Datasets:

YBXL

/

DDXPlus_Reasoning_new_train_filtered

like 0

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 78\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ankle(R), ankle(L), dorsal aspect of the wrist(L), palmar face of the wrist(R), shoulder(R).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI am experiencing shortness of breath.\nI have lesions and redness on my skin.\nThe colar of the rash is red.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 4.\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 0.\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\n4. Guillain-Barré syndrome\n5. Bronchospasm / acute asthma exacerbation\n6. Anaphylaxis\n7. Acute dystonic reactions\n8. Stable angina\n9. Unstable angina\n10. 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: 67\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging.\nI feel pain in: forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI am experiencing shortness of breath.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nMy skin is much paler than usual.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have been diagnosed with anemia.\nI have family members diagnosed with anemia.\nI have chronic kidney failure.\nI have not traveled out of the country in the last 4 weeks.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Atrial fibrillation\n3. Panic attack\n4. Guillain-Barré syndrome\n5. Myocarditis\n6. Acute pulmonary edema\n7. HIV (initial infection)\n8. PSVT\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. 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: 19\nSEX: M\nINITIAL EVIDENCE: melena\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging, burning, scary.\nI feel pain in: upper chest, hypochondrium(R), hypochondrium(L), belly.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: lower chest.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have 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.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\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. Possible NSTEMI / STEMI\n2. GERD\n3. Anemia\n4. Pericarditis\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: 75\nSEX: F\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: ear(R), ear(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 3.\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.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Acute otitis media\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: 41\nSEX: F\nINITIAL EVIDENCE: stridor\nSymptoms:\nI have been in contact with or ate something that I'm allergic to.\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: flank(R), iliac fossa(R), iliac fossa(L), hypochondrium(L), epigastric.\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 1.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: back of the neck, biceps(R), biceps(L), mouth, thyroid cartilage.\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 10.\nI feel nauseous and like vomiting.\nI have swelling in one or more areas of my body.\nThe swelling located in: forehead, cheek(R), cheek(L).\nI hear a high pitched sound when I breathe in.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have a severe food allergy.\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anaphylaxis\n2. Possible NSTEMI / STEMI\n3. Bronchospasm / acute asthma exacerbation\n4. Pulmonary embolism\n5. Unstable angina\n6. Acute pulmonary edema\n7. Boerhaave\n8. Pericarditis\n9. Epiglottitis\n10. GERD\n11. Larygospasm\n12. Panic attack\n13. Inguinal hernia\n14. Stable angina\n15. HIV (initial infection)\n16. Guillain-Barré syndrome\n17. Pancreatic neoplasm\n18. Atrial fibrillation\n19. Acute COPD exacerbation / infection\n20. Chagas\n21. SLE\n22. Acute dystonic reactions\n23. Myasthenia gravis\n24. Anemia\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 18\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: back of the neck, 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 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 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 0.\nThe affected regions are: cheek(R), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 3.\nI have painful mouth ulcers or sores.\nAntecedents:\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. SLE\n2. Unstable angina\n3. Possible NSTEMI / STEMI\n4. Bronchospasm / acute asthma exacerbation\n5. HIV (initial infection)\n6. Stable angina\n7. Pulmonary embolism\n8. Myocarditis\n9. Pneumonia\n10. Acute pulmonary edema\n11. Anemia\n12. Bronchiectasis\n13. Scombroid food poisoning\n14. Guillain-Barré syndrome\n15. Atrial fibrillation\n16. Acute dystonic reactions\n17. Myasthenia gravis\n18. Pancreatic neoplasm\n19. Anaphylaxis\n20. Bronchitis\n21. Tuberculosis\n22. PSVT\n23. Chagas\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: 40\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: back of the neck, ankle(R), dorsal aspect of the wrist(L), palmar face of the wrist(L), knee(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 4.\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 0.\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 0.\nI have painful mouth ulcers or sores.\nAntecedents:\nI have had pericarditis.\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. Pulmonary embolism\n3. Pneumonia\n4. Acute pulmonary edema\n5. HIV (initial infection)\n6. Bronchiectasis\n7. Scombroid food poisoning\n8. Guillain-Barré syndrome\n9. Atrial fibrillation\n10. Pulmonary neoplasm\n11. Acute dystonic reactions\n12. Myocarditis\n13. Anaphylaxis\n14. Bronchitis\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: 16\nSEX: F\nINITIAL EVIDENCE: vo_sg\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a knife stroke, tugging, burning, sickening.\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 6.\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 smoke cigarettes.\nI have a hiatal hernia.\nI have asthma.\nI am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. GERD\n2. Bronchitis\n3. Boerhaave\n4. Spontaneous rib fracture\n5. Anemia\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: 49\nSEX: M\nINITIAL EVIDENCE: fatig_mod\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: dorsal aspect of the wrist(R), palmar face of the wrist(L), knee(R), shoulder(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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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 4.\nThe affected regions are: cheek(L), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 3.\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. SLE\n2. Possible NSTEMI / STEMI\n3. Anaphylaxis\n4. Pulmonary neoplasm\n5. Bronchospasm / acute asthma exacerbation\n6. Unstable angina\n7. Acute COPD exacerbation / infection\n8. Stable angina\n9. Pulmonary embolism\n10. Myocarditis\n11. Pneumonia\n12. Acute pulmonary edema\n13. Anemia\n14. Scombroid food poisoning\n15. Pancreatic neoplasm\n16. Bronchiectasis\n17. Guillain-Barré syndrome\n18. Atrial fibrillation\n19. Acute dystonic reactions\n20. Myasthenia gravis\n21. Chagas\n22. HIV (initial infection)\n23. Bronchitis\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: 51\nSEX: F\nINITIAL EVIDENCE: ww_bouffe\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a knife stroke, tugging, burning, sickening.\nI feel pain in: lower chest, epigastric.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: lower chest, upper chest.\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 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 drink alcohol excessively and have an addiction to alcohol.\nI smoke cigarettes.\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. Boerhaave\n4. Spontaneous rib fracture\n5. Tuberculosis\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: 30\nSEX: F\nINITIAL EVIDENCE: toux\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), posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 10.\nThe pain radiates to: posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI 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: 22\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp.\nI feel pain in: hypochondrium(L), belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 0.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI constantly feel fatigued and have non-restful sleep.\nThe colar of the rash is NA.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: nowhere.\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have had an involuntary weight loss over the last 3 months.\nI have a cough.\nAntecedents:\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.\nMembers of my family have been diagnosed with pancreatic cancer.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Unstable angina\n3. Possible NSTEMI / STEMI\n4. Pancreatic neoplasm\n5. Boerhaave\n6. GERD\n7. Anemia\n8. Stable angina\n9. Chagas\n10. Tuberculosis\n11. Pericarditis\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: 93\nSEX: F\nINITIAL EVIDENCE: prurit_nasal\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have close family members who suffer from allergies, hay fever, and eczema.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\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. Acute otitis media\n3. Cluster headache\n4. Viral pharyngitis\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 68\nSEX: F\nINITIAL EVIDENCE: gorge_dlr\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, burning.\nI feel pain in: side of the chest(R), pharynx, breast(L), posterior chest wall(R).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI have a cough that produces colored and abundant sputum.\nI have a sore throat.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nI have a wheezing sound when I exhale.\nAntecedents:\nI smoke cigarettes.\nI have chronic obstructive pulmonary disease (COPD).\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute COPD exacerbation / infection\n2. URTI\n3. Bronchitis\n4. Viral pharyngitis\n5. Bronchospasm / acute asthma exacerbation\n6. Spontaneous rib fracture\n7. Acute laryngitis\n8. Possible NSTEMI / STEMI\n9. Bronchiectasis\n10. Unstable angina\n11. Pericarditis\n12. Stable angina\n13. Scombroid food poisoning\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: 64\nSEX: M\nINITIAL EVIDENCE: diaph\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: heavy, sickening, scary.\nI feel pain in: lower chest, upper chest, breast(R), breast(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 10.\nThe pain radiates to: biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R).\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 9.\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 have diabetes.\nI am significantly overweight compared to people of the same height as me.\nI have high cholesterol.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI have a problem with poor circulation.\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. GERD\n4. Boerhaave\n5. Pancreatic neoplasm\n6. Chagas\n7. Anemia\n8. HIV (initial infection)\n9. Anaphylaxis\n10. Panic attack\n11. Pericarditis\n12. Scombroid food poisoning\n13. Stable angina\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: F\nINITIAL EVIDENCE: psy_depers\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: lower chest, side of the chest(R), side of the chest(L), iliac fossa(R), belly.\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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 10.\nI am experiencing shortness of breath.\nI feel like I am choking or suffocating.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel 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 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 asthma.\nI suffer from fibromyalgia.\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. Unstable angina\n6. Spontaneous pneumothorax\n7. Acute pulmonary edema\n8. Anaphylaxis\n9. Atrial fibrillation\n10. Pericarditis\n11. Anemia\n12. Boerhaave\n13. Pulmonary embolism\n14. Scombroid food poisoning\n15. GERD\n16. Inguinal hernia\n17. Stable angina\n18. Acute dystonic reactions\n19. Myasthenia gravis\n20. HIV (initial infection)\n21. Sarcoidosis\n22. Chagas\n23. Pancreatic neoplasm\n24. 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: 22\nSEX: F\nINITIAL EVIDENCE: diaph\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: heavy, sharp, scary.\nI feel pain in: lower chest, upper chest, breast(R), breast(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: biceps(L), thyroid cartilage, trachea, shoulder(R), shoulder(L).\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nI feel nauseous and like vomiting.\nAntecedents:\nI am infected with the human immunodeficiency virus (HIV).\nI have diabetes.\nI am significantly overweight compared to people of the same height as me.\nI have high cholesterol.\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. Boerhaave\n3. Anemia\n4. GERD\n5. Anaphylaxis\n6. Guillain-Barré syndrome\n7. Atrial fibrillation\n8. Pancreatic neoplasm\n9. Unstable angina\n10. Panic attack\n11. Chagas\n12. SLE\n13. Acute dystonic reactions\n14. Myasthenia gravis\n15. Acute pulmonary edema\n16. Scombroid food poisoning\n17. HIV (initial infection)\n18. Pericarditis\n19. Sarcoidosis\n20. 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: 66\nSEX: F\nINITIAL EVIDENCE: diarrhee\nSymptoms:\nI have swollen or painful lymph nodes.\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: tedious, a pulse, exhausting.\nI feel pain in: back of head, cervical spine.\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI have a fever.\nI have a sore throat.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: lower gum, upper gum, labia majora(R), labia majora(L), internal cheek(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 2.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI had a sexually transmitted infection.\nI am currently using intravenous drugs.\nI have had unprotected sex with more than one partner in the last 6 months.\nI had sexual intercourse with an HIV-positive partner in the past 12 months.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. HIV (initial infection)\n2. Chagas\n3. Scombroid food poisoning\n4. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 56\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI am experiencing shortness of breath.\nI have felt like I was suffocating for a very short time, unable to breathe or speak.\nI am unable to control the direction of my eyes.\nI cannot turn my head to one side due to muscle spasms and soreness in my neck.\nI have annoying muscle spasms in my face, neck and other parts of my body.\nAntecedents:\nI have started taking antipsychotic medication within the last 7 days.\nI regularly take stimulant drugs.\nI have been treated in the hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute dystonic reactions\n2. Pulmonary embolism\n3. Acute pulmonary edema\n4. Guillain-Barré syndrome\n5. Atrial fibrillation\n6. Myocarditis\n7. Anemia\n8. Anaphylaxis\n9. Scombroid food poisoning\n10. PSVT\n11. SLE\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: 77\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tugging, burning, sickening, scary.\nI feel pain in: upper chest, hypochondrium(L).\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: lower chest, upper chest.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\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 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. Spontaneous rib fracture\n5. Unstable angina\n6. Anemia\n7. Tuberculosis\n8. Possible NSTEMI / STEMI\n9. Pancreatic neoplasm\n\nfinal diagnosis: GERD\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 56\nSEX: M\nINITIAL EVIDENCE: selles_pale\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp.\nI feel pain in: flank(L), hypochondrium(L), belly, epigastric.\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 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 3.\nI have had an involuntary weight loss over the last 3 months.\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.\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. Possible NSTEMI / STEMI\n4. Unstable angina\n5. Scombroid food poisoning\n6. Stable angina\n7. Pericarditis\n8. 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: 20\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a knife stroke, sickening.\nI feel pain in: hypochondrium(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: 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 3.\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 a hiatal hernia.\nI am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. GERD\n2. Bronchitis\n3. Boerhaave\n4. Tuberculosis\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: 42\nSEX: F\nINITIAL EVIDENCE: hyponos\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: mouth, cheek(L), nose, eye(L), temple(R).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: back of head, temple(L).\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI have lost my sense of smell.\nI have nasal congestion and a clear runny nose.\nI have greenish or yellowish nasal discharge.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\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. Bronchitis\n2. Acute laryngitis\n3. Viral pharyngitis\n4. Chronic rhinosinusitis\n5. Cluster headache\n6. Chagas\n7. Anemia\n8. Acute rhinosinusitis\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: 42\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: ankle(R), ankle(L), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(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 3.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), lateral side of the foot(R), sole(R), sole(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 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: 34\nSEX: F\nINITIAL EVIDENCE: toux\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp.\nI feel pain in: belly.\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 5.\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 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 2.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI feel nauseous and like vomiting.\nI have had an involuntary weight loss over the last 3 months.\nI have pale stools and dark urine.\nI have a cough.\nAntecedents:\nI have diabetes.\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. Bronchitis\n3. Boerhaave\n4. Pulmonary neoplasm\n5. GERD\n6. Scombroid food poisoning\n7. Chagas\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: 4\nSEX: M\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: ankle(L), dorsal aspect of the wrist(R), palmar face of the wrist(R), palmar face of the wrist(L), knee(R).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 10.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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 4.\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 smoke cigarettes.\nI have high blood pressure.\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. SLE\n2. Pulmonary embolism\n3. Anemia\n4. Guillain-Barré syndrome\n5. Croup\n6. Atrial fibrillation\n7. Myocarditis\n8. Pneumonia\n9. Ebola\n10. Anaphylaxis\n11. Acute dystonic reactions\n12. Myasthenia gravis\n13. Bronchitis\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: 37\nSEX: F\nINITIAL EVIDENCE: ballon_abdo\nSymptoms:\nMy abdomen feels bloated and distended.\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(R), hip(L), testicle(R), testicle(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 0.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 3.\nThe affected regions are: iliac fossa(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 6.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have been able to pass stools and gas since my symptoms increased.\nI have intense coughing fits.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI was born prematurely and suffered complications at birth.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n2. Bronchitis\n3. Anaphylaxis\n4. Whooping cough\n5. Scombroid food poisoning\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 19\nSEX: M\nINITIAL EVIDENCE: toux_sev\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, violent, sharp.\nI feel pain in: 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(R), 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 7.\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 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. Pulmonary embolism\n2. Pericarditis\n3. Bronchitis\n4. Spontaneous pneumothorax\n5. Spontaneous rib fracture\n6. Possible NSTEMI / STEMI\n7. Pneumonia\n8. Tuberculosis\n9. Whooping cough\n10. Guillain-Barré syndrome\n11. Bronchospasm / acute asthma exacerbation\n12. Atrial fibrillation\n13. Myocarditis\n14. Acute dystonic reactions\n15. Myasthenia gravis\n16. Anemia\n17. Sarcoidosis\n18. Scombroid food poisoning\n19. PSVT\n20. 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: 52\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(R), iliac fossa(L), hip(L), testicle(R), testicle(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 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 pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 2.\nThe affected regions are: iliac fossa(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have intense coughing fits.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n2. Bronchitis\n3. Anaphylaxis\n4. Whooping cough\n5. Scombroid food poisoning\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 77\nSEX: M\nINITIAL EVIDENCE: wheez\nSymptoms:\nI have a cough that produces colored and abundant sputum.\nI have a cough.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have severe Chronic Obstructive Pulmonary Disease (COPD).\nI have had flare ups of chronic obstructive pulmonary disease (COPD) in the past year.\nI smoke cigarettes.\nI have chronic obstructive pulmonary disease (COPD).\nI have been diagnosed with gastroesophageal reflux.\nI work in agriculture.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Bronchitis\n2. Acute COPD exacerbation / infection\n3. Bronchospasm / acute asthma exacerbation\n4. Bronchiectasis\n5. Pneumonia\n\nfinal diagnosis: Acute COPD exacerbation / infection\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 21\nSEX: M\nINITIAL EVIDENCE: toux\nSymptoms:\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: hypochondrium(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: thoracic spine.\nFrom a scale of 0-10, the pain's location precision is 3.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI constantly feel fatigued and have non-restful sleep.\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 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 2.\nI have pale stools and dark urine.\nI have a cough.\nAntecedents:\nI have chronic pancreatitis.\nI have diabetes.\nI am significantly overweight compared to people of the same height as me.\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. GERD\n3. Unstable angina\n4. Stable angina\n5. Scombroid food poisoning\n6. Anaphylaxis\n7. Bronchitis\n8. Anemia\n9. Chagas\n10. Possible NSTEMI / STEMI\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: 60\nSEX: F\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: back of the neck, dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), knee(R), shoulder(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 5.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nI 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 4.\nThe affected regions are: cheek(R), cheek(L).\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 1.\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. Anemia\n4. Scombroid food poisoning\n5. Acute pulmonary edema\n6. Chagas\n7. Guillain-Barré syndrome\n8. Atrial fibrillation\n9. SLE\n10. Anaphylaxis\n11. Myocarditis\n12. Pulmonary neoplasm\n13. Bronchospasm / acute asthma exacerbation\n14. Stable angina\n15. Acute dystonic reactions\n16. Myasthenia gravis\n17. Pancreatic neoplasm\n18. Unstable angina\n19. 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: 4\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging.\nI feel pain in: ankle(L), thigh(R), thigh(L), sole(R), sole(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 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 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. 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: 28\nSEX: F\nINITIAL EVIDENCE: palpit\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp.\nI feel pain in: side of the chest(R), side of the chest(L), hypochondrium(L), pubis, belly.\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 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 have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\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 not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Panic attack\n2. Guillain-Barré syndrome\n3. Possible NSTEMI / STEMI\n4. Spontaneous pneumothorax\n5. Unstable angina\n6. Atrial fibrillation\n7. Boerhaave\n8. Acute pulmonary edema\n9. PSVT\n10. Pulmonary embolism\n11. Anaphylaxis\n12. GERD\n13. Scombroid food poisoning\n14. Stable angina\n15. Acute dystonic reactions\n16. Myasthenia gravis\n17. Anemia\n18. Sarcoidosis\n19. Pancreatic neoplasm\n20. Chagas\n21. SLE\n\nfinal diagnosis: Panic attack\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 53\nSEX: M\nINITIAL EVIDENCE: ww_effort\nSymptoms:\nMy symptoms have worsened over the last 2 weeks and progressively less effort is causing them.\nI have pain somewhere.\nThe pain is: tedious, heavy, exhausting.\nI feel pain in: lower chest, biceps(L), upper chest, breast(R), epigastric.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R).\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI am experiencing shortness of breath.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI smoke cigarettes.\nI have had a heart attack and I have angina.\nI exercise regularly, 4 times per week or more.\nI have not traveled out of the country in the last 4 weeks.\nI have close family members who had a cardiovascular disease problem before the age of 50.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Unstable angina\n2. Possible NSTEMI / STEMI\n3. Stable angina\n4. Atrial fibrillation\n5. Panic attack\n6. Myocarditis\n7. GERD\n8. Acute pulmonary edema\n9. Guillain-Barré syndrome\n10. SLE\n11. Acute dystonic reactions\n12. Scombroid food poisoning\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: 23\nSEX: M\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have close family members who suffer from allergies, hay fever, and eczema.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Allergic sinusitis\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 54\nSEX: F\nINITIAL EVIDENCE: faible\nSymptoms:\nI have been in contact with or ate something that I'm allergic to.\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: iliac fossa(R), hypochondrium(R), pubis, belly.\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 6.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI feel lightheaded, dizzy and like I am about to faint.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 5.\nThe affected regions are: back of the neck, biceps(R), mouth, thyroid cartilage, ankle(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 1.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 10.\nI feel nauseous and like vomiting.\nI have swelling in one or more areas of my body.\nThe swelling located in: forehead, cheek(R), cheek(L), nose.\nAntecedents:\nI have a severe food allergy.\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anaphylaxis\n2. Localized edema\n3. Boerhaave\n4. Inguinal hernia\n5. GERD\n6. Anemia\n7. PSVT\n8. Pulmonary embolism\n9. Chagas\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 22\nSEX: F\nINITIAL EVIDENCE: dysp_effort\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke.\nI feel pain in: upper chest, breast(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI feel out of breath with minimal physical effort.\nI have noticed new fatigue, generalized and vague discomfort, and diffuse muscle aches.\nMy symptoms worsen when lying down and alleviate while sitting up.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Unstable angina\n2. Stable angina\n3. Myocarditis\n4. Possible NSTEMI / STEMI\n5. Chagas\n6. GERD\n\nfinal diagnosis: Myocarditis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 64\nSEX: F\nINITIAL EVIDENCE: fatig_mod\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: back of the neck, ankle(R), ankle(L), shoulder(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 6.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\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: 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 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. Pneumonia\n4. Anemia\n5. Acute pulmonary edema\n6. Guillain-Barré syndrome\n7. Atrial fibrillation\n8. Myocarditis\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. Stable angina\n12. Bronchiectasis\n13. Anaphylaxis\n14. Bronchitis\n15. Pulmonary embolism\n16. Unstable angina\n17. PSVT\n18. Chagas\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: 27\nSEX: M\nINITIAL EVIDENCE: nausee\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, violent, sickening.\nI feel pain in: lower chest, upper chest, hypochondrium(R), belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: thoracic spine, scapula(R), scapula(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 10.\nI feel nauseous and like vomiting.\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. Possible NSTEMI / STEMI\n3. Anaphylaxis\n4. Pancreatic neoplasm\n5. Pericarditis\n6. Chagas\n7. Scombroid food poisoning\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: 54\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nMy abdomen feels bloated and distended.\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(L), hip(R), hip(L), testicle(R).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 5.\nThe affected regions are: iliac fossa(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 6.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have been able to pass stools and gas since my symptoms increased.\nI have intense coughing fits.\nThe symptoms or pain increase with coughing, lifting a weight, or forcing a bowel movement.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n2. Bronchitis\n3. Anaphylaxis\n4. Whooping cough\n5. Scombroid food poisoning\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 10\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, sensitive, tugging.\nI feel pain in: ankle(R), thigh(R), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(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 2.\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(L), thigh(R), dorsal aspect of the foot(L), sole(R), 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 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 was diagnosed with an endocrine disease or a hormone dysfunction.\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: 7\nSEX: M\nINITIAL EVIDENCE: diarrhee\nSymptoms:\nI have swollen or painful lymph nodes.\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: sensitive, a pulse, exhausting.\nI feel pain in: back of head, back of the neck, top of the head, forehead, occiput.\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 3.\nThe affected regions are: lower gum, upper gum, labia majora(R), labia majora(L), internal cheek(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI feel nauseous and like vomiting.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI had a sexually transmitted infection.\nI am currently using intravenous drugs.\nI have had unprotected sex with more than one partner in the last 6 months.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. HIV (initial infection)\n2. Anemia\n3. Chagas\n4. Scombroid food poisoning\n5. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 62\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp.\nI feel pain in: back of head, top of the head, 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 5.\nI am experiencing shortness of breath.\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 recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have been diagnosed with anemia.\nI have chronic kidney failure.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Panic attack\n3. Guillain-Barré syndrome\n4. Myocarditis\n5. Acute pulmonary edema\n6. HIV (initial infection)\n7. Acute dystonic reactions\n8. Myasthenia gravis\n9. 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: 75\nSEX: F\nINITIAL EVIDENCE: pyrosis\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, tugging, burning, sickening, scary.\nI feel pain in: hypochondrium(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: upper chest.\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 1.\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.\nAntecedents:\nI have a hiatal hernia.\nI have asthma.\nI am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. GERD\n2. Bronchitis\n3. Unstable angina\n4. Tuberculosis\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: 5\nSEX: F\nINITIAL EVIDENCE: gain_poids\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging, heavy, sharp.\nI feel pain in: lateral side of the foot(L), thigh(R), thigh(L), dorsal aspect of the foot(R), toe (1)(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 4.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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), dorsal aspect of the foot(R), dorsal aspect of the foot(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 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. Pulmonary embolism\n3. Chagas\n4. 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: 14\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(L), hip(R), testicle(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 6.\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 pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: iliac fossa(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 7.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 97\nSEX: M\nINITIAL EVIDENCE: fatig_mod\nSymptoms:\nI have pain somewhere.\nThe pain is: tugging, a cramp.\nI feel pain in: back of head, top of the head, forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI am experiencing shortness of breath.\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.\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 taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to South East Asia.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Possible NSTEMI / STEMI\n3. Panic attack\n4. Myocarditis\n5. Acute pulmonary edema\n6. Chagas\n7. SLE\n8. Pulmonary neoplasm\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. Cluster headache\n12. Atrial fibrillation\n13. Guillain-Barré syndrome\n14. Scombroid food poisoning\n15. Anaphylaxis\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: 52\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have chest pain even at rest.\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious, heavy, exhausting.\nI feel pain in: lower chest, biceps(R), side of the chest(R), side of the chest(L), shoulder(L).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R).\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI have high cholesterol.\nI drink alcohol excessively and have an addiction to alcohol.\nI smoke cigarettes.\nI have high blood pressure.\nI exercise regularly, 4 times per week or more.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Unstable angina\n2. Possible NSTEMI / STEMI\n3. Panic attack\n4. Stable angina\n5. Myocarditis\n6. SLE\n7. Acute pulmonary edema\n8. Atrial fibrillation\n9. Anemia\n10. Guillain-Barré syndrome\n11. GERD\n12. Pulmonary neoplasm\n13. Acute dystonic reactions\n14. Myasthenia gravis\n15. Scombroid food poisoning\n16. PSVT\n17. Pulmonary embolism\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: 2\nSEX: F\nINITIAL EVIDENCE: sialorhee\nSymptoms:\nI produce more saliva than usual.\nI hear a high pitched sound when I breathe in.\nI have a whooping cough.\nMy symptoms are more prominent at night.\nAntecedents:\nI have had croup.\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. Croup\n2. Bronchitis\n3. Larygospasm\n4. Pneumonia\n5. Epiglottitis\n6. Anaphylaxis\n\nfinal diagnosis: Croup\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: 59\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: flank(L), hypochondrium(R), hypochondrium(L), pubis, belly.\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 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 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 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.\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 suffer from fibromyalgia.\nI have had a head trauma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Panic attack\n2. PSVT\n3. Guillain-Barré syndrome\n4. Anaphylaxis\n5. Acute pulmonary edema\n6. Atrial fibrillation\n7. Anemia\n8. Boerhaave\n9. Possible NSTEMI / STEMI\n10. Pulmonary embolism\n11. Scombroid food poisoning\n12. GERD\n13. Acute dystonic reactions\n14. Myasthenia gravis\n15. HIV (initial infection)\n16. Chagas\n17. Pancreatic neoplasm\n18. 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: 46\nSEX: M\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), breast(R), breast(L), posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: posterior chest wall(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 10.\nI am experiencing shortness of breath.\nI have a cough.\nI have pain that increases with movement.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI drink alcohol excessively and have an addiction to alcohol.\nI am being treated for osteoporosis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pulmonary embolism\n2. Bronchitis\n3. Spontaneous pneumothorax\n4. Spontaneous rib fracture\n5. Possible NSTEMI / STEMI\n6. Pneumonia\n7. Unstable angina\n8. Pulmonary neoplasm\n9. Stable angina\n10. Guillain-Barré syndrome\n11. Bronchospasm / acute asthma exacerbation\n12. Myocarditis\n13. Pericarditis\n14. Tuberculosis\n15. Bronchiectasis\n16. Acute dystonic reactions\n17. Myasthenia gravis\n18. Anemia\n19. Sarcoidosis\n\nfinal diagnosis: Spontaneous rib fracture\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 20\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\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 1.\nThe affected regions are: cheek(L).\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 smoke cigarettes.\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. SLE\n2. Bronchospasm / acute asthma exacerbation\n3. Unstable angina\n4. Possible NSTEMI / STEMI\n5. Pulmonary embolism\n6. Stable angina\n7. Myocarditis\n8. Acute pulmonary edema\n9. Anemia\n10. Scombroid food poisoning\n11. Bronchiectasis\n12. Guillain-Barré syndrome\n13. Atrial fibrillation\n14. Ebola\n15. Acute dystonic reactions\n16. Myasthenia gravis\n17. Pancreatic neoplasm\n18. Anaphylaxis\n19. Bronchitis\n20. PSVT\n21. Pneumonia\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: 9\nSEX: M\nINITIAL EVIDENCE: protu_langue\nSymptoms:\nI am experiencing shortness of breath.\nI have trouble keeping my tongue in my mouth.\nI have annoying muscle spasms in my face, neck and other parts of my body.\nAntecedents:\nI have started taking antipsychotic medication within the last 7 days.\nI regularly take stimulant drugs.\nI have been treated in the hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute dystonic reactions\n2. Pulmonary embolism\n3. Guillain-Barré syndrome\n4. Atrial fibrillation\n5. Myocarditis\n6. Anemia\n7. Anaphylaxis\n8. Scombroid food poisoning\n9. PSVT\n10. SLE\n11. Chagas\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 53\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: ankle(R), ankle(L), dorsal aspect of the wrist(R), knee(L), shoulder(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 9.\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 4.\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 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. Unstable angina\n4. Stable angina\n5. Anemia\n6. Pancreatic neoplasm\n7. 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: 10\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: lower chest, breast(R), breast(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 5.\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 5.\nMy symptoms worsen when lying down and alleviate while sitting up.\nI have pain that increases when I breathe in deeply.\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. Pericarditis\n2. Pulmonary embolism\n3. Boerhaave\n4. GERD\n5. Anaphylaxis\n6. Spontaneous pneumothorax\n\nfinal diagnosis: Pericarditis\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: irritable\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: ear(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 9.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI am more irritable and my mood has been very unstable recently.\nAntecedents:\nI am currently being treated with an oral antibiotic for an ear infection.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute otitis media\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 32\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke.\nI feel pain in: side of the chest(L), scapula(R), scapula(L), posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: side of the chest(R), side of the chest(L), scapula(R), scapula(L), posterior chest wall(R).\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 0.\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(L), calf(R).\nI lost consciousness.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI have an active cancer.\nI am currently taking hormones.\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. Anaphylaxis\n3. Acute pulmonary edema\n4. Panic attack\n5. Spontaneous pneumothorax\n6. Possible NSTEMI / STEMI\n7. Unstable angina\n8. Myocarditis\n9. Stable angina\n10. Guillain-Barré syndrome\n11. Atrial fibrillation\n12. SLE\n13. Acute dystonic reactions\n14. Myasthenia gravis\n15. Anemia\n16. Chagas\n17. Sarcoidosis\n18. Scombroid food poisoning\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: 20\nSEX: M\nINITIAL EVIDENCE: lesions_peau\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: 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 0.\nI constantly feel fatigued and have non-restful sleep.\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 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 1.\nI feel nauseous and like vomiting.\nI have pale stools and dark urine.\nI have a cough.\nAntecedents:\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.\nMembers of my family have been diagnosed with pancreatic cancer.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Pancreatic neoplasm\n2. Unstable angina\n3. GERD\n4. Boerhaave\n5. Anaphylaxis\n6. Scombroid food poisoning\n7. Possible NSTEMI / STEMI\n8. Chagas\n9. Bronchitis\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: 62\nSEX: F\nINITIAL EVIDENCE: dyspn\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), shoulder(R), shoulder(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 1.\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), 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. Atrial fibrillation\n6. Anaphylaxis\n7. Acute dystonic reactions\n8. PSVT\n9. Stable angina\n10. 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: 7\nSEX: F\nINITIAL EVIDENCE: prurit_nasal\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI have 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.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Allergic sinusitis\n2. Bronchitis\n3. URTI\n4. Influenza\n5. Pneumonia\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 51\nSEX: F\nINITIAL EVIDENCE: prurit_occ\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have close family members who suffer from allergies, hay fever, and eczema.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\nI live in a big city.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Allergic sinusitis\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 51\nSEX: F\nINITIAL EVIDENCE: perte_poids\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp.\nI feel pain in: flank(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 0.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\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 2.\nThe affected regions are: epigastric.\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have had an involuntary weight loss over the last 3 months.\nI have pale stools and dark urine.\nAntecedents:\nI have chronic pancreatitis.\nI have diabetes.\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\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: 38\nSEX: F\nINITIAL EVIDENCE: rhino_pur\nSymptoms:\nI have pain somewhere.\nThe pain is: burning, sharp.\nI feel pain in: mouth, forehead, cheek(L), eye(R), eye(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: back of head, forehead, nose, temple(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 2.\nI have lost my sense of smell.\nI have greenish or yellowish nasal discharge.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI have had a cold in the last 2 weeks.\nI have had pneumonia.\nI have polyps in my nose.\nI have a deviated nasal septum.\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. Acute rhinosinusitis\n2. Chronic rhinosinusitis\n3. Bronchitis\n4. Acute laryngitis\n5. Viral pharyngitis\n6. Cluster headache\n7. Chagas\n8. Anemia\n\nfinal diagnosis: Acute rhinosinusitis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 30\nSEX: M\nINITIAL EVIDENCE: ulcères_bouche\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: back of the neck, dorsal aspect of the wrist(L), palmar face of the wrist(R), palmar face of the wrist(L), knee(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 9.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\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 2.\nThe affected regions are: cheek(L), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 1.\nI have painful mouth ulcers or sores.\nAntecedents:\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. SLE\n2. Bronchospasm / acute asthma exacerbation\n3. HIV (initial infection)\n4. Pancreatic neoplasm\n5. Acute COPD exacerbation / infection\n6. Pulmonary embolism\n7. Myocarditis\n8. Pneumonia\n9. Acute pulmonary edema\n10. Anemia\n11. Scombroid food poisoning\n12. Bronchiectasis\n13. Guillain-Barré syndrome\n14. Atrial fibrillation\n15. Anaphylaxis\n16. Acute dystonic reactions\n17. Myasthenia gravis\n18. Bronchitis\n19. Tuberculosis\n20. PSVT\n21. Possible NSTEMI / STEMI\n22. Chagas\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: 55\nSEX: M\nINITIAL EVIDENCE: nausee\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: flank(R), flank(L), iliac fossa(R), iliac fossa(L), hypochondrium(R).\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 10.\nI am experiencing shortness of breath.\nI feel like I am choking or suffocating.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel nauseous and like vomiting.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nI have numbness, loss of sensitivity, or tingling on my body.\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. Anemia\n2. Acute pulmonary edema\n3. Pulmonary embolism\n4. GERD\n5. Boerhaave\n6. Inguinal hernia\n7. Possible NSTEMI / STEMI\n8. Scombroid food poisoning\n9. Acute dystonic reactions\n10. Panic attack\n11. Pulmonary neoplasm\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: 41\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nMy abdomen feels bloated and distended.\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(R), iliac fossa(L), hip(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: iliac fossa(R), iliac fossa(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have intense coughing fits.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n2. Bronchitis\n3. Anaphylaxis\n4. Whooping cough\n5. Scombroid food poisoning\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 44\nSEX: F\nINITIAL EVIDENCE: ballon_abdo\nSymptoms:\nMy abdomen feels bloated and distended.\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(R), iliac fossa(L), hip(L), testicle(L).\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nThe colar of the rash is NA.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: nowhere.\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have been able to pass stools and gas since my symptoms increased.\nThe symptoms or pain increase with coughing, lifting a weight, or forcing a bowel movement.\nAntecedents:\nI was born prematurely and suffered complications at birth.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 34\nSEX: M\nINITIAL EVIDENCE: regard_dévié\nSymptoms:\nI have felt like I was suffocating for a very short time, unable to breathe or speak.\nI have trouble keeping my tongue in my mouth.\nI have a hard time opening/raising one or both eyelids.\nI am unable to control the direction of my eyes.\nI cannot turn my head to one side due to muscle spasms and soreness in my neck.\nI have annoying muscle spasms in my face, neck and other parts of my body.\nI suddenly have difficulty opening my mouth and experience jaw pain when I do.\nAntecedents:\nI have started taking antipsychotic medication within the last 7 days.\nI have been treated in the hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute dystonic reactions\n2. Myasthenia gravis\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 39\nSEX: M\nINITIAL EVIDENCE: expecto\nSymptoms:\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\nAntecedents:\nI have cystic fibrosis.\nI have Rheumatoid Arthritis.\nI suffer from Crohn's disease or ulcerative colitis.\nI have had pneumonia.\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. Bronchitis\n2. Bronchiectasis\n3. Pneumonia\n4. Pulmonary neoplasm\n5. Acute COPD exacerbation / infection\n6. Guillain-Barré syndrome\n7. Bronchospasm / acute asthma exacerbation\n8. Atrial fibrillation\n9. Myocarditis\n10. Pulmonary embolism\n11. Acute dystonic reactions\n12. Myasthenia gravis\n13. Anemia\n14. Tuberculosis\n15. PSVT\n16. Possible NSTEMI / STEMI\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: 46\nSEX: M\nINITIAL EVIDENCE: toux_sev\nSymptoms:\nMy abdomen feels bloated and distended.\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(R), iliac fossa(L), hip(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 3.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 7.\nThe affected regions are: iliac fossa(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 4.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have intense coughing fits.\nThe symptoms or pain increase with coughing, lifting a weight, or forcing a bowel movement.\nAntecedents:\nI was born prematurely and suffered complications at birth.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Inguinal hernia\n2. Bronchitis\n3. Anaphylaxis\n4. Whooping cough\n5. Scombroid food poisoning\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 0\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a knife stroke, tugging, burning, sickening.\nI feel pain in: upper chest, hypochondrium(R), epigastric.\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: lower chest, upper chest.\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\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.\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. GERD\n3. Pneumonia\n4. Anaphylaxis\n5. Acute otitis media\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: 32\nSEX: F\nINITIAL EVIDENCE: gorge_dlr\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: sensitive, a pulse.\nI feel pain in: back of the neck, cervical spine, top of the head, forehead, temple(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 3.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have a fever.\nI have a sore throat.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: lower gum, labia majora(L), internal cheek(R), bottom lip(R), upper lip(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 6.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have diffuse muscle pain.\nI feel nauseous and like vomiting.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI had a sexually transmitted infection.\nI am currently using intravenous drugs.\nI have had unprotected sex with more than one partner in the last 6 months.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. HIV (initial infection)\n2. Influenza\n3. Chagas\n4. URTI\n5. Anemia\n6. Possible NSTEMI / STEMI\n7. Scombroid food poisoning\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 36\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: ankle(R), ankle(L), dorsal aspect of the wrist(L), shoulder(R), shoulder(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 9.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\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(R), nose.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 3.\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. SLE\n2. Possible NSTEMI / STEMI\n3. Unstable angina\n4. Pulmonary neoplasm\n5. Bronchospasm / acute asthma exacerbation\n6. Pulmonary embolism\n7. Stable angina\n8. Acute COPD exacerbation / infection\n9. Pancreatic neoplasm\n10. Myocarditis\n11. Pneumonia\n12. Acute pulmonary edema\n13. Anemia\n14. Bronchiectasis\n15. Scombroid food poisoning\n16. Guillain-Barré syndrome\n17. Atrial fibrillation\n18. Acute dystonic reactions\n19. Myasthenia gravis\n20. HIV (initial infection)\n21. Anaphylaxis\n22. Bronchitis\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: 59\nSEX: M\nINITIAL EVIDENCE: faible\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging.\nI feel pain in: back of head, top of the head, forehead, 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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI am experiencing shortness of breath.\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 recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have been diagnosed with anemia.\nI have family members diagnosed with anemia.\nI am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to South East Asia.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Ebola\n3. Panic attack\n4. Guillain-Barré syndrome\n5. Myocarditis\n6. Acute pulmonary edema\n7. Atrial fibrillation\n8. Acute dystonic reactions\n9. Myasthenia gravis\n10. Cluster headache\n\nfinal diagnosis: Anemia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 36\nSEX: M\nINITIAL EVIDENCE: pdc\nSymptoms:\nI have been in contact with or ate something that I'm allergic to.\nI have pain somewhere.\nThe pain is: a knife stroke.\nI feel pain in: flank(R), flank(L), iliac fossa(R), iliac fossa(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 4.\nThe affected regions are: back of the neck, biceps(R), biceps(L), thyroid cartilage, ankle(R).\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 7.\nI feel nauseous and like vomiting.\nI have swelling in one or more areas of my body.\nThe swelling located in: forehead, cheek(R), cheek(L), nose.\nI lost consciousness.\nI hear a high pitched sound when I breathe in.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have a severe food allergy.\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anaphylaxis\n2. Pulmonary embolism\n3. Possible NSTEMI / STEMI\n4. Bronchospasm / acute asthma exacerbation\n5. Unstable angina\n6. Acute pulmonary edema\n7. GERD\n8. Boerhaave\n9. Pericarditis\n10. Inguinal hernia\n11. Epiglottitis\n12. Stable angina\n13. Larygospasm\n14. Panic attack\n15. Guillain-Barré syndrome\n16. Atrial fibrillation\n17. Acute COPD exacerbation / infection\n18. Chagas\n19. SLE\n20. Acute dystonic reactions\n21. Myasthenia gravis\n22. Anemia\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 40\nSEX: M\nINITIAL EVIDENCE: paralysie_visage\nSymptoms:\nI am experiencing shortness of breath.\nI feel weakness in both my arms and legs.\nI have numbness, loss of sensation, and tingling in my feet.\nI have had weakness or paralysis on one side of the face.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Guillain-Barré syndrome\n2. Myasthenia gravis\n3. Pulmonary embolism\n4. Acute pulmonary edema\n5. Atrial fibrillation\n6. Acute dystonic reactions\n7. Anemia\n8. Anaphylaxis\n9. Scombroid food poisoning\n10. PSVT\n11. Panic attack\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: 67\nSEX: F\nINITIAL EVIDENCE: gain_poids\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, sensitive, tugging, heavy, sharp.\nI feel pain in: ankle(R), ankle(L), thigh(R), dorsal aspect of the foot(L), sole(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 5.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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), dorsal aspect of the foot(R), sole(R).\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 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. Anaphylaxis\n3. Pulmonary embolism\n4. Chagas\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: 57\nSEX: M\nINITIAL EVIDENCE: ulcères_bouche\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: back of the neck, ankle(R), dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), shoulder(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 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 2.\nThe affected regions are: cheek(L).\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 1.\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. SLE\n2. Possible NSTEMI / STEMI\n3. Acute pulmonary edema\n4. Pulmonary neoplasm\n5. Bronchospasm / acute asthma exacerbation\n6. Pneumonia\n7. Unstable angina\n8. Pulmonary embolism\n9. Stable angina\n10. Pancreatic neoplasm\n11. Acute COPD exacerbation / infection\n12. Myocarditis\n13. Anemia\n14. Scombroid food poisoning\n15. Bronchiectasis\n16. Guillain-Barré syndrome\n17. Atrial fibrillation\n18. Anaphylaxis\n19. Acute dystonic reactions\n20. Myasthenia gravis\n21. Bronchitis\n22. Tuberculosis\n23. HIV (initial infection)\n24. PSVT\n25. Chagas\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: 32\nSEX: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: back of the neck, dorsal aspect of the wrist(L), palmar face of the wrist(R), knee(R), knee(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 7.\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 3.\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 1.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. 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: 29\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, violent, sharp.\nI feel pain in: cheek(R), eye(R), eye(L), temple(R).\nFrom a scale of 0-10, the pain intensity is 9.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nMy eyes produce excessive tears.\nAntecedents:\nMy family members have been diagnosed with cluster headaches.\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: 57\nSEX: F\nINITIAL EVIDENCE: ww_bouffe\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, a knife stroke, burning, sickening.\nI feel pain in: lower chest, upper chest, 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 5.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\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.\nMy symptoms get worse after eating.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI have asthma.\nI am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. GERD\n2. Unstable angina\n3. Anemia\n4. Possible NSTEMI / STEMI\n5. Stable angina\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: 50\nSEX: F\nINITIAL EVIDENCE: ww_respi\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, a knife stroke, violent, sharp.\nI feel pain in: lower chest, side of the chest(R), breast(L), posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: posterior chest wall(L).\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI have a cough.\nI have pain that increases with movement.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI 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. Possible NSTEMI / STEMI\n4. Pulmonary embolism\n5. Unstable angina\n6. Boerhaave\n7. GERD\n8. Spontaneous pneumothorax\n9. Stable angina\n10. Pericarditis\n\nfinal diagnosis: Spontaneous rib fracture\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 36\nSEX: F\nINITIAL EVIDENCE: fatig_mod\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: back of the neck, ankle(L), dorsal aspect of the wrist(L), palmar face of the wrist(R), shoulder(R).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 6.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nI 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 4.\nThe affected regions are: cheek(R).\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 2.\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. SLE\n2. Possible NSTEMI / STEMI\n3. Pulmonary neoplasm\n4. Pulmonary embolism\n5. Pneumonia\n6. Anemia\n7. Guillain-Barré syndrome\n8. Atrial fibrillation\n9. HIV (initial infection)\n10. Myocarditis\n11. Stable angina\n12. Anaphylaxis\n13. Acute dystonic reactions\n14. Myasthenia gravis\n15. Bronchiectasis\n16. Pancreatic neoplasm\n17. Unstable angina\n18. Bronchitis\n19. PSVT\n20. Tuberculosis\n21. Chagas\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: 24\nSEX: M\nINITIAL EVIDENCE: fievre\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 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have a fever.\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. URTI\n2. Acute otitis media\n3. Bronchitis\n4. Influenza\n5. Tuberculosis\n6. 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: 33\nSEX: M\nINITIAL EVIDENCE: vo_sg\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, a knife stroke, sickening.\nI feel pain in: lower chest, flank(L), upper chest, 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 1.\nFrom a scale of 0-10, the pain's occurrence speed is 10.\nI am experiencing shortness of breath.\nI feel nauseous and like vomiting.\nI have recently thrown up blood or something resembling coffee beans.\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. Atrial fibrillation\n3. Acute dystonic reactions\n4. Anemia\n5. Possible NSTEMI / STEMI\n6. Sarcoidosis\n7. Pancreatic neoplasm\n8. PSVT\n9. 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: 53\nSEX: F\nINITIAL EVIDENCE: toux_sev\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, violent, sharp.\nI feel pain in: 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), 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 7.\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. Possible NSTEMI / STEMI\n6. Unstable angina\n7. Stable angina\n8. 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: 68\nSEX: M\nINITIAL EVIDENCE: psy_depers\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), flank(L), iliac fossa(R), hypochondrium(L), breast(R).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 9.\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 lightheaded, dizzy and like I am about to faint.\nI feel like I am dying.\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 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. Acute pulmonary edema\n5. Anemia\n6. Anaphylaxis\n7. Guillain-Barré syndrome\n8. Unstable angina\n9. Pericarditis\n10. Pulmonary embolism\n11. Stable angina\n12. GERD\n13. Inguinal hernia\n14. Acute dystonic reactions\n15. Myasthenia gravis\n16. Scombroid food poisoning\n17. Sarcoidosis\n18. Pancreatic neoplasm\n19. SLE\n20. 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: 52\nSEX: M\nINITIAL EVIDENCE: toux_sev\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, sharp.\nI feel pain in: lower chest, side of the chest(R), side of the chest(L), breast(L), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 6.\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 9.\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 rib fracture\n2. Bronchitis\n3. Whooping cough\n4. Possible NSTEMI / STEMI\n5. Pulmonary embolism\n6. Unstable angina\n7. Boerhaave\n8. GERD\n9. Tuberculosis\n10. Spontaneous pneumothorax\n11. Stable angina\n12. Pericarditis\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: 37\nSEX: M\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: ear(R), ear(L).\nFrom a scale of 0-10, the pain intensity is 9.\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 am more irritable and my mood has been very unstable recently.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI am currently being treated with an oral antibiotic for an ear infection.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Acute otitis media\n\nfinal diagnosis: Acute otitis media\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 66\nSEX: M\nINITIAL EVIDENCE: ww_bouffe\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, 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 3.\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 1.\nI have a cough.\nMy symptoms get worse after eating.\nAntecedents:\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. Bronchitis\n2. GERD\n3. Spontaneous rib fracture\n4. Possible NSTEMI / STEMI\n5. Pericarditis\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: 64\nSEX: M\nINITIAL EVIDENCE: diaph\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious.\nI feel pain in: cheek(R), cheek(L), occiput, temple(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 1.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI have a fever.\nI have a sore throat.\nI have diffuse muscle pain.\nI have a cough.\nAntecedents:\nI live with 4 or more people.\nI attend/work in a daycare.\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. URTI\n2. Influenza\n3. Bronchitis\n4. Pneumonia\n5. Tuberculosis\n6. HIV (initial infection)\n7. 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: 35\nSEX: M\nINITIAL EVIDENCE: pale\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging, a cramp, exhausting.\nI feel pain in: top of the head, 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 4.\nI constantly feel fatigued and have non-restful sleep.\nMy skin is much paler than usual.\nAntecedents:\nI have been diagnosed with anemia.\nI have family members diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to South East Asia.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Cluster headache\n\nfinal diagnosis: Anemia\n" } ]

[ { "role": "user", "content": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 44\nSEX: F\nINITIAL EVIDENCE: rectorragie\nSymptoms:\nI have pain somewhere.\nThe pain is: 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 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 1.\nI am experiencing shortness of breath.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI constantly feel fatigued and have non-restful sleep.\nI have very abundant or very long menstruation periods.\nMy skin is much paler than usual.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have been diagnosed with anemia.\nI have family members diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to West Africa.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Anemia\n2. Ebola\n3. Myocarditis\n4. Acute pulmonary edema\n5. Guillain-Barré syndrome\n6. Cluster headache\n7. HIV (initial infection)\n8. Pulmonary neoplasm\n9. Acute dystonic reactions\n10. Myasthenia gravis\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: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: sensitive, exhausting.\nI feel pain in: posterior chest wall(R), posterior chest wall(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 5.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI constantly feel fatigued and have non-restful sleep.\nI have recently experienced a loss of appetite and get full more quickly than usual.\nI have a cough.\nAntecedents:\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. Pulmonary neoplasm\n2. Possible NSTEMI / STEMI\n3. Bronchitis\n4. Acute pulmonary edema\n5. Pneumonia\n6. Tuberculosis\n7. Pulmonary embolism\n8. Unstable angina\n9. Bronchiectasis\n10. Myocarditis\n11. Anemia\n12. Stable angina\n13. Guillain-Barré syndrome\n14. Bronchospasm / acute asthma exacerbation\n15. Atrial fibrillation\n16. Spontaneous rib fracture\n17. Acute dystonic reactions\n18. Myasthenia gravis\n19. 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: 0\nSEX: M\nINITIAL EVIDENCE: ulcères_bouche\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: popliteal fossa(R), dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), palmar face of the wrist(R), shoulder(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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\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(R), cheek(L).\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 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. SLE\n2. Bronchospasm / acute asthma exacerbation\n3. Pulmonary embolism\n4. Pneumonia\n5. Scombroid food poisoning\n6. Anemia\n7. Guillain-Barré syndrome\n8. Croup\n9. Bronchiolitis\n10. Atrial fibrillation\n11. Myocarditis\n12. Anaphylaxis\n13. Acute dystonic reactions\n14. Myasthenia gravis\n15. HIV (initial infection)\n16. Bronchitis\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: 29\nSEX: M\nINITIAL EVIDENCE: douleurxx\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), posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: posterior chest wall(R).\nFrom a scale of 0-10, the pain's location precision is 9.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI have a cough.\nI have intense coughing fits.\nI have pain that increases with movement.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI drink alcohol excessively and have an addiction to alcohol.\nI am being treated for osteoporosis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "role": "assistant", "content": "differential diagnosis: \n1. Spontaneous pneumothorax\n2. Pulmonary embolism\n3. Bronchitis\n4. Spontaneous rib fracture\n5. Possible NSTEMI / STEMI\n6. Pneumonia\n7. 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: 24\nSEX: F\nINITIAL EVIDENCE: impression_mort\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: lower chest, side of the chest(R), side of the chest(L), iliac fossa(R), belly.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\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 have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI feel anxious.\nMembers of my immediate family have a psychiatric illness.\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. Guillain-Barré syndrome\n3. Possible NSTEMI / STEMI\n4. Spontaneous pneumothorax\n5. Acute pulmonary edema\n6. Unstable angina\n7. Pericarditis\n8. Boerhaave\n9. Pulmonary embolism\n10. Stable angina\n11. GERD\n12. Anaphylaxis\n13. Inguinal hernia\n14. Acute dystonic reactions\n15. Myasthenia gravis\n16. Anemia\n17. Sarcoidosis\n18. Pancreatic neoplasm\n19. Scombroid food poisoning\n20. 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: 36\nSEX: M\nINITIAL EVIDENCE: douleurxx\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(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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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 4.\nThe affected regions are: cheek(L).\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 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. Stable angina\n4. Pulmonary embolism\n5. SLE\n6. Anaphylaxis\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: 108\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\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), breast(R), belly.\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel nauseous and like vomiting.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nAntecedents:\nI feel anxious.\nI 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. Unstable angina\n6. Boerhaave\n7. GERD\n8. Pericarditis\n9. Anemia\n10. Chagas\n11. Stable angina\n\nfinal diagnosis: Panic attack\n" } ]