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<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel anxious? <|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 taken decongestants or other substances that may have stimulant effects? <|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 symptoms and antecedents, the two most likely diagnoses are PSVT at 29.8% probability and Atrial fibrillation at 24.4% probability. Does the fast heart rate occur suddenly or gradually? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The fast heart rate occurs suddenly. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: 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 been diagnosed with hyperthyroidism? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Atrial fibrillation at 27.5% probability, and PSVT at 20.4% probability. Does your irregular heart beat worsen with physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's conduct an ECG 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 have been coughing up blood. I have pain in my tonsil (R), thyroid cartilage, palace, pharynx, and under the jaw. The pain is sensitive and burning, with an intensity of 4 on a scale of 0 to 10. It appeared relatively fast, with a rating of 4 out of 10. I also have a fever and a cough. <|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 Influenza at 15.2% probability, and Tuberculosis at 14.5% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a sputum culture to check for tuberculosis as a next step for diagnosis. <|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, a pulse, and exhausting. It is located at the back of my head and temple on the right side. The intensity of the pain is 7 out of 10, and it appeared relatively fast with a score of 2 out of 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a 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 45.8% probability and Chagas at 25.4% probability. Does the rash on your skin peel off or not? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The lesions do not peel off. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a blood test to check for HIV and Chagas to confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 17.6% probability, and Pulmonary embolism at 11.8% probability. Do you have any specific location where you are experiencing muscle spasms in your face or neck? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasms are mainly in my face and neck. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a CT pulmonary angiography to further investigate for a potential pulmonary embolism. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever been diagnosed with depression? <|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 Panic attack at 10.8% probability, and PSVT at 8.5% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform an ECG to differentiate between Panic attack and PSVT. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my lower chest, sharp and cramp-like, with an intensity of 2 on a scale of 0 to 10. The pain appeared suddenly at a 10. I also feel like I am choking, lightheaded, dizzy, and nauseous. My heart is beating fast, and I have numbness in my arms and legs. I feel detached from my surroundings. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel anxious, have been diagnosed with depression, suffer from chronic anxiety, and have a family history of migraines. I have asthma and have used a bronchodilator in the past. 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 Panic attack at 14.9% probability, and PSVT at 12.5% probability. Does the numbness in your arms and legs come and go, or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The numbness in my arms and legs is constant. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to check for any abnormalities in 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 have pain somewhere, related to my reason for consulting. The pain is burning and located in my mouth, forehead, right cheek, left cheek, and nose. On a scale of 0 to 10, the intensity is 2. The pain radiates to my forehead, nose, and left temple. The pain is precisely located at 4 and appeared instantly. I have also lost my sense of smell and have greenish or yellowish nasal discharge. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I smoke cigarettes, had a cold in the last 2 weeks, had pneumonia before, have polyps in my nose, a deviated nasal septum, asthma, gastroesophageal reflux, traveled out of the country in the last 4 weeks, and am more likely to develop common allergies than the general population. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 30.2% probability, and Chronic rhinosinusitis at 24.1% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you experienced any changes in your symptoms when lying down or standing up? <|eot_id|><|start_header_id|>user<|end_header_id|> No, I have not noticed any changes in my symptoms based on my position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I find that my symptoms have worsened over the last 2 weeks and that progressively less effort is required to cause the symptoms. I have chest pain even at rest, which is tedious, heavy, and exhausting. The pain is located in my lower chest, biceps (R), thyroid cartilage, breast (R), and epigastric. On a scale of 0 to 10, the pain intensity is 10. The pain radiates to my biceps (L), thoracic spine, under the jaw, trachea, and shoulder (L). The pain is precisely located at 6 and appeared relatively fast at 3. I am also experiencing shortness of breath, fatigue, and non-restful sleep. My symptoms increase with physical exertion but are alleviated with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have diabetes, drink alcohol excessively, smoke cigarettes, had a heart attack, and have close family members who had cardiovascular disease before the age of 50. 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 unstable angina at 7.9% probability and acute pulmonary edema at 6.8% 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|> 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 had an involuntary weight loss over the last 3 months. 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 am infected with the human immunodeficiency virus (HIV). I take corticosteroids. I am currently using intravenous drugs. I have diabetes. I have traveled out of the country in the last 4 weeks. My BMI is less than 18.5, and I am underweight. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 13.8% probability, and Bronchitis at 13.4% probability. Does your cough produce any blood or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough does produce mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to further evaluate your symptoms and rule out any potential pulmonary neoplasm. <|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, high cholesterol, addiction to alcohol, smoke cigarettes, had a heart attack, 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|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 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 26.9% probability, and stable angina at 18.9% probability. Does the pain radiate to another location, such as the biceps (L) or shoulder (R)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain radiates to the biceps (L) and shoulder (R). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get an ECG to further evaluate for unstable angina. <|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|> Are you experiencing any pain related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive, like a knife stroke. It is located on the side of the chest (R), side of the chest (L), upper chest, and breast (L). The intensity of the pain is 2 out of 10, and it appeared relatively fast with a score of 3. <|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 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 11.4% probability and Possible NSTEMI / STEMI at 11.1% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an ECG to further evaluate for possible NSTEMI/STEMI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is haunting, sensitive, a knife stroke, tugging, and burning in my upper chest and hypochondrium (L). The intensity of the pain is 5 out of 10, and it radiates to my lower chest and upper chest. It appeared with a speed of 5 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a hiatal hernia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do have a hiatal hernia. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are GERD at 26.6% probability and Bronchitis at 21.1% probability. Does the cough you mentioned produce any phlegm? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the cough does produce phlegm. <|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|> Can you describe the pain you're feeling? <|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. It's located in my tonsil (L), thyroid cartilage, palace, and pharynx. It's a 2 out of 10 in intensity and appeared quickly. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I also live with 4 or more people, attend a daycare, and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the two most likely diagnoses are Bronchitis at 18.07% probability and Pneumonia at 15.32% probability. Does the pain in your tonsil (L) worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain doesn't worsen when I swallow. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a throat swab to check for any bacterial infection that could be causing your symptoms. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 16.1% probability, and Pneumonia at 15.2% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to rule out pneumonia. <|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 located in my tonsil (R) and tonsil (L). It's an 8 out of 10 in intensity and appeared quickly at a 4 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have been in contact with someone with similar symptoms. I also attend a daycare and smoke cigarettes. 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 23.7% probability, and Possible NSTEMI / STEMI at 14.8% 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|> <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a rapid strep test to confirm if it is indeed viral pharyngitis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is heavy and sickening. I feel pain in my lower chest, biceps (R), side of the chest (R), side of the chest (L), and breast (R). On a scale of 0 to 10, the intensity of the pain is 7. The pain radiates to my biceps (L), under the jaw, triceps (R), shoulder (R), and shoulder (L). The pain is located precisely at 6 and appeared quickly at 9. I also feel nauseous and have had a loss of appetite. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I am infected with HIV, have diabetes, am significantly overweight, have high cholesterol, smoke cigarettes, have high blood pressure, have had a heart attack, have poor circulation, am a former smoker, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 44.7% probability, and Chagas at 18.2% probability. Does the pain in your chest increase with physical exertion or decrease with rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my chest does not change with physical exertion or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a cardiac stress test to further evaluate your chest pain and rule out any potential heart-related issues. <|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 tonsil (R), thyroid cartilage, and under the jaw. The pain is sensitive, with an intensity of 6 on a scale of 0 to 10. It appeared with a speed of 3. I also have a fever, cough, and my voice has become hoarse. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? Do you attend or work in a daycare? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I live with 4 or more people. Yes, I attend a daycare. Yes, I smoke cigarettes. 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 Bronchitis at 17.0% probability, and Acute laryngitis at 14.2% probability. Does the pain in your tonsil (R), thyroid cartilage, and under the jaw worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen when I swallow. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's 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|> Can you characterize your pain for me? Where is it located and how intense is it on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is burning and located in my tonsil (R) and tonsil (L), palace, pharynx, under the jaw. It's a 3 in intensity on a scale of 0 to 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a cold in the last 2 weeks 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 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|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to confirm the diagnosis of Acute laryngitis. <|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 on the side of my chest (R) and posterior chest wall (L) that feels like a knife stroke, with an intensity of 4 on a scale of 0 to 10. The pain appeared relatively fast with a score of 2. I also have a cough that produces colored or more abundant sputum than usual, chills, and a pink rash on my commissure (R), side of the neck (R), posterior chest wall (R), and shoulder (R). The rash is not swollen and does not peel off. I also have diffuse muscle pain, loss of appetite, nasal congestion, a cough, and my symptoms are more prominent at night. Additionally, I have pain that increases when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I drink alcohol excessively, smoke cigarettes, have heart failure, have had pneumonia before, have COPD, had surgery within the last month, traveled out of the country in the last 4 weeks, and my vaccinations are up to date. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 14% probability and Pneumonia at 12% probability. Does the pain in your chest worsen when you cough or take deep breaths? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my chest does worsen when I cough or take deep breaths. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest X-ray to further investigate and confirm the presence of pneumonia. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you please describe your pain 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 haunting, a knife stroke, tugging, violent, and sharp. It is located in my forehead, cheek (R), cheek (L), eye (R), and temple (R). The intensity of the pain is 9 out of 10, and it appeared rapidly with a score of 8. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I do. <|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 Cluster headache at 59.3% probability, and Chagas at 20.4% 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a neurological examination to further evaluate your symptoms and 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 a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had pneumonia? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 27.2% probability, and Bronchiectasis at 20.9% probability. Does the cough worsen at night or with certain activities? <|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|> Assistant: Let's schedule a chest CT scan to further evaluate your condition. <|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 that improves when you lean forward? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Epiglottitis at 16.3% probability, and Myasthenia gravis at 11.4% probability. 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|>Let's perform a throat examination to further evaluate your symptoms and consider a throat culture to confirm the diagnosis of Epiglottitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe your pain in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is tedious and sensitive, located at the top of the head, forehead, occiput, and temple (R). It's a 6 out of 10 in intensity and appeared at a pace of 3. <|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 also live with 4 or more people, attend a daycare, and am 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|> 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a throat swab to confirm the diagnosis of URTI. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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|> 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 cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you infected with the human immunodeficiency virus (HIV)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or 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 Bronchitis at 12.8% probability, and Tuberculosis at 12.6% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it does. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a sputum culture to check for tuberculosis bacteria. <|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 burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 100% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a throat swab to confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your help. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in my lower chest, side of the chest (R), side of the chest (L), posterior chest wall (R), and posterior chest wall (L). The pain is sensitive and has an intensity of 1 on a scale of 0 to 10. It appeared very fast. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes and have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I smoke cigarettes and have COPD. I have also traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 12.9% probability and Bronchitis at 12.6% 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 get a chest X-ray to examine for potential pneumonia. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have 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 severe itching 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 a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any close family members who suffer from allergies (any type), hay fever or eczema? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Allergic sinusitis at 30.1% probability, and Bronchitis at 21.7% probability. Does the itching in your eyes worsen in certain environments or with specific triggers? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching in my eyes seems to worsen when I'm outdoors or around pets. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend an allergy test to further investigate the potential allergic sinusitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is tedious, tugging, heavy. I feel pain in my ankle (R), breast (R), breast (L), posterior chest wall (R), and posterior chest wall (L). The pain intensity is 5 on a scale of 0 to 10. The pain radiates to my chin, jaw, and shoulder (R). The pain location precision is 2 on a scale of 0 to 10. The pain appeared suddenly with a speed of 0. I am also experiencing shortness of breath and difficulty breathing, bouts of choking or shortness of breath that wake me up at night, and swelling in my ankle (R), ankle (L), calf (L), tibia (R), and tibia (L). I have new fatigue, generalized discomfort, diffuse muscle aches, and my symptoms worsen when lying down but improve when sitting up. My symptoms increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had fluid in my lungs, currently undergo dialysis, have high blood pressure, take medications for high blood pressure, have heart failure, 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 Acute pulmonary edema at 8.7% probability and Unstable angina at 7.1% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> My symptoms increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a chest X-ray to examine for potential pulmonary edema. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have swollen or painful lymph nodes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are GERD at 41.7% probability and HIV (initial infection) at 36.6% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting tested for HIV to rule out any potential infection. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> ear(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 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|> 2 <|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|> 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|> Based on your history, the two most likely diagnoses are Acute otitis media at 62.3% probability, and URTI at 21.2% probability. Does the pain in your ear increase 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 of your ear to further evaluate for Acute otitis media. <|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: sensitive <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> ankle(R), ankle(L), dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), shoulder(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 2 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|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|> Do your lesions peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: N <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|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), cheek(L) <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Y <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|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|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you consulting because you have high blood pressure? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Did you have your first menstrual period before the age of 12? <|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 11.5% probability, and Possible NSTEMI / STEMI at 9.5% probability. Does the pain in your ankle joints worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain in my ankle joints does not worsen with movement or rest. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's recommend a blood test to check for specific antibodies related to SLE. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious and heavy. It is located on the top of the head, cheek (R), cheek (L), occiput, and temple (R). The intensity of the pain is 5 on a scale of 0 to 10, and it appeared relatively fast with a rating of 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been in contact with a person with similar symptoms. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 25.3% probability and Bronchitis at 23.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to confirm the diagnosis of URTI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Characterize your pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> heavy <|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: iliac fossa(R), iliac fossa(L), hip(R), hip(L), testicle(R) <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 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: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> What color is the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: pale <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do your lesions peel off? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> N <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 5 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Where is the affected region located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> iliac fossa(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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 1 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Y <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 0 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are the symptoms or pain increased with coughing, with an effort like lifting a weight or from forcing a bowel movement? <|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|> Were you born prematurely or did you suffer any complication at birth? <|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 Inguinal hernia at 55.1% probability, and Scombroid food poisoning at 26.6% probability. Does the pain increase with coughing or with an effort like lifting a weight? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The symptoms or pain are increased with coughing, with an effort like lifting a weight. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a physical examination to further evaluate the possibility of an inguinal hernia. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you 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|> tedious, sharp, sickening <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: side of the chest(R), side of the chest(L), upper chest, breast(R), epigastric <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: biceps(R), biceps(L), thoracic spine, shoulder(R), shoulder(L) <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 10 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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: Are you feeling nauseous or do you feel like vomiting? <|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 recently had a loss of appetite or do you get full more quickly than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you infected with the human immunodeficiency virus (HIV)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a heart attack or do you have angina (chest 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 a problem with poor circulation? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: 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: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 10.1% probability, and Boerhaave at 7.5% probability. Does the pain radiate to your biceps or shoulders? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain radiates to my biceps and shoulders. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate for a possible NSTEMI / STEMI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you please characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is 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 17.5% probability, and Bronchitis at 16.3% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm if it is a URTI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a sexually transmitted infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are HIV (initial infection) with a probability of 53.7% and Chagas with a probability of 29.7%. Does the pain in your head radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for HIV and Chagas. <|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|> Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 12.4% probability, and Pneumonia at 11.1% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to rule out pneumonia. <|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 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|> The pain is heavy and exhausting. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel pain on the side of the chest (R), side of the chest (L), 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|> 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|> The pain radiates to the biceps (R), biceps (L), thyroid cartilage, thoracic spine, and shoulder (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have symptoms that are increased with physical exertion but alleviated with rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high cholesterol or do you take medications to treat high cholesterol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 11.1% probability, and possible NSTEMI / STEMI at 9.2% 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 possible NSTEMI / STEMI. <|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 currently have numbness, loss of sensitivity or tingling anywhere on my body. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have recently had a viral infection. 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 Guillain-Barré syndrome at 18.6% probability, and Pulmonary embolism at 13.9% 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 conducting a CT pulmonary angiography to further investigate the possibility of a pulmonary embolism. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your help.
The dialogue must end with the Assistant. <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Allergic sinusitis at 40.8% probability, and Bronchitis at 33.9% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, it produces yellowish-green mucus. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a skin prick test to check for specific allergens that may be causing your symptoms. This can help differentiate between Allergic sinusitis and Bronchitis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed that the tone of your voice has become deeper, softer or hoarse? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sensitive <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> tonsil(L), palace, pharynx, trachea <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 1 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 4 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you noticed that the tone of your voice has become deeper, softer or hoarse? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you had a cold in the last 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|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Acute laryngitis at 43.9% probability and Possible NSTEMI / STEMI at 26.9% probability. Does the pain increase with swallowing or speaking? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with swallowing or speaking. <|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|> 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 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|> Based on your history, 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 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 and cough. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain as sensitive and burning. Do you feel pain in your tonsil (R), tonsil (L), thyroid cartilage, palace, or pharynx? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my tonsil (R) and tonsil (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|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 22.7% probability and Bronchitis at 19.1% 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. <|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 cystic fibrosis, Crohn’s disease, ulcerative colitis, chronic obstructive pulmonary disease, asthma, have you traveled out of the country in the last 4 weeks, or are you immunosuppressed? <|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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> The two potential diagnoses are Bronchitis with a probability of 43.9% and Bronchiectasis with a probability of 28.5%. Does the cough worsen at night or with exercise? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The cough is more pronounced at night and worsens with exercise. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's schedule a high-resolution CT scan of the chest to further evaluate for bronchiectasis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? Is it like a knife stroke, tugging, burning, or sickening? <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke, tugging, burning, and sickening. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? Is it in your lower chest, belly, or epigastric area? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel the pain in my lower chest, belly, and epigastric area. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain intensity is 4. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location, like your upper chest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does radiate to my upper chest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is located at a 2. <|eot_id|><|start_header_id|>assistant<|end_header_id|> How fast did the pain appear, on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain appeared at a 4. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had stools that were black like coal? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a burning sensation that starts in your stomach and goes up into your throat, 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 your symptoms get worse after eating and are they worse when lying down but alleviated when sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a hiatal hernia, asthma, or have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a hiatal hernia, asthma, 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 GERD at 26.9% probability and Pericarditis at 19.8% probability. Does the pain increase or decrease with movement or changes in position? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with movement or changes in position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper endoscopy to further evaluate for GERD. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my upper chest, hypochondrium (L), and epigastric area. The pain is haunting, like a knife stroke, and sickening. On a scale of 0 to 10, the intensity is 3. The pain radiates to my upper chest and is precisely located at 8. It appeared with a speed of 3. I also have a burning sensation that starts in my stomach and goes up into my throat, along with a bitter taste in my mouth. I have thrown up blood or something resembling coffee beans. My symptoms worsen after eating and are alleviated while sitting up. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I smoke cigarettes, have a hiatal hernia, asthma, and have used a bronchodilator in the past. 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 GERD at 50.2% probability and Boerhaave syndrome at 34.2% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not specifically increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper endoscopy to further evaluate your symptoms and 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 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 17.2% probability, and Pulmonary embolism at 12.5% probability. Do you have any specific location or nature of the shortness of breath you are experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> I have felt like I was suffocating for a very short time associated with inability to breathe or speak. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to rule out any potential pulmonary issues. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you are experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and heavy. It is located on the side of the neck (L), forehead, occiput, pharynx, and temple (R). The intensity of the pain is 7 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. I am also immunosuppressed and smoke cigarettes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Influenza at 12.9% probability and Viral pharyngitis at 11.3% probability. Does the rash on the back of your neck and forehead peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> No, it does not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a throat swab to test for the presence of the influenza virus. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel that your eyes produce excessive tears? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have any of your family members been diagnosed with cluster headaches? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Cluster headache with a probability of 56.1% and Chagas with a probability of 21.9%. Does the pain you feel in your forehead, cheek (R), cheek (L), eye (L), and temple (R) 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|>I recommend getting a neurological examination to further investigate the cause of your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have severe itching 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 any close family members who suffer from allergies (any type), hay fever or eczema? <|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 68.4% probability, and Allergic sinusitis at 31.6% probability. Does the itching in your eyes worsen in certain environments or with specific triggers? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching in my eyes seems to worsen when I'm outdoors or around pets. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an allergy test to further investigate the possibility of Allergic sinusitis. <|eot_id|> |
<|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive, heavy, and exhausting. It is located in the back of my head, side of the neck (R), side of the neck (L), top of the head, and forehead. The intensity of the pain is 5 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? Are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have traveled out of the country in the last 4 weeks. And yes, I am immunosuppressed. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the top two potential diagnoses are Influenza with a probability of 14.9% and HIV (initial infection) with a probability of 13.3%. Does the rash on your skin peel off or is it swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The rash does not peel off, and it is slightly swollen with a rating of 3 out of 10. <|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 the presence of the influenza virus and HIV 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|> Can you describe the pain you're feeling in your ear? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sharp and located in my right ear. It's a 6 out of 10 in intensity and appeared relatively fast. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute otitis media at 47.6% probability, and Croup at 23.6% probability. Does the pain in your ear radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain is only in my ear. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a physical examination to further evaluate your ear pain. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning in my tonsil (R) and tonsil (L). It's a 5 on a scale of 0 to 10 in terms of intensity and it appeared quite fast, at a 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people, attend or work in a daycare, smoke cigarettes, have traveled out of the country in the last 4 weeks, and are immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I live with 4 or more people, attend or work in a daycare, smoke cigarettes, have traveled out of the country in the last 4 weeks, and am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 22.7% probability, and Bronchitis at 19.1% probability. Does the pain in your tonsils worsen with swallowing or talking? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my tonsils does worsen with swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to confirm the presence of a viral infection and a chest X-ray to rule out bronchitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as sensitive and heavy? Do you feel pain in specific locations such as the top of the head, forehead, cheek (R), cheek (L), or occiput? On a scale of 0 to 10, how intense is the pain and how precisely is it located? How fast did the pain appear? Do you have nasal congestion or a clear runny nose? Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in specific locations such as the top of the head, forehead, cheek (R), cheek (L), and occiput. The pain intensity is 4, and it is precisely located at a 3. The pain appeared slowly. Yes, I have nasal congestion and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I live with 4 or more people. Yes, I smoke cigarettes. Yes, I have traveled out of the country in the last 4 weeks. Yes, I 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 23% probability and Bronchitis at 22%. Does the pain in your head and face worsen with movement or physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not worsen with movement or physical activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a physical examination to further evaluate your symptoms and consider a chest X-ray to rule out any potential respiratory issues. <|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 like a knife stroke, violent. It is located on the side of the chest (R), side of the chest (L), upper chest, and breast (L). The intensity of the pain is 7 on a scale of 0 to 10, and it appeared rapidly with a score of 6. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a spontaneous pneumothorax? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a spontaneous pneumothorax. I smoke cigarettes, 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 unstable angina at 22.7% probability and stable angina at 19.7% probability. Does the pain increase when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does increase when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for a potential pneumothorax. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain on the side of the chest (L), upper chest, breast (L), and posterior chest wall (L). The pain feels like a knife stroke and has an intensity of 1 on a scale of 0 to 10. It appeared relatively fast, with a rating of 4. <|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, I have a pink rash on the commissure (R), side of the neck (R), side of the neck (L), buttock (L), and shoulder (R). The rash is not swollen, and the pain caused by it has an intensity of 3 on a scale of 0 to 10. The itching is quite severe, with a rating of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a stroke or do you have Parkinson’s disease? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a stroke, and I do have Parkinson’s disease. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pericarditis at 6.6% probability and Spontaneous pneumothorax at 6.6% probability. Does the pain increase when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do have pain that is increased when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for a potential pneumothorax. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 in your ear increase with chewing or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not increase with chewing or swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination of your ear to confirm the diagnosis of Acute otitis media. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> tedious, tugging, 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, ankle(L), upper chest, breast(L), 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|> 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|> chin, jaw, scapula(L), shoulder(R), shoulder(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have swelling in one or more areas of your body? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where is the swelling located? <|eot_id|><|start_header_id|>user<|end_header_id|> ankle(R), ankle(L), tibia(R) <|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|> 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|> Do you have symptoms that are increased with physical exertion but alleviated with rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had fluid in your lungs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently undergo dialysis? <|eot_id|><|start_header_id|>user<|end_header_id|> 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 heart failure? <|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 7.2% probability, and Unstable angina at 6.3% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for potential pulmonary edema. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have severe itching 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 a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had asthma or 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|> Based on your history, the two most likely diagnoses are Bronchitis at 68.4% probability, and Allergic sinusitis at 31.6% probability. Does the itching in your eyes worsen in certain environments or with specific triggers? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching in my eyes seems to worsen when I'm outdoors or around pets. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a skin prick test to check for specific allergens that may be causing 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|> Can you describe the pain you're experiencing in more detail? Where is it located, and how intense is it on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sharp and located in my mouth, forehead, right cheek, left cheek, and right eye. It's a 3 in intensity. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia or do you have a history of asthma or bronchodilator use? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had pneumonia before, and I have asthma with a history of using a bronchodilator. <|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 31.5% probability and Cluster headache at 19.8% probability. Does the pain radiate to the back of your head, forehead, or left temple? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain does radiate to the back of my head, forehead, and left temple. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a nasal endoscopy to further evaluate your symptoms and help differentiate between the potential diagnoses. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your recommendation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is burning and located in my tonsil (R) and tonsil (L). It's a 6 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 had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I also live with 4 or more people, attend a daycare, and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform a throat swab to confirm the diagnosis of Acute laryngitis. <|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 been coughing up blood, experiencing sharp pain in my upper chest, breast (L), and posterior chest wall (R) with an intensity of 7 out of 10. I also have shortness of breath, cough with colored sputum, chills, diffuse muscle pain, and fatigue. The rash on my commissure (R), side of the neck (R), buttock (L), flank (R), and belly is pink, peels off, and has a pain intensity of 3 out of 10 with mild itching. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had a spontaneous pneumothorax, smoke cigarettes, have chronic obstructive pulmonary disease, and had surgery within the last month. I am underweight with 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 6.2% probability and pulmonary neoplasm at 5.9% probability. Does the pain in your upper chest and breast (L) worsen with deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does increase when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had diarrhea or an increase in stool frequency. I have pain in the back of my head, cervical spine, top of the head, forehead, and occiput. The pain is tedious, tugging, a cramp, and exhausting. The intensity of the pain is 5 on a scale of 0 to 10. The pain appeared with a speed of 2. I am experiencing shortness of breath and difficulty breathing. I have a fever. I have unintentionally lost weight and have lost my appetite. I have noticed new fatigue, generalized discomfort, diffuse muscle aches, and a change in my general well-being. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the two most likely diagnoses are Atrial fibrillation at 17.8% probability and Myocarditis at 17.6% probability. Does the pain in your head and neck 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|>Let's conduct an ECG to check for any signs of atrial fibrillation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere related to my reason for consulting. The pain is heartbreaking, haunting, a knife stroke, violent, and sickening. The pain is located in the flank (R) and flank (L). On a scale of 0 to 10, the intensity of the pain is 10. The pain radiates to the thoracic spine, scapula (R), and scapula (L). The pain is precisely located at 1 and appeared rapidly at 9. I am feeling nauseous and have recently thrown up blood or something resembling coffee beans. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively and have an addiction to alcohol. I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Boerhaave at 100% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get an upper gastrointestinal endoscopy to further evaluate the cause of 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 as sensitive. Do you feel pain somewhere in your tonsil (L), thyroid cartilage, palace, pharynx, or under the jaw? On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is an 8 in intensity and is precisely located at a 9 on the scale. It appeared quickly at a 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever and a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a fever and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks, do you smoke cigarettes, and have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been in contact with someone with similar symptoms, I smoke cigarettes, 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 Bronchitis at 24.7% probability and Acute laryngitis at 16.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to check for any viral infections that could be causing your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Did you eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Scombroid food poisoning with a probability of 19.2% and Anemia with a probability of 14.3%. 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 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your symptoms, it would be helpful to know if the itching is localized to specific areas or if it is widespread. This information could help differentiate between the two potential diagnoses. I recommend a skin biopsy to further investigate the rash. <|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 feel your heart is beating very irregularly or in a disorganized pattern? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been diagnosed with hyperthyroidism? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|> 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|> Have you ever had a heart attack or do you have angina (chest pain)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known heart defect? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are atrial fibrillation at 100% probability. Does the irregular heartbeat worsen with physical activity or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> It seems to worsen with physical activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an electrocardiogram (ECG) to confirm the diagnosis of atrial fibrillation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel weakness in both arms and/or both legs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a viral infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 100% probability. Does the numbness or tingling in your feet spread to other parts of your body? <|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 confirm the diagnosis of Guillain-Barré syndrome. <|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 are experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and heavy. It is located at the back of the head, back of the neck, side of the neck (L), top of the head, and forehead. On a scale of 0 to 10, the intensity of the pain is 5. It does not radiate to another location and is precisely located at 8. The pain appeared slowly with a rating of 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. I also smoke cigarettes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the two most likely diagnoses are Influenza with a probability of 18.8% and Bronchitis with a probability of 16.3%. Does the rash on your skin peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> No, it does not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a throat swab to test for the presence of the influenza virus. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you please describe the pain you are experiencing in your forehead and temple on the left side? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious and heavy, with an intensity of 4 on a scale of 0 to 10. It appeared at a pace of 0 and does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. I also attend or work in a daycare, smoke cigarettes, and am exposed to secondhand cigarette smoke on a daily basis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 50.8% probability, and Influenza at 31.7% probability. Does the pain in your forehead and temple worsen with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain remains the same regardless of movement or position. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting 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 been coughing up blood? <|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|> Do you have cystic fibrosis? <|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 12.7% probability, and Bronchiectasis at 12.4% probability. Does the cough worsen at night or with exercise? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a high-resolution CT scan of the chest to further evaluate your condition. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|> Are you infected with the human immunodeficiency virus (HIV)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 41.8% probability, and Tuberculosis at 38.9% probability. Does the cough worsen at night or in the morning? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough tends to worsen in the morning. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a sputum culture to check for the presence of tuberculosis bacteria. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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|> The two most likely diagnoses are Guillain-Barré syndrome at 16.3% probability, and Panic attack at 13.2% probability. Do you feel any specific triggers for your shortness of breath or difficulty breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel shortness of breath even when I am at rest. <|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|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> Do you wheeze while inhaling or is your breathing noisy after coughing spells? Yes. Did you vomit after coughing? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Are you significantly overweight compared to people of the same height as you? Yes. 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. Are your vaccinations up to date? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 52.9% probability, and Whooping cough at 47.0% probability. Can you describe the nature of the wheezing or noisy breathing after coughing spells in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The wheezing is more prominent after coughing spells and is accompanied by a rattling sound in my chest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a sputum culture test to help differentiate between Bronchitis and Whooping cough. <|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|> Do you have a cough that produces colored or more abundant sputum than usual? Do you have a cough? Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? Do you have a chronic obstructive pulmonary disease (COPD)? 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, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 25.5% probability, and Acute COPD exacerbation / infection at 24.9% probability. Does the cough produce any blood or have you experienced any recent fever? <|eot_id|><|start_header_id|>user<|end_header_id|> No, there is no blood in the sputum and no recent fever. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend we perform a chest X-ray to further evaluate your condition. <|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, shortness of breath, feeling lightheaded and dizzy, cheeks suddenly turned red, lesions on my skin that are pink in color, located on my biceps (L), thyroid cartilage, ankle (R), ankle (L), and lumbar spine. The pain caused by the rash is a 3 out of 10 in intensity, and the itching is severe at a 9 out of 10. I also feel nauseous, have palpitations, and 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 18.2% probability, and PSVT at 14.1% probability. Does the rash peel off or stay intact? <|eot_id|><|start_header_id|>user<|end_header_id|> The lesions do not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a skin biopsy to further investigate the rash and confirm the diagnosis of Scombroid food poisoning. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed weakness in your facial muscles and/or eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you experienced shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel weakness in both arms and/or both legs? <|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 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|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|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 Guillain-Barré syndrome at 18.95% probability, and Panic attack at 14.15% probability. Does the weakness in your arms and legs come and go, or is it constant? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The weakness in my arms and legs is constant. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a nerve conduction study to help differentiate between Guillain-Barré syndrome and Panic attack. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is tedious, heavy, and exhausting. It is located in my lower chest, biceps (L), thoracic spine, side of the chest (R), and breast (L). The intensity of the pain is 10 on a scale of 0 to 10. The pain radiates to my biceps (R), thyroid cartilage, thoracic spine, shoulder (R), and shoulder (L). The pain is precisely located at 2 on a scale of 0 to 10 and appeared relatively fast with a score of 4. I am also experiencing shortness of breath and nausea. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have diabetes, 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 unstable angina at 12.6% probability and possible NSTEMI / STEMI at 11.5% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that are increased with physical exertion but alleviated with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend getting an ECG to further evaluate for possible NSTEMI / STEMI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your ear? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and located in my left ear. It's a 3 out of 10 in intensity and appeared relatively fast. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently been treated with an oral antibiotic for an ear infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. 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 URTI at 24.4% probability and Acute otitis media at 23.5% probability. Does the pain in your ear radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain is only in my left ear. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to further evaluate your ear infection. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood. I have burning pain in my tonsil (L), thyroid cartilage, palace, pharynx, and under the jaw. The pain intensity is 9 on a scale of 0 to 10, and it appeared relatively fast with a score of 2. 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 been in contact with a person with similar symptoms in the past 2 weeks. I live with 4 or more people, have traveled out of the country in the last 4 weeks, and I am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 24.9% probability and Viral pharyngitis at 17.6% probability. Does the pain in your tonsil (L) worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen when I swallow. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to test for the presence of a viral infection and rule out Bronchitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and burning in my tonsil (R) and tonsil (L). It's a 3 out of 10 in intensity and appeared at a pace of 3. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I live with 4 or more people and have traveled out of the country in the last 4 weeks. I am also immunosuppressed. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 27.9% probability and URTI at 26.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's do a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are there any members of your family who have been diagnosed with 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 19.3% probability, and Pulmonary embolism at 13.0% probability. Do you feel weakness in both arms and/or both legs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a hard time opening/raising one or both eyelids? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a blood test to check for specific antibodies related to myasthenia gravis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> forehead, cheek(R), cheek(L), eye(R), eye(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> back of head, forehead, nose, temple(R), temple(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|> 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|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you lost your sense of smell? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|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 polyps in your nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a deviated nasal septum? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with gastroesophageal reflux? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 33.3% probability, and Chronic rhinosinusitis at 19.4% probability. Does the pain increase with coughing or sneezing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a sinus CT scan to further evaluate for Chronic rhinosinusitis. <|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|> 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, sharp <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(R), side of the chest(L), scapula(R), scapula(L), posterior chest wall(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(R), side of the chest(L), scapula(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 precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 9 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Where is the swelling located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> Did you lose consciousness? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have an active cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you currently take hormones? <|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 deep vein thrombosis (DVT)? <|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 surgery within the last month? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 12.2% probability, and Spontaneous pneumothorax at 9.8% probability. Does the pain increase when you take a deep breath? <|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|> Let's get a CT pulmonary angiography to further investigate for a potential pulmonary embolism. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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, tugging. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my forehead, cheek(R), cheek(L), temple(R), temple(L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 9 <|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|> Based on your history, the two most likely diagnoses are Cluster headache at 68.5% probability, and Anemia at 31.5% probability. Does the pain 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 focus on the pain location. Can you describe in more detail where you feel the pain the most intense? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is most intense in my temple(L). <|eot_id|><|start_header_id|>assistant<|end_header_id|>I 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 have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It feels tugging and exhausting. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere specific? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my forehead and left temple. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed light red blood or blood clots in your stool? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic kidney failure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you taking any new oral anticoagulants (NOACs)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your BMI less than 18.5, or are you underweight? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 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|>I recommend getting a complete blood count (CBC) to further investigate your anemia. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing? Where is it located and how intense is it on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning in my tonsil (R) and tonsil (L), palace, pharynx, and under the jaw. It's a 6 in intensity. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks and have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a cold in the last 2 weeks 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 symptoms and history, the two most likely diagnoses are Acute laryngitis at 23.7% probability and Bronchitis at 22.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to confirm the diagnosis of Acute laryngitis. <|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 sensitive pain in my forehead, cheek (L), temple (R), and temple (L) with an intensity of 4 on a scale of 0 to 10. The pain appeared with a speed of 3 and does not radiate to another location. I also have a cough that produces colored sputum, a sore throat, 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 live with 4 or more people, have traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 18% probability and Bronchitis at 17% probability. Does the pain in your forehead, cheek, and temples worsen with any specific movements or positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with any specific movements or positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to test for infection and a chest X-ray to check for any signs of bronchitis. <|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, sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest, upper chest, and left breast. <|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 on the left. <|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|> 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 Possible NSTEMI / STEMI at 18% probability and GERD at 16.9% probability. Does the pain worsen after eating or lying down? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is worse when lying down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate for possible NSTEMI / STEMI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain 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 difficulty articulating words/speaking? <|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 Myasthenia gravis at 17.4% probability, and Guillain-Barré syndrome at 14.5% probability. Do you have a hard time opening/raising one or both eyelids? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a nerve conduction study to help differentiate between Myasthenia gravis and Guillain-Barré syndrome. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood and have pain in my side of the chest (R), scapula (L), breast (R), posterior chest wall (R), and posterior chest wall (L). The pain is sensitive and sharp, with an intensity of 10 on a scale of 0 to 10. It appeared relatively fast with a score of 2. I also have swelling in my calf (R) and the pain increases when I breathe in deeply. I lost consciousness as well. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have an active cancer, had deep vein thrombosis (DVT) before, was unable to move for more than 3 days in the last 4 weeks, had surgery within the last month, and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 27.7% probability, and Localized edema at 19.8% probability. Does the pain radiate to any other location besides the ones you mentioned? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain also radiates to the side of the chest (L), scapula (R), and posterior chest wall (R). <|eot_id|><|start_header_id|>assistant<|end_header_id|>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|> 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 had any vaginal discharge? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Sarcoidosis at 23.9% probability, and Possible NSTEMI / STEMI at 22.2% 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 sensitive and sharp in my fingers and wrist, but it doesn't worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a chest X-ray to further evaluate your symptoms and rule out any potential issues related to Sarcoidosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have numbness, loss of sensation or tingling in the feet? <|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|> Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 22.4% probability, and Myasthenia gravis at 15.7% probability. Does the weakness in your arms and legs come and go, or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The weakness in my arms and legs is constant. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a nerve conduction study to help differentiate between Guillain-Barré syndrome and Myasthenia gravis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your ear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and sharp, located specifically in my left ear. It's a 4 out of 10 in intensity and appeared relatively fast at a 6 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. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 24.9% probability and Acute otitis media at 24.0% 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 does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a physical examination to further evaluate your ear pain and determine the cause. <|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 are experiencing in your fingers and shoulder? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my fingers is sharp, and it is located in my ring finger (L), little finger (R), little finger (L), and middle finger (R). The intensity of the pain is 3 out of 10, and it appeared relatively fast with a score of 5. The pain in my shoulder (R) is also sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and history, the two most likely diagnoses are Possible NSTEMI / STEMI at 31.3% probability and Sarcoidosis at 21.2% probability. Does the pain in your fingers or shoulder worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my fingers and shoulder does not worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a chest X-ray to further evaluate your condition and potentially differentiate between the two potential diagnoses. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood and have pain in my tonsil (R) and tonsil (L) that is sensitive and burning. The pain intensity is 3 on a scale of 0 to 10, and it appeared with a speed of 4. I also have nasal congestion and a clear runny nose. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been in contact with a person with similar symptoms in the past 2 weeks, traveled out of the country in the last 4 weeks, and I am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 17.3% probability and Bronchitis at 15.1% probability. Does the pain in your tonsils radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> Do you wheeze while inhaling or is your breathing noisy after coughing spells? Yes. Did you vomit after coughing? Yes. Do you have intense coughing fits? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Have you been in contact with someone who has had pertussis (whooping cough)? Yes. 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. Are your vaccinations up to date? Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Whooping cough at 53.6% probability, and Bronchitis at 46.4% probability. Does the coughing fit worsen at night or during the day? <|eot_id|><|start_header_id|>user<|end_header_id|> The coughing fits seem to worsen during the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to test for the presence of the bacteria causing whooping cough. <|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 <|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), breast(R), epigastric <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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(L), thyroid cartilage, thoracic spine, under the jaw, triceps(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> Have you recently had a loss of appetite or do you get full more quickly than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high cholesterol or do you take medications to treat high cholesterol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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|> 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 10.2% probability, and Pulmonary neoplasm at 7.4% probability. Does the pain in your chest radiate to your biceps or triceps? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to biceps(L) and triceps(R). <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a cardiac stress test to further evaluate for Possible NSTEMI / STEMI. <|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: I have pain at the top of my head, cheek (R), temple (R), and temple (L). The pain is sensitive and has an intensity of 4 on a scale of 0 to 10. It appeared with a speed of 4 and is located precisely at 2. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have been in contact with someone with similar symptoms. I also attend a daycare, smoke cigarettes, have traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 16.9% probability and Pneumonia at 16.4% 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, my cough does 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|> I recommend a chest X-ray to further evaluate for pneumonia. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |