Datasets:

YBXL

/

DDXPlus_Reasoning_train

like 1

[ { "from": "human", "value": "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: etourdissement\nSymptoms:\nI have pain somewhere.\nThe pain is: tugging, a cramp, exhausting.\nI feel pain in: back of head, forehead, temple(L).\nFrom a scale of 0-10, the pain intensity is 1.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI feel slightly dizzy and lightheaded.\nI have recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have 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 Caraibes.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anemia\n2. Cluster headache\n\nfinal diagnosis: Anemia\n" } ]

[ { "from": "human", "value": "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: douleurxx\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious, sharp, scary.\nI feel pain in: biceps(R), side of the chest(R), side of the chest(L), upper chest, breast(L).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: biceps(R), thyroid cartilage, thoracic spine, trachea, triceps(R).\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 constantly feel fatigued and have non-restful sleep.\nI feel nauseous and like vomiting.\nAntecedents:\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 a problem with poor circulation.\nI am a former smoker.\nI have not traveled out of the country in the last 4 weeks.\nI have close family members who had a cardiovascular disease problem before the age of 50.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Possible NSTEMI / STEMI\n2. Boerhaave\n3. GERD\n4. Chagas\n5. Anemia\n6. HIV (initial infection)\n7. Panic attack\n8. Anaphylaxis\n9. Scombroid food poisoning\n10. Pericarditis\n11. Unstable angina\n\nfinal diagnosis: Possible NSTEMI / STEMI\n" } ]

[ { "from": "human", "value": "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: M\nINITIAL EVIDENCE: nausee\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, a knife stroke, violent, sickening.\nI feel pain in: flank(L), upper chest, hypochondrium(L), belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: thoracic spine, scapula(R).\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 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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Boerhaave\n2. Possible NSTEMI / STEMI\n3. Unstable angina\n4. Anaphylaxis\n5. Pancreatic neoplasm\n6. Chagas\n7. Scombroid food poisoning\n8. Pericarditis\n9. Stable angina\n\nfinal diagnosis: Boerhaave\n" } ]

[ { "from": "human", "value": "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: lesions_peau\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, sharp.\nI feel pain in: back of the neck, ankle(R), dorsal aspect of the wrist(R), dorsal aspect of the wrist(L), shoulder(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\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 0.\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 " }, { "from": "agent", "value": "differential diagnosis: \n1. SLE\n2. Possible NSTEMI / STEMI\n3. Unstable angina\n4. Pulmonary neoplasm\n5. Bronchospasm / acute asthma exacerbation\n6. HIV (initial infection)\n7. Pneumonia\n8. Pulmonary embolism\n9. Stable angina\n10. Acute COPD exacerbation / infection\n11. Scombroid food poisoning\n12. Anemia\n13. Bronchiectasis\n14. Guillain-Barré syndrome\n15. Myocarditis\n16. Acute pulmonary edema\n17. Atrial fibrillation\n18. Anaphylaxis\n19. Acute dystonic reactions\n20. Myasthenia gravis\n21. Pancreatic neoplasm\n22. Bronchitis\n23. Tuberculosis\n24. PSVT\n25. Chagas\n\nfinal diagnosis: SLE\n" } ]

[ { "from": "human", "value": "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: expecto\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious.\nI feel pain in: top of the head, forehead, occiput, 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 have a cough that produces colored and abundant sputum.\nI have a sore throat.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI attend/work in a daycare.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. URTI\n2. Bronchitis\n3. Cluster headache\n4. Bronchiectasis\n5. Chronic rhinosinusitis\n6. Acute rhinosinusitis\n7. Pneumonia\n8. Chagas\n9. Anemia\n10. Influenza\n\nfinal diagnosis: URTI\n" } ]

[ { "from": "human", "value": "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: toux\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, a knife stroke, tugging, burning, sickening, scary.\nI feel pain in: upper chest, belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: 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.\nI have a cough.\nI have recently thrown up blood or something resembling coffee beans.\nMy symptoms get worse after eating.\nAntecedents:\nI am significantly overweight compared to people of the same height as me.\nI drink alcohol excessively and have an addiction to alcohol.\nI have a hiatal hernia.\nI have asthma.\nI am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. GERD\n2. Bronchitis\n3. Spontaneous rib fracture\n4. Anemia\n\nfinal diagnosis: GERD\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 26\nSEX: M\nINITIAL EVIDENCE: prurit_nasal\nSymptoms:\nMy nose and the back of my throat are itchy.\nI have severe itching in my eyes.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\nI live in a big city.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Allergic sinusitis\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "from": "human", "value": "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: M\nINITIAL EVIDENCE: rhino_clair\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, heavy.\nI feel pain in: cheek(R), occiput, temple(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 2.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI have a fever.\nI have a sore throat.\nI have nasal congestion and a clear runny nose.\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.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. URTI\n2. Chagas\n\nfinal diagnosis: URTI\n" } ]

[ { "from": "human", "value": "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: 65\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: lower chest, upper chest, breast(L).\nFrom a scale of 0-10, the pain intensity is 10.\nThe pain radiates to: thoracic spine, posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 7.\nI am experiencing shortness of breath.\nMy symptoms worsen when lying down and alleviate while sitting up.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI recently had a viral infection.\nI have had pericarditis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Pericarditis\n2. Spontaneous pneumothorax\n3. Pulmonary embolism\n4. Possible NSTEMI / STEMI\n5. GERD\n6. Acute pulmonary edema\n7. Guillain-Barré syndrome\n8. Myocarditis\n9. Acute dystonic reactions\n10. Sarcoidosis\n11. Scombroid food poisoning\n12. Stable angina\n13. Unstable angina\n\nfinal diagnosis: Pericarditis\n" } ]

[ { "from": "human", "value": "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: fievre\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious.\nI feel pain in: forehead, cheek(L), occiput.\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 0.\nI have a fever.\nI have a sore throat.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. URTI\n2. Influenza\n3. HIV (initial infection)\n4. Chagas\n\nfinal diagnosis: URTI\n" } ]

[ { "from": "human", "value": "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, burning.\nI feel pain in: tonsil(R), tonsil(L), palace, pharynx, under the jaw.\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 2.\nI have a fever.\nI have a cough.\nThe tone of my voice has become deeper, softer, or hoarse.\nAntecedents:\nI live with 4 or more people.\nI attend/work in a daycare.\nI smoke cigarettes.\nI have had a cold in the last 2 weeks.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Acute laryngitis\n2. Bronchitis\n3. Pneumonia\n4. Influenza\n5. Tuberculosis\n6. Viral pharyngitis\n7. Epiglottitis\n8. Chagas\n\nfinal diagnosis: Acute laryngitis\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 61\nSEX: M\nINITIAL EVIDENCE: 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 asthma.\nI traveled out of the conutry in the last 4 weeks. I traveled to North America.\nI live in a big city.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Allergic sinusitis\n2. Influenza\n3. Bronchitis\n4. Viral pharyngitis\n5. URTI\n6. GERD\n7. Acute otitis media\n8. Acute laryngitis\n9. Cluster headache\n10. Spontaneous rib fracture\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "from": "human", "value": "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: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have chest pain even at rest.\nI have pain somewhere.\nThe pain is: heartbreaking, violent.\nI feel pain in: side of the chest(R), upper chest, breast(R), breast(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 3.\nFrom a scale of 0-10, the pain's occurrence speed is 9.\nI am experiencing shortness of breath.\nI have symptoms that increase with physical exertion but alleviate with rest.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI have had a spontaneous pneumothorax.\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Spontaneous pneumothorax\n2. Pulmonary embolism\n3. Myocarditis\n4. Atrial fibrillation\n5. Pericarditis\n6. Guillain-Barré syndrome\n7. Boerhaave\n8. GERD\n9. Acute dystonic reactions\n10. Myasthenia gravis\n11. Anemia\n12. Panic attack\n13. Sarcoidosis\n14. Scombroid food poisoning\n\nfinal diagnosis: Spontaneous pneumothorax\n" } ]

[ { "from": "human", "value": "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: dyspn\nSymptoms:\nI have swollen or painful lymph nodes.\nI have pain somewhere.\nThe pain is: sensitive, burning, sharp.\nI feel pain in: finger (ring finger)(L), finger (index)(R), finger (middle)(R), finger (middle)(L), dorsal aspect of the wrist(L).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI have diffuse redness in my eyes.\nThe colar of the rash is NA.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: nowhere.\nFrom a scale of 0-10, the pain intensity casued by the rash is 0.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nAntecedents:\nI work in agriculture.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Sarcoidosis\n2. Acute dystonic reactions\n3. Anemia\n4. SLE\n5. Myocarditis\n6. Pulmonary embolism\n\nfinal diagnosis: Sarcoidosis\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 63\nSEX: M\nINITIAL EVIDENCE: oedeme\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 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 1.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI feel lightheaded, dizzy and like I am about to faint.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\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 2.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 7.\nI have swelling in one or more areas of my body.\nThe swelling located in: 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.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anaphylaxis\n2. Panic attack\n3. Possible NSTEMI / STEMI\n4. Pulmonary embolism\n5. Acute pulmonary edema\n6. Pericarditis\n7. Unstable angina\n8. Anemia\n9. Stable angina\n10. GERD\n11. Inguinal hernia\n12. PSVT\n13. Guillain-Barré syndrome\n14. Atrial fibrillation\n15. Myocarditis\n16. SLE\n17. Acute dystonic reactions\n18. Myasthenia gravis\n19. Chagas\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "from": "human", "value": "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: oedeme\nSymptoms:\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: ankle(R), ankle(L), thigh(R), dorsal aspect of the foot(R), sole(R).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), thigh(L), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(L).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI have an issue with one of my heart valves.\nI take corticosteroids.\nI have heart failure.\nI have liver cirrhosis.\nI was diagnosed with an endocrine disease or a hormone dysfunction.\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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Localized edema\n2. Chagas\n3. Anaphylaxis\n\nfinal diagnosis: Localized edema\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 50\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious.\nI feel pain in: biceps(R), side of the chest(R), breast(R), breast(L), epigastric.\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 7.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI constantly feel fatigued and have non-restful sleep.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI have diabetes.\nI am significantly overweight compared to people of the same height as me.\nI drink alcohol excessively and have an addiction to alcohol.\nI smoke cigarettes.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI exercise regularly, 4 times per week or more.\nI traveled out of the conutry in the last 4 weeks. I traveled to North America.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Possible NSTEMI / STEMI\n2. Unstable angina\n3. Stable angina\n4. Pancreatic neoplasm\n5. Anemia\n6. Pericarditis\n7. Atrial fibrillation\n\nfinal diagnosis: Stable angina\n" } ]

[ { "from": "human", "value": "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: 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.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Allergic sinusitis\n\nfinal diagnosis: Allergic sinusitis\n" } ]

[ { "from": "human", "value": "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: ww_respi\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: lower chest, upper chest, breast(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: thoracic spine, posterior chest wall(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 7.\nMy symptoms worsen when lying down and alleviate while sitting up.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI recently had a viral infection.\nI have had pericarditis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Pericarditis\n2. Possible NSTEMI / STEMI\n3. Pulmonary embolism\n4. Unstable angina\n5. Boerhaave\n6. Spontaneous pneumothorax\n7. Stable angina\n8. GERD\n\nfinal diagnosis: Pericarditis\n" } ]

[ { "from": "human", "value": "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:\nI have pain somewhere.\nThe pain is: sensitive, burning.\nI feel pain in: tonsil(R), tonsil(L), palace, pharynx.\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have a fever.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI 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 immunosuppressed.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Viral pharyngitis\n2. URTI\n3. Bronchitis\n4. Acute laryngitis\n5. Influenza\n6. Epiglottitis\n7. Tuberculosis\n\nfinal diagnosis: Viral pharyngitis\n" } ]

[ { "from": "human", "value": "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: oedeme\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging, heavy.\nI feel pain in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(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 5.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R).\nAntecedents:\nI have an issue with one of my heart valves.\nI have 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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Localized edema\n2. Chagas\n3. Anaphylaxis\n\nfinal diagnosis: Localized edema\n" } ]

[ { "from": "human", "value": "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: hyponos\nSymptoms:\nI have pain somewhere.\nThe pain is: burning, sharp.\nI feel pain in: mouth, forehead, cheek(R), cheek(L), nose.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: 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 4.\nI have lost my sense of smell.\nI have greenish or yellowish nasal discharge.\nI have a cough.\nAntecedents:\nI have had pneumonia.\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 " }, { "from": "agent", "value": "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: Chronic rhinosinusitis\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 48\nSEX: M\nINITIAL EVIDENCE: toux\nSymptoms:\nI have 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 4.\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 yellow.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\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 2.\nI have had an involuntary weight loss over the last 3 months.\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 smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Pancreatic neoplasm\n2. GERD\n3. Unstable angina\n4. Stable angina\n5. Bronchitis\n6. Pulmonary neoplasm\n7. Possible NSTEMI / STEMI\n\nfinal diagnosis: Pancreatic neoplasm\n" } ]

[ { "from": "human", "value": "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: rhino_clair\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, a knife stroke, tugging, violent.\nI feel pain in: forehead, cheek(R), eye(R), eye(L), temple(R).\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nMy eyes produce excessive tears.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nMy family members have been diagnosed with cluster headaches.\nI drink alcohol excessively and have an addiction to alcohol.\nI take medication that dilates my blood vessels.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Cluster headache\n2. Chagas\n3. Anemia\n\nfinal diagnosis: Cluster headache\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 8\nSEX: M\nINITIAL EVIDENCE: pdc\nSymptoms:\nI have been in contact with or ate something that I'm allergic to.\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: flank(R), iliac fossa(R), iliac fossa(L), hypochondrium(R), epigastric.\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 3.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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: thyroid cartilage, ankle(L), cervical spine, thigh(L), shoulder(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 9.\nI feel nauseous and like vomiting.\nI have swelling in one or more areas of my body.\nThe swelling located in: forehead, cheek(L), nose.\nI lost consciousness.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\nI am more likely to develop common allergies.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anaphylaxis\n2. GERD\n3. Localized edema\n4. Pulmonary embolism\n5. Inguinal hernia\n6. Anemia\n7. Panic attack\n8. PSVT\n9. Chagas\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "from": "human", "value": "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: dyspn\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious, heavy, sharp, sickening, scary.\nI feel pain in: biceps(R), side of the chest(L), breast(R), breast(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 7.\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 7.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nAntecedents:\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 a problem with poor circulation.\nI am a former smoker.\nI have not traveled out of the country in the last 4 weeks.\nI have close family members who had a cardiovascular disease problem before the age of 50.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Possible NSTEMI / STEMI\n2. GERD\n3. Guillain-Barré syndrome\n4. Atrial fibrillation\n5. Panic attack\n6. SLE\n7. Pericarditis\n8. Acute dystonic reactions\n9. Acute pulmonary edema\n10. Myocarditis\n11. Unstable angina\n12. Scombroid food poisoning\n\nfinal diagnosis: Possible NSTEMI / STEMI\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 23\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain that improves when I lean forward.\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: tonsil(R), tonsil(L), side of the neck(R), palace, pharynx.\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 have a fever.\nI produce more saliva than usual.\nI hear a high pitched sound when I breathe in.\nThe tone of my voice has become deeper, softer, or hoarse.\nAntecedents:\nI have high blood pressure.\nI have not traveled out of the country in the last 4 weeks.\nMy vaccinations are up to date.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Epiglottitis\n2. Acute laryngitis\n3. HIV (initial infection)\n4. Larygospasm\n5. Chagas\n6. Viral pharyngitis\n\nfinal diagnosis: Epiglottitis\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 26\nSEX: M\nINITIAL EVIDENCE: expecto\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: side of the chest(L), posterior chest wall(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 0.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\nI have a fever.\nI have had chills and shivers.\nI have lesions and redness on my skin.\nThe colar of the rash is pink.\nThe lesion peels off.\nFrom a scale of 0-10, the swelling of the rash is 5.\nThe affected regions are: cervical spine, buttock(L), belly.\nFrom a scale of 0-10, the pain intensity casued by the rash is 1.\nThe lesion is no larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 5.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI drink alcohol excessively and have an addiction to alcohol.\nI smoke cigarettes.\nI have Parkinson's disease.\nI have heart failure.\nI have had a stroke.\nI have had pneumonia.\nI have chronic obstructive pulmonary disease (COPD).\nI have asthma.\nI had surgery within the last month.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Pneumonia\n2. Bronchiectasis\n3. Influenza\n4. Bronchitis\n5. Tuberculosis\n6. Possible NSTEMI / STEMI\n7. URTI\n8. Panic attack\n9. HIV (initial infection)\n10. Unstable angina\n11. Pulmonary embolism\n12. Stable angina\n13. Myocarditis\n14. Bronchospasm / acute asthma exacerbation\n15. Atrial fibrillation\n16. Guillain-Barré syndrome\n17. Acute dystonic reactions\n18. Myasthenia gravis\n19. Sarcoidosis\n20. Pancreatic neoplasm\n\nfinal diagnosis: Pneumonia\n" } ]

[ { "from": "human", "value": "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: oedeme\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), flank(L), iliac fossa(R), hypochondrium(R), epigastric.\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 4.\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 pink.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: back of the neck, biceps(R), mouth, ankle(R), cervical spine.\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 have swelling in one or more areas of my body.\nThe swelling located in: cheek(L).\nI hear a high pitched sound when I breathe in.\nI have a wheezing sound when I exhale.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anaphylaxis\n2. Bronchospasm / acute asthma exacerbation\n3. Possible NSTEMI / STEMI\n4. Pulmonary embolism\n5. Acute pulmonary edema\n6. Pericarditis\n7. Unstable angina\n8. GERD\n9. Epiglottitis\n10. Stable angina\n11. Inguinal hernia\n12. Larygospasm\n13. Guillain-Barré syndrome\n14. Atrial fibrillation\n15. Myocarditis\n16. SLE\n17. Panic attack\n18. Acute dystonic reactions\n19. Myasthenia gravis\n20. Anemia\n21. Chagas\n\nfinal diagnosis: Anaphylaxis\n" } ]

[ { "from": "human", "value": "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: faible\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: side of the chest(R), hypochondrium(R), breast(R), breast(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 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 have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nI feel like I am detached from my own body or surroundings.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI feel anxious.\nMembers of my immediate family have a psychiatric illness.\nI drink alcohol excessively and have an addiction to alcohol.\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI have had a migraine.\nI suffer from fibromyalgia.\nI have had a head trauma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Panic attack\n2. Possible NSTEMI / STEMI\n3. Guillain-Barré syndrome\n4. Unstable angina\n5. Spontaneous pneumothorax\n6. Acute pulmonary edema\n7. Anaphylaxis\n8. Anemia\n9. Boerhaave\n10. Pericarditis\n11. GERD\n12. Pulmonary embolism\n13. Scombroid food poisoning\n14. Stable angina\n15. Acute dystonic reactions\n16. Myasthenia gravis\n17. HIV (initial infection)\n18. Sarcoidosis\n19. Pancreatic neoplasm\n20. Chagas\n21. SLE\n\nfinal diagnosis: Panic attack\n" } ]

[ { "from": "human", "value": "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: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: lower chest, upper chest, breast(R), breast(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 4.\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 3.\nI am experiencing shortness of breath.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nAntecedents:\nI recently had a viral infection.\nI have had pericarditis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Possible NSTEMI / STEMI\n2. GERD\n3. PSVT\n4. Pericarditis\n5. Myocarditis\n6. Anaphylaxis\n7. Scombroid food poisoning\n8. Acute dystonic reactions\n9. Myasthenia gravis\n10. Panic attack\n11. Guillain-Barré syndrome\n12. Sarcoidosis\n13. Pancreatic neoplasm\n14. SLE\n\nfinal diagnosis: Pericarditis\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 42\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, sensitive, a knife stroke, burning.\nI feel pain in: lower chest, upper chest, hypochondrium(L), belly.\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 4.\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.\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 am pregnant.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. GERD\n2. Bronchitis\n3. Pericarditis\n4. Possible NSTEMI / STEMI\n5. Spontaneous rib fracture\n6. Unstable angina\n7. Tuberculosis\n8. Stable angina\n9. Pancreatic neoplasm\n\nfinal diagnosis: GERD\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 15\nSEX: M\nINITIAL EVIDENCE: regard_dévié\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 suddenly have difficulty opening my mouth and experience jaw pain when I do.\nAntecedents:\nI regularly take stimulant drugs.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Myocarditis\n2. Acute dystonic reactions\n3. Anemia\n4. Anaphylaxis\n5. Scombroid food poisoning\n6. SLE\n7. Chagas\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

[ { "from": "human", "value": "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: larmes\nSymptoms:\nI have pain somewhere.\nThe pain is: haunting, a knife stroke, tugging, violent, sharp.\nI feel pain in: forehead, cheek(R), cheek(L), eye(R), eye(L).\nFrom a scale of 0-10, the pain intensity is 10.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 10.\nMy eyes produce excessive tears.\nAntecedents:\nMy family members have been diagnosed with cluster headaches.\nI drink alcohol excessively and have an addiction to alcohol.\nI take medication that dilates my blood vessels.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Cluster headache\n\nfinal diagnosis: Cluster headache\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 50\nSEX: M\nINITIAL EVIDENCE: ww_dd\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, sensitive, tugging.\nI feel pain in: ankle(R), ankle(L), side of the chest(L), breast(L), tibia(R).\nFrom a scale of 0-10, the pain intensity is 5.\nThe pain radiates to: biceps(L), chin, jaw, triceps(R), shoulder(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 4.\nI am experiencing shortness of breath.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), calf(L), tibia(R).\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI have had fluid in my lungs.\nI currently undergo dialysis.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI have heart failure.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Acute pulmonary edema\n2. SLE\n3. Possible NSTEMI / STEMI\n4. Pericarditis\n5. Pulmonary embolism\n6. Myocarditis\n7. Guillain-Barré syndrome\n8. Atrial fibrillation\n9. Anaphylaxis\n10. Acute dystonic reactions\n11. Myasthenia gravis\n12. Anemia\n13. Chagas\n14. Sarcoidosis\n15. Scombroid food poisoning\n16. PSVT\n17. Stable angina\n\nfinal diagnosis: Acute pulmonary edema\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 26\nSEX: F\nINITIAL EVIDENCE: ww_effort\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, heavy, exhausting.\nI feel pain in: side of the chest(R), scapula(L), breast(R), posterior chest wall(L), epigastric.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: biceps(R), under the jaw, trachea, triceps(R).\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 9.\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 have high cholesterol.\nI smoke cigarettes.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI exercise regularly, 4 times per week or more.\nI have not traveled out of the country in the last 4 weeks.\nI have close family members who had a cardiovascular disease problem before the age of 50.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Unstable angina\n2. Stable angina\n3. Possible NSTEMI / STEMI\n4. Atrial fibrillation\n5. Panic attack\n6. Myocarditis\n7. GERD\n8. Acute pulmonary edema\n9. Guillain-Barré syndrome\n10. Anaphylaxis\n11. Acute dystonic reactions\n12. Sarcoidosis\n13. Scombroid food poisoning\n14. PSVT\n15. Pulmonary embolism\n\nfinal diagnosis: Stable angina\n" } ]

[ { "from": "human", "value": "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: gorge_dlr\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: top of the head, cheek(R), cheek(L), occiput, temple(R).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 5.\nFrom a scale of 0-10, the pain's occurrence speed is 4.\nI have a fever.\nI have a sore throat.\nI have nasal congestion and a clear runny nose.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI live with 4 or more people.\nI attend/work in a daycare.\nI have not traveled out of the country in the last 4 weeks.\nI am exposed to secondhand cigarette smoke daily.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. URTI\n2. HIV (initial infection)\n3. Chagas\n\nfinal diagnosis: URTI\n" } ]

[ { "from": "human", "value": "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: impression_mort\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp.\nI feel pain in: side of the chest(L), iliac fossa(R), pubis, breast(R), belly.\nFrom a scale of 0-10, the pain intensity is 2.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI feel like I am choking or suffocating.\nI feel like I am dying.\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.\nI suffer from chronic anxiety.\nI have asthma.\nI have had a head trauma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Panic attack\n2. Guillain-Barré syndrome\n3. Spontaneous pneumothorax\n4. PSVT\n5. Possible NSTEMI / STEMI\n6. Pericarditis\n7. Pulmonary embolism\n8. Atrial fibrillation\n9. Acute pulmonary edema\n10. Unstable angina\n11. Stable angina\n12. GERD\n13. Anaphylaxis\n14. Inguinal hernia\n15. Scombroid food poisoning\n16. Acute dystonic reactions\n17. Myasthenia gravis\n18. Anemia\n19. Sarcoidosis\n20. Pancreatic neoplasm\n21. SLE\n22. Chagas\n\nfinal diagnosis: Panic attack\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 50\nSEX: M\nINITIAL EVIDENCE: gain_poids\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, heavy, sharp.\nI feel pain in: thigh(L), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(R), sole(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 3.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI have gained weight recently.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI have an issue with one of my heart valves.\nI have had surgery to remove lymph nodes.\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 traveled out of the conutry in the last 4 weeks. I traveled to North America.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Localized edema\n2. Pulmonary embolism\n3. Chagas\n\nfinal diagnosis: Localized edema\n" } ]

[ { "from": "human", "value": "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: fievre\nSymptoms:\nI have pain somewhere.\nThe pain is: burning.\nI feel pain in: tonsil(R), tonsil(L), palace, under the jaw.\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 6.\nFrom a scale of 0-10, the pain's occurrence speed is 1.\nI have a fever.\nI have a cough.\nAntecedents:\nI have had a cold in the last 2 weeks.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Bronchitis\n2. Acute laryngitis\n3. Tuberculosis\n4. Viral pharyngitis\n5. Possible NSTEMI / STEMI\n6. Unstable angina\n7. Epiglottitis\n8. Pneumonia\n9. Influenza\n10. Chagas\n11. Stable angina\n\nfinal diagnosis: Acute laryngitis\n" } ]

[ { "from": "human", "value": "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 pain somewhere.\nThe pain is: sensitive, heavy, exhausting.\nI feel pain in: back of head, back of the neck, side of the neck(R), side of the neck(L), forehead.\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 0.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have had chills and shivers.\nI have a sore throat.\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: side of the neck(R), forehead.\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 3.\nI have a cough.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Bronchitis\n2. Chagas\n3. Influenza\n4. URTI\n5. Cluster headache\n6. Anaphylaxis\n7. Anemia\n8. Chronic rhinosinusitis\n9. Scombroid food poisoning\n\nfinal diagnosis: Influenza\n" } ]

[ { "from": "human", "value": "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: 70\nSEX: M\nINITIAL EVIDENCE: dyspn\nSymptoms:\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Acute COPD exacerbation / infection\n2. Bronchitis\n3. Bronchiectasis\n4. Pneumonia\n5. Pulmonary neoplasm\n6. Guillain-Barré syndrome\n7. Atrial fibrillation\n8. Myocarditis\n9. Pulmonary embolism\n10. Acute dystonic reactions\n11. Myasthenia gravis\n12. Anemia\n13. Tuberculosis\n14. PSVT\n15. Possible NSTEMI / STEMI\n16. Chagas\n\nfinal diagnosis: Acute COPD exacerbation / infection\n" } ]

[ { "from": "human", "value": "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: ww_effort\nSymptoms:\nI am experiencing shortness of breath.\nMy heart is beating very irregularly or in a disorganized pattern.\nI have symptoms that increase with physical exertion but alleviate with rest.\nAntecedents:\nI have an issue with one of my heart valves.\nI have severe Chronic Obstructive Pulmonary Disease (COPD).\nI have diabetes.\nI have high blood pressure.\nI have had a heart attack and I have angina.\nI have a known heart defect.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Atrial fibrillation\n2. PSVT\n3. Acute pulmonary edema\n4. Guillain-Barré syndrome\n5. Myocarditis\n6. Panic attack\n7. Scombroid food poisoning\n8. Acute dystonic reactions\n9. Myasthenia gravis\n10. Possible NSTEMI / STEMI\n11. Pulmonary neoplasm\n12. Pulmonary embolism\n\nfinal diagnosis: Atrial fibrillation\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 8\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, a knife stroke, violent.\nI feel pain in: upper chest, breast(R), breast(L).\nFrom a scale of 0-10, the pain intensity is 10.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 2.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI am experiencing shortness of breath.\nI have pain that increases when I breathe in deeply.\nAntecedents:\nI have had a spontaneous pneumothorax.\nI smoke cigarettes.\nMy family members had a pneumothorax.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Pulmonary embolism\n2. Spontaneous pneumothorax\n3. Guillain-Barré syndrome\n4. Atrial fibrillation\n5. GERD\n6. Myocarditis\n7. Acute dystonic reactions\n8. Myasthenia gravis\n9. Anemia\n10. Panic attack\n11. Sarcoidosis\n12. Scombroid food poisoning\n\nfinal diagnosis: Spontaneous pneumothorax\n" } ]

[ { "from": "human", "value": "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: nausee\nSymptoms:\nI have pain somewhere.\nThe pain is: heartbreaking, haunting, a knife stroke, violent, sickening.\nI feel pain in: lower chest, flank(R), upper chest, belly, epigastric.\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: thoracic spine, scapula(R), scapula(L).\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 9.\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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Boerhaave\n\nfinal diagnosis: Boerhaave\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 48\nSEX: F\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: a knife stroke, sharp.\nI feel pain in: lower chest, upper chest, breast(R), breast(L).\nFrom a scale of 0-10, the pain intensity is 7.\nThe pain radiates to: posterior chest wall(R), posterior chest wall(L).\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 9.\nI am experiencing shortness of breath.\nMy symptoms worsen when lying down and alleviate while sitting up.\nAntecedents:\nI recently had a viral infection.\nI have had pericarditis.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Possible NSTEMI / STEMI\n2. GERD\n3. Pericarditis\n4. Acute pulmonary edema\n5. Myocarditis\n6. Guillain-Barré syndrome\n7. Acute dystonic reactions\n8. Myasthenia gravis\n9. Anemia\n10. Sarcoidosis\n11. Scombroid food poisoning\n12. Stable angina\n\nfinal diagnosis: Pericarditis\n" } ]

[ { "from": "human", "value": "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: impression_mort\nSymptoms:\nI have pain somewhere.\nThe pain is: a cramp, sharp.\nI feel pain in: side of the chest(R), side of the chest(L), flank(R), flank(L), hypochondrium(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 6.\nI am experiencing shortness of breath.\nI feel lightheaded, dizzy and like I am about to faint.\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:\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 have had a head trauma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Panic attack\n2. Spontaneous pneumothorax\n3. Possible NSTEMI / STEMI\n4. Anemia\n5. Anaphylaxis\n6. Unstable angina\n7. Pulmonary embolism\n8. Guillain-Barré syndrome\n9. Acute pulmonary edema\n10. Boerhaave\n11. Stable angina\n12. GERD\n13. Acute dystonic reactions\n14. Scombroid food poisoning\n15. Sarcoidosis\n16. SLE\n\nfinal diagnosis: Panic attack\n" } ]

[ { "from": "human", "value": "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: nausee\nSymptoms:\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: sensitive.\nI feel pain in: flank(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 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 0.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 2.\nI feel nauseous and like vomiting.\nI have a cough.\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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Pancreatic neoplasm\n2. Bronchitis\n\nfinal diagnosis: Pancreatic neoplasm\n" } ]

[ { "from": "human", "value": "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: trismus\nSymptoms:\nI have felt like I was suffocating for a very short time, unable to breathe or speak.\nI have a hard time opening/raising one or both eyelids.\nI have annoying muscle spasms in my face, neck and other parts of my body.\nI suddenly have difficulty opening my mouth and experience jaw pain when I do.\nAntecedents:\nI have started taking antipsychotic medication within the last 7 days.\nI regularly take stimulant drugs.\nI have been treated in the hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Acute dystonic reactions\n2. Myasthenia gravis\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 26\nSEX: M\nINITIAL EVIDENCE: fatig_ext\nSymptoms:\nI have swollen or painful lymph nodes.\nI have pain somewhere.\nThe pain is: sensitive, a pulse.\nI feel pain in: back of the neck, top of the head, forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 3.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 4.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have a fever.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 1.\nThe affected regions are: upper gum, labia majora(R), labia majora(L), internal cheek(R), internal cheek(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 3.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have diffuse muscle pain.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI have had unprotected sex with more than one partner in the last 6 months.\nI traveled out of the conutry in the last 4 weeks. I traveled to South Africa.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. HIV (initial infection)\n2. Chagas\n3. Influenza\n4. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 58\nSEX: F\nINITIAL EVIDENCE: fievre\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, burning.\nI feel pain in: tonsil(R), palace, pharynx.\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 3.\nI have a fever.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI have been in contact with a person with similar symptoms in the past 2 weeks.\nI live with 4 or more people.\nI attend/work in a daycare.\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Viral pharyngitis\n2. URTI\n3. Bronchitis\n4. Acute laryngitis\n5. Influenza\n6. Tuberculosis\n\nfinal diagnosis: Viral pharyngitis\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 25\nSEX: F\nINITIAL EVIDENCE: obstipation\nSymptoms:\nMy abdomen feels bloated and distended.\nI have pain somewhere.\nThe pain is: heavy.\nI feel pain in: iliac fossa(R), 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 5.\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(R), 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.\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 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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Inguinal hernia\n2. Anaphylaxis\n3. Scombroid food poisoning\n\nfinal diagnosis: Inguinal hernia\n" } ]

[ { "from": "human", "value": "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: crach_sg\nSymptoms:\nI have been coughing up blood.\nI am experiencing shortness of breath.\nI have a cough.\nAntecedents:\nI am infected with the human immunodeficiency virus (HIV).\nI take corticosteroids.\nI am currently using intravenous drugs.\nI have diabetes.\nI have not traveled out of the country in the last 4 weeks.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Bronchitis\n2. Tuberculosis\n3. Bronchiectasis\n4. Acute pulmonary edema\n5. Guillain-Barré syndrome\n6. Bronchospasm / acute asthma exacerbation\n7. Atrial fibrillation\n8. Myocarditis\n9. Pulmonary embolism\n10. Acute dystonic reactions\n11. Myasthenia gravis\n12. Anemia\n13. Pneumonia\n\nfinal diagnosis: Tuberculosis\n" } ]

[ { "from": "human", "value": "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: dyspn\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp, exhausting.\nI feel pain in: top of the head, 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 3.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI am experiencing shortness of breath.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI constantly feel fatigued and have non-restful sleep.\nI have recently had black stools.\nMy skin is much paler than usual.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have 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 America.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anemia\n2. Ebola\n3. Guillain-Barré syndrome\n4. Myocarditis\n5. Acute dystonic reactions\n6. Myasthenia gravis\n7. Atrial fibrillation\n\nfinal diagnosis: Anemia\n" } ]

[ { "from": "human", "value": "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: laryngospasme\nSymptoms:\nI am experiencing shortness of breath.\nI have felt like I was suffocating for a very short time, unable to breathe or speak.\nI have trouble keeping my tongue in my mouth.\nI have a hard time opening/raising one or both eyelids.\nI cannot turn my head to one side due to muscle spasms and soreness in my neck.\nI suddenly have difficulty opening my mouth and experience jaw pain when I do.\nAntecedents:\nI have started taking antipsychotic medication within the last 7 days.\nI regularly take stimulant drugs.\nI have been treated in the hospital recently for nausea, agitation, intoxication or aggressive behavior and received medication via an intravenous or intramuscular route.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Acute dystonic reactions\n2. Myasthenia gravis\n3. Pulmonary embolism\n4. Acute pulmonary edema\n5. Guillain-Barré syndrome\n6. Atrial fibrillation\n7. Myocarditis\n8. Anemia\n9. Anaphylaxis\n10. Scombroid food poisoning\n11. PSVT\n12. SLE\n13. Possible NSTEMI / STEMI\n14. Chagas\n\nfinal diagnosis: Acute dystonic reactions\n" } ]

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

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 18\nSEX: M\nINITIAL EVIDENCE: rds_paresthesie_gen\nSymptoms:\nI feel weakness in both my arms and legs.\nI have had weakness or paralysis on one side of the face.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nI have weakness/paralysis in one or more of my limbs or in my face.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Guillain-Barré syndrome\n2. Myasthenia gravis\n\nfinal diagnosis: Guillain-Barré syndrome\n" } ]

[ { "from": "human", "value": "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: expecto\nSymptoms:\nI have been coughing up blood.\nI am experiencing shortness of breath.\nI have a cough that produces colored and abundant sputum.\nI have a cough.\nAntecedents:\nI have cystic fibrosis.\nI have Rheumatoid Arthritis.\nI suffer from Crohn's disease or ulcerative colitis.\nI have had pneumonia.\nI have asthma.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Bronchitis\n2. Bronchiectasis\n3. Pneumonia\n4. Pulmonary neoplasm\n5. Pulmonary embolism\n6. Acute COPD exacerbation / infection\n7. Tuberculosis\n8. Guillain-Barré syndrome\n9. Bronchospasm / acute asthma exacerbation\n10. Atrial fibrillation\n11. Myocarditis\n12. Acute dystonic reactions\n13. Myasthenia gravis\n14. Anemia\n15. PSVT\n\nfinal diagnosis: Bronchiectasis\n" } ]

[ { "from": "human", "value": "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: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, tugging, a cramp, exhausting.\nI feel pain in: back of head, forehead.\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 5.\nI feel lightheaded, dizzy and like I am about to faint.\nI constantly feel fatigued and have non-restful sleep.\nI have recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have a poor diet.\nI have been diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI traveled out of the conutry in the last 4 weeks. I traveled to West Africa.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anemia\n2. Cluster headache\n3. Possible NSTEMI / STEMI\n\nfinal diagnosis: Anemia\n" } ]

[ { "from": "human", "value": "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: F\nINITIAL EVIDENCE: faible\nSymptoms:\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: 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 8.\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 my heart is beating fast, irregularly and I feel palpitations.\nAntecedents:\nI feel anxious.\nI regularly drink coffee or tea.\nI consume energy drinks regularly.\nI regularly take stimulant drugs.\nI have not traveled out of the country in the last 4 weeks.\nI have recently taken decongestants with stimulant effects.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. PSVT\n2. Anemia\n3. Atrial fibrillation\n4. Panic attack\n5. Anaphylaxis\n6. Pulmonary embolism\n7. Acute pulmonary edema\n8. Cluster headache\n9. Scombroid food poisoning\n10. Acute dystonic reactions\n11. Myasthenia gravis\n12. Chagas\n13. Guillain-Barré syndrome\n14. SLE\n\nfinal diagnosis: PSVT\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 48\nSEX: F\nINITIAL EVIDENCE: diaph\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: sharp.\nI feel pain in: lower chest, side of the chest(R), iliac fossa(L), 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 feel lightheaded, dizzy and like I am about to faint.\nI feel like I am dying.\nI feel nauseous and like vomiting.\nI have recently had numbness, loss of sensation and tingling in both my arms, legs, and around my mouth.\nI feel like I am detached from my own body or surroundings.\nI have numbness, loss of sensitivity, or tingling on my body.\nAntecedents:\nI feel anxious.\nI have been diagnosed with depression.\nI suffer from chronic anxiety.\nI have 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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Panic attack\n2. Possible NSTEMI / STEMI\n3. Guillain-Barré syndrome\n4. Unstable angina\n5. Anaphylaxis\n6. Boerhaave\n7. Anemia\n8. GERD\n9. Inguinal hernia\n10. HIV (initial infection)\n11. Pancreatic neoplasm\n12. Scombroid food poisoning\n13. Chagas\n\nfinal diagnosis: Panic attack\n" } ]

[ { "from": "human", "value": "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: toux\nSymptoms:\nI have been coughing up blood.\nI have pain somewhere.\nThe pain is: a knife stroke, exhausting.\nI feel pain in: 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 6.\nFrom a scale of 0-10, the pain's occurrence speed is 0.\nI have had an involuntary weight loss over the last 3 months.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI am a former smoker.\nI have not traveled out of the country in the last 4 weeks.\nI have family members who had lung cancer.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Pulmonary neoplasm\n2. Bronchitis\n3. Tuberculosis\n4. Spontaneous rib fracture\n5. Possible NSTEMI / STEMI\n6. Unstable angina\n\nfinal diagnosis: Pulmonary neoplasm\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 15\nSEX: F\nINITIAL EVIDENCE: fatig_ext\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp, exhausting.\nI feel pain in: back of head, forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 4.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 6.\nFrom a scale of 0-10, the pain's occurrence speed is 5.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI 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 a poor diet.\nI have family members diagnosed with anemia.\nI have chronic kidney failure.\nI am taking new oral anticoagulants (NOACs).\nI am pregnant.\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 " }, { "from": "agent", "value": "differential diagnosis: \n1. Anemia\n2. Atrial fibrillation\n3. Cluster headache\n4. HIV (initial infection)\n5. PSVT\n\nfinal diagnosis: Anemia\n" } ]

[ { "from": "human", "value": "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: F\nINITIAL EVIDENCE: lesions_peau\nSymptoms:\nI have swollen or painful lymph nodes.\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious, exhausting.\nI feel pain in: back of head, top of the head, forehead, occiput, temple(R).\nFrom a scale of 0-10, the pain intensity is 6.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 8.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\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(L), internal cheek(R), internal cheek(L).\nFrom a scale of 0-10, the pain intensity casued by the rash is 6.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 0.\nI have diffuse muscle pain.\nI have had an involuntary weight loss over the last 3 months.\nAntecedents:\nI had a sexually transmitted infection.\nI have had unprotected sex with more than one partner in the last 6 months.\nI had sexual intercourse with an HIV-positive partner in the past 12 months.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. HIV (initial infection)\n2. URTI\n3. Chagas\n4. Influenza\n5. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "from": "human", "value": "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: msk_dlr\nSymptoms:\nI have pain somewhere.\nThe pain is: exhausting.\nI feel pain in: back of head, back of the neck, side of the neck(L), top of the head, forehead.\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 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 had chills and shivers.\nI have a sore throat.\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, side of the neck(R), forehead.\nFrom a scale of 0-10, the pain intensity casued by the rash is 5.\nThe lesion is larger than 1cm.\nFrom a scale of 0-10, the severity of itching is 1.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI smoke cigarettes.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Influenza\n2. URTI\n3. HIV (initial infection)\n4. Pneumonia\n5. Bronchitis\n6. Chagas\n7. Tuberculosis\n8. Acute rhinosinusitis\n9. Chronic rhinosinusitis\n10. Anemia\n11. Scombroid food poisoning\n\nfinal diagnosis: Influenza\n" } ]

[ { "from": "human", "value": "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: M\nINITIAL EVIDENCE: msk_dlr\nSymptoms:\nI have had significantly increased sweating.\nI have pain somewhere.\nThe pain is: tedious.\nI feel pain in: forehead, cheek(R), cheek(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 6.\nFrom a scale of 0-10, the pain's occurrence speed is 2.\nI have a fever.\nI have a sore throat.\nI have diffuse muscle pain.\nI have nasal congestion and a clear runny nose.\nI have a cough.\nAntecedents:\nI 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 " }, { "from": "agent", "value": "differential diagnosis: \n1. URTI\n2. Influenza\n3. HIV (initial infection)\n4. Bronchitis\n5. Tuberculosis\n6. Pneumonia\n7. Chronic rhinosinusitis\n8. Chagas\n9. Acute rhinosinusitis\n\nfinal diagnosis: URTI\n" } ]

[ { "from": "human", "value": "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 swollen or painful lymph nodes.\nI have had diarrhea and an increase in stool frequency.\nI have pain somewhere.\nThe pain is: sensitive, exhausting.\nI feel pain in: cervical spine, temple(R), temple(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 0.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI have a fever.\nI have lesions and redness on my skin.\nThe colar of the rash is pale.\nThe lesion do not peel off.\nFrom a scale of 0-10, the swelling of the rash is 0.\nThe affected regions are: upper gum, labia majora(R), internal cheek(L), palace, penis.\nFrom a scale of 0-10, the pain intensity casued by the rash is 8.\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.\nAntecedents:\nI had a sexually transmitted infection.\nI am currently using intravenous drugs.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. HIV (initial infection)\n2. Chagas\n3. Influenza\n4. Scombroid food poisoning\n5. Anemia\n6. Sarcoidosis\n\nfinal diagnosis: HIV (initial infection)\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 8\nSEX: M\nINITIAL EVIDENCE: faible\nSymptoms:\nI have pain somewhere.\nThe pain is: tedious, sharp.\nI feel pain in: top of the head.\nFrom a scale of 0-10, the pain intensity is 8.\nThe pain radiates to: nowhere.\nFrom a scale of 0-10, the pain's location precision is 7.\nFrom a scale of 0-10, the pain's occurrence speed is 3.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel my heart is beating fast, irregularly and I feel palpitations.\nAntecedents:\nI feel anxious.\nI consume energy drinks regularly.\nI regularly take stimulant drugs.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. PSVT\n2. Anemia\n3. Atrial fibrillation\n4. Anaphylaxis\n5. Chagas\n\nfinal diagnosis: PSVT\n" } ]

[ { "from": "human", "value": "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: faible\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp, exhausting.\nI feel pain in: back of head, top of the head, forehead, temple(R), temple(L).\nFrom a scale of 0-10, the pain intensity is 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 lightheaded, dizzy and like I am about to faint.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI constantly feel fatigued and have non-restful sleep.\nI have recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have 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 Africa.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anemia\n2. Ebola\n3. Myocarditis\n4. Panic attack\n5. Guillain-Barré syndrome\n6. Acute dystonic reactions\n7. Myasthenia gravis\n8. Cluster headache\n9. Atrial fibrillation\n\nfinal diagnosis: Anemia\n" } ]

[ { "from": "human", "value": "As a meticulous physician, your task is to provide accurate diagnoses for patients based on the input case report. Please generate top k most likely differential diagnosis (listing one diagnosis per line). Then output the final diagnosis.\n ****output format**** differential diagnosis:\n 1. \n 2.\n ... \n final diagnosis:\n\n INPUT: AGE: 74\nSEX: M\nINITIAL EVIDENCE: douleurxx\nSymptoms:\nI have pain somewhere.\nThe pain is: tugging, heavy.\nI feel pain in: ankle(R), thigh(R), thigh(L), dorsal aspect of the foot(R), calf(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 8.\nFrom a scale of 0-10, the pain's occurrence speed is 8.\nI have swelling in one or more areas of my body.\nThe swelling located in: ankle(R), ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(R).\nAntecedents:\nI am currently taking anti-inflammatory drugs (NSAIDs).\nI take corticosteroids.\nI have heart failure.\nI have had deep vein thrombosis (DVT).\nI have had surgery to remove lymph nodes.\nI take a calcium channel blockers medication.\nI was diagnosed with an endocrine disease or a hormone dysfunction.\nI have been diagnosed with obstructive sleep apnea.\nI have a kidney problem that results in an inability to retain proteins.\nI have not traveled out of the country in the last 4 weeks.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Localized edema\n2. Chagas\n3. Anaphylaxis\n\nfinal diagnosis: Localized edema\n" } ]

[ { "from": "human", "value": "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: F\nINITIAL EVIDENCE: rectorragie\nSymptoms:\nI have pain somewhere.\nThe pain is: sensitive, a cramp, exhausting.\nI feel pain in: top of the head, forehead.\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 3.\nI feel slightly dizzy and lightheaded.\nI feel lightheaded, dizzy and like I am about to faint.\nI feel so tired that I am unable to do my usual activities and am stuck in bed all day long.\nI constantly feel fatigued and have non-restful sleep.\nI have recently had black stools.\nI have noticed light red blood or blood clots in my stool.\nAntecedents:\nI have 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 am pregnant.\nI traveled out of the conutry in the last 4 weeks. I traveled to Asia.\nMy BMI is less than 18.5.\n\n OUTPUT:\n " }, { "from": "agent", "value": "differential diagnosis: \n1. Anemia\n2. Atrial fibrillation\n3. Cluster headache\n4. HIV (initial infection)\n5. PSVT\n\nfinal diagnosis: Anemia\n" } ]