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<|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/paralysis in one or more of my limbs or in my face. 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 29.5% probability, and Atrial fibrillation at 19.1% probability. Does the weakness in your limbs or face come and go, or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The weakness in my limbs and face is constant. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a nerve conduction study to help confirm the diagnosis of Guillain-Barré syndrome. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you please describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and burning, located in my tonsil (R), tonsil (L), thyroid cartilage, and palace. It's a 7 out of 10 in intensity, precisely located at 10, and appeared at a pace of 5. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I live with 4 or more people, attend a daycare, 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 26.9% probability, and Bronchitis at 23.9% probability. Does the pain in your tonsils worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain does worsen when I swallow. <|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|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you please characterize your pain for me? Is it tedious, sensitive, or heavy? <|eot_id|><|start_header_id|>user<|end_header_id|> It is tedious, sensitive, and heavy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in specific locations? Such as your forehead, cheek (R), occiput, or temple (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel pain in my forehead, cheek (R), occiput, and temple (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is a 5 in intensity. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is located at a 3 on the scale. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain appeared at a 4 on the scale. <|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, I have a fever. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a sore throat. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have diffuse muscle pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have 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 been in contact with a person with similar symptoms. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I smoke cigarettes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, 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 20.1% probability, and Bronchitis at 19.7% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a throat swab to confirm the diagnosis of URTI. <|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|> 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 Bronchitis with a probability of 44.5% and URTI with a probability of 33.1%. Does your cough worsen at night or with physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a chest X-ray to rule out bronchitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have trouble keeping your tongue in your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 16.6% probability, and Myasthenia gravis at 13.3% probability. Does the muscle spasms in your face, neck, or other parts of your body worsen with physical activity or at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasms are present regardless of physical activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to assess the muscle spasms and eye movements to further differentiate between Acute dystonic reactions 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 pharynx under the jaw? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is burning and has an intensity of 2 out of 10. It appeared relatively fast, with a rating of 5 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a cold recently. I also work in a daycare 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 laryngitis at 26.7% probability, and Bronchitis at 24.8% probability. Does the pain in your pharynx under the jaw worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not worsen when I swallow. <|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|> |
<|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|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 cystic fibrosis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 10.8% probability, and Bronchiectasis at 10.5% probability. Does the cough worsen at night or with certain activities? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough seems 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 for bronchiectasis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you been coughing up blood and experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been coughing up blood and experiencing shortness of breath. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you take corticosteroids, drink alcohol excessively, or have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I take corticosteroids, drink alcohol excessively, 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 Bronchitis at 11.6% probability and Tuberculosis at 11.5% probability. Does your cough have a productive or dry nature? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough is productive. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a sputum culture to help differentiate between Bronchitis and Tuberculosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is like a knife stroke, sharp. It is located in my tonsil (R), back of the neck, side of the neck (R), palace, and pharynx. On a scale of 0 to 10, the intensity is 9 and it appeared quickly with a rating of 8. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively, have high blood pressure, 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 Epiglottitis at 14.2% probability, and HIV (initial infection) at 11.8% 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|> I recommend a throat culture to confirm the diagnosis of Epiglottitis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating, pain in my forehead, cheek (R), cheek (L), occiput, and temple (R). The pain is tedious, sensitive, heavy, with an intensity of 5 on a scale of 0 to 10. The pain appeared with a speed of 3 and is precisely located at 7. I also have a cough that produces colored sputum, a fever, sore throat, and nasal congestion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have 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 17.1% probability, and Bronchitis at 15.5% probability. Does the pain in your forehead worsen with movement or pressure? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my forehead does not worsen with movement or pressure. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a throat swab to confirm the diagnosis of URTI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is heartbreaking, haunting, a knife stroke, and violent. I feel pain in my lower chest, flank (L), upper chest, and belly. On a scale of 0 to 10, the pain intensity is 8. The pain radiates to my thoracic spine, scapula (R), and scapula (L). The pain is located precisely at 4 on a scale of 0 to 10, and it appeared fast at a 7. I have recently thrown up blood or something resembling coffee beans, and I have vomited several times or made several efforts to vomit. <|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 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 worsen after eating or drinking? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen after eating or drinking. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper endoscopy to further evaluate your symptoms and confirm the diagnosis of Boerhaave. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your abdomen is bloated or distended (swollen due to pressure from inside)? <|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|> The top 2 potential diagnoses are Inguinal hernia with a probability of 51.4% and Anaphylaxis with a probability of 30.9%. 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: I recommend a physical examination to further evaluate your symptoms and determine the cause of your pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your help. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 10 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you 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 worsen with chewing or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen 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|> 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 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> top of the head, occiput, temple(R), temple(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 24.96% probability, and Bronchitis at 18.26% probability. Does the pain increase with coughing or deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with coughing or deep breathing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform 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? <|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). <|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 Bronchitis at 24.9% probability and Viral pharyngitis at 17.6% probability. Does the pain in your tonsil (R) worsen with swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is haunting, sensitive, a knife stroke, and sickening in my lower chest, hypochondrium (L), and epigastric. The intensity of the pain is 9 on a scale of 0 to 10, and it radiates to my upper chest. It appeared with a speed of 3 on a scale of 0 to 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? Do you drink alcohol excessively or have an addiction to alcohol? Do you smoke cigarettes? Do you have a hiatal hernia? Do you think you are pregnant or are you currently pregnant? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am significantly overweight, drink alcohol excessively, smoke cigarettes, have a hiatal hernia, think I am pregnant, 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 GERD at 24.5% probability and Bronchitis at 19.2% probability. Does the pain worsen when you lie down or bend over? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain does worsen when I lie down or bend over. <|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 feel my abdomen is bloated and distended. I have pain in my iliac fossa (R), hip (R), and hip (L). The pain is heavy and has a precise location of 4 on a scale of 0 to 10. It appeared slowly with an intensity of 1. I also have a pale rash on my iliac fossa (R) and iliac fossa (L) that is swollen with an intensity of 7. The pain caused by the rash is a 5. The lesions are larger than 1cm but do not peel off. The itching is not severe. The symptoms are increased with coughing, lifting weight, or forcing a bowel movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I am significantly overweight compared to people of the same height as me. I was born prematurely and had complications at birth. 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 Inguinal hernia at 51% probability, and Anaphylaxis at 31% probability. Does the pain in your iliac fossa (R) radiate to any other 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 schedule a physical examination to further evaluate the possibility of an inguinal hernia. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is haunting, tugging, violent, and sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have any of your family members been diagnosed with cluster headaches? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, some family members have been diagnosed with cluster headaches. I also drink alcohol excessively and take medication that dilates my blood vessels. <|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|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a neurological examination to further investigate the possibility of a Cluster headache. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: haunting, a knife stroke, violent <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: cheek(R), cheek(L), eye(R), temple(R), temple(L) <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 10 <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 9 <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|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 drink alcohol excessively or do you have an addiction to alcohol? <|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 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 <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Cluster headache at 68.5% probability, and Anemia at 31.5% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's focus on differentiating between Cluster headache and Anemia. Does the pain worsen with any specific triggers or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not worsen with any specific triggers or activities. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a neurological examination to further evaluate your symptoms and confirm the diagnosis of Cluster headache. <|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|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel that muscle spasms or soreness in your neck are keeping you from turning your head to one side? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you started or taken any antipsychotic medication within the last 7 days? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute dystonic reactions at 18.7% probability, and Pulmonary embolism at 13.9% probability. Do you have any specific location or nature of the muscle spasms in your face, neck, or other parts of your body that could help differentiate between these two potential diagnoses? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasms in my neck are mainly on the left side and are sharp in nature. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to assess the severity and location of the muscle spasms in your neck to further differentiate between Acute dystonic reactions and Pulmonary embolism. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive and heavy. It is located in the back of the head, back of the neck, top of the head, forehead, and pharynx. The intensity of the pain is 4 on a scale of 0 to 10, and it appeared relatively fast with a score of 6. <|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 URTI at 12.8% probability and Viral pharyngitis at 11.3% probability. Does the pain in your throat 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|>I recommend a throat swab to help differentiate between URTI and Viral pharyngitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 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 Bronchitis at 11.9% probability, and Pulmonary embolism at 8.6% probability. Does the cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it produces yellowish-green mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to rule out any potential lung infection or inflammation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in your tonsil on the right side? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is burning and has a precise location of 6 on a scale of 0 to 10. It appeared suddenly and has an intensity of 3. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been in contact with someone with similar symptoms.
Based on your history, the two most likely diagnoses are Viral pharyngitis at 17.3% probability and URTI at 16.7% probability. Does the pain in your tonsil radiate to another location? <|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|> Assistant: I recommend a throat swab to confirm the diagnosis. Let's schedule that for you. <|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|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It's 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|> In my lower chest, upper chest, breast (R), breast (L), and epigastric. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, to my biceps (R), thoracic spine, under the jaw, shoulder (R), 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|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have symptoms that are increased with physical exertion but alleviated with rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have close family members who had a cardiovascular disease problem before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 8.8% probability and possible NSTEMI/STEMI at 8.1% 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|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> mouth, forehead, cheek(R), nose, eye(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> back of head, forehead, nose <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you lost your sense of smell? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 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 Chronic rhinosinusitis at 15.97% probability, and Cluster headache at 15.13% probability. Does the pain worsen with physical activity or movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with physical activity or movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a sinus CT scan to further evaluate your symptoms and help differentiate between Chronic rhinosinusitis and Cluster headache. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my upper chest and posterior chest wall (L) that is sensitive. The pain is at a 1 on a scale of 0 to 10 and appeared at a 4. I also have shortness of breath, cough with colored sputum, 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 smoke cigarettes, have traveled out of the country in the last 4 weeks, and my vaccinations are up to date. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 7.8% probability, and Pneumonia at 7.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for a potential 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 pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is tedious and heavy in my lower chest, side of the chest (R), side of the chest (L), upper chest, and breast (R). On a scale of 0 to 10, the intensity is 4. The pain radiates to my biceps (R), thyroid cartilage, thoracic spine, shoulder (R), and shoulder (L). It appeared with a speed of 7. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes, are you significantly overweight compared to people of the same height as you, do you drink alcohol excessively, do you have high blood pressure, have you ever had a heart attack or angina, 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 diabetes, I am significantly overweight, I drink alcohol excessively, I have high blood pressure, I have had a heart attack, 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 16.9% probability, and possible NSTEMI / STEMI at 14.7% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get an ECG to further evaluate for 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|> Yes, I am experiencing shortness of breath or difficulty breathing in a significant way. I have felt like I was suffocating for a very short time associated with inability to breathe or speak. I have trouble keeping my tongue in my mouth. I feel muscle spasms or soreness in my neck that are keeping me from turning my head to one side. I have annoying muscle spasms in my face, neck, and other parts of my body. I suddenly have difficulty or an inability to open my mouth or have jaw pain when opening it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have started taking antipsychotic medication within the last 7 days. I have been treated in the hospital recently for nausea, agitation, intoxication, or aggressive behavior and received medication via an intravenous or intramuscular route. I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute dystonic reactions at 19.8% probability, and Pulmonary embolism at 12.1% probability. Do the muscle spasms in your face, neck, and other parts of your body worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle spasms in my face, neck, and other parts of my body worsen with movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a physical examination to assess the severity and location of the muscle spasms to further differentiate between Acute dystonic reactions and Pulmonary embolism. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have been coughing up blood and experiencing a sharp knife-like pain on the right side of my chest. The pain is intense, at a level 9, and radiates to the right side of the chest, right scapula, and left posterior chest wall. It appeared relatively fast, at a level 3. I also have shortness of breath and swelling in my right ankle and left calf. I lost consciousness and have pain that worsens with deep breathing. <|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 deep vein thrombosis (DVT), been immobile for more than 3 days in the last 4 weeks, had recent surgery, 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 11.4% probability, and Acute pulmonary edema at 8.5% probability. Does the pain radiate to any other location besides the ones mentioned earlier? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to any other location besides the ones mentioned earlier. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest CT angiography to confirm the presence of a pulmonary embolism. <|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 burning and sharp. It's located in my cheek (R), nose, eye (R), eye (L), and temple (R). On a scale of 0 to 10, the intensity is 1. It radiates to my nose and is precisely located at 8. The pain appeared instantly. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with gastroesophageal reflux? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been diagnosed with gastroesophageal reflux. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 31.9% probability, and Chronic rhinosinusitis at 18.6% probability. Does the pain worsen with coughing or sneezing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with coughing or sneezing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a sinus CT scan to further evaluate your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Is your nose or the back of your throat itchy? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have 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|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live in a big city? <|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 68.4% probability, and Allergic sinusitis at 31.6% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough does produce phlegm. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to rule out any potential lung infection that could be causing the cough. <|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 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, burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> tonsil(R), tonsil(L), thyroid cartilage, pharynx, under the jaw <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 15.5% probability, and URTI at 14.7% probability. Does the pain increase with swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's do a throat swab to confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sensitive, heavy <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> back of head, back of the neck, side of the neck(R), top of the head, occiput <|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: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 6 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: What color is the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> NA <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do your lesions peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: N <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where is the affected region located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: N <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a loss of appetite or do you get full more quickly then usually? <|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 nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you smoke cigarettes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you immunosuppressed? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 22.2% probability, and Influenza at 21.8% probability. Does the pain in your head and neck worsen with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not worsen with movement or certain positions. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a rapid influenza diagnostic test to confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I feel pain on the side of the chest (L), upper chest, and breast (L). The pain is sensitive and has an intensity of 2 on a scale of 0 to 10. It appeared with a precision of 1 and a speed of 1. <|eot_id|><|start_header_id|>user<|end_header_id|> <|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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have recently had a viral infection and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Myocarditis at 9.1% probability and Unstable angina at 9.1% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 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 schedule an echocardiogram to further evaluate for Myocarditis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious and sensitive. It is located on the top of the head, cheek (R), cheek (L), occiput, and temple (R). The intensity of the pain is 6 out of 10 and it appeared relatively fast with a score of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 23.9% probability and Cluster headache at 17.8% probability. Does the pain worsen with physical activity or movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location, so it stays the same regardless of physical activity or movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal swab test to confirm if it is a URTI. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed that the tone of your voice has become deeper, softer or hoarse? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as sensitive? Do you feel pain in your tonsil (L), thyroid cartilage, and under the jaw? On a scale of 0 to 10, how intense is the pain? Does the pain radiate to another location? How precisely is the pain located? How fast did the pain appear? Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is a 7 in intensity, located in my tonsil (L), thyroid cartilage, and under the jaw. The pain does not radiate, and it is a 6 in precision. The pain appeared instantly, and I do have 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 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 live with 4 or more people, I smoke cigarettes, I had a cold in the last 2 weeks, and I 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 39.15% probability and Bronchitis at 37.69% probability. Does the pain in your tonsil (L), thyroid cartilage, and under the jaw worsen with swallowing or talking? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain worsens with talking. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat swab to confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have the perception of seeing two images of a single object seen overlapping or adjacent to each other (double vision)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are there any members of your family who have been diagnosed myasthenia gravis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Myasthenia gravis at 15.5% probability, and Guillain-Barré syndrome at 12.9% probability. Does the weakness in your arms and legs increase with physical exertion? <|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|>Let's perform a Tensilon test to help differentiate between Myasthenia gravis and Guillain-Barré syndrome. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chest pain even at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> tedious, heavy, exhausting <|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), upper chest, 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(R), biceps(L), thyroid cartilage, under the jaw, 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|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 10.3% probability, and spontaneous pneumothorax at 8.9% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for a potential pneumothorax. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as sensitive, tugging, and exhausting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in the back of my head, top of the head, temple (R), and temple (L). The pain intensity is 4 on a scale of 0 to 10, and it is located precisely at 2. The pain did not radiate to another location and appeared fast. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia? Do you have any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had a diagnosis of anemia, and some family members have been diagnosed with anemia. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Anemia at 22.5% probability and Acute pulmonary edema at 13.5% probability. Does the pain in your head increase with any specific movements or positions? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head does not increase with any specific movements or positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a blood test to check your hemoglobin levels and further evaluate your anemia. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> 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 ankle (L), dorsal aspect of the wrist (R), dorsal aspect of the wrist (L), palmar face of the wrist (L), and shoulder (L). The pain is sensitive and has an intensity of 8 on a scale of 0 to 10. It appeared relatively fast with a rating of 6. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you breastfed one of your children for more than 9 months 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 breastfed one of my children for more than 9 months 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 NSTEMI / STEMI at 14.2% probability and SLE at 12.6% probability. Does the rash on your cheek (R), cheek (L), and nose peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the lesions do not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting an ANA blood test to further investigate the possibility of SLE. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you 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|> Based on your history, the two most likely diagnoses are Cluster headache at 56.1% probability, and Chagas at 21.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a neurological examination to further evaluate your symptoms and confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your help. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia before? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 15.2% probability, and URTI at 15.1% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to the back of my head, forehead, nose, temple(R), and temple(L). <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms. <|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 exhausting and located in the back of my head and temple (L). On a scale of 0 to 10, the intensity of the pain is 5. The pain appeared with a speed of 4 and does not radiate to another location. I am also experiencing shortness of breath, feeling slightly dizzy or lightheaded, and feeling so tired that I am unable to do my usual activities. I have had stools that were black, and my skin is much paler than usual. I have also noticed light red blood or blood clots in my stool. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do have family members who have been diagnosed with anemia. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 20.6% probability and Atrial fibrillation at 14.3% probability. Does the pain in the back of your head and temple (L) 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 getting a complete blood count (CBC) to further evaluate your anemia and determine the cause of your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sharp and located in my tonsil on the right side. It appeared with a intensity of 6 and a speed of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any relevant medical history that may be important? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively, have high blood pressure, and have traveled out of the country in the last 4 weeks. My vaccinations are up to date. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are Epiglottitis at 14% probability, and HIV (initial infection) at 10.5% probability. Does the pain in your tonsil radiate to any other location in your throat? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to any other location in my throat. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a throat swab to check for any bacterial infection that may be causing your symptoms. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had one or several flare ups of chronic obstructive pulmonary disease (COPD) in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with gastroesophageal reflux? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 10.2% probability, and Anaphylaxis at 10.2% probability. Does the shortness of breath worsen when lying down or improve when sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> The shortness of breath worsens when lying down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for potential pulmonary edema or other 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|> <|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|> sharp <|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: mouth, forehead, cheek(R), nose, eye(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|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: back of head, nose, temple(R) <|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|> 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 4 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have greenish or yellowish nasal discharge? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 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 ever had pneumonia? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have polyps in your nose? <|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 deviated nasal septum? <|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 asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 39.1% probability, and Cluster headache at 25.2% probability. Does the pain increase with physical activity or change in position? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not increase with physical activity or change in position. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a nasal endoscopy to further evaluate the sinuses and rule out any potential sinus 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|> Can you characterize your pain for me? Is it tedious and exhausting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it is tedious and exhausting. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in your lower chest, side of the chest (R), side of the chest (L), breast (L), and shoulder (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel pain in those areas. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to your biceps (L), thoracic spine, under the jaw, trachea, and shoulder (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it radiates to those areas. <|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|> How fast did the pain appear on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing significantly? <|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 have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have symptoms that are increased with physical exertion but alleviated with rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes, are you significantly overweight, smoke cigarettes, have high blood pressure, exercise regularly, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes to all of those. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Unstable angina at 9.8% probability and Stable angina at 9.1% 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 recommend a stress test to further evaluate your chest pain and shortness of breath. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 25.5% probability, and Acute COPD exacerbation / infection at 24.9% probability. Does the wheezing sound worsen at night or during physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> The wheezing sound tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to further evaluate your condition. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and exhausting. It's located on the side of the neck (R) and side of the neck (L), as well as the occiput and temple (R). On a scale of 0 to 10, the intensity is 5. The pain appeared relatively fast, with a rating of 4. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are Bronchitis at 20.3% probability and URTI at 18.4% probability. Does the pain in your neck 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 getting a throat swab to test for the presence of any viral or bacterial infections. This will help us determine the cause of your symptoms. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Thank you for your help. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> You're welcome. If you have any further questions or concerns, feel free to ask. Take care. <|eot_id|><|start_header_id|>user<|end_header_id|> The dialogue must end with the Assistant. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as sensitive and burning? Where do you feel the pain and how intense is it on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel pain in my finger (ring finger)(R), finger (index)(R), finger (middle)(L), dorsal aspect of the wrist(R), and shoulder(L). The pain intensity is 3. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a diffuse (widespread) redness in one or both eyes? What color is the rash and where is the affected region located? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have noticed redness in my eyes, but the rash color is not applicable, and the affected region is nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? Do you work in agriculture and have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I am significantly overweight, work in agriculture, and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 52.2% probability and Acute dystonic reactions at 26.4% probability. Does the pain radiate to another location or is it precisely located in one area? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location and is precisely located in one area. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a chest X-ray to examine for potential NSTEMI / STEMI as a next step for diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain is sensitive and heavy. It is located at the top of the head, forehead, and temple (R). The intensity of the pain is 7 on a scale of 0 to 10, and it appeared with a speed of 3. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have been in contact with a person with similar symptoms. I also live with 4 or more people, 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 17.1% probability and Bronchitis at 15.5% 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, the 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|>Let's get a chest X-ray to examine for potential 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|> Sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> ear(R) <|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 precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you more irritable or has your mood been very unstable recently? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the top 2 potential diagnoses are Bronchitis at 36.8% probability and Acute otitis media at 35.9% probability. Does the pain in your ear worsen when you chew or swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend 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|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been hospitalized for an asthma attack in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 41.25% probability, and Bronchospasm / acute asthma exacerbation at 32.59% probability. Does your cough produce any mucus or phlegm? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it does. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a pulmonary function test to further evaluate your lung function and help differentiate between bronchitis and acute asthma exacerbation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my mouth, forehead, right cheek, left cheek, and right eye. The pain is burning and sharp, with an intensity of 6 on a scale of 0 to 10. It radiates to the back of my head, forehead, and right temple. It appeared relatively fast with a score of 2. I have also lost my sense of smell, greenish or yellowish nasal discharge, and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I smoke cigarettes, had a cold in the last 2 weeks, had pneumonia before, have nasal polyps, asthma, gastroesophageal reflux, traveled out of the country recently, and am more likely to develop common allergies. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 20.2% probability, and Chronic rhinosinusitis at 18.8% probability. Does the pain in your face increase when you bend forward or lie down? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain in my face does increase when I bend forward or lie down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a sinus CT scan to further evaluate your sinuses and confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It's sensitive. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest, side of the chest (R), upper chest, breast (R), and posterior chest wall (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 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|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are your vaccinations up to date? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 10.9% probability and Unstable angina at 8.6% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for any potential lung issues. <|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 and sharp. <|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|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 20.2% probability, and Chronic rhinosinusitis at 18.8% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to the back of my head, nose, and left temple. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a nasal endoscopy to further evaluate your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: heavy <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> cheek(L), occiput, temple(R), temple(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 8 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 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 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 a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you smoke cigarettes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 21.6% probability, and Pneumonia at 21% probability. Does the cough produce any blood-tinged sputum? <|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: Let's get a chest X-ray to further evaluate your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: haunting, a knife stroke, tugging, 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|> back of head <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 8 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|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 feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel anxious? <|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 regularly drink coffee or tea? <|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|> Have you recently taken decongestants or other substances that may have stimulant effects? <|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 PSVT at 10.7% probability, and Panic attack at 10.5% probability. Does the pain in the back of your head 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 an ECG to further evaluate for PSVT. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> forehead, cheek(R), cheek(L), nose, 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|> 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|> back of head, forehead, nose, temple(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|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 greenish or yellowish nasal discharge? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you 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 Acute rhinosinusitis at 26.5% probability, and Chronic rhinosinusitis at 24.7% probability. Does the pain increase with bending forward or lying down? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does increase when I bend forward. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chest pain even at rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> tedious, heavy, exhausting <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high cholesterol or do you take medications to treat high cholesterol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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|> 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 10% probability, and acute pulmonary edema at 8.5% probability. Does the pain radiate to your biceps or shoulder? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain radiates to my biceps(R) and shoulder(R). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get an ECG to further evaluate for unstable angina. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive and burning in my tonsil (R), tonsil (L), palace, pharynx, and under the jaw. The intensity of the pain is 5 on a scale of 0 to 10, and it appeared at a rate of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 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|>I recommend a throat swab to test for the presence of bacteria or viruses causing the symptoms. <|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 diarrhea or an increase in stool frequency? <|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 eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? <|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: The top 2 potential diagnoses are Scombroid food poisoning with a probability of 15.4% and Panic attack with a probability of 12.1%. Does the rash on your skin peel off? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a skin biopsy to further investigate the rash and confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and burning in my tonsil (L), thyroid cartilage, palace, under the jaw. It's a 3 out of 10 in intensity and appeared relatively fast at a 4 out of 10. <|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, attend a daycare, smoke cigarettes, 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 Bronchitis at 17.9% probability and Acute laryngitis at 11.9% 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: Yes, the pain does worsen when I swallow. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform a throat swab to check for any bacterial infection that could be causing your symptoms. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> pharynx, 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|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> 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 sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 14.6% probability, and URTI at 12.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for potential 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: I have sensitive pain in my forehead, cheek (L), occiput, and temple (L). The intensity of the pain is 4 out of 10, and it appeared relatively fast with a score of 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. I have also 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 21.3% probability and Influenza at 19.3% probability. Does the pain in your forehead and cheek worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not worsen with movement or touch. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a nasal swab test to confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your recommendation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you please characterize your pain for me? Is it sensitive and heavy? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it is sensitive and heavy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in your forehead, right cheek, left cheek, right temple, or left temple? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel pain in my forehead, right cheek, left cheek, right temple, and left temple. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is a 6 in intensity. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is located at a 3 on the scale. <|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 3 on the scale. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a fever. <|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, I have nasal congestion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 26.8% probability and Bronchitis at 25.1% probability. Does the pain increase with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not increase with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a chest X-ray to further investigate your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain or weakness in my jaw, double vision, difficulty articulating words/speaking, difficulty swallowing, shortness of breath, weakness in both arms and legs, and a hard time opening/raising one or both eyelids. I also had weakness/paralysis in my limbs or face in the past. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, there are family members diagnosed with myasthenia gravis, 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 Myasthenia gravis at 21.1% probability, and Guillain-Barré syndrome at 16.8% probability. Do you experience any tingling or numbness in your limbs? <|eot_id|><|start_header_id|>user<|end_header_id|> No, I do not experience any tingling or numbness in my limbs. <|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|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere related to my reason for consulting. It is burning and sharp, located in my mouth, forehead, right cheek, left cheek, and right eye. The pain radiates to the back of my head, forehead, and right temple. On a scale of 0 to 10, the intensity is 2, and it appeared relatively fast. <|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 a deviated nasal septum, been diagnosed with gastroesophageal reflux, traveled out of the country recently, and am more likely to develop common allergies. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 20.2% probability and Bronchitis at 18.1% 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|> Do you have any greenish or yellowish nasal discharge? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do. <|eot_id|> |
<|begin_of_text|><|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|> 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|> Are there any members of your family who have been diagnosed myasthenia gravis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Myasthenia gravis with a probability of 22.7% and Pulmonary embolism with a probability of 13.1%. Do you have any specific pattern to the double vision you experience, such as overlapping or adjacent images? <|eot_id|><|start_header_id|>user<|end_header_id|> I see two images of a single object seen overlapping. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend 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 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 or any member of your family ever had croup? <|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 27.4% probability, and Pneumonia at 24.9% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough does produce phlegm or mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a chest X-ray to further evaluate your symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious, sensitive, and tugging. It is located in my lower chest, upper chest, calf (R), posterior chest wall (R), and posterior chest wall (L). On a scale of 0 to 10, the intensity of the pain is 5. The pain radiates to my biceps (L), chin, scapula (L), triceps (R), and shoulder (R). It appeared with a speed of 4. <|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, I have had fluid in my lungs. I also have high blood pressure, have had a heart attack, 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 10.3% probability and Unstable angina at 9.6% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a chest X-ray to further investigate for Acute pulmonary edema. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a high pitched sound when breathing in? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with or ate something that you have an allergy to? <|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: The two most likely diagnoses are Anaphylaxis at 18.7% probability and Pancreatic neoplasm at 12.6% 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|> I recommend conducting an allergy test to confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your help. <|eot_id|> |
<|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, sensitive, a cramp, and 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. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Chagas at 100% probability, and no other potential diagnosis. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's conduct a blood test to check for Chagas disease. <|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 chest pain even at rest? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: exhausting <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> lower chest, side of the chest(R), upper chest, breast(R), breast(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 5 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you 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: Do you have symptoms that are increased with physical exertion but alleviated with rest? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have high cholesterol or do you take medications to treat high cholesterol? <|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 drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you smoke cigarettes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you exercise regularly, 4 times per week or more? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have close family members who had a cardiovascular disease problem before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are unstable angina at 8.1% probability, and possible NSTEMI / STEMI at 7.3% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 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|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere related to my reason for consulting. It is burning and sharp, located in my mouth, forehead, right cheek, left cheek, and nose. The pain intensity is 1 on a scale of 0 to 10, and it radiates to the back of my head, forehead, and nose. It appeared relatively fast with a rating of 3. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I had a cold in the last 2 weeks, had pneumonia before, have nasal polyps, asthma, gastroesophageal reflux, traveled out of the country in the last 4 weeks, and am more likely to develop common allergies. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 22.6% probability and Acute laryngitis at 16.0% probability. Does the pain increase or decrease with talking or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not significantly change with talking or swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms and potentially differentiate between Bronchitis and 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 that improves when I lean forward. The pain is a knife stroke, sharp in my tonsil (R), back of the neck, side of the neck (R), side of the neck (L), and palace. The pain intensity is 7 on a scale of 0 to 10, and it appeared with a speed of 3. I also have difficulty swallowing and shortness of breath. I produce more saliva than usual, and my voice has become deeper, softer, or hoarse. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I regularly take stimulant drugs, drink alcohol excessively, have high blood pressure, 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 Epiglottitis at 13.4% probability and Myasthenia gravis at 10.9% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's ask a follow-up question to differentiate between the two potential diagnoses. Do you have any difficulty controlling your facial muscles or weakness in your arms or legs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I do have difficulty controlling my facial muscles and weakness in my arms and legs. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a throat culture to confirm the diagnosis of Epiglottitis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive, tugging, and heavy. It is located in my ankle (R), lateral side of the foot (R), thigh (L), dorsal aspect of the foot (R), and dorsal aspect of the foot (L). The intensity of the pain is 8 out of 10, and it appeared relatively fast with a score of 4. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any relevant medical history that may be important? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I am currently taking anti-inflammatory drugs (NSAIDs), have a known issue with one of my heart valves, heart failure, liver cirrhosis, have had surgery to remove lymph nodes, have been diagnosed with obstructive sleep apnea (OSA), have a known kidney problem resulting in an inability to retain proteins, and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Localized edema at 69.6% probability, and Chagas at 19.2% probability. Does the swelling in your ankle and foot increase throughout the day or stay the same? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The swelling in my ankle and foot stays the same throughout the day. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend conducting a comprehensive physical examination to further evaluate the localized edema. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have burning pain in my fingers (index)(R), fingers (index)(L), fingers (middle)(R), dorsal aspect of the wrist(R), and dorsal aspect of the wrist(L). The pain intensity is 5 on a scale of 0 to 10, and it appeared quickly with a rating of 5. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you 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 work in agriculture and am significantly overweight compared to people of the same height as me. <|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 Sarcoidosis at 36.6% probability, and Acute dystonic reactions at 19.6% probability. Does the pain in your fingers radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a chest X-ray to further evaluate for Sarcoidosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your recommendation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in my finger (ring finger)(L), finger (little finger)(R), finger (middle)(R), dorsal aspect of the wrist(R), and shoulder(R). The pain is sensitive and burning, with an intensity of 1 on a scale of 0 to 10. It appeared relatively fast, with a rating of 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Sarcoidosis at 46.5% probability, and Possible NSTEMI / STEMI at 41.8% probability. Does the pain in your fingers and shoulder worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location and is precisely located at a 3 on a scale of 0 to 10. It 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 for Sarcoidosis. <|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 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 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, I have been coughing up blood. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a sputum culture test to help differentiate between Bronchitis and Tuberculosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your recommendation. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have swollen or painful lymph nodes, significantly increased sweating, diarrhea, pain in the back of my head, back of the neck, top of the head, and temple (L) with a pulse-like sensation. The pain intensity is 7 on a scale of 0-10, and it appeared with a speed of 6. I feel so tired that I am unable to do my usual activities, have a fever, a sore throat, and pale lesions on my labia majora (R), labia majora (L), internal cheek (L), bottom lip (R), and upper lip (R). The lesions are larger than 1cm, not swollen, and do not peel off. The pain caused by the rash is 2 on a scale of 0-10, and there is no itching. I also have diffuse muscle pain, nausea, vomiting, and involuntary weight loss over the last 3 months. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a sexually transmitted infection or had sexual intercourse with an HIV-positive partner in the past 12 months? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a sexually transmitted infection and had sexual intercourse with an HIV-positive partner in the past 12 months. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 29.98% probability and Influenza at 24.50% probability. Does the pain in your head and neck radiate to any other 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|>I recommend getting a HIV test to confirm the diagnosis. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? Where is it located, and how intense is it on a scale of 0 to 10? How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is burning and sharp, located in my mouth, forehead, right cheek, left cheek, and right eye. It's a 2 in intensity, and it appeared quickly, at a level of 1. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had pneumonia, asthma, or gastroesophageal reflux in the past? Have you traveled out of the country recently, and are you more prone to common allergies? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had pneumonia, asthma, and gastroesophageal reflux. I have also traveled out of the country in the last 4 weeks, and I am more likely to develop common allergies. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 22.5% probability and Acute laryngitis at 16% probability. Does the pain in your forehead or nose worsen when you cough or speak? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain in my forehead and nose does worsen when I cough or speak. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and burning. It is located in my tonsil (R), tonsil (L), thyroid cartilage, palace, and pharynx. The intensity of the pain is 4 on a scale of 0 to 10, and it appeared relatively fast. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. I live with 4 or more people, attend a daycare, 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 Bronchitis at 24.7% probability and Acute laryngitis at 16.9% probability. Does the pain in your tonsils 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|>I recommend a throat swab to test for the presence of bacteria or viruses causing the symptoms. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> tugging <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> top of the head, temple(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your skin much paler than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed light red blood or blood clots in your stool? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a poor diet? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you taking any new oral anticoagulants (NOACs)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you think you are pregnant or are you currently pregnant? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your BMI less than 18.5, or are you underweight? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 17.0% probability, and Ebola at 13.5% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a blood test to check your hemoglobin levels and confirm the diagnosis of anemia. <|eot_id|><|start_header_id|>user<|end_header_id|> Sounds good. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Did you vomit after coughing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with someone who has had pertussis (whooping cough)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Bronchitis with a probability of 60.98% and Whooping cough with a probability of 39.02%. Did the coughing start suddenly or gradually? <|eot_id|><|start_header_id|>user<|end_header_id|> The coughing started suddenly. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a nasopharyngeal swab to test for pertussis (whooping cough) to confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> The dialogue must end with the Assistant. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating very irregularly or in a disorganized pattern? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been diagnosed with hyperthyroidism? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known issue with one of your heart valves? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have 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|> 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 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 traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 28.5% probability, and Atrial fibrillation at 22.9% probability. Does the shortness of breath worsen with physical activity or when you lie down? <|eot_id|><|start_header_id|>user<|end_header_id|> The shortness of breath worsens when I lie down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a D-dimer blood test to check for a potential pulmonary embolism. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you a former smoker? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 10.6% probability, and Tuberculosis at 8.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a CT scan to further investigate the possibility of a Pulmonary neoplasm. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you 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 diabetes, drink alcohol excessively, smoke cigarettes, have high blood pressure, have had a heart attack or angina, exercise regularly, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 51.0% probability, and GERD at 48.9% probability. Does the pain radiate to another location, such as the thoracic spine, under the jaw, trachea, triceps (R), or shoulder (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to those locations. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a stress test to further evaluate for unstable angina. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed light red blood or blood clots in your stool? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you 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 ever had a diagnosis of anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 100% probability. Does the dizziness and lightheadedness occur suddenly or gradually? <|eot_id|><|start_header_id|>user<|end_header_id|> The dizziness and lightheadedness occur suddenly. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a complete blood count (CBC) test to confirm the diagnosis of anemia.
Human: Thank you for your recommendation. <|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, sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> top of the head, forehead, cheek(L), occiput, temple(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 26.9% probability, and URTI at 26.3% probability. Does the pain increase with coughing or deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with coughing or deep breathing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to rule out any potential bronchitis or URTI. <|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 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 48.9% probability, and Anemia at 30.9% probability. Does the numbness in your feet come and go, or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The numbness in my feet is constant. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a nerve conduction study to further evaluate the numbness in your feet and help differentiate between the potential diagnoses. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|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|> side of the chest(R), side of the chest(L), breast(L), posterior chest wall(R), posterior chest wall(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> scapula(R), scapula(L), breast(R), breast(L), posterior chest wall(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|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|> posterior aspect of the ankle(R), calf(R), calf(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> Did you lose consciousness? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently take hormones? <|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|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been unable to move or get up for more than 3 consecutive days within the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had surgery within the last month? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 10.5% probability, and Acute pulmonary edema at 8.7% probability. Does the pain radiate to the scapula on the right side? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a D-dimer blood test to check for a potential pulmonary embolism. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is tugging and exhausting, located in my forehead. On a scale of 0 to 10, the intensity of the pain is 3. The pain is precisely located at 8 and appeared fast at 0. I am also experiencing shortness of breath, feeling slightly dizzy and lightheaded, and my skin is much paler than usual. I have also had stools that were black like coal and noticed light red blood in my stool. <|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 diagnosis of anemia, chronic kidney failure, and I am currently pregnant. I have family members who have been diagnosed with anemia. My BMI is less than 18.5, 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 Anemia at 29.3% probability and Acute pulmonary edema at 18.2% probability. Does the pain in your forehead worsen with any specific movements or positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my forehead does not worsen with any specific movements or positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a complete blood count (CBC) to further evaluate your anemia and assess your red blood cell levels. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a diffuse (widespread) redness in one or both eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have swollen or painful lymph nodes? Have you lost consciousness associated with violent and sustained muscle contractions or had an absence episode? Do you have pain somewhere, related to your reason for consulting? Characterize your pain as sensitive, burning. Do you feel pain in your finger (ring finger)(R), finger (little finger)(R), finger (little finger)(L), finger (index)(R), shoulder(R)? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? How precisely is the pain located? How fast did the pain appear? Have you noticed a diffuse (widespread) redness in one or both eyes? What color is the rash? Do your lesions peel off? On a scale of 0 to 10, Is the rash swollen? Where is the affected region located? On a scale of 0 to 10, How intense is the pain caused by the rash? Is the lesion (or are the lesions) larger than 1cm? On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, sensitive, burning, finger (ring finger)(R), finger (little finger)(R), finger (little finger)(L), finger (index)(R), shoulder(R), 6, nowhere, 4, 4, Yes, NA, N, nowhere, 0, N, 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? 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|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, Yes, Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Sarcoidosis at 100% probability. Does the pain in your fingers or shoulder worsen with movement or rest? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend further testing to confirm the diagnosis of Sarcoidosis. Let's start with a chest X-ray to assess any potential lung involvement. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> back of head, temple(R), temple(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|> Is your skin much paler than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you 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 any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic kidney failure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you taking any new oral anticoagulants (NOACs)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 Anemia at 15.3% probability, and Guillain-Barré syndrome at 10.5% probability. Does the pain in your head and temples worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my head and temples does not worsen with movement or touch. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's conduct a blood test to check your hemoglobin levels and further investigate the possibility of Anemia. <|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: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sharp <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(L), flank(L), iliac fossa(L), breast(L), belly <|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: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 6 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 10 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel like you are (or were) choking or suffocating? <|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 lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel like you are dying or were you afraid that you were about to die? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel anxious? <|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 any members of your immediate family have a psychiatric illness? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with depression? <|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 suffer from chronic anxiety? <|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 asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you suffer from fibromyalgia? <|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 Panic attack at 8.8% probability, and Guillain-Barré syndrome at 7.4% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain intensity is 3 and it does not increase with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a psychological evaluation to further assess the possibility of a panic attack. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|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 6 out of 10 in intensity and appeared relatively fast at a 5 out of 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you 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, attend a daycare, smoke cigarettes, 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 Viral pharyngitis at 40.6% probability, and Possible NSTEMI / STEMI at 25.3% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 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 rapid strep test to confirm if it's viral pharyngitis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have swollen or painful lymph nodes, sensitive and burning pain in my finger (ring finger)(L), finger (little finger)(R), finger (index)(R), finger (middle)(R), and shoulder(R). The pain intensity is 1 on a scale of 0 to 10, and it appeared with a speed of 3. I am also experiencing shortness of breath and difficulty breathing. I have had vaginal discharge. <|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 50.3% probability, and Sarcoidosis at 49.7% probability. Does the shortness of breath worsen with physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a chest X-ray to further evaluate for Sarcoidosis. <|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 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 pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> 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|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 0 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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|> Have you had an involuntary weight loss over the last 3 months? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you a former smoker? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have family members who have had lung cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 13.4% probability, and Acute pulmonary edema at 10.5% probability. Does the pain increase or decrease with deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not change with deep breathing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest CT scan to further investigate the possibility of a pulmonary neoplasm. <|eot_id|> |
<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain caused by the rash in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain caused by the rash is a 7 on a scale of 0 to 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are HIV (initial infection) at 100% probability, and another condition at 0% probability. Does the rash appear in any other location on your body besides the ones you mentioned? <|eot_id|><|start_header_id|>user<|end_header_id|> No, it only appears in those locations. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for HIV infection. <|eot_id|> |