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GOUT20_finetune181 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: constipation x 9 days, reports rectal bleeding since \"putting my finger up there\" this AM, denies PMH\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: constipation x 9 days, reports rectal bleeding since "putting my finger up there" this AM, denies PMH
OUTPUT:
|
GOUT20_finetune1764 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Right hip pain x 2 weeks \"It woke me up this AM\". No known injury.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "Y"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right hip pain x 2 weeks "It woke me up this AM". No known injury.
OUTPUT:
|
GOUT20_finetune1493 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt reports 2 seizure-like activities (1 on tuesday that lasted 1 min and 1 last night that lasted 15 minutes). pt states \"my girlfriend said i was asleep and then i woke up and didn't remember what happened.\" pt reports he was oriented upon awakening.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt reports 2 seizure-like activities (1 on tuesday that lasted 1 min and 1 last night that lasted 15 minutes). pt states "my girlfriend said i was asleep and then i woke up and didn't remember what happened." pt reports he was oriented upon awakening.
OUTPUT:
|
GOUT20_finetune1277 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Sore Throat x 3 days\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Sore Throat x 3 days
OUTPUT:
|
GOUT20_finetune913 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o left wrist pain after shutting trunk of car on his wrist yesterday at 1532. no pmh.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o left wrist pain after shutting trunk of car on his wrist yesterday at 1532. no pmh.
OUTPUT:
|
GOUT20_finetune169 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o R side neck pain and swelling x 1day. pmhx chf, icd, htn\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o R side neck pain and swelling x 1day. pmhx chf, icd, htn
OUTPUT:
|
GOUT20_finetune1389 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: left 2nd finger suture removal, no complaints\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: left 2nd finger suture removal, no complaints
OUTPUT:
|
GOUT20_finetune467 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o BLE pain, no swelling noted. pmhx: a-fib, HTN, sleep apnea\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o BLE pain, no swelling noted. pmhx: a-fib, HTN, sleep apnea
OUTPUT:
|
GOUT20_finetune1204 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I've been feeling poorly\" x 2 days. Lower back pain. Frequent urination x 2 days. HA since 0135. From PROVIDENCE. Uses cane.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "I've been feeling poorly" x 2 days. Lower back pain. Frequent urination x 2 days. HA since 0135. From PROVIDENCE. Uses cane.
OUTPUT:
|
GOUT20_finetune2042 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: n/v for a week. body aches\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: n/v for a week. body aches
OUTPUT:
|
GOUT20_finetune739 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: flu like symptoms x 2 days\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: flu like symptoms x 2 days
OUTPUT:
|
GOUT20_finetune96 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: fell while intoxicated last night, reports twisting L ankle and hearing \"pop\", reports pain in L ankle; PMH: HTN\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: fell while intoxicated last night, reports twisting L ankle and hearing "pop", reports pain in L ankle; PMH: HTN
OUTPUT:
|
GOUT20_finetune679 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: poss uti, c/o dull lower back pain x 6 days pmhx:HTN\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: poss uti, c/o dull lower back pain x 6 days pmhx:HTN
OUTPUT:
|
GOUT20_finetune519 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt reports chest pain x10minutes denies PMH denies si, hi with plan to shoot boyfriend in head, says has access to gun\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt reports chest pain x10minutes denies PMH denies si, hi with plan to shoot boyfriend in head, says has access to gun
OUTPUT:
|
GOUT20_finetune232 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt c/o back pain and pinching in both arms that has been going on for a month. PMH: HTN\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt c/o back pain and pinching in both arms that has been going on for a month. PMH: HTN
OUTPUT:
|
GOUT20_finetune1880 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: chest congestion, productive cough x one week; reports BLE pain- hx arthritis, ran out of arthritis medications on Sunday (takes Robaxin 750)\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: chest congestion, productive cough x one week; reports BLE pain- hx arthritis, ran out of arthritis medications on Sunday (takes Robaxin 750)
OUTPUT:
|
GOUT20_finetune198 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt disloclated L wrist a month ago and had surgery and was D/C with a follow up this Thursday. Pt ran out of pain medicine and says that he can't wait until the follow up. PMH denies\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt disloclated L wrist a month ago and had surgery and was D/C with a follow up this Thursday. Pt ran out of pain medicine and says that he can't wait until the follow up. PMH denies
OUTPUT:
|
GOUT20_finetune1591 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o \"CP, back pain x 2days.\" pmhx gerd, renal stents, pvd stents, copd\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o "CP, back pain x 2days." pmhx gerd, renal stents, pvd stents, copd
OUTPUT:
|
GOUT20_finetune2211 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: hard to breath, feels scared, symptoms x one week\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: hard to breath, feels scared, symptoms x one week
OUTPUT:
|
GOUT20_finetune282 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o loss of appetite, fatigue, NVD x 1week. denies pain. pmhx pancreatitis, cardiac arrest yrs ago (due to hx of prolonged QT)\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o loss of appetite, fatigue, NVD x 1week. denies pain. pmhx pancreatitis, cardiac arrest yrs ago (due to hx of prolonged QT)
OUTPUT:
|
GOUT20_finetune1167 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Epigastric pain since yesterday wirth nausea\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Epigastric pain since yesterday wirth nausea
OUTPUT:
|
GOUT20_finetune141 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: sob and right chest pain x 1 weeks - hx of multiple back surgeries\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: sob and right chest pain x 1 weeks - hx of multiple back surgeries
OUTPUT:
|
GOUT20_finetune1641 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: sore throat and dry cough x one week, denies pmh\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: sore throat and dry cough x one week, denies pmh
OUTPUT:
|
GOUT20_finetune2066 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"heart racing\", seen at clinic yesterday for same PMH pacemaker, CHF, vtach, WPW,\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "heart racing", seen at clinic yesterday for same PMH pacemaker, CHF, vtach, WPW,
OUTPUT:
|
GOUT20_finetune242 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Sorethroat for 4 days. Sent from Urgent Care. Muffled voice. Fever\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Sorethroat for 4 days. Sent from Urgent Care. Muffled voice. Fever
OUTPUT:
|
GOUT20_finetune336 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt c/o right upper thigh pain similar to previous DVT. Pt had clots in leg/lungs 5 months ago. PMH: HTN\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt c/o right upper thigh pain similar to previous DVT. Pt had clots in leg/lungs 5 months ago. PMH: HTN
OUTPUT:
|
GOUT20_finetune2178 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: intermitent, midline chest pain with fatigue and R shoulder pain x2 days, shoulder pain worse with movt; denies chest pain currently\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "Y"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: intermitent, midline chest pain with fatigue and R shoulder pain x2 days, shoulder pain worse with movt; denies chest pain currently
OUTPUT:
|
GOUT20_finetune837 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Left hip pain for approx 6 months, has been seen for same before, needs follow up for pain management or at mcmillan- needs referrel, taking aleve everday for the pain ambulatory in triage with steady gait pmhx: htn, prostate ca,\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Left hip pain for approx 6 months, has been seen for same before, needs follow up for pain management or at mcmillan- needs referrel, taking aleve everday for the pain ambulatory in triage with steady gait pmhx: htn, prostate ca,
OUTPUT:
|
GOUT20_finetune1057 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Patient c/o sore throat since last night, RLQ abd pain since today, and headahce for the past few days. pmh lupus\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Patient c/o sore throat since last night, RLQ abd pain since today, and headahce for the past few days. pmh lupus
OUTPUT:
|
GOUT20_finetune1823 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: unable to pay for abx Rx for R arm infection provided by Eastpointe lsat night - PMH: IV drug use, last used yesterday\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: unable to pay for abx Rx for R arm infection provided by Eastpointe lsat night - PMH: IV drug use, last used yesterday
OUTPUT:
|
GOUT20_finetune1112 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: coughing x 4 days\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: coughing x 4 days
OUTPUT:
|
GOUT20_finetune247 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: intermittent CP x 2 months, pmh HTN, thyroid dz, lung CA (not on chemo)\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: intermittent CP x 2 months, pmh HTN, thyroid dz, lung CA (not on chemo)
OUTPUT:
|
GOUT20_finetune1390 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o pain in L abdomen and L flank, known tumor on T7 rib, diagnosed with Hodgkins in 1977. pmhx: Hodgkins\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o pain in L abdomen and L flank, known tumor on T7 rib, diagnosed with Hodgkins in 1977. pmhx: Hodgkins
OUTPUT:
|
GOUT20_finetune819 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: left foot pain chronic but worse tonight. pmh gout\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "Y"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: left foot pain chronic but worse tonight. pmh gout
OUTPUT:
|
GOUT20_finetune1797 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: RLQ abd pain radiating to R flank with trouble urinating. Denies hx.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: RLQ abd pain radiating to R flank with trouble urinating. Denies hx.
OUTPUT:
|
GOUT20_finetune1454 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I was told to come up here by my lawyer. I relapsed yesterday & right now I just have blurred vision & leg cramps but usually by day two it gets bad wiht nausea & vomiting. If I don't catch it early I'll relapse again.\"\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "I was told to come up here by my lawyer. I relapsed yesterday & right now I just have blurred vision & leg cramps but usually by day two it gets bad wiht nausea & vomiting. If I don't catch it early I'll relapse again."
OUTPUT:
|
GOUT20_finetune462 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: N/V for two hours. SOB No PMH\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: N/V for two hours. SOB No PMH
OUTPUT:
|
GOUT20_finetune2126 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt fasted for 7 days and 2 days ago started feeling like his heart was racing. pmh denies\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt fasted for 7 days and 2 days ago started feeling like his heart was racing. pmh denies
OUTPUT:
|
GOUT20_finetune1942 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: sent from HALE dizzy since independence day, worse when turning to the left, HA - PMH: COPD, afib\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: sent from HALE dizzy since independence day, worse when turning to the left, HA - PMH: COPD, afib
OUTPUT:
|
GOUT20_finetune360 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o of walking to the bathroom tonight, got dizzy, fell and hit the back of his head. c/o N,V,HA. -LOC. no bleeding noted to back of head. pmh: Diabetes.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o of walking to the bathroom tonight, got dizzy, fell and hit the back of his head. c/o N,V,HA. -LOC. no bleeding noted to back of head. pmh: Diabetes.
OUTPUT:
|
GOUT20_finetune700 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: lac to left hand thumb after cocking gun at target practice. bleeding controlled on arrival. TDAP up to date.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: lac to left hand thumb after cocking gun at target practice. bleeding controlled on arrival. TDAP up to date.
OUTPUT:
|
GOUT20_finetune1393 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: broke jaw and broke nose x 4 days, denies pmh\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: broke jaw and broke nose x 4 days, denies pmh
OUTPUT:
|
GOUT20_finetune79 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: MVC 1 hour PTA. Hit head on window. Unrestrained driver. t-boned on passenger side. c/o head, neck and mid-back pain.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: MVC 1 hour PTA. Hit head on window. Unrestrained driver. t-boned on passenger side. c/o head, neck and mid-back pain.
OUTPUT:
|
GOUT20_finetune213 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Patient c/o right sided back pain after attempting to move a table yesterday.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Patient c/o right sided back pain after attempting to move a table yesterday.
OUTPUT:
|
GOUT20_finetune1521 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o sore throat with dry cough. sinus congestion. Husband had RSV\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o sore throat with dry cough. sinus congestion. Husband had RSV
OUTPUT:
|
GOUT20_finetune1368 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pain on urination x 5 days\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pain on urination x 5 days
OUTPUT:
|
GOUT20_finetune598 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I've been having body aches and chills and weakness for a week.\" pmhx: mitral valve prolapse, crohns\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "I've been having body aches and chills and weakness for a week." pmhx: mitral valve prolapse, crohns
OUTPUT:
|
GOUT20_finetune1176 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"R foot pain for months/was told she would need surgery in 1983\"\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "Y"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "R foot pain for months/was told she would need surgery in 1983"
OUTPUT:
|
GOUT20_finetune253 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o of left sided chest pain and left arm weakness. No weakness noted. Pain does not radiate. no sob, n/v.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o of left sided chest pain and left arm weakness. No weakness noted. Pain does not radiate. no sob, n/v.
OUTPUT:
|
GOUT20_finetune911 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o R side mouth/ neck pain and swelling x1week. pt states \"i have an abscess in my mouth.\" pmhx asthma\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o R side mouth/ neck pain and swelling x1week. pt states "i have an abscess in my mouth." pmhx asthma
OUTPUT:
|
GOUT20_finetune1891 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: intraretenal hemorrhageHA x 3 months. No vision changes. Annual check up with opthalm. PMHx none\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: intraretenal hemorrhageHA x 3 months. No vision changes. Annual check up with opthalm. PMHx none
OUTPUT:
|
GOUT20_finetune1898 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: headache, CP with SOB x one day, reports increased anxiety; PMH: asthma, \"cyst on my brain\"\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: headache, CP with SOB x one day, reports increased anxiety; PMH: asthma, "cyst on my brain"
OUTPUT:
|
GOUT20_finetune829 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o headaches, R sided flank pain x2 days. Pmhx: HTN, asthma,,CKD stage 4, T2DM.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o headaches, R sided flank pain x2 days. Pmhx: HTN, asthma,,CKD stage 4, T2DM.
OUTPUT:
|
GOUT20_finetune912 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: ALT 1 GSW chest 33F doe: dress\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: ALT 1 GSW chest 33F doe: dress
OUTPUT:
|
GOUT20_finetune1800 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o runny nose, congestion and fever since yesterday. no pmh.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o runny nose, congestion and fever since yesterday. no pmh.
OUTPUT:
|
GOUT20_finetune155 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: SOB x 2 months, increasing in severity. Worse in night, c/o swelling to left ankle. Denies pMH\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: SOB x 2 months, increasing in severity. Worse in night, c/o swelling to left ankle. Denies pMH
OUTPUT:
|
GOUT20_finetune579 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Right shoulder pain x 5 days. Started after throwing football with grandson. Denies any trauma.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right shoulder pain x 5 days. Started after throwing football with grandson. Denies any trauma.
OUTPUT:
|
GOUT20_finetune888 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Lower back pain, began this AM. radiates down right Abd into right groin. reports fever @ home, sweats and chills. N/V. PMH: denies\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Lower back pain, began this AM. radiates down right Abd into right groin. reports fever @ home, sweats and chills. N/V. PMH: denies
OUTPUT:
|
GOUT20_finetune1750 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: brought by EMS for c/o NVD since this AM. blood sugar elevated en route (400s). pt reports she took her insulin this AM. pmhx DM\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: brought by EMS for c/o NVD since this AM. blood sugar elevated en route (400s). pt reports she took her insulin this AM. pmhx DM
OUTPUT:
|
GOUT20_finetune1262 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o body aches, coughing, sneezing, Nausea x 3 days. pmh: denies\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o body aches, coughing, sneezing, Nausea x 3 days. pmh: denies
OUTPUT:
|
GOUT20_finetune1025 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: multiple complaints: c/o cont'd cough, congestion, NV x 3wks. seen at UC and given abx without improvement. c/o intermittent R side breast pain x 1week. and R knee pain p fall 2days ago.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: multiple complaints: c/o cont'd cough, congestion, NV x 3wks. seen at UC and given abx without improvement. c/o intermittent R side breast pain x 1week. and R knee pain p fall 2days ago.
OUTPUT:
|
GOUT20_finetune312 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: left hand swelling/pain x5 days, denies trauma\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "Y"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: left hand swelling/pain x5 days, denies trauma
OUTPUT:
|
GOUT20_finetune1855 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o of driver in MVC at 1324 tonight, was hit by a deer. +airbag, +seatbelt, -LOC. pt c/o coughing, L wrist pain. edema and bruising noted to wrist. pmh: mitral valve prolapse, hypothyroiidism, RA.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o of driver in MVC at 1324 tonight, was hit by a deer. +airbag, +seatbelt, -LOC. pt c/o coughing, L wrist pain. edema and bruising noted to wrist. pmh: mitral valve prolapse, hypothyroiidism, RA.
OUTPUT:
|
GOUT20_finetune1247 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: bilat knee pain unrelieved by otc meds x 3 weeks, worse when ambulating. denies injury, no deformity noted. pmh L knee surgery\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: bilat knee pain unrelieved by otc meds x 3 weeks, worse when ambulating. denies injury, no deformity noted. pmh L knee surgery
OUTPUT:
|
GOUT20_finetune1342 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt c/o panick attack this AM. has history of same. PMH Asthma\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt c/o panick attack this AM. has history of same. PMH Asthma
OUTPUT:
|
GOUT20_finetune523 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Apr 11 fell and cought self. R knee strain. R pain > L. R ACL/MCL tenderness. PMHx Arthritis/ preDM/\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Apr 11 fell and cought self. R knee strain. R pain > L. R ACL/MCL tenderness. PMHx Arthritis/ preDM/
OUTPUT:
|
GOUT20_finetune491 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Possible ETOH/Overdose, pt sleeping but arousable Denies PMH\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Possible ETOH/Overdose, pt sleeping but arousable Denies PMH
OUTPUT:
|
GOUT20_finetune1824 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt brought by EMS for possible UTI. pt endorses fowl smelling urine from suprapubic catheter, sweats, chills. pmhx: parapalegia, HTN, depression GERD, PVD, stage 4 pressure ulcer\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt brought by EMS for possible UTI. pt endorses fowl smelling urine from suprapubic catheter, sweats, chills. pmhx: parapalegia, HTN, depression GERD, PVD, stage 4 pressure ulcer
OUTPUT:
|
GOUT20_finetune1948 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Sent by DWMMH. Pt was told to come for a CT. c/o of r flank pain PMHX DM, HTN, GERD,\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Sent by DWMMH. Pt was told to come for a CT. c/o of r flank pain PMHX DM, HTN, GERD,
OUTPUT:
|
GOUT20_finetune1703 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: abd pain, blood in stool x 2 days, hx of hemorrhoids\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: abd pain, blood in stool x 2 days, hx of hemorrhoids
OUTPUT:
|
GOUT20_finetune112 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o SI with plan, pt tried to kill himself today by stepping out in front of a car. denies HI. pt agrees to safety contract. pt endorses AVH. pt c/o left eye pain. pmh: kidney stones, L cornea transplant\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o SI with plan, pt tried to kill himself today by stepping out in front of a car. denies HI. pt agrees to safety contract. pt endorses AVH. pt c/o left eye pain. pmh: kidney stones, L cornea transplant
OUTPUT:
|
GOUT20_finetune2170 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: fever & HA starting earlier today. tmax 101. recent UTI, states she completed abx as prescribed.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: fever & HA starting earlier today. tmax 101. recent UTI, states she completed abx as prescribed.
OUTPUT:
|
GOUT20_finetune1945 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: hearing voices, denies SI/HI\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: hearing voices, denies SI/HI
OUTPUT:
|
GOUT20_finetune1903 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: N/V and LLQ abd pain since this AM. PMH pancreatitis and bipolar\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: N/V and LLQ abd pain since this AM. PMH pancreatitis and bipolar
OUTPUT:
|
GOUT20_finetune998 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Bilateral ear pain, sore throat, cough, congestion onset x 2 days. Hx HTN, DM. asthma\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Bilateral ear pain, sore throat, cough, congestion onset x 2 days. Hx HTN, DM. asthma
OUTPUT:
|
GOUT20_finetune1744 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o BLLE swelling and rash to R hip x2weeks. also reports pain to posterior L knee x 2wks, pain worse with ambulation. denies fevers, chills. pmhx renal tx 1985.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "Y"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o BLLE swelling and rash to R hip x2weeks. also reports pain to posterior L knee x 2wks, pain worse with ambulation. denies fevers, chills. pmhx renal tx 1985.
OUTPUT:
|
GOUT20_finetune272 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt c/o cough x1 week, MD called in antibiotics but cough is worse. Pt has asthma and had to use several breathing treatments a day with no results. PMH: Asthma and yamaguchi syndrome.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt c/o cough x1 week, MD called in antibiotics but cough is worse. Pt has asthma and had to use several breathing treatments a day with no results. PMH: Asthma and yamaguchi syndrome.
OUTPUT:
|
GOUT20_finetune457 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: works in a daniels-huber and had to clean up after a pt that had a wound- she was wearing gloves and was told that he had hepatitis C - hx of psyhiatric depression and anxiety\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: works in a daniels-huber and had to clean up after a pt that had a wound- she was wearing gloves and was told that he had hepatitis C - hx of psyhiatric depression and anxiety
OUTPUT:
|
GOUT20_finetune358 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt presents to LCH for possible ectopic pregnancy, patient stating the pain and symptoms are the same as her previous times. LMP in Nov. Denies other hx.\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt presents to LCH for possible ectopic pregnancy, patient stating the pain and symptoms are the same as her previous times. LMP in Nov. Denies other hx.
OUTPUT:
|
GOUT20_finetune1693 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt woke up suddenly with llq pain, denies n/v--recent GI bug on Sun\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt woke up suddenly with llq pain, denies n/v--recent GI bug on Sun
OUTPUT:
|
GOUT20_finetune1312 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o chest tightness, SOB, cough with yellow mucus, albuteral at home with no relief. PMHX asthma\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o chest tightness, SOB, cough with yellow mucus, albuteral at home with no relief. PMHX asthma
OUTPUT:
|
GOUT20_finetune1330 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: dropped 10 lb weight on L foot, PMH: HIV\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: dropped 10 lb weight on L foot, PMH: HIV
OUTPUT:
|
GOUT20_finetune1120 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: HA, SORE THROAT, BODY ACHES, FEVER x 3 DAYS. pmh: DENIES\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: HA, SORE THROAT, BODY ACHES, FEVER x 3 DAYS. pmh: DENIES
OUTPUT:
|
GOUT20_finetune1096 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: N/V/D and abd pain for about 3 days. No PMH\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: N/V/D and abd pain for about 3 days. No PMH
OUTPUT:
|
GOUT20_finetune2138 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: 1cm puncture wound to right hand interweb between 2nd and 3rd digit while unloading washing machine , tetanus UTD, denies pmh\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: 1cm puncture wound to right hand interweb between 2nd and 3rd digit while unloading washing machine , tetanus UTD, denies pmh
OUTPUT:
|
GOUT20_finetune989 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o increased L toe pain post amputation. mult other complainse. dizziness, neck pain. HHN was to see patient daily to change dressing. has not been to see pt since 01/29. pmhx: DM2, COPD, neuropathy\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o increased L toe pain post amputation. mult other complainse. dizziness, neck pain. HHN was to see patient daily to change dressing. has not been to see pt since 01/29. pmhx: DM2, COPD, neuropathy
OUTPUT:
|
GOUT20_finetune292 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Patient c/o epigastric pain since 0401, reports it feels like her reflux she has had in the past, c/o burning pain and n/v. pmh htn\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Patient c/o epigastric pain since 0401, reports it feels like her reflux she has had in the past, c/o burning pain and n/v. pmh htn
OUTPUT:
|
GOUT20_finetune1992 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o spotting since last night, 8 weeks pregnant, brown spotting turned to pink, no pads soiled, back pn, PMH: HTN, DM, 3 miscarriages\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o spotting since last night, 8 weeks pregnant, brown spotting turned to pink, no pads soiled, back pn, PMH: HTN, DM, 3 miscarriages
OUTPUT:
|
GOUT20_finetune1626 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt co of constant contractions. Pt states that she is 39 wks and has been having contractions since this morning. denies pmh\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt co of constant contractions. Pt states that she is 39 wks and has been having contractions since this morning. denies pmh
OUTPUT:
|
GOUT20_finetune1062 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: runny nose, pulling at ears. decreased appetite. mom states Temp at home 101. PMH: Asthma\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: runny nose, pulling at ears. decreased appetite. mom states Temp at home 101. PMH: Asthma
OUTPUT:
|
GOUT20_finetune1664 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: wanting to detox from heroin- 48 hours without injecting. 7 years of usage. C/O body aches and pains. pressure in chest and chest PMHx none\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: wanting to detox from heroin- 48 hours without injecting. 7 years of usage. C/O body aches and pains. pressure in chest and chest PMHx none
OUTPUT:
|
GOUT20_finetune289 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Patient c/o body aches, fevers/ chills, cough/ congestion, and sore throat x4 days. denies pmh\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Patient c/o body aches, fevers/ chills, cough/ congestion, and sore throat x4 days. denies pmh
OUTPUT:
|
GOUT20_finetune1035 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: MVC a week ago. Lower back and neck pain. No LOC\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: MVC a week ago. Lower back and neck pain. No LOC
OUTPUT:
|
GOUT20_finetune1264 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: (RMC) c/o of abd pain, diarrhea and vomiting for x 3 months. Now complaints of Nausea. PMHX. Heart failure, DM, COPD\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: (RMC) c/o of abd pain, diarrhea and vomiting for x 3 months. Now complaints of Nausea. PMHX. Heart failure, DM, COPD
OUTPUT:
|
GOUT20_finetune439 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I've been having flu like symptoms, a fever, and body aches for three days & my throat is sore.\" Denies taking any cold/flu meds\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "I've been having flu like symptoms, a fever, and body aches for three days & my throat is sore." Denies taking any cold/flu meds
OUTPUT:
|
GOUT20_finetune436 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: flu like symptoms\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: flu like symptoms
OUTPUT:
|
GOUT20_finetune1683 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I think I turned my foot weird at work this morning\", co of right foot pain/swelling. ambulates w/o difficutly\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "I think I turned my foot weird at work this morning", co of right foot pain/swelling. ambulates w/o difficutly
OUTPUT:
|
GOUT20_finetune228 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o feeling light headed, dizzy, and wants second opinion on bruises on legs\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o feeling light headed, dizzy, and wants second opinion on bruises on legs
OUTPUT:
|
GOUT20_finetune1217 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: chest pain - was in a wreck last wednesday was seen by trauma hx of htn and diabetes\n\nOUTPUT: \n\n "
},
{
"role": "assistant",
"content": "N"
}
] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: chest pain - was in a wreck last wednesday was seen by trauma hx of htn and diabetes
OUTPUT:
|
GOUT20_finetune1532 | [
{
"role": "user",
"content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Flu symptoms/headache since New Year'S sent from urgent care for LP due to possible meningitis. PMHX: PFA, migraines\n\nOUTPUT: \n\n "
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] | You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:
Example #1
Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh
Ground truth: YES
Example #2
Chief complaints: "I started breathing hard" hx- htn, gout, anxiety
Ground truth: NO
Now, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:
Guidelines:
Symptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.
Signs: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.
Key Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.
Location Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).
PMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).
Diagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.
Decision Criteria:
Be conservative and only diagnose gout if multiple strong indicators are present.
Pay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.
Cross-reference all available indicators and ensure they align with typical gout presentations.
Additional Considerations:
Injury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.
Musculoskeletal Pain: If musculoskeletal pain is described with terms like "pain," "swelling," "tender," or "stiff," especially in the lower extremities, be cautious of a possible gout flare.
Multiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.
Past Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.
Think step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Flu symptoms/headache since New Year'S sent from urgent care for LP due to possible meningitis. PMHX: PFA, migraines
OUTPUT:
|