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<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the nature, location, intensity, and onset of your chest pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: I have sensitive, tugging, heavy pain in my lower chest, side of the chest (L), breast (R), posterior chest wall (R), and posterior chest wall (L). The pain intensity is 4 on a scale of 0 to 10, and it appeared with a pace of 2. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any relevant medical history that may be related to your current symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: I have had fluid in my lungs, high blood pressure, heart failure, and I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 8.5% probability, and Unstable angina at 7.7% probability. Does the pain radiate to another location, such as the biceps (R), chin, jaw, scapula (R), or scapula (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does radiate to the biceps (R), chin, jaw, scapula (R), and scapula (L). <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a chest X-ray to examine for potential pulmonary edema. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating, sensitive, heavy, exhausting pain in the back of the head, back of the neck, side of the neck (R), top of the head, and forehead. The pain intensity is 8 on a scale of 0 to 10, and it appeared with a speed of 5. I feel so tired that I am unable to do my usual activities and have a fever, chills, and diffuse muscle pain. I also have a cough and lesions on the side of the neck (L) and forehead that are pink, not swollen, larger than 1cm, and cause itching. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks and are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have traveled out of the country in the last 4 weeks and I am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are Influenza at 17.8% probability and HIV (initial infection) at 14.7% probability. Does the pain in your head and neck worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head and neck does not worsen with movement or touch. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for the presence of the influenza virus and HIV antibodies. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> ear(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 24.4% probability, and Acute otitis media at 23.5% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a physical examination to check for any signs of acute otitis media. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It feels heavy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel it in the iliac fossa (R) and iliac fossa (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> It's a 6. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> It doesn't radiate anywhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> It's a 6. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> It appeared at a 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness, or problems on your skin related to your condition? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a pale rash in the iliac fossa (R) and iliac fossa (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is the rash swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it's a 7. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are the lesions larger than 1cm? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms, the top 2 potential diagnoses are Inguinal hernia with a probability of 47.2% and Anaphylaxis with a probability of 32.6%. Does the pain increase with coughing or with an effort like lifting a weight? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the symptoms are increased with coughing, lifting weight, or forcing a bowel movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a physical examination to further evaluate the inguinal hernia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have swollen or painful lymph nodes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: burning <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> finger (ring finger)(R), finger (ring finger)(L), finger (little finger)(R), finger (index)(L), finger (middle)(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you noticed a diffuse (widespread) redness in one or both eyes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you work in agriculture? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Sarcoidosis at 100% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's schedule a biopsy to confirm the diagnosis of Sarcoidosis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your help. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere related to my reason for consulting. The pain is heartbreaking, haunting, a knife stroke, and violent. I feel pain in my lower chest, flank (R), upper chest, hypochondrium (R), and epigastric. The pain intensity is 8 on a scale of 0 to 10. The pain radiates to my scapula (R) and scapula (L). The pain is located precisely at 4 on a scale of 0 to 10, and it appeared fast with a score of 6. I am feeling nauseous and have recently thrown up blood or something resembling coffee beans. I have vomited several times or made several efforts to vomit. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively and have an addiction to alcohol. Yes, I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Boerhaave at 100% probability. Does the pain worsen when you swallow or eat? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does worsen when I swallow or eat. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper endoscopy to further investigate the cause of your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed that the tone of your voice has become deeper, softer or hoarse? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive and burning. It is located in my tonsil (R) and tonsil (L), thyroid cartilage, and under the jaw. The intensity of the pain is 5 out of 10. The pain appeared with a speed of 3 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 26.7% probability and Acute laryngitis at 22.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to check for any bacterial infection that could be causing your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Is your nose or the back of your throat itchy? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Allergic sinusitis at 34.77% probability, and Bronchitis at 25.11% probability. Does your cough worsen at night or with exercise? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough is persistent throughout the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a nasal endoscopy to further evaluate your symptoms and determine the underlying cause. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood. I have pain in my tonsil (L), thyroid cartilage, and under the jaw. The pain is burning and has an intensity of 5 on a scale of 0 to 10. It appeared at a speed of 5 and is precisely located at 10. I also have a fever. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 100% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are there any members of your family who have been diagnosed myasthenia gravis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Myasthenia gravis at 15.8% probability, and Guillain-Barré syndrome at 13.1% probability. Do you have any specific difficulties with swallowing, such as feeling discomfort or blockage? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's conduct a nerve conduction study to help differentiate between Myasthenia gravis and Guillain-Barré syndrome. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive, a cramp. It is located at the back of the head, top of the head, temple (R), and temple (L). On a scale of 0 to 10, the intensity is 5. The pain is precisely located at 6 and appeared suddenly at 0. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a diagnosis of anemia. I also have chronic kidney failure, I am taking new oral anticoagulants (NOACs), and my BMI is less than 18.5. I have very abundant or very long menstruation periods, and I have noticed light red blood or blood clots in my stool. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 34.5% probability, and Atrial fibrillation at 24.5% probability. Does the dizziness and lightheadedness worsen with changes in position or activity? <|eot_id|><|start_header_id|>user<|end_header_id|> The dizziness and lightheadedness do not worsen with changes in position or activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a complete blood count (CBC) to further evaluate your anemia and determine the next steps for treatment. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are dying or were you afraid that you were about do die? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It's a cramp, sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(R), side of the chest(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are (or were) choking or suffocating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are detached from your own body or your surroundings? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do any members of your immediate family have a psychiatric illness? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you suffer from chronic anxiety? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you suffer from fibromyalgia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a head trauma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 10.9% probability, and Guillain-Barré syndrome at 8.8% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a psychological evaluation to further assess the possibility of a panic attack. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is heartbreaking, haunting, violent, and sickening. It is located in my lower chest, flank (L), hypochondrium (L), belly, and epigastric area. The intensity of the pain is 8 out of 10, and it radiates to my thoracic spine, scapula (R), and scapula (L). It appeared very fast, with a rating of 10 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms, the top two potential diagnoses are Boerhaave at 14.8% probability and GERD at 9.9% probability. Does the pain worsen after eating or lying down? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does worsen after eating. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend we perform an upper endoscopy to further evaluate for Boerhaave. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a pericarditis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are SLE at 12.9% probability, and Guillain-Barré syndrome at 9.7% probability. Does the pain in your ankle and wrist joints worsen with movement or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain in my ankle and wrist joints does not worsen with movement or at rest. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's recommend a skin biopsy to further investigate the rash and lesions on your cheeks. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is heartbreaking, haunting, violent, and sharp. It is located in my breast (R), breast (L), and posterior chest wall (L). The intensity of the pain is 6 on a scale of 0 to 10, and it radiates to the posterior chest wall (R) and posterior chest wall (L). The pain is precisely located at 9 and appeared rapidly at 8. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been treated for osteoporosis or metastatic cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am being treated for osteoporosis and have metastatic cancer. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are spontaneous rib fracture at 20.5% probability and bronchitis at 18.7% probability. Does the pain worsen with coughing or movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does increase with movement and deep breathing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest X-ray to further investigate the possibility of a spontaneous rib fracture. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a sexually transmitted infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 35.3% probability, and Chagas at 24.5% probability. Does the pain in your head radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for HIV infection. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed light red blood or blood clots in your stool? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sensitive, tugging <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> top of the head, forehead, temple(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 1 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 6 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a diagnosis of anemia? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have chronic kidney failure? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you taking any new oral anticoagulants (NOACs)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your BMI less than 18.5, or are you underweight? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Anemia at 16.1% probability, and Atrial fibrillation at 12.9% probability. Does the pain in your head increase with movement or change in position? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head does not change with movement or position. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a blood test to check for hemoglobin levels and an ECG to evaluate for atrial fibrillation. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? Where is it located and how intense is it on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is burning and located in my cheek (R), cheek (L), nose, and eye (L). It's a 7 in intensity. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia or do you have polyps in your nose? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had pneumonia and I do have polyps in my nose. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 31.5% probability, and Chronic rhinosinusitis at 29.4% probability. Does the pain radiate to the back of your head or temples? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain does radiate to the back of my head and temples. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause. Thank you for providing this information. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your help. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It is sensitive and burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in your tonsil (R), tonsil (L), thyroid cartilage, palace, or pharynx? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my tonsil (R) and tonsil (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 33.3% probability, and Pulmonary embolism at 22.5% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, it does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for a potential pulmonary embolism. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is tedious and heavy. It is located on the side of the chest (R), upper chest, breast (R), breast (L), and epigastric. The intensity of the pain is 5 on a scale of 0 to 10. It radiates to biceps (R), biceps (L), thoracic spine, under the jaw, and shoulder (L). The pain appeared with a speed of 7 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes, are significantly overweight, drink alcohol excessively, smoke cigarettes, have high blood pressure, had a heart attack or angina, exercise regularly, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have diabetes, am significantly overweight, drink alcohol excessively, smoke cigarettes, have high blood pressure, had a heart attack or angina, exercise regularly, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 11.4% probability and stable angina at 10.7% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a stress test to further evaluate for stable angina. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sensitive, tugging, a cramp, exhausting <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> top of the head, temple(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 1 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a poor diet? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have chronic kidney failure? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you taking any new oral anticoagulants (NOACs)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your BMI less than 18.5, or are you underweight? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Anemia at 15.04% probability, and Atrial fibrillation at 12.17% probability. Does the pain you feel at the top of your head worsen with movement or certain positions? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with movement or certain positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's conduct a complete blood count (CBC) to further investigate the possibility of anemia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your tonsil on the right side? Is it a burning sensation? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain in my tonsil on the right side is burning. It's very intense, around a 9 out of 10. It appeared quite fast, around a 3 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been in contact with someone with similar symptoms recently. I also smoke cigarettes, have traveled out of the country in the last 4 weeks, and I am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 35.5% probability, and Bronchitis at 29.9% probability. Does the pain in your tonsil radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain in my tonsil does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute laryngitis at 39.15% probability, and Bronchitis at 37.69% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, it does not. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat culture to help differentiate between Acute laryngitis and Bronchitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you regularly take stimulant drugs? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are PSVT at 15.6% probability, and Panic attack at 11.8% probability. Does the feeling of lightheadedness and dizziness worsen with certain triggers or situations? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, it usually worsens when I feel anxious or stressed. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend an ECG to further evaluate your heart rhythm and rule out PSVT. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my ankle (L), thigh (R), thigh (L), dorsal aspect of the foot (L). The pain is tedious and sensitive, with an intensity of 3 on a scale of 0 to 10. It appeared with a speed of 4 and is precisely located at 6. I have swelling in my ankle (L), thigh (R), thigh (L), dorsal aspect of the foot (L), and sole (R). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am currently taking anti-inflammatory drugs (NSAIDs), have a known issue with one of my heart valves, take corticosteroids, have had surgery to remove lymph nodes, take a calcium channel blockers (medication), have been diagnosed with endocrine disease or a hormone dysfunction, have obstructive sleep apnea (OSA), have a known kidney problem resulting in an inability to retain proteins, and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Localized edema at 69.6% probability, and Chagas at 19.2% probability. Does the swelling in your ankle (L) and thigh (R) increase throughout the day or stay the same? <|eot_id|><|start_header_id|>user<|end_header_id|> The swelling stays the same throughout the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a blood test to check for any abnormalities that could help differentiate between Localized edema and Chagas. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have swollen or painful lymph nodes. The pain is tedious, a pulse, and located in my cervical spine, forehead, temple (R), and temple (L). The intensity of the pain is 4, and it appeared with a speed of 4. I feel so tired that I am unable to do my usual activities and have a fever, sore throat, and pale rash on my upper gum, labia majora (R), labia majora (L), internal cheek (R), and internal cheek (L). The pain caused by the rash is intense at a level of 7, and the lesions are larger than 1cm. I also feel nauseous, have had involuntary weight loss over the last 3 months, and have had a sexually transmitted infection, currently use intravenous drugs, had sexual intercourse with an HIV-positive partner in the past 12 months, and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had any other sexually transmitted infections in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a sexually transmitted infection in the past. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 39.9% probability and Chagas at 28.8% probability. Does the pain in your lymph nodes worsen at night or with movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my lymph nodes does not worsen at night or with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for HIV and Chagas to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you please describe the pain you are experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain feels like a knife stroke, tugging, violent, and sharp. It is located in my forehead, cheek (R), cheek (L), eye (R), and temple (R). The intensity of the pain is 7 out of 10, and it appeared rapidly with a score of 7 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have any of your family members been diagnosed with cluster headaches? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, some family members have been diagnosed with cluster headaches. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are cluster headache at 100% probability. Does the pain worsen with physical activity or changes in position? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with physical activity or changes in position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a neurological examination to confirm the diagnosis of cluster headache. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are your symptoms worse when lying down and alleviated while sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? Do you have a burning sensation that starts in your stomach then goes up into your throat, and can be associated with a bitter taste in your mouth? Do you have a cough? Do you have symptoms that get worse after eating? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> I have haunting, a knife stroke, tugging, burning, sickening pain in my lower chest, upper chest, and belly. The pain intensity is 9, it does not radiate, it is located precisely at 2, and it appeared fast at 3. I have a burning sensation that starts in my stomach and goes up into my throat, with a bitter taste in my mouth. I also have a cough and symptoms that get worse after eating. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? Do you smoke cigarettes? Do you have asthma or have you ever had to use a bronchodilator in the past? Do you think you are pregnant or are you currently pregnant? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I drink alcohol excessively and have an addiction to alcohol. I smoke cigarettes. I have asthma and have used a bronchodilator in the past. I think I am pregnant. I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are GERD at 21.5% probability, and Bronchitis at 16.4% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper endoscopy to further evaluate for GERD. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing pain related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive and sharp in my right ear. It's about a 4 in intensity and appeared quickly. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are acute otitis media at 100% probability. Does the pain in your ear radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain stays in my ear. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to confirm the diagnosis of acute otitis media. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain that improves when you lean forward? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Epiglottitis at 15% probability, and HIV (initial infection) at 11.3% probability. Does the pain in your tonsil radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain in my tonsil does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a throat examination to further evaluate for Epiglottitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in your forehead, cheek (L), and temple (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is tedious and heavy, with an intensity of 8 on a scale of 0 to 10. It appeared with a speed of 2 and is precisely located at 1. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I live with 4 or more people and attend a daycare. I have also traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 42.04% probability and Cluster headache at 30.57% probability. Does the pain in your forehead, cheek (L), and temple (L) worsen with physical activity or movement? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not worsen with physical activity or movement. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a nasal swab test to confirm if it is a URTI. This will help us determine the appropriate treatment plan. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have chest pain even at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you describe your pain as heartbreaking, a knife stroke, and violent? Where exactly do you feel the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is heartbreaking, a knife stroke, and violent. I feel it on the side of the chest (R), upper chest, breast (R), and breast (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a spontaneous pneumothorax? Do you smoke cigarettes? Have any family members had a pneumothorax? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a spontaneous pneumothorax. Yes, I smoke cigarettes. Yes, some family members have had a pneumothorax. Yes, I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 26.2% probability and spontaneous pneumothorax at 6% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for a potential pneumothorax. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive, like a knife stroke in my lower chest, side of the chest (R), and breast (L). The intensity of the pain is 6 on a scale of 0 to 10, and it appeared with a speed of 4. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 13.4% probability, and Unstable angina at 12.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get an ECG to further evaluate for any signs of unstable angina. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is like a knife stroke, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pericarditis at 11.2% probability, and Possible NSTEMI / STEMI at 10.8% probability. Does the pain radiate to another location, such as the thoracic spine? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to the thoracic spine, posterior chest wall (R) <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend an echocardiogram to further evaluate for Pericarditis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood. I have pain in my tonsil (R), thyroid cartilage, pharynx, and under the jaw. The pain is sensitive and has an intensity of 9 on a scale of 0 to 10. It appeared with a speed of 3. I also have nasal congestion or a clear runny nose. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been in contact with a person with similar symptoms in the past 2 weeks. I live with 4 or more people, attend or work in a daycare, have traveled out of the country in the last 4 weeks, and am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 41.5% probability, and Possible NSTEMI / STEMI at 24.9% probability. Does the pain in your tonsil (R), thyroid cartilage, pharynx, and under the jaw increase when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does increase when I swallow. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? tonsil(R), tonsil(L), pharynx, under the jaw <|eot_id|><|start_header_id|>user<|end_header_id|> tonsil(R), tonsil(L), pharynx <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 35.5% probability, and Bronchitis at 29.9% probability. Does the pain in your tonsils worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> Heavy <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> Forehead, cheek (L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 19.5% probability, and Influenza at 18.2% probability. Does the pain in your forehead and cheek worsen with movement or pressure? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with movement or pressure. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a rapid influenza diagnostic test to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you are experiencing in more detail? Where is it located and how intense is it on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and heavy, located at the back of the head, back of the neck, side of the neck (R), side of the neck (L), and top of the head. It is a 7 in intensity. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have traveled out of the country in the last 4 weeks and I am immunosuppressed. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are Influenza at 17.5% probability and URTI at 15.3% probability. Does the rash on your neck peel off or is it swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The rash does not peel off and it is not swollen. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a nasal swab test to confirm if it is Influenza. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have trouble keeping your tongue in your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a hard time opening/raising one or both eyelids? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you regularly taken stimulant drugs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been treated in hospital recently for nausea, agitation, intoxication, or aggressive behavior and received medication via an intravenous or intramuscular route? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are acute dystonic reactions at 100% probability. Does the difficulty in keeping your tongue in your mouth or opening/raising your eyelids happen suddenly or gradually? <|eot_id|><|start_header_id|>user<|end_header_id|> It happened suddenly. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a physical examination to further evaluate your symptoms and confirm the diagnosis of acute dystonic reactions. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have swollen or painful lymph nodes, sensitive and sharp pain in my fingers (ring finger)(R), (ring finger)(L), (little finger)(L), (index)(R), and (middle)(L). The pain intensity is 6 on a scale of 0 to 10, and it appeared relatively fast with a rating of 5. I also have noticed a diffuse redness in one or both eyes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I am significantly overweight compared to people of the same height as me, work in agriculture, and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Sarcoidosis at 100% probability. Does the pain in your fingers radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my fingers does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest X-ray to further investigate and confirm the diagnosis of Sarcoidosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: It feels like a knife stroke. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest, side of the chest (L), breast (R), posterior chest wall (R), and posterior chest wall (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 9 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you had chills or shivers? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness, or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: What color is the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Pink <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do your lesions peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where is the affected region located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: On my thoracic spine, side of the neck (L), buttock (L), flank (R), and shoulder (R). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a loss of appetite or do you get full more quickly than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are your symptoms more prominent at night? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a stroke? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 12.3% probability and Pneumonia at 11.6% probability. Does the pain increase or decrease with coughing? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with coughing. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, tedious, lower chest, thyroid cartilage, side of the chest(R), side of the chest(L), epigastric, 7, biceps(R), thyroid cartilage, thoracic spine, under the jaw, shoulder(R), 5, 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? Are you significantly overweight compared to people of the same height as you? Do you have high cholesterol or do you take medications to treat high cholesterol? Do you drink alcohol excessively or do you have an addiction to alcohol? Do you smoke cigarettes? Have you ever had a heart attack or do you have angina (chest pain)? Do you exercise regularly, 4 times per week or more? Have you traveled out of the country in the last 4 weeks? Do you have close family members who had a cardiovascular disease problem before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 12.6% probability, and Anemia at 10.0% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain increases with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend getting an ECG to further evaluate for a possible NSTEMI/STEMI. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your tonsil on the right side? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is burning and has a intensity of 5 out of 10. It appeared slowly with a rating of 1 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been in contact with someone with similar symptoms. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 28% probability, and Possible NSTEMI / STEMI at 16.8% probability. Does the pain in your tonsil radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in your chest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sharp and located on the side of the chest (L) and upper chest. It has an intensity of 6 on a scale of 0 to 10 and does not radiate to another location. It appeared quickly with a precision of 2. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have any relevant medical history that may be related to your current symptoms? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had pneumonia before, and I also have Parkinson's disease, heart failure, and a history of stroke. I recently had surgery and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pneumonia at 11.3% probability and Bronchitis at 10.7% probability. Does the cough you have produce colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the cough does produce colored sputum. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a chest X-ray to further evaluate your symptoms and check for signs of pneumonia. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have swollen or painful lymph nodes, significantly increased sweating, exhausting pain in my forehead, occiput, temple(R), and temple(L) with an intensity of 4. I feel so tired that I am unable to do my usual activities, have a sore throat, and pale rash on upper gum, labia majora(R), palace, penis, under the tongue with a pain intensity of 4. I also feel nauseous, have had involuntary weight loss over the last 3 months, had sexual intercourse with an HIV-positive partner in the past 12 months, and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had any other symptoms such as coughing or difficulty breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> No, I have not mentioned any coughing or difficulty breathing in my symptoms. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 36.6% probability, and Chagas at 26.1% probability. Does the rash on your skin peel off or is it persistent? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash does not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a blood test to check for HIV infection and further evaluate the rash for a more accurate diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: burning <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(R), upper chest, pharynx <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 1 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a sore throat? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are your vaccinations up to date? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 21.4% probability, and URTI at 20.8% probability. Does the pain increase with coughing or deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not increase with coughing or deep breathing. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a chest X-ray to examine for any potential lung infection. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious, sensitive, and a pulse. It is located in my cervical spine, forehead, and occiput. On a scale of 0 to 10, the intensity is 3 and it does not radiate to another location. It is precisely located at 2 and appeared fast at 0. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had unprotected sex with more than one partner in the last 6 months, had sexual intercourse with an HIV-positive partner in the past 12 months, or traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had unprotected sex with more than one partner in the last 6 months, had sexual intercourse with an HIV-positive partner in the past 12 months, and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 38.8% probability, and Chagas at 25.9% probability. Does the rash on your skin peel off or is it swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash is pale in color, does not peel off, and is slightly swollen at 2. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a blood test to check for HIV infection as the next step for diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is tedious, tugging. I feel pain in my ankle (R), ankle (L), thigh (R), dorsal aspect of the foot (R), and sole (L). On a scale of 0 to 10, the intensity of the pain is 4. The pain appeared with a speed of 6 and is precisely located at 8. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have a known issue with one of my heart valves. I take corticosteroids. I have heart failure. I have had deep vein thrombosis (DVT). I take a calcium channel blockers (medication). I have been diagnosed with endocrine disease or a hormone dysfunction. I have obstructive sleep apnea (OSA). I have a known kidney problem resulting in an inability to retain proteins. I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Localized edema at 46.8% probability, and Pulmonary embolism at 32.5% probability. Does the pain in your ankle (R) worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ankle (R) does not worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a D-dimer blood test to help differentiate between Localized edema and Pulmonary embolism. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had diarrhea and an increase in stool frequency. I also have pain in my flank (L) and hypochondrium (L) that feels like a cramp. The pain is a 3 out of 10 in intensity and appeared with a speed of 3. I have a yellow rash in my epigastric region that is not swollen, but larger than 1cm. The itching is a 3 out of 10. I have pale stools and dark urine, as well as a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have chronic pancreatitis, have traveled out of the country in the last 4 weeks, and have family members diagnosed with pancreatic cancer. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 45.1% probability, and GERD at 31.1% probability. Does the pain in your flank and hypochondrium radiate to your thoracic spine? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does radiate to my thoracic spine. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a CT scan of your abdomen to further evaluate the possibility of a pancreatic neoplasm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a high pitched sound when breathing in? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? Have you ever been diagnosed with gastroesophageal reflux? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Larygospasm with a probability of 100%. Does the high pitched sound when breathing in occur suddenly or gradually? <|eot_id|><|start_header_id|>user<|end_header_id|> It occurs suddenly. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a laryngoscopy to further evaluate the laryngospasm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your forehead and temples? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive, tugging, and feels like a cramp. It's located in my forehead, right temple, and left temple. The intensity is 4 out of 10, and it appeared relatively fast with a score of 3. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia before? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a diagnosis of anemia in the past. I also have chronic kidney failure and a poor diet. I am currently taking new oral anticoagulants and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 11.3% probability, and Atrial fibrillation at 8% probability. Does the dizziness and lightheadedness you're experiencing worsen with physical activity or when you change positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The dizziness and lightheadedness do worsen with physical activity and when I change positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend we conduct a complete blood count (CBC) to further investigate your anemia and assess your red blood cell levels. This will help us confirm the diagnosis and determine the appropriate treatment plan. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Pericarditis at 29.79% probability and Pulmonary embolism at 18.37% probability. Does the pain radiate to another location, and if so, where does it radiate to? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain radiates to the thoracic spine, posterior chest wall (R), and posterior chest wall (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get an ECG to further evaluate for pericarditis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain is sensitive, tugging, and heavy in my lower chest, ankle(R), side of the chest(R), calf(L), and posterior chest wall(L). The pain intensity is 5 on a scale of 0 to 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a heart attack or do you have angina (chest pain)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had a heart attack and I do have angina. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 8.9% probability, and Possible NSTEMI / STEMI at 8.1% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain radiates to biceps(R), chin, scapula(L), and shoulder(R). <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform an ECG to further evaluate for a possible NSTEMI/STEMI. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain feels like tugging. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 13.4% probability, and Anaphylaxis at 8.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's conduct a complete blood count (CBC) to further investigate the possibility of anemia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It's a cramp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness, or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> What color is the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> Yellow <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do your lesions peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, is the rash swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where is the affected region located? <|eot_id|><|start_header_id|>user<|end_header_id|> Epigastric <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain caused by the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how severe is the itching? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pale stools and dark urine? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic pancreatitis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are there members of your family who have been diagnosed with pancreatic cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 40.9% probability and Possible NSTEMI / STEMI at 36.1% probability. Does the pain radiate to any other location besides the ones you mentioned? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a CT scan to further evaluate the possibility of a pancreatic neoplasm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: heavy <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> forehead, cheek(L), occiput, temple(R), temple(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 8 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 5 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a sore throat? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you live with 4 or more people? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you smoke cigarettes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 100% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend a throat swab to confirm the diagnosis of URTI. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> mouth, cheek(R), cheek(L), eye(R), eye(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> back of head, nose, temple(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you lost your sense of smell? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 37.9% probability, and Cluster headache at 33.2% probability. Does the pain increase with physical activity or stress? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with physical activity or stress. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating very irregularly or in a disorganized pattern? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have symptoms that are increased with physical exertion but alleviated with rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been diagnosed with hyperthyroidism? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known issue with one of your heart valves? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high blood pressure or do you take medications to treat high blood pressure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a heart attack or do you have angina (chest pain)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known heart defect? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Atrial fibrillation at 17.5% probability, and PSVT at 12.1% probability. Does the irregular heartbeat worsen with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, my symptoms increase with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate your heart rhythm and determine if you have Atrial fibrillation or PSVT. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel that muscle spasms or soreness in your neck are keeping you from turning your head to one side? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you started or taken any antipsychotic medication within the last 7 days? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute dystonic reactions at 19% probability, and Pulmonary embolism at 12.3% probability. Does the shortness of breath worsen with physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to assess for any abnormal eye movements that could help differentiate between Acute dystonic reactions and Pulmonary embolism. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood. I have pain in my tonsil (R) and tonsil (L), thyroid cartilage, palace, and under the jaw. The pain is sensitive and burning, with an intensity of 7 on a scale of 0 to 10. It appeared at a rate of 5 out of 10. I also have a fever and nasal congestion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been in contact with a person with similar symptoms in the past 2 weeks. I live with 4 or more people, attend a daycare, have traveled out of the country in the last 4 weeks, and am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 28.0% probability, and Possible NSTEMI / STEMI at 16.8% probability. Does the pain in your tonsils radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood. I have pain in my tonsil (L), palace, pharynx, and under the jaw. The pain is sensitive and burning, with an intensity of 9 on a scale of 0 to 10. The pain appeared suddenly with a precision of 8. I have a fever, nasal congestion, and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been in contact with a person with similar symptoms in the past 2 weeks. I attend or work in a daycare. I smoke cigarettes and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 16.8% probability and URTI at 15.9% probability. Does the pain in your tonsil (L), palace, pharynx, and under the jaw worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen when I swallow. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to test for viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had 2 or more asthma attacks in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 13.7% probability, and Pulmonary embolism at 9.9% probability. Does the wheezing sound worsen at night or with exercise? <|eot_id|><|start_header_id|>user<|end_header_id|> The wheezing sound tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a pulmonary function test to further evaluate your breathing difficulties. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating, pain on the top of the head, cheek (R), occiput, temple (R), and temple (L). The pain is tedious and sensitive, with an intensity of 3 on a scale of 0 to 10. It appeared fast, with a rating of 5. I also have a sore throat, diffuse muscle pain, nasal congestion, and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I live with 4 or more people, attend a daycare, traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 17.7% probability and Influenza at 16.5% probability. Does the pain in your head and face worsen with any specific movements or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with any specific movements or activities. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a rapid influenza test to help differentiate between URTI and Influenza. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have chest pain even at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> Heartbreaking, violent <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> Side of the chest (R), side of the chest (L), upper chest, breast (R), breast (L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 38.5% probability, and Possible NSTEMI / STEMI at 38.1% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a chest X-ray to examine for a potential pneumothorax. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have pain in the back of the neck, popliteal fossa(R), knee(R), shoulder(R), and shoulder(L). The pain is sensitive and has a intensity of 3 on a scale of 0 to 10. It appeared with a speed of 4 and is precisely located at 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had pericarditis. I also smoke cigarettes, have high blood pressure, had my first menstrual period before the age of 12, and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are SLE at 26.1% probability and Possible NSTEMI / STEMI at 17.6% probability. Does the rash on your cheek(L) have any associated swelling or redness? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The rash on my cheek(L) is red and has a swelling intensity of 4, but there is no itching or peeling. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's proceed with a blood test to check for specific antibodies related to SLE. This will help in confirming the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive in my lower chest, side of the chest (R), pharynx, and breast (R). On a scale of 0 to 10, the intensity is 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 19% probability and URTI at 17.8% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to check for any bacterial infection. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Is your nose or the back of your throat itchy? Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, my nose and the back of my throat are itchy, and I have nasal congestion with a clear runny nose. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any close family members who suffer from allergies, hay fever, or eczema? Have you ever had asthma or used a bronchodilator in the past? Have you traveled out of the country in the last 4 weeks? Do you live in a big city? Are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have close family members with allergies, hay fever, and eczema. I have had asthma and used a bronchodilator before. I traveled out of the country recently, live in a big city, and am more likely to develop common allergies. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the top two potential diagnoses are Allergic sinusitis with a probability of 100%. Is there any specific time of day when your symptoms worsen or improve? <|eot_id|><|start_header_id|>user<|end_header_id|> My symptoms tend to worsen in the morning and improve throughout the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a skin prick test to identify specific allergens triggering your symptoms. This will help confirm the diagnosis of allergic sinusitis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for the recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been coughing up blood? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Characterize your pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> a knife stroke <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: side of the chest(R), scapula(R), breast(L), posterior chest wall(R), posterior chest wall(L) <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: side of the chest(L), scapula(R), scapula(L), posterior chest wall(R), posterior chest wall(L) <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 2 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have swelling in one or more areas of your body? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Where is the swelling located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> posterior aspect of the ankle(R), calf(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> Did you lose consciousness? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have an active cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been unable to move or get up for more than 3 consecutive days within the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had surgery within the last month? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 10.1% probability, and Pulmonary neoplasm at 8.7% probability. Does the pain radiate to any specific location more than others? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is mostly located on the side of the chest (R). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a CT pulmonary angiography to confirm or rule out a pulmonary embolism. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been coughing up blood? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you had an involuntary weight loss over the last 3 months? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you infected with the human immunodeficiency virus (HIV)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 14.2% probability, and Tuberculosis at 13.6% probability. Does your cough worsen at night or in the early morning? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: My cough tends to worsen at night. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a sputum culture to check for the presence of tuberculosis bacteria. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is a pulse and it's located in the back of my head, back of the neck, top of the head, forehead, and temple (R). It's intense, around 8 out of 10, and appeared quickly, around 1 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a sexually transmitted infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. I am currently using intravenous drugs and have had unprotected sex with more than one partner in the last 6 months. I have also had sexual intercourse with an HIV-positive partner in the past 12 months and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 64.6% probability, and Chagas at 32.2% probability. Can you describe the color of the rash you have? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash is pale in color. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for HIV infection. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have painful mouth ulcers or sores? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sharp <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> ankle(R), dorsal aspect of the wrist(R), palmar face of the wrist(L), shoulder(R), shoulder(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 10 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> What color is the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: red <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do your lesions peel off? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> N <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 1 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Where is the affected region located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> cheek(L), nose <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Y <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have painful mouth ulcers or sores? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a pericarditis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you consulting because you have high blood pressure? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are SLE at 10.1% probability and Possible NSTEMI / STEMI at 8.9% probability. Does the pain in your ankle and wrist joints worsen with movement or rest? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ankle and wrist joints does not worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a blood test to check for specific antibodies related to SLE. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Characterize your pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: finger (ring finger)(R), finger (ring finger)(L), finger (little finger)(L), finger (middle)(R), shoulder(R) <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 8 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> What color is the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: NA <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do your lesions peel off? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> N <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 0 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Where is the affected region located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain caused by the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 0 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> N <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 0 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you had any vaginal discharge? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 60% probability, and Sarcoidosis at 40% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's recommend a chest X-ray to further investigate the potential diagnosis of Sarcoidosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> ear(R), ear(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the two most likely diagnoses are URTI at 24.4% probability and Acute otitis media at 23.5% probability. Does the pain in your ear increase with chewing or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ear does not increase with chewing or swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to check for signs of acute otitis media. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a diffuse (widespread) redness in one or both eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have swollen or painful lymph nodes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you lost consciousness associated with violent and sustained muscle contractions or had an absence episode? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sharp <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> finger (little finger)(L), finger (index)(R), dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), shoulder(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 2 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 0 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a diffuse (widespread) redness in one or both eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: What color is the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> NA <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do your lesions peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: N <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where is the affected region located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: N <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Sarcoidosis at 100% probability. Does the pain in your fingers and wrists worsen with movement or rest? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend further evaluation with a chest X-ray to assess for any potential lung involvement related to Sarcoidosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain is sensitive and sharp in the popliteal fossa (R), finger (little finger)(R), dorsal aspect of the wrist (R), dorsal aspect of the wrist (L), and palmar face of the wrist (R). The pain intensity is 6 on a scale of 0 to 10, and it appeared with a speed of 3. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I am significantly overweight compared to people of the same height as me. I also work in agriculture and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> The two most likely diagnoses are Sarcoidosis at 100% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend further testing to confirm the diagnosis of Sarcoidosis. Let's start with a chest X-ray and possibly a biopsy to evaluate the affected areas. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, a knife stroke <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> posterior chest wall(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had an involuntary weight loss over the last 3 months? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you a former smoker? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have family members who have had lung cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 10% probability, and Bronchitis at 8.7% probability. Does the pain increase with coughing or deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with coughing or deep breathing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a CT scan to further investigate the possibility of a pulmonary neoplasm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest, upper chest, breast (R), and breast (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 10 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, to the thoracic spine and posterior chest wall (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a viral infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pericarditis at 12.4% probability, and Possible NSTEMI / STEMI at 12.0% probability. Does the pain worsen with deep breathing or coughing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is not significantly affected by deep breathing or coughing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an ECG to further evaluate your heart function and assess for any signs of myocardial infarction. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the nature of your pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is tedious and heavy. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had fluid in your lungs? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had fluid in my lungs. I also have heart failure and high blood pressure. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 10.6% probability, and Anaphylaxis at 8.3% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain radiates to biceps (L), scapula (R), triceps (R), triceps (L), and shoulder (L). <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform a chest X-ray to further evaluate for Acute pulmonary edema. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. It is sensitive, a cramp, and exhausting. The pain is located in the back of my head, forehead, and right temple. On a scale of 0 to 10, the intensity is 4. The pain appeared with a speed of 3. I also feel slightly dizzy and lightheaded, so tired that I am unable to do my usual activities, and constantly fatigued with non-restful sleep. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a diagnosis of anemia. I also have family members who have been diagnosed with anemia. I am taking new oral anticoagulants (NOACs), have traveled out of the country in the last 4 weeks, and my BMI is less than 18.5, making me underweight. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 25.5% probability and HIV (initial infection) at 14.1% probability. Does the pain in your head increase or decrease with movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head does not radiate to another location and is precisely located at an 8 on a scale of 0 to 10. It does not increase or decrease with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's conduct a blood test to check for anemia and HIV to further investigate your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Did you eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Scombroid food poisoning with a probability of 19.2% and Bronchospasm / acute asthma exacerbation with a probability of 17.2%. Does the rash on your skin peel off or not? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The lesions do not peel off. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend conducting a skin prick test to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had diarrhea or an increase in stool frequency? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sensitive <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> flank(L), hypochondrium(L), epigastric <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 4 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> thoracic spine <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: What color is the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> NA <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do your lesions peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: N <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where is the affected region located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: N <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pale stools and dark urine? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have chronic pancreatitis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are there members of your family who have been diagnosed with pancreatic cancer? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 57.0% probability, and Anemia at 42.9% probability. Does the pain in your flank(L), hypochondrium(L), and epigastric region worsen after eating? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend getting a CT scan of the abdomen to further evaluate the possibility of a pancreatic neoplasm. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have the perception of seeing two images of a single object seen overlapping or adjacent to each other (double vision). I also have difficulty swallowing, or have a feeling of discomfort/blockage when swallowing. I am experiencing shortness of breath or difficulty breathing in a significant way. I have a hard time opening/raising one or both eyelids. I previously had weakness/paralysis in one or more of my limbs or in my face. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Myasthenia gravis at 17.6% probability, and Acute dystonic reactions at 12.8% probability. Do you notice if your symptoms worsen after taking any specific medications? <|eot_id|><|start_header_id|>user<|end_header_id|> My symptoms do not worsen after taking any specific medications. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a Tensilon test to help differentiate between Myasthenia gravis and Acute dystonic reactions. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> Haunting, a knife stroke, tugging <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> Forehead, cheek(R), cheek(L), eye(R), temple(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel that your eyes produce excessive tears? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have any of your family members been diagnosed with cluster headaches? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you take medication that dilates your blood vessels? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Cluster headache at 59.3% probability, and Chagas at 20.4% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a neurological examination to further investigate the cause of your headaches. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my lower chest that feels heartbreaking, haunting, like a knife stroke, violent, and sickening. The pain is located in my lower chest, right flank, left flank, upper chest, and epigastric area. It's a 7 out of 10 in intensity and appeared very quickly. The pain radiates to my thoracic spine and left scapula. I also feel nauseous and have thrown up blood resembling coffee beans. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively and have a history of addiction to alcohol. I have also traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Boerhaave at 100% probability. Does the pain worsen when you swallow or eat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen when I swallow or eat. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper gastrointestinal endoscopy to further evaluate your symptoms and confirm the diagnosis of Boerhaave. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as tedious, heavy, sickening, and scary? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is in my lower chest, biceps(L), side of the chest(L), breast(R), and breast(L). The pain intensity is 6 on a scale of 0 to 10. The pain radiates to biceps(L), thoracic spine, under the jaw, shoulder(R), and shoulder(L). The pain is precisely located at 2 on a scale of 0 to 10, and it appeared very fast at 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or have non-restful sleep? Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I constantly feel fatigued, have non-restful sleep, and feel nauseous. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have any relevant medical history? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am infected with HIV, have diabetes, am significantly overweight, have high cholesterol, smoke cigarettes, have high blood pressure, had a heart attack, have poor circulation, am a former smoker, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 11.5% probability, and Boerhaave at 9% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain increases with physical exertion. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's recommend getting an ECG to further evaluate for a possible NSTEMI / STEMI. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your tonsil on the right side? Is it a burning sensation? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain in my right tonsil is burning. It's a 3 out of 10 in intensity and appeared relatively fast at a 4 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have been in contact with someone who had similar symptoms recently. I also live with 4 or more people, attend a daycare, traveled out of the country in the last 4 weeks, and am immunosuppressed. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 35.7% probability, and Epiglottitis at 20.2% probability. Does the pain in your tonsil radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain in my right tonsil does not radiate to any other location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a throat swab to confirm the presence of a viral infection and rule out any bacterial causes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in the side of the chest (R), side of the chest (L), upper chest, and posterior chest wall (R). The pain is sensitive and has an intensity of 2 on a scale of 0 to 10. It appeared with a speed of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have COPD. I have also traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute COPD exacerbation/infection at 7.5% probability, and Pneumonia at 7.1% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have swelling in one or more areas of your body? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Characterize your pain. Where do you feel pain and how intense is it? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious and tugging. I feel pain in my ankle (R), lateral side of the foot (R), thigh (L), dorsal aspect of the foot (R), and sole (R). The pain intensity is 4 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you gained weight recently? Do you have swelling in specific areas? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have gained weight recently. I have swelling in my ankle (R), ankle (L), thigh (R), thigh (L), and dorsal aspect of the foot (R). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Localized edema at 69.6% probability and Chagas at 19.2% probability. Does the pain in your ankle (R) radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain in my ankle (R) does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend conducting a physical examination to assess the extent and severity of the swelling and pain in the affected areas. This will help in confirming the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have a cramp-like pain in my belly, specifically in the epigastric region. The pain is a 6 out of 10 in intensity and radiates to my thoracic spine. It appeared relatively fast, with a rating of 5. I also constantly feel fatigued and have non-restful sleep. I have had involuntary weight loss over the last 3 months and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have chronic pancreatitis, I am significantly overweight compared to people of the same height as me, I smoke cigarettes, I have traveled out of the country in the last 4 weeks, and there are family members who have been diagnosed with pancreatic cancer. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 15.1% probability, and Possible NSTEMI / STEMI at 10.6% probability. Does the cough worsen at night or with certain activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend we conduct a chest X-ray to rule out any potential respiratory issues related to bronchitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had diarrhea and an increase in stool frequency. I have sharp pain in my flank (R) with an intensity of 8 out of 10. The pain appeared quickly, and I feel lightheaded and dizzy. I also have a pink rash on my biceps (L) and intense itching with a severity of 8 out of 10. I have swelling in my cheek (R) and nose, and I noticed a wheezing sound when I exhale. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have a known severe food allergy, have traveled out of the country in the last 4 weeks, and I am more likely to develop common allergies than the general population. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anaphylaxis at 21.3% probability, and Localized edema at 15.9% probability. Does the rash on your biceps (L) peel off or stay intact? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash does not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a skin prick test to confirm if the rash is due to an allergic reaction in order to differentiate between Anaphylaxis and Localized edema. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are your symptoms worse when lying down and alleviated while sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: It feels like a knife stroke <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest, breast (R), breast (L), and epigastric <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 6 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, to the thoracic spine, posterior chest wall (R), and posterior chest wall (L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 2 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast, irregularly, or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are your symptoms worse when lying down and alleviated while sitting up? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you recently had a viral infection? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pericarditis at 15.8% probability and Possible NSTEMI / STEMI at 10.1% probability. Does the pain worsen with physical exertion or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is constant and does not worsen with physical exertion. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's schedule an echocardiogram to further evaluate for pericarditis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sharp, scary <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> lower chest, side of the chest(L), breast(R), breast(L), epigastric <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 10 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a loss of appetite or do you get full more quickly than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you infected with the human immunodeficiency virus (HIV)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high cholesterol or do you take medications to treat high cholesterol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a heart attack or do you have angina (chest pain)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have close family members who had a cardiovascular disease problem before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 17.5% probability, and GERD at 12.0% probability. Does the pain radiate to your biceps or shoulder increase with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does radiate to my biceps and shoulder, but it does not increase with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate for a possible NSTEMI / STEMI. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you infected with the human immunodeficiency virus (HIV)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 28.5% probability, and Pneumonia at 25.2% probability. Does your cough produce any sputum? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, my cough produces yellowish-green sputum. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to further evaluate your symptoms and help differentiate between Bronchitis and Pneumonia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had 2 or more asthma attacks in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 12.8% probability, and Pulmonary embolism at 9.2% probability. Do you have any chest pain or discomfort associated with your breathing difficulties? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a pulmonary function test to further evaluate your breathing difficulties and confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating, tedious pain at the top of the head, forehead, occiput, and temple (R) with an intensity of 7 on a scale of 0 to 10. The pain appeared with a speed of 2. I also have a cough that produces colored sputum, a fever, sore throat, diffuse muscle pain, and nasal congestion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been in contact with a person with similar symptoms in the past 2 weeks, live with 4 or more people, attend a daycare, traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 16.1% probability and Influenza at 15.2% probability. Does the pain in your head and temple (R) worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head and temple (R) does not worsen with movement or touch. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab test to confirm the diagnosis of URTI or Influenza. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had fluid in your lungs? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 8.7% probability, and Unstable angina at 6.9% probability. Does the pain radiating to the jaw or biceps increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and heavy, and it increases with physical exertion. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's recommend a chest X-ray to further evaluate for Acute pulmonary edema. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is tedious and heavy. It is located at the top of the head, forehead, cheek (R), cheek (L), and occiput. The intensity of the pain is 5 on a scale of 0 to 10, and it appeared quickly with a rating of 5. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have been in contact with a person with similar symptoms. I live with 4 or more people and attend a daycare. I have also traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 20% probability and Cluster headache at 15.2% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a nasal swab test to confirm the diagnosis of URTI. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you wheeze while inhaling or is your breathing noisy after coughing spells? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with someone who has had pertussis (whooping cough)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Bronchitis with a probability of 52.1% and Whooping cough with a probability of 47.9%. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Did you vomit after coughing? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend getting a throat swab to test for pertussis (whooping cough) to confirm the diagnosis. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your help. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had diarrhea or an increase in stool frequency. I have pain in my flank (L), hypochondrium (R), hypochondrium (L), belly, and epigastric area. The pain feels like a knife stroke, sharp, with an intensity of 8 on a scale of 0 to 10. The pain appeared with a speed of 2 and is located precisely at 3. I also have lesions on my skin that are pink in color and larger than 1cm. The rash does not peel off and is not swollen. The affected regions are the back of the neck, biceps (R), biceps (L), mouth, and thyroid cartilage. The itching is severe with a score of 8. I have swelling in my forehead, cheek (R), cheek (L), and nose. I lost consciousness and noticed a high-pitched sound when breathing in. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have traveled out of the country in the last 4 weeks. I am more likely to develop common allergies than the general population. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anaphylaxis at 27.5% probability, and GERD at 18.9% probability. Does the pain in your belly worsen after eating or lying down? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my belly does not worsen after eating or lying down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a skin prick test to check for allergic reactions and a pH monitoring test to assess for GERD. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> Is your nose or the back of your throat itchy? Yes. Do you have severe itching in one or both eyes? Yes. Do you have a cough? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. Have you traveled out of the country in the last 4 weeks? Yes. Do you live in a big city? Yes. Are you more likely to develop common allergies than the general population? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 68.4% probability, and Allergic sinusitis at 31.6% probability. Does the itching in your eyes worsen in certain environments or times of day? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching in my eyes seems to worsen when I'm outside or around pets. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an allergy test to further investigate the possibility of Allergic sinusitis. <|eot_id|>