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: pt states lower right tooth pain for 3 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: right lower lip pain and swelling for 12 hours\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: HA x 4 weeks, pmh ESRD on hemodialysis\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: AMS post fall 09/27/2008 pt has declined since fall A&Ox1 during triage pmh dementia\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: family states shes had about 15 shots of alcohol and mixed drinks, pt has vomited a few times, unable to hold conversation, PMH Asthma, Seizures\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 family member stated pati9ent has had erratic behavior, delusions, paranoid. family member states pt jumped out of moving car 02/22/76. denies SI/HI\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: DOE,upper abdominal pain x 4 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: c/o lower R leg pain x1 day. \"Im in remission for my colon cancer, I had surgery on 10/06/1989 for my cancer. I also had my ileostomy changed over to a colostomy\"\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: Boil on buttocks, PMH-HIV, High Blood Pressure\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 pain post hysterectomy (december 13, 1973). pt was seen by Dr. Riley and told she may have a possible hernia. mass noted in LLQ. pt endorses blood in stool. pmhx: anemia\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: Presyncopal episode today- recently dx with bronchitis- no ABX- 5days worsening . Sent with prednisone. PMHx CHF/ pulm fibrosis\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: Cough/SOB x 1 week. Treated for bronchitis last week. Symptoms not improving. Also c/o foul smelling urine and intermittent right testicle 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: co R knee pain x 2 mo. otc meds not helping. 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: out of suboxone meds; states that she is being managed with north baldwin but that she is not receiving enough to last her from week to week; concerned about using again because she will not have any meds for tomm. pmhx: HTN, hypothyroidism, SA\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 urinary retention since this am, has spent substantial amount of time on commode w/o success, takes diuretics daily so this is very unusual, last BM yesterday & loose. Intermittent dizziness & SOB today. Denies fevers, CP or abd pain PMHX CHF, CKD IV\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/D for past 3 days. wants a preg test\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 under left breast and moves to bottom of stomach, PMH HTN, DM, 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: generalized aches for 3x days w/ no cough or fever. PMH: 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 RLQ pain x1 week. Endorses N, denies vomiting/diarrhea. pmhx: hypothyroid issues.\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: Bil lumbar pain with lower ABD pain x 2 weeks-worsening. 2 months ago diagnosed with nephrolithiasis x 3. PMHx none, recent UTI- did not finish ABX\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: SOB x one day, 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: sternal cp with radiation to left shoulder x 2 days; 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: pt c/o bilateral foot pain & 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: CP that started yesterday that is midline described as tightness, Fever, chills, vomitting yesterday but not today denies SOB pmxh: 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: sent from Med Help for ingrown L great toenail and fever (temp of 99.3, per pt). denies pmhx of 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 cough, congestion x 4days. pmhx 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: swelling to Lside of face, possible allergic reaction, seen here 4 times in last 4 months for similar symptoms, denies difficulty breathing or swallowing\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 flank pain up to shoulder blad x 4 days. Slept in chair with son in ED for 2 days and had back pain then. Denies any n/v/d. pmh: gastroporesis, 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: GSW to R hand 03/24/80, here for follow up but reports pain is severe and he cant stand it anymore, 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: 2nd dose of rabies\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: sternal CP radiating to L arm/neck since 2 wks ago, worse in the last 3 days - PMH: MI 10 wks ago, RA\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, n/v for past 3 days. Over counter meds not working for cough. PMH: DM, anemia\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 pain/ tightness x1 day, R leg pain \"for years\" that worsened today. pt also \"wants to detox from everything\" PMH: HIV, 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 from urgent care for possible DVT in R leg. area red, swollen, warm to tough. c/o SOB with ambulation 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: Syncopal episode today. Pt c/o R rib pain and head pain. PMH: Stents, HTN, HLD, Gout\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: generalized welps and itching for two weeks. pmh htn, DMII, gerd, anxiety, thyroid disease\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 from seated position, pt stated he fell asleep in a chair and slipped out of chair onto floor. Denies hitting head or LOC. HX: arthritis, back sx\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: Dysuria with white discharge . Hx of Gonherrea and Chylmadia, multiple sex partners does not use protection\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: states daughter is dying upstairs, states he got upset and started having chest pain, 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: infection in mouth- from tooth ( abcessed tooth) pockets of infection in her mouth- nausea and headaches-\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: SI w/ plan to take extra pills, reports \"I am just sleepy\" denies hi, denies past attempt 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: lack of appetite, weakness, back pain, chills, intermitent chest discomfort x1 day\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: Cough and cold \"x 1 week\", increase difficulty breathing and wneezing since last pm. Hx. HTN, familt hx. 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: cough, and body aches for 5 days.. denies any 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: thinks roomate is posioning him,losing hair on stomach, shaking, feels confused (oriented and alert in triage), flank pain, testicular pain, no changes in urination, 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: Slipped sidewalk 1756, right wrist pain and deformity. ICE applied. Pt. had tylenol and phenergan PTA. Hx. gout, kidney stones, GERD\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: chest pain for 3 days. ran out bp meds for couple of months. 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: unable to obtain pain Rx - per pt, her doctor sent a note to DCH saying all of his pts can come to jh to get pain med since MD is out of town - would like information on how to complain about Dr. Bryant at bullock - PMH: IVC filter in left leg\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: SI c plan to drive car off bridge, pmh lupus, fibromyalgia\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 recently d/c from monroe. Complainnig of abd tenderness RLQ and RUQ for 3 days. PMHX: ADHD, c-section and tubal ligation\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: episode of dizziness, near-syncope around 0731. now c/o nausea. recent dx'd with \"fluid on inner ear\". pmhx: CHF, hiatal hernia, diverticulitis, 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: sore throat, HA since yesterday - pain L chest stab wound from 10/25/14 - 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: Lap appendectomy 07/27. Pt. dced 09/23. Pt states since 06/01 he has had blood in urine and stool. Umbulical and lwer abd. pain, diarrhea. Has not notified 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: Rolled left ankle on stairs approx 1 hour PTA. Pain with weight bearing. Minimal edema 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: c/o NVD, lower back pain, upper back pain. recently dx with pyelonephritis and started Bactrim on Wednesday.\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: burning with urination, reports drainage from penis 2 months 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: pt c/o SOB for a few days, developed at rest. pmh: hearing impaired. HTN, heart stents\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 epigastric pain x 2 days; hx dm, htn, hld, 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: Fever for 3 days, rash all over yesterday. Swabbed for flu Mon at MD's office, negative. Vomited X1 yesterday.l Not eating or drinking well. Hasn't had BM in 2 days. Voided once upon arrival today\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 he fell off a ladder at home trying to hang a ceiling fan, pt hit his lower back on a window sill. pt denies numbness/tingling in extremities, denies hitting head, -LOC. pmh: depression, bronchitis, chronic back 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 \"LLQ pain x 3days.\" pt reports \"she felt constipated and used milk of mag that produced BM, but pain has continued\". pt states \"i had an ovarian cyst on that side years ago too.\"\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 was at work monday moving a heavy object, when she turned she felt pain in her right hip, has continued to have increasing pain in her hip. hx of having issues with right hip in the past\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 x 1 day, L ear pain w/ heat, sinus HA, dizzy pmhx: HTN, DM II\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 weak since 08/21/75; pt has left sided defecits from stroke in 1992. pt AOX4. can move all extremities per baseline. CO HA pmh CVA, no blood thinners, ASA, 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: Chest sorenessx5 days, cough, blood present after blowing nose, PMH: HTN, DM, HF, neuropathy\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: SI w plan to jump off bridge, recent deaths in family pmh: PTSD, anxiety, 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: pt c/o left sided headache and jaw pain x2 weeks, worse tonight. 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: restrained driver in rear impact MVC, no airbag deployment, no LOC, pt c/o posterior head pain and neck pain; pmh none per pt\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 cont'd R knee pain x 3mo. saw PCP last week, who sent referral, however pt states \"i have not heard from them.\"\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 hit in the back 3x about an hour ago.\" -LOC, +seatbelt, -airbags. \"I have a history of back surgeries & my lwoer back & R shoulder are killing 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: nausea, vomiting, epigastric pain x1week; pt 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: Constipation, last BM: 10/05/87, abd painx3 week, unable to sleep due to tinnitus x1 month, 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: stomach issues- cramps when eats a small amount of food- x 1 month- worse x1 week- recent weight loss- regular bowel movments - hx of gi bleeds- cardiac\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: dark urinex1 year, recent falls, chest painx8 months, PMH: appendectomy, knee surgeriesx7, IVC filter, MI\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 abd cramping, intermittent constipation and diarrhea x 3weeks. pmhx hemorrhoids\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 ear pain, worse on left side, onset x 4 days. Also nasal congestion, sneezing, coughing.\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 nausea and diarrhea x 6days, and generalized abd pain x 3days. pmhx diverticulitis, recent flu swab at DCH neg\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: wants to talk with psych, denies SI/HI, denies AVH, pmh HTN, CAD, coronary stents, HLD\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: SI plan attempt two nights ago with plan, OD on fentanyl PMH: HTN, 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: LLE, LUE swelling and pain gradually worsening x1 month, PMH left sided paralysis s/p stroke\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 c/o rt thigh pain for 2x days, pt states he pulled a muscle in his thigh a few weeks ago and it continues to hurt. pt 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: ceiling fell about 6 ft and hit pt on the chest, glass globe on light broke with small puncture wounds to bilat hands\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: Throbbing L foot pain that woke pt from sleep, denies injury. pmhx: HTN\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 c/o chest pain with inspirations x years, now becoming more frequent. 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 last used heroin and ice this morning and c/o SI w/ plan to jump off of bridge. +AVH, -HI. PMH: schizophrenia, PTSD, bipolar, depression, Hep C\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: Dizzy and headache since this morning, denies falls or injury; PMH: HTN, CHF, dementia (A+O to self)\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: epigastric/chest pain intermitent x4 yrs, bilateral feel pain/swelling \"for awhile\"; pmhx seziures\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 swelling to left foot, patient noticed drainaige from area where a small amount of skin breakdown is, no drainaige noted, denies injury to area. 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: pt c/o bilateral ankle swelling xs 5 days poor historian. ambulated to room pmh MI xs 2, CVA on eliquis, and \"brain bleed\", pacemaker/defib, wife providing medical history and states his mentation is 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: Epigastric pain radiating through to back and around under left breast since 04/06. States feels like previous pancreatitis episode. Worse with eating and drinking. Also c/o heart palpitations.\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 left posterior knee pain since this am. states his inr has been all ove the place at southeast. 0611 am\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: tooth and mouth pain x 2-3 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: worsening ABD pain this AM- pain for 3 days. BM normal/ reg/ 0 N/V/D. No dysuria. Suprapubic/LLQ/ RUQ tenderness PMHx Jan 24th appendectomy\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: syncopal episode x 1 hr 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: bilateral lower abdominal pain, started bleeding 1 week ago intermittently, NV, \"cannot hold down anything\" G5P4, unknown gestation - possibly 8-10wks, previous high risk OB for HTN, Hx: HTN,pre-eclampsia\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: Blood in urine x2 days, lower abd pain. Pmhx pacemaker, on eliquis\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 pulled a muscle in my right leg,\" Pt reports pain in right anterior thigh after lifting a car transmission one week pta. Pt reports pain with ambulation\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: cough, chest tightness, sore throat for two 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: L knee pain x3 weeks. Pain began after moving furniture up & down stairs. Pt. states the pain is worse if he sits/lays down for too long\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: upper abd pain after eating tonight, \"feels like a blockage\"; denies n/v/d; took 2 laxatives PTA\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]