Datasets:

YBXL

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DDXPlus_Reasoning_new_train_filtered

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[ { "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: vo_violent\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, violent, sickening.\nI feel pain in: lower chest, upper chest, hypochondrium(R), belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: thoracic spine.\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 feel nauseous and like vomiting.\nI have recently thrown up blood or something resembling coffee beans.\nI have vomited several times.\nAntecedents:\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. Boerhaave\n2. Panic attack\n3. Spontaneous pneumothorax\n4. Acute pulmonary edema\n5. Pulmonary embolism\n6. Guillain-Barré syndrome\n7. Atrial fibrillation\n8. Acute dystonic reactions\n9. Myasthenia gravis\n10. Anemia\n11. Sarcoidosis\n12. Pancreatic neoplasm\n13. PSVT\n14. Possible NSTEMI / STEMI\n15. GERD\n\nfinal diagnosis: Boerhaave\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: 63\nSEX: F\nINITIAL EVIDENCE: ww_respi\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, violent, sharp.\nI feel pain in: lower chest, side of the chest(L), breast(R), breast(L), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: posterior chest wall(R).\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 10.\nI have intense coughing fits.\nI have pain that increases with movement.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI have metastatic cancer.\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. Whooping cough\n4. Possible NSTEMI / STEMI\n5. Pulmonary embolism\n6. Unstable angina\n7. Boerhaave\n8. GERD\n9. Stable angina\n10. 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: 24\nSEX: M\nINITIAL EVIDENCE: prurit_nasal\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have a cough.\nAntecedents:\nI have close family members who suffer from allergies, hay fever, and eczema.\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. Bronchitis\n2. 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: 29\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, violent, sharp.\nI feel pain in: side of the chest(R), 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 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 7.\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 have metastatic cancer.\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. Tuberculosis\n8. Unstable angina\n9. Panic attack\n10. Stable angina\n11. Pericarditis\n12. Whooping cough\n13. Guillain-Barré syndrome\n14. Myocarditis\n15. Bronchospasm / acute asthma exacerbation\n16. Atrial fibrillation\n17. Bronchiectasis\n18. Acute dystonic reactions\n19. Myasthenia gravis\n20. Anemia\n21. Sarcoidosis\n22. Scombroid food poisoning\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: 54\nSEX: F\nINITIAL EVIDENCE: crach_sg\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: posterior chest wall(R).\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 4.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI am experiencing shortness of breath.\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. Tuberculosis\n3. Bronchitis\n4. Pulmonary embolism\n5. Pneumonia\n6. Possible NSTEMI / STEMI\n7. Unstable angina\n8. Acute pulmonary edema\n9. Bronchiectasis\n10. Guillain-Barré syndrome\n11. Stable angina\n12. Bronchospasm / acute asthma exacerbation\n13. Atrial fibrillation\n14. Spontaneous rib fracture\n15. Acute dystonic reactions\n16. Myocarditis\n17. PSVT\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: 9\nSEX: F\nINITIAL EVIDENCE: psy_depers\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), flank(R), iliac fossa(R), hypochondrium(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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI feel like I am choking or suffocating.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel like I am dying.\nI feel nauseous and like vomiting.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nI feel like I am detached from my own body or surroundings.\nAntecedents:\nI feel anxious.\nMembers of my immediate family have a psychiatric illness.\nI drink alcohol excessively and have an addiction to alcohol.\nI have been diagnosed with depression.\nI have asthma.\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\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: 63\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, sharp.\nI feel pain in: ankle(R), ankle(L), thigh(L), dorsal aspect of the foot(R), dorsal aspect of the foot(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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(L).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI take corticosteroids.\nI have heart failure.\nI have had deep vein thrombosis (DVT).\nI have liver cirrhosis.\nI have had surgery to remove lymph nodes.\nI take a calcium channel blockers medication.\nI have a kidney problem that results in an inability to retain proteins.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Localized edema\n2. Pulmonary embolism\n3. Chagas\n4. Anaphylaxis\n5. SLE\n\nfinal diagnosis: Localized 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: 54\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI see two images of a single object overlapping or adjacent to each other.\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.\nI have weakness/paralysis in one or more of my limbs or in my face.\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. Guillain-Barré syndrome\n3. Pulmonary embolism\n4. Acute dystonic reactions\n5. Acute pulmonary edema\n6. Atrial fibrillation\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: 56\nSEX: M\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ankle(R), popliteal fossa(R), dorsal aspect of the wrist(R), knee(R), shoulder(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 5.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI have lesions and redness on my skin.\nThe colar of the rash is red.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: cheek(L), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 2.\nI have painful mouth ulcers or sores.\nAntecedents:\nI have had pericarditis.\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. Possible NSTEMI / STEMI\n2. Unstable angina\n3. SLE\n4. Stable angina\n5. Pulmonary embolism\n\nfinal diagnosis: SLE\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: douleurxx\nSymptoms:\nMy symptoms have worsened over the last 2 weeks and progressively less effort is causing them.\nI have chest pain even at rest.\nI have pain somewhere.\nThe pain is: exhausting.\nI feel pain in: thyroid cartilage, upper chest, scapula(R), scapula(L), breast(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: biceps(L), thyroid cartilage, thoracic spine, under the jaw, shoulder(R).\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.\nAntecedents:\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.\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. Possible NSTEMI / STEMI\n2. Unstable angina\n3. Guillain-Barré syndrome\n4. Atrial fibrillation\n5. GERD\n6. Pericarditis\n7. Acute dystonic reactions\n8. Anaphylaxis\n9. Sarcoidosis\n10. Myocarditis\n11. Scombroid food poisoning\n12. PSVT\n13. Acute laryngitis\n14. Viral pharyngitis\n\nfinal diagnosis: Unstable 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: 14\nSEX: F\nINITIAL EVIDENCE: paresthesies_bilat\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: flank(L), iliac fossa(R), iliac fossa(L), hypochondrium(R), hypochondrium(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 9.\nI feel like I am choking or suffocating.\nI feel like I am dying.\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.\nI feel like I am detached from my own body or surroundings.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\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. Atrial fibrillation\n4. Inguinal hernia\n5. Boerhaave\n6. Anaphylaxis\n7. Scombroid food poisoning\n8. Guillain-Barré syndrome\n9. Chagas\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: 25\nSEX: M\nINITIAL EVIDENCE: ww_respi\nSymptoms:\nI have chest pain even at rest.\nI have pain somewhere.\nThe pain is: a knife stroke.\nI feel pain in: side of the chest(R), upper chest, breast(R), breast(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 7.\nFrom a scale of 0-10, the pain's occurrence speed is 10.\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 had a spontaneous pneumothorax.\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. Unstable angina\n2. Spontaneous pneumothorax\n3. Pulmonary embolism\n4. Possible NSTEMI / STEMI\n5. Stable angina\n6. Atrial fibrillation\n7. Panic attack\n8. Myocarditis\n9. Acute pulmonary edema\n10. Pericarditis\n11. Guillain-Barré syndrome\n12. GERD\n13. Acute dystonic reactions\n14. Sarcoidosis\n15. 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: 35\nSEX: M\nINITIAL EVIDENCE: toux\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, burning, sickening.\nI feel pain in: lower chest, hypochondrium(R), epigastric.\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: lower chest.\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 recently had black stools.\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 am significantly overweight compared to people of the same height as me.\nI drink alcohol excessively and have an addiction to alcohol.\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. GERD\n2. Bronchitis\n3. Pericarditis\n4. Spontaneous rib fracture\n5. Unstable angina\n6. Boerhaave\n7. Anemia\n8. Possible NSTEMI / STEMI\n9. Tuberculosis\n10. Stable angina\n11. 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: 37\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, a knife stroke, tugging, burning, sickening.\nI feel pain in: lower chest, hypochondrium(R), hypochondrium(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: lower chest, upper chest.\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 cough.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI have a hiatal hernia.\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. Bronchitis\n2. Possible NSTEMI / STEMI\n3. GERD\n4. Unstable angina\n5. Stable angina\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: 39\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: back of the neck, ankle(L), dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), shoulder(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 10.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI constantly feel fatigued and have non-restful sleep.\nI have lesions and redness on my skin.\nThe colar of the rash is red.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 3.\nThe affected regions are: cheek(L), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have painful mouth ulcers or sores.\nAntecedents:\nI have had pericarditis.\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. Possible NSTEMI / STEMI\n3. Scombroid food poisoning\n4. Unstable angina\n5. Anemia\n6. Stable angina\n7. HIV (initial infection)\n8. Pulmonary embolism\n\nfinal diagnosis: SLE\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: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: back of the neck, ankle(R), ankle(L), dorsal aspect of the wrist(R), shoulder(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 0.\nI am experiencing shortness of breath.\nI have lesions and redness on my skin.\nThe colar of the rash is red.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 2.\nThe affected regions are: cheek(R), cheek(L), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 3.\nAntecedents:\nI have had pericarditis.\nI smoke cigarettes.\nI have high blood pressure.\nI had my first menstrual period before the age of 12.\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. Possible NSTEMI / STEMI\n3. Pulmonary embolism\n4. Guillain-Barré syndrome\n5. Bronchospasm / acute asthma exacerbation\n6. Anaphylaxis\n7. Acute dystonic reactions\n8. Stable angina\n9. Myocarditis\n\nfinal diagnosis: SLE\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: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ankle(R), ankle(L), dorsal aspect of the wrist(R), shoulder(R), shoulder(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 7.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nI have lesions and redness on my skin.\nThe colar of the rash is red.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 3.\nThe affected regions are: cheek(L), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 2.\nAntecedents:\nI have had pericarditis.\nI breastfed one of my children for more than 9 months.\nI smoke cigarettes.\nI have high blood pressure.\nI had my first menstrual period before the age of 12.\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. Pulmonary embolism\n3. SLE\n4. Anemia\n5. Guillain-Barré syndrome\n6. Atrial fibrillation\n7. Myocarditis\n8. Pulmonary neoplasm\n9. Bronchospasm / acute asthma exacerbation\n10. Anaphylaxis\n11. Acute dystonic reactions\n12. Myasthenia gravis\n13. Stable angina\n14. Pancreatic neoplasm\n15. Unstable angina\n16. PSVT\n\nfinal diagnosis: SLE\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: 63\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: side of the chest(L), flank(L), iliac fossa(L), hypochondrium(R), breast(R).\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 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 like I am dying.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI feel like I am detached from my own body or surroundings.\nAntecedents:\nMembers of my immediate family have a psychiatric illness.\nI drink alcohol excessively and have an addiction to alcohol.\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI have had a migraine.\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. Spontaneous pneumothorax\n4. Pericarditis\n5. Possible NSTEMI / STEMI\n6. Atrial fibrillation\n7. Anemia\n8. Anaphylaxis\n9. Myocarditis\n10. Pulmonary embolism\n11. Acute pulmonary edema\n12. Unstable angina\n13. Stable angina\n14. GERD\n15. Inguinal hernia\n16. Scombroid food poisoning\n17. Acute dystonic reactions\n18. Myasthenia gravis\n19. Guillain-Barré syndrome\n20. Sarcoidosis\n21. Pancreatic neoplasm\n22. 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: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tugging, burning, sickening.\nI feel pain in: upper chest, hypochondrium(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 5.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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 am significantly overweight compared to people of the same height as me.\nI drink alcohol excessively and have an addiction to alcohol.\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. GERD\n2. Bronchitis\n3. Pericarditis\n4. Spontaneous rib fracture\n5. Unstable angina\n6. Tuberculosis\n7. Possible NSTEMI / STEMI\n8. 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: 17\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: back of the neck, ankle(R), ankle(L), dorsal aspect of the wrist(R), palmar face of the wrist(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 6.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI am experiencing shortness of breath.\nI have lesions and redness on my skin.\nThe colar of the rash is red.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 2.\nThe affected regions are: cheek(L).\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 2.\nAntecedents:\nI have had pericarditis.\nI breastfed one of my children for more than 9 months.\nI had my first menstrual period before the age of 12.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pulmonary embolism\n2. SLE\n3. Myocarditis\n4. Bronchospasm / acute asthma exacerbation\n5. Anaphylaxis\n6. Acute dystonic reactions\n7. Anemia\n\nfinal diagnosis: SLE\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: toux\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: breast(R), breast(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 7.\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 nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI have chronic obstructive pulmonary disease (COPD).\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. Pneumonia\n2. Bronchitis\n3. Bronchiectasis\n4. Panic attack\n5. Acute COPD exacerbation / infection\n6. URTI\n7. Possible NSTEMI / STEMI\n8. Unstable angina\n9. Pericarditis\n10. Tuberculosis\n11. Stable angina\n12. Bronchospasm / acute asthma exacerbation\n13. Atrial fibrillation\n14. Guillain-Barré syndrome\n15. Acute dystonic reactions\n16. Myocarditis\n17. 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: 2\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI am experiencing shortness of breath.\nI have a cough.\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 exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchospasm / acute asthma exacerbation\n2. Pneumonia\n3. Bronchitis\n4. Pulmonary embolism\n5. Tuberculosis\n6. Anaphylaxis\n7. Guillain-Barré syndrome\n8. Atrial fibrillation\n9. Myocarditis\n10. Acute dystonic reactions\n11. Myasthenia gravis\n12. Anemia\n13. Scombroid food poisoning\n14. PSVT\n15. SLE\n16. 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: 14\nSEX: M\nINITIAL EVIDENCE: impression_mort\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: side of the chest(R), side of the chest(L), iliac fossa(R), hypochondrium(R), 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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI am experiencing shortness of breath.\nI feel like I am dying.\nI feel nauseous and like vomiting.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI feel like I am detached from my own body or surroundings.\nAntecedents:\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI have asthma.\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. Spontaneous pneumothorax\n3. Atrial fibrillation\n4. Boerhaave\n5. PSVT\n6. Pulmonary embolism\n7. Anaphylaxis\n8. GERD\n9. Inguinal hernia\n10. Scombroid food poisoning\n11. Acute dystonic reactions\n12. Myasthenia gravis\n13. Anemia\n14. HIV (initial infection)\n15. Guillain-Barré syndrome\n16. Sarcoidosis\n17. Chagas\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: 48\nSEX: M\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious.\nI feel pain in: top of the head, cheek(R), cheek(L), 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 5.\nI have a cough that produces colored and abundant sputum.\nI have a fever.\nI have a sore throat.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI live with 4 or more people.\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. Pneumonia\n3. Bronchitis\n4. Influenza\n5. Bronchiectasis\n6. Tuberculosis\n7. HIV (initial infection)\n8. Chronic rhinosinusitis\n9. 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: 75\nSEX: F\nINITIAL EVIDENCE: diaph\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: side of the chest(R), flank(R), flank(L), iliac fossa(L), pubis.\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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel like I am dying.\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.\nI feel like I am detached from my own body or surroundings.\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 have had a migraine.\nI have asthma.\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. Possible NSTEMI / STEMI\n4. Guillain-Barré syndrome\n5. Anaphylaxis\n6. Unstable angina\n7. Anemia\n8. Atrial fibrillation\n9. Inguinal hernia\n10. Boerhaave\n11. Scombroid food poisoning\n12. HIV (initial infection)\n13. Chagas\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: 54\nSEX: M\nINITIAL EVIDENCE: nausee\nSymptoms:\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: a cramp.\nI feel pain in: hypochondrium(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 4.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI have lesions and redness on my skin.\nThe colar of the rash is yellow.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: epigastric.\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 2.\nI feel nauseous and like vomiting.\nI have pale stools and dark urine.\nAntecedents:\nI have chronic pancreatitis.\nI have diabetes.\nI am significantly overweight compared to people of the same height as me.\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. Pancreatic neoplasm\n2. Boerhaave\n3. GERD\n\nfinal diagnosis: Pancreatic 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: 14\nSEX: M\nINITIAL EVIDENCE: ww_bouger\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(R), posterior chest wall(L).\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 7.\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 have metastatic cancer.\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. Whooping cough\n4. Pulmonary embolism\n5. 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: 32\nSEX: F\nINITIAL EVIDENCE: larmes\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, a knife stroke, violent, sharp.\nI feel pain in: forehead, cheek(R), cheek(L), eye(R), eye(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 9.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nMy eyes produce excessive tears.\nAntecedents:\nMy family members have been diagnosed with cluster headaches.\nI drink alcohol excessively and have an addiction to alcohol.\nI take medication that dilates my blood vessels.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Cluster headache\n\nfinal diagnosis: Cluster headache\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: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tugging, a cramp, exhausting.\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 3.\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 2.\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.\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 am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to South America.\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: 43\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: sensitive, heavy.\nI feel pain in: top of the head, forehead, cheek(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 3.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\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. Cluster headache\n2. URTI\n3. Chagas\n4. Anemia\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: 17\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: sensitive, a knife stroke, sharp.\nI feel pain in: side of the chest(R), side of the chest(L), scapula(L), breast(R), breast(L).\nFrom a scale of 0-10, the pain intensity is 10.\nThe pain radiates to: side of the chest(R), side of the chest(L), scapula(L), 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 7.\nI am experiencing shortness of breath.\nI have swelling in one or more areas of my body.\nThe swelling located in: posterior aspect of the ankle(R), posterior aspect of the ankle(L), calf(R).\nAntecedents:\nI have an active cancer.\nI have had deep vein thrombosis (DVT).\nI have been unable to move or get up for more than 3 consecutive days within the last 4 weeks.\nI had surgery within the last month.\nI traveled out of the conutry in the last 4 weeks. I traveled to North America.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pulmonary embolism\n2. Ebola\n3. Myocarditis\n4. Atrial fibrillation\n5. Pericarditis\n6. Acute dystonic reactions\n7. Myasthenia gravis\n8. Anemia\n9. Guillain-Barré syndrome\n10. Sarcoidosis\n11. PSVT\n12. Panic attack\n\nfinal diagnosis: Pulmonary embolism\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 had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: sensitive, a cramp.\nI feel pain in: flank(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: thoracic spine.\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 have lesions and redness on my skin.\nThe colar of the rash is yellow.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 3.\nThe affected regions are: epigastric.\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 4.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\nMembers of my family have been diagnosed with pancreatic cancer.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pancreatic neoplasm\n2. Anaphylaxis\n3. Unstable angina\n4. Stable angina\n5. GERD\n\nfinal diagnosis: Pancreatic 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: 47\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: side of the chest(L), flank(L), iliac fossa(R), iliac fossa(L), hypochondrium(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 7.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\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 like I am dying.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI feel like I am detached from my own body or surroundings.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI feel anxious.\nMembers of my immediate family have a psychiatric illness.\nI drink alcohol excessively and have an addiction to alcohol.\nI have had a migraine.\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. Possible NSTEMI / STEMI\n4. Spontaneous pneumothorax\n5. Anemia\n6. Anaphylaxis\n7. Guillain-Barré syndrome\n8. Pulmonary embolism\n9. Atrial fibrillation\n10. Acute pulmonary edema\n11. Unstable angina\n12. Stable angina\n13. GERD\n14. Inguinal hernia\n15. Scombroid food poisoning\n16. Acute dystonic reactions\n17. Myasthenia gravis\n18. Sarcoidosis\n19. Pancreatic neoplasm\n20. SLE\n21. Chagas\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: 58\nSEX: F\nINITIAL EVIDENCE: trismus\nSymptoms:\nI have trouble keeping my tongue in my mouth.\nI suddenly have difficulty opening my mouth and experience jaw pain when I do.\nAntecedents:\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\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: 31\nSEX: F\nINITIAL EVIDENCE: oedeme\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, heavy.\nI feel pain in: ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R), dorsal aspect of the foot(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 7.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R).\nAntecedents:\nI have an issue with one of my heart valves.\nI have heart failure.\nI have liver cirrhosis.\nI have had surgery to remove lymph nodes.\nI have been diagnosed with obstructive sleep apnea.\nI have a kidney problem that results in an inability to retain proteins.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Localized edema\n2. Pulmonary embolism\n3. Chagas\n4. Anaphylaxis\n5. SLE\n\nfinal diagnosis: Localized 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: 61\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, tugging, sharp.\nI feel pain in: ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R), dorsal aspect of the foot(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 8.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI have an issue with one of my heart valves.\nI have heart failure.\nI have liver cirrhosis.\nI have had surgery to remove lymph nodes.\nI take a calcium channel blockers medication.\nI have been diagnosed with obstructive sleep apnea.\nI have a kidney problem that results in an inability to retain proteins.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Localized edema\n2. Pulmonary embolism\n3. Chagas\n4. Anaphylaxis\n5. SLE\n\nfinal diagnosis: Localized 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: 72\nSEX: F\nINITIAL EVIDENCE: fatig_mod\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: heavy, sharp, sickening, scary.\nI feel pain in: biceps(R), side of the chest(R), side of the chest(L), breast(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: biceps(R), biceps(L), thyroid cartilage, shoulder(R), shoulder(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 7.\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 smoke cigarettes.\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. Possible NSTEMI / STEMI\n2. Anemia\n3. Pericarditis\n4. Chagas\n5. Pancreatic neoplasm\n6. Panic attack\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: 16\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI am experiencing shortness of breath.\nI have a cough.\nAntecedents:\nI have cystic fibrosis.\nI have Rheumatoid Arthritis.\nI have had pneumonia.\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. Pulmonary embolism\n3. Guillain-Barré syndrome\n4. Bronchospasm / acute asthma exacerbation\n5. Atrial fibrillation\n6. Myocarditis\n7. Bronchiectasis\n8. Acute dystonic reactions\n9. Myasthenia gravis\n10. Anemia\n11. Anaphylaxis\n12. Tuberculosis\n13. Pneumonia\n14. Scombroid food poisoning\n15. PSVT\n16. SLE\n17. Chagas\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: 38\nSEX: M\nINITIAL EVIDENCE: toux\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 close family members who suffer from allergies, hay fever, and eczema.\nI traveled out of the conutry in the last 4 weeks. I traveled to North America.\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\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: 57\nSEX: F\nINITIAL EVIDENCE: wheez\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 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. 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: 8\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: ankle(L), dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), shoulder(R), shoulder(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 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 lesions and redness on my skin.\nThe colar of the rash is red.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: cheek(L).\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nAntecedents:\nI have had pericarditis.\nI smoke cigarettes.\nI have high blood pressure.\nI had my first menstrual period before the age of 12.\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. Anemia\n3. Pulmonary embolism\n\nfinal diagnosis: SLE\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: 86\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, sensitive, heavy, sharp.\nI feel pain in: ankle(R), ankle(L), thigh(L), dorsal aspect of the foot(R), dorsal aspect of the foot(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 8.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI have an issue with one of my heart valves.\nI take corticosteroids.\nI have had deep vein thrombosis (DVT).\nI take a calcium channel blockers medication.\nI have been diagnosed with obstructive sleep apnea.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Localized edema\n2. Chagas\n3. Anaphylaxis\n\nfinal diagnosis: Localized 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: 4\nSEX: M\nINITIAL EVIDENCE: fievre\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(R), tonsil(L), back of the neck, palace, pharynx.\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 8.\nI have difficulty swallowing and feel discomfort/blockage when swallowing.\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 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.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Epiglottitis\n2. Croup\n3. HIV (initial infection)\n4. Myasthenia gravis\n5. Acute laryngitis\n6. Larygospasm\n7. Atrial fibrillation\n8. Chagas\n9. Pneumonia\n10. Guillain-Barré syndrome\n11. Acute dystonic reactions\n12. Myocarditis\n13. Pulmonary embolism\n14. Scombroid food poisoning\n15. PSVT\n16. SLE\n17. Anaphylaxis\n18. 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: 61\nSEX: F\nINITIAL EVIDENCE: palpit\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.\nMy heart is beating very irregularly or in a disorganized pattern.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI have been diagnosed with hyperthyroidism.\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 a known heart defect.\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. Acute pulmonary edema\n4. Myocarditis\n5. Pulmonary embolism\n6. Panic attack\n7. Anemia\n8. Guillain-Barré syndrome\n9. Scombroid food poisoning\n10. Acute dystonic reactions\n11. Myasthenia gravis\n12. Anaphylaxis\n13. 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: 47\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: 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 2.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\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 am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to North Africa.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Cluster headache\n3. PSVT\n4. Atrial fibrillation\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: palpit\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp.\nI feel pain in: side of the chest(L), flank(R), flank(L), iliac fossa(R), hypochondrium(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 am experiencing shortness of breath.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel like I am dying.\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.\nI feel like I am detached from my own body or surroundings.\nAntecedents:\nMembers of my immediate family have a psychiatric illness.\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI have had a migraine.\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. Anemia\n9. Atrial fibrillation\n10. Boerhaave\n11. Acute pulmonary edema\n12. Pulmonary embolism\n13. Scombroid food poisoning\n14. GERD\n15. Inguinal hernia\n16. Stable angina\n17. Acute dystonic reactions\n18. Myasthenia gravis\n19. Sarcoidosis\n20. Pancreatic neoplasm\n21. Chagas\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: 18\nSEX: M\nINITIAL EVIDENCE: rds_paresthesie_gen\nSymptoms:\nI am experiencing shortness of breath.\nI have weakness in my facial muscles and/or eyes.\nI feel weakness in both my arms and legs.\nI have had weakness or paralysis on one side of the face.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\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. Panic attack\n3. Myasthenia gravis\n4. Pulmonary embolism\n5. Acute pulmonary edema\n6. Atrial fibrillation\n7. Acute dystonic reactions\n8. Anemia\n9. Anaphylaxis\n10. Scombroid food poisoning\n11. PSVT\n12. SLE\n13. Possible NSTEMI / STEMI\n14. 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: 53\nSEX: F\nINITIAL EVIDENCE: nausee\nSymptoms:\nI have pain somewhere.\nThe pain is: heavy, sharp, sickening, scary.\nI feel pain in: side of the chest(L), upper chest, breast(R), breast(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: biceps(R), biceps(L), thoracic spine, shoulder(R), shoulder(L).\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 8.\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 diabetes.\nI have high cholesterol.\nI have had a heart attack and I have angina.\nI am a former smoker.\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. Possible NSTEMI / STEMI\n2. Pulmonary neoplasm\n3. Acute pulmonary edema\n4. Anemia\n5. GERD\n6. Anaphylaxis\n7. Guillain-Barré syndrome\n8. Atrial fibrillation\n9. Pancreatic neoplasm\n10. Chagas\n11. SLE\n12. Acute dystonic reactions\n13. Myasthenia gravis\n14. Scombroid food poisoning\n15. Unstable angina\n16. Sarcoidosis\n17. Pericarditis\n18. PSVT\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: 24\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, burning.\nI feel pain in: upper chest, epigastric.\nFrom a scale of 0-10, the pain intensity is 7.\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 cough.\nMy symptoms get worse after eating.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI drink alcohol excessively and have an addiction to alcohol.\nI have a hiatal hernia.\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. Unstable angina\n4. Pericarditis\n5. Tuberculosis\n6. Possible NSTEMI / STEMI\n7. 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: 33\nSEX: M\nINITIAL EVIDENCE: oedeme\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, tugging.\nI feel pain in: thigh(R), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(R), sole(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 4.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(L), thigh(R), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(R).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI have an issue with one of my heart valves.\nI have heart failure.\nI have had deep vein thrombosis (DVT).\nI have had surgery to remove lymph nodes.\nI take a calcium channel blockers medication.\nI have been diagnosed with obstructive sleep apnea.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Localized edema\n2. Chagas\n3. Anaphylaxis\n\nfinal diagnosis: Localized 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: 32\nSEX: F\nINITIAL EVIDENCE: ww_respi\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, violent, sharp.\nI feel pain in: side of the chest(R), 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 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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 9.\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 have metastatic cancer.\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. Tuberculosis\n8. Unstable angina\n9. Panic attack\n10. Stable angina\n11. Pericarditis\n12. Whooping cough\n13. Guillain-Barré syndrome\n14. Myocarditis\n15. Bronchospasm / acute asthma exacerbation\n16. Atrial fibrillation\n17. Bronchiectasis\n18. Acute dystonic reactions\n19. Myasthenia gravis\n20. Anemia\n21. Sarcoidosis\n22. Scombroid food poisoning\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: 52\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, a knife stroke, tugging, burning.\nI feel pain in: epigastric.\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: lower chest, upper chest.\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 3.\nI have recently had black stools.\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.\nI have recently thrown up blood or something resembling coffee beans.\nMy symptoms get worse after eating.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\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. GERD\n2. Bronchitis\n3. Boerhaave\n4. Anemia\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: 51\nSEX: F\nINITIAL EVIDENCE: impression_mort\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: a cramp.\nI feel pain in: side of the chest(R), side of the chest(L), flank(L), hypochondrium(R), 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 10.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI am experiencing shortness of breath.\nI feel like I am choking or suffocating.\nI feel like I am dying.\nI feel nauseous and like vomiting.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI feel like I am detached from my own body or surroundings.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI feel anxious.\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI have asthma.\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. Possible NSTEMI / STEMI\n3. Spontaneous pneumothorax\n4. PSVT\n5. Unstable angina\n6. Acute pulmonary edema\n7. Atrial fibrillation\n8. Pericarditis\n9. Guillain-Barré syndrome\n10. Boerhaave\n11. Pulmonary embolism\n12. Anaphylaxis\n13. GERD\n14. Scombroid food poisoning\n15. Stable angina\n16. Acute dystonic reactions\n17. Myasthenia gravis\n18. Anemia\n19. HIV (initial infection)\n20. Sarcoidosis\n21. Chagas\n22. Pancreatic neoplasm\n23. 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: 30\nSEX: F\nINITIAL EVIDENCE: oedeme\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging.\nI feel pain in: ankle(L), thigh(R), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: lateral side of the foot(R), thigh(R), thigh(L), dorsal aspect of the foot(L), sole(L).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI have an issue with one of my heart valves.\nI take corticosteroids.\nI have heart failure.\nI have liver cirrhosis.\nI have a kidney problem that results in an inability to retain proteins.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Localized edema\n2. Pulmonary embolism\n3. Chagas\n4. Anaphylaxis\n5. SLE\n\nfinal diagnosis: Localized 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: 20\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp.\nI feel pain in: back of 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 3.\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.\nAntecedents:\nI have a poor diet.\nI have been 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. Chagas\n3. Acute dystonic reactions\n4. Cluster headache\n5. Myocarditis\n6. SLE\n7. Possible NSTEMI / STEMI\n8. Pulmonary embolism\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: 48\nSEX: M\nINITIAL EVIDENCE: douleurxx\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 8.\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.\nI have nasal congestion and a clear runny nose.\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. Acute otitis media\n2. Bronchitis\n3. URTI\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: 24\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: burning.\nI feel pain in: mouth, forehead, nose, eye(L), temple(R).\nFrom a scale of 0-10, the pain intensity is 1.\nThe pain radiates to: back of head, forehead, 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 4.\nI have greenish or yellowish nasal discharge.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI have had a cold in the last 2 weeks.\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.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute rhinosinusitis\n2. Bronchitis\n3. Chronic rhinosinusitis\n4. Acute laryngitis\n5. Viral pharyngitis\n6. Cluster headache\n7. Chagas\n8. Anemia\n\nfinal diagnosis: Chronic 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: 19\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have chest pain even at rest.\nI have pain somewhere.\nThe pain is: a knife stroke, violent.\nI feel pain in: upper chest, breast(R), breast(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 7.\nI am experiencing shortness of breath.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI have had a spontaneous pneumothorax.\nI smoke cigarettes.\nI have chronic obstructive pulmonary disease (COPD).\nMy family members had a pneumothorax.\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. Possible NSTEMI / STEMI\n4. Panic attack\n5. Pericarditis\n6. Guillain-Barré syndrome\n7. Atrial fibrillation\n8. GERD\n9. Unstable angina\n10. Acute dystonic reactions\n11. Myasthenia gravis\n12. Anemia\n13. Sarcoidosis\n14. Myocarditis\n15. Scombroid food poisoning\n16. PSVT\n17. Stable angina\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: 26\nSEX: F\nINITIAL EVIDENCE: claud_mâchoire\nSymptoms:\nI have pain and weakness in my jaw.\nI see two images of a single object overlapping or adjacent to each other.\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.\nI have weakness/paralysis in one or more of my limbs or in my face.\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. Guillain-Barré syndrome\n3. Pulmonary embolism\n4. Acute dystonic reactions\n5. Acute pulmonary edema\n6. Atrial fibrillation\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: 38\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp.\nI feel pain in: forehead, temple(L).\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 4.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\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 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 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. HIV (initial infection)\n3. Cluster headache\n4. PSVT\n5. Atrial fibrillation\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: 64\nSEX: F\nINITIAL EVIDENCE: etourdissement\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging, a cramp, exhausting.\nI feel pain in: back of head, top of the head, forehead.\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 am experiencing shortness of breath.\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 constantly feel fatigued and have non-restful sleep.\nMy skin is much paler than usual.\nAntecedents:\nI have a poor diet.\nI have been diagnosed with anemia.\nI have family members diagnosed with anemia.\nI have chronic kidney failure.\nI am pregnant.\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. Acute pulmonary edema\n3. Guillain-Barré syndrome\n4. Chagas\n5. Cluster headache\n6. HIV (initial infection)\n7. SLE\n8. Pulmonary neoplasm\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. Anaphylaxis\n12. Myocarditis\n13. Scombroid food poisoning\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: 53\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: back of the neck, ankle(R), ankle(L), palmar face of the wrist(R), shoulder(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 am experiencing shortness of breath.\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.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have painful mouth ulcers or sores.\nAntecedents:\nI have had pericarditis.\nI smoke cigarettes.\nI have high blood pressure.\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. Pulmonary embolism\n3. SLE\n\nfinal diagnosis: SLE\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: 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 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: 24\nSEX: F\nINITIAL EVIDENCE: ww_bouger\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, a knife stroke, violent, 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 8.\nThe pain radiates to: posterior chest wall(L).\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 8.\nI am experiencing shortness of breath.\nI have intense coughing fits.\nI have pain that increases with movement.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI am being treated for osteoporosis.\nI traveled out of the conutry in the last 4 weeks. I traveled to North America.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pulmonary embolism\n2. Bronchitis\n3. Spontaneous pneumothorax\n4. Spontaneous rib fracture\n5. Possible NSTEMI / STEMI\n6. Pneumonia\n7. Tuberculosis\n8. Panic attack\n9. Pericarditis\n10. Whooping cough\n11. Guillain-Barré syndrome\n12. Bronchospasm / acute asthma exacerbation\n13. Atrial fibrillation\n14. Bronchiectasis\n15. Acute dystonic reactions\n16. Myasthenia gravis\n17. Anemia\n18. Sarcoidosis\n19. Myocarditis\n20. Ebola\n21. Scombroid food poisoning\n22. PSVT\n23. Stable angina\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: 28\nSEX: M\nINITIAL EVIDENCE: gain_poids\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, tugging, heavy.\nI feel pain in: ankle(R), thigh(R), thigh(L), dorsal aspect of the foot(R), dorsal aspect of the foot(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 6.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(L).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI take corticosteroids.\nI have heart failure.\nI have liver cirrhosis.\nI have had surgery to remove lymph nodes.\nI have been diagnosed with obstructive sleep apnea.\nI have a kidney problem that results in an inability to retain proteins.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Localized edema\n2. Chagas\n3. Anaphylaxis\n\nfinal diagnosis: Localized 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: 78\nSEX: F\nINITIAL EVIDENCE: ww_dd\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, tugging, burning, sickening, scary.\nI feel pain in: hypochondrium(R), hypochondrium(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: lower chest, upper chest.\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 a cough.\nMy symptoms get worse after eating.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI drink alcohol excessively and have an addiction to alcohol.\nI have a hiatal hernia.\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. Bronchitis\n2. Boerhaave\n3. Anaphylaxis\n4. GERD\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: 20\nSEX: M\nINITIAL EVIDENCE: etouff\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: side of the chest(R), flank(R), flank(L), hypochondrium(R), breast(R).\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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI feel like I am choking or suffocating.\nI feel like I am dying.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nI feel like I am detached from my own body or surroundings.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI feel anxious.\nMembers of my immediate family have a psychiatric illness.\nI drink alcohol excessively and have an addiction to alcohol.\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI have had a migraine.\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. Possible NSTEMI / STEMI\n3. GERD\n4. Unstable angina\n5. Boerhaave\n6. Stable angina\n7. Guillain-Barré syndrome\n8. Anaphylaxis\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: 48\nSEX: M\nINITIAL EVIDENCE: toux\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, tugging, burning, sickening, scary.\nI feel pain in: hypochondrium(R), hypochondrium(L), belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: upper chest.\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 5.\nI have a cough.\nMy symptoms get worse after eating.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI smoke cigarettes.\nI have a hiatal hernia.\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. GERD\n2. Bronchitis\n3. Pericarditis\n4. Unstable angina\n5. Possible NSTEMI / STEMI\n6. 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: 63\nSEX: M\nINITIAL EVIDENCE: ww_dd\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, a knife stroke, tugging.\nI feel pain in: epigastric.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: lower chest, upper chest.\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 6.\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 worsen when lying down and alleviate while sitting up.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI drink alcohol excessively and have an addiction to alcohol.\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. GERD\n2. Bronchitis\n3. Pericarditis\n4. Possible NSTEMI / STEMI\n5. Unstable angina\n6. Tuberculosis\n7. 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: 66\nSEX: F\nINITIAL EVIDENCE: fievre\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: ear(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 10.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI have a fever.\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: 38\nSEX: F\nINITIAL EVIDENCE: ww_bouger\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, violent.\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 9.\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 7.\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 have metastatic cancer.\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. Pulmonary neoplasm\n8. Whooping cough\n9. Guillain-Barré syndrome\n10. Bronchospasm / acute asthma exacerbation\n11. Pericarditis\n12. Panic attack\n13. Tuberculosis\n14. Acute dystonic reactions\n15. Myasthenia gravis\n16. Anemia\n17. Sarcoidosis\n18. Myocarditis\n19. Unstable angina\n20. Stable angina\n\nfinal diagnosis: Spontaneous rib fracture\n" } ]