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<|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 started or taken any antipsychotic medication within the last 7 days? <|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 dystonic reactions at 18.6% probability, and Pulmonary embolism at 12.3% probability. 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a CT pulmonary angiography to rule out Pulmonary embolism. <|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|> 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? Is it haunting, sensitive, a knife stroke, tugging, burning, or sickening? <|eot_id|><|start_header_id|>user<|end_header_id|> It's a knife stroke, tugging, burning, and sickening. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? Is it in your lower chest, upper chest, belly, or epigastric area? <|eot_id|><|start_header_id|>user<|end_header_id|> It's in my lower chest and upper chest. <|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, such as your lower chest? <|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 precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> How fast did the pain appear on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently thrown up blood or something resembling coffee beans? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have symptoms that get worse after eating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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|> 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 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 smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a hiatal hernia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you think you are pregnant or are you currently pregnant? <|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 GERD at 100% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> My symptoms do not mention anything about physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper endoscopy to confirm the diagnosis of GERD. <|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's sharp. <|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 pain in the back of the neck, dorsal aspect of the wrist (R), palmar face of the wrist (R), shoulder (R), and 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|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or 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 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 red rash on my cheek (R), cheek (L), and nose. The lesions are larger than 1cm. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are SLE at 25.6% probability and possible NSTEMI / STEMI at 17.1% probability. Does the rash on your skin peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> No, 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 autoimmune markers and cardiac enzymes to further investigate the potential diagnoses. <|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 as sensitive and burning. 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|> Have you been in contact with a person with similar symptoms in the past 2 weeks? Do you live with 4 or more people? Do you attend or work in a daycare? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> 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 Viral pharyngitis at 26% probability and Possible NSTEMI / STEMI at 15.6% 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 confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed weakness in your facial muscles and/or eyes? <|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|> Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 100% probability, and another condition at 0% probability. Does the weakness in your arms and legs vary in severity throughout the day? <|eot_id|><|start_header_id|>user<|end_header_id|> The weakness is consistent throughout the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a nerve conduction study to further evaluate and confirm the diagnosis of Guillain-Barré syndrome. <|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 burning, sharp pain in my forehead, cheek (R), eye (R), eye (L), and temple (R). The pain intensity is 5 on a scale of 0 to 10. It radiates to my nose, temple (R), and temple (L). The pain appeared fast with a score of 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I had a cold in the last 2 weeks, had pneumonia before, have nasal polyps, asthma, traveled out of the country in the last 4 weeks, and am more likely to develop common allergies. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 31.9% probability and Chronic rhinosinusitis at 18.6% probability. Does the pain increase or decrease with any specific triggers or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not seem to have any specific triggers or activities that make it worse or better. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a nasal endoscopy to further evaluate the sinuses and nasal passages for a potential diagnosis of Chronic rhinosinusitis. <|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 as sensitive and exhausting. Do you feel pain in the back of the head, back of the neck, side of the neck (L), top of the head, and occiput? On a scale of 0 to 10, how intense is the pain? Does it radiate to another location? How precisely is the pain located? 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: Yes, I feel pain in those areas. The intensity is 4, it doesn't radiate, it's located precisely at 8, and it appeared at a 4. <|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? Do you have a fever, chills, sore throat, and lesions on your skin that are pink in color and larger than 1cm? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am unable to do my usual activities, I have a fever, chills, sore throat, and lesions on my skin that are pink and larger than 1cm. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse muscle pain, a loss of appetite, and a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have diffuse muscle pain, a loss of appetite, and a cough. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you smoke cigarettes and 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, 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 symptoms and medical history, the two most likely diagnoses are Influenza at 16.96% probability and HIV (initial infection) at 14.75% probability. Does the rash on your neck and back cause any itching? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The itching caused by the rash is not severe. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a test for Influenza to confirm the diagnosis. <|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? Is it burning or sharp? <|eot_id|><|start_header_id|>user<|end_header_id|> It's burning and sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in your mouth, forehead, cheek (R), cheek (L), and nose? <|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 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 the back of your head, forehead, nose, temple (R), or temple (L)? <|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 precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> How fast did the pain appear on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have greenish or yellowish nasal discharge? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes, have polyps in your nose, a deviated nasal septum, asthma, gastroesophageal reflux, recent travel, up-to-date vaccinations, and common allergies? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes to all <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are Acute rhinosinusitis at 39.1% probability and Cluster headache at 25.2% probability. Does the pain increase with physical activity or change in position? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with physical activity or position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend 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|> 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|> It feels like a knife stroke, violent. <|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: In my lower chest, side of the chest (R), upper chest, and breast (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|> 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|> <|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 precisely is the pain located? <|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|> 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: 8 <|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|> Have you ever had a spontaneous pneumothorax? <|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: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 39.5% probability, and Pulmonary embolism at 38.1% 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 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|> Have you had diarrhea or an increase in stool frequency? <|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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|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? <|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|> 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|> 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|> 3 <|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|> 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|> 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|> 2 <|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|> 2 <|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 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 25.3% probability, and Unstable angina at 16.2% probability. Does the pain in your epigastric region worsen after eating fatty foods? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|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|> 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 sensitive, tugging, and feels like a cramp. It is located at the back of my head, top of the head, forehead, and right temple. The intensity of the pain is 1 out of 10, and it appeared relatively fast with a score of 3 out of 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with anemia before? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had a diagnosis of anemia. I also have chronic kidney failure, and some family members have been diagnosed with anemia as well. <|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 Anemia at 20.5% probability and Myocarditis at 11.9% probability. Does the pain you're experiencing 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 does not radiate to any other location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a complete blood count (CBC) to further evaluate your anemia and kidney function. <|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 swollen or painful lymph nodes, significantly increased sweating, pain in my occiput, temple (R), and temple (L) with an intensity of 8 on a scale of 0 to 10. The pain is described as a pulse and exhausting. I also have a fever, pale rash on my lower gum, upper gum, labia majora (R), and labia majora (L) with a pain intensity of 3. I have diffuse muscle pain, feel nauseous, and have had involuntary weight loss over the last 3 months. <|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 HIV (initial infection) at 49.5% probability and Chagas at 27.9% probability. Does the pain in your temples 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 conduct 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|> 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: Have you ever had a sexually transmitted 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|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 32.7% probability, and Influenza at 25.2% probability. Does the pain in your cervical spine, top of the head, forehead, temple(R), and temple(L) 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: I recommend getting a HIV test to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in your upper chest? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is haunting, sensitive, a knife stroke, tugging, sickening. It's located in the upper chest and radiates to the upper chest as well. The intensity is 4 out of 10, and it appeared quickly. <|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? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I smoke cigarettes as well. <|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 GERD at 30.2% probability and Pericarditis at 21.7% probability. Does the pain you're feeling in your upper chest increase or decrease after eating? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain gets worse after eating. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule an upper endoscopy to further investigate the possibility of GERD. <|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 your ankle, dorsal aspect of the wrist (R), dorsal aspect of the wrist (L), shoulder (R), and shoulder (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and sharp, with an intensity of 5 on a scale of 0 to 10. It appeared relatively fast, with a precise location 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 history, the two most likely diagnoses are NSTEMI / STEMI at 28.7% probability, and Unstable angina at 26.8% probability. Does the pain in your ankle, wrists, and shoulders worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location and is precisely located, but it 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 cardiac enzymes and markers to further evaluate for NSTEMI / STEMI or Unstable angina. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a history of heart failure, stroke, pneumonia, COPD, recent surgery, travel outside the country in the last 4 weeks, or being underweight? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have heart failure, stroke, pneumonia, COPD, recent surgery, travel outside the country in the last 4 weeks, and I am underweight. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pneumonia at 7.3% probability, and Bronchiectasis at 6.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform a chest X-ray to further evaluate for pneumonia. <|eot_id|><|start_header_id|>user<|end_header_id|> Okay. <|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|> <|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|> <|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: ear(R), ear(L) <|eot_id|><|start_header_id|>user<|end_header_id|> <|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: 5 <|eot_id|><|start_header_id|>user<|end_header_id|> <|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: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|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: 1 <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you more irritable or has your mood been very unstable recently? <|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|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you currently being treated or have you recently been treated with an oral antibiotic for an ear infection? <|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|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are your vaccinations up to date? <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 55.6% probability, and Acute otitis media at 44.2% probability. Does the pain in your ear increase with chewing or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain in my ear does not increase with chewing or swallowing. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a physical examination of your ears to further evaluate the source of your pain. <|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 is tedious. <|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|> Based on your history, the two most likely diagnoses are URTI at 27.4% probability, and Influenza at 21.9% 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 do a rapid influenza test to differentiate between URTI and Influenza. <|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|> Yes, the pain is tedious, heavy, and sharp. It is located in my ankle (L), lateral side of the foot (L), dorsal aspect of the foot (R), sole (R), and sole (L). The intensity of the pain is 8 out of 10, and it appeared quickly with a rating of 7 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have heart failure, liver cirrhosis, or a known kidney problem resulting in an inability to retain proteins? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have heart failure, liver cirrhosis, and a known kidney problem resulting in an inability to retain proteins. <|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 pain in your ankle (L) worsen with movement or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ankle (L) worsens with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a Doppler ultrasound to assess for any potential vascular issues contributing to the localized edema. <|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 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: tugging, 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|> back of 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: 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|> 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|> 2 <|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|> Is your skin much paler 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: 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|> Have you ever had a diagnosis of 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 any family members who have been diagnosed with 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 chronic kidney failure? <|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 taking any new oral anticoagulants (NOACs)? <|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: Is your BMI less than 18.5, or are you underweight? <|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 Anemia at 15.3% probability, and Anaphylaxis at 12.8% probability. Does the pain in your head worsen with any specific triggers or allergens? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain in my head does not worsen with any specific triggers or allergens. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's conduct a blood test to check your hemoglobin levels and confirm the diagnosis of Anemia. <|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 sensitive and heavy. It is located at the top of the head, cheek (L), occiput, and temple (L). The intensity of the pain is 8 out of 10 and it appeared with a speed of 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 a person with similar symptoms. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 21.9% probability, and Influenza at 17.9% probability. Does the pain in your head increase with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head does not increase with movement or certain positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a throat swab to confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|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|> Have you had significantly increased sweating? 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? Are you experiencing shortness of breath or difficulty breathing in a significant way? Do you feel lightheaded and dizzy or do you feel like you are about to faint? Are you feeling nauseous or do you feel like vomiting? Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? 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, Yes, sharp, iliac fossa(R), 6, nowhere, 7, 7, Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel anxious? Have you ever been diagnosed with depression? Do you have asthma or have you ever had to use a bronchodilator in the past? Have you ever had a head trauma? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 10.5% probability, and PSVT at 8.8% probability. Does the pain increase or decrease with movement? <|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 consider performing an ECG to further evaluate for PSVT. <|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 exhausting. <|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, thyroid cartilage, upper chest, 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|> 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|> Yes, to my biceps (L), thyroid cartilage, thoracic spine, trachea, and 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|> 3 <|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|> 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 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|> 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 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 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 10.8% probability and Unstable 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 get an ECG to further evaluate for a possible NSTEMI/STEMI. <|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 sensitive, a knife stroke, tugging, burning, sickening. It is located in my lower chest, hypochondrium (R), hypochondrium (L), belly, and epigastric. On a scale of 0 to 10, the intensity is 3. The pain radiates to my lower chest and upper chest. It is precisely located at 8 and appeared at a pace of 3. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a history of hiatal hernia, asthma, or alcohol addiction? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a hiatal hernia, asthma, and I drink alcohol excessively. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are GERD at 21.8% probability and Bronchitis at 19.6% probability. Do you experience any shortness of breath or wheezing along with your cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do experience shortness of breath and wheezing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a spirometry test to further evaluate your respiratory symptoms. <|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 sensitive and burning in my tonsil (R) and tonsil (L). It's a 5 out of 10 in intensity and appeared at a 5 out of 10 pace. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes or have any other relevant medical history that may be important? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do smoke cigarettes and I live with 4 or more people. 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 Viral pharyngitis at 27.9% probability and URTI at 26.9% probability. Does the pain radiate to another location besides your tonsils? <|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|> I recommend a throat swab test to confirm the diagnosis. <|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|> Can you describe your symptoms in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> I have annoying muscle spasms in my face, neck, and other parts of my body. I also suddenly have difficulty or an inability to open my mouth and experience jaw pain when opening it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history you can share? <|eot_id|><|start_header_id|>user<|end_header_id|> I have started taking antipsychotic medication within the last 7 days, regularly take stimulant drugs, and have been treated in the hospital recently for nausea, agitation, intoxication, or aggressive behavior with medication via an intravenous or intramuscular route. 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 dystonic reactions at 62.7% probability, and Myasthenia gravis at 37.3% probability. Does the muscle spasm in your face, neck, or other parts of your body worsen with activity or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasms seem to worsen with activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a physical examination to assess the muscle spasms and jaw pain further. This will help differentiate between Acute dystonic reactions and Myasthenia gravis. <|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, a cramp in my forehead. It's about a 3 in intensity and appeared at a pace of 2. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel shortness of breath or difficulty breathing significantly? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am experiencing shortness of breath. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently 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 recently. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 25.4% probability and Atrial fibrillation at 17.1% probability. Does the pain in your forehead 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 conduct a blood test to check for anemia and an ECG to evaluate for atrial fibrillation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your head in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious and sensitive, located at the back of the head, top of the head, forehead, and right temple. The intensity is 2 out of 10, and it appeared with a speed of 3 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. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 31.1% probability, and Chagas at 22% probability. Does the rash on your skin peel off or not? <|eot_id|><|start_header_id|>user<|end_header_id|> The lesions do not peel off. <|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|> 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? Can you characterize your pain as tedious, heavy, sharp, sickening, or scary? Where do you feel the pain and how intense is it on a scale of 0 to 10? Does the pain radiate to another location? How precisely is the pain located and how fast did it appear? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is tedious, heavy, sharp, sickening, and scary. I feel it in my lower chest, side of the chest (R), upper chest, breast (R), and epigastric. The intensity is 6 out of 10. It radiates to my biceps (R), biceps (L), thyroid cartilage, thoracic spine, and shoulder (L). The pain is located at a 7 out of 10 and appeared rapidly at a 9 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you constantly feeling fatigued, experiencing non-restful sleep, feeling nauseous, or having a loss of appetite or getting 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), significantly overweight, have high cholesterol, smoke cigarettes, have high blood pressure, have poor circulation, or have traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am infected with HIV, significantly overweight, have high cholesterol, smoke cigarettes, have high blood pressure, have poor circulation, 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 Possible NSTEMI / STEMI at 11.3% probability, and Pulmonary neoplasm at 8.2% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not specifically increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a cardiac enzyme test to further investigate the possibility of NSTEMI / STEMI. <|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, pain on the top of the head, forehead, occiput, temple(R), and temple(L). The pain is tedious, sensitive, heavy, with an intensity of 7 on a scale of 0 to 10. It appeared fast, with a rating of 1. I also have diffuse muscle pain and nasal congestion. <|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, I live with 4 or more people. I also attend or work in a daycare, have 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 50.8% probability, and Influenza at 31.7% 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 recommend a nasal swab test to confirm the diagnosis. <|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 <|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 like tugging. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in specific locations like the back of the head, top of the head, forehead, temple (R), or temple (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in all those areas. <|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|> 3 <|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 feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|>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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your skin much paler than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a poor diet? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic kidney failure? <|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you think you are pregnant or are you currently pregnant? <|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|> Is your BMI less than 18.5, or are you underweight? <|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 39.6% probability, and Atrial fibrillation at 29.4% probability. Does the pain in your head increase with movement or change in position? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with movement or position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a complete blood count (CBC) to further investigate the possibility of anemia. <|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 had significantly increased sweating? 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? Are you experiencing shortness of breath or difficulty breathing in a significant way? Have you recently had a loss of appetite or do you get full more quickly then usually? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, tedious, sharp, sickening, scary, lower chest, side of the chest(R), breast(R), breast(L), epigastric, 10, biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R), 2, 9, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you infected with the human immunodeficiency virus (HIV)? Do you have high cholesterol or do you take medications to treat high cholesterol? Do you smoke cigarettes? Do you have a problem with poor circulation? 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, Yes, Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 11.6% probability, and GERD at 7.7% probability. Does the pain worsen after eating or when lying down? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen after eating or when lying down. <|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|> 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: Have you had significantly increased sweating? <|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|> heavy, sharp, sickening, scary <|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: lower chest, biceps(R), side of the chest(L), breast(L), epigastric <|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|> 7 <|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: biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(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: 6 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you recently had a loss of appetite or do you get full more quickly than usual? <|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 infected with the human immunodeficiency virus (HIV)? <|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 diabetes? <|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: Do you have high blood pressure or do you take medications to treat 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|> Do you have a problem with poor circulation? <|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|> 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|> <|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 Possible NSTEMI / STEMI at 21.3% probability, and GERD at 14.7% probability. Does the pain in your lower chest worsen after eating or lying down? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my lower chest does not worsen after eating or lying down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend an ECG to further evaluate for Possible NSTEMI / STEMI. <|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 at the top of the head, forehead, occiput, temple (R), and temple (L). The intensity of the pain is 2 on a scale of 0 to 10. The pain appeared with a speed of 3 on a scale of 0 to 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 a person with similar symptoms in the past 2 weeks. I also 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 19.5% probability, and Influenza at 18.2% 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 rapid influenza diagnostic test to differentiate between URTI and 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|> 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 heartbreaking, haunting, a knife stroke, and violent. It is located in the lower chest, flank(R), flank(L), and epigastric. The intensity of the pain is 7 on a scale of 0 to 10. The pain radiates to the thoracic spine and scapula(R). It appeared rapidly with a score of 7. <|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. 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 Atrial fibrillation at 24% probability and Myocarditis at 19.5% 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 recommend an ECG to further evaluate for Atrial fibrillation. <|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. It is sensitive, tugging, and heavy. I feel pain in my ankle (L), thigh (L), dorsal aspect of the foot (L), and toe (1) (R). The pain intensity is 8 on a scale of 0 to 10. The pain appeared quickly with a rating of 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, take corticosteroids, have heart failure, had deep vein thrombosis (DVT), have liver cirrhosis, had surgery to remove lymph nodes, take a calcium channel blockers (medication), was diagnosed with endocrine disease, 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 37% probability and Anaphylaxis at 26.8% probability. Does the pain in your ankle (L) increase or decrease with movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ankle (L) does not increase or decrease with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a Doppler ultrasound to check for any potential blood clots in the affected areas. <|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|> 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|> Are you unable to control the direction of your eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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|> Do you suddenly have difficulty or an inability to open your mouth or have jaw pain when opening it? <|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|> Do you regularly take stimulant drugs? <|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 muscle spasm or soreness in your neck worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasm in my neck worsens with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to assess the severity and extent of the muscle spasms in your neck. <|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 the side of the chest (R), side of the chest (L), scapula (L), posterior chest wall (R), and posterior chest wall (L). The pain feels like a knife stroke, with an intensity of 9 on a scale of 0 to 10. It radiates to the side of the chest (R), breast (R), breast (L), posterior chest wall (R), and posterior chest wall (L). The pain appeared very quickly, with a rating of 10. I also have swelling in the posterior aspect of the ankle (R) and posterior aspect of the ankle (L). The pain increases when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have an active cancer, a history of deep vein thrombosis (DVT), recent surgery within the last month, and 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 Pulmonary embolism at 24.5% probability, and Localized edema at 19.6% probability. Does the pain in your chest increase with physical exertion or movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my chest does not specifically increase with physical exertion or movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a CT pulmonary angiography to further investigate the possibility of a 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 <|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|> Top of the head, cheek (L), 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|> 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|> 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 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|> 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 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 100% probability. Does the pain increase with any specific movements or positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with any specific movements or positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a throat swab test to confirm the diagnosis of URTI. <|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 in my hypochondrium (L) that is sensitive. The pain is at a 5 on a scale of 0 to 10 and it radiates to my thoracic spine. It appeared at a 0 on the pain scale and is located at a 4. I also constantly feel fatigued and have non-restful sleep. I have pale stools and dark urine. <|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 members of my family 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 Pancreatic neoplasm at 62.3% probability, and Anemia at 37.5% probability. Does the pain in your hypochondrium (L) worsen after eating fatty foods? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen after eating fatty foods. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a CT scan of the abdomen to further investigate the possibility of a pancreatic neoplasm. <|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 pharynx. The pain is sensitive and burning, with an intensity of 6 on a scale of 0 to 10. The pain appeared suddenly and is precisely located at 5. I also have nasal congestion and a clear runny nose, along with 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 live with 4 or more people, attend a daycare, smoke cigarettes, 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 23.7% probability, and Bronchitis at 19.5% probability. Does the pain in your tonsils radiate to your ears at all? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain in my tonsils does not radiate to my ears. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|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|> 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|> Based on your history, the two most likely diagnoses are Atrial fibrillation at 17.6% probability, and PSVT at 13.9% probability. Does the dizziness you experience coincide with the irregular heartbeats? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate your heart rhythm. <|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? <|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: tedious, sensitive, tugging, 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|> ankle(L), upper chest, calf(L), breast(L), tibia(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: 9 <|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|> biceps(L), chin, scapula(L), 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|> <|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|> 0 <|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 bouts of choking or shortness of breath that wake you up 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 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|> ankle(R), ankle(L), tibia(R), tibia(L) <|eot_id|><|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: 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|> Do you currently undergo dialysis? <|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 high blood pressure or do you take medications to treat 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 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 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have heart 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|> 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 Acute pulmonary edema at 8.7% probability, and SLE at 7.2% probability. Does the pain in your chest radiate to your shoulder or scapula? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to my shoulder(R) and scapula(L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get 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|> 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 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 35.7% probability, and Epiglottitis at 20.2% 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 swab to confirm the diagnosis. <|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|> 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 as tedious. Do you feel pain in your biceps (L), upper chest, breast (L), shoulder (R), and shoulder (L)? On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is a 3 in intensity. It also radiates to my biceps (R), thyroid cartilage, thoracic spine, shoulder (R), and shoulder (L). The pain is precisely located at a 7 and appeared rapidly at a 9. <|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|> Do you have diabetes, are significantly overweight, drink alcohol excessively, smoke cigarettes, have high blood pressure, exercise regularly, and have traveled out of the country in the last 4 weeks? <|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, exercise regularly, 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 unstable angina at 27% probability and stable angina at 23%. 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 an ECG to further evaluate for potential unstable angina. <|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 chest pain even at rest. The pain is tedious, heavy, and exhausting in my lower chest, upper chest, breast (R), breast (L), and epigastric. On a scale of 0 to 10, the intensity is 7. The pain radiates to my biceps (L), thyroid cartilage, thoracic spine, under the jaw, and shoulder (L). It appeared with a speed of 5 and I also feel nauseous. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes, are you 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have diabetes, I am significantly overweight, I drink alcohol excessively, I smoke cigarettes, I have high blood pressure, I had a heart attack, I exercise regularly, I traveled out of the country in the last 4 weeks, and I have close family members with cardiovascular disease before the age of 50. <|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 Possible NSTEMI / STEMI at 37% probability, and Unstable angina at 25.5% 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get an ECG to further evaluate for a possible NSTEMI / STEMI. <|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's burning and sharp. <|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 mouth, forehead, cheek (R), cheek (L), 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|> 1 <|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 my forehead and 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|> 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|> 2 <|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|> Do you have greenish or yellowish nasal discharge? <|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 ever had pneumonia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have polyps in your nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a deviated nasal septum? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with gastroesophageal reflux? <|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 more likely to develop common allergies than the general population? <|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 22.5% probability, and Acute laryngitis at 16.0% probability. Does the pain increase with talking or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with talking or swallowing. <|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|> 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|> tedious, heavy, sharp, sickening, 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(R), 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), under the jaw, shoulder(R), shoulder(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|> 6 <|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|> 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|> Do you have diabetes? <|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|> 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|> 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 10.6% probability, and Boerhaave at 7.9% 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 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 more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and exhausting, located at the back of my head and temple on the right side. It's a 5 out of 10 in intensity and appeared relatively fast at a 5 out of 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had a diagnosis of anemia before. <|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 Anemia at 22.4% probability and Acute pulmonary edema at 13.5% probability. Does the pain in your head and temple worsen with movement or changes in position? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain doesn't radiate to another location, and it's precisely located at a 7 out of 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a blood test to check your hemoglobin levels and confirm the diagnosis of anemia. <|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you please characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It feels heavy and sharp. <|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 pain in my ankle (L), lateral side of the foot (R), lateral side of the foot (L), thigh (R), and thigh (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|> The pain intensity is 2. <|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|> Yes, I have swelling in my ankle (R), thigh (L), dorsal aspect of the foot (R), dorsal aspect of the foot (L), and sole (R). <|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|> Based on your history, the two most likely diagnoses are Localized edema at 67.8% probability, and Chagas at 20.4% 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 ask, does the pain increase or decrease with movement to help differentiate between Localized edema and Chagas. <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a kidney function test to further investigate the cause of the swelling and pain. <|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|> tedious, sharp <|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, breast(R), breast(L), shoulder(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|> 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|> biceps(R), biceps(L), thyroid cartilage, under the jaw, 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|> 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|> 6 <|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|> 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|> 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|> 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 21.3% probability, and GERD at 14.7% probability. Does the pain in your lower chest increase after eating or lying down? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my lower chest does not specifically increase after eating or lying down. <|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|> Do you take corticosteroids? <|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 12.8% probability, and Tuberculosis at 11.7% probability. Does the cough worsen at night or with certain activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough is persistent throughout the day and worsens at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a sputum test to check for tuberculosis. <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive, tugging, and exhausting. It is located at the back of my head, forehead, temple (R), and temple (L). The intensity of the pain is 4 out of 10, and it appeared at a pace of 0. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had a diagnosis of anemia. I also have chronic kidney failure, a poor diet, and I am underweight. <|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 Anemia at 16.3% probability and Atrial fibrillation at 13.6% probability. Does the pain in your head increase with movement or change in position? <|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 movement or change in position. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a complete blood count (CBC) to further evaluate your anemia. <|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? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain feels like a knife stroke, sharp, and is located on the side of the chest (R). It's about a 5 in intensity and appeared quickly at a 6. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had deep vein thrombosis (DVT) or any recent surgeries? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had deep vein thrombosis (DVT) and I had surgery within the last month. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 11.5% probability, and Acute pulmonary edema at 8.5% probability. Does the pain radiate to any other location besides the side of the chest (R)? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to any other location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a CT pulmonary angiography to further investigate for a potential pulmonary embolism. <|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 ever felt like I was suffocating for a very short time associated with inability to breathe or speak. I have trouble keeping my tongue in my mouth. I have a hard time opening/raising one or both eyelids. I am unable to control the direction of my eyes. I feel that muscle spasms or soreness in my neck are keeping me from turning my head to one side. I suddenly have difficulty or an inability to open my mouth or have jaw pain when opening it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have started or taken antipsychotic medication within the last 7 days. I regularly take stimulant drugs. I have been treated in hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route. 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 Acute dystonic reactions at 63.8% probability, and Myasthenia gravis at 36.2% probability. Do you experience any fluctuation in muscle weakness throughout the day that worsens with activity? <|eot_id|><|start_header_id|>user<|end_header_id|> I do not experience any fluctuation in muscle weakness throughout the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a physical examination to assess muscle strength and coordination to further differentiate between Acute dystonic reactions and Myasthenia gravis. <|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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? Is it sensitive, tugging, a cramp, or exhausting? <|eot_id|><|start_header_id|>user<|end_header_id|> It is sensitive <|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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 66.5% probability, and Cluster headache at 33.5% 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 blood test to check your hemoglobin levels for a definitive diagnosis. <|eot_id|>

<|begin_of_text|><|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had one or several flare ups of chronic obstructive pulmonary disease (COPD) 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 Bronchitis at 25.5% probability, and Acute COPD exacerbation / infection at 24.9% probability. Does the wheezing sound when you exhale occur more during the day or at night? <|eot_id|><|start_header_id|>user<|end_header_id|> It occurs more during the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a sputum culture to help differentiate between Bronchitis and Acute COPD exacerbation / infection. <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have cystic fibrosis, Rheumatoid Arthritis, Crohn’s disease or ulcerative colitis (UC), pneumonia, chronic obstructive pulmonary disease (COPD), asthma, or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have cystic fibrosis, Rheumatoid Arthritis, Crohn’s disease or ulcerative colitis (UC), pneumonia, chronic obstructive pulmonary disease (COPD), and asthma. <|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 Bronchitis at 14.2% probability, and Tuberculosis at 11.1% probability. Does your cough worsen at night or with exercise? <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a sputum culture to check for any bacterial infection that could be causing your symptoms. <|eot_id|>

<|begin_of_text|><|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|> 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|> The top 2 potential diagnoses are HIV (initial infection) with a probability of 30.3% and Influenza with a probability of 27.1%. 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 weakness in your facial muscles and/or eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you experienced 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|> The two most likely diagnoses are Guillain-Barré syndrome at 21.7% probability and Myasthenia gravis at 15.9% probability. Do you feel weakness in both arms and legs equally, or is it more pronounced in one side? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel weakness in both arms and legs equally. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a nerve conduction study to help differentiate between Guillain-Barré syndrome and Myasthenia gravis. <|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 please characterize your pain for me? Is it haunting, a knife stroke, tugging, or sharp? <|eot_id|><|start_header_id|>user<|end_header_id|> It's haunting, a knife stroke, tugging, and sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain specifically? Is it in your forehead, right cheek, left cheek, right eye, or left eye? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel the pain in my forehead, right cheek, left cheek, right eye, and left eye. <|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|> The pain intensity is 7. <|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|> The pain does not radiate to another location. <|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|> The pain is located at a 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> How fast did the pain appear on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain appeared quickly, at an 8. <|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 68.5% probability, and Anemia at 31.5% 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 getting a blood test to check for any signs of anemia, which could help differentiate between the two potential diagnoses. <|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: 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 Influenza at 17.3% probability, and URTI at 16.9% probability. Does the pain in your head and neck area 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 does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a rapid influenza test to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you ever felt like you were suffocating for a very short time associated with inability to breathe or speak? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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|> Are you unable to control the direction of your eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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 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|> The two most likely diagnoses are Acute dystonic reactions at 100% probability. Does the muscle spasms in your neck worsen with movement or stay constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasms in my neck are constant. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to assess the muscle spasms and evaluate for any other potential causes. <|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known severe food allergy? <|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 Anaphylaxis at 11.6% probability, and Localized edema at 8.3% probability. Does the rash you mentioned have any blisters or fluid-filled bumps? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend conducting a skin prick test to confirm if the symptoms are due to an allergic reaction. <|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|> 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's a burning pain. <|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 the pain on the side of the chest (L), pharynx, 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|> It's a 4. <|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|> Do you have a chronic obstructive pulmonary disease (COPD)? <|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 Bronchitis at 32.1% probability and Possible NSTEMI / STEMI at 21.2% 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 recommend a chest X-ray to further investigate your symptoms. <|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 tugging, a cramp, and exhausting. It is located in my forehead and right temple. The intensity is 4 out of 10, and it appeared at a pace of 5 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a poor diet? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 23.9% probability, and Atrial fibrillation at 16.7% 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 complete blood count (CBC) to check for any signs of anemia. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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 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 39.6% probability, and Chagas at 32.2% probability. Does the pain in your head and forehead worsen with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head and forehead is tedious and has a pain intensity of 5. It appeared with a speed of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a blood test to check for HIV and Chagas to confirm the diagnosis. <|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|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious, a cramp, a pulse. <|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 NSTEMI / STEMI at 11.4% probability, and Pericarditis at 8.2% 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|>I recommend getting an ECG to further evaluate for NSTEMI / STEMI. <|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 my forehead, cheek (R), cheek (L), and occiput. The pain is sensitive and heavy, with an intensity of 7 on a scale of 0 to 10. It appeared fast, with a rating of 1. <|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? Do you live with 4 or more people? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been in contact with a person with similar symptoms, live with 4 or more people, 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 URTI at 17.7% probability and Influenza at 16.5% 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 rapid influenza diagnostic test to differentiate between URTI and Influenza. <|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 and sensitive. It is located in my forehead, cheek (R), and cheek (L). The intensity of the pain is 4 on a scale of 0 to 10. The pain appeared slowly with a rating of 1. I also have a cough that produces colored sputum, a fever, a 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 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 16.9% probability and Pneumonia at 16.4% 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 recommend a throat swab to confirm the diagnosis of URTI. <|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, the pain is like a knife stroke, sharp. It is located in my upper chest, breast (R), and radiates to my thoracic spine, posterior chest wall (R), and posterior chest wall (L). The intensity of the pain is 7 on a scale of 0 to 10, and it appeared relatively fast with a score of 4. <|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 10.8% probability, and Spontaneous pneumothorax at 9.6% probability. Does the pain increase when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain that is increased when I breathe in deeply. <|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 that improves when you lean forward? <|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|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in any specific locations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my tonsil (R), side of the neck (L), palace, pharynx, under the jaw <|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|> 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|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed that you produce more saliva than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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 diabetes? <|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 have an addiction to alcohol? <|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 Epiglottitis at 26.9% probability and HIV (initial infection) at 19.5% probability. Does the pain worsen with swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat examination to further evaluate the condition. <|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|> The top 2 potential diagnoses are Acute dystonic reactions with a probability of 16.7% and Pulmonary embolism with a probability of 11.6%. Do you have any specific details about the muscle spasms in your neck, such as the severity or onset? <|eot_id|><|start_header_id|>user<|end_header_id|> I suddenly have difficulty or an inability to open my mouth or have jaw pain when opening it. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a physical examination to assess the muscle spasms and jaw pain further. <|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 mouth, forehead, right cheek, left cheek, and nose. The pain is burning and sharp, with an intensity of 4 on a scale of 0 to 10. It radiates to my forehead and is precisely located at 8. The pain appeared fast, with a score of 1. I have also lost my sense of smell and have greenish or yellowish nasal discharge. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had pneumonia, polyps in my nose, a deviated nasal septum, asthma, and 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 Acute rhinosinusitis at 30.2% probability and Chronic rhinosinusitis at 24.1% probability. Does the pain in your nose worsen when you bend forward or lie down? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain in my nose does worsen when I bend forward or lie down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a nasal endoscopy to further evaluate and differentiate between Acute and Chronic rhinosinusitis. <|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 a cramp-like pain in my hypochondrium (L) and belly, with an intensity of 4 on a scale of 0 to 10. The pain radiates to my thoracic spine, and it is precisely located at 2. The pain appeared suddenly, and I constantly feel fatigued. I have a yellow rash on my epigastric region, which is not swollen and does not cause pain. I also feel nauseous, have had involuntary weight loss over the last 3 months, and have pale stools and dark urine. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic pancreatitis, diabetes, smoke cigarettes, traveled out of the country in the last 4 weeks, or have family members diagnosed with pancreatic cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have chronic pancreatitis, diabetes, smoke cigarettes, 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 19.2% probability and Anaphylaxis at 12.9% probability. Does the rash itch or cause any discomfort? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash does not cause any itching or discomfort. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a CT scan of the abdomen to further evaluate the possibility of a pancreatic neoplasm. <|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 please characterize your pain for me? Is it tugging, burning, sickening, or scary? <|eot_id|><|start_header_id|>user<|end_header_id|> It's tugging, burning, sickening, and scary. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> In my hypochondrium (L), belly, and epigastric area. <|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|> Yes, to my lower chest and upper chest. <|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|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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? <|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 recently thrown up blood or something resembling coffee beans? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have symptoms that get worse after eating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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|> 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 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 have a hiatal hernia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|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 GERD at 36.4% probability and Bronchitis at 29.9% probability. Does the cough worsen at night or with cold air exposure? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough does worsen at night. <|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|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have ever felt like I was suffocating for a very short time associated with inability to breathe or speak. I have trouble keeping my tongue in my mouth. I am unable to control the direction of my eyes. I have annoying muscle spasms in my face, neck or any other part of my body. I suddenly have difficulty or an inability to open my mouth or have jaw pain when opening it. <|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, I have 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|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are acute dystonic reactions at 100% probability. Does the muscle spasm in your face, neck, or other parts of your body worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasms in my face, neck, or other parts of my body do not worsen with movement or rest. <|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 pain somewhere, related to my reason for consulting. The pain is burning and located in my mouth, forehead, right cheek, left cheek, and nose. On a scale of 0 to 10, the intensity of the pain is 2. The pain radiates to my nose and right temple. The pain is precisely located at 7 and appeared at a pace of 3. I have also lost my sense of smell, greenish or yellowish nasal discharge, 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 had a cold in the last 2 weeks, polyps in my nose, a deviated nasal septum, asthma, have used a bronchodilator in the past, 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 Acute rhinosinusitis at 20.6% probability, and Chronic rhinosinusitis at 19.2% probability. Does the pain increase with any specific triggers or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with any specific triggers or activities. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a nasal endoscopy to further evaluate and differentiate between Acute and Chronic rhinosinusitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in your fingers? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning in my ring finger (R), little finger (R), little finger (L), index finger (R), and middle finger (R). The intensity of the pain is 3 out of 10, and it appeared relatively fast with a score 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, I have. I work in agriculture as well. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Sarcoidosis at 39.8% probability and Myocarditis at 32.9% probability. Does the pain in your fingers 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|>I recommend getting a chest X-ray and an ECG to further evaluate your symptoms and help differentiate between Sarcoidosis and Myocarditis. <|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|> Have you ever had a diagnosis of 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 17.3% probability, and Myocarditis at 12.6% probability. Does the pain in your head and temple worsen with movement or changes in position? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with movement or changes in position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a blood test to check your hemoglobin levels and further evaluate your anemia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you are feeling in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is exhausting and located in the back of the head, back of the neck, side of the neck (R), top of the head, and forehead. The intensity of the pain is 2 on a scale of 0 to 10, and it appeared relatively fast with a rating of 5. <|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. I also smoke cigarettes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Influenza at 18.5% probability and Pneumonia at 16.8% probability. Does the pain in your head and neck worsen with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not worsen with movement or certain positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a throat swab to test for the presence of the influenza virus. <|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's haunting, like a knife stroke, very sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> In my forehead, right cheek, left eye, right temple, and left temple. <|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 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|> I would say a 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> It appeared very quickly, a 10. <|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|> 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 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 top two potential diagnoses are Cluster headache with a probability of 100%. The next likely diagnosis is not applicable. Does the pain increase or decrease with physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical activity. <|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|> 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. My symptoms of muscle weakness increase with fatigue and/or stress. I have had weakness/paralysis in one or more of my limbs or in my face. <|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 Pulmonary embolism at 15.8% probability, and Myocarditis at 13.5% probability. Does your shortness of breath worsen with physical activity or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> My shortness of breath worsens with physical activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a pulmonary function test to further evaluate your breathing difficulties and muscle weakness. <|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 sensitive, tugging, and exhausting. It is located at the back of my head, top of the head, forehead, and left temple. The intensity of the pain is 1 out of 10, and it appeared relatively fast with a score of 4 out of 10. <|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 before. I also have chronic kidney failure, follow a poor diet, take new oral anticoagulants, have traveled out of the country recently, and have a BMI less than 18.5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 62.1% probability and PSVT at 19.3% probability. Does the dizziness and lightheadedness you're experiencing make you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel lightheaded and dizzy, but not like I am about to faint. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting 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 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 have pain somewhere, related to your reason for consulting? Can you characterize your pain as tugging, a cramp? Do you feel pain in your forehead and temple on the right side? On a scale of 0 to 10, how intense is the pain? Does it radiate to another location? How precisely is the pain located and how fast did it appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is tugging and a cramp. It is in my forehead and temple on the right side. The pain intensity is 1 out of 10. It does not radiate to another location. The pain is located at a 4 out of 10 precisely, and it appeared at a pace of 5 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia? Do you have any family members who have been diagnosed with anemia? Do you have chronic kidney failure? Are you taking any new oral anticoagulants (NOACs)? Have you traveled out of the country in the last 4 weeks? 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, I have had a diagnosis of anemia. Some family members have been diagnosed with anemia. I do not have chronic kidney failure. I am not taking any new oral anticoagulants. I have traveled out of the country in the last 4 weeks. My BMI is less than 18.5, and I am underweight. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Anemia at 25.07% probability and Atrial fibrillation at 18.61% probability. Does the pain in your forehead and temple on the right side increase with physical exertion or change with your heart rate? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with physical exertion or change with my heart rate. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a complete blood count (CBC) to further evaluate your anemia and rule out any other potential causes. <|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 been coughing up blood and have pain in my chest that feels like a knife stroke. The pain is located on the right side of the chest, the right posterior chest wall, and the left posterior chest wall. It is a 4 out of 10 in intensity and appeared relatively fast. I also have shortness of breath, coughing up colored sputum, chills, and a pink rash on the side of my neck, posterior chest wall, left posterior chest wall, belly, and left shoulder. The rash is not swollen and does not cause pain. I also have diffuse muscle pain, loss of appetite, fatigue, nasal congestion, and a cough that is worse at night. The pain increases when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had pneumonia before, smoke cigarettes, have Parkinson's disease, heart failure, have had a stroke, had surgery in the last month, traveled out of the country in the last 4 weeks, and my vaccinations are up to date. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pneumonia at 9.9% probability, and Bronchiectasis at 9.7% probability. Does the coughing up of blood happen only during coughing or is it present at other times as well? <|eot_id|><|start_header_id|>user<|end_header_id|> The coughing up of blood only happens when I cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest X-ray to further investigate and confirm the diagnosis. <|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 tugging, a cramp, and exhausting. It is located in the back of the head, top of the head, forehead, and temple (L). The intensity of the pain is 5 out of 10, and it is precisely located at 6 out of 10. The pain did not appear fast. <|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. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 49.9% probability and Cluster headache at 18.7% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location and does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a complete blood count (CBC) to further evaluate your anemia. <|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 sensitive and burning, located in my tonsil (L), palace, and under the jaw. It's an 8 out of 10 in intensity and appeared relatively fast, at a level of 3. <|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 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 Bronchitis at 21.8% probability and Acute laryngitis at 14.9% 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 perform a throat swab to check for any bacterial infection that could be causing your symptoms. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|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|> 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 Guillain-Barré syndrome at 17.9% probability, and Myasthenia gravis at 13.5% probability. Do you feel weakness in both arms and legs equally, or is one side more affected than the other? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel weakness in both arms and legs equally. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a nerve conduction study to help differentiate between Guillain-Barré syndrome and Myasthenia gravis. <|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 a fever (either felt or measured with a thermometer)? <|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 an involuntary weight loss over the last 3 months? <|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 cough? <|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 take corticosteroids? <|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 diabetes? <|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 Pulmonary neoplasm at 14.8% probability, and Bronchitis at 14.7% probability. Does your cough produce any blood or mucus? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> My cough produces mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest X-ray to further investigate your symptoms. <|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? 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: The pain is sharp and located in my forehead, cheek (L), nose, eye (R), and eye (L). It's a 4 in intensity on a scale of 0 to 10, and it appeared relatively fast, with a rating of 3. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever been diagnosed with pneumonia or have a history of polyps in your nose, a deviated nasal septum, or gastroesophageal reflux? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had pneumonia before, and I have polyps in my nose, a deviated nasal septum, and gastroesophageal reflux. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 33.3% probability and Chronic rhinosinusitis at 19.4% probability. Does the pain radiate to the back of your head, forehead, nose, temple (R), or temple (L)? <|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, forehead, nose, temple (R), and temple (L). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause. It will help differentiate between Bronchitis and Chronic rhinosinusitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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|>user<|end_header_id|> Yes <|eot_id|><|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had sexual intercourse with an HIV-positive partner in the past 12 months? <|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 39.06% probability, and Chagas at 29.04% probability. Does the pain in your head and neck area worsen with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious, sensitive, a pulse, exhausting, and located in the back of the head, cervical spine, forehead, and right temple. It is intense at a level of 7 and appeared relatively fast at a level of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a blood test to check for HIV infection. <|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 tedious, sensitive, tugging, and sharp. The pain is located in my ankle (R), lateral side of the foot (L), thigh (R), thigh (L), and dorsal aspect of the foot (L). The intensity of the pain is 4 on a scale of 0 to 10. The pain appeared quickly with a rating of 8. I also have swelling in my ankle (R), ankle (L), thigh (R), thigh (L), and sole (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a known issue with one of my heart valves, heart failure, deep vein thrombosis (DVT), liver cirrhosis, had surgery to remove lymph nodes, take calcium channel blockers, 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 67.5% probability, and Chagas at 20.3% 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) worsens with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a Doppler ultrasound to assess for any potential deep vein thrombosis (DVT) in your affected areas. <|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 feels like a knife stroke and is located in the side of the chest (L), scapula (R), scapula (L), breast (R), and breast (L). The pain intensity is 5 on a scale of 0 to 10. It radiates to the upper chest, scapula (R), breast (L), posterior chest wall (R), and posterior chest wall (L). The pain is precisely located at a 9 and appeared rapidly at a 9. I am also experiencing shortness of breath and swelling in the posterior aspect of the ankle (R), posterior aspect of the ankle (L), and calf (R). I have also lost consciousness and have pain that increases when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have an active cancer, currently take hormones, had surgery within the last month, 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 Pulmonary embolism at 9.5% probability and Pericarditis at 7.6% probability. Does the pain in your chest increase when you breathe in deeply or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my chest increases when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a CT pulmonary angiography to further investigate for a potential pulmonary embolism. <|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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain as sensitive, tugging, a cramp, or exhausting? <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere specific like the back of your head, temple (R), or temple (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> back of head, 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|> 1 <|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|> Have you ever had a diagnosis of 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 40.9% probability, and HIV (initial infection) at 24.2% 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|>I recommend getting a blood test to check your hemoglobin levels for a more accurate 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 pain somewhere related to my reason for consulting. The pain is burning and located in my mouth, cheek (R), cheek (L), nose, and eye (R). The intensity of the pain is 4 on a scale of 0 to 10. The pain radiates to the back of my head, forehead, nose, and temple (L). The pain appeared fast, with a rating of 1. I also have greenish or yellowish nasal discharge 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 smoke cigarettes, have had pneumonia, have polyps in my nose, have asthma, have been diagnosed with gastroesophageal reflux, have traveled out of the country in the last 4 weeks, have up-to-date vaccinations, and 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 Acute rhinosinusitis at 24.4% probability and Bronchitis at 20.0% probability. Does the pain in your nose worsen when you bend forward or lie down? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain in my nose does worsen when I bend forward or lie down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a nasal endoscopy to further evaluate your symptoms and determine the best course of treatment. <|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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, a cramp, exhausting <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> top of the head, forehead, 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|> 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|> 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|> 0 <|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 slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|>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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had stools that were black (like coal)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have very abundant or very long menstruation periods? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your skin much paler than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a poor diet? <|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic kidney failure? <|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you think you are pregnant or are you currently pregnant? <|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|> Is your BMI less than 18.5, or are you underweight? <|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 15.4% probability, and Atrial fibrillation at 13.2% 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 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|> 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|> 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|> 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|> 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|> Are you more irritable or has your mood been very unstable recently? <|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|> Are your vaccinations up to date? <|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 42.45% probability, and Acute otitis media at 36.66% probability. Does the pain in your ear increase with swallowing or chewing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ear does not increase with swallowing or chewing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination of your ears to further evaluate for 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, the pain is heavy and located in the iliac fossa(L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Were you born prematurely or did you suffer any complication at birth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I suffered a complication at birth. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Inguinal hernia at 31% probability, and Bronchitis at 24% probability. Does the pain increase with coughing or any physical effort? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is increased with coughing and physical effort. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a physical examination to further evaluate the pain in your iliac fossa(L) and assess for any signs of an inguinal hernia. <|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 sensitive and exhausting. I feel pain in the posterior chest wall (R) and posterior chest wall (L). On a scale of 0 to 10, the pain intensity is 2. The pain appeared at a pace of 1. I am also experiencing shortness of breath, fatigue, and loss of appetite. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I smoke cigarettes, I am a former smoker, I have traveled out of the country in the last 4 weeks, I am exposed to secondhand cigarette smoke daily, and I have family members who have had lung cancer. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 10.9% 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|> 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 a potential pulmonary neoplasm. <|eot_id|>