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<|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 67.6% probability, and Myasthenia gravis at 32.4% probability. Do you have numbness, loss of sensation or tingling in the feet? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> To differentiate between Guillain-Barré syndrome and Myasthenia gravis, can you describe the onset of weakness in your facial muscles and eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had weakness or paralysis on one side of the face, which may still be present or completely resolved. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend conducting a nerve conduction study to further evaluate your symptoms. <|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|> 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 recently had a viral infection? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The two most likely diagnoses are Guillain-Barré syndrome at 17.1% probability, and Panic attack at 12.5% 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: I have numbness, loss of sensation or tingling in the feet. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend conducting a nerve conduction study to further evaluate your symptoms. <|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|> Can you describe the pain you're experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke, a cramp in my hypochondrium (R) and belly. The pain intensity is 4 on a scale of 0 to 10, and it appeared quickly with a rating of 8. <|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, I do have a known severe food allergy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms, the top two potential diagnoses are Anaphylaxis with a probability of 26.8% and Localized edema with a probability of 18.8%. Does the rash you have itch severely or mildly? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching is severe, with a rating of 7 on a scale of 0 to 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend conducting a skin prick test to confirm the presence of 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|> 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. The intensity of the pain is 6 on a scale of 0 to 10. It radiates to the back of my head, nose, and left temple. The pain appeared relatively fast, with a rating of 4. I also have nasal congestion, a clear runny nose, 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, had a cold in the last 2 weeks, have polyps in my nose, a deviated nasal septum, asthma, have been diagnosed with gastroesophageal reflux, 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 Viral pharyngitis at 17.95% probability, and Cluster headache at 16.15% probability. Does the pain increase or decrease with changes in head position? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not significantly change with changes in head position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a nasal endoscopy to further evaluate the nasal polyps and assess for any signs of inflammation in the sinuses. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating, sensitive, heavy pain in the back of the neck, side of the neck (R), top of the head, forehead, and occiput. The pain intensity is 6 on a scale of 0 to 10, and it appeared with a pace of 2. I feel so tired that I am unable to do my usual activities and have a fever with chills or shivers. I also have a sore throat, pink rash on the back of my neck, diffuse muscle pain, loss of appetite, nasal congestion, and a cough. <|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 Influenza at 14.4% probability and URTI at 13.7% probability. Does the pain in the back of your neck radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a rapid influenza diagnostic test to confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute laryngitis at 26.7% probability, and Bronchitis at 24.8% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to confirm the diagnosis of Acute laryngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel 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 your heart is beating very irregularly or in a disorganized pattern? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have 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 Atrial fibrillation at 17.99% probability, and PSVT at 14.25% probability. Does the irregular heartbeat worsen with physical activity or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The irregular heartbeat seems to worsen with physical activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG (Electrocardiogram) to further evaluate your heart rhythm. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a diffuse (widespread) redness in one or both eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have swollen or painful lymph nodes? 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 noticed a diffuse (widespread) redness in one or both eyes? What color is the rash? Do your lesions peel off? On a scale of 0 to 10, Is the rash swollen? Where is the affected region located? On a scale of 0 to 10, How intense is the pain caused by the rash? Is the lesion (or are the lesions) larger than 1cm? On a scale of 0 to 10, How severe is the itching? Have you had any vaginal discharge? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, sensitive, burning, finger (ring finger)(R), finger (index)(R), finger (middle)(L), dorsal aspect of the wrist(R), shoulder(R), 4, nowhere, 2, 0, Yes, Yes, NA, N, 0, nowhere, 0, N, 0, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you work in agriculture? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The two most likely diagnoses are Sarcoidosis at 33.6% probability and Acute dystonic reactions at 17.9% probability. Does the pain in your fingers and wrist worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is constant and does not worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a chest X-ray to further investigate and confirm the diagnosis of Sarcoidosis. <|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 feel lightheaded and dizzy, my cheeks suddenly turned red, I have a pink rash on the back of my neck, biceps (R), biceps (L), mouth, and left ankle. The rash is not swollen, the pain caused by the rash is mild, but the itching is severe. I also feel nauseous and have noticed a wheezing sound when I exhale. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Did you eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I did. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Scombroid food poisoning at 43% probability, and Anemia at 25% probability. Does the rash peel off or is it persistent? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash does not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a histamine test to confirm the diagnosis of Scombroid food poisoning. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious, sensitive, and exhausting. It is located at the back of the head, back of the neck, cervical spine, top of the head, and forehead. The intensity of the pain is 5 on a scale of 0 to 10, and it is precisely located at 8. The pain did not radiate to another location and appeared at a fast pace of 0. <|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 41% probability and Chagas at 27.5% probability. Does the rash on your skin peel off or is it swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash does not peel off, and it is slightly swollen at a level of 1 on a scale of 0 to 10. <|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|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been coughing up blood? <|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you take corticosteroids? <|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|> 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 Pulmonary neoplasm at 13% probability, and Tuberculosis at 11% probability. Does your cough worsen at night or in the early morning? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough tends to worsen in the early morning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a sputum test to check for tuberculosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Sounds good. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain or weakness in your jaw? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have the perception of seeing two images of a single object seen overlapping or adjacent to each other (double vision)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are there any members of your family who have been diagnosed myasthenia gravis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Myasthenia gravis at 21.2% probability, and Pulmonary embolism at 14.2% probability. Do you have any specific pattern of weakness in your arms and legs that you have noticed recently? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel weakness in both arms and both legs. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend conducting a blood test to check for specific antibodies related to Myasthenia gravis for a more accurate diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your recommendation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain feels like tugging. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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|> Based on your history, the two most likely diagnoses are PSVT at 11% probability, and Panic attack at 10.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend an ECG to further evaluate your heart rhythm. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the rash in more detail? Where exactly is it located and what color is it? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The affected region is on the back of the neck, biceps (R), biceps (L), mouth, and ankle (L). The rash is pink in color. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you eaten dark-fleshed fish (such as tuna) or Swiss cheese before experiencing these symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I did eat dark-fleshed fish (such as tuna) before the reaction occurred. <|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 Scombroid food poisoning at 24.9% probability and Anaphylaxis at 17.4% probability. Does the rash peel off or is it persistent? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The rash does not peel off. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a skin prick test to help differentiate between Scombroid food poisoning and Anaphylaxis. This test can help identify specific allergens that may 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 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 on the side of my chest (L) and breast (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> 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 19.5% probability and Pneumonia at 15.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain is localized. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to further evaluate your symptoms. <|eot_id|> |
<|begin_of_text|><|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 had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> heavy, 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, biceps(R), side of the chest(R), side of the chest(L), breast(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 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|> 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|> Do you have high blood pressure or do you take medications to treat high blood pressure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a heart attack or do you have angina (chest pain)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a problem with poor circulation? <|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|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 12.7% probability, and SLE at 10.2% probability. Does the pain in your lower chest increase with deep breathing or coughing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with 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 pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is a knife stroke, sharp in my upper chest, breast (R). The intensity of the pain is 10 on a scale of 0 to 10, and it appeared with a speed of 5. <|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, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 16.6% probability, and Possible NSTEMI / STEMI 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|> Do you have any shortness of breath or difficulty breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do have difficulty breathing. <|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 that improves when I lean forward. The pain is like a knife stroke, sharp, located in my tonsil (R), tonsil (L), side of the neck (L), palace, and pharynx. The intensity of the pain is 5 on a scale of 0 to 10, and it appeared rapidly with a score of 6. I also have difficulty swallowing and feel discomfort/blockage when swallowing. I am experiencing shortness of breath and have a fever. I produce more saliva than usual and have noticed a high pitched sound when breathing in. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have high blood pressure and take medications for it. I have 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 Epiglottitis at 15.03% probability and Myasthenia gravis at 11.87% 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|> Have you had any recent changes in voice or difficulty speaking? <|eot_id|><|start_header_id|>user<|end_header_id|> No, I have not had any recent changes in voice or difficulty speaking. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat examination to further evaluate your symptoms. <|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 haunting, tedious, like a cramp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently taken decongestants or other substances that may have stimulant effects? <|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 PSVT at 14.9% probability, and Atrial fibrillation at 13.5% probability. Does the pain in the back of your head and temple on the left side worsen with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with movement or certain positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend an ECG to further evaluate your heart rhythm. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is tedious, sensitive, and feels like a pulse. It is located at the back of my head, top of the head, forehead, and right temple. The intensity of the pain is 2 out of 10 and it appeared relatively fast. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. <|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 HIV (initial infection) at 50.4% probability, and Chagas at 33.1% probability. Does the rash you mentioned peel off at all? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, it does not peel off. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for HIV to confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you 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|> 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|> 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 27.4% probability, and Guillain-Barré syndrome at 18.7% probability. Does the muscle soreness in your neck worsen with movement or stay constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle soreness in my neck worsens with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a physical examination to assess muscle tone and reflexes to further differentiate between Acute dystonic reactions and Guillain-Barré syndrome. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a viral infection or traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a viral infection and traveled out of the country. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Myocarditis at 10.4% probability, and Pericarditis at 10.1% probability. Do you feel your heart is beating fast, irregularly, or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel my heart is beating fast and irregularly. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain in your chest increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is constant and does not change with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an echocardiogram to further evaluate for Myocarditis or Pericarditis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> ear(R), 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|> 4 <|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|> 10 <|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|> 5 <|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|> 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 otitis media at 100% 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 perform a physical examination to further evaluate your ear pain. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough and have you been coughing up blood? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have a cough and I have been coughing up blood. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting, and can you characterize the pain as exhausting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have pain in my posterior chest wall (L) and I would characterize it as exhausting. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere in your body, and 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: Yes, I feel pain in my posterior chest wall (L) and the pain intensity is 3. <|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, and 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: The pain does not radiate to another location and the pain is precisely located at 6. <|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, and 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: The pain appeared at a rate of 4 and yes, I am experiencing shortness of breath. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or have non-restful sleep, and have you had 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, I constantly feel fatigued, have non-restful sleep, and have had 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|> Do you smoke cigarettes, are you a former smoker, have you traveled out of the country in the last 4 weeks, are you exposed to secondhand cigarette smoke on a daily basis, and do you have family members who have had lung cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, 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 on a daily basis, and I have family members who have had lung cancer. <|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 Pulmonary neoplasm at 9.3% probability, and Tuberculosis at 7.6% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a chest X-ray to further investigate and potentially confirm the presence of a pulmonary neoplasm. <|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. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute laryngitis at 41.8% probability, and Possible NSTEMI / STEMI at 25.6% probability. Does the pain in your tonsil(L), thyroid cartilage, palace, pharynx, and under the jaw worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it does. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to confirm the diagnosis of Acute laryngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you breastfed one of your children for more than 9 months? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are SLE with a probability of 12.47% and Anemia with a probability of 9.19%. Does the rash on your cheek and nose peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend getting an ANA blood test to further investigate the possibility of SLE. <|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 epigastric area that is sensitive, with an intensity of 2 out of 10. The pain radiates to my thoracic spine and appeared relatively fast. I also feel constantly fatigued, have yellow lesions on my skin in the epigastric region that are larger than 1cm, and have had involuntary weight loss over the last 3 months. I have pale stools and dark urine, and I also have a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have chronic pancreatitis, I am significantly overweight compared to people of the same height as me, I smoke cigarettes, I have traveled out of the country in the last 4 weeks, and there are 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 13.4% probability, and Bronchitis at 11.5% probability. Does the cough worsen at night or with certain activities? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough tends to worsen at night and with physical activities. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a CT scan of your abdomen to further evaluate the possibility of a pancreatic neoplasm. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a high pitched sound when breathing in? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with or ate something that you have an allergy to? Have you had diarrhea or an increase in stool frequency? Do you have pain somewhere, related to your reason for consulting? Characterize your pain, feel pain somewhere, intensity of pain, radiating pain, precise location of pain, speed of pain onset, shortness of breath, skin lesions, rash color, peeling lesions, swollen rash, affected region, pain intensity caused by rash, size of lesions, severity of itching, feeling nauseous, swelling locations, wheezing sound when exhaling? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, a knife stroke, a cramp, flank(R), iliac fossa(R), iliac fossa(L), pubis, 7, nowhere, 3, 6, Yes, Yes, pink, N, 4, biceps(L), thyroid cartilage, ankle(R), ankle(L), cervical spine, 1, Y, 7, Yes, forehead, cheek(R), cheek(L), Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? Are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 12.96% probability, and Bronchospasm / acute asthma exacerbation at 10.20% probability. Does the pain increase or decrease with breathing in or out? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|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 perform a skin prick test to check for allergic reactions and a spirometry test to assess lung function. <|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|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is in the lower chest, side of the chest (R), side of the chest (L), upper chest, and breast (R). The pain is tedious, heavy, and exhausting. On a scale of 0 to 10, the intensity is 4. The pain radiates to the biceps (R) and biceps (L). It is precisely located at 8 and appeared at a pace of 4. <|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, high cholesterol, smoke cigarettes, have high blood pressure, have had a heart attack or angina, 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, high cholesterol, smoke cigarettes, high blood pressure, had a heart attack, exercise regularly, and traveled out of the country. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 19.3% probability, and possible NSTEMI / STEMI at 14.2% probability. Does the pain radiate to the thyroid cartilage or thoracic spine? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to the thyroid cartilage or thoracic spine. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a stress test to further evaluate for unstable angina. <|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 tugging, violent, and sharp. The pain is located in my cheek (R), cheek (L), eye (R), eye (L), and temple (R). On a scale of 0 to 10, the intensity of the pain is 10. The pain appeared quickly with a rating of 7. I also have nasal congestion or a clear runny nose. <|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, I take medication that dilates my blood vessels. 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 Cluster headache at 52.7% probability, and Chagas at 23.6% 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 and is precisely located at 7 on a scale of 0 to 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a neurological examination to further investigate the source of your pain. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you find that your symptoms have worsened over the last 2 weeks and that progressively less effort is required to cause the symptoms? <|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, are significantly overweight compared to people of the same height as you, have high cholesterol or take medications for it, smoke cigarettes, have high blood pressure or take medications for it, had a heart attack or have angina, exercise regularly, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 20.1% probability, and possible NSTEMI / STEMI at 17.3% probability. Does the pain radiate to another location, such as the biceps (R) or shoulder (R)? <|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 schedule a stress test to further evaluate for unstable angina. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|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|> Sensitive <|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: Top of the head, cheek(R), occiput <|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|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> 1 <|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: 0 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a cough that produces colored or more abundant sputum 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|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have diffuse (widespread) muscle pain? <|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 nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with a person with similar symptoms in the past 2 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 live with 4 or more people? <|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|> Are you exposed to secondhand cigarette smoke on a daily basis? <|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 URTI at 16.1% probability, and Influenza at 15.2% probability. Does the pain in your head and cheek worsen with movement or pressure? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head and cheek does not worsen with movement or pressure. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis of URTI. <|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 flank (R) and flank (L), iliac fossa (R), hypochondrium (R), and epigastric. The pain feels like a knife stroke, sharp, with an intensity of 4 on a scale of 0 to 10. It appeared with a speed of 4 and is precisely located at 3. I have a pink rash on the back of my neck, biceps (R), biceps (L), mouth, and ankle (R). The rash is not swollen, but the itching is severe at a level of 9. I feel nauseous, have swelling in my forehead, cheek (R), and nose, and have lost consciousness. I also have a high pitched sound when breathing in. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known severe food allergy, have you traveled out of the country in the last 4 weeks, and are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a known severe food allergy, I have traveled out of the country in the last 4 weeks, and I am more likely to develop common allergies than the general population. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anaphylaxis at 13.8% probability and Possible NSTEMI / STEMI at 9.5% probability. Does the pain in your flank (R) radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my flank (R) does not radiate to any other location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an ECG to check for any signs of a 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 <|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(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 7 <|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 nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the two most likely diagnoses are URTI at 24.4% probability and Acute otitis media at 23.5% probability. Does the pain in your ear worsen when you chew or swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to check for any signs of inflammation or infection in your ear. <|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 a knife stroke, tugging, burning, and sickening. It is located in my lower chest and epigastric area. The intensity of the pain is 8 out of 10 and it radiates to my lower chest. It appeared relatively fast, with a rating of 5 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a history of excessive alcohol consumption or addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do have a history of excessive alcohol consumption. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are GERD at 24.5% probability and Bronchitis at 19.2% probability. Does the burning sensation in your stomach that goes up into your throat worsen after eating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the burning sensation does worsen after eating. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend an upper endoscopy to further evaluate your symptoms and confirm a diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|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: a knife stroke <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> posterior chest wall(R), posterior chest wall(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 6 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 5 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you constantly feeling fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you 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|> 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 smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you a former smoker? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have family members who have had lung cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 9.1% probability, and Tuberculosis at 7.3% probability. Does the cough produce any sputum? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The cough produces blood. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest CT scan to further evaluate the pulmonary neoplasm. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your iliac fossa (R), hypochondrium (L), and pubis? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain feels like a knife stroke, sharp, with an intensity of 5 on a scale of 0 to 10. It appeared quickly with a rating of 5. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you 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 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|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are Anaphylaxis at 9.1% probability and Acute pulmonary edema at 7.1% probability. Does the pain in your iliac fossa (R), hypochondrium (L), and pubis radiate to another 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform a skin prick test to check for allergic reactions and a chest X-ray to evaluate for acute pulmonary edema. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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 ever been diagnosed with depression? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 13.3% probability, and PSVT at 11.4% 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 perform an ECG to further evaluate for PSVT. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had pneumonia before? <|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 Pneumonia at 10.2% probability, and Bronchitis at 9.4% probability. Does the cough produce colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a chest X-ray to further evaluate for pneumonia. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you, I will follow up with that. <|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 flank (L), hypochondrium (R), hypochondrium (L), pubis, and epigastric. The pain feels like a knife stroke and a cramp, with an intensity of 8 on a scale of 0 to 10. It appeared quickly, with a rating of 7. I also feel lightheaded and dizzy, and have a rash on my biceps (R), biceps (L), mouth, thyroid cartilage, and ankle (R). The rash is pink, larger than 1cm, and causes severe itching. I have swelling in my nose, and I hear a high-pitched sound when breathing in and wheezing when exhaling. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known severe food allergy, have you traveled out of the country in the last 4 weeks, and are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a known severe food allergy, I have traveled out of the country in the last 4 weeks, and I am more likely to develop common allergies than the general population. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are Anaphylaxis at 14.7% probability and Pancreatic neoplasm at 10.0% probability. Does the pain in your flank (L) radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my flank (L) does not radiate to any other location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a skin prick test to check for specific allergens that may be causing your symptoms. <|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|> Tedious, sensitive <|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, 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|> 6 <|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|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|> 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 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 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|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> forehead, nose, eye(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|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> forehead, nose <|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|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you smoked cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 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 traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 19% probability and Chronic rhinosinusitis at 6.2% probability. Does the pain increase with any specific triggers or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not seem to increase with any specific triggers or activities. <|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 feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> a pulse, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 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|> 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|> 7 <|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 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 regularly drink coffee or tea? <|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|> Have you recently taken decongestants or other substances that may have stimulant effects? <|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 10.8% probability, and PSVT at 10.7% probability. Does the pain in your temple increase with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my temple does not increase with movement or certain positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform 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|> 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 two most likely diagnoses are Acute dystonic reactions at 16.6% probability, and Myasthenia gravis at 13.3% 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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a blood test to check for acetylcholine receptor antibodies to help differentiate between the two potential diagnoses. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Any relevant medical history? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> I have had a spontaneous pneumothorax. I smoke cigarettes. I have a chronic obstructive pulmonary disease. Some family members have had a pneumothorax. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pneumonia at 6.7% probability, and Bronchiectasis at 6% 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: The pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a chest X-ray to examine for a potential pneumonia. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain is sensitive and sharp in my left ear. It's about a 3 out of 10 in intensity and appeared fairly 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. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms, the two most likely diagnoses are Bronchitis at 57.4% probability, and Acute otitis media at 42.5% probability. Does the pain in your ear radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain is only in my ear. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a physical examination to further evaluate your ear pain and determine the best course of treatment. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in your flank and abdomen? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sharp and located in my right flank. It appeared relatively fast with an intensity of 8 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a known severe food allergy or traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a known severe food allergy and 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 Anaphylaxis at 9.7% probability, and Pulmonary embolism at 8.2% probability. Do you notice any difference in the intensity of the pain when you take a deep breath? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain remains the same even with deep breaths. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a blood test to check for elevated levels of tryptase, which can help confirm a diagnosis of anaphylaxis. <|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 feel sensitive and heavy pain in my forehead, cheek (R), and temple (R). The pain intensity is 3 out of 10, and it appeared with a pace of 2 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 in the past 2 weeks. I also attend a daycare, 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 69% probability, and Chagas at 31% probability. Does the pain in your forehead, cheek (R), and temple (R) worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with movement or touch. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a nasal swab to test for URTI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive and burning in my tonsil (R). <|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 Bronchitis at 33.8% probability, and Viral pharyngitis at 21.6% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis of viral pharyngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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 haunting, a knife stroke, tugging, violent, sharp. Do you feel pain in your cheek (R), cheek (L), eye (R), temple (R), temple (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is haunting, a knife stroke, tugging, violent, and sharp. It is located in my cheek (R), cheek (L), eye (R), temple (R), and 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|> 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|> 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|> 10 <|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|> 10 <|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 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 52.7% probability, and Chagas at 23.6% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a neurological examination to further investigate the possibility of a Cluster headache. <|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 exhausting, located at the back of my head, side of the neck (L), occiput, pharynx, and temple (R). It has an intensity of 6 on a scale of 0 to 10 and appeared relatively fast. <|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 am also immunosuppressed and smoke cigarettes. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the top two potential diagnoses are Influenza with a probability of 12.8% and Viral pharyngitis with a probability of 12.0%. Does the rash on the side of your neck (L) peel off or is it persistent? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The rash does not peel off. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a throat swab to test for the presence of the influenza virus and further evaluate the rash on the side of your neck (L). <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your hip and testicle? Is it a heavy pain that appeared relatively quickly? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain in my hip and testicle is heavy, and it appeared with a speed of 4 on a scale of 0 to 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had any complications at birth or were you born prematurely? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I suffered complications at birth. I was born prematurely. 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 symptoms and history, the two most likely diagnoses are Inguinal hernia at 32.6% probability and Bronchitis at 24.8% probability. Does the pain in your hip and testicle worsen with coughing or any physical effort? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain in my hip and testicle does worsen with coughing and physical effort. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a physical examination to further evaluate your symptoms and determine the cause of your pain. <|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|> 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|> 10 <|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|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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 immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 15.96% probability and URTI at 15.40% probability. Does the pain increase with swallowing or talking? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain increases with swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a rapid strep test to confirm the diagnosis of viral pharyngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest, upper chest, breast (R), and breast (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 10 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, to my thoracic spine and posterior chest wall (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 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|> Have you recently had a viral infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are NSTEMI / STEMI at 15.6% probability and Pericarditis at 13.1% probability. Does the pain change with movement or breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is worse when lying down and better when sitting up. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an ECG to further evaluate for NSTEMI / STEMI. <|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 exhausting and located in my cervical spine, top of the head, occiput, temple(R), and temple(L). On a scale of 0 to 10, the intensity is 5. It appeared at a pace of 1. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I have also had unprotected sex with more than one partner in the last 6 months and sexual intercourse with an HIV-positive partner in the past 12 months. I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 47.95% probability and Chagas at 25.30% probability. Does the rash on your skin peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the lesions do not peel off. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a blood test to check for HIV infection. <|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 had diarrhea or an increase in stool frequency. I feel lightheaded and dizzy, my cheeks suddenly turned red, and I have lesions on my skin that are pink in color. The affected regions are the back of the neck, mouth, thyroid cartilage, ankle (L), and cervical spine. The rash is not swollen and does not cause pain, but the itching is severe at a level of 9. I have also noticed a wheezing sound when I exhale. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you eaten dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I did eat dark-fleshed fish before the reaction occurred. 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 Scombroid food poisoning at 41.5% probability, and Anaphylaxis at 27.8% probability. Does the wheezing sound worsen with physical activity or exposure to certain environments? <|eot_id|><|start_header_id|>user<|end_header_id|> The wheezing sound does not worsen with physical activity or exposure to certain environments. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a skin prick test to help differentiate between Scombroid food poisoning and Anaphylaxis. This test can help identify specific allergens that may be causing your symptoms. <|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 in my cheek (L) and temple (L) that is tedious, sensitive, and heavy. The pain intensity is 6 on a scale of 0 to 10. I also have a cough that produces colored sputum, a sore throat, and nasal congestion. <|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 URTI at 18.0% probability, and Bronchitis at 17.0% probability. Does the pain in your cheek and temple worsen with any specific movements or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with any specific movements or activities. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a chest X-ray to rule out any potential bronchitis-related complications. <|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 exhausting and located in the back of my head, back of the neck, side of the neck (L), forehead, and occiput. It's a 5 out of 10 in intensity and appeared relatively fast at a 3 out of 10. <|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 am also immunosuppressed and smoke cigarettes. <|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 20.5% probability and Influenza at 20.1% probability. Does the cough you have 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: The cough seems to worsen at night. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a chest X-ray to rule out any potential bronchitis or pneumonia. <|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|> Characterize your pain as burning. Do you feel pain in your tonsil (R), tonsil (L), pharynx, or under the jaw? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my tonsil (R) and tonsil (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|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|> 4 <|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 attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 laryngitis at 47.1% probability and Possible NSTEMI / STEMI at 28.9% 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 perform a throat swab to confirm the diagnosis of Acute laryngitis. <|eot_id|> |
<|begin_of_text|><|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been coughing up blood? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Characterize your pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: tonsil(R), tonsil(L), palace, pharynx <|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|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> 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: 0 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you attend or work in a daycare? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you immunosuppressed? <|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 Viral pharyngitis at 100% probability. Does the pain increase with swallowing? <|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 do a throat swab to confirm the diagnosis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your help. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I am experiencing shortness of breath or difficulty breathing in a significant way. I have noticed weakness in my facial muscles and/or eyes. I have numbness, loss of sensation or tingling in the feet. I have had weakness or paralysis on one side of the face, which may still be present or completely resolved. I recently had numbness, loss of sensation or tingling in both arms and legs and around my mouth. 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|> Have you recently had a viral infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have recently had a viral infection. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 24.1% probability, and Pulmonary embolism at 15.8% probability. Does the shortness of breath worsen with physical activity or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The shortness of breath worsens with physical activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend we perform a chest CT angiography to further investigate the possibility of a pulmonary embolism. <|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 heavy. <|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 69% probability, and Chagas at 31% 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 URTI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is heavy and located in the iliac fossa (R) and iliac fossa (L). On a scale of 0 to 10, the intensity is 1 and it appeared relatively fast with a score of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had any complications at birth or were you born prematurely? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I was born prematurely and had complications at birth. 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 inguinal hernia at 100% probability. Is the pain located in the testicle (R) or testicle (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is not specifically located in the testicles. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a physical examination to confirm the diagnosis of an inguinal hernia. <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain as burning. Do you feel pain in the side of the chest (R), pharynx, breast (R), posterior chest wall (R), or posterior chest wall (L)? On a scale of 0 to 10, how intense is the pain? Does the pain radiate to another location? How precisely is the pain located? How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a burning pain in the side of the chest (R), pharynx, breast (R), posterior chest wall (R), and posterior chest wall (L). The pain intensity is 4, it does not radiate, it is located precisely at 5, and it appeared instantly. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? Do you have a sore throat? Do you have a cough? Have you noticed a wheezing sound when you exhale? Are your symptoms more prominent at night? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have a cough that produces colored or more abundant sputum than usual. I also have a sore throat, a cough, wheezing when I exhale, and my symptoms are more prominent at night. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you smoke cigarettes? Do you have a chronic obstructive pulmonary disease (COPD)? Have you traveled out of the country in the last 4 weeks? Are your vaccinations up to date? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I smoke cigarettes. I have COPD. I have 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 Bronchitis at 13.1% probability and Acute COPD exacerbation/infection at 13.1% probability. Does the pain in your chest increase with coughing or deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain in my chest does not increase with coughing or deep breathing. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a chest X-ray to examine for any potential lung infection or inflammation. <|eot_id|> |
<|begin_of_text|><|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 chest pain even at rest? <|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|> heavy <|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), side of the chest(L), upper chest, breast(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> biceps(R), thoracic spine, trachea, triceps(R), 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|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|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|> 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|> Do you exercise regularly, 4 times per week or more? <|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 unstable angina at 8.47% probability, and acute pulmonary edema at 7.50% 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 unstable angina. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute laryngitis at 43.9% probability, and Possible NSTEMI / STEMI at 26.9% 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 a throat swab to confirm the diagnosis of Acute laryngitis. <|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 burning. Do you feel pain in your forehead, cheek (R), and nose? On a scale of 0 to 10, how intense is the pain at an 8? Does the pain radiate to the back of your head, forehead, nose, and left temple? How precisely is the pain located at a 6? How fast did the pain appear at a 2? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, that's correct. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks, ever had pneumonia, polyps in your nose, asthma, gastroesophageal reflux, traveled out of the country in the last 4 weeks, and are more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a cold, pneumonia, polyps in my nose, asthma, gastroesophageal reflux, traveled out of the country, and am more likely to develop common allergies. <|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 26.5% probability and Bronchitis at 24.7% probability. Does the greenish or yellowish nasal discharge increase when you cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it does. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal swab to test for the presence of bacteria or viruses causing the 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|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have severe 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 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|> 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 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|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 10.6% probability, and Anaphylaxis at 10.6% probability. Does your shortness of breath worsen when lying down or improve when sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> My shortness of breath worsens when lying down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to evaluate for signs of acute pulmonary edema. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you find that your symptoms have worsened over the last 2 weeks and that progressively less effort is required to cause the symptoms? <|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 as tedious and exhausting. Do you feel pain somewhere in your lower chest, upper chest, breast (R), breast (L), or epigastric area? On a scale of 0 to 10, How intense is the pain? Does it radiate to biceps (R), biceps (L), under the jaw, trachea, or shoulder (L)? How precisely is the pain located and how fast did it appear? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is in my lower chest, upper chest, and breast (R). The pain intensity is 9 and it is located precisely at 2. The pain appeared with a speed of 3. <|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|> 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 you significantly overweight, have high cholesterol, 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, or have close family members with cardiovascular disease before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 21.7% probability, and possible NSTEMI / STEMI at 16.5% probability. Does the pain radiate to another location such as biceps (R), biceps (L), under the jaw, trachea, or shoulder (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does radiate to my biceps (R). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a stress test to further evaluate your symptoms and determine the best course of action. <|eot_id|><|start_header_id|>user<|end_header_id|> Okay. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing difficulty swallowing or have a feeling of discomfort/blockage when swallowing? <|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 Myocarditis at 41.9% probability, and Myasthenia gravis at 29.9% probability. Do your symptoms of muscle weakness increase with fatigue and/or stress? <|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 conduct a blood test to check for specific antibodies related to Myasthenia gravis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in your fingers and shoulder? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and sharp in my little finger (R), index finger (L), middle finger (R), middle finger (L), and shoulder (R). The intensity of the pain is 4 out of 10. It appeared at a pace of 1 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Sarcoidosis at 41.98% probability and Myocarditis at 41.98% probability. Does the pain in your fingers and shoulder worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain remains the same regardless of movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a chest X-ray to further investigate and 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and burning. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes or 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 smoke cigarettes and I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 39.2% probability, and Bronchitis at 34.9% probability. Does the pain in your tonsils radiate to your ears at all? <|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 my ears. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Thank you for your help. <|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 a sore throat, swollen or painful lymph nodes, diarrhea, pain in my head, fatigue, fever, and a rash on my gums, cheeks, and labia majora. The pain caused by the rash is intense at 8 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a sexually transmitted infection or traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a sexually transmitted infection 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 HIV (initial infection) at 39.6% probability, and Chagas at 28.9% probability. Does the pain in your head radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain in my head does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with 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 pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have sharp pain in my lower chest, upper chest, and breast (L). The pain intensity is 5 out of 10 and it appeared quite fast. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a viral infection or traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have recently had a viral infection 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 Pericarditis at 33.9% probability, and Pulmonary embolism at 22.5% probability. Does the pain radiate to another location, such as the posterior chest wall? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does radiate to the posterior chest wall on both sides. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with an ECG to further evaluate for Pericarditis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are your symptoms more prominent at night? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(R), breast(L), posterior chest wall(R), 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|> 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|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 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 chills or shivers? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> What color is the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> pink <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do your lesions peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|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|> commissure(R), side of the neck(L), flank(R), 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 caused by the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|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|> N <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are your symptoms more prominent at night? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> 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 Parkinson’s disease? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have heart failure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a stroke? <|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|> 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 Bronchitis at 6.4% probability, and Bronchiectasis at 6.4% probability. Does the cough produce any foul-smelling sputum? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough produces colored sputum, but not foul-smelling. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a chest X-ray to examine for a potential bronchitis or bronchiectasis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|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 smoke cigarettes, have COPD, traveled out of the country in the last 4 weeks, and are your vaccinations up to date? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Bronchitis with a probability of 54.6% and URTI with a probability of 45.4%. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough does produce phlegm. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a chest X-ray to further evaluate your symptoms. <|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 feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been diagnosed with hyperthyroidism? <|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 Atrial fibrillation with a probability of 42.2% and PSVT with a probability of 32.7%. Do you feel your heart is beating very irregularly or in a disorganized pattern? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Based on your symptoms and medical history, I recommend an ECG (Electrocardiogram) to further evaluate your heart rhythm. <|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 am experiencing shortness of breath, dizziness, my cheeks suddenly turned red, and I have a pink rash on the back of my neck, biceps (L), mouth, thyroid cartilage, and ankle (R). The rash is not swollen, larger than 1cm, and does not cause pain. The itching is severe at a level of 9, and I feel palpitations. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Did you eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I did. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the two most likely diagnoses are Scombroid food poisoning at 13.97% probability and Anaphylaxis at 11.31% probability. Does the itching worsen after eating certain foods or being exposed to specific allergens? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching does not worsen after eating specific foods or being exposed to allergens. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a skin prick test to check for specific allergens that may be causing the reaction. <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Any relevant medical history? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> I have Parkinson’s disease, heart failure, had a stroke, pneumonia, COPD, asthma, recent surgery, traveled out of the country in the last 4 weeks, 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 Pneumonia at 7.7% probability, and Bronchitis at 7.1% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: 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|> Based on your history, the two most likely diagnoses are Anemia at 19.3% probability, and Myocarditis at 13.5% probability. Does the lightheadedness and dizziness worsen with physical activity or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: It worsens with physical activity. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: 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|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating and tedious pain in my cheek (R) and cheek (L) as well as my temple (R) and temple (L). The pain intensity is 4 on a scale of 0 to 10, and it appeared relatively fast with a rating of 2. I also have a cough that produces colored sputum, a fever, sore throat, diffuse muscle pain, and nasal congestion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been in contact with a person with similar symptoms in the past 2 weeks, live with 4 or more people, attend a daycare, traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 16.1% probability and Influenza at 15.2% probability. Does the pain in your cheek and temple worsen with chewing or talking? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen with chewing or talking. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a rapid influenza test to help differentiate between URTI and Influenza. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 23% probability, and Pulmonary embolism at 16% probability. Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently have any difficulty breathing or shortness of breath? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a nerve conduction study to help confirm the diagnosis of Guillain-Barré syndrome. <|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. The pain is located in my ankle (R), ankle (L), thigh (L), dorsal aspect of the foot (L), and sole (R). The intensity of the pain is 3 on a scale of 0 to 10. The pain appeared quickly, with a rating of 6 out of 10. I also have swelling in my ankle (L), thigh (R), thigh (L), dorsal aspect of the foot (R), and dorsal aspect of the foot (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I am currently taking or have recently taken anti-inflammatory drugs (NSAIDs), have a known issue with one of my heart valves, take corticosteroids, have heart failure, have had deep vein thrombosis (DVT), have liver cirrhosis, have had surgery to remove lymph nodes, take a calcium channel blocker (medication), 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 67.8% 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 perform a Doppler ultrasound to assess for any potential deep vein thrombosis (DVT) in the affected areas. <|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 sharp. It's located in my ankle (L), dorsal aspect of the wrist (R), dorsal aspect of the wrist (L), shoulder (R), and shoulder (L). On a scale of 0 to 10, the intensity is 6 and it appeared relatively fast with a score of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis, high blood pressure, your first menstrual period before the age of 12, or traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had pericarditis, high blood pressure, had my first menstrual period before the age of 12, and traveled out of the country recently. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top two potential diagnoses are SLE with a probability of 8.5% and unstable angina at 6.9%. Does the rash on your nose 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|> I recommend further testing for SLE, such as an antinuclear antibody (ANA) test, 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 have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have burning, sharp pain in my forehead, cheek (L), eye (R), eye (L), and temple (R). <|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, I have. <|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 radiate to another location, and if so, where does it radiate to? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to my forehead, nose, temple (R), and temple (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms and help differentiate between Bronchitis 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|> Is your nose or the back of your throat itchy? Yes. Do you have severe itching in one or both eyes? Yes. Do you have nasal congestion or a clear runny nose? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? Yes. Have you traveled out of the country in the last 4 weeks? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Allergic sinusitis at 80.6% probability, and Acute otitis media at 19.4% probability. Does the nasal congestion worsen at night or in the morning? <|eot_id|><|start_header_id|>user<|end_header_id|> The nasal congestion seems to worsen at night. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had 2 or more asthma attacks in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 9.7% probability, and Bronchitis at 8.4% probability. Does your cough produce any mucus or phlegm? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it produces yellowish-green mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend performing a pulmonary function test to further evaluate your breathing difficulties. <|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 sensitive and cramp-like? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it is sensitive and feels like a cramp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in specific locations like the top of your head, forehead, and temples on both sides? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel pain in those areas. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your medical history, do you have poor diet, family members with anemia, chronic kidney failure, taking new oral anticoagulants, traveled out of the country recently, and a BMI less than 18.5? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have poor diet, family members with anemia, chronic kidney failure, taking new oral anticoagulants, traveled out of the country recently, and a BMI less than 18.5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top two potential diagnoses are Anemia at 49.8% probability and Cluster headache at 28.4% probability. Does the pain you're experiencing increase with physical exertion or decrease? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with physical exertion. <|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 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? tonsil(R), tonsil(L), thyroid cartilage, palace, pharynx <|eot_id|><|start_header_id|>user<|end_header_id|> tonsil(R), tonsil(L), thyroid cartilage, palace, pharynx <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 5 <|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 attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 40.6% probability, and Possible NSTEMI / STEMI at 25.3% probability. Does the pain increase with swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a rapid strep test to confirm the diagnosis of Viral pharyngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? Is it sensitive or burning? <|eot_id|><|start_header_id|>user<|end_header_id|> It is sensitive and burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain in your lower chest, side of the chest (R), side of the chest (L), pharynx, or posterior chest wall (R)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel pain in the lower chest, side of the chest (R), side of the chest (L), and pharynx. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain intensity is 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|> No, 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 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|> The pain appeared at a 2. <|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|> 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 have 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|> 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 32% probability and Viral pharyngitis at 21.3% probability. Does the pain increase with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not increase with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a throat swab to test for viral pharyngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> 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: It's sharp <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Where do you feel the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> back of the neck, ankle(R), dorsal aspect of the wrist(R), shoulder(R), shoulder(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 8 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 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|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness, or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: What color is the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> red <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where is the affected region located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: cheek(R), nose <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have painful mouth ulcers or sores? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: 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|> Are you consulting because you have high blood pressure? <|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 SLE at 10.3% probability and Possible NSTEMI / STEMI at 9.7% probability. Does the rash on your cheek and nose peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend we conduct an ANA blood test to further investigate the possibility of SLE. <|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|> Assistant: Have you been coughing up blood? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: 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|> Are you currently using intravenous drugs? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 12.8% probability, and Tuberculosis at 12.6% probability. Does your cough worsen at night or in the early morning? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> My cough tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a sputum culture test to help diagnose the cause of your cough. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning in my tonsil (R), palace, and pharynx. It's a 3 out of 10 in intensity and appeared at a 4 out of 10 pace. <|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. I live with 4 or more people, smoke cigarettes, 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 top two potential diagnoses are Viral pharyngitis with a probability of 100%. Is there any specific location where the pain is more intense? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is most intense in my tonsil (R). <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? Where exactly is it located and how intense is it on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> I have a burning pain in my thyroid cartilage, palate, and under the jaw. The pain is a 5 out of 10 in intensity and is precisely located at a 4 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? Do you live with 4 or more people and smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have traveled out of the country in the last 4 weeks. I live with 4 or more people and I smoke cigarettes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 17.9% probability and Acute laryngitis at 11.9% probability. Does the pain radiate to another location or is it localized only in the areas you mentioned? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is localized only in the areas I mentioned. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to check for any bacterial infection that could be causing your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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 pain somewhere, related to your reason for consulting? Characterize your pain as tugging, burning, sickening, or scary. Do you feel pain in your upper chest, hypochondrium(R), and epigastric area? On a scale of 0 to 10, how intense is the pain? Does the pain 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|> Yes, the pain is tugging, burning, sickening, and scary. The pain is in my upper chest, hypochondrium(R), and epigastric area. The intensity of the pain is 8. The pain radiates to my upper chest. The pain is located at a 6 on a scale of 0 to 10. The pain appeared at a 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? Have you recently thrown up blood or something resembling coffee beans? Do your symptoms get worse after eating? Are your symptoms worse when lying down and alleviated while sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a cough. Yes, I have recently thrown up blood or something resembling coffee beans. Yes, my symptoms get worse after eating. Yes, my symptoms are worse when lying down and alleviated while sitting up. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or have an addiction to alcohol? Do you smoke cigarettes? Do you have asthma or have you ever had to use a bronchodilator in the past? Do you think you are pregnant or are you currently pregnant? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively and have an addiction to alcohol. Yes, I smoke cigarettes. Yes, I have asthma and have had to use a bronchodilator in the past. Yes, I think I am pregnant. Yes, I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are GERD at 36.8% probability and Bronchitis at 29.1% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough does produce phlegm or mucus. <|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|> Have you been coughing up blood? <|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|> a knife stroke, sharp pain on the side of the chest (R), side of the chest (L), scapula (R), scapula (L), and posterior chest wall (R). The pain intensity is 9 on a scale of 0 to 10. <|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|> <|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 deep vein thrombosis (DVT)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 17.9% probability, and Panic attack at 12.7% probability. Does the pain radiate to any other location besides the ones you mentioned earlier? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain also radiates to the breast (R) and posterior chest wall (L). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's proceed with a CT pulmonary angiography to confirm or rule out a pulmonary embolism. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had diarrhea and an increase in stool frequency. I also have pain in my hypochondrium (L), belly, and epigastric region. The pain is sensitive, with an intensity of 6 on a scale of 0 to 10. It radiates to my thoracic spine, and it appeared relatively fast with a rating of 2. I have yellow lesions on my skin in the epigastric region, larger than 1cm, not peeling off, slightly swollen with a pain intensity of 2. I am feeling nauseous, have pale stools, dark urine, and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have chronic pancreatitis, have traveled out of the country in the last 4 weeks, and have family members diagnosed with pancreatic cancer. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 20.4% probability, and Boerhaave at 14.7% probability. Does the pain in your hypochondrium (L) worsen after eating or drinking? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen after eating or drinking. <|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|> 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 pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> ear(R), 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|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|> 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|> The two most likely diagnoses are Acute otitis media at 37.4% probability and Bronchitis at 34.2% probability. Does the pain in your ear radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a tympanometry test to further evaluate your ear pain. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain is tedious, sensitive, and heavy in my lower chest, ankle (L), breast (R), breast (L), and posterior chest wall (R). On a scale of 0 to 10, the intensity is 4. The pain radiates to my jaw, scapula (R), scapula (L), triceps (R), and shoulder (L). The pain appeared with a speed of 7. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had fluid in your lungs? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had fluid in my lungs. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 13.7% probability and Unstable angina at 10.8% 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: I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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, the swelling is located in my ankle (R), calf (R), calf (L), and tibia (L). <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|><|start_header_id|>assistant<|end_header_id|>Human: Okay. <|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|> Have you started or taken any antipsychotic medication within the last 7 days? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are acute dystonic reactions at 100% probability. Does the suffocation feeling occur suddenly or gradually? <|eot_id|><|start_header_id|>user<|end_header_id|> It occurs suddenly. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to assess your symptoms further. <|eot_id|> |