case_id string | title string | format string | source string | presentation string | options dict | answer string | reference_diagnosis string | red_flags list |
|---|---|---|---|---|---|---|---|---|
CB-001 | 62M with crushing chest pain | qa | synthetic-demo | A 62-year-old man presents to the emergency department with 90 minutes of crushing substernal chest pain radiating to the left arm, associated with diaphoresis and nausea. Blood pressure 148/92 mmHg, heart rate 104 bpm, oxygen saturation 96% on room air. ECG shows ST elevation of 4 mm in leads V2-V4 with reciprocal ST ... | {
"A": "Acute anterior ST-elevation myocardial infarction",
"B": "Acute pericarditis",
"C": "Aortic dissection",
"D": "Pulmonary embolism"
} | A | Acute anterior ST-elevation myocardial infarction | [
"crushing chest pain",
"ST elevation",
"elevated troponin"
] |
CB-002 | 34F with thunderclap headache | qa | synthetic-demo | A 34-year-old woman presents with sudden onset of the worst headache of her life, described as a thunderclap headache, with photophobia and neck stiffness. On examination she is drowsy but arousable, with nuchal rigidity. Non-contrast head CT shows hyperdense blood in the basal cisterns and Sylvian fissures. Blood pres... | {
"A": "Migraine with aura",
"B": "Aneurysmal subarachnoid hemorrhage",
"C": "Bacterial meningitis",
"D": "Tension-type headache"
} | B | Aneurysmal subarachnoid hemorrhage | [
"thunderclap headache",
"decreased consciousness",
"subarachnoid blood"
] |
CB-003 | 71M with acute dyspnea after flight | qa | synthetic-demo | A 71-year-old man presents with acute onset dyspnea and pleuritic chest pain 6 hours after a 9-hour international flight. Heart rate 118 bpm, blood pressure 108/70 mmHg, oxygen saturation 89% on room air, respiratory rate 26/min. Right calf is swollen and tender. D-dimer is 2400 ng/mL (reference <500 ng/mL). CT pulmona... | {
"A": "Acute pulmonary embolism",
"B": "Acute decompensated heart failure",
"C": "Pneumothorax",
"D": "Community-acquired pneumonia"
} | A | Acute pulmonary embolism | [
"hypoxia",
"tachycardia",
"pleuritic chest pain"
] |
CB-004 | 45F with polyuria and weight loss | qa | synthetic-demo | A 45-year-old woman presents with 3 weeks of polyuria, polydipsia, and unintentional weight loss of 8 kg, now with nausea and abdominal pain. She is tachypneic with deep Kussmaul respirations and fruity breath odor. Fingerstick glucose is 420 mg/dL. Arterial blood gas shows pH 7.28, bicarbonate 14 mmol/L. Urinalysis is... | {
"A": "Hyperosmolar hyperglycemic state",
"B": "Diabetic ketoacidosis",
"C": "Lactic acidosis",
"D": "Acute pancreatitis"
} | B | Diabetic ketoacidosis | [
"Kussmaul respirations",
"severe acidemia",
"hyperkalemia"
] |
CB-005 | 28M with fever after hotel stay | qa | synthetic-demo | A 28-year-old man presents with 5 days of high fever to 103.2 F, dry cough, headache, and watery diarrhea. He returned 10 days ago from a conference where he stayed in a hotel with a decorative fountain in the lobby. Sodium is 128 mmol/L. Chest X-ray shows a right lower lobe infiltrate. He is a non-smoker with no chron... | {
"A": "Legionella pneumonia",
"B": "Viral influenza",
"C": "Mycoplasma pneumonia",
"D": "Aspiration pneumonia"
} | A | Legionella pneumonia | [
"high fever",
"hyponatremia",
"lobar infiltrate"
] |
CB-006 | 55M with epigastric pain radiating to back | qa | synthetic-demo | A 55-year-old man presents with 12 hours of severe epigastric pain radiating to the back, with nausea and two episodes of vomiting. He drinks approximately 6 beers daily. On examination he has epigastric tenderness without guarding. Serum lipase is 1200 U/L (reference 13-60 U/L). Abdominal CT shows peripancreatic fat s... | {
"A": "Acute pancreatitis",
"B": "Perforated peptic ulcer",
"C": "Acute cholecystitis",
"D": "Mesenteric ischemia"
} | A | Acute pancreatitis | [
"severe abdominal pain",
"marked lipase elevation"
] |
CB-007 | 60F with edema and heavy proteinuria | qa | synthetic-demo | A 60-year-old woman presents with 2 months of progressive bilateral leg edema and periorbital puffiness. 24-hour urine protein is 6.2 g/day. Serum albumin is 2.4 g/dL, total cholesterol 340 mg/dL. Serum creatinine is 1.1 mg/dL. Urinalysis shows oval fat bodies and no red blood cell casts. Blood pressure is 138/84 mmHg.... | {
"A": "Membranous nephropathy with nephrotic syndrome",
"B": "Acute tubular necrosis",
"C": "IgA nephropathy",
"D": "Diabetic nephropathy"
} | A | Membranous nephropathy with nephrotic syndrome | [
"nephrotic-range proteinuria",
"severe hypoalbuminemia"
] |
CB-008 | 8F with target lesions after antibiotics | qa | synthetic-demo | An 8-year-old girl presents with 3 days of painful targetoid skin lesions on the trunk and extremities with erosions of the oral mucosa and lip crusting. Lesions began 10 days after starting trimethoprim-sulfamethoxazole for a urinary tract infection. She is febrile to 101.8 F. Nikolsky sign is negative. Estimated body... | {
"A": "Erythema multiforme major",
"B": "Stevens-Johnson syndrome",
"C": "Viral exanthem",
"D": "Kawasaki disease"
} | B | Stevens-Johnson syndrome | [
"mucosal erosions",
"recent culprit drug",
"febrile"
] |
Consilium-Bench Sample Cases
8 synthetic clinical vignettes from consilium-bench (Habib Ur Rehman), the open clinical second-opinion benchmark harness in AI Consilium format.
Each case has a presentation, role opinions, and rubric-scored evaluation
targets. Fully synthetic demo data ("source": "synthetic-demo") — no
real patient data.
Format (JSONL, one object per line)
| field | meaning |
|---|---|
case_id |
case id, e.g. CB-001 |
title |
short case title |
presentation |
clinical vignette text |
format |
qa |
License
MIT. Synthetic data generated for this project.
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