Datasets:

YBXL

/

GOUT20_finetune_train

like 0

[ { "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: detox from heroin, last used 2 days ago, PMH: GSW 2 years ago\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: L knee pain/swelling x10 years. \"I've got a bad tear in there\". Denies trauma.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "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: call from school- vomiting and wheezing - vomited at approx. 0239 am - no hx of asthma\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 clinic due to syncopal episode, passed out while getting IV prior to stress test, nauseas,; PMH: congenital heart defect\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 stabbed by 3 in knife in L arm and R arm and hand, superficially by EMS. States he used cocaine 3 hours ago. PMH: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 off scooter. Left forearm deformity\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: reports worsening tachycardia, palpitations x 2 days; PMH: POTS\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Rolled left ankle while running track. abrasion to bilateral palms\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 dyspnea x2 weeks, seen at pcp originally, given steroid and abx with no improvement, went to urgent care last week, given steroid IM with improvment, developed cough x4 days ago, now c/o pain when coughing and continued dypsnea. denies pmh\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 hit side of head of wall, Pt c/o HA, denies blured vision and dizziness. PHMH. Bundle branch block, heart murmur\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: restrained driver in MVC, was hit from behind going 35mph; hit head on steering wheel; ambulatory on scene, complains of neck and posterior head pain; pmh: HTN, DM\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: hit to head with trunk of car 2 weeks ago, reports headache since, denies blurry vision or nausea, PMH: HIV\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 bleeding from my site on my R hip from my surgery on tuesday. My home health nurse told me to come here.\" pt has abd pad dressing with small, blood noted. Also c/o \"heart pounding hard\" when standing.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Severe L hip and lower back pain since 1 week, denies trauma, PMH: Denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 03/23. Lower back and r arm pain. no LOC, no airbag deploy. Denies PMHX\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 sided abd pain, intermittent blood in stool, denies N/V, fatigue, had a CT done a few days ago and was told there were no significiant findings pmhx: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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, cough x3days. pt reports + recent sick contact to grandmother who was dx with \"walking pneumonia\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 cough and body aches that started today. pmh hptn.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 worsening lower back pain and inability to ambulate since last night. pmhx bulging disc to lumbar spine.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 shoulder, R neck and lower back pain / involved in physical altercation on 12/15/97\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Body aches, chills, febrile, headache, nausea, coughing onset since yesterday. Hx migraines.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: level II, mvc, car vs log truck, facial abrasions/R shouder pain, BH - Doe: Engine\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 headache into shoulders. pt receives \"injections for her migraines\". had one in may and is due for another one on the 9th.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 x1 yr, worse x1wk, states unable to walk since yesterday d/t pain; pmhx pre DM\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: feel like I have strep throat again\". c/o sore throat, cough, sneezing. states diagnosed with strep 1990-09-16\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 states she fell on glass last night around 1426, about 4 cm lac to left forarm CMS intact- gauze and tape applied in triage- not bleeding at this time.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Smoked marijuana recently, c/o ab pain. Patient does not communicate well, says \"I'm high\". Hx HTN, DM.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 L knee pain, unable to ambulate without pain. Denies any injury/trauma/fall. Son is translator\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "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 states he woke up this morning with blue lips. Also c/o productive cough x 2 days.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 reports spotting since yesterday, pt reports bleeding increased today and that she went through one pad. pt is 10 weeks pregnant\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 L ear pain and HA. Saw Dr Taylor for same.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 cough, sore throat, gen aching x 4days. also reports sob and wheezing. pmhx asthma\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Nausea and vomiting since last night. States vomit x's 2 this am\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 went to John Paul Jones Hospital yesterday & they told me to just keep pushing fluids. I've been taking tylenol & theraflu &its not helping.\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 states that he was driving and started having heart palpitations and came to the ER. PMH: CHF, DM, HTN, COPD\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 leg pain, lower back pain, pt family states she looks \"drunk all the time\" pt falls asleep and doesnt remember it. hard to urinate, sometimes urinates on self Neuro intact\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 inability to walk due to back pain after sleeping in floor. Also c/o numbness in legs PMH Arthritis\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 on 02/23/70, restrained driver, rear impact, -airbag, -loc / c/o intermittent HA's, lower back, and neck pain\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 RLQ abd pain intermittently since saturday, reports pain is worse with movement. pmh htn\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: hear for treatment of LLE DVT that was diagnosed 01/23/2000, also c/o pain in buttocks from gout x 2 days\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "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: Witnessed seizures by husband- x 5 around 0544. \"dizzy, bit my tounge and urinated on self\". last seizure 1 week. States compliant with dilantin PMHx grandmal, DMII, CHF.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 finger numbness, BLE numbness, heart palpitations - dc'ed today from ued - PMH: CIDP\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Chronic R ankle pain for 2 years. \"I think its infected cause its swollen, it don't feel right and I want to make sure its alright\" PMHX: R ankle surgery 08/2020\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "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 2 days ago, seen at monroe and told she fractured R arm, reporting severe R arm pain, ; PMH: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 abcess to R chest wall x1 wk, denies drainage; redness and swelling noted in triage; pmhx HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 sent by crenshaw for MRI due to changes in vision over the last 3 weeks. pt states \"it started as sinus congestion and progressed to HA and double vision\". pt denies pain and double vision at this time but states \"its not usually present in the morning\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 pinkish urine and states that she has been passing bloody clots in her urine since 2222 04/25, increased frequency and urgency. PMH: HTN, \"small vessel disease, hysterectomy 5 years ago, but kept ovaries.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: 35 weeks pregnant, reports R hand swelling, reports vaginal bleeding 3 days ago but reports it stopped, PMH: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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, HA, body aches, dizzy/lightheaded, nasal congestion x3 days; denies pmhx\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: infection to the left 2nd finger- swollen and infection noted- unknonwn initial injury\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: pulled NG tube out yesterday, complains of right leg suture site hurting - no oozing noted, trach area hurting; non-verbal, written only;\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: neck/back pain . states that her new primary care md at unity took her off her pain meds and placed her on cymbalta. refered her to pain management but hasnt got apt yetwith pain mangement md pmh: HTN, CHF, chronic pain\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 rt leg pain and swelling\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 2-3 hours ago with sudden onset of chest pain and shortness of breath. PMH lung, breast, thyroid cancer, HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 lifting something heavy at work & felt a slight pull in my R lower back & it felt like a spasm. I havent had any trauma or anything\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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, congestion, cough, body aches, chills x 24 hrs, vomited x 1 this morning\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 on R shoulder week ago, working out today and felt a pop.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 eye burning, itchy, redness, drainage, for approx 1 day pmhx : denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 dropped off by friend for possible OD on heroinPt lethargic and falling asleep during triage. arousable to verbal stimulus pmh opiod abuse and depression.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 hand pain and swelling since yesterday with pain to \"armpit and neck\". Pt. with dark discoloration to left elbow area and right foot, looks like bruises. Pt. with hx. HTN, needs assisantce with ambulation RT chronic back probles.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: assault last night after man attempted to steal purse, pushed out of wheelchair- reports L hand and R flank pain; PMH: CABG (takes Plavix), COPD (on 3 L at baseline)\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 ran over by car this am, pt c/o left foot pain, pmh HTN, DM\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 had a really bad cold or flu or something for like four days now I can't kick.\" c/o head congestion, nasal congestion,\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: LLQ pain- 2 days- ligament pain with pregnancy. pulling with position changes.No vaginal bleeding chest congestionx 3 days with productive cough, sore throat, HA since pregnancy PMHx 11 wks pregnant\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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, irritation, tearing to R eye x 2 days, also c/o light cough\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 c/o SOB, CP, HA, sore throat, coughing up blood and chills. Denies PMHX\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 was running and fell and hit her head on hardwood floor. No loc. happened about 40 minutes ago. PMH none\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: alleged assault by son's father that happened appx 3 hrs PTA. Sts generalized body pain. Sts assailant kept grabbing her neck and slapping her. no obvious injuries is noted.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: went to see pain doctor today and was told that her pressure was high and wanted her to be seen at the ER - hx of stroke 4 yrs ago - states she has an increase of salt intake recently\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Nasal feeding tube came out today, recent surgery for oral CA. Receives all feeds through tube. Pt non-verbal d/t surgery.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Passenger in MVC with back, neck and bilateral knee pain -loc ambulatory on scene with assistance denies pmh\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Upper abdominal pain x 2 days with N/V/D Denies PMH\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 L big toe pain and numbness from in grown toenail. pmh: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "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 mouth pain after getting tooth pulled yesterday. patient is 17 weeks pregnant. no pmh.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 & back pain since yestersday. hx: CHF, COPD, DM, HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 would like help getting to a drug treatment facility for opioid use disorder.\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 x2 weeks, R sided CP and neck pain x3 days, worse when coughing or bending over.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 SOB and a rash on chest that started two days ago. PMH: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 had a fall on 2001-02-17 was seen at mh and was told it was sprained. today right foot is swollen and states she can't bear weight\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: \"Suicidal, Homicidal, having thoughts of harming myself and others\" SI with plan \"to let someone kill me\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 reports for the past 5 days pt has experienced tightness in his shoulder that radiates down his back more so in the afternoon. denies pmh\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 tooth/gum abcess x3 days, noted swollen right cheek.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: new diag diabetes last week. began metformin and jar called EMS yesterday for weakness. hypoglycemic per EMS and given med? and BG raised to 120\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: per pt has \"flea bites\" on ankles and wrists, pt complaining of extreme itchiness, noticeable bites, pt seems very anxious in triage pmhx: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 HA and R thumb pain p fall down multiple stairs approx 3hrs. ?LOC. lac noted to L eyebrow, bleeding controlled. c/o dizziness and sensitivity to light. unsteady gait noted. pt slow to respond, friend with pt reports he is acting different, AOx3 now\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: L sided Bartholin cyst with some drainage. PMH of same\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 arm numbness and pressure- has been going on for about 30 min - hx of anemia states she is scheduled for an iron infusion\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 intermittent abd cramping and watery stools x 2days after starting abx to treat PNA.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 have problems with my SI joints and here in the last 7 weeks I've had severe pain in the lower left side of my back & tried yoga, exercise, ice. Sitting in the car exacerbated it.\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 SOB, cough. pt wearing life vest. BP 200/146 in triage. pmhx: CHF, HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 since last night; hx nephrectomy\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: follow-up for L knee boil\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Ab pain (dull) since this morning. BM's are abnormally infrequent and small in amount. Hx kidney stones.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 groin pain after slipping into a split pta. pt ambulatory with pain. denies pmhx\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 bilateral arm tingling and body aches for 2 days. pmh hptn, diabetes, high cholesterol.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: Here Sun Dx with flu and ear infection. Pt did not get ear Rx filled, c/o Lear pain and chest wall pain.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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: CP for 4x hours midsternally intermittently, back pain, and stomach pain. Pt states her chest began to hurt earlier and it comes and goes. PMH: HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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, chills, headache, chest pain, buttocks \"is hot\" since Friday; PMH: HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "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 3 days. Pain worse when resting/lying down. Denies injury\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "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: Continued SOB x \"days\". Dx w/bronchitis recently at JHMH. Unable to fill abx. Also c/o left lung pain x 3 days. Med hx: copd, PH, afib\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]