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: \"my home health doctor sent me here for UTI. I have a suprapubic catheter that the nurse sent off my urine for & they told me to come here for a UTI.\" pt denies any symptoms.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: MVC, Lac to head, bleeding controlled pta, +seatbelt, -airbag, denies LOC, a&ox3, reporting headache, PMH: HTN, 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: pt c/o l hand numbess.\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 reports she has acute sinusitis to the R sd of the face, sneezing x2 days - PMH: HTN, depression, hypothyroidism\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: \"yesterday around 0917 am my R knee just popped. I have pain in my knee and it goes up to my thigh.\" Pt ambulates with walker. Denies numbness/tingling. Pmhx: gout, OA.\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: Right foot pain onset x 1 month after \"stepping wrong\". Negative imaging initially, continued pain. Hx 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: Chronic right knee pain, started aching worse than normal last week and then yesterday hurting worse. Hard to ambulate at this point. 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: earache in R ear x 5 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: states elevated bp for 3 days and headache\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: mid to upper abdominal pressure and pain since last night, no N/V/D, passing blood in urine x 2 days; PMH: MI, CABG, HTN, COPD, TIA, chole\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: Coughing for the past few days, entire body hurts. Diarrhea\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 being involved in MVC at 1745 last night, hit by a deer. +airbags, +seatbelt, -LOC. c/o of \"not feeling like I can breath from the airbag smoke\". pt was out of rescue inhaler. pmh: 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: c/o NV abd pain x 1.5 days. recently admitted for same. 13weeks pregnant. actively vomitting in triage\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: flu like symptoms; nausea vomiting, headache, fever\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 took a molly yesterday and every time I take one it makes me paranoid & hear things & see things. I threw up one time yesterday a few hours after I took it.\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o increasing pain to R great toe from ingrown toenail. saw podiatrist 2 weeks ago and had it cut. pt was given unk type of PO ABX and antibiotic ointment but states is not getting better\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 suddenly around 0628 pm this morning, radiates to L shoulder/neck, given nitro and aspirin by EMS, pmh: asthma, R hip replacement on the 13rd, currently at crestwood for rehab, sleep apnea, insomnia, fibromyalgia, pt denies any cardiac history\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: SCC pain in back, chest, and legs x1 week. pt seen at NMC last week for same. pt states \"it gets worse every time it rains\" no pain medication PTA pmhx: SCC\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: 2 episode of loose stools. 1 one week ago and 1 today. pt denies any abd pain or other s/s. Believes it is related to UTI meds.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: R shoulder pain after hearing a \"pop\" picking up a machine x2 days ago; states \"knot\" on collarbone; \"pops and grinds\" with movt; pmhx Graves, Mysthenia Gravis\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 occasional left and right eye blurriness, HTN 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: left wrist pain x 3 weeks, no injury; pmh MI, CABG, smoker\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: Migraine x3 days, N/V and back spasms; pmh: liver tx 17/09\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 back pain, side pain, n/v x3 days. Pmhx pancreatitis\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: assaulted with pistol approx 1514, knot noted to L jaw, R side of head, also c/o back pain from altercation, pt is a&o x 3\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: Urinary frequency, malodorous urine, left flank pain onset 3 weeks, worsening. Hx PE's.\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: assaulted by patient at 1312- reports pain to chest and left knee; denies PMH\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt c/o chest pain with cough, cough for a week. PMH: DM, chronic lower 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 right hip pain for the past 5 hours. 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: Patient reports she is hypertensive today and that she has had 2 episodes of black and tarry stools, pt is 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: pt c/o feeling like he cant catch his breath, like mouth is swelling , also c/o l arm swelling and 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: Chest tightness/pressure since Friday. Relieved with nitro. has h/o CHF (EF 50%), 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 was working out and passed out and hit head. Pt is on bloodthinners. PMH: PE, 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: Cavity in left molar, increasing pain today, couldn't sleep, headace, has not seen a dentist pmhx: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o cough, SOB, chest pain, R arm tingling x 6 weeks, pt states she has taken 2 rounds of antibiotics and steroids, MD told her if not better to come to ED PMH none\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: vomiting since this AM, 3x. per patients girlfriend ,\"he looks yellow and seems disoriented\" 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: Sorethroat, bodyaches, chills, since yeserday\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 took molly yesterday and vomited and started hearing voices; wants to see psych due to paranoia; pmh: substance abuse\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 just left the pain clinic for a check up & came here b/c I have stiffness in my R lower back & in my neck on the R side. Lifting, pulling, & turning side to side hurts.\"\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 ankle pain x 2 hours, hurt it getting out of bed\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: assault on Sunday night- reports R facial and neck pain, PMH: HTN (has not had medications this AM)\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt states that he is having chest pains w/ SOB. Pt denies SI/HI. PMH: HTN, 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: cough, sob, BLE edema x 3 days, hx of CHF, HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o intermittent HAs and generalized \"tingling\" to body x 3days. denies HA at this time. pt reports recent changes to BP meds and noted elevated BP this AM (210 SBP, per pt). pmhx aortic stenosis and 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: L leg has been hurting and swelling x 1 year, has become unbearable x 2 weeks\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: wound ooizng on L side of scalp at incision site, brain surgery 01/08/01, CVA during brain surgery, aphasia since recent surgery, headache since discharge, PMH: moyamoya 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: pt c/o R knee pain/swelling, and R chest pain since wreck 2 weeks ago. PMH: depression, anxiety, immunocomp.\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 swelling, sent from UAB for workup, pmh HTN, DM\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I've had a dry cough for about a week I can't get rid of. I took mucinex, theraflu, and other stuff but its not kicking it.\"\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: R sd abd pain x3 months- only information able to obtain prior to pt cussing and refusing to answer questions - PMH: alcohol abuse, anemia, vitamin deficieny, bipolar\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, cough, N/V, headache x 9 days; recently seen in ED for same; LMP 08/20- estimated 8 weeks pregnant (has not had US); 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: pain and swelling to R jaw / \"bad tooth\"\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: Toothache/headachex5 days, seen here 04/22/15 and placed on abx but no relief, PMH: hernia\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: MVC this morning complaining of lower back pain, denies other problems\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: headache, CP, nausea since this AM; denies PMH; LMP \"months ago\", unknown if pregnant, reports being sexually active\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 outside downtown walking & the next thing I know I hit the ground. This happened about an hour ago. My L leg, L shoulder, and R ankle hurt so bad.\" pt has full ROM with pain in all joints. Pt did not head hit head, denies blood thinner use\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: feels like fluid on chest, cough, chest congestion, symptoms x 3 days, 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: pt reports bilateral lower back pain that radiates down bilateal legs.\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 started @ 0609 on 02/23/72. Pt complaining of intermittent stabing pain in her LUQ. PMHX: kidney removed in 2014\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 hand swollen since this morning, denies injury. Document hx of gout, pt denies. Pmhx hiv\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o CP, back pain x 2days. pmhx gerd, renal stents, pvd stents, copd\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Rright srist/hand pain x 4 days. Velcro splint in use, swelling of fingers. No known 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: rash throughout abd w/ pruritis x 5 days, also has pruritis in areas with no rash; seen at SH and provided meds that aren't relieving her symptoms. pmhx: anemia, GERD, 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: Dyspnea on exertion, LLQ abdominal pain x1 week. Hx HTN, CAD, 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: SOB x 2 weeks, pmh ESRD, 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 tripped and fell off rail and cut L hand. bleeding controlled in triage, several deep lacerations noted to fingers. pt endorses drinking alcohol this evening. 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: Cough, rhinorrhea, redness around tip of penis\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: rash for 2 days on upper body and now states on his face.\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: headache behind eyes x 1 hr. pmhx: dialysis TTS, 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: reports intermittent UTI's x one year; reports lower abdominal pain radiating to back x 2 months; PMH: HTN, DM\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt states \"I think i may have pink eye. my mom had it a few months ago so i put some cream that she had on it and i think it may be helping.\" denies pain. denies pmhx\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: bilateral hip pain . no injury. sees Dr. Romero. for her chronic knee pain ..pt amb in triage\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o nasal congestion, headaches, bodyaches x2 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: hearing voices.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: R hand pain s/p \"girlfriend slamming hand in door\" per patient\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 he was cut in the face by a family member pmh \"lumbar problems\"\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 wetting self 10x since this afternoon and burning during urinating. urine culture sent this AM. pmhx: HTN, recurrent UTIs\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I have acid reflux & sometimes my chest does hurt because of that, but today I felt like I lose my breath sometimes just sitting there & it hurts in the middle. Today was the first day it did this.\"\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: intermittent chest and back pressure unrelieved by nitro, N x 2 days pmhx: HTN, CAD,\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o R elbow pain and limited range of motion/unable to pick up objects since fall from bicycle today around 0940. denies head injury. pt states \"i dont have a tendon in this R arm\" d/t past injury.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Patient c/o bilateral ingrown toenails\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o intermittent L foot pain x 1mo. pt states \"i was told to come back and get my penicillin shot anyways.\" pmhx lupus\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 since yesterday, denies injury, worse with ambulation; PMH: HTN, DM, 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: Rash to groin areax3-4 days; PMH: denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt states that he took several buspar tablets and drank a lot of alcohol to numb the pain, endorses SI\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/ SOB since Friday, along with N/V. PMHx CHF/ Afib/ 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 in mvc 1 hr pta. pt c/o of neck pain. ambulatory on scene\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: swallowed a sip of hydrogen peroxide about 2041. family reports he was crying and \"turning red\". now alert & calm\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I went to Bibb & Veterans & they both swabbed me for the flu & diagnosed me with a URI. THey told meto keep taking theraflu but that just makes me sleepy. I'm here for medicines.\"\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 R shoulder blade, R hand tingling 2x this AM, heart palpiations after hand tingling, fatigued x1 day, head feels like it is floating, ringing in the ears, lightheaded - 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: Lower back pain, left leg and foot pain. Bruising to left foot. Patient is an learning disability nurse , has been on a hill digging a ditch this week.\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: productive cough w/ SOB, HA, sinus congestion x 1 month; PNA 1 month ago (treated at UAB); stated that he lost prescriptions from visit here 2 weeks ago. pmhx: HTN, DM II, COPD, 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: I have been having left leg pain for a few weeks now. It si not getting better even with the pain medicine. PMH COPD, RA, 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: Per family \"she was admitted 07/11/75 for low sodium but her doctor said to bring her back in if she started seeing things again.\" Pt states \" i just see worms everywhere! Look at my skin!\" Family denies any alzheimer/dementia hx.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: chronic body aches, 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: Syncope episode on Monday reports + LOC, dizzy today 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: pt found on floor by friend. +ETOH, friend stated she had 12 shots.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt states that she has been having chest pains since 0212 today 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: Patient reports she woke up today and just didn't feel right, had her bp and hr took at home and noticed she was hypertensive and tachycardic. pmh htn, hld, hypothyroidism\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: Migraine, nausea, vomiting. Unable to keep antihypertensives down. Pt also endorses sternal chest pressure & SOB. PMH: HTN, Dysautonomia, Migraines, Fibromyalgia, Pheochromocytoma\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]