Datasets:

YBXL

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DDXPlus_Reasoning_50_train

like 0

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 29\nSEX: M\nINITIAL EVIDENCE: etourdissement\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging, exhausting.\nI feel pain in: back of head, top of the head, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 3.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI feel slightly dizzy and lightheaded.\nI have recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have family members diagnosed with anemia.\nI am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to South East Asia.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Cluster headache\n\nfinal diagnosis: Anemia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 45\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: side of the chest(R), side of the chest(L), iliac fossa(L), hypochondrium(L), pubis.\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 10.\nI am experiencing shortness of breath.\nI feel like I am choking or suffocating.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel nauseous and like vomiting.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nAntecedents:\nI feel anxious.\nI drink alcohol excessively and have an addiction to alcohol.\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI suffer from fibromyalgia.\nI have had a head trauma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Panic attack\n2. PSVT\n3. Guillain-Barré syndrome\n4. Possible NSTEMI / STEMI\n5. Spontaneous pneumothorax\n6. Anaphylaxis\n7. Unstable angina\n8. Boerhaave\n9. Acute pulmonary edema\n10. Pulmonary embolism\n11. Anemia\n12. Scombroid food poisoning\n13. GERD\n14. Inguinal hernia\n15. Stable angina\n16. Acute dystonic reactions\n17. Myasthenia gravis\n18. Sarcoidosis\n19. Pancreatic neoplasm\n20. Chagas\n21. SLE\n\nfinal diagnosis: Panic attack\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 23\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain that improves when I lean forward.\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: tonsil(L), back of the neck, side of the neck(R), palace, pharynx.\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 10.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI am experiencing shortness of breath.\nI have a fever.\nI produce more saliva than usual.\nI hear a high pitched sound when I breathe in.\nThe tone of my voice has become deeper, softer, or hoarse.\nAntecedents:\nI regularly take stimulant drugs.\nI have diabetes.\nI drink alcohol excessively and have an addiction to alcohol.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Epiglottitis\n2. HIV (initial infection)\n3. Acute laryngitis\n4. Larygospasm\n5. Acute pulmonary edema\n6. Atrial fibrillation\n7. Chagas\n8. Guillain-Barré syndrome\n9. Acute dystonic reactions\n10. Myocarditis\n11. Pulmonary embolism\n12. Scombroid food poisoning\n13. PSVT\n14. SLE\n15. Anaphylaxis\n16. Viral pharyngitis\n\nfinal diagnosis: Epiglottitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 30\nSEX: M\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have swollen or painful lymph nodes.\nI have had significantly increased sweating.\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: tedious, sensitive, a pulse.\nI feel pain in: top of the head, forehead, occiput, temple(L).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have a fever.\nI have a sore throat.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 3.\nThe affected regions are: lower gum, labia majora(R), labia majora(L), internal cheek(R), internal cheek(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have diffuse muscle pain.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI had a sexually transmitted infection.\nI have had unprotected sex with more than one partner in the last 6 months.\nI had sexual intercourse with an HIV-positive partner in the past 12 months.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. HIV (initial infection)\n2. Influenza\n3. Chagas\n4. Pancreatic neoplasm\n5. Anemia\n6. Scombroid food poisoning\n7. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 28\nSEX: M\nINITIAL EVIDENCE: insp_siffla\nSymptoms:\nI wheeze while inhaling and my breathing is noisy after coughing spells.\nI vomited after coughing.\nAntecedents:\nI have been in contact with someone who has had pertussis.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Whooping cough\n\nfinal diagnosis: Whooping cough\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 7\nSEX: M\nINITIAL EVIDENCE: stridor\nSymptoms:\nI hear a high pitched sound when I breathe in.\nAntecedents:\nI smoke cigarettes.\nI have been diagnosed with gastroesophageal reflux.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Croup\n2. Larygospasm\n\nfinal diagnosis: Larygospasm\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 56\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: violent, sharp.\nI feel pain in: side of the chest(R), side of the chest(L), breast(L), posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain's location precision is 9.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI have a cough.\nI have intense coughing fits.\nI have pain that increases with movement.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI drink alcohol excessively and have an addiction to alcohol.\nI am being treated for osteoporosis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Spontaneous pneumothorax\n2. Pulmonary embolism\n3. Bronchitis\n4. Spontaneous rib fracture\n5. Possible NSTEMI / STEMI\n6. Pneumonia\n7. Unstable angina\n8. Stable angina\n9. Whooping cough\n10. Guillain-Barré syndrome\n11. Bronchospasm / acute asthma exacerbation\n12. Pericarditis\n13. Tuberculosis\n14. Bronchiectasis\n15. Acute dystonic reactions\n16. Pulmonary neoplasm\n17. Myocarditis\n18. Sarcoidosis\n\nfinal diagnosis: Spontaneous rib fracture\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 21\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, sensitive, tugging.\nI feel pain in: ankle(R), side of the chest(R), side of the chest(L), calf(R), calf(L).\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: biceps(R), chin, scapula(L), triceps(R).\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI am experiencing shortness of breath.\nI have bouts of choking and shortness of breath that wake me up at night.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), calf(L).\nI have noticed new fatigue, generalized and vague discomfort, and diffuse muscle aches.\nAntecedents:\nI currently undergo dialysis.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI have heart failure.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. SLE\n2. Anaphylaxis\n3. Panic attack\n4. Possible NSTEMI / STEMI\n5. Pulmonary embolism\n6. Chagas\n7. Acute pulmonary edema\n8. Myocarditis\n9. Acute dystonic reactions\n10. Sarcoidosis\n11. Scombroid food poisoning\n12. Stable angina\n\nfinal diagnosis: Acute pulmonary edema\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 14\nSEX: F\nINITIAL EVIDENCE: contact_allergie\nSymptoms:\nI have been in contact with or ate something that I'm allergic to.\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: a knife stroke, a cramp.\nI feel pain in: flank(L), iliac fossa(R), hypochondrium(R), hypochondrium(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: biceps(L), mouth, thyroid cartilage, ankle(R), cervical spine.\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 8.\nI feel nauseous and like vomiting.\nI have swelling in one or more areas of my body.\nThe swelling located in: forehead, cheek(L), nose.\nI lost consciousness.\nI hear a high pitched sound when I breathe in.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have a severe food allergy.\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anaphylaxis\n2. GERD\n3. Localized edema\n4. Boerhaave\n5. HIV (initial infection)\n6. Inguinal hernia\n7. Larygospasm\n8. Chagas\n9. Epiglottitis\n10. Panic attack\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 27\nSEX: M\nINITIAL EVIDENCE: wheez\nSymptoms:\nI have pain somewhere.\nThe pain is: burning.\nI feel pain in: side of the chest(L).\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\nI have a fever.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nI have a wheezing sound when I exhale.\nMy symptoms are more prominent at night.\nAntecedents:\nI have chronic obstructive pulmonary disease (COPD).\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pneumonia\n2. Bronchitis\n3. Bronchiectasis\n4. Possible NSTEMI / STEMI\n5. Panic attack\n6. URTI\n7. Tuberculosis\n8. Unstable angina\n9. Stable angina\n10. Atrial fibrillation\n11. Myocarditis\n12. Influenza\n13. Guillain-Barré syndrome\n14. Acute dystonic reactions\n15. Myasthenia gravis\n16. Sarcoidosis\n17. Chagas\n18. PSVT\n\nfinal diagnosis: Bronchitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 54\nSEX: M\nINITIAL EVIDENCE: msk_dlr\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: heavy, exhausting.\nI feel pain in: side of the neck(R), side of the neck(L), top of the head, forehead, pharynx.\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have a fever.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 2.\nThe affected regions are: side of the neck(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 6.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 4.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\nI am immunosuppressed.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Influenza\n2. HIV (initial infection)\n3. URTI\n4. Viral pharyngitis\n5. Bronchitis\n6. Acute laryngitis\n7. Chagas\n8. Tuberculosis\n9. Chronic rhinosinusitis\n10. Acute rhinosinusitis\n11. Scombroid food poisoning\n12. Pneumonia\n13. Anemia\n\nfinal diagnosis: Influenza\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 0\nSEX: F\nINITIAL EVIDENCE: fatig_ext\nSymptoms:\nI have pain somewhere.\nThe pain is: tugging.\nI feel pain in: back of head, top of the head, forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 3.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI feel slightly dizzy and lightheaded.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have recently had black stools.\nMy skin is much paler than usual.\nAntecedents:\nI have family members diagnosed with anemia.\nI am taking new oral anticoagulants (NOACs).\nI have not traveled out of the country in the last 4 weeks.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Atrial fibrillation\n3. HIV (initial infection)\n4. Chagas\n\nfinal diagnosis: Anemia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 62\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: a knife stroke, a cramp, sharp.\nI feel pain in: flank(R), flank(L), iliac fossa(R), iliac fossa(L), belly.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 0.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI am experiencing shortness of breath.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: back of the neck, biceps(L), mouth, thyroid cartilage, ankle(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 1.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 10.\nI feel nauseous and like vomiting.\nI have swelling in one or more areas of my body.\nThe swelling located in: forehead, nose.\nI lost consciousness.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have a severe food allergy.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anaphylaxis\n2. Bronchospasm / acute asthma exacerbation\n3. Acute pulmonary edema\n4. Pancreatic neoplasm\n5. Scombroid food poisoning\n6. Boerhaave\n7. Pulmonary embolism\n8. HIV (initial infection)\n9. Inguinal hernia\n10. GERD\n11. Guillain-Barré syndrome\n12. Chagas\n13. Atrial fibrillation\n14. Acute COPD exacerbation / infection\n15. Acute dystonic reactions\n16. Myasthenia gravis\n17. Anemia\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 25\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, heavy.\nI feel pain in: lower chest, side of the chest(R), upper chest, breast(R), epigastric.\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: thyroid cartilage, trachea, shoulder(R), shoulder(L).\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI constantly feel fatigued and have non-restful sleep.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI have diabetes.\nI am significantly overweight compared to people of the same height as me.\nI have high cholesterol.\nI drink alcohol excessively and have an addiction to alcohol.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI exercise regularly, 4 times per week or more.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Unstable angina\n2. Stable angina\n3. Possible NSTEMI / STEMI\n4. Anemia\n5. Pericarditis\n6. Atrial fibrillation\n7. Chagas\n8. Myocarditis\n9. Spontaneous pneumothorax\n\nfinal diagnosis: Stable angina\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 19\nSEX: F\nINITIAL EVIDENCE: fievre\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ear(R), ear(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have a fever.\nI am more irritable and my mood has been very unstable recently.\nI have a cough.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Acute otitis media\n3. Tuberculosis\n4. Pneumonia\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 73\nSEX: M\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, burning.\nI feel pain in: tonsil(R), thyroid cartilage, palace, under the jaw.\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have a fever.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI attend/work in a daycare.\nI have not traveled out of the country in the last 4 weeks.\nI am immunosuppressed.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Viral pharyngitis\n2. Possible NSTEMI / STEMI\n3. HIV (initial infection)\n4. Unstable angina\n5. URTI\n6. Acute laryngitis\n7. Chagas\n8. Stable angina\n\nfinal diagnosis: Viral pharyngitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 58\nSEX: M\nINITIAL EVIDENCE: perte_poids\nSymptoms:\nI am experiencing shortness of breath.\nI have a fever.\nI have had an involuntary weight loss over the last 3 months.\nI have a cough.\nAntecedents:\nI am infected with the human immunodeficiency virus (HIV).\nI have diabetes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pulmonary neoplasm\n2. Bronchitis\n3. Tuberculosis\n4. Pneumonia\n5. Acute pulmonary edema\n6. Bronchospasm / acute asthma exacerbation\n7. Atrial fibrillation\n8. Guillain-Barré syndrome\n9. Acute dystonic reactions\n10. Pulmonary embolism\n11. Myocarditis\n\nfinal diagnosis: Tuberculosis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 24\nSEX: F\nINITIAL EVIDENCE: faible\nSymptoms:\nThe pain is: NA.\nI feel pain in: nowhere.\nFrom a scale of 0-10, the pain intensity is 0.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 0.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI am experiencing shortness of breath.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nAntecedents:\nI consume energy drinks regularly.\nI have not traveled out of the country in the last 4 weeks.\nI have recently taken decongestants with stimulant effects.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. PSVT\n2. Pulmonary embolism\n3. Anemia\n4. Myocarditis\n5. Scombroid food poisoning\n6. Acute dystonic reactions\n7. Panic attack\n8. Anaphylaxis\n\nfinal diagnosis: PSVT\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 74\nSEX: F\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have close family members who suffer from allergies, hay fever, and eczema.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Allergic sinusitis\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 21\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, tugging, sickening.\nI feel pain in: lower chest, hypochondrium(L), belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: lower chest, upper chest.\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI have a burning sensation that starts in my stomach, goes up into my throat, and is associated with a bitter taste in my mouth.\nI have a cough.\nMy symptoms get worse after eating.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI drink alcohol excessively and have an addiction to alcohol.\nI smoke cigarettes.\nI have asthma.\nI am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. GERD\n2. Bronchitis\n3. Pericarditis\n4. Spontaneous rib fracture\n5. Unstable angina\n6. Possible NSTEMI / STEMI\n7. Tuberculosis\n8. Stable angina\n9. Pancreatic neoplasm\n\nfinal diagnosis: GERD\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 26\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, heavy.\nI feel pain in: lower chest, biceps(R), side of the chest(L), upper chest, breast(L).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: thyroid cartilage, under the jaw, trachea, triceps(R), shoulder(R).\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nAntecedents:\nI have diabetes.\nI am significantly overweight compared to people of the same height as me.\nI have high cholesterol.\nI drink alcohol excessively and have an addiction to alcohol.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI have not traveled out of the country in the last 4 weeks.\nI have close family members who had a cardiovascular disease problem before the age of 50.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. SLE\n2. Possible NSTEMI / STEMI\n3. Anemia\n4. Guillain-Barré syndrome\n5. Myocarditis\n6. Atrial fibrillation\n7. GERD\n8. Pericarditis\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. Anaphylaxis\n12. Chagas\n13. Sarcoidosis\n14. Scombroid food poisoning\n15. Stable angina\n16. PSVT\n17. Unstable angina\n18. Pulmonary embolism\n\nfinal diagnosis: Stable angina\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 66\nSEX: F\nINITIAL EVIDENCE: claud_mâchoire\nSymptoms:\nI have pain and weakness in my jaw.\nI have difficulty articulating words/speaking.\nI have difficulty swallowing and feel discomfort/blockage when swallowing.\nI am experiencing shortness of breath.\nI feel weakness in both my arms and legs.\nI have a hard time opening/raising one or both eyelids.\nAntecedents:\nSome members of my family have been diagnosed with myasthenia gravis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Myasthenia gravis\n2. Pulmonary embolism\n3. Acute dystonic reactions\n4. Acute pulmonary edema\n5. Atrial fibrillation\n6. Guillain-Barré syndrome\n7. Myocarditis\n8. Anaphylaxis\n9. Scombroid food poisoning\n\nfinal diagnosis: Myasthenia gravis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 39\nSEX: F\nINITIAL EVIDENCE: msk_dlr\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, heavy.\nI feel pain in: cheek(R), temple(R).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI have a fever.\nI have a sore throat.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI attend/work in a daycare.\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. URTI\n2. Influenza\n3. Bronchitis\n4. Tuberculosis\n5. Pneumonia\n6. HIV (initial infection)\n7. Chronic rhinosinusitis\n8. Chagas\n\nfinal diagnosis: URTI\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 45\nSEX: F\nINITIAL EVIDENCE: hyponos\nSymptoms:\nI have pain somewhere.\nThe pain is: burning, sharp.\nI feel pain in: mouth, forehead, cheek(L), nose, eye(R).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: back of head, nose, temple(R), temple(L).\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have lost my sense of smell.\nI have greenish or yellowish nasal discharge.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI have had pneumonia.\nI have polyps in my nose.\nI have a deviated nasal septum.\nI have asthma.\nI have been diagnosed with gastroesophageal reflux.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute rhinosinusitis\n2. Chronic rhinosinusitis\n3. Bronchitis\n4. Acute laryngitis\n5. Viral pharyngitis\n6. Cluster headache\n7. Chagas\n8. Anemia\n\nfinal diagnosis: Acute rhinosinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 60\nSEX: F\nINITIAL EVIDENCE: laryngospasme\nSymptoms:\nI have felt like I was suffocating for a very short time, unable to breathe or speak.\nI have trouble keeping my tongue in my mouth.\nI have a hard time opening/raising one or both eyelids.\nI am unable to control the direction of my eyes.\nI have annoying muscle spasms in my face, neck and other parts of my body.\nAntecedents:\nI have been treated in the hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute dystonic reactions\n2. Myasthenia gravis\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 36\nSEX: F\nINITIAL EVIDENCE: etourdissement\nSymptoms:\nI am experiencing shortness of breath.\nI feel slightly dizzy and lightheaded.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI have severe Chronic Obstructive Pulmonary Disease (COPD).\nI am significantly overweight compared to people of the same height as me.\nI have had a heart attack and I have angina.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Atrial fibrillation\n2. PSVT\n3. Myocarditis\n4. Pulmonary embolism\n5. Anemia\n6. Acute pulmonary edema\n7. Guillain-Barré syndrome\n8. Scombroid food poisoning\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. Anaphylaxis\n12. SLE\n\nfinal diagnosis: Atrial fibrillation\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 23\nSEX: M\nINITIAL EVIDENCE: trismus\nSymptoms:\nI am experiencing shortness of breath.\nI am unable to control the direction of my eyes.\nI have annoying muscle spasms in my face, neck and other parts of my body.\nI suddenly have difficulty opening my mouth and experience jaw pain when I do.\nAntecedents:\nI have started taking antipsychotic medication within the last 7 days.\nI regularly take stimulant drugs.\nI have been treated in the hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute dystonic reactions\n2. Pulmonary embolism\n3. Acute pulmonary edema\n4. Guillain-Barré syndrome\n5. Atrial fibrillation\n6. Myocarditis\n7. Anemia\n8. Anaphylaxis\n9. Scombroid food poisoning\n10. PSVT\n11. SLE\n12. Possible NSTEMI / STEMI\n13. Chagas\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 3\nSEX: M\nINITIAL EVIDENCE: gorge_dlr\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: lower chest, side of the chest(L), breast(R), posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have a cough that produces colored and abundant sputum.\nI have a fever.\nI have a sore throat.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Pneumonia\n3. GERD\n4. URTI\n5. Tuberculosis\n6. HIV (initial infection)\n7. Chagas\n\nfinal diagnosis: Bronchitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 16\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI am experiencing shortness of breath.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have had 2 or more asthma attacks in the past year.\nI have family members with asthma.\nI have been hospitalized for an asthma attack in the past year.\nI have been diagnosed with chronic sinusitis.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchospasm / acute asthma exacerbation\n2. Pulmonary embolism\n3. Anaphylaxis\n4. Guillain-Barré syndrome\n5. Atrial fibrillation\n6. Myocarditis\n7. Acute dystonic reactions\n8. Myasthenia gravis\n9. Anemia\n10. Scombroid food poisoning\n11. PSVT\n12. SLE\n13. Chagas\n\nfinal diagnosis: Bronchospasm / acute asthma exacerbation\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 16\nSEX: M\nINITIAL EVIDENCE: expecto\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: sensitive, heavy.\nI feel pain in: top of the head, cheek(R), occiput, temple(L).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI have a cough that produces colored and abundant sputum.\nI have a sore throat.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI live with 4 or more people.\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. URTI\n2. Bronchitis\n3. Bronchiectasis\n4. Cluster headache\n5. Chronic rhinosinusitis\n6. Acute rhinosinusitis\n7. Pneumonia\n8. Chagas\n9. Anemia\n10. Influenza\n\nfinal diagnosis: URTI\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 21\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ear(R), ear(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI am more irritable and my mood has been very unstable recently.\nAntecedents:\nI am currently being treated with an oral antibiotic for an ear infection.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute otitis media\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 20\nSEX: M\nINITIAL EVIDENCE: toux\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: tonsil(R), tonsil(L), palace, pharynx, under the jaw.\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have a fever.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\nI am immunosuppressed.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Viral pharyngitis\n2. URTI\n3. Tuberculosis\n4. Bronchitis\n5. Acute laryngitis\n6. Influenza\n7. Possible NSTEMI / STEMI\n8. Epiglottitis\n9. Unstable angina\n\nfinal diagnosis: Viral pharyngitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 13\nSEX: F\nINITIAL EVIDENCE: irritable\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: ear(R), ear(L).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 9.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI am more irritable and my mood has been very unstable recently.\nI have a cough.\nAntecedents:\nI am currently being treated with an oral antibiotic for an ear infection.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Acute otitis media\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 27\nSEX: F\nINITIAL EVIDENCE: ww_valsalva\nSymptoms:\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(R), hip(R), hip(L), testicle(R), testicle(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nThe colar of the rash is NA.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: nowhere.\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nThe symptoms or pain increase with coughing, lifting a weight, or forcing a bowel movement.\nAntecedents:\nI was born prematurely and suffered complications at birth.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 57\nSEX: M\nINITIAL EVIDENCE: footnumb\nSymptoms:\nI have weakness in my facial muscles and/or eyes.\nI feel weakness in both my arms and legs.\nI have numbness, loss of sensation, and tingling in my feet.\nI have weakness/paralysis in one or more of my limbs or in my face.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI recently had a viral infection.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Guillain-Barré syndrome\n2. Myasthenia gravis\n\nfinal diagnosis: Guillain-Barré syndrome\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 34\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: lower chest, side of the chest(R), side of the chest(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 1.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI am experiencing shortness of breath.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI recently had a viral infection.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Unstable angina\n2. Possible NSTEMI / STEMI\n3. PSVT\n4. Stable angina\n5. Atrial fibrillation\n6. Myocarditis\n7. Acute pulmonary edema\n8. Guillain-Barré syndrome\n9. Panic attack\n10. GERD\n11. Scombroid food poisoning\n12. Acute dystonic reactions\n13. Myasthenia gravis\n14. Anemia\n15. Sarcoidosis\n\nfinal diagnosis: Myocarditis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 54\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI am experiencing shortness of breath.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have family members with asthma.\nI have been hospitalized for an asthma attack in the past year.\nI have had a cold in the last 2 weeks.\nI have been diagnosed with chronic sinusitis.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\nI live in a big city.\nI am exposed to secondhand cigarette smoke daily.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchospasm / acute asthma exacerbation\n2. Pulmonary embolism\n3. Acute pulmonary edema\n4. Anaphylaxis\n5. Guillain-Barré syndrome\n6. Atrial fibrillation\n7. Myocarditis\n8. Acute COPD exacerbation / infection\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. Anemia\n12. Scombroid food poisoning\n13. PSVT\n14. SLE\n\nfinal diagnosis: Bronchospasm / acute asthma exacerbation\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 61\nSEX: M\nINITIAL EVIDENCE: faible\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, exhausting.\nI feel pain in: back of head, top of the head, temple(R).\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI constantly feel fatigued and have non-restful sleep.\nMy skin is much paler than usual.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have been diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Acute pulmonary edema\n3. Possible NSTEMI / STEMI\n4. Atrial fibrillation\n5. Myocarditis\n6. Panic attack\n7. Guillain-Barré syndrome\n8. HIV (initial infection)\n9. PSVT\n10. Pulmonary neoplasm\n11. Acute dystonic reactions\n12. Myasthenia gravis\n13. Cluster headache\n\nfinal diagnosis: Anemia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 0\nSEX: F\nINITIAL EVIDENCE: faible\nSymptoms:\nThe pain is: NA.\nI feel pain in: nowhere.\nFrom a scale of 0-10, the pain intensity is 0.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 0.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\nAntecedents:\nI feel anxious.\nI regularly drink coffee or tea.\nI consume energy drinks regularly.\nI regularly take stimulant drugs.\nI have not traveled out of the country in the last 4 weeks.\nI have recently taken decongestants with stimulant effects.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. PSVT\n2. Atrial fibrillation\n3. Anemia\n4. Scombroid food poisoning\n\nfinal diagnosis: PSVT\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 31\nSEX: M\nINITIAL EVIDENCE: toux\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, burning.\nI feel pain in: thyroid cartilage, palace, pharynx, under the jaw, trachea.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 3.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have a fever.\nI have a cough.\nThe tone of my voice has become deeper, softer, or hoarse.\nAntecedents:\nI live with 4 or more people.\nI attend/work in a daycare.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Acute laryngitis\n3. Tuberculosis\n4. Epiglottitis\n5. Viral pharyngitis\n6. Possible NSTEMI / STEMI\n7. Unstable angina\n\nfinal diagnosis: Acute laryngitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 25\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, exhausting.\nI feel pain in: side of the chest(L), scapula(L), breast(R), under the jaw, triceps(L).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: biceps(L), thoracic spine, under the jaw, shoulder(R), shoulder(L).\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 9.\nI am experiencing shortness of breath.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI have diabetes.\nI am significantly overweight compared to people of the same height as me.\nI have high cholesterol.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI exercise regularly, 4 times per week or more.\nI have not traveled out of the country in the last 4 weeks.\nI have close family members who had a cardiovascular disease problem before the age of 50.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Unstable angina\n2. Stable angina\n3. Possible NSTEMI / STEMI\n4. Atrial fibrillation\n5. Panic attack\n6. Myocarditis\n7. SLE\n8. Acute pulmonary edema\n9. Guillain-Barré syndrome\n10. Acute dystonic reactions\n11. Anaphylaxis\n12. Epiglottitis\n13. Sarcoidosis\n14. Scombroid food poisoning\n15. Acute laryngitis\n16. PSVT\n17. Viral pharyngitis\n\nfinal diagnosis: Stable angina\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 55\nSEX: F\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have family members with asthma.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\nI live in a big city.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Allergic sinusitis\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 68\nSEX: F\nINITIAL EVIDENCE: crach_sg\nSymptoms:\nI have been coughing up blood.\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\nI have a cough.\nAntecedents:\nI have had pneumonia.\nI have chronic obstructive pulmonary disease (COPD).\nI have not traveled out of the country in the last 4 weeks.\nI am immunosuppressed.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Bronchiectasis\n3. Pneumonia\n4. Pulmonary neoplasm\n5. Acute COPD exacerbation / infection\n6. Tuberculosis\n7. Pulmonary embolism\n8. Guillain-Barré syndrome\n9. Bronchospasm / acute asthma exacerbation\n10. Atrial fibrillation\n11. Myocarditis\n12. Acute dystonic reactions\n13. Myasthenia gravis\n14. Anemia\n15. PSVT\n\nfinal diagnosis: Bronchiectasis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 9\nSEX: F\nINITIAL EVIDENCE: ww_respi\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, violent.\nI feel pain in: lower chest, side of the chest(L), upper chest, breast(R), breast(L).\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI have symptoms that increase with physical exertion but alleviate with rest.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI have chronic obstructive pulmonary disease (COPD).\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Spontaneous pneumothorax\n2. Pulmonary embolism\n3. Myocarditis\n4. Guillain-Barré syndrome\n5. GERD\n6. Acute dystonic reactions\n7. Myasthenia gravis\n8. Anemia\n9. Panic attack\n10. Sarcoidosis\n11. Scombroid food poisoning\n\nfinal diagnosis: Spontaneous pneumothorax\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 8\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ear(R).\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI have a fever.\nI am more irritable and my mood has been very unstable recently.\nAntecedents:\nI am currently being treated with an oral antibiotic for an ear infection.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute otitis media\n2. Chagas\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 17\nSEX: M\nINITIAL EVIDENCE: footnumb\nSymptoms:\nI am experiencing shortness of breath.\nI feel weakness in both my arms and legs.\nI have numbness, loss of sensation, and tingling in my feet.\nI have had weakness or paralysis on one side of the face.\nI have weakness/paralysis in one or more of my limbs or in my face.\nAntecedents:\nI recently had a viral infection.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Guillain-Barré syndrome\n2. Myasthenia gravis\n3. Pulmonary embolism\n4. Atrial fibrillation\n5. Acute dystonic reactions\n6. Anemia\n7. Anaphylaxis\n8. Scombroid food poisoning\n9. PSVT\n10. Panic attack\n11. SLE\n12. Chagas\n\nfinal diagnosis: Guillain-Barré syndrome\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 37\nSEX: M\nINITIAL EVIDENCE: nausee\nSymptoms:\nI have had diarrhea and an increase in stool frequency.\nI am experiencing shortness of breath.\nI feel lightheaded, dizzy and like I am about to faint.\nMy cheeks suddenly turned red.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 6.\nThe affected regions are: back of the neck, biceps(R), biceps(L), mouth, ankle(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 2.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 10.\nI feel nauseous and like vomiting.\nI have a wheezing sound when I exhale.\nAntecedents:\nI ate dark-fleshed fish or Swiss cheese before the reaction occurred.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Scombroid food poisoning\n2. Anaphylaxis\n3. Anemia\n4. HIV (initial infection)\n5. Acute pulmonary edema\n6. Guillain-Barré syndrome\n7. Acute dystonic reactions\n8. Myasthenia gravis\n9. Pancreatic neoplasm\n10. Pulmonary neoplasm\n11. Panic attack\n\nfinal diagnosis: Scombroid food poisoning\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 55\nSEX: M\nINITIAL EVIDENCE: ww_dd\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, heavy.\nI feel pain in: ankle(R), ankle(L), upper chest, breast(R), posterior chest wall(R).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: biceps(R), jaw, scapula(R), scapula(L), triceps(L).\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI am experiencing shortness of breath.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), calf(R), calf(L), tibia(R), tibia(L).\nI have noticed new fatigue, generalized and vague discomfort, and diffuse muscle aches.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI have had fluid in my lungs.\nI have high blood pressure.\nI have heart failure.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute pulmonary edema\n2. SLE\n3. Possible NSTEMI / STEMI\n4. Anaphylaxis\n5. Pericarditis\n6. GERD\n7. Myocarditis\n8. Pulmonary embolism\n9. Pulmonary neoplasm\n10. Guillain-Barré syndrome\n11. Atrial fibrillation\n12. Chagas\n13. Acute dystonic reactions\n14. Myasthenia gravis\n15. Anemia\n16. Sarcoidosis\n17. Scombroid food poisoning\n18. PSVT\n19. Stable angina\n\nfinal diagnosis: Acute pulmonary edema\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 84\nSEX: F\nINITIAL EVIDENCE: fatig_mod\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, heavy, sharp, sickening, scary.\nI feel pain in: lower chest, biceps(L), side of the chest(R), upper chest, breast(R).\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R).\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nI feel nauseous and like vomiting.\nI have recently experienced a loss of appetite and get full more quickly than usual.\nAntecedents:\nI am infected with the human immunodeficiency virus (HIV).\nI have high cholesterol.\nI have high blood pressure.\nI am a former smoker.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Possible NSTEMI / STEMI\n2. SLE\n3. Panic attack\n4. Boerhaave\n5. Pulmonary neoplasm\n6. Acute pulmonary edema\n7. Anemia\n8. Guillain-Barré syndrome\n9. Atrial fibrillation\n10. Chagas\n11. Anaphylaxis\n12. GERD\n13. Unstable angina\n14. Acute dystonic reactions\n15. Myasthenia gravis\n16. Scombroid food poisoning\n17. Pericarditis\n18. Sarcoidosis\n\nfinal diagnosis: Possible NSTEMI / STEMI\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 42\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, a knife stroke, burning, sickening, scary.\nI feel pain in: lower chest, upper chest, hypochondrium(R), epigastric.\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: lower chest, upper chest.\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI have a burning sensation that starts in my stomach, goes up into my throat, and is associated with a bitter taste in my mouth.\nMy symptoms get worse after eating.\nAntecedents:\nI drink alcohol excessively and have an addiction to alcohol.\nI smoke cigarettes.\nI have a hiatal hernia.\nI have asthma.\nI am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. GERD\n2. Unstable angina\n3. Possible NSTEMI / STEMI\n4. Stable angina\n5. Pancreatic neoplasm\n\nfinal diagnosis: GERD\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 14\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: lower chest, side of the chest(R), breast(R), breast(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI feel out of breath with minimal physical effort.\nI am experiencing shortness of breath.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. GERD\n2. Pericarditis\n3. Myocarditis\n4. Sarcoidosis\n5. Scombroid food poisoning\n6. Pulmonary embolism\n\nfinal diagnosis: Myocarditis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 67\nSEX: F\nINITIAL EVIDENCE: perte_appet\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: sensitive, exhausting.\nI feel pain in: posterior chest wall(R).\nFrom a scale of 0-10, the pain intensity is 1.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 0.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI constantly feel fatigued and have non-restful sleep.\nI have recently experienced a loss of appetite and get full more quickly than usual.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\nI have family members who had lung cancer.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pulmonary neoplasm\n2. Possible NSTEMI / STEMI\n3. Unstable angina\n4. Anemia\n5. Pulmonary embolism\n\nfinal diagnosis: Pulmonary neoplasm\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 4\nSEX: F\nINITIAL EVIDENCE: prurit_nasal\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\nI live in a big city.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Allergic sinusitis\n2. Bronchitis\n3. URTI\n4. Influenza\n5. Pneumonia\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 50\nSEX: F\nINITIAL EVIDENCE: stridor\nSymptoms:\nI hear a high pitched sound when I breathe in.\nAntecedents:\nI smoke cigarettes.\nI have been diagnosed with gastroesophageal reflux.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Larygospasm\n\nfinal diagnosis: Larygospasm\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 76\nSEX: M\nINITIAL EVIDENCE: rectorragie\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp.\nI feel pain in: back of head, top of the head, forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI constantly feel fatigued and have non-restful sleep.\nI have recently had black stools.\nMy skin is much paler than usual.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have been diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. HIV (initial infection)\n3. Cluster headache\n4. Possible NSTEMI / STEMI\n\nfinal diagnosis: Anemia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 72\nSEX: F\nINITIAL EVIDENCE: perte_poids\nSymptoms:\nI have swollen or painful lymph nodes.\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious, a pulse, exhausting.\nI feel pain in: back of head, back of the neck, cervical spine, top of the head.\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI have a fever.\nI have a sore throat.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: lower gum, upper gum, labia majora(R), labia majora(L), internal cheek(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 4.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI feel nauseous and like vomiting.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI had a sexually transmitted infection.\nI am currently using intravenous drugs.\nI had sexual intercourse with an HIV-positive partner in the past 12 months.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. HIV (initial infection)\n2. Chagas\n3. URTI\n4. Possible NSTEMI / STEMI\n5. Scombroid food poisoning\n6. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 36\nSEX: F\nINITIAL EVIDENCE: adp_dlr\nSymptoms:\nI have swollen or painful lymph nodes.\nI have lost consciousness associated with violent and sustained muscle contractions.\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: finger (ring finger)(R), finger (ring finger)(L), finger (index)(L), finger (middle)(R), finger (middle)(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI am experiencing shortness of breath.\nI have diffuse redness in my eyes.\nThe colar of the rash is NA.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: nowhere.\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI work in agriculture.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Sarcoidosis\n2. Acute dystonic reactions\n3. Myocarditis\n4. Pulmonary neoplasm\n5. Pulmonary embolism\n\nfinal diagnosis: Sarcoidosis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 13\nSEX: M\nINITIAL EVIDENCE: melena\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp, exhausting.\nI feel pain in: back of head, top of the head, temple(R).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI am experiencing shortness of breath.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI constantly feel fatigued and have non-restful sleep.\nI have recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have been diagnosed with anemia.\nI have family members diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI have not traveled out of the country in the last 4 weeks.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Atrial fibrillation\n3. Myocarditis\n4. Panic attack\n5. Guillain-Barré syndrome\n6. HIV (initial infection)\n7. PSVT\n8. Acute dystonic reactions\n9. Myasthenia gravis\n10. Cluster headache\n\nfinal diagnosis: Anemia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 15\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ear(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 9.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have a fever.\nI am more irritable and my mood has been very unstable recently.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI am currently being treated with an oral antibiotic for an ear infection.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute otitis media\n2. HIV (initial infection)\n3. URTI\n4. Chagas\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 18\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, sharp.\nI feel pain in: side of the chest(R), side of the chest(L), breast(R), breast(L), posterior chest wall(R).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: posterior chest wall(L).\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI have a cough.\nI have pain that increases with movement.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI drink alcohol excessively and have an addiction to alcohol.\nI am being treated for osteoporosis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Spontaneous rib fracture\n2. Bronchitis\n3. Pulmonary embolism\n4. Possible NSTEMI / STEMI\n5. Unstable angina\n6. Stable angina\n7. Spontaneous pneumothorax\n\nfinal diagnosis: Spontaneous rib fracture\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 36\nSEX: M\nINITIAL EVIDENCE: diaph\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious.\nI feel pain in: cheek(R), cheek(L), temple(R).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 1.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have a fever.\nI have a sore throat.\nI have a cough.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI live with 4 or more people.\nI attend/work in a daycare.\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. URTI\n2. Bronchitis\n3. Tuberculosis\n4. Influenza\n5. HIV (initial infection)\n6. Chagas\n\nfinal diagnosis: URTI\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 15\nSEX: M\nINITIAL EVIDENCE: diaph\nSymptoms:\nI have swollen or painful lymph nodes.\nI have had significantly increased sweating.\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: a pulse, exhausting.\nI feel pain in: top of the head, forehead, temple(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI have a fever.\nI have a sore throat.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: lower gum, labia majora(R), labia majora(L), internal cheek(R), internal cheek(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 6.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI feel nauseous and like vomiting.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI have had unprotected sex with more than one partner in the last 6 months.\nI had sexual intercourse with an HIV-positive partner in the past 12 months.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. HIV (initial infection)\n2. Chagas\n3. Scombroid food poisoning\n4. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 34\nSEX: F\nINITIAL EVIDENCE: ww_nuit\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: side of the chest(R), side of the chest(L), upper chest, posterior chest wall(R).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 1.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\nI have a fever.\nI have had chills and shivers.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion peels off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: back of the neck, lumbar spine, commissure(L), side of the neck(R), side of the neck(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 4.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 5.\nI have recently experienced a loss of appetite and get full more quickly than usual.\nI have a cough.\nMy symptoms are more prominent at night.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI smoke cigarettes.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pneumonia\n2. Bronchitis\n3. Pulmonary neoplasm\n4. Bronchiectasis\n5. Pericarditis\n6. Tuberculosis\n7. GERD\n8. Pulmonary embolism\n9. Panic attack\n10. Possible NSTEMI / STEMI\n11. Unstable angina\n12. Acute COPD exacerbation / infection\n13. Boerhaave\n14. Stable angina\n15. Bronchospasm / acute asthma exacerbation\n16. Atrial fibrillation\n17. Myocarditis\n18. Guillain-Barré syndrome\n19. Acute dystonic reactions\n20. PSVT\n\nfinal diagnosis: Pneumonia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 73\nSEX: F\nINITIAL EVIDENCE: stridor\nSymptoms:\nI hear a high pitched sound when I breathe in.\nAntecedents:\nI smoke cigarettes.\nI have had a cold in the last 2 weeks.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Larygospasm\n\nfinal diagnosis: Larygospasm\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 52\nSEX: M\nINITIAL EVIDENCE: rds_deg\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: upper chest, breast(R), posterior chest wall(R).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\nI have had chills and shivers.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion peels off.\nFrom a scale of 0-10, the swelling of the rash is 4.\nThe affected regions are: commissure(R), commissure(L), belly.\nFrom a scale of 0-10, the pain intensity casued by the rash is 4.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have diffuse muscle pain.\nI have noticed new fatigue, generalized and vague discomfort, and diffuse muscle aches.\nI have a cough.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI smoke cigarettes.\nI have Parkinson's disease.\nI have heart failure.\nI have had a stroke.\nI have had pneumonia.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pneumonia\n2. Bronchitis\n3. Bronchiectasis\n4. Possible NSTEMI / STEMI\n5. Pulmonary embolism\n6. Panic attack\n7. GERD\n8. Unstable angina\n9. Spontaneous pneumothorax\n10. Pericarditis\n11. Acute COPD exacerbation / infection\n12. Stable angina\n13. Spontaneous rib fracture\n14. Myocarditis\n15. Boerhaave\n16. Pulmonary neoplasm\n17. Guillain-Barré syndrome\n18. Bronchospasm / acute asthma exacerbation\n19. Scombroid food poisoning\n20. Atrial fibrillation\n21. Acute dystonic reactions\n22. Myasthenia gravis\n23. Anemia\n24. Chagas\n25. PSVT\n\nfinal diagnosis: Pneumonia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 22\nSEX: M\nINITIAL EVIDENCE: perte_poids\nSymptoms:\nI have been coughing up blood.\nI have had an involuntary weight loss over the last 3 months.\nI have a cough.\nAntecedents:\nI am infected with the human immunodeficiency virus (HIV).\nI take corticosteroids.\nI drink alcohol excessively and have an addiction to alcohol.\nI have not traveled out of the country in the last 4 weeks.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Tuberculosis\n3. Pulmonary embolism\n\nfinal diagnosis: Tuberculosis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 44\nSEX: F\nINITIAL EVIDENCE: fievre\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: top of the head, forehead, cheek(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI have a fever.\nI have a sore throat.\nAntecedents:\nI attend/work in a daycare.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. URTI\n\nfinal diagnosis: URTI\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 20\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have been in contact with or ate something that I'm allergic to.\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: a knife stroke.\nI feel pain in: flank(L), iliac fossa(R), iliac fossa(L), belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI am experiencing shortness of breath.\nI feel lightheaded, dizzy and like I am about to faint.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 3.\nThe affected regions are: back of the neck, biceps(R), biceps(L), mouth, thyroid cartilage.\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 8.\nI have swelling in one or more areas of my body.\nThe swelling located in: forehead, cheek(R), nose.\nI lost consciousness.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anaphylaxis\n2. Panic attack\n3. Acute pulmonary edema\n4. GERD\n5. Pancreatic neoplasm\n6. Unstable angina\n7. Pulmonary embolism\n8. Anemia\n9. Stable angina\n10. Inguinal hernia\n11. Possible NSTEMI / STEMI\n12. PSVT\n13. Pericarditis\n14. Guillain-Barré syndrome\n15. Atrial fibrillation\n16. Myocarditis\n17. Chagas\n18. Acute dystonic reactions\n19. Myasthenia gravis\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 50\nSEX: M\nINITIAL EVIDENCE: laryngospasme\nSymptoms:\nI am experiencing shortness of breath.\nI have felt like I was suffocating for a very short time, unable to breathe or speak.\nI have a hard time opening/raising one or both eyelids.\nI am unable to control the direction of my eyes.\nI cannot turn my head to one side due to muscle spasms and soreness in my neck.\nI have annoying muscle spasms in my face, neck and other parts of my body.\nAntecedents:\nI have started taking antipsychotic medication within the last 7 days.\nI regularly take stimulant drugs.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute dystonic reactions\n2. Myasthenia gravis\n3. Pulmonary embolism\n4. Acute pulmonary edema\n5. Guillain-Barré syndrome\n6. Atrial fibrillation\n7. Myocarditis\n8. Anemia\n9. Anaphylaxis\n10. Scombroid food poisoning\n11. PSVT\n12. SLE\n13. Possible NSTEMI / STEMI\n14. Chagas\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 33\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have been in contact with or ate something that I'm allergic to.\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: flank(R), flank(L), iliac fossa(R), hypochondrium(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 6.\nThe affected regions are: back of the neck, biceps(R), mouth, thyroid cartilage, ankle(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 7.\nI have swelling in one or more areas of my body.\nThe swelling located in: cheek(R), cheek(L), nose.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anaphylaxis\n2. GERD\n3. Localized edema\n4. Possible NSTEMI / STEMI\n5. Inguinal hernia\n6. Unstable angina\n7. Pericarditis\n8. Pulmonary embolism\n9. Stable angina\n10. Chagas\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 43\nSEX: F\nINITIAL EVIDENCE: crach_sg\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: a knife stroke.\nI feel pain in: posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have recently experienced a loss of appetite and get full more quickly than usual.\nI have had an involuntary weight loss over the last 3 months.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI am a former smoker.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\nI have family members who had lung cancer.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pulmonary neoplasm\n2. Bronchitis\n3. Tuberculosis\n4. Spontaneous rib fracture\n5. Possible NSTEMI / STEMI\n6. Unstable angina\n\nfinal diagnosis: Pulmonary neoplasm\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 3\nSEX: F\nINITIAL EVIDENCE: fievre\nSymptoms:\nI have pain somewhere.\nThe pain is: burning.\nI feel pain in: lower chest, side of the chest(L), pharynx, breast(R).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI am experiencing shortness of breath.\nI have a fever.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nI have a wheezing sound when I exhale.\nAntecedents:\nI smoke cigarettes.\nI have chronic obstructive pulmonary disease (COPD).\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchospasm / acute asthma exacerbation\n2. Pneumonia\n3. Influenza\n4. Viral pharyngitis\n5. Bronchitis\n6. URTI\n7. Tuberculosis\n8. GERD\n9. Croup\n10. HIV (initial infection)\n11. Acute laryngitis\n12. Atrial fibrillation\n13. Myocarditis\n14. Guillain-Barré syndrome\n15. Acute dystonic reactions\n16. Myasthenia gravis\n17. Scombroid food poisoning\n18. Sarcoidosis\n19. Chagas\n20. Epiglottitis\n21. PSVT\n22. Spontaneous pneumothorax\n\nfinal diagnosis: Bronchitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 50\nSEX: F\nINITIAL EVIDENCE: fievre\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ear(R), ear(L).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have a fever.\nI have a cough.\nAntecedents:\nI am currently being treated with an oral antibiotic for an ear infection.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Acute otitis media\n3. Tuberculosis\n4. Pneumonia\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 57\nSEX: F\nINITIAL EVIDENCE: melena\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp, exhausting.\nI feel pain in: forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI am experiencing shortness of breath.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have recently had black stools.\nAntecedents:\nI have been diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to Central America.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Guillain-Barré syndrome\n3. Myocarditis\n4. Acute pulmonary edema\n5. Cluster headache\n6. Acute dystonic reactions\n7. Myasthenia gravis\n8. Anaphylaxis\n9. Scombroid food poisoning\n10. SLE\n\nfinal diagnosis: Anemia\n" } ]