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###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is tedious and heavy. It is located on my cheek (R), occiput, and temple (L). The intensity of the pain is 2 on a scale of 0 to 10, and it appeared relatively fast with a rating of 1.### ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### ###Human: Yes, I have been in contact with a person with similar symptoms in the past 2 weeks. I have also traveled out of the country in the last 4 weeks and am exposed to secondhand cigarette smoke on a daily basis.### ###Assistant: Based on your history, the two most likely diagnoses are URTI at 17.1% probability and Bronchitis at 15.5% probability. Does the pain in your cheek (R) worsen with any specific movements or actions?### ###Human: The pain in my cheek (R) does not worsen with any specific movements or actions.### ###Assistant: I recommend conducting a chest X-ray to further evaluate your symptoms and rule out any potential underlying conditions.###

###Assistant: Are you feeling nauseous or do you feel like vomiting?### ###Human: Yes ###Assistant: Have you been in contact with or ate something that you have an allergy to?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your symptoms and antecedents, the two most likely diagnoses are Anaphylaxis at 14.2% probability and Unstable angina at 10.1% probability. Does the pain radiate to another location?### ###Human: The pain does not radiate to another location. ###Assistant: Let's perform a skin prick test to check for any allergic reactions and an ECG to assess for any cardiac issues.

###Assistant: Have you had significantly increased sweating?### Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear?### Human: Yes, sensitive, heavy, back of head, back of the neck, side of the neck(R), side of the neck(L), forehead, 6, nowhere, 8, 3 ###Assistant: Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long? Do you have a fever (either felt or measured with a thermometer)? Have you had chills or shivers? Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? What color is the rash? Do your lesions peel off? On a scale of 0 to 10, Is the rash swollen? Where is the affected region located? On a scale of 0 to 10, How intense is the pain caused by the rash? Is the lesion (or are the lesions) larger than 1cm? On a scale of 0 to 10, How severe is the itching?### Human: Yes, Yes, Yes, Yes, pink, N, 1, side of the neck(L), forehead, 6, Y, 1 ###Assistant: Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed?### Human: Yes, Yes, Yes ###Assistant: Based on your history, the two most likely diagnoses are Influenza at 26.9% probability, and URTI at 19.4% probability. Does the pain in your neck radiate to your shoulders or arms?### Human: No ###Assistant: I recommend getting a nasal swab for a rapid influenza test to confirm the diagnosis.

### Assistant: What are your symptoms? ### Human: I have pain on the side of my chest (R) that feels like a sharp knife stroke. The pain is intense, with a rating of 6 out of 10, and it appeared relatively fast with a rating of 5 out of 10. I also have shortness of breath and swelling in the posterior aspect of my ankle (R). ### Assistant: Any relevant medical history? ### Human: I have active cancer, have been unable to move for more than 3 days in the last 4 weeks, had surgery within the last month, and traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 10.3% probability, and Anaphylaxis at 8.1% probability. Does the pain in your chest radiate to any other location? ### Human: The pain in my chest does not radiate to any other location. ### Assistant: Let's get a D-dimer blood test to check for the presence of a pulmonary embolism.

### Assistant: What are your symptoms? ### Human: I have pain in the side of my chest (L) and posterior chest wall (L) that feels like a knife stroke. The pain intensity is 1 on a scale of 0 to 10, and it appeared relatively fast with a score of 4. I also have shortness of breath, cough with colored sputum, fever, chills, and a rash on the back of my neck, commissure (R), commissure (L), buttock (L), and shoulder (R). The rash is pink, does not peel off, and is slightly swollen with a pain intensity of 3. I also have diffuse muscle pain, loss of appetite, fatigue, nasal congestion, and symptoms that worsen at night. Additionally, I have pain that increases when I breathe in deeply. ### Assistant: Any relevant medical history? ### Human: I drink alcohol excessively, have Parkinson's disease, chronic obstructive pulmonary disease (COPD), had surgery within the last month, and traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 6.9% probability, and Pulmonary neoplasm at 6.2% probability. Does the pain in your chest radiate to any other location? ### Human: The pain does not radiate to any other location. ### Assistant: Let's get a chest X-ray to examine for potential pneumonia.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Can you characterize your pain for me? Is it sensitive and tugging? ###Human: Yes, it is sensitive and tugging. ###Assistant: Do you feel pain in your forehead and right temple? On a scale of 0 to 10, how intense is the pain? ###Human: Yes, the pain is a 1 in intensity. ###Assistant: Have you been feeling slightly dizzy or lightheaded? Do you feel so tired that you are unable to do your usual activities? ###Human: Yes, I have been feeling slightly dizzy and lightheaded, and I am so tired that I can't do my usual activities. ###Assistant: Have you recently had stools that were black like coal? Do you have a poor diet and a history of anemia in your family? ###Human: Yes, I have had black stools, a poor diet, and a family history of anemia. ###Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Anemia at 26.8% probability and HIV (initial infection) at 13.8% probability. Does the pain in your forehead and temple worsen with any specific activities or movements? ###Human: The pain does not worsen with any specific activities or movements. ###Assistant: I recommend getting a blood test to check for anemia and HIV to further investigate your symptoms.

###Assistant: What are your symptoms?### Human: I have pain in the side of the chest (R), side of the chest (L), scapula (L), breast (R), and posterior chest wall (L). The pain feels like a knife stroke with an intensity of 7 on a scale of 0 to 10. It appeared relatively fast with a rating of 3. I also have shortness of breath and swelling in the posterior aspect of the ankle (R) and calf (R). I lost consciousness and the pain increases when I breathe in deeply. ###Assistant: Any relevant medical history?### Human: I have an active cancer, take hormones, had deep vein thrombosis (DVT), had surgery within the last month, and traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 9% probability, and Pericarditis at 7.2% probability. Does the pain radiate to any other location besides the ones you mentioned?### Human: The pain also radiates to the scapula (R) and scapula (L). ###Assistant: Let's get a chest CT angiography to further investigate for a potential pulmonary embolism.

###Assistant: What are your symptoms? ###Human: I have pain somewhere, related to my reason for consulting. It is tedious, sensitive, heavy, and sharp. The pain is located in my ankle (L), lateral side of the foot (R), thigh (R), dorsal aspect of the foot (R), and dorsal aspect of the foot (L). The intensity of the pain is 3 on a scale of 0 to 10. The pain appeared with a speed of 3 and is precisely located at 2 on a scale of 0 to 10. ###Assistant: Any relevant medical history? ###Human: I have a known issue with one of my heart valves, take corticosteroids, had deep vein thrombosis (DVT), have liver cirrhosis, had surgery to remove lymph nodes, take a calcium channel blockers (medication), was diagnosed with endocrine disease or a hormone dysfunction, have obstructive sleep apnea (OSA), have a known kidney problem resulting in an inability to retain proteins, and have traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are Localized edema at 46.8% probability, and Pulmonary embolism at 32.5% probability. Does the swelling in your ankle and foot increase throughout the day or stay the same? ###Human: The swelling in my ankle and foot stays the same throughout the day. ###Assistant: I recommend getting a Doppler ultrasound to check for any blood clots in your legs that could be causing the swelling.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is haunting, a knife stroke, violent, and sickening. It is located in my lower chest, upper chest, hypochondrium (L), belly, and epigastric. The intensity of the pain is 8 out of 10, and it radiates to my thoracic spine, scapula (R), and scapula (L). It appeared very fast, with a rating of 10 out of 10. I am also experiencing shortness of breath and nausea, and I have vomited several times. ### Assistant: Do you drink alcohol excessively or have an addiction to alcohol? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I do drink alcohol excessively, and I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Boerhaave at 14.7% probability and Possible NSTEMI / STEMI at 14.4% probability. Does the pain increase or decrease with physical exertion? ### Human: The pain does not change with physical exertion. ### Assistant: Let's schedule an esophagram to further investigate the possibility of Boerhaave syndrome.

### Assistant: Can you describe the pain you are experiencing in your iliac fossa on the right side?### Human: The pain is heavy and located specifically in the iliac fossa on the right side. It appeared relatively fast with a pain intensity of 1 out of 10.### Assistant: Have you had any complications at birth or were you born prematurely?### Human: Yes, I was born prematurely and had complications at birth. I am also significantly overweight compared to people of the same height as me. I have also traveled out of the country in the last 4 weeks.### Assistant: Based on your history, the two most likely diagnoses are Inguinal hernia at 59.9% probability, and Scombroid food poisoning at 24.9% probability. Does the pain in your iliac fossa on the right side radiate to any other location?### Human: No, the pain does not radiate to any other location.### Assistant: I recommend a physical examination to further evaluate the possibility of an inguinal hernia.

### Assistant: Do you have nasal congestion or a clear runny nose? ### Human: Yes ### Assistant: Do you have severe itching in one or both eyes? ### Human: Yes ### Assistant: Do you have nasal congestion or a clear runny nose? ### Human: Yes ### Assistant: Do you have any close family members who suffer from allergies (any type), hay fever or eczema? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are allergic sinusitis at 100% probability, and [Second potential diagnosis] at [Probability]% probability. Does the itching in your eyes worsen at a specific time of day or in certain environments? ### Human: The itching in my eyes tends to worsen in the evening or when I'm exposed to pollen. ### Assistant: I recommend a skin prick test to determine specific allergens triggering your symptoms.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Can you characterize your pain for me? ### Human: It feels like tugging, a cramp, and exhausting. ### Assistant: Do you feel pain in specific locations? ### Human: Yes, in the back of my head, top of the head, and right temple. ### Assistant: On a scale of 0 to 10, how intense is the pain? ### Human: 1 ### Assistant: How fast did the pain appear on a scale of 0 to 10? ### Human: 4 ### Assistant: Do you feel lightheaded, dizzy, or like you are about to faint? ### Human: Yes ### Assistant: Have you recently had stools that were black like coal? ### Human: Yes ### Assistant: Is your skin much paler than usual? ### Human: Yes ### Assistant: Have you ever had a diagnosis of anemia? ### Human: Yes ### Assistant: Do you have any family members who have been diagnosed with anemia? ### Human: Yes ### Assistant: Do you have chronic kidney failure? ### Human: Yes ### Assistant: Are you taking any new oral anticoagulants? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Is your BMI less than 18.5, or are you underweight? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Anemia at 77.6% probability and Scombroid food poisoning at 13.6% probability. Does the pain radiate to another location? ### Human: Nowhere ### Assistant: Let's perform a blood test to confirm the diagnosis of Anemia.

### Assistant: Can you describe the rash in more detail? Where exactly is it located and how intense is the itching?### ### Human: The rash is located on the back of the neck, biceps (R), mouth, thyroid cartilage, and ankle (R). The rash is swollen at a level of 6 out of 10, and the itching is severe at a level of 7 out of 10.### ### Assistant: Have you eaten dark-fleshed fish (such as tuna) or Swiss cheese before experiencing these symptoms?### ### Human: Yes, I did eat dark-fleshed fish (such as tuna) before the reaction occurred. I also traveled out of the country in the last 4 weeks.### ### Assistant: Based on your history, the two most likely diagnoses are Scombroid food poisoning at 19.3% probability, and Anaphylaxis at 15.5% probability. Does the rash peel off or is it persistent?### ### Human: The rash does not peel off, it is persistent.### ### Assistant: I recommend getting a skin biopsy to further investigate the rash and confirm the diagnosis. Thank you for providing this information.### ### Human: Thank you for your help.

###Assistant: Have you been coughing up blood?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear?### ###Human: The pain is sensitive and burning in my tonsil (R) and tonsil (L). The pain intensity is 7, and it appeared with a speed of 1. The pain is located precisely at 6, and it does not radiate to another location. ###Assistant: Do you have a fever? Do you have nasal congestion or a clear runny nose?### ###Human: Yes, I have a fever and nasal congestion. ###Assistant: Do you live with 4 or more people? Do you attend or work in a daycare? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed?### ###Human: Yes, I live with 4 or more people, attend a daycare, smoke cigarettes, traveled out of the country in the last 4 weeks, and I am immunosuppressed. ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 74.6% probability and URTI at 25.4% probability. Does the pain increase with swallowing or talking?### ###Human: The pain increases with swallowing. ###Assistant: I recommend a throat swab test to confirm the diagnosis. ###Human: Thank you for your recommendation.

###Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is tedious and located at the top of the head, cheek (L), temple (R), and temple (L). It's a 4 out of 10 in intensity and appeared at a pace of 2.### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have. I live with 4 or more people and have been exposed to secondhand cigarette smoke on a daily basis.### Assistant: Based on your history, the two most likely diagnoses are URTI at 24.96% probability and Bronchitis at 18.26% probability. Does the pain in your head and temples worsen with movement or touch?### Human: No, the pain does not worsen with movement or touch.### Assistant: I recommend a throat swab to confirm the diagnosis of URTI.

### Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is sensitive and burning. It is located in my tonsil (R), thyroid cartilage, palace, pharynx, and under the jaw. The intensity of the pain is 8 out of 10, and it is precisely located at 10 out of 10. The pain appeared suddenly with a score of 0 out of 10.### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have. I also attend or work in a daycare, smoke cigarettes, have traveled out of the country in the last 4 weeks, and I am immunosuppressed.### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 24.7% probability and Acute laryngitis at 16.9% probability. Does the pain in your throat worsen when you swallow?### Human: Yes, the pain does worsen when I swallow.### Assistant: I recommend a throat swab to test for the presence of bacteria or viruses causing the symptoms.

###Assistant: Are your symptoms worse when lying down and alleviated while sitting up?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? Do you have a burning sensation that starts in your stomach then goes up into your throat, and can be associated with a bitter taste in your mouth? Do you have a cough?### ###Human: The pain is like a knife stroke, burning, sickening, and scary in my upper chest. The intensity of the pain is 3. The pain is located in the upper chest and radiates to the lower chest. The pain appeared with a speed of 3. I have a burning sensation that starts in my stomach and goes up into my throat, with a bitter taste in my mouth. I also have a cough. ###Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? Do you have a hiatal hernia? Do you think you are pregnant or are you currently pregnant? Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, I drink alcohol excessively and have an addiction to alcohol. I have a hiatal hernia. I think I am pregnant. I have traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are GERD at 28.9% probability, and Bronchitis at 25.9% probability. Does the cough worsen at night or with certain triggers?### ###Human: The cough tends to worsen at night. ###Assistant: Let's schedule an upper endoscopy to further evaluate for GERD.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is sensitive, a knife stroke, burning, sickening, and scary. It is located in the epigastric area and radiates to the upper chest. On a scale of 0 to 10, the intensity of the pain is 6, and it appeared relatively fast with a rating of 3. ### Assistant: Do you have a burning sensation that starts in your stomach then goes up into your throat, and can be associated with a bitter taste in your mouth? ### Human: Yes, I do have that burning sensation. ### Assistant: Are you significantly overweight compared to people of the same height as you? Do you drink alcohol excessively or have an addiction to alcohol? Do you smoke cigarettes? Do you have a hiatal hernia? Do you have asthma or have you ever had to use a bronchodilator in the past? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I am significantly overweight, drink alcohol excessively, smoke cigarettes, have a hiatal hernia, have asthma, and have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are GERD at 36.6% probability and Unstable angina at 21.3% probability. Does the pain increase or decrease after physical exertion? ### Human: The pain does not significantly change with physical exertion. ### Assistant: I recommend an upper endoscopy to further evaluate your symptoms and confirm the diagnosis of GERD.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Have you lost consciousness associated with violent and sustained muscle contractions or had an absence episode? ###Human: Yes ###Assistant: Are you significantly overweight compared to people of the same height as you? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are NSTEMI / STEMI at 22.8% probability, and Atrial fibrillation at 15.6% probability. Does the pain radiate to another location? ###Human: Nowhere ###Assistant: Let's perform an ECG to further evaluate for potential atrial fibrillation.

### Assistant: Have you had significantly increased sweating? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: tedious, heavy, sickening, scary ### Assistant: Do you feel pain somewhere? ### Human: lower chest, side of the chest(L), upper chest, breast(L), epigastric ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 9 ### Assistant: Does the pain radiate to another location? ### Human: biceps(R), biceps(L), thoracic spine, under the jaw, trachea ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 7 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 7 ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you constantly feel fatigued or do you have non-restful sleep? ### Human: Yes ### Assistant: Have you recently had a loss of appetite or do you get full more quickly than usual? ### Human: Yes ### Assistant: Are you infected with the human immunodeficiency virus (HIV)? ### Human: Yes ### Assistant: Do you have diabetes? ### Human: Yes ### Assistant: Are you significantly overweight compared to people of the same height as you? ### Human: Yes ### Assistant: Do you have high cholesterol or do you take medications to treat high cholesterol? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Do you have a problem with poor circulation? ### Human: Yes ### Assistant: Are you a former smoker? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 8.3% probability, and Panic attack at 6.9% probability. Does the pain increase or decrease with physical exertion? ### Human: The pain does not increase with physical exertion. ### Assistant: Let's get an ECG to further evaluate for a possible NSTEMI / STEMI. ### Human: Okay.

### Assistant: What are your symptoms? ### Human: I am experiencing shortness of breath or difficulty breathing in a significant way. I also feel slightly dizzy or lightheaded. My heart is beating fast, irregularly, and I feel palpitations. These symptoms are increased with physical exertion but alleviated with rest. ### Assistant: Any relevant medical history? ### Human: I have been diagnosed with hyperthyroidism, have a known issue with one of my heart valves, severe Chronic Obstructive Pulmonary Disease (COPD), diabetes, am significantly overweight compared to people of the same height as me, have high blood pressure, and have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Atrial fibrillation at 13.6% probability, and PSVT at 11.9% probability. Does the dizziness or lightheadedness occur suddenly or gradually? ### Human: The dizziness or lightheadedness occurs suddenly. ### Assistant: Let's recommend an ECG (Electrocardiogram) to further evaluate your heart rhythm and determine if you have Atrial fibrillation or PSVT.

### Assistant: What are your symptoms? ### Human: I have noticed weakness in my facial muscles and eyes. I feel weakness in both arms and legs. I have numbness, loss of sensation, or tingling in my feet. I had weakness or paralysis on one side of my face, which may still be present or completely resolved. I recently had numbness, loss of sensation, or tingling in both arms and legs and around my mouth. I have had weakness or paralysis in one or more of my limbs or in my face. I currently have numbness, loss of sensitivity, or tingling anywhere on my body. ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes. ### Assistant: Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 100% probability, and another condition at 0% probability. Does the numbness or tingling in your arms and legs start suddenly or gradually? ### Human: The numbness and tingling started suddenly. ### Assistant: Let's proceed with a nerve conduction study to confirm the diagnosis of Guillain-Barré syndrome.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: heartbreaking, haunting, a knife stroke, sickening ###Assistant: Do you feel pain somewhere?### ###Human: lower chest, flank(R), flank(L), belly, epigastric ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 9 ###Assistant: Does the pain radiate to another location?### ###Human: thoracic spine, scapula(R), scapula(L) ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 4 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 9 ###Assistant: Are you feeling nauseous or do you feel like vomiting?### ###Human: Yes ###Assistant: Have you recently thrown up blood or something resembling coffee beans?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Boerhaave at 23.6% probability, and Atrial fibrillation at 15.8% probability. Does the pain increase or decrease with certain movements or positions?### ###Human: The pain worsens when I lie down or bend over. ###Assistant: Let's schedule an esophagram to further investigate the possibility of Boerhaave syndrome.

###Assistant: Can you characterize your pain for me?### Human: The pain is sensitive. ###Assistant: Have you had a cold in the last 2 weeks?### Human: Yes. ###Assistant: Based on your history, the two most likely diagnoses are Acute laryngitis at 27.3% probability, and Bronchitis at 26.2% probability. Does the pain in your tonsil and pharynx worsen when you swallow?### Human: Yes, it does. ###Assistant: I recommend a throat swab to confirm the diagnosis. Human: Thank you for your help.

###Assistant: Have you noticed a wheezing sound when you exhale?### ###Human: Yes ###Assistant: Have you had 2 or more asthma attacks in the past year?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 41.3% probability, and Bronchospasm / acute asthma exacerbation at 32.6% probability. Does your cough produce any mucus or phlegm?### ###Human: Yes, I have noticed that my cough produces yellowish-green mucus. ###Assistant: Let's perform a pulmonary function test to further evaluate your lung function and help differentiate between bronchitis and acute asthma exacerbation.

###Assistant: Can you describe the pain you are experiencing in more detail?### ###Human: The pain is sensitive and exhausting. It is located in the back of my head, cervical spine, top of the head, occiput, and right temple. On a scale of 0 to 10, the intensity of the pain is 8 and it appeared relatively fast with a score of 6.### ###Assistant: Have you ever had a sexually transmitted infection or traveled out of the country in the last 4 weeks?### ###Human: Yes, I have had a sexually transmitted infection and I have traveled out of the country in the last 4 weeks.### ###Assistant: Based on your history, the two most likely diagnoses are HIV (initial infection) at 28.5% probability, and Influenza at 26.1% probability. Does the rash on your skin peel off or is it swollen?### ###Human: The rash does not peel off and it is not swollen.### ###Assistant: I recommend getting a blood test to check for HIV infection as the next step for diagnosis.###

### Assistant: Do you feel slightly dizzy or lightheaded? ### Human: Yes ### Assistant: Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? ### Human: Yes ### Assistant: Do you feel anxious? ### Human: Yes ### Assistant: Do you consume energy drinks regularly? ### Human: Yes ### Assistant: Do you regularly take stimulant drugs? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Have you recently taken decongestants or other substances that may have stimulant effects? ### Human: Yes ### Assistant: The two potential diagnoses are PSVT with a probability of 52.7% and Atrial fibrillation with a probability of 47.3%. Does the feeling of dizziness or lightheadedness occur suddenly or gradually? ### Human: It occurs suddenly. ### Assistant: I recommend an ECG to further evaluate your heart rhythm. ###

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Can you characterize your pain for me? Is it haunting, sensitive, tugging, or burning? ###Human: It's haunting, sensitive, tugging, and burning. ###Assistant: Where do you feel the pain? Is it in your upper chest, hypochondrium (L), or belly? ###Human: I feel the pain in my upper chest, hypochondrium (L), and belly. ###Assistant: On a scale of 0 to 10, how intense is the pain? ###Human: The pain intensity is 6. ###Assistant: Does the pain radiate to another location, like your lower chest or upper chest? ###Human: Yes, the pain radiates to my lower chest and upper chest. ###Assistant: On a scale of 0 to 10, how precisely is the pain located? ###Human: The pain is located at a 4. ###Assistant: How fast did the pain appear, on a scale of 0 to 10? ###Human: The pain appeared at a pace of 5. ###Assistant: Do you have a burning sensation that starts in your stomach then goes up into your throat, and can be associated with a bitter taste in your mouth? ###Human: Yes ###Assistant: Do you have symptoms that get worse after eating? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Do you have a hiatal hernia? ###Human: Yes ###Assistant: Do you have asthma or have you ever had to use a bronchodilator in the past? ###Human: Yes ###Assistant: Do you think you are pregnant or are you currently pregnant? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are GERD at 45.7% probability and Unstable angina at 24.4% probability. Does the pain increase or decrease with physical exertion? ###Human: The pain does not specifically mention physical exertion. ###Assistant: I recommend an upper endoscopy to further evaluate your symptoms and confirm a diagnosis.

###Assistant: Can you describe the pain you're feeling in your chest?### Human: The pain is a cramp, sharp in my lower chest, side of the chest (R), upper chest, hypochondrium (L), and pubis. On a scale of 0 to 10, the intensity is 3. It appeared quickly, with a rating of 6. ###Assistant: Have you ever been diagnosed with depression or suffer from chronic anxiety?### Human: Yes, I have been diagnosed with depression and suffer from chronic anxiety. ###Assistant: Based on your history, the two most likely diagnoses are Panic attack at 12.3% probability, and PSVT at 10.1% probability. Does the pain radiate to another location?### Human: The pain does not radiate to another location. ###Assistant: Let's perform an ECG to further evaluate for PSVT.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is sensitive and burning in my tonsil (R), thyroid cartilage, palace, and pharynx. The intensity of the pain is 5 on a scale of 0 to 10, and it appeared relatively fast with a rating of 4. ### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ### Human: Yes, I have. ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 33.8% probability and Viral pharyngitis at 21.6% probability. Does the pain radiate to another location? ### Human: No, the pain does not radiate to another location. ### Assistant: Let's perform a throat swab to confirm the diagnosis of viral pharyngitis.

###Assistant: What are your symptoms? ###Human: I have the perception of seeing two images of a single object seen overlapping or adjacent to each other (double vision). I also have difficulty articulating words/speaking, difficulty swallowing, weakness in both arms and/or both legs, and a hard time opening/raising one or both eyelids. I previously had weakness/paralysis in one or more of my limbs or in my face. ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes. ###Assistant: Based on your history, the two most likely diagnoses are Myasthenia gravis at 47.3% probability, and Guillain-Barré syndrome at 35.5% probability. Do you experience any tingling or numbness in your arms or legs? ###Human: No, I do not experience any tingling or numbness in my arms or legs. ###Assistant: I recommend a blood test to check for specific antibodies related to Myasthenia gravis to confirm the diagnosis.

### Assistant: What are your symptoms? ### Human: I have trouble keeping my tongue in my mouth. I have a hard time opening/raising one or both eyelids. I am unable to control the direction of my eyes. I feel that muscle spasms or soreness in my neck are keeping me from turning my head to one side. I have annoying muscle spasms in my face, neck, or any other part of my body. ### Assistant: Any relevant medical history? ### Human: I have started or taken antipsychotic medication within the last 7 days. I regularly take stimulant drugs. I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Acute dystonic reactions at 64.5% probability, and Myasthenia gravis at 35.2% probability. Do you notice if the muscle spasms in your face, neck, or other parts of your body worsen with physical activity or improve with rest? ### Human: The muscle spasms in my face, neck, and other parts of my body do not seem to worsen with physical activity or improve with rest. ### Assistant: I recommend conducting a physical examination to assess the severity and distribution of muscle spasms, as well as any other neurological signs that may help differentiate between Acute dystonic reactions and Myasthenia gravis.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes, the pain is sensitive and heavy. It is located in my cheek (R), cheek (L), and temple (L). The intensity of the pain is 7 on a scale of 0 to 10, and it appeared with a speed of 3. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ###Human: Yes, I have been in contact with someone with similar symptoms. ###Assistant: Based on your history, the two most likely diagnoses are URTI at 17.5% probability and Bronchitis at 16.3% probability. Does the pain in your cheek (R), cheek (L), and temple (L) worsen with movement or touch? ###Human: The pain does not worsen with movement or touch. ###Assistant: Let's perform a chest X-ray to rule out any potential bronchitis.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: tedious, sensitive, sharp ### Assistant: Do you feel pain somewhere? ### Human: ankle(R), dorsal aspect of the foot(R), dorsal aspect of the foot(L), sole(R), sole(L) ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 3 ### Assistant: Does the pain radiate to another location? ### Human: nowhere ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 3 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 7 ### Assistant: Have you gained weight recently? ### Human: Yes ### Assistant: Do you have swelling in one or more areas of your body? ### Human: Yes ### Assistant: Where is the swelling located? ### Human: ankle(R), ankle(L), thigh(L), dorsal aspect of the foot(L), sole(R) ### Assistant: Are you currently taking or have you recently taken anti-inflammatory drugs (NSAIDs)? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Localized edema at 69.6% probability, and Chagas at 19.2% probability. Does the pain increase or decrease with movement? ### Human: The pain does not radiate to another location. ### Assistant: Let's perform a physical examination to assess the extent and severity of the localized edema.

### Assistant: What are your symptoms? ### Human: I have pain somewhere, related to my reason for consulting. The pain is sensitive, tugging, and exhausting. It is located at the top of the head, forehead, temple (R), and temple (L). On a scale of 0 to 10, the intensity of the pain is 1. I feel slightly dizzy or lightheaded and so tired that I am unable to do my usual activities or stuck in bed all day long. I have had stools that were black (like coal), my skin is much paler than usual, and I have noticed light red blood or blood clots in my stool. ### Assistant: Any relevant medical history? ### Human: I have a poor diet, have been diagnosed with anemia before, have family members with anemia, have chronic kidney failure, am taking new oral anticoagulants (NOACs), have traveled out of the country in the last 4 weeks, and my BMI is less than 18.5, or I am underweight. ### Assistant: Based on your history, the two most likely diagnoses are Anemia at 69.95% probability, and Cluster headache at 30.05% probability. Does the pain increase or decrease with any specific activities or positions? ### Human: The pain does not increase or decrease with any specific activities or positions. ### Assistant: I recommend getting a complete blood count (CBC) test to further investigate the possibility of anemia.

### Assistant: Have you noticed a wheezing sound when you exhale? ### ### Human: Yes ### Assistant: Do you have a known severe food allergy? ### ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 11.3% probability, and Bronchospasm / acute asthma exacerbation at 9.0% probability. Does the rash on your skin peel off? ### ### Human: No ### Assistant: Let's perform a skin prick test to confirm the presence of any allergies.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is sensitive and burning on the side of the chest (L), breast (L), and posterior chest wall (R). The intensity of the pain is 1 on a scale of 0 to 10, and it appeared relatively fast with a score of 4. ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes. ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 9.96% probability and Bronchitis at 9.80% probability. Does the pain radiate to another location? ### Human: No, the pain does not radiate to another location. ### Assistant: Let's get a chest X-ray to examine for potential pneumonia.

### Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain feels like a knife stroke, a cramp, sharp. It is located in my flank (L), iliac fossa (R), pubis, and belly. The intensity of the pain is 3 on a scale of 0 to 10, and it appeared quickly with a rating of 7.### Assistant: Do you have a known severe food allergy?### Human: Yes, I do.### Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 15.5% probability, and Localized edema at 11.3% probability. Does the rash you mentioned have any blisters or fluid-filled bumps?### Human: The rash does not have any blisters or fluid-filled bumps.### Assistant: Let's perform a skin prick test to confirm the presence of any allergies.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### Human: Yes ### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Do you have cystic fibrosis? ### Human: Yes ### Assistant: Do you have Rheumatoid Arthritis? ### Human: Yes ### Assistant: Have you ever had pneumonia? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Are you immunosuppressed? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 11.18% probability, and Bronchiectasis at 10.44% probability. Does the cough worsen at night or with certain activities? ### Human: The cough tends to worsen at night. ### Assistant: Let's schedule a high-resolution CT scan of the chest to further evaluate for bronchiectasis.

###Assistant: What are your symptoms? ###Human: I have pain or weakness in my jaw, double vision, difficulty swallowing, shortness of breath, muscle weakness that increases with fatigue and stress, and a hard time opening/raising one or both eyelids. ###Assistant: Are there any members of your family who have been diagnosed myasthenia gravis? ###Human: Yes, there are. ###Assistant: Based on your history, the two most likely diagnoses are Myasthenia gravis at 20.8% probability, and Pulmonary embolism at 13.6% probability. Do you experience more difficulty swallowing solid foods or liquids? ###Human: I have difficulty swallowing both solid foods and liquids. ###Assistant: Let's conduct a blood test to check for acetylcholine receptor antibodies to confirm a diagnosis of Myasthenia gravis.

###Assistant: Do you have a fever (either felt or measured with a thermometer)?### ###Human: Yes ###Assistant: Are you currently using intravenous drugs?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 12.8% probability, and Tuberculosis at 12.6% probability. Does your cough produce any phlegm or mucus?### ###Human: Yes, I have a cough. ###Assistant: Let's get a sputum culture to test for tuberculosis.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Can you characterize your pain for me? Is it sensitive or burning? ###Human: It is sensitive and burning. ###Assistant: Do you feel pain in your tonsil (R), tonsil (L), thyroid cartilage, palace, or pharynx? ###Human: Yes, I feel pain in my tonsil (R) and tonsil (L). ###Assistant: On a scale of 0 to 10, how intense is the pain? ###Human: 9 ###Assistant: Does the pain radiate to another location? ###Human: Nowhere ###Assistant: On a scale of 0 to 10, how precisely is the pain located? ###Human: 8 ###Assistant: On a scale of 0 to 10, how fast did the pain appear? ###Human: 3 ###Assistant: Do you have a fever? ###Human: Yes ###Assistant: Do you have a cough? ###Human: Yes ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ###Human: Yes ###Assistant: Do you attend or work in a daycare? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 24.7% probability and Acute laryngitis at 16.9% probability. Does the pain in your tonsils worsen when you swallow? ###Human: Yes, the pain in my tonsils worsens when I swallow. ###Assistant: Let's perform a throat swab to check for any bacterial infection.

###Assistant: Can you characterize your pain for me?### Human: The pain is tugging, a cramp, exhausting.### Assistant: Are you taking any new oral anticoagulants?### Human: Yes### Assistant: Based on your history, the two most likely diagnoses are Anemia at 17.7% probability, and Myocarditis at 12.7% probability. Does the pain radiate to another location?### Human: Nowhere### Assistant: I recommend getting a complete blood count (CBC) to further investigate the possibility of Anemia.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain as burning. Do you feel pain in your finger (ring finger)(L), finger (index)(L), finger (middle)(L), shoulder(R), shoulder(L)? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? How precisely is the pain located? How fast did the pain appear? ### Human: Yes, I have burning pain in my finger (ring finger)(L), finger (index)(L), finger (middle)(L), shoulder(R), shoulder(L). The pain intensity is 1, it does not radiate, it is located precisely at 7, and it appeared slowly at 2. ### Assistant: Have you had any vaginal discharge? Are you significantly overweight compared to people of the same height as you? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I have had vaginal discharge. Yes, I am significantly overweight compared to people of the same height as me. Yes, I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 48.8% probability, and Sarcoidosis at 37.4% probability. Does the pain in your fingers and shoulders worsen with movement or rest? ### Human: The pain does not worsen with movement or rest. ### Assistant: I recommend getting a chest X-ray to further investigate the possibility of Sarcoidosis.

### Assistant: Are your symptoms worse when lying down and alleviated while sitting up? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes, the pain is like a knife stroke, sharp in my upper chest, breast (R). The pain intensity is 10. The pain radiates to the thoracic spine, posterior chest wall (R), and posterior chest wall (L). The pain is located precisely at 3. The pain appeared fast at 5. I am experiencing shortness of breath. ### Assistant: Have you recently had a viral infection? Have you ever had a pericarditis? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I have recently had a viral infection. Yes, I have had pericarditis before. Yes, I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 14.4% probability, and Pericarditis at 13.9% probability. Does the pain worsen with physical exertion or stress? ### Human: The pain does not worsen with physical exertion or stress. ### Assistant: Let's schedule an echocardiogram to further evaluate for pericarditis.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is sensitive and burning on the side of the chest (L), upper chest, and posterior chest wall (L). The intensity of the pain is 1 on a scale of 0 to 10, and it appeared fast at a 0. ### Assistant: Do you have a fever and a sore throat? ### Human: Yes, I have a fever and a sore throat. I also have a cough and notice a wheezing sound when I exhale. My symptoms are more prominent at night. ### Assistant: Have you traveled out of the country in the last 4 weeks and are your vaccinations up to date? ### Human: Yes, I have traveled out of the country in the last 4 weeks, and my vaccinations are up to date. ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 15.6% probability and URTI at 14.1% probability. Does the pain radiate to another location? ### Human: No, the pain does not radiate to another location. ### Assistant: Let's perform a chest X-ray to further evaluate your symptoms and confirm the diagnosis of Bronchitis.

### Assistant: Do you have nasal congestion or a clear runny nose? ### Human: Yes. ### Assistant: Do you have any family members who have asthma? ### Human: Yes. ### Assistant: Based on your history, the two most likely diagnoses are Allergic sinusitis at 40.8% probability, and Bronchitis at 33.9% probability. Does your cough worsen at night or with physical activity? ### Human: My cough tends to worsen at night. ### Assistant: I recommend getting an allergy test to further investigate the possibility of Allergic sinusitis.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Are you infected with the human immunodeficiency virus (HIV)? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 13% probability, and Tuberculosis at 11% probability. Does your cough worsen at night or with certain activities? ### Human: My cough tends to worsen at night. ### Assistant: Let's schedule a sputum test to check for tuberculosis.

### Assistant: Have you been able to pass stools or gas since your symptoms increased? ### Human: Yes ### Assistant: Do you feel your abdomen is bloated or distended (swollen due to pressure from inside)? ### Human: Yes ### Assistant: Were you born prematurely or did you suffer any complication at birth? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Inguinal hernia with a probability of 51.7% and Anaphylaxis with a probability of 30.1%. Does the pain radiate to another location? ### Human: Nowhere ### Assistant: I recommend a physical examination to further evaluate your symptoms. Human: Thank you.

###Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is sensitive and burning in my tonsil (L), thyroid cartilage, palace, pharynx, and under the jaw. It's a 9 out of 10 in intensity and 7 in precision. It appeared instantly. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 27.4% probability, and Possible NSTEMI / STEMI at 17.1% probability. Does the pain radiate to another location?### Human: No, the pain does not radiate to another location. ###Assistant: Let's do a throat swab to confirm if it's viral pharyngitis.

###Assistant: Can you describe the pain you're experiencing in your epigastric area?### Human: The pain is haunting, sensitive, and feels like a knife stroke. It's burning and scary. On a scale of 0 to 10, the intensity is 7. ###Assistant: Have you traveled out of the country in the last 4 weeks?### Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are GERD at 23.4% probability and Bronchitis at 19.3% probability. Does the cough you mentioned produce any phlegm?### Human: Yes, I have a cough that produces phlegm. ###Assistant: I recommend an upper endoscopy to further evaluate your symptoms and confirm a diagnosis.###

### Assistant: Have you noticed a wheezing sound when you exhale? ### Human: Yes ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? Do you have a cough that produces colored or more abundant sputum than usual? Do you have a cough? Have you noticed a wheezing sound when you exhale? ### Human: Yes, Yes, Yes, Yes ### Assistant: Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? Do you smoke cigarettes? Do you have a chronic obstructive pulmonary disease (COPD)? Have you ever been diagnosed with gastroesophageal reflux? Do you work in agriculture? Do you work in construction? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, Yes, Yes, Yes, Yes, Yes, Yes ### Assistant: Based on your history, the two most likely diagnoses are Acute COPD exacerbation / infection at 12.4% probability, and Bronchitis at 11.6% probability. Does the cough produce any blood or have you experienced any chest pain with breathing? ### Human: The cough does not produce blood, and I have not experienced any chest pain with breathing. ### Assistant: I recommend a chest X-ray to further evaluate your condition.

### Assistant: Do you have a hard time opening/raising one or both eyelids? ### Human: Yes ### Assistant: Have you started or taken any antipsychotic medication within the last 7 days? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Acute dystonic reactions with a probability of 100%. The other potential diagnosis is not relevant in this case. ### Assistant: Do you suddenly have difficulty or an inability to open your mouth or have jaw pain when opening it? ### Human: Yes ### Assistant: I recommend stopping the antipsychotic medication immediately and seeking medical attention for the acute dystonic reactions.

###Assistant: Have you been coughing up blood?### Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain.### Human: I have pain in the posterior chest wall (R) and posterior chest wall (L). The pain is exhausting. On a scale of 0 to 10, the intensity is 4. The pain appeared at a pace of 1. ###Assistant: Do you constantly feel fatigued or do you have non-restful sleep?### Human: Yes ###Assistant: Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you exposed to secondhand cigarette smoke on a daily basis? Do you have family members who have had lung cancer?### Human: Yes, I smoke cigarettes. Yes, I have traveled out of the country in the last 4 weeks. Yes, I am exposed to secondhand cigarette smoke daily. Yes, some family members have had lung cancer. ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 13.3% probability, and Pulmonary embolism at 10% probability. Does the pain radiate to another location?### Human: The pain does not radiate to another location. ###Assistant: Let's schedule a CT scan to further investigate for a potential pulmonary neoplasm.

###Assistant: Can you describe the pain you're feeling in your temple on the left side?### Human: The pain is sensitive and tugging, with an intensity of 3 on a scale of 0 to 10. It appeared with a speed of 3 and is precisely located at 6.### ###Assistant: Have you ever had a diagnosis of anemia before?### Human: Yes, I have had a diagnosis of anemia. My skin is much paler than usual, and I have a poor diet. I also have chronic kidney failure, take new oral anticoagulants, and have a BMI less than 18.5.### ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 27.75% probability and Atrial fibrillation at 21.28% probability. Does the dizziness and lightheadedness you're experiencing make you feel like you are about to faint or just slightly dizzy?### Human: I feel lightheaded and dizzy, but not like I am about to faint.### ###Assistant: Let's conduct an ECG to check for any signs of atrial fibrillation.###

###Assistant: What symptoms are you experiencing?### Human: I have had diarrhea, pain in my flank (R), and difficulty breathing. The pain feels like a knife stroke and has an intensity of 4. It appeared quickly with a rating of 5. I also have a rash on my biceps (R) and ankle (R) that is pink, swollen at a level of 1, and itchy at a severity of 7. I have swelling in my cheek (R) and nose. I lost consciousness and heard a high-pitched sound when breathing in. ###Assistant: Any relevant medical history?### Human: I have a known severe food allergy, traveled out of the country in the last 4 weeks, and am more likely to develop common allergies than the general population. ###Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 13.4% probability, and Pulmonary embolism at 8.4% probability. Does the pain in your flank (R) radiate to any other location?### Human: The pain does not radiate to another location. ###Assistant: Let's perform a chest CT angiography to further investigate the possibility of a pulmonary embolism.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is tedious and tugging in my lower chest, ankle (R), calf (L), breast (R), and tibia (R). ### Assistant: Have you ever had fluid in your lungs? ### Human: Yes, I have had fluid in my lungs. ### Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Unstable angina at 9.96% probability and Possible NSTEMI/STEMI at 9.58% probability. Does the pain radiate to another location? ### Human: Yes, the pain radiates to my biceps (L), chin, jaw, scapula (L), and shoulder (L). ### Assistant: Let's perform an ECG to further evaluate for possible NSTEMI/STEMI.

### Assistant: Have you been coughing up blood? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? ### Human: The pain is like a knife stroke on the side of the chest (R), side of the chest (L), and posterior chest wall (R). The pain intensity is 7, it does not radiate, the pain location precision is 6, and the pain appeared with a speed of 2. ### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? Do you have a fever? Have you had chills or shivers? Do you have any lesions, redness, or problems on your skin that you believe are related to the condition you are consulting for? What color is the rash? Do your lesions peel off? On a scale of 0 to 10, Is the rash swollen? Where is the affected region located? On a scale of 0 to 10, How intense is the pain caused by the rash? Is the lesion (or are the lesions) larger than 1cm? On a scale of 0 to 10, How severe is the itching? Do you have diffuse muscle pain? Have you recently had a loss of appetite or do you get full more quickly than usual? Do you have nasal congestion or a clear runny nose? Do you have a cough? ### Human: Yes, I have been coughing up blood. I have a fever, chills, and shivers. I have a pink rash on the back of the neck, cervical spine, commissure (L), and buttock (R). The rash is not swollen, and the pain caused by the rash is 4. The lesions are not larger than 1cm, and the itching severity is 2. I have diffuse muscle pain, a loss of appetite, nasal congestion, and a cough. ### Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? Do you smoke cigarettes? Have you ever had a stroke? Have you ever had pneumonia? Do you have asthma or have you ever had to use a bronchodilator in the past? Have you had surgery within the last month? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I drink alcohol excessively and smoke cigarettes. I have had a stroke, pneumonia, asthma, and have used a bronchodilator in the past. I had surgery within the last month and traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 15.8% probability and Bronchitis at 15.1% probability. Does the pain increase or decrease with coughing? ### Human: The pain increases with coughing. ### Assistant: Let's get a chest X-ray to further evaluate for pneumonia.

###Assistant: What are your symptoms?### ###Human: I have significantly increased sweating and pain in my head. The pain is tedious and sensitive, located on the top of the head, forehead, cheek (R), cheek (L), and temple (L). The intensity of the pain is 8 on a scale of 0 to 10. The pain does not radiate to another location and is precisely located at 1. It appeared instantly. I also have a cough that produces colored sputum, a fever, a sore throat, and nasal congestion.### ###Assistant: Any relevant medical history?### ###Human: I live with 4 or more people, attend a daycare, traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis.### ###Assistant: Based on your history, the two most likely diagnoses are URTI at 17.1% probability and Bronchitis at 15.5% probability. Does the pain in your head worsen with movement or changes in position?### ###Human: The pain in my head does not worsen with movement or changes in position.### ###Assistant: Let's recommend a nasal swab test to confirm the diagnosis of URTI.###

###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: It feels like a knife stroke, sharp ###Assistant: Do you feel pain somewhere?### ###Human: In my breast (R), breast (L), and epigastric area ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 10 ###Assistant: Does the pain radiate to another location?### ###Human: Yes, to my thoracic spine and posterior chest wall (L) ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 2 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 3 ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Are your symptoms worse when lying down and alleviated while sitting up?### ###Human: Yes ###Assistant: Do you have pain that is increased when you breathe in deeply?### ###Human: Yes ###Assistant: Have you recently had a viral infection?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Pericarditis at 10.9% probability, and Pulmonary embolism at 10% probability. Does the pain worsen with movement or breathing?### ###Human: The pain worsens when I breathe in deeply. ###Assistant: Let's get a chest CT scan to further evaluate for a potential pulmonary embolism.

### Assistant: Do you feel weakness in both arms and/or both legs? ### Human: Yes, I do. ### Assistant: Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? ### Human: Yes, I have. ### Assistant: Have you recently had a viral infection? ### Human: Yes, I have. ### Assistant: Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 100% probability. Does the weakness in your arms and legs come on suddenly or gradually? ### Human: The weakness came on suddenly. ### Assistant: Let's perform a lumbar puncture to confirm the diagnosis.

###Assistant: Can you describe your pain for me?### Human: The pain is sensitive, tugging, burning, sickening, and scary. It is located in my upper chest and rates a 3 out of 10 in intensity.### Assistant: Do you have a history of hiatal hernia, asthma, or recent travel out of the country?### Human: Yes, I have a hiatal hernia, asthma, and I have traveled out of the country in the last 4 weeks.### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 31.4% probability and Pericarditis at 20.0% probability. Does the pain radiate to another location, and if so, where?### Human: The pain radiates to my lower chest and upper chest.### Assistant: Let's schedule an ECG to further evaluate for Possible NSTEMI / STEMI.

### Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain feels like a knife stroke, sharp, and is located on the side of the chest (R), side of the chest (L), scapula (R), breast (L), and posterior chest wall (R). On a scale of 0 to 10, the intensity is 5 and it appeared relatively fast with a score of 3.### Assistant: Have you ever had deep vein thrombosis (DVT) or taken hormones in the past?### Human: Yes, I have had deep vein thrombosis (DVT) and currently take hormones.### Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 18.9% probability and Myocarditis at 12.4% probability. Does the pain radiate to the scapula (L) as well?### Human: No, the pain does not radiate to the scapula (L).### Assistant: Let's proceed with a D-dimer blood test to help diagnose a potential pulmonary embolism.

### Assistant: Are you feeling nauseous or do you feel like vomiting? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is tugging, a cramp, a pulse, exhausting. ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 8 ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Chagas at 100% probability. Does the pain radiate to another location? ### Human: Nowhere ### Assistant: Let's get a blood test to check for Chagas disease.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have swollen or painful lymph nodes? ### Human: Yes ### Assistant: Have you lost consciousness associated with violent and sustained muscle contractions or had an absence episode? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? How would you characterize your pain? ### Human: Yes, the pain is sensitive, burning, and sharp. It is located in my ring finger (R), index finger (R), index finger (L), middle finger (R), and middle finger (L). On a scale of 0 to 10, the intensity of the pain is 2. The pain does not radiate to another location, and it appeared fast with a rating of 1. ### Assistant: Have you noticed a diffuse (widespread) redness in one or both eyes? What color is the rash? ### Human: Yes, I have noticed redness in my eyes, but the color of the rash is not applicable. ### Assistant: Are you significantly overweight compared to people of the same height as you? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I am significantly overweight compared to people of the same height as me, and I have traveled out of the country in the last 4 weeks. ### Assistant: The top 2 potential diagnoses are Sarcoidosis at 42.9% probability and Acute dystonic reactions at 29.5% probability. Does the pain in your fingers worsen with any specific movements or actions? ### Human: The pain in my fingers does not worsen with any specific movements or actions. ### Assistant: I recommend getting a chest X-ray to further investigate and potentially confirm the diagnosis of Sarcoidosis.

###Assistant: Can you describe the pain you're experiencing?### ###Human: The pain is sensitive and burning, located under my jaw. It's a 3 out of 10 in intensity and appeared relatively fast.### ###Assistant: Have you had a cold in the last 2 weeks?### ###Human: Yes, I have. I also live with 4 or more people and have traveled out of the country in the last 4 weeks.### ###Assistant: Based on your history, the two most likely diagnoses are Acute laryngitis at 16.7% probability, and Bronchitis at 16.5% probability. Does the pain radiate to another location?### ###Human: No, the pain does not radiate to another location.### ###Assistant: Let's perform a throat swab to confirm the diagnosis of Acute laryngitis.###

###Assistant: Have you had significantly increased sweating?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: tedious, sensitive, heavy ###Assistant: Do you feel pain somewhere?### ###Human: top of the head, forehead, cheek(R), cheek(L), occiput ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 3 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 4 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 2 ###Assistant: Do you have a cough that produces colored or more abundant sputum than usual?### ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)?### ###Human: Yes ###Assistant: Do you have a sore throat?### ###Human: Yes ###Assistant: Do you have diffuse (widespread) muscle pain?### ###Human: Yes ###Assistant: Do you have nasal congestion or a clear runny nose?### ###Human: Yes ###Assistant: Do you live with 4 or more people?### ###Human: Yes ###Assistant: Do you attend or work in a daycare?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Are you exposed to secondhand cigarette smoke on a daily basis?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are URTI at 16.1% probability, and Influenza at 15.2% probability. Does the pain in your head and face worsen with movement or touch?### ###Human: The pain in my head and face does not worsen with movement or touch. ###Assistant: Let's do a rapid influenza diagnostic test to confirm the diagnosis.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: burning ###Assistant: Do you feel pain somewhere? ###Human: lower chest, side of the chest(R) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 3 ###Assistant: Does the pain radiate to another location? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 4 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 0 ###Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)? ###Human: Yes ###Assistant: Do you have a cough? ###Human: Yes ###Assistant: Have you noticed a wheezing sound when you exhale? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Acute COPD exacerbation / infection at 8.6% probability, and Pneumonia at 8.1% probability. Does the pain increase with coughing or deep breathing? ###Human: The pain does not increase with coughing or deep breathing. ###Assistant: Let's get a chest X-ray to examine for pneumonia.

### Assistant: Have you noticed a high pitched sound when breathing in? ### Human: Yes ### Assistant: Have you had a cold in the last 2 weeks? ### Human: Yes ### Assistant: Do you have asthma or have you ever had to use a bronchodilator in the past? ### Human: Yes ### Assistant: Have you ever been diagnosed with gastroesophageal reflux? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Larygospasm at 100% probability. Does the high pitched sound when breathing in occur suddenly or gradually? ### Human: It occurs suddenly. ### Assistant: Let's perform a laryngoscopy to further evaluate the laryngospasm. ### Human: Sounds good.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: tugging, sharp ###Assistant: Do you feel pain somewhere? ###Human: ankle(L), lateral side of the foot(R), thigh(R), dorsal aspect of the foot(R), sole(R) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 7 ###Assistant: Does the pain radiate to another location? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 4 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 5 ###Assistant: Have you gained weight recently? ###Human: Yes ###Assistant: Do you have swelling in one or more areas of your body? ###Human: Yes ###Assistant: Where is the swelling located? ###Human: ankle(R), ankle(L), thigh(R), dorsal aspect of the foot(R), dorsal aspect of the foot(L) ###Assistant: Are you currently taking or have you recently taken anti-inflammatory drugs (NSAIDs)? ###Human: Yes ###Assistant: Do you have a known issue with one of your heart valves? ###Human: Yes ###Assistant: Do you have heart failure? ###Human: Yes ###Assistant: Do you have liver cirrhosis? ###Human: Yes ###Assistant: Have you ever had surgery to remove lymph nodes? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Localized edema at 69.6% probability, and Chagas at 19.2% probability. Does the pain in your ankle(L) worsen with movement or at rest? ###Human: The pain in my ankle(L) worsens with movement. ###Assistant: Let's perform a Doppler ultrasound to assess for any vascular issues in your ankle(L). ###Human: Thank you for your help.

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is tugging, like a cramp, located at the top of my head, forehead, and right temple. It's a 1 out of 10 in intensity, and it appeared at a pace of 2.### ###Assistant: Do you have any family members who have been diagnosed with anemia?### ###Human: Yes, I do.### ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 12.3% probability and Possible NSTEMI / STEMI at 9.1% probability. Does the pain radiate to another location?### ###Human: No, the pain does not radiate to another location.### ###Assistant: Let's proceed with a blood test to check your hemoglobin levels and confirm the diagnosis of Anemia.###

### Assistant: Can you describe the pain you're experiencing?### Human: The pain is sensitive and burning. It's located in my tonsil (R), tonsil (L), palace, pharynx, and under the jaw. The intensity of the pain is 9 out of 10 and it appeared relatively fast with a score of 3.### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have. I live with 4 or more people and have traveled out of the country in the last 4 weeks.### Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 100% probability. Does the pain radiate to another location?### Human: The pain does not radiate to another location.### Assistant: I recommend a throat swab test to confirm the diagnosis of Viral pharyngitis.

### Assistant: Do you feel your heart is beating very irregularly or in a disorganized pattern? ### Human: Yes ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Have you been diagnosed with hyperthyroidism? ### Human: Yes ### Assistant: Do you have a known issue with one of your heart valves? ### Human: Yes ### Assistant: Do you have diabetes? ### Human: Yes ### Assistant: Are you significantly overweight compared to people of the same height as you? ### Human: Yes ### Assistant: Have you ever had a heart attack or do you have angina (chest pain)? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Atrial fibrillation at 27.5% probability, and PSVT at 20.4% probability. Does the irregular heartbeat worsen with physical activity or at rest? ### Human: It seems to worsen with physical activity. ### Assistant: Let's schedule an ECG to further evaluate your heart rhythm and determine the underlying cause of your symptoms.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: burning ###Assistant: Do you feel pain somewhere? ###Human: mouth, forehead, cheek(R), nose, eye(L) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 2 ###Assistant: Does the pain radiate to another location? ###Human: back of head, temple(R), temple(L) ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 8 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 3 ###Assistant: Have you lost your sense of smell? ###Human: Yes ###Assistant: Do you have nasal congestion or a clear runny nose? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Have you had a cold in the last 2 weeks? ###Human: Yes ###Assistant: Have you ever had pneumonia? ###Human: Yes ###Assistant: Do you have a deviated nasal septum? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 29.2% probability, and Cluster headache at 25.6% probability. Does the pain increase with physical activity or change with head position? ###Human: The pain does not change with physical activity or head position. ###Assistant: Let's recommend a nasal endoscopy to further evaluate your symptoms.

### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### Human: Yes ### Assistant: Have you ever had pneumonia before? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 8.8% probability, and Bronchitis at 8.6% probability. Does the pain radiate to another location? ### Human: Nowhere ### Assistant: Let's get a chest X-ray to examine for potential pneumonia. ### Human: Sounds good.

###Assistant: What are your symptoms? ###Human: I have been coughing up blood and have pain in my thyroid cartilage, palate, and pharynx. The pain is burning, with an intensity of 7 on a scale of 0 to 10. It appeared relatively fast, with a precise location of 10. I also have a fever and nasal congestion. ###Assistant: Any relevant medical history? ###Human: I have been in contact with a person with similar symptoms in the past 2 weeks, smoke cigarettes, have traveled out of the country in the last 4 weeks, and am immunosuppressed. ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 26% probability and Possible NSTEMI / STEMI at 15.6% probability. Does the pain radiate to another location? ###Human: The pain does not radiate to another location. ###Assistant: Let's perform a throat swab to confirm the diagnosis of Viral pharyngitis.

### Assistant: What are your symptoms? ### Human: I have been coughing up blood. I have pain in my pharynx that is sensitive, with an intensity of 6 out of 10. The pain is precisely located at an 8 out of 10 and appeared relatively fast at a 2 out of 10. ### Assistant: Any relevant medical history? ### Human: I have been in contact with a person with similar symptoms in the past 2 weeks. I live with 4 or more people, smoke cigarettes, have traveled out of the country in the last 4 weeks, and am immunosuppressed. ### Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 100% probability. Does the pain in your pharynx worsen with swallowing or talking? ### Human: The pain in my pharynx does worsen with swallowing. ### Assistant: Let's do a throat swab to confirm the diagnosis of Viral pharyngitis.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you feel your heart is beating very irregularly or in a disorganized pattern? ### Human: Yes ### Assistant: Do you have symptoms that are increased with physical exertion but alleviated with rest? ### Human: Yes ### Assistant: Do you have a known issue with one of your heart valves? ### Human: Yes ### Assistant: Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? ### Human: Yes ### Assistant: Do you have diabetes? ### Human: Yes ### Assistant: Are you significantly overweight compared to people of the same height as you? ### Human: Yes ### Assistant: Do you have high blood pressure or do you take medications to treat high blood pressure? ### Human: Yes ### Assistant: Do you have a known heart defect? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Atrial fibrillation at 17.5% probability, and PSVT at 12.1% probability. Does the irregular heartbeat worsen with physical exertion or at rest? ### Human: It worsens with physical exertion. ### Assistant: Let's schedule an ECG to further evaluate your heart rhythm and determine if you have Atrial fibrillation or PSVT.

###Assistant: Can you characterize your pain for me?### ###Human: The pain is burning.### ###Assistant: Have you ever been diagnosed with gastroesophageal reflux?### ###Human: Yes.### ###Assistant: Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 20.9% probability, and Chronic rhinosinusitis at 19.5% probability. Does the pain radiate to another location?### ###Human: Yes, the pain radiates to the back of the head, forehead, nose, and temple(R).### ###Assistant: I recommend a nasal endoscopy to further evaluate your symptoms.### ###Human: Thank you for your help.### The dialogue must be in the following format: ###Assistant: Question?### ###Human: Answer.###

###Assistant: Can you describe the pain you're feeling in your tonsil on the right side and under your jaw?### ###Human: The pain is sensitive and burning. It's located specifically in my tonsil on the right side and under my jaw. On a scale of 0 to 10, the intensity is 1 and it appeared slowly.### ###Assistant: Have you had a cold in the last 2 weeks?### ###Human: Yes, I have had a cold in the last 2 weeks. I also live with 4 or more people, attend a daycare, and have traveled out of the country in the last 4 weeks.### ###Assistant: Based on your history, the two most likely diagnoses are Acute laryngitis at 78.7% probability, and Chagas at 21.3% probability. Does the pain in your tonsil and under your jaw worsen when you swallow?### ###Human: No, the pain does not worsen when I swallow.### ###Assistant: I recommend a throat swab to test for any bacterial infection that could be causing your symptoms.###

### Assistant: Do you have a cough?### ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting?### ### Human: Yes ### Assistant: Characterize your pain.### ### Human: burning ### Assistant: Do you feel pain somewhere?### ### Human: lower chest, side of the chest(R), side of the chest(L), breast(L) ### Assistant: On a scale of 0 to 10, How intense is the pain?### ### Human: 5 ### Assistant: Does the pain radiate to another location?### ### Human: nowhere ### Assistant: On a scale of 0 to 10, How precisely is the pain located?### ### Human: 1 ### Assistant: On a scale of 0 to 10, How fast did the pain appear?### ### Human: 3 ### Assistant: Do you have a fever (either felt or measured with a thermometer)?### ### Human: Yes ### Assistant: Do you have a cough?### ### Human: Yes ### Assistant: Have you noticed a wheezing sound when you exhale?### ### Human: Yes ### Assistant: Do you have a chronic obstructive pulmonary disease (COPD)?### ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks?### ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 16.1% probability, and Acute COPD exacerbation / infection at 13.4% probability. Does the pain increase with coughing or deep breathing?### ### Human: The pain does not increase with coughing or deep breathing. ### Assistant: Let's get a chest X-ray to examine for any potential lung infection or inflammation.

### Assistant: Do you have a cough and have you been coughing up blood? ### ### Human: Yes, I have been coughing up blood.### ### Assistant: Do you have any relevant medical history such as heart failure, COPD, or pneumonia? ### ### Human: Yes, I have heart failure, COPD, and I have had pneumonia before.### ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 8.5% probability, and Pulmonary neoplasm at 7.7% probability. Does the pain in your chest radiate to another location? ### ### Human: No, the pain does not radiate to another location.### ### Assistant: Let's get a chest X-ray to further investigate for pneumonia. ###

###Assistant: Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: sensitive, a knife stroke ###Assistant: Do you feel pain somewhere?### ###Human: side of the chest(R), upper chest, breast(R) ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 3 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 7 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 2 ###Assistant: Do you feel out of breath with minimal physical effort?### ###Human: Yes ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations?### ###Human: Yes ###Assistant: Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today?### ###Human: Yes ###Assistant: Are your symptoms worse when lying down and alleviated while sitting up?### ###Human: Yes ###Assistant: Do you have symptoms that are increased with physical exertion but alleviated with rest?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are unstable angina at 8.2% probability, and possible NSTEMI / STEMI at 7.6% probability. Does the pain increase or decrease with physical exertion?### ###Human: I have symptoms that increase with physical exertion but alleviate with rest. ###Assistant: Let's get an ECG to further evaluate for possible NSTEMI / STEMI.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: It's a cramp, exhausting. ###Assistant: Do you feel pain somewhere? ###Human: Yes, on the top of the head, forehead, temple(R), temple(L). ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 3 ###Assistant: Does the pain radiate to another location? ###Human: Nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 2 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 4 ###Assistant: Do you feel slightly dizzy or lightheaded? ###Human: Yes ###Assistant: Is your skin much paler than usual? ###Human: Yes ###Assistant: Have you noticed light red blood or blood clots in your stool? ###Human: Yes ###Assistant: Do you have a poor diet? ###Human: Yes ###Assistant: Have you ever had a diagnosis of anemia? ###Human: Yes ###Assistant: Do you have any family members who have been diagnosed with anemia? ###Human: Yes ###Assistant: Do you have chronic kidney failure? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Is your BMI less than 18.5, or are you underweight? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 46% probability and Cluster headache at 20.2% probability. Does the pain increase with physical activity or stress? ###Human: No, the pain does not increase with physical activity or stress. ###Assistant: I recommend getting a complete blood count (CBC) to further investigate the possibility of anemia.

### Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is sharp and located in my flank (R), iliac fossa (R), iliac fossa (L), hypochondrium (L), and belly. It's a 6 out of 10 in intensity and appeared quickly at a 6 out of 10 pace.### Assistant: Have you had a known severe food allergy or traveled out of the country in the last 4 weeks?### Human: Yes, I have a known severe food allergy and I have traveled out of the country in the last 4 weeks.### Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 9.9% probability, and Pulmonary embolism at 8.3% probability. Do you notice any difference in the intensity of the pain when you take a deep breath in?### Human: Yes, I have noticed a high pitched sound when breathing in.### Assistant: Let's perform a chest CT angiography to further investigate the possibility of a pulmonary embolism.

### Assistant: Have you been coughing up blood? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: a knife stroke, exhausting ### Assistant: Do you feel pain somewhere? ### Human: posterior chest wall(R), posterior chest wall(L) ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 1 ### Assistant: Does the pain radiate to another location? ### Human: nowhere ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 3 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 5 ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Are you a former smoker? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Are you exposed to secondhand cigarette smoke on a daily basis? ### Human: Yes ### Assistant: Do you have family members who have had lung cancer? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 10.3% probability, and Bronchitis at 9.8% probability. Does the pain increase or decrease with coughing? ### Human: The pain does not increase or decrease with coughing. ### Assistant: Let's schedule a chest CT scan to further evaluate for a potential pulmonary neoplasm.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you take corticosteroids? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 12.8% probability, and Tuberculosis at 11.7% probability. Does your cough worsen at night or with certain activities? ### Human: My cough tends to worsen at night. ### Assistant: Let's schedule a sputum test to check for tuberculosis.

### Assistant: Can you please describe the pain you are experiencing?### Human: The pain is tedious and sensitive. It is located in my forehead, occiput, and left temple. The intensity of the pain is 3 out of 10 and it appeared quite fast with a rating of 5.### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have been in contact with someone with similar symptoms. I also live with 4 or more people, smoke cigarettes, have traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis.### Assistant: Based on your history, the two most likely diagnoses are URTI at 34.8% probability, and Influenza at 25.7% probability. Does the pain radiate to another location?### Human: No, the pain does not radiate to another location.### Assistant: I recommend getting a throat swab to confirm the diagnosis of URTI.

### Assistant: Are you feeling nauseous or do you feel like vomiting? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain feels like a knife stroke and a cramp. It is located in the flank (R) and flank (L), with an intensity of 4 on a scale of 0 to 10. The pain appeared with a speed of 4. ### Assistant: Do you feel lightheaded and dizzy or do you feel like you are about to faint? ### Human: Yes ### Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? ### Human: Yes, the rash is pink, does not peel off, and is located in the biceps (R) and biceps (L). The pain caused by the rash is 1 on a scale of 0 to 10, and the itching is severe at 8. ### Assistant: Do you have swelling in one or more areas of your body? ### Human: Yes, the swelling is located in the forehead, cheek (R), and cheek (L). ### Assistant: Do you have a known severe food allergy? ### Human: Yes ### Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Anaphylaxis at 10.2% probability and Inguinal hernia at 7.5% probability. Does the rash appear suddenly or gradually develop over time? ### Human: The rash appeared suddenly. ### Assistant: I recommend conducting a skin prick test to confirm the presence of any allergens that may be causing the symptoms.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### ### Human: Yes ### ### Assistant: Characterize your pain. ### ### Human: Heavy ### ### Assistant: Do you feel pain somewhere? ### ### Human: Top of the head, forehead, cheek(R), cheek(L), temple(R) ### ### Assistant: On a scale of 0 to 10, How intense is the pain? ### ### Human: 2 ### ### Assistant: Does the pain radiate to another location? ### ### Human: Nowhere ### ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### ### Human: 7 ### ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### ### Human: 2 ### ### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### ### Human: Yes ### ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### ### Human: Yes ### ### Assistant: Do you have nasal congestion or a clear runny nose? ### ### Human: Yes ### ### Assistant: Do you have a cough? ### ### Human: Yes ### ### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ### ### Human: Yes ### ### Assistant: Do you live with 4 or more people? ### ### Human: Yes ### ### Assistant: Do you smoke cigarettes? ### ### Human: Yes ### ### Assistant: Have you traveled out of the country in the last 4 weeks? ### ### Human: Yes ### ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 21.9% probability, and Pneumonia at 19.1% probability. Does the cough produce colored or more abundant sputum than usual? ### ### Human: Yes ### ### Assistant: Let's get a chest X-ray to examine for potential pneumonia. ###

###Assistant: Do you have a cough that produces colored or more abundant sputum than usual?### ###Human: Yes ###Assistant: Do you have cystic fibrosis, chronic obstructive pulmonary disease (COPD), asthma, have you traveled out of the country in the last 4 weeks, and are you immunosuppressed?### ###Human: Yes, Yes, Yes, Yes, Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 29.6% probability, and Bronchiectasis at 22.8% probability. Does the cough worsen at night or with exercise?### ###Human: The cough is persistent throughout the day and does not specifically worsen at night or with exercise. ###Assistant: Let's schedule a high-resolution CT scan of your chest to further evaluate for bronchiectasis.

### Assistant: Are you feeling nauseous or do you feel like vomiting? ### Human: Yes ### Assistant: Did you eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Scombroid food poisoning with a probability of 13.5% and Anaphylaxis with a probability of 10.9%. Does the rash on your skin have any specific pattern or shape? ### Human: The rash is pink and located on the back of the neck, biceps (R), biceps (L), mouth, and thyroid cartilage. ### Assistant: Based on your symptoms, it would be helpful to know if you have any history of allergies or previous allergic reactions. This information could help differentiate between Scombroid food poisoning and Anaphylaxis. I recommend getting a skin prick test to check for allergies. ### Human: I have no history of allergies or previous allergic reactions.

###Assistant: Are your symptoms more prominent at night?### Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### Human: Yes ###Assistant: Characterize your pain.### Human: burning ###Assistant: Do you feel pain somewhere?### Human: side of the chest(L), posterior chest wall(R) ###Assistant: On a scale of 0 to 10, How intense is the pain?### Human: 1 ###Assistant: Does the pain radiate to another location?### Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### Human: 3 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### Human: 4 ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### Human: Yes ###Assistant: Do you have a cough that produces colored or more abundant sputum than usual?### Human: Yes ###Assistant: Do you have a sore throat?### Human: Yes ###Assistant: Do you have nasal congestion or a clear runny nose?### Human: Yes ###Assistant: Have you noticed a wheezing sound when you exhale?### Human: Yes ###Assistant: Do you smoke cigarettes?### Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 12.3% probability, and Bronchitis at 11.8% probability. Does the pain increase with coughing or deep breathing?### Human: The pain does not increase with coughing or deep breathing. ###Assistant: Let's perform a chest X-ray to further evaluate your symptoms and confirm the diagnosis of Bronchitis.

###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes, I have pain at the top of the head, forehead, cheek (R), cheek (L), and temple (R). The pain is sensitive and has a intensity of 4 on a scale of 0 to 10. It appeared with a speed of 3 and is precisely located at 7.### ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### ###Human: Yes, I have been in contact with a person with similar symptoms. I also attend or work in a daycare, have traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis.### ###Assistant: Based on your history, the two most likely diagnoses are URTI at 15.1% probability, and Bronchitis at 14.5% probability. Does the pain radiate to another location?### ###Human: No, the pain does not radiate to another location.### ###Assistant: Let's recommend a throat swab to confirm the diagnosis of URTI.

###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes, the pain is haunting, sensitive, a knife stroke, tugging, and scary. It is located in the epigastric region. The intensity of the pain is 3 out of 10, and it appeared relatively fast with a score of 6 out of 10. ###Assistant: Do you have a burning sensation that starts in your stomach then goes up into your throat, and can be associated with a bitter taste in your mouth?### ###Human: Yes, I do have that burning sensation after eating. ###Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol?### ###Human: Yes, I do drink alcohol excessively. ###Assistant: Based on your history, the two most likely diagnoses are GERD at 36.5% probability and Pericarditis at 22.9% probability. Does the pain radiate to another location or is it specifically located in the epigastric region?### ###Human: The pain is specifically located in the epigastric region and does not radiate to another location. ###Assistant: Let's schedule an upper endoscopy to further evaluate and confirm the diagnosis of GERD.

### Assistant: What are your symptoms? ### Human: I have pain somewhere related to my reason for consulting. It's a cramp that is exhausting. The pain is located at the back of my head, top of the head, and forehead. It's a 3 on a scale of 0 to 10 in intensity, and it appeared relatively fast at a 5. I also feel slightly dizzy and lightheaded, so tired that I can't do my usual activities, and my skin is much paler than usual. ### Assistant: Do you have any relevant medical history? ### Human: Yes, I have a poor diet, a previous diagnosis of anemia, family members with anemia, chronic kidney failure, taking new oral anticoagulants, traveled out of the country recently, and my BMI is less than 18.5. ### Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Anemia at 25.5% probability and HIV (initial infection) at 14.1% probability. Does the pain in your head worsen with movement or changes in position? ### Human: The pain in my head doesn't worsen with movement or changes in position. ### Assistant: I recommend getting a complete blood count (CBC) to further investigate the possibility of anemia.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Are there any members of your family who have been diagnosed myasthenia gravis? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Myasthenia gravis at 24.4% probability, and Anemia at 23.1% probability. Does the weakness in your arms and legs come and go, or is it constant? ###Human: The weakness is constant. ###Assistant: Let's perform a blood test to check for anemia and a nerve conduction study to further evaluate for Myasthenia gravis.

###Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is sensitive and burning in my tonsil (R) and tonsil (L). It's a 5 out of 10 in intensity and appeared at a 5 out of 10 pace.### Assistant: Do you smoke cigarettes or have any other relevant medical history that may be important?### Human: Yes, I do smoke cigarettes and I live with 4 or more people. I have also traveled out of the country in the last 4 weeks.### Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 27.9% probability and URTI at 26.9% probability. Does the pain radiate to another location besides your tonsils?### Human: No, the pain does not radiate to another location.### Assistant: I recommend a throat swab test to confirm the diagnosis.### Human: Thank you for your help.

### Assistant: Have you been coughing up blood? ### ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? Are you experiencing shortness of breath or difficulty breathing in a significant way? Do you constantly feel fatigued or do you have non-restful sleep? Have you had an involuntary weight loss over the last 3 months? Do you have a cough? ### ### Human: Yes, the pain is like a knife stroke, exhausting, located in the posterior chest wall (L), with an intensity of 2, precisely located at 2, appeared at a pace of 5. I am experiencing shortness of breath, fatigue, involuntary weight loss, and have a cough. ### Assistant: Do you smoke cigarettes? Are you a former smoker? Have you traveled out of the country in the last 4 weeks? Are you exposed to secondhand cigarette smoke on a daily basis? ### ### Human: Yes, I smoke cigarettes, I am a former smoker, I have traveled out of the country in the last 4 weeks, and I am exposed to secondhand cigarette smoke daily. ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 8.4% probability, and Tuberculosis at 6.8% probability. Does the cough worsen at night or with certain activities? ### ### Human: My cough seems to worsen at night. ### Assistant: Let's schedule a chest CT scan to further investigate the possibility of a pulmonary neoplasm. ###

### Assistant: What are your symptoms? ### Human: I have been coughing up blood and have pain in the side of my chest (R), side of my chest (L), scapula (R), scapula (L), and breast (R). The pain is sensitive, like a knife stroke, with an intensity of 8 on a scale of 0 to 10. It radiates to the side of the chest (L), scapula (R), scapula (L), breast (R), and posterior chest wall (L). The pain is precisely located at 9 and appeared quickly at a level of 1. I also have swelling in the posterior aspect of my ankle (R) and have lost consciousness. ### Assistant: Any relevant medical history? ### Human: I have an active cancer, take hormones, have had deep vein thrombosis (DVT), been unable to move for more than 3 days in the last 4 weeks, had surgery within the last month, and traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 29% probability and Localized edema at 25.7% probability. Does the pain in your chest increase with deep breathing or coughing? ### Human: Yes, the pain does increase with deep breathing or coughing. ### Assistant: Let's perform a CT pulmonary angiography to further investigate for a potential pulmonary embolism.