CHIEF COMPLAINT: 38-year-old male unrestrained driver involved in an MVC at
30mph, hit telephone pole. His tox. screen was positive for
cocaine, benzos and opiates.

PRESENT ILLNESS: The patient's injuries were a completely transected R patella, R
rib fractures [**2-2**], posterior manubrium fracture with small
retrosternal hematoma, a non-displaced T1 transverse process
fracture on L side, and small L pneumothorax.

MEDICAL HISTORY: scoliosis, bulging discs

MEDICATION ON ADMISSION: alprazolam, mirtazapine

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Current smoker, about [**1-26**] ppd., social drinker
Closed fracture of eight or more ribs,Closed fracture of patella,Contusion of lung without mention of open wound into thorax,Traumatic pneumothorax without mention of open wound into thorax,Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Sprains and strains of other specified sites of knee and leg
Fx eight/more rib-closed,Fracture patella-closed,Lung contusion-closed,Traum pneumothorax-close,Fx dorsal vertebra-close,Loss control mv acc-driv,Accid on street/highway,Sprain of knee & leg NEC
Admission Date:  [**2180-2-22**]              Discharge Date:   [**2180-2-26**]

Date of Birth:  [**2142-2-2**]             Sex:   M

Service: SURGERY

Allergies:
Patient recorded as having No Known Allergies to Drugs

Attending:[**First Name3 (LF) 2534**]
Chief Complaint:
38-year-old male unrestrained driver involved in an MVC at
30mph, hit telephone pole. His tox. screen was positive for
cocaine, benzos and opiates.

Major Surgical or Invasive Procedure:
Right patellar fracture repair [**2180-2-23**]


History of Present Illness:
The patient's injuries were a completely transected R patella, R
rib fractures [**2-2**], posterior manubrium fracture with small
retrosternal hematoma, a non-displaced T1 transverse process
fracture on L side, and small L pneumothorax.


Past Medical History:
scoliosis, bulging discs


Social History:
Current smoker, about [**1-26**] ppd., social drinker

Family History:
Non-contributory

Brief Hospital Course:
The patient was admitted to the trauma ICU and a thoracic
epidural was placed with good effect initially. On hospital day
#2, the ortho service repaired the patient''s patellar fracture.
With his brace in full extension, the patient could bear weight
as tolerated, and was ambulating at POD#1. We steadily titrated
his pain medication. On HD#3, we began transitioning him to oral
pain medication with the help of the Acute Pain Service.  On
HD#5, the epidural was removed and the patient was doing quite
well on his oral pain regimen.  He was discharged on HD#5 in
good condition, with instructions to follow up in clinic with
both Dr. [**Last Name (STitle) **] and Dr. [**Last Name (STitle) **] (ortho).

Medications on Admission:
alprazolam, mirtazapine

Discharge Medications:
1. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO TID (3
times a day) as needed for pain.
Disp:*60 Capsule(s)* Refills:*0*
2. Morphine 30 mg Tablet Sustained Release Sig: One (1) Tablet
Sustained Release PO Q8H (every 8 hours).
Disp:*30 Tablet Sustained Release(s)* Refills:*0*
3. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3H (every 3
hours) as needed for breakthrough pain.
Disp:*100 Tablet(s)* Refills:*0*
4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2
times a day).
Disp:*60 Capsule(s)* Refills:*2*
5. Alprazolam 0.25 mg Tablet Sig: One (1) Tablet PO TID (3 times
a day) as needed for anxiety.
Disp:*30 Tablet(s)* Refills:*0*
6. Enoxaparin 30 mg/0.3 mL Syringe Sig: One (1)  Subcutaneous
twice a day.
Disp:*60 syringes* Refills:*0*


Discharge Disposition:
Home

Discharge Diagnosis:
Multiple rib fractures
Pulmonary contusion
R patellar fracture
Trauma/Motor vehicle accident


Discharge Condition:
Stable


Discharge Instructions:
You may resume your pre-hospital medications.

Call Dr.[**Name (NI) 12389**] office or come to the emergency room if you
have:
??????	sudden shortness of breath
??????	fever above 101.5 degrees

You may resume your normal diet.
You may resume your normal activities. Take it easy with the
right leg.

Followup Instructions:
1) Call Dr.[**Name (NI) 8091**] office for an appointment for next week.
The phone number is [**Telephone/Fax (1) 1228**].
2) Call Dr.[**Name (NI) 12389**] office for an appointment for next week.
The phone number is [**Telephone/Fax (1) 6429**].



Completed by:[**2180-2-29**]
{'Closed fracture of eight or more ribs,Closed fracture of patella,Contusion of lung without mention of open wound into thorax,Traumatic pneumothorax without mention of open wound into thorax,Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Sprains and strains of other specified sites of knee and leg'}


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: 38-year-old male unrestrained driver involved in an MVC at
30mph, hit telephone pole. His tox. screen was positive for
cocaine, benzos and opiates.

PRESENT ILLNESS: The patient's injuries were a completely transected R patella, R
rib fractures [**2-2**], posterior manubrium fracture with small
retrosternal hematoma, a non-displaced T1 transverse process
fracture on L side, and small L pneumothorax.

MEDICAL HISTORY: scoliosis, bulging discs

MEDICATION ON ADMISSION: alprazolam, mirtazapine

ALLERGIES: Patient recorded as having No Known Allergies to Drugs

PHYSICAL EXAM: 

FAMILY HISTORY: Non-contributory

SOCIAL HISTORY: Current smoker, about [**1-26**] ppd., social drinker 

### Response:
{'Closed fracture of eight or more ribs,Closed fracture of patella,Contusion of lung without mention of open wound into thorax,Traumatic pneumothorax without mention of open wound into thorax,Closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury,Motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle,Street and highway accidents,Sprains and strains of other specified sites of knee and leg'}
