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<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have severe itching in one or both eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your nose or the back of your throat itchy? Do you have severe itching in one or both eyes? Do you have nasal congestion or a clear runny nose? Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? 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? Do you live in a big city? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Allergic sinusitis at 34.77% probability, and Bronchitis at 25.11% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough is dry and does not produce any phlegm or mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms and confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> ear(R), ear(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you more irritable or has your mood been very unstable recently? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are your vaccinations up to date? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute otitis media at 100% probability. Does the pain in your ear increase with chewing or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination of your ear to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is sensitive and located in my flank (L), hypochondrium (L), belly, and epigastric. On a scale of 0 to 10, the intensity of the pain is 3. The pain radiates to my thoracic spine. It appeared with a speed of 3. I also have lesions on my skin that are yellow in color, located in the epigastric region. The lesions are larger than 1cm and cause a pain intensity of 2. The itching is a 2 as well. I have had involuntary weight loss over the last 3 months, pale stools, dark urine, and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have chronic pancreatitis, I am significantly overweight compared to people of the same height as me, I smoke cigarettes, I have traveled out of the country in the last 4 weeks, and there are members of my family who have been diagnosed with pancreatic cancer. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 15.98% probability, and Bronchitis at 15.84% probability. Does the pain in your flank (L) worsen after eating fatty foods? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain in my flank (L) does worsen after eating fatty foods. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a CT scan of the abdomen to further evaluate the possibility of a pancreatic neoplasm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating, sensitive and heavy pain in the back of my head, back of the neck, side of the neck (R), top of the head, and forehead. The pain intensity is 4 on a scale of 0 to 10, and it appeared with a speed of 3. I also have a sore throat, pink rash on the side of the neck (R) and side of the neck (L) larger than 1cm, with a pain intensity of 2 and itching severity of 4. I have diffuse muscle pain, nasal congestion, and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I smoke cigarettes, have traveled out of the country in the last 4 weeks, and am immunosuppressed. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 15.7% probability, and Influenza at 14.5% probability. Does the rash on your neck peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the rash does not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a rapid influenza diagnostic test to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: It feels like a knife stroke, sharp <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest, upper chest, breast (R), and breast (L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> To my thoracic spine, posterior chest wall (R), and posterior chest wall (L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 4 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are your symptoms worse when lying down and alleviated while sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you recently had a viral infection? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 17.7% probability, and Pericarditis at 16.1% probability. Does the pain radiate to any specific location more than others? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain seems to radiate to my thoracic spine more prominently. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's schedule an ECG to further evaluate for Possible NSTEMI / STEMI. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> tedious, sharp, sickening, scary <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> lower chest, upper chest, breast(R), breast(L), epigastric <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> biceps(R), biceps(L), thyroid cartilage, thoracic spine, shoulder(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a loss of appetite or do you get full more quickly than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high cholesterol or do you take medications to treat high cholesterol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high blood pressure or do you take medications to treat high blood pressure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a heart attack or do you have angina (chest pain)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a problem with poor circulation? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have close family members who had a cardiovascular disease problem before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 8.5% probability, and Unstable angina at 7% probability. Does the pain in your chest radiate to your biceps or shoulder? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to my shoulder. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate for a possible NSTEMI / STEMI. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious, tugging, heavy, and sharp. It is located in my ankle (R), ankle (L), dorsal aspect of the foot (R), sole (R), and sole (L). The intensity of the pain is 2 out of 10, and it appeared relatively fast with a score of 4 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had surgery to remove lymph nodes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had surgery to remove lymph nodes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 pain in your ankle (R) worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ankle (R) does not worsen with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a D-dimer blood test to help differentiate between Localized edema and Pulmonary embolism. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 26.4% probability, and Cluster headache at 23.8% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Nowhere. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform a nasal swab to test for URTI. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is burning and sharp. It is located in my cheek (R) and cheek (L), as well as my eye (R) and eye (L). The intensity of the pain is 5 on a scale of 0 to 10. It radiates to my forehead, nose, temple (R), and temple (L). The pain appeared relatively fast with a rating of 3. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia or asthma, or had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have had pneumonia in the past, and I have asthma and have used a bronchodilator before. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 41.2% probability, and Chronic rhinosinusitis at 24% probability. Does the pain in your cheek and eye worsen with any specific triggers or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain doesn't seem to worsen with any specific triggers or activities. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a sinus CT scan to further evaluate your symptoms and help differentiate between Bronchitis and Chronic rhinosinusitis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. It feels like tugging, a cramp in the back of my head, temple (R), and temple (L). The pain intensity is 3 on a scale of 0 to 10, and it appeared with a speed of 4. I also feel lightheaded and dizzy, unable to do my usual activities, constantly fatigued, and have noticed light red blood in my stool. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a poor diet, chronic kidney failure, taking any new oral anticoagulants (NOACs), or have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a poor diet, chronic kidney failure, taking new oral anticoagulants (NOACs), and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 57.9% probability and Cluster headache at 28.2% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location and is precisely located at 4 on a scale of 0 to 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a blood test to check for hemoglobin levels and further evaluate the possibility of Anemia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been hospitalized for an asthma attack in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 9.9% probability, and Bronchitis at 8.6% probability. Does the wheezing sound worsen at night or early in the morning? <|eot_id|><|start_header_id|>user<|end_header_id|> The wheezing sound tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a pulmonary function test to further evaluate your breathing difficulties. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you been coughing up blood? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> exhausting <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> posterior chest wall(R), posterior chest wall(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a loss of appetite or do you get full more quickly than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you a former smoker? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have family members who have had lung cancer? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 14.9% probability, and Pulmonary neoplasm at 12.7% probability. Does the pain increase with deep breathing or coughing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with deep breathing or coughing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a CT scan to further investigate the possibility of a pulmonary neoplasm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It's sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in your tonsil (R), tonsil (L), thyroid cartilage, pharynx, or trachea? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my tonsil (R) and tonsil (L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed that the tone of your voice has become deeper, softer, or hoarse? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute laryngitis at 47.1% probability and Possible NSTEMI / STEMI at 28.9% probability. Does the pain radiate to another location besides your tonsils? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to confirm the diagnosis of Acute laryngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? How would you characterize your pain and where do you feel it? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is tedious, heavy, and exhausting. I feel it in the lower chest, side of the chest (R), breast (R), breast (L), and epigastric. The pain intensity is 4 out of 10. It radiates to biceps (L), under the jaw, trachea, shoulder (R), and shoulder (L). The pain location precision is 3 out of 10, and it appeared rapidly with a score of 8. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have diabetes, high cholesterol, addiction to alcohol, smoke cigarettes, high blood pressure, and a history of angina. I have also traveled out of the country in the last 4 weeks and have close family members with cardiovascular disease before the age of 50. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 13.3% probability and Anemia at 10.2% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not specifically increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a cardiac enzyme test to check for any signs of a possible NSTEMI/STEMI. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe your symptoms in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain or weakness in my jaw, difficulty articulating words/speaking, difficulty swallowing, shortness of breath, weakness in both arms and legs, muscle weakness that increases with fatigue and stress, and a hard time opening/raising one or both eyelids. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are there any members of your family who have been diagnosed with myasthenia gravis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, there are. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Myasthenia gravis at 16.4% probability, and Guillain-Barré syndrome at 13.6% probability. Does the weakness in your arms and legs come and go, or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The weakness comes and goes. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a blood test to check for specific antibodies related to Myasthenia gravis. This can help confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had one or several flare ups of chronic obstructive pulmonary disease (COPD) in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Bronchitis with a probability of 25.5% and Acute COPD exacerbation / infection with a probability of 24.9%. Does the wheezing sound when you exhale occur more frequently during the day or at night? <|eot_id|><|start_header_id|>user<|end_header_id|> The wheezing sound when I exhale is more frequent during the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a sputum culture test to help differentiate between Bronchitis and Acute COPD exacerbation / infection. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is a cramp in my flank (L) and belly. It's very mild, around a 1 on a scale of 0 to 10, and it appeared fairly quickly, around a 2. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic pancreatitis? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I do. I also have diabetes and I am significantly overweight compared to people of the same height as me. I have also traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 39.5% probability, and Scombroid food poisoning at 21.2% probability. Does the rash you mentioned in the epigastric region peel off or is it swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The rash is yellow in color, does not peel off, and is slightly swollen, around a 1 on a scale of 0 to 10. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a CT scan to further investigate the possibility of a pancreatic neoplasm. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is tedious and tugging in my temple (R). The intensity of the pain is 3 out of 10, and it appeared with a pace of 2. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently taken decongestants or other substances that may have stimulant effects? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are PSVT at 23.8% probability and Atrial fibrillation at 20.8% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an ECG to differentiate between PSVT and Atrial fibrillation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your ear? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and located in my right ear. It's very intense, around a 9 out of 10, and appeared fairly quickly, around a 2 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently been treated with an oral antibiotic for an ear infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute otitis media at 37.4% probability and Bronchitis at 34.2% probability. Does the pain in your ear radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain is only in my ear. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to further evaluate your ear pain and determine the best course of treatment. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain as burning. Do you feel pain in your tonsil (R), tonsil (L), thyroid cartilage, or pharynx? <|eot_id|><|start_header_id|>user<|end_header_id|> Tonsil (R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had a cold in the last 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> lower chest, side of the chest(R), breast(L), posterior chest wall(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 7.7% probability, and Pneumonia at 7.2% probability. Does the pain increase with coughing or deep breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with coughing or deep breathing. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is tedious and sensitive. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 42.04% probability, and Cluster headache at 30.57% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a physical examination to further evaluate your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and located in my ankle (R), ankle (L), dorsal aspect of the wrist (R), knee (L), and shoulder (R). On a scale of 0 to 10, the intensity is 2 and it appeared quickly at a 5. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are NSTEMI / STEMI at 23.1% probability and SLE at 22.2% probability. Does the rash on your cheek (L) have any specific pattern or shape? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash is red, not swollen, and larger than 1cm in size. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a blood test to check for specific antibodies related to SLE. This can help confirm the diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been coughing up blood? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Characterize your pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, on the side of the chest (R), breast (R), breast (L), posterior chest wall (R), and posterior chest wall (L). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you had chills or shivers? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the rash is pink and located on the side of the neck (R), buttock (L), and posterior chest wall (R). <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain caused by the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 5 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you recently had a loss of appetite or do you get full more quickly than usual? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are your symptoms more prominent at night? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have heart failure? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a stroke? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pneumonia at 6.8% probability, and Bronchitis at 6.4% probability. Does the pain increase when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Okay. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is burning and sharp, located in my mouth, forehead, nose, and right eye. It radiates to the back of my head, forehead, and left temple. It's a 7 out of 10 in intensity and appeared quickly. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with gastroesophageal reflux? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have been diagnosed with gastroesophageal reflux. I also have polyps in my nose, asthma, and have had a cold in the last 2 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Chronic rhinosinusitis at 15.97% probability, and Acute rhinosinusitis at 14.25% probability. Does the pain worsen with any specific triggers or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain doesn't seem to worsen with any specific triggers or activities. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause of your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It feels like a knife stroke, sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> In my lower chest and upper chest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 10 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, to my thoracic spine, posterior chest wall (R), and posterior chest wall (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> How fast did the pain appear on a scale of 0 to 10? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast, irregularly, or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are your symptoms worse when lying down and alleviated while sitting up? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a viral infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis before? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are pericarditis at 17.8% probability and possible NSTEMI/STEMI at 11.4% probability. Does the pain change with movement or breathing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is increased when I breathe in deeply. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get an ECG to further evaluate for pericarditis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> sensitive, burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> tonsil(R), tonsil(L), thyroid cartilage, palace, pharynx <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 increase with swallowing or speaking? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain increases with swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to check for any bacterial infection. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> Sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> Ear (R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 10 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you more irritable or has your mood been very unstable recently? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are your vaccinations up to date? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 42.5% probability, and Acute otitis media at 36.7% probability. Does the pain in your ear worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ear does not worsen with movement or touch. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a physical examination to check for any signs of bronchitis or acute otitis media. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is burning and sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia before? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 42.96% probability, and Chronic rhinosinusitis at 34.39% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain radiates to the back of my head, forehead, nose, temple(R), and temple(L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule a nasal endoscopy to further evaluate your symptoms. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you been coughing up blood? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> 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? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive and burning in my tonsil (R), tonsil (L), thyroid cartilage, palace, and pharynx. The pain intensity is 3, it doesn't radiate, it's located precisely at 4, and it appeared at a pace of 2. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever, nasal congestion, or a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have a fever, nasal congestion, and a cough. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? Do you live with 4 or more people? Do you attend or work in a daycare? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have been in contact with a person with similar symptoms, live with 4 or more people, attend a daycare, and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Viral pharyngitis at 15.5% probability and URTI at 14.7% probability. Does the pain in your tonsils worsen when you swallow? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, the pain in my tonsils worsens when I swallow. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's do a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have severe itching in one or both eyes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have any close family members who suffer from allergies (any type), hay fever or eczema? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Allergic sinusitis at 34.77% probability, and Bronchitis at 25.11% probability. Does the cough worsen at night or with exercise? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The cough tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to rule out bronchitis as a potential diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain as sensitive, heavy, and exhausting? Do you feel pain in the back of your head, back of the neck, side of the neck (R), side of the neck (L), and occiput? On a scale of 0 to 10, how intense is the pain, and how fast did it appear? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is sensitive, heavy, and exhausting. It is located in the back of my head, back of the neck, side of the neck (R), side of the neck (L), and occiput. The intensity is 6, and it appeared quickly with a score of 6. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed and do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have traveled out of the country in the last 4 weeks, I am immunosuppressed, and I smoke cigarettes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Influenza at 22.98% probability and Pneumonia at 19.91% probability. Does the pain in your neck and head worsen with movement or is it constant throughout the day? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is constant throughout the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a chest X-ray to rule out pneumonia as a next step for diagnosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your abdomen is bloated or distended (swollen due to pressure from inside)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Were you born prematurely or did you suffer any complication at birth? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Inguinal hernia with a probability of 27.4% and Bronchitis with a probability of 21.1%. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a physical examination to check for any signs of an inguinal hernia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and located at the top of the head, occiput, and temple (L). It's a 7 out of 10 in intensity and appeared relatively fast at a 2 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. I also attend a daycare and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 19.4% probability and Pneumonia at 17.8% probability. Does the muscle pain you're experiencing worsen with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The muscle pain is diffuse and doesn't seem to be affected by movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's proceed with a chest X-ray to further evaluate your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had one or several flare ups of chronic obstructive pulmonary disease (COPD) in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Bronchitis with a probability of 25.5% and Acute COPD exacerbation / infection with a probability of 24.9%. Does the wheezing sound when you exhale occur more frequently during the day or at night? <|eot_id|><|start_header_id|>user<|end_header_id|> The wheezing sound when I exhale is more frequent during the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a sputum culture test to help differentiate between Bronchitis and Acute COPD exacerbation / infection. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are URTI with a probability of 13.3% and Influenza with a probability of 13.0%. Does the pain in your head and neck worsen with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive, heavy, and exhausting. It is located in the back of the head, back of the neck, side of the neck (R), and side of the neck (L). The intensity is 5 on a scale of 0 to 10, and it appeared slowly with a rating of 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a rapid influenza test to confirm the diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is sensitive and heavy, located on the side of the neck (R), side of the neck (L), forehead, occiput, and pharynx. It has an intensity of 5 on a scale of 0 to 10 and appeared relatively fast with a rating of 1. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and travel history, the two most likely diagnoses are Influenza with a probability of 11.19% and URTI with a probability of 10.65%. Does the rash on your forehead peel off or is it swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> The rash is pink in color, does not peel off, and has a swelling intensity of 5 on a scale of 0 to 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to test for the presence of the influenza virus. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is a cramp, exhausting. I feel pain in the back of the head, top of the head, and temple (R). On a scale of 0 to 10, the intensity of the pain is 3. The pain appeared with a speed of 2. I am experiencing shortness of breath, feeling slightly dizzy or lightheaded, constantly fatigued, and have had stools that were black like coal. I have also noticed light red blood or blood clots in my stool. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a poor diet? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a poor diet. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 21.9% probability and Atrial fibrillation at 16.2% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a diagnosis of anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a diagnosis of anemia. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a blood test to check your hemoglobin levels and further evaluate your anemia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have burning, sharp pain in my nose, eye (L), temple (L). The pain is located precisely at 8 on a scale of 0 to 10 and appeared with a speed of 2. I have also lost my sense of smell and have greenish or yellowish nasal discharge. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had a cold in the last 2 weeks, pneumonia in the past, polyps in my nose, a deviated nasal septum, asthma, gastroesophageal reflux, traveled out of the country in the last 4 weeks, and I am more likely to develop common allergies than the general population. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 33.2% probability, and Chronic rhinosinusitis at 26.6% probability. Does the pain radiate to any other location besides the ones you mentioned? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain also radiates to my forehead, nose, temple (R), and temple (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause of your chronic rhinosinusitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain feels like a knife stroke in my flank (R) and flank (L). On a scale of 0 to 10, the intensity of the pain is 8. The pain appeared with a pace of 2. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness, or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have a pink rash on my biceps (L), mouth, thyroid cartilage, ankle (R), and cervical spine. The pain caused by the rash is a 3 on a scale of 0 to 10. The rash is larger than 1cm and the itching is severe at a level of 10. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have swelling in one or more areas of your body? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have swelling on my forehead, cheek (R), and nose. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Anaphylaxis at 11.6% probability and Pulmonary embolism at 9.9% probability. Does the pain in your flank (R) or flank (L) radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend conducting a chest CT angiography to further investigate the possibility of a Pulmonary embolism. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|>Human: Thank you for your recommendation. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a history of heart failure, COPD, and pneumonia? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have heart failure, COPD, and I have had pneumonia before. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 7.4% probability, and Pulmonary neoplasm at 7.2% probability. Does the pain in your chest radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a chest X-ray to further evaluate your symptoms and check for any signs of pneumonia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my lower chest and upper chest that feels haunting, sensitive, and burning. The pain is located in my upper chest and radiates to another location. On a scale of 0 to 10, the intensity of the pain is 6, and it appeared with a speed of 3. I also have a burning sensation that starts in my stomach and goes up into my throat, along with a bitter taste in my mouth. I have a cough that gets worse after eating, and my symptoms worsen when lying down but are alleviated while sitting up. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively and have an addiction to alcohol. I also smoke cigarettes and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are GERD at 29.4% probability and Bronchitis at 22.3% probability. Does the cough worsen at night or in the early morning? <|eot_id|><|start_header_id|>user<|end_header_id|> My cough tends to worsen at night and in the early morning. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an upper endoscopy to further evaluate for GERD. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you regularly take stimulant drugs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are PSVT at 13.9% probability, and Atrial fibrillation at 12.2% probability. Does the palpitations you feel have a regular or irregular pattern? <|eot_id|><|start_header_id|>user<|end_header_id|> The palpitations feel irregular. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's schedule an ECG to further evaluate your heart rhythm. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It's heavy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain in a specific location? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, in my right temple. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing significantly? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded, dizzy, or like you're about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast, irregularly, or palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel anxious? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you regularly drink coffee or tea? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you consume energy drinks regularly? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently taken decongestants or other substances that may have stimulant effects? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are PSVT at 11% probability and Panic attack at 10.7% probability. Does the pain in your temple increase with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an ECG to further evaluate for PSVT. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel your abdomen is bloated or distended (swollen due to pressure from inside)? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Inguinal hernia with a probability of 25.7% and Bronchitis with a probability of 22.5%. Does the pain in your iliac fossa (R) radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend a physical examination to further evaluate your symptoms and potentially confirm the diagnosis. Thank you for providing this information. <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your help. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have severe itching in one or both eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live in a big city? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Allergic sinusitis at 100% probability. Does the itching in your eyes worsen at a specific time of day or in certain environments? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching in my eyes tends to worsen in the evening and when I'm outdoors. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an allergy test to confirm the diagnosis of allergic sinusitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my tonsil (R) and tonsil (L) that feels like a knife stroke, sharp. The pain is a 10 out of 10 in intensity and appeared very fast, at a 9 out of 10. I also have difficulty swallowing and feel discomfort/blockage when swallowing. I produce more saliva than usual and have noticed a high-pitched sound when breathing in. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Laryngospasm at 47.2% probability and Epiglottitis at 44.1% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever or chills? <|eot_id|><|start_header_id|>user<|end_header_id|> No, I do not have a fever or chills. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a thorough examination of your throat and a throat swab to further investigate the cause of your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been diagnosed with hyperthyroidism? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Atrial fibrillation at 13.6% probability, and PSVT at 11.9% probability. Does the irregular heartbeat you feel have a sudden onset or is it gradual? <|eot_id|><|start_header_id|>user<|end_header_id|> The irregular heartbeat I feel is sudden. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate your heart rhythm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you been coughing up blood? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and burning in my tonsil (R) and tonsil (L), thyroid cartilage, palace, and pharynx. The pain intensity is 8. The pain is located precisely at 4 and appeared instantly. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a fever? Do you have a cough? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have a fever and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 22.0% probability and Tuberculosis at 21.2% probability. Does the pain increase with coughing or swallowing? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain increases with swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a sputum culture to check for any bacterial infection that could indicate bronchitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are your symptoms more prominent at night? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> burning <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> lower chest <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 1 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 14.1% probability, and Acute COPD exacerbation / infection at 13.5% probability. Does the pain increase with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a chest X-ray to examine for a potential pneumonia. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It's sensitive and burning. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> In my pharynx, under the jaw. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you attend or work in a daycare? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 increase with coughing or swallowing? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does increase with swallowing. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a throat swab to confirm the diagnosis of Viral pharyngitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my temples, both on the right and left sides. The pain is sensitive and feels like a cramp. On a scale of 0 to 10, the intensity is 5. It appeared quite fast, with a rating of 1. I also experience shortness of breath, dizziness, and lightheadedness. I have very abundant and long menstruation periods, and my skin is much paler than usual. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had a diagnosis of anemia, chronic kidney failure, and I am taking new oral anticoagulants. I think I might be pregnant, and I have traveled out of the country in the last 4 weeks. My BMI is less than 18.5, and I am underweight. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 13.6% probability, and Atrial fibrillation at 11.2% probability. Does the pain in your temples radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my temples does not radiate to any other location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a complete blood count (CBC) to further evaluate your anemia and assess your red blood cell levels. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is a knife stroke, violent in my lower chest, breast (R), and breast (L). The intensity of the pain is 7 on a scale of 0 to 10, and it appeared very quickly. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a spontaneous pneumothorax? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had a spontaneous pneumothorax. I also smoke cigarettes and have chronic obstructive pulmonary disease. I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 11.7% probability and spontaneous pneumothorax at 11.7% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for a potential pneumothorax. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have haunting, a knife stroke, tugging, violent, sharp pain in my forehead, cheek (R), and eye (R). The pain intensity is 9 on a scale of 0 to 10, and it appeared rapidly with a score of 8. I also feel that my eyes produce excessive tears and have nasal congestion or a clear runny nose. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have any of your family members been diagnosed with cluster headaches? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, some family members have been diagnosed with cluster headaches. I also take medication that dilates my blood vessels and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Cluster headache at 59.3% probability, and Chagas at 20.4% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any specific triggers that seem to worsen the pain, such as bright lights or certain foods? <|eot_id|><|start_header_id|>user<|end_header_id|> Bright lights and certain foods do not seem to worsen the pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a neurological examination to further evaluate your symptoms and confirm the diagnosis of Cluster headache. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain as sharp. Do you feel pain in your back of the neck, ankle (R), ankle (L), dorsal aspect of the wrist (R), and shoulder (L)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I feel pain in those areas. <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pericarditis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and medical history, the two most likely diagnoses are SLE at 16% probability and Scombroid food poisoning at 10.7% probability. Does the rash on your cheek (R), cheek (L), and nose peel off? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the rash does not peel off. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's focus on differentiating between SLE and Scombroid food poisoning. Does the rash on your cheek (R), cheek (L), and nose itch severely? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching is not severe. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a blood test to check for specific antibodies related to SLE for a more accurate diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you had diarrhea or an increase in stool frequency? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: a knife stroke <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> iliac fossa(R), epigastric <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 4 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> What color is the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: pink <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do your lesions peel off? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> N <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, Is the rash swollen? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Where is the affected region located? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> back of the neck, biceps(R), mouth, thyroid cartilage, ankle(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain caused by the rash? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Is the lesion (or are the lesions) larger than 1cm? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Y <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How severe is the itching? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 7 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have swelling in one or more areas of your body? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: nose <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you noticed a high pitched sound when breathing in? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a known severe food allergy? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you more likely to develop common allergies than the general population? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 7.9% probability, and Panic attack at 6.6% probability. Does the pain in your iliac fossa radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a skin prick test to confirm if the symptoms are due to an allergic reaction. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had 2 or more asthma attacks in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 9.7% probability, and Bronchitis at 8.4% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, it produces yellowish-green mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend performing a pulmonary function test to further evaluate your breathing difficulties. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever been diagnosed with depression? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 11.77% probability, and Guillain-Barré syndrome at 9.55% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform a neurological examination to further differentiate between Panic attack and Guillain-Barré syndrome. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed a wheezing sound when you exhale? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had one or several flare ups of chronic obstructive pulmonary disease (COPD) in the past year? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a chronic obstructive pulmonary disease (COPD)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever been diagnosed with gastroesophageal reflux? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you work in agriculture? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute COPD exacerbation / infection at 10.3% probability, and Bronchitis at 9.3% probability. Does your cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to further evaluate your condition. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is tedious, sensitive, and heavy. It is located at the top of the head, forehead, cheek (R), and cheek (L). The intensity of the pain is 7 out of 10, and it appeared with a speed of 4 out of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Cluster headache at 49.9% probability, and Chagas at 22.3% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a thorough physical examination to further evaluate your symptoms and determine the best course of action for treatment. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel slightly dizzy or lightheaded? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been diagnosed with hyperthyroidism? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Atrial fibrillation at 13.6% probability and PSVT at 11.9% probability. Do you feel your heart is beating very irregularly or in a disorganized pattern? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend an ECG to further evaluate your heart rhythm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're experiencing? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sensitive and heavy. It is located at the top of my head, cheek (L), and temple (R). The intensity is 3 out of 10, and it appeared relatively fast with a rating of 5. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you live with 4 or more people? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I live with 4 or more people. Yes, I smoke cigarettes. Yes, I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 24.1% probability and Bronchitis at 23.6% probability. Does the pain in your head increase with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain in my head does not increase with movement or certain positions. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's conduct a physical examination to further evaluate your symptoms and consider prescribing antibiotics for possible URTI or Bronchitis. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain as sensitive, tugging, a cramp, or exhausting. <|eot_id|><|start_header_id|>user<|end_header_id|> It's sensitive <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere on the top of the head, forehead, or temple (R)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, on the top of the head, forehead, and temple (R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 5 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had stools that were black (like coal)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a poor diet? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have been diagnosed with anemia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have chronic kidney failure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you taking any new oral anticoagulants (NOACs)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your BMI less than 18.5, or are you underweight? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anemia at 26.4% probability and Chagas at 24.4% probability. Does the pain increase or decrease with movement? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain stays the same regardless of movement. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend getting a complete blood count (CBC) to further investigate the possibility of Anemia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating. I have lower chest pain, side of the chest (R), side of the chest (L), breast (R), and posterior chest wall (L). The pain is tedious, sensitive, tugging, and heavy. On a scale of 0 to 10, the pain intensity is 4. The pain radiates to biceps (L), scapula (R), and shoulder (R). The pain is precisely located at 5 and appeared fast at 5. I am experiencing shortness of breath and difficulty breathing, with bouts of choking or shortness of breath that wake me up at night. I also have swelling in my ankle (R), ankle (L), calf (R), calf (L), and tibia (R). My symptoms are increased with physical exertion but alleviated with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have had fluid in my lungs, high blood pressure, heart attack, and heart failure. I have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute pulmonary edema at 10.4% probability, and Possible NSTEMI / STEMI at 9.6% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a chest X-ray to examine for potential pulmonary edema. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with or ate something that you have an allergy to? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any known severe food allergies? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Anaphylaxis at 8.2% probability, and Panic attack at 6.6% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a skin prick test to confirm if the symptoms are due to an allergic reaction. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is heavy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Were you born prematurely or did you suffer any complication at birth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are inguinal hernia at 100% probability, and another condition at 0% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a physical examination to confirm the diagnosis of an inguinal hernia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> It's heavy. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Where do you feel the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> On the top of the head, forehead, occiput, and temple (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, how precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 2 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a sore throat? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you been in contact with a person with similar symptoms in the past 2 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 33.8% probability and URTI at 26.3% probability. Does the pain increase with movement or physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with movement or physical activity. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a chest X-ray to rule out any potential bronchitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you been coughing up blood? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have Rheumatoid Arthritis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you suffer from Crohn’s disease or ulcerative colitis (UC)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had pneumonia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have asthma or have you ever had to use a bronchodilator in the past? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you immunosuppressed? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 9.9% probability, and Bronchiectasis at 9.6% probability. Does the cough worsen at night or with exercise? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough tends to worsen at night. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a high-resolution CT scan of the chest to further evaluate for bronchiectasis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you noticed weakness in your facial muscles and/or eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have noticed weakness in my facial muscles and eyes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have recently had numbness, loss of sensation, or tingling in both arms and legs and around my mouth. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a viral infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have recently had a viral infection. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 100% probability. Is the weakness in your arms and legs symmetrical or more pronounced on one side? <|eot_id|><|start_header_id|>user<|end_header_id|> The weakness in my arms and legs is symmetrical. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a nerve conduction study to confirm the diagnosis of Guillain-Barré syndrome. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain is tugging, heavy, and sharp. It is located in my ankle (R), ankle (L), lateral side of the foot (R), thigh (L), and dorsal aspect of the foot (R). On a scale of 0 to 10, the intensity of the pain is 3. The pain appeared with a speed of 3. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have a known issue with one of my heart valves, heart failure, had surgery to remove lymph nodes, take a calcium channel blockers (medication), diagnosed with endocrine disease or a hormone dysfunction, diagnosed with obstructive sleep apnea (OSA), and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> 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 (R) increase with movement or rest? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my ankle (R) does not increase with movement or rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a Doppler ultrasound to assess for any potential blood flow issues in the affected areas. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a fever (either felt or measured with a thermometer)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the person have a whooping cough? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you or any member of your family ever had croup? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pneumonia at 14.2% probability, and Bronchitis at 13.0% probability. Does the cough produce any phlegm or mucus? <|eot_id|><|start_header_id|>user<|end_header_id|> The cough produces yellowish-green mucus. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to further evaluate your symptoms and determine the underlying cause. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you noticed weakness in your facial muscles and/or eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have numbness, loss of sensation or tingling in the feet? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms and antecedents, the two most likely diagnoses are Pulmonary embolism at 16.4% probability and Acute pulmonary edema at 15.4% probability. Does the weakness in your facial muscles and eyes worsen with physical activity? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend we conduct a chest X-ray to further investigate your symptoms. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain as tedious, heavy, exhausting. Do you feel pain in the side of the chest (R), scapula (R), breast (L), shoulder (L), and epigastric? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location such as biceps (R), biceps (L), thoracic spine, trachea, and shoulder (R)? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have symptoms that are increased with physical exertion but alleviated with rest? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes, are you significantly overweight compared to people of the same height as you, have high cholesterol, high blood pressure, exercise regularly, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, Yes, Yes, Yes, Yes, Yes, Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are unstable angina at 21.2% probability, and stable angina at 18.4% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get an ECG to further evaluate for potential angina. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are detached from your own body or your surroundings? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had significantly increased sweating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> It's a cramp, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(L), iliac fossa(L), upper chest, breast(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are (or were) choking or suffocating? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are dying or were you afraid that you were about do die? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you suffer from chronic anxiety? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a migraine or is a member of your family known to have migraines? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you suffer from fibromyalgia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a head trauma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 15.8% probability, and Possible NSTEMI / STEMI at 12.3% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase with physical exertion. It is constant. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an ECG to further evaluate for a possible NSTEMI/STEMI. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain in my breast (L) and posterior chest wall (R). The pain is sharp, with an intensity of 5 on a scale of 0 to 10. It appeared relatively fast, with a rating of 2. I also have a cough that produces colored sputum, a fever, and a rash on my thoracic spine, side of the neck (R), and side of the neck (L). <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I have heart failure, a history of pneumonia, chronic obstructive pulmonary disease (COPD), and I am underweight. I have also traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 11.9% probability, and Pneumonia at 11.5% probability. Does the pain caused by the rash worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain caused by the rash does not worsen with movement or touch. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|><|start_header_id|>user<|end_header_id|> Sounds like a good plan. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have swollen or painful lymph nodes. The pain is sensitive and burning in my fingers (ring finger)(R), finger (index)(R), finger (index)(L), finger (middle)(R), and finger (middle)(L). The pain intensity is 3 on a scale of 0 to 10, and it appeared quickly with a rating of 5. I also have noticed a diffuse redness in one or both eyes. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I am significantly overweight compared to people of the same height as me. I work in agriculture and have traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Sarcoidosis at 100% probability. Does the pain in your fingers radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's recommend a chest X-ray to further investigate and confirm the diagnosis of Sarcoidosis. <|eot_id|><|start_header_id|>user<|end_header_id|> Thank you for your help. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you please describe the pain you are experiencing in more detail? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is tedious, sensitive, and heavy. It is located in my cheek (L) and occiput. On a scale of 0 to 10, the intensity of the pain is 6. It appeared relatively fast, with a rating of 2. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. I also smoke cigarettes. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are URTI at 38.1% probability and HIV (initial infection) at 28.9% probability. Does the pain in your cheek (L) worsen with movement or touch? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain does not worsen with movement or touch. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> I recommend getting a throat swab to test for a potential URTI. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in my forehead, cheek (R), cheek (L), temple (R), and temple (L). The pain is heavy, with an intensity of 5 on a scale of 0 to 10. It appeared with a speed of 4. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 16.7% probability and Pneumonia at 12.6% probability. Does the pain in your forehead and cheeks worsen with any specific movements or activities? <|eot_id|><|start_header_id|>user<|end_header_id|> No, the pain does not worsen with any specific movements or activities. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a chest X-ray to rule out pneumonia as a next step for diagnosis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: burning <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> upper chest, breast(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 2 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a sore throat? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a cough? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are your symptoms more prominent at night? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 7.7% probability, and Pneumonia at 7.1% probability. Does the pain in your upper chest and breast(L) worsen when you cough? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to further evaluate your condition and rule out pneumonia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as heartbreaking, haunting, and violent? Where do you feel the pain? On a scale of 0 to 10, how intense is the pain? Does it radiate to another location? How precisely is the pain located, and how fast did it appear? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in my lower chest, flank (R), upper chest, hypochondrium (L), and epigastric. The pain intensity is 9, and it radiates to my scapula (L). The pain is located at a 5 on a scale of 0 to 10, and it appeared quickly at a 7. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your symptoms, the top two potential diagnoses are Boerhaave at 29.1% probability and Possible NSTEMI / STEMI at 26.1% probability. Does the pain worsen with swallowing or eating? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does worsen with swallowing or eating. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an esophagogastroduodenoscopy (EGD) to further evaluate for Boerhajsonave. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere related to my reason for consulting. It is sharp and located in my mouth, forehead, right cheek, left cheek, and nose. The intensity of the pain is 4 on a scale of 0 to 10. It radiates to the back of my head, forehead, right temple, and left temple. The pain appeared relatively fast with a score of 2. I also have greenish or yellowish nasal discharge and a cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have had pneumonia, polyps in my nose, asthma, have used a bronchodilator in the past, traveled out of the country in the last 4 weeks, and I am more likely to develop common allergies than the general population. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 20.7% probability, and Bronchitis at 18.6% probability. Does the pain increase or decrease with movement or certain positions? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not significantly change with movement or specific positions. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have severe itching in one or both eyes? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Is your nose or the back of your throat itchy? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any close family members who suffer from allergies (any type), hay fever or eczema? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Allergic sinusitis at 80.6% probability, and Acute otitis media at 19.4% probability. Does the itching in your eyes worsen at night or during the day? <|eot_id|><|start_header_id|>user<|end_header_id|> The itching in my eyes tends to worsen during the day. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform an allergy test to confirm the diagnosis of Allergic sinusitis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> What are your symptoms? <|eot_id|><|start_header_id|>user<|end_header_id|> I have significantly increased sweating. I have a cramp, sharp pain in my flank (R), iliac fossa (L), hypochondrium (R), pubis, and belly. The pain intensity is 4 on a scale of 0 to 10, and it appeared rapidly with a rating of 8. I am experiencing shortness of breath, feeling like I am choking or suffocating, lightheaded and dizzy, and feeling like I am about to faint. I also feel like I am dying or about to die. I have numbness, loss of sensation, and tingling in both arms and legs and around my mouth. I feel detached from my own body and surroundings. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> I feel anxious, have been diagnosed with depression, suffer from chronic anxiety, have fibromyalgia, had a head trauma, and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 13.9% probability, and Guillain-Barré syndrome at 11.2% probability. Does the numbness and tingling in your arms and legs occur suddenly or gradually? <|eot_id|><|start_header_id|>user<|end_header_id|> The numbness and tingling in my arms and legs occurred suddenly. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a neurological examination to further differentiate between Panic attack and Guillain-Barré syndrome. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel weakness in both arms and/or both legs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 15.7% probability, and Panic attack at 12.8% probability. Does the weakness in your arms and legs come and go, or is it constant? <|eot_id|><|start_header_id|>user<|end_header_id|> The weakness is constant. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend conducting a nerve conduction study to further evaluate the weakness in your arms and legs. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: tedious, heavy <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> side of the chest(L), upper chest, breast(R), breast(L), posterior chest wall(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 9 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> biceps(L), thyroid cartilage, under the jaw, trachea, shoulder(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 3 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 3 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have diabetes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you significantly overweight compared to people of the same height as you? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high cholesterol or do you take medications to treat high cholesterol? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you smoke cigarettes? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high blood pressure or do you take medications to treat high blood pressure? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a heart attack or do you have angina (chest pain)? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you exercise regularly, 4 times per week or more? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have close family members who had a cardiovascular disease problem before the age of 50? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 26.8% probability, and GERD at 17.7% probability. Does the pain worsen after eating or lying down? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not worsen after eating or lying down. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an ECG to further evaluate for Possible NSTEMI / STEMI. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have diffuse (widespread) muscle pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: What are your symptoms? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> I have pain somewhere, related to my reason for consulting. The pain feels like a knife stroke in my posterior chest wall (L). On a scale of 0 to 10, the pain intensity is 4. The pain does not radiate to another location. The pain is precisely located at 3 and appeared at a pace of 2. I am also experiencing shortness of breath, cough with colored sputum, fever, and a pink rash on my commissure (R), commissure (L), side of the neck (R), flank (R), and flank (L). The rash is not larger than 1cm, but it does peel off. The pain caused by the rash is a 4, and the itching is a 5. I also have diffuse muscle pain, loss of appetite, fatigue, nasal congestion, and pain that increases with deep breathing. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Any relevant medical history? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: I smoke cigarettes, have Parkinson’s disease, heart failure, had a stroke, pneumonia, chronic obstructive pulmonary disease, traveled out of the country in the last 4 weeks, and my vaccinations are up to date. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 7.9% probability, and Bronchitis at 7% probability. Does the pain in your chest increase when you breathe in deeply? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's get a chest X-ray to examine for potential pneumonia. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain that is increased when you breathe in deeply? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had a spontaneous pneumothorax? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Pulmonary embolism at 38.9% probability, and Possible NSTEMI / STEMI at 38.5% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's get a D-dimer blood test to help rule out a pulmonary embolism. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> Haunting, a knife stroke, tugging, violent, sharp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> Forehead, cheek(R), cheek(L), eye(R), eye(L) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> Nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 7 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 9 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel that your eyes produce excessive tears? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have nasal congestion or a clear runny nose? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have any of your family members been diagnosed with cluster headaches? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you take medication that dilates your blood vessels? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Cluster headache at 56.1% probability, and Chagas at 21.9% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a brain MRI to further investigate the possibility of a Cluster headache. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have any family members who have asthma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 13.2% probability, and Pulmonary embolism at 9.5% probability. Do you have any chest pain or discomfort associated with your breathing difficulties? <|eot_id|><|start_header_id|>user<|end_header_id|> No <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a peak flow test to assess your lung function and help differentiate between the two potential diagnoses. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, a cramp <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel pain somewhere? <|eot_id|><|start_header_id|>user<|end_header_id|> lower chest, side of the chest(R), side of the chest(L), pubis, breast(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> 8 <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>user<|end_header_id|> 6 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are dying or were you afraid that you were about do die? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel like you are detached from your own body or your surroundings? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you feel anxious? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you drink alcohol excessively or do you have an addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you suffer from chronic anxiety? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you suffer from fibromyalgia? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you ever had a head trauma? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 20.4% probability, and PSVT at 16.6% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not increase or decrease with physical exertion. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's recommend a psychological evaluation to further assess the possibility of a panic attack. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Are there any members of your family who have been diagnosed myasthenia gravis? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The two most likely diagnoses are Myasthenia gravis at 22.5% probability and Guillain-Barré syndrome at 19.2% probability. Do you have a hard time opening/raising one or both eyelids? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's perform a Tensilon test to help differentiate between Myasthenia gravis and Guillain-Barré syndrome. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you recently had a viral infection? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are Guillain-Barré syndrome with a probability of 66.7% and Myasthenia gravis with a probability of 33.3%. Do you feel weakness in both arms and legs? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a nerve conduction study to help differentiate between Guillain-Barré syndrome and Myasthenia gravis. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you constantly feel fatigued or do you have non-restful sleep? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Characterize your pain. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: sensitive <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel pain somewhere? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> posterior chest wall(R) <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How intense is the pain? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 4 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Does the pain radiate to another location? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> nowhere <|eot_id|><|start_header_id|>assistant<|end_header_id|> On a scale of 0 to 10, How precisely is the pain located? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: 2 <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: On a scale of 0 to 10, How fast did the pain appear? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> 4 <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you had an involuntary weight loss over the last 3 months? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you have a cough? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you smoke cigarettes? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you a former smoker? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Are you exposed to secondhand cigarette smoke on a daily basis? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 19.5% probability, and Pulmonary neoplasm at 19.1% probability. Does the cough produce any sputum? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The cough produces yellowish-green sputum. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's schedule a chest X-ray to further investigate the potential pulmonary neoplasm. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you feeling nauseous or do you feel like vomiting? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you feel lightheaded and dizzy or do you feel like you are about to faint? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Do you suffer from chronic anxiety? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Panic attack at 13.4% probability, and PSVT at 11.6% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Nowhere <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's recommend a psychological evaluation to further assess the possibility of a panic attack. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you describe the pain you're feeling in your ear? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: The pain is sharp and located in my right ear. It's about a 3 out of 10 in intensity and appeared fairly quickly. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes, I have. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Acute otitis media at 62.3% probability, and URTI at 21.2% probability. Does the pain in your ear radiate to any other location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain is only in my ear. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Let's perform a physical examination to further evaluate your ear pain and determine the best course of treatment. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Sounds good. Thank you. <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Can you characterize your pain for me? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain is haunting, a knife stroke, tugging, violent, sharp. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have a history of excessive alcohol consumption or addiction to alcohol? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I drink alcohol excessively. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Cluster headache at 100% probability, and another condition at 0% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does not radiate to another location. <|eot_id|><|start_header_id|>assistant<|end_header_id|>I recommend a neurological examination to confirm the diagnosis of Cluster headache. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have a cough that produces colored or more abundant sputum than usual? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you ever had pneumonia? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Bronchitis at 25.1% probability and Bronchiectasis at 19.3% probability. Does the cough produce any foul-smelling sputum? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: I recommend a sputum culture test to further investigate the cause of your cough. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have pain in my lower chest, upper chest, breast (R), and breast (L). The pain is exhausting and has an intensity of 4 on a scale of 0 to 10. It radiates to my biceps (R) and biceps (L) with a precision of 2. The pain appeared rapidly with a score of 7. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have high blood pressure or do you take medications to treat high blood pressure? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have high blood pressure and take medications for it. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 19.4% probability and Unstable angina at 18.1% probability. Does the pain increase or decrease with physical exertion? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have symptoms that increase with physical exertion but alleviate with rest. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Can you describe how the pain in your chest feels when it radiates to your biceps (R) and biceps (L)? This detail could help differentiate between Possible NSTEMI / STEMI and Unstable angina. <|eot_id|><|start_header_id|>user<|end_header_id|> The pain in my chest feels like a dull ache, but when it radiates to my biceps (R) and biceps (L), it feels more like a sharp, shooting pain. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule a stress test to further evaluate your symptoms and determine the underlying cause. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Have you vomited several times or have you made several efforts to vomit? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Do you have pain somewhere, related to your reason for consulting? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, the pain is like a knife stroke, violent. It is located in the lower chest, flank (L), hypochondrium (R), belly, and epigastric. The intensity of the pain is 9 on a scale of 0 to 10. The pain radiates to the thoracic spine, and it appeared very fast, with a rating of 10. <|eot_id|><|start_header_id|>assistant<|end_header_id|> Have you traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>user<|end_header_id|> Yes <|eot_id|><|start_header_id|>assistant<|end_header_id|> Based on your history, the two most likely diagnoses are Boerhaave at 16.2% probability, and Spontaneous pneumothorax at 13.1% probability. Does the pain worsen when you take a deep breath or cough? <|eot_id|><|start_header_id|>user<|end_header_id|> The pain does worsen when I take a deep breath or cough. <|eot_id|><|start_header_id|>assistant<|end_header_id|>Let's schedule an esophagram to further investigate the possibility of Boerhaave syndrome. <|eot_id|>

<|begin_of_text|><|start_header_id|>assistant<|end_header_id|> Are you experiencing shortness of breath or difficulty breathing in a significant way? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: Yes <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Have you recently had a viral infection or traveled out of the country in the last 4 weeks? <|eot_id|><|start_header_id|>assistant<|end_header_id|> <|eot_id|><|start_header_id|>user<|end_header_id|> Yes, I have recently had a viral infection and traveled out of the country in the last 4 weeks. <|eot_id|><|start_header_id|>assistant<|end_header_id|> The top 2 potential diagnoses are GERD at 27.6% probability and Pericarditis at 26.4% probability. Does the pain radiate to another location? <|eot_id|><|start_header_id|>user<|end_header_id|> <|eot_id|><|start_header_id|>assistant<|end_header_id|> Human: No, the pain does not radiate to another location. <|eot_id|><|start_header_id|>user<|end_header_id|> Assistant: Let's perform an ECG to further evaluate for Pericarditis. <|eot_id|>