80 palp, pulse 105.
HEENT:  Pupils were 6 mm and fixed.  There was an occipital
scalp laceration.  Chest:  Decreased breath sounds.
Cardiovascular:  Poor perfusion, vasoconstricted.  Abdomen:
Distended with a lower abdominal incision.  FAST examination
was negative.  Pelvis was negative.  Rectal was negative.
Extremity:  Poor perfusion.  No evidence of fractures.
Neurologic:  GCS of 3 without movement.

LABORATORY DATA AND X-RAY:  Chest x-ray showed upper lobe
redistribution.  CT scan of the head showed subarachnoid,
subdural, and epidural hematoma with uncal herniation.

SUMMARY OF HOSPITAL COURSE:  The patient was felt to have had
herniation with a fatal, massive closed head injury.  It was
unclear whether this preceded her fall or not.  She was
admitted to the ICU and observed.  Discussions were held with
her family as to her status and prognosis.  She underwent
bronchoscopy on [**2132-9-20**], which was unremarkable.  Apnea test
was performed and was negative.  Radionuclide test showed no
cerebral blood flow.  At the family's request, the patient
was allowed to expire on [**2132-9-20**] at 02:37 p.m.  The [**Location (un) **] Organ Bank had been notified.

CONDITION ON DISCHARGE:  Deceased.

DISCHARGE DIAGNOSIS:  Status post massive closed head injury.

DISCHARGE MEDICATIONS:  None.

FOLLOWUP PLANS:  Refer the medical examiner.



                        [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], MD [**MD Number(2) 16263**]

Dictated By:[**Last Name (NamePattern1) 16475**]
MEDQUIST36
D:  [**2132-11-21**] 10:02:37
T:  [**2132-11-21**] 13:45:25
Job#:  [**Job Number 57918**]
{'Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level,Compression of brain,Accidental fall on or from other stairs or steps,Other specified hypotension'}


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 64-year-old
white female who reportedly fell down a step in a bar
striking the back of her head.  She had a GCS of 3 and was
sent intubated by [**Location (un) 86**] [**Location (un) **] and transported to [**Hospital1 1444**].

MEDICAL HISTORY: Unavailable.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Other open skull fracture with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level,Compression of brain,Accidental fall on or from other stairs or steps,Other specified hypotension'}
