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###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: sensitive, sharp ###Assistant: Do you feel pain somewhere? ###Human: ear(L) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 4 ###Assistant: Does the pain radiate to another location? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 9 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 2 ###Assistant: Do you have a cough? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 57.4% probability, and Acute otitis media at 42.5% probability. Does the pain in your ear worsen when you chew or swallow? ###Human: Yes ###Assistant: Let's perform a physical examination to check for any signs of inflammation or infection in your ear.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Can you characterize your pain for me? ### Human: It's scary ### Assistant: Where do you feel the pain? ### Human: In my lower chest and epigastric area ### Assistant: On a scale of 0 to 10, how intense is the pain? ### Human: 5 ### Assistant: Does the pain radiate to another location? ### Human: Yes, to my lower chest and upper chest ### Assistant: On a scale of 0 to 10, how precisely is the pain located? ### Human: 5 ### Assistant: How fast did the pain appear? ### Human: 3 ### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Do you have symptoms that get worse after eating? ### Human: Yes ### Assistant: Are you significantly overweight compared to people of the same height as you? ### Human: Yes ### Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Do you have a hiatal hernia? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are GERD at 25.2% probability and Bronchitis at 25.5% probability. Does the pain increase or decrease with coughing? ### Human: The pain increases with coughing ### Assistant: Let's schedule an upper endoscopy to further evaluate for GERD.

###Assistant: Do you feel lightheaded and dizzy or do you feel like you are about to faint?### ###Human: Yes ###Assistant: Do you have any known severe food allergies?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 11.5% probability, and Acute pulmonary edema at 8.1% probability. Does the pain you feel in your flank, iliac fossa, and hypochondrium increase or decrease with movement?### ###Human: The pain is sharp and does not radiate to another location. ###Assistant: Let's perform a skin prick test to confirm if the symptoms are due to an allergic reaction.

### Assistant: Do you have intense coughing fits? ### Human: Yes ### Assistant: Have you been in contact with someone who has had pertussis (whooping cough)? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Whooping cough with a probability of 51.3% and Bronchitis with a probability of 48.7%. Did the coughing fits start suddenly or gradually? ### Human: The coughing fits started suddenly. ### Assistant: I recommend getting a nasopharyngeal swab to test for pertussis.

### Assistant: Do you have a cough? ### Human: Yes. ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes. ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### Human: Yes. ### Assistant: Do you take corticosteroids? ### Human: Yes. ### Assistant: Do you have diabetes? ### Human: Yes. ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes. ### Assistant: Is your BMI less than 18.5, or are you underweight? ### Human: Yes. ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 15% probability, and Pneumonia at 10.7% probability. Does your cough produce any phlegm or mucus? ### Human: Yes, my cough produces yellowish-green mucus. ### Assistant: Let's get a chest X-ray to further evaluate your symptoms and rule out any potential pneumonia.

### Assistant: Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? ### Human: Yes ### Assistant: Have you been diagnosed with hyperthyroidism? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Paroxysmal Supraventricular Tachycardia (PSVT) with a probability of 41.8% and Atrial fibrillation with a probability of 26.1%. Do you feel any chest pain associated with these palpitations? ### Human: I have chest pain even at rest. The pain is a knife stroke in my upper chest, breast (R) and breast (L). On a scale of 0-10, the pain intensity is 7 and the pace it appeared is 9. ### Assistant: Let's schedule an ECG to further evaluate your heart rhythm.

### Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain feels tugging, heavy, and sharp. It is located in my ankle (L), thigh (L), dorsal aspect of the foot (R), dorsal aspect of the foot (L), and sole (L). The intensity of the pain is 2 on a scale of 0 to 10, and it appeared quickly with a rating of 8.### Assistant: Have you ever had deep vein thrombosis (DVT) or any other blood clotting issues in the past?### Human: Yes, I have had deep vein thrombosis (DVT) before.### Assistant: Based on your history, the two most likely diagnoses are Localized edema at 69.6% probability, and Chagas at 19.2% probability. Does the pain in your ankle (L) worsen with movement or rest?### Human: The pain in my ankle (L) does not worsen with movement or rest.### Assistant: I recommend getting a Doppler ultrasound to check for any signs of deep vein thrombosis (DVT) in your legs.### Human: Thank you for your recommendation.

###Assistant: What are your symptoms? ###Human: I have significantly increased sweating, sensitive pain in my forehead, cheek (R), cheek (L), occiput, and temple (R) with an intensity of 8 on a scale of 0 to 10. The pain appeared at a fast rate of 5 and does not radiate to another location. I also have a cough that produces colored sputum, a fever, a sore throat, and nasal congestion. ###Assistant: Any relevant medical history? ###Human: I have been in contact with a person with similar symptoms in the past 2 weeks, attend a daycare, smoke cigarettes, have traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis. ###Assistant: Based on your history, the two most likely diagnoses are URTI at 17.1% probability and Bronchitis at 15.5% probability. Does the pain in your forehead and cheeks worsen with movement or pressure? ###Human: The pain in my forehead and cheeks does not worsen with movement or pressure. ###Assistant: Let's perform a chest X-ray to rule out bronchitis and further evaluate your symptoms for a more accurate diagnosis.

### Assistant: Can you describe the pain you're experiencing in your flank and abdomen?### Human: The pain is sharp and located in my right flank. It appeared relatively fast with an intensity of 8 out of 10.### Assistant: Have you had a known severe food allergy or traveled out of the country in the last 4 weeks?### Human: Yes, I have a known severe food allergy and I have traveled out of the country recently.### Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 9.7% probability, and Pulmonary embolism at 8.2% probability. Do you notice any difference in the intensity of the pain when you take a deep breath?### Human: No, the pain remains the same even with deep breaths.### Assistant: Let's perform a blood test to check for elevated levels of tryptase, which can help confirm a diagnosis of anaphylaxis.

### Assistant: Have you had significantly increased sweating? ### Human: Yes ### Assistant: Have you had diarrhea or an increase in stool frequency? ### Human: Yes ### Assistant: Have you had pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: tedious, a pulse ### Assistant: Do you feel pain somewhere? ### Human: back of head, cervical spine, top of the head ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 4 ### Assistant: Does the pain radiate to another location? ### Human: nowhere ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 4 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 4 ### Assistant: Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long? ### Human: Yes ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### Human: Yes ### Assistant: Do you have a sore throat? ### Human: Yes ### Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? ### Human: Yes ### Assistant: What color is the rash? ### Human: pale ### Assistant: Do your lesions peel off? ### Human: N ### Assistant: On a scale of 0 to 10, Is the rash swollen? ### Human: 0 ### Assistant: Where is the affected region located? ### Human: lower gum, upper gum, labia majora(L), bottom lip(R), palace ### Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash? ### Human: 4 ### Assistant: Is the lesion (or are the lesions) larger than 1cm? ### Human: Y ### Assistant: On a scale of 0 to 10, How severe is the itching? ### Human: 0 ### Assistant: Have you ever had a sexually transmitted infection? ### Human: Yes ### Assistant: Are you currently using intravenous drugs? ### Human: Yes ### Assistant: Have you had unprotected sex with more than one partner in the last 6 months? ### Human: Yes ### Assistant: Have you had sexual intercourse with an HIV-positive partner in the past 12 months? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are HIV (initial infection) at 34.5% probability, and Chagas at 25.5% probability. Does the pain in the back of your head worsen with movement or rest? ### Human: The pain remains constant regardless of movement or rest. ### Assistant: I recommend getting a blood test to check for HIV infection.

### Assistant: Do you have pain that is increased when you breathe in deeply? ### Human: Yes ### Assistant: Have you ever had pneumonia before? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 6.5% probability and Bronchitis at 6.2% probability. Does the pain radiate to another location? ### Human: The pain does not radiate to another location. ### Assistant: Let's get a chest X-ray to examine for potential pneumonia.

### Assistant: What are your symptoms? ### Human: I have had diarrhea, feel lightheaded and dizzy, my cheeks suddenly turned red, and I have a pink rash on the back of the neck, biceps(L), mouth, thyroid cartilage, and ankle(R). The rash is not swollen, the pain caused by the rash is 0, and the itching is severe at 9. ### Assistant: Did you eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? ### Human: Yes, I did. ### Assistant: Based on your history, the two most likely diagnoses are Scombroid food poisoning at 40.6% probability, and PSVT at 30.6% probability. Does the rash peel off or stay intact? ### Human: The rash does not peel off. ### Assistant: Let's perform a skin prick test to confirm the diagnosis of Scombroid food poisoning.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: burning ###Assistant: Do you feel pain somewhere? ###Human: lower chest, upper chest, pharynx, posterior chest wall(R) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 2 ###Assistant: Does the pain radiate to another location? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 1 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 5 ###Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)? ###Human: Yes ###Assistant: Do you have a sore throat? ###Human: Yes ###Assistant: Do you have a cough? ###Human: Yes ###Assistant: Have you noticed a wheezing sound when you exhale? ###Human: Yes ###Assistant: Are your symptoms more prominent at night? ###Human: Yes ###Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 8.6% probability, and Pneumonia at 8.5% probability. Does the cough produce colored or more abundant sputum than usual? ###Human: Yes ###Assistant: Let's get a chest X-ray to examine for potential pneumonia.

### Assistant: Have you noticed a wheezing sound when you exhale? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? ### Human: Yes, the pain is sensitive. I feel pain on the side of the chest (R) and side of the chest (L). The pain intensity is 5. The pain is located precisely at 4 and appeared fast at 5. ### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? Do you have a sore throat? Do you have nasal congestion or a clear runny nose? Do you have a cough? Have you noticed a wheezing sound when you exhale? ### Human: Yes, I have a cough that produces colored or more abundant sputum than usual. I also have a sore throat, nasal congestion, and a cough. I have noticed a wheezing sound when I exhale. ### Assistant: Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I smoke cigarettes. Yes, I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 25.8% probability and URTI at 25.5% probability. Does the pain increase with coughing or deep breathing? ### Human: The pain does not increase with coughing or deep breathing. ### Assistant: Let's recommend a chest X-ray to further evaluate your symptoms and confirm the diagnosis of Bronchitis.

###Assistant: Are you feeling nauseous or do you feel like vomiting? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes, a cramp, sharp pain on the side of the chest (R). ###Assistant: Do you feel like you are detached from your own body or your surroundings? ###Human: Yes ###Assistant: Do you suffer from fibromyalgia? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Panic attack at 14.4% probability, and PSVT at 12.1% probability. Does the pain radiate to another location? ###Human: Nowhere ###Assistant: Let's perform an ECG to check for any abnormalities related to PSVT.

###Assistant: Can you describe the pain you're experiencing in your tonsil on the right side?### Human: The pain is burning and has a precise location of 6 on a scale of 0 to 10. It appeared suddenly and has an intensity of 3. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have been in contact with someone with similar symptoms. Based on your history, the two most likely diagnoses are Viral pharyngitis at 17.3% probability and URTI at 16.7% probability. Does the pain in your tonsil radiate to another location?### Human: No, the pain does not radiate to another location. ###Assistant: I recommend a throat swab to confirm the diagnosis. Let's schedule that for you.###

###Assistant: Can you describe the pain you're feeling in your tonsil on the right side?### Human: The pain is burning and has a intensity of 5 out of 10. It appeared slowly with a rating of 1 out of 10.### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have been in contact with someone with similar symptoms.### Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 28% probability, and Possible NSTEMI / STEMI at 16.8% probability. Does the pain in your tonsil radiate to another location?### Human: No, the pain does not radiate to another location.### Assistant: Let's do a throat swab to confirm the diagnosis of Viral pharyngitis.

###Assistant: Have you had diarrhea or an increase in stool frequency? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: sensitive, a cramp ###Assistant: Do you feel pain somewhere? ###Human: flank(L), hypochondrium(L), belly ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 2 ###Assistant: Does the pain radiate to another location? ###Human: thoracic spine ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 5 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 2 ###Assistant: Do you constantly feel fatigued or do you have non-restful sleep? ###Human: Yes ###Assistant: What color is the rash? ###Human: NA ###Assistant: Do your lesions peel off? ###Human: N ###Assistant: On a scale of 0 to 10, Is the rash swollen? ###Human: 0 ###Assistant: Where is the affected region located? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash? ###Human: 0 ###Assistant: Is the lesion (or are the lesions) larger than 1cm? ###Human: N ###Assistant: On a scale of 0 to 10, How severe is the itching? ###Human: 0 ###Assistant: Have you had an involuntary weight loss over the last 3 months? ###Human: Yes ###Assistant: Do you have pale stools and dark urine? ###Human: Yes ###Assistant: Do you have a cough? ###Human: Yes ###Assistant: Do you have chronic pancreatitis? ###Human: Yes ###Assistant: Do you have diabetes? ###Human: Yes ###Assistant: Are you significantly overweight compared to people of the same height as you? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Are there members of your family who have been diagnosed with pancreatic cancer? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 33.1% probability, and Chagas at 18.3% probability. Does the pain in your flank and hypochondrium worsen after eating fatty foods? ###Human: Yes ###Assistant: Let's schedule a CT scan to further evaluate the pancreas for any abnormalities.

### Assistant: What are your symptoms? ### Human: I feel my abdomen is bloated and distended. I have pain in my iliac fossa (R), hip (R), and hip (L). The pain is heavy and has a precise location of 4 on a scale of 0 to 10. It appeared slowly with an intensity of 1. I also have a pale rash on my iliac fossa (R) and iliac fossa (L) that is swollen with an intensity of 7. The pain caused by the rash is a 5. The lesions are larger than 1cm but do not peel off. The itching is not severe. The symptoms are increased with coughing, lifting weight, or forcing a bowel movement. ### Assistant: Any relevant medical history? ### Human: I am significantly overweight compared to people of the same height as me. I was born prematurely and had complications at birth. I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Inguinal hernia at 51% probability, and Anaphylaxis at 31% probability. Does the pain in your iliac fossa (R) radiate to any other location? ### Human: The pain does not radiate to another location. ### Assistant: Let's schedule a physical examination to further evaluate the possibility of an inguinal hernia. ###

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, I have pain in the back of the neck, dorsal aspect of the wrist (R), dorsal aspect of the wrist (L), palmar face of the wrist (L), and knee (R). The pain is sensitive and has a intensity of 3 on a scale of 0 to 10. It appeared relatively fast, with a rating of 6 out of 10. ### Assistant: Have you ever had pericarditis? ### Human: Yes, I have had pericarditis. ### Assistant: The top 2 potential diagnoses are SLE with a probability of 46.8% and Chagas with a probability of 36.7%. Does the rash on your cheek (R) and nose itch more at certain times of the day? ### Human: The itching is not severe, with a rating of 3 out of 10. ### Assistant: I recommend getting a blood test to check for specific antibodies that could help differentiate between SLE and Chagas. ### Human: Thank you for the recommendation.

### Assistant: What are your symptoms? ### Human: I have pain somewhere related to my reason for consulting. The pain is haunting, a knife stroke, tugging, burning, sickening, and scary. It is located in my lower chest, upper chest, hypochondrium (R), and hypochondrium (L). On a scale of 0 to 10, the intensity of the pain is 3. The pain radiates to my lower chest and upper chest. It is precisely located at 3 and appeared at a pace of 3. I also have a burning sensation that starts in my stomach and goes up into my throat, associated with a bitter taste in my mouth. I have thrown up blood or something resembling coffee beans. My symptoms get worse after eating and are worse when lying down, but alleviated while sitting up. ### Assistant: Any relevant medical history? ### Human: I am significantly overweight compared to people of the same height as me. I have asthma and have had to use a bronchodilator in the past. I think I am pregnant or currently pregnant. I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are GERD at 100% probability. Does the pain increase or decrease with physical exertion? ### Human: The pain does not specifically increase or decrease with physical exertion. ### Assistant: Let's schedule an upper endoscopy to further evaluate and confirm the diagnosis of GERD.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, I have pain in my tonsil (R) and tonsil (L). The pain is sensitive and has an intensity of 7 on a scale of 0 to 10. It appeared with a speed of 4. ### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed? ### Human: Yes, I have been in contact with a person with similar symptoms in the past 2 weeks. I smoke cigarettes, have traveled out of the country in the last 4 weeks, and I am immunosuppressed. ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 42.9% probability, and Viral pharyngitis at 21.4% probability. Does the pain radiate to another location? ### Human: No, the pain does not radiate to another location. ### Assistant: Let's proceed with a throat swab to test for viral pharyngitis.

###Assistant: Do you have pain that is increased when you breathe in deeply?### ###Human: Yes ###Assistant: Do you have an active cancer? Have you been unable to move or get up for more than 3 consecutive days within the last 4 weeks? Have you had surgery within the last month? Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, Yes, Yes, Yes ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 10.3% probability, and Pulmonary neoplasm at 9.1% probability. Does the pain radiate to another location?### ###Human: Yes, the pain radiates to side of the chest(L), upper chest, scapula(R), posterior chest wall(R) ###Assistant: Let's get a CT pulmonary angiography to further investigate for a potential pulmonary embolism.

###Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is sensitive and burning in my thyroid cartilage, palate, pharynx, and under the jaw. It's a 5 out of 10 in intensity and appeared relatively fast at a 2 out of 10. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 30.4% probability, and Possible NSTEMI / STEMI at 18.2% probability. Does the pain radiate to another location?### Human: No, the pain does not radiate to another location. ###Assistant: Let's perform a throat swab to confirm the diagnosis of Viral pharyngitis.

### Assistant: Have you been coughing up blood?### Human: Yes### Assistant: Do you have a fever (either felt or measured with a thermometer)?### Human: Yes### Assistant: Do you have a cough?### Human: Yes### Assistant: Do you take corticosteroids?### Human: Yes### Assistant: Are you currently using intravenous drugs?### Human: Yes### Assistant: Do you have diabetes?### Human: Yes### Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol?### Human: Yes### Assistant: Have you traveled out of the country in the last 4 weeks?### Human: Yes### Assistant: Is your BMI less than 18.5, or are you underweight?### Human: Yes### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 41.8% probability, and Tuberculosis at 38.9% probability. Does your cough produce any phlegm or mucus?### Human: Yes, my cough produces yellowish-green phlegm.### Assistant: Let's schedule a sputum test to check for tuberculosis.

###Assistant: Can you describe the pain you're experiencing in more detail? Where exactly do you feel the burning, sharp pain, and how intense is it on a scale of 0 to 10?### ###Human: I feel the burning, sharp pain in my mouth, forehead, cheek (R), cheek (L), and nose. The intensity of the pain is a 5 out of 10.### ###Assistant: Have you ever been diagnosed with gastroesophageal reflux or had to use a bronchodilator in the past?### ###Human: Yes, I have been diagnosed with gastroesophageal reflux and have had to use a bronchodilator in the past.### ###Assistant: Based on your history, the two most likely diagnoses are Chronic rhinosinusitis at 16.4% probability and Acute rhinosinusitis at 14.6% probability. Does the pain radiate to another location, such as the back of your head or temple (R)?### ###Human: Yes, the pain does radiate to the back of my head and temple (R).### ###Assistant: I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause of your pain.

###Assistant: Have you noticed that the tone of your voice has become deeper, softer or hoarse?### ###Human: Yes ###Assistant: Do you have pain that improves when you lean forward?### ###Human: Yes ###Assistant: Do you have diabetes? Do you have high blood pressure or do you take medications to treat high blood pressure? Have you traveled out of the country in the last 4 weeks? Are your vaccinations up to date?### ###Human: Yes, Yes, Yes, Yes ###Assistant: Based on your history, the two most likely diagnoses are Epiglottitis at 13.2% probability, and Myasthenia gravis at 10.7% probability. Does the pain in your tonsil area radiate to another location?### ###Human: Nowhere ###Assistant: I recommend a thorough examination of your throat and airway to further investigate the possibility of Epiglottitis.

### Assistant: Do you have pain or weakness in your jaw? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Myasthenia gravis at 15.4% probability, and Guillain-Barré syndrome at 11.4% probability. Do you have difficulty swallowing or chewing food? ### Human: I have difficulty articulating words/speaking. ### Assistant: Let's conduct a nerve conduction study to help differentiate between Myasthenia gravis and Guillain-Barré syndrome.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Can you characterize your pain for me?### ###Human: It feels like a knife stroke, sharp ###Assistant: Where do you feel the pain?### ###Human: scapula(R), scapula(L), breast(R), breast(L), posterior chest wall(L) ###Assistant: On a scale of 0 to 10, how intense is the pain?### ###Human: 8 ###Assistant: Does the pain radiate to another location?### ###Human: scapula(R), scapula(L), breast(R), posterior chest wall(R), posterior chest wall(L) ###Assistant: On a scale of 0 to 10, how precisely is the pain located?### ###Human: 8 ###Assistant: On a scale of 0 to 10, how fast did the pain appear?### ###Human: 7 ###Assistant: Do you have swelling in one or more areas of your body?### ###Human: Yes ###Assistant: Where is the swelling located?### ###Human: posterior aspect of the ankle(R), calf(R) ###Assistant: Do you have pain that is increased when you breathe in deeply?### ###Human: Yes ###Assistant: Do you have an active cancer?### ###Human: Yes ###Assistant: Have you been unable to move or get up for more than 3 consecutive days within the last 4 weeks?### ###Human: Yes ###Assistant: Have you had surgery within the last month?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 9.2% probability, and Pericarditis at 7.6% probability. Does the pain increase or decrease with physical exertion?### ###Human: The pain does not change with physical exertion. ###Assistant: Let's get a D-dimer blood test to check for a potential pulmonary embolism.

###Assistant: Do you feel your abdomen is bloated or distended (swollen due to pressure from inside)?### ###Human: Yes ###Assistant: Were you born prematurely or did you suffer any complication at birth?### ###Human: Yes ###Assistant: The top 2 potential diagnoses are Inguinal hernia with a probability of 51.8% and Scombroid food poisoning with a probability of 27.8%. Does the pain radiate to another location?### ###Human: Nowhere ###Assistant: I recommend a physical examination to further evaluate your symptoms and determine the cause of your pain. Please schedule an appointment with your primary care physician for further assessment.### ###Human: Thank you for your help.

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is tedious and heavy. It is located at the top of the head, forehead, cheek (R), cheek (L), and occiput. The intensity of the pain is 5 on a scale of 0 to 10, and it appeared quickly with a rating of 5.### ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### ###Human: Yes, I have been in contact with a person with similar symptoms. I live with 4 or more people and attend a daycare. I have also traveled out of the country in the last 4 weeks.### ###Assistant: Based on your history, the two most likely diagnoses are URTI at 20% probability and Cluster headache at 15.2% probability. Does the pain radiate to another location?### ###Human: No, the pain does not radiate to another location.### ###Assistant: Let's recommend a nasal swab test to confirm the diagnosis of URTI.###

###Assistant: What are your symptoms? ###Human: I have significantly increased sweating, sensitive pain on the top of the head, forehead, cheek (R), cheek (L), and temple (R). The pain intensity is 6 out of 10, precisely located at 7 out of 10, and appeared suddenly. I also have a fever, sore throat, nasal congestion, and a cough. ###Assistant: Any relevant medical history? ###Human: I live with 4 or more people, smoke cigarettes, traveled out of the country in the last 4 weeks, and am exposed to secondhand cigarette smoke on a daily basis. ###Assistant: Based on your history, the two most likely diagnoses are URTI at 21.8% probability and Influenza at 17.4% probability. Does the pain in your head and face worsen with movement or touch? ###Human: The pain does not worsen with movement or touch. ###Assistant: Let's do a rapid influenza test to help differentiate between URTI and Influenza.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Do you have Rheumatoid Arthritis? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 13.1% probability, and Pulmonary neoplasm at 11.6% probability. Does your cough produce any mucus or phlegm? ###Human: Yes, my cough produces mucus. ###Assistant: Let's schedule a chest X-ray to further investigate your symptoms and rule out any potential pulmonary neoplasm.

### Assistant: Have you been coughing up blood?### Human: Yes ### Assistant: Are you infected with the human immunodeficiency virus (HIV)?### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 30.7% probability, and Pulmonary neoplasm at 30.6% probability. Does the cough worsen at night or with certain activities?### Human: The cough is persistent throughout the day and worsens at night. ### Assistant: I recommend a chest X-ray to further evaluate your symptoms and help differentiate between Bronchitis and Pulmonary neoplasm.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: tedious, heavy ###Assistant: Do you feel pain somewhere? ###Human: top of the head, cheek(L), temple(R) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 8 ###Assistant: Does the pain radiate to another location? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 1 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 1 ###Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)? ###Human: Yes ###Assistant: Do you have a sore throat? ###Human: Yes ###Assistant: Do you have diffuse (widespread) muscle pain? ###Human: Yes ###Assistant: Do you have nasal congestion or a clear runny nose? ###Human: Yes ###Assistant: Do you have a cough? ###Human: Yes ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ###Human: Yes ###Assistant: Do you live with 4 or more people? ###Human: Yes ###Assistant: Do you attend or work in a daycare? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are URTI at 16.9% probability, and Pneumonia at 16.4% probability. Does the pain increase or decrease with physical exertion? ###Human: The pain does not increase or decrease with physical exertion. ###Assistant: Let's recommend a chest X-ray to examine for potential pneumonia. ###Human: Okay.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: heartbreaking, haunting, violent, sickening ###Assistant: Do you feel pain somewhere?### ###Human: lower chest, flank(R), belly, epigastric ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 7 ###Assistant: Does the pain radiate to another location?### ###Human: thoracic spine, scapula(R), scapula(L) ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 5 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 8 ###Assistant: Have you recently thrown up blood or something resembling coffee beans?### ###Human: Yes ###Assistant: Have you vomited several times or have you made several efforts to vomit?### ###Human: Yes ###Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Panic attack at 37.3% probability, and Myocarditis at 33.6% probability. Does the pain increase or decrease with physical exertion?### ###Human: The pain does not change with physical exertion. ###Assistant: Let's perform an ECG to check for any abnormalities in the heart that could indicate myocarditis.

###Assistant: Have you noticed a high pitched sound when breathing in?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: The top 2 potential diagnoses are Anaphylaxis with a probability of 20.5% and Localized edema with a probability of 13.6%. Does the swelling in your body increase or decrease with time?### ###Human: The swelling has been increasing. ###Assistant: I recommend conducting a skin prick test to confirm the presence of any allergies that may be causing the symptoms.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, I have haunting, sensitive, tugging, burning pain in my upper chest and epigastric area. The pain intensity is 5 on a scale of 0 to 10, and it radiates to my lower and upper chest. It appeared with a speed of 4. ### Assistant: Have you recently had stools that were black (like coal)? ### Human: Yes. ### Assistant: Based on your history, the two most likely diagnoses are GERD at 25.3% probability and Bronchitis at 21% probability. Does the burning sensation in your stomach that goes up into your throat worsen when you lie down or bend over? ### Human: Yes, it does worsen in those positions. ### Assistant: Let's schedule an upper endoscopy to further evaluate your symptoms and confirm a diagnosis.

###Assistant: What are your symptoms?### Human: I have pain in the back of the neck, ankle(R), dorsal aspect of the wrist(L), palmar face of the wrist(R), and palmar face of the wrist(L). The pain is sensitive and has a intensity of 2 on a scale of 0 to 10. It appeared fast and is precisely located at 6. I also have shortness of breath and a red rash on my cheek(R), cheek(L), and nose. The rash is larger than 1cm, not swollen, and slightly itchy. I also have painful mouth ulcers. ###Assistant: Any relevant medical history?### Human: I have had pericarditis, smoke cigarettes, and have traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are SLE at 14.2% probability, and Acute pulmonary edema at 9.6% probability. Does the shortness of breath worsen when lying down or improve when sitting up?### Human: My shortness of breath worsens when lying down. ###Assistant: Let's schedule a blood test to check for specific antibodies related to SLE.

### Assistant: What are your symptoms? ### Human: 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. ### Assistant: Any relevant medical history? ### Human: 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. ### Assistant: 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? ### Human: I have symptoms that increase with physical exertion but alleviate with rest. ### Assistant: Let's recommend a chest X-ray to examine for potential pulmonary edema.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is tedious and exhausting. It is located on the side of the chest (R), upper chest, breast (R), shoulder (R), and epigastric. The intensity of the pain is 8 on a scale of 0 to 10. The pain radiates to the thoracic spine, under the jaw, trachea, shoulder (R), and shoulder (L). It appeared with a speed of 7 on a scale of 0 to 10. ### Assistant: Have you ever had a heart attack or do you have angina (chest pain)? ### Human: Yes, I have had a heart attack before. I also have angina. ### Assistant: Based on your history, the two most likely diagnoses are unstable angina at 26.9% probability, and possible NSTEMI / STEMI at 25.9% probability. Does the pain increase or decrease with physical exertion? ### Human: I have symptoms that increase with physical exertion but alleviate with rest. ### Assistant: Let's schedule a stress test to further evaluate your symptoms and determine the best course of action.

### Assistant: Do you wheeze while inhaling or is your breathing noisy after coughing spells? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Whooping cough with a probability of 53.6% and Bronchitis with a probability of 46.4%. ### Assistant: Do you have intense coughing fits that are triggered by anything specific? ### Human: Yes, they are triggered by physical activity. ### Assistant: I recommend a throat swab test to confirm the diagnosis.

### Assistant: Have you noticed a wheezing sound when you exhale? ### Human: Yes ### Assistant: Have you had 2 or more asthma attacks in the past year? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Bronchitis with a probability of 41.25% and Bronchospasm / acute asthma exacerbation with a probability of 32.59%. Does your cough worsen at night or in the early morning? ### Human: My cough tends to worsen at night. ### Assistant: I recommend performing a pulmonary function test to further evaluate your lung function and help differentiate between bronchitis and acute asthma exacerbation.

### Assistant: What are your symptoms? ### Human: I have had diarrhea and an increase in stool frequency. I also have a cramp-like pain in my left hypochondrium with an intensity of 6 out of 10. The pain appeared slowly, and it does not radiate to another location. I feel constantly fatigued and have non-restful sleep. I have yellow lesions on my skin in the epigastric region, larger than 1cm, but they do not peel off. I have pale stools and dark urine. ### Assistant: Do you have chronic pancreatitis? ### Human: Yes, I do have chronic pancreatitis. I am significantly overweight compared to people of the same height as me, and I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 27.8% probability, and GERD at 19.4% probability. Does the pain in your hypochondrium worsen after eating or lying down? ### Human: The pain does not worsen after eating or lying down. ### Assistant: I recommend getting a CT scan of your abdomen to further evaluate the possibility of a pancreatic neoplasm.

###Assistant: Can you characterize your pain for me?### Human: The pain is burning and sharp. ###Assistant: Have you ever been diagnosed with gastroesophageal reflux?### Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 21.9% probability, and Acute laryngitis at 15.6% probability. Does the pain radiate to another location?### Human: Yes, the pain radiates to the back of my head. ###Assistant: I recommend a nasal endoscopy to further evaluate your symptoms.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have chest pain even at rest? ### Human: Yes ### Assistant: Characterize your pain. ### Human: Heartbreaking, a knife stroke, violent ### Assistant: Do you feel pain somewhere? ### Human: Lower chest, side of the chest(R), side of the chest(L), breast(R), breast(L) ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 9 ### Assistant: Does the pain radiate to another location? ### Human: Nowhere ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 5 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 8 ### Assistant: Do you have symptoms that are increased with physical exertion but alleviated with rest? ### Human: Yes ### Assistant: Do you have pain that is increased when you breathe in deeply? ### Human: Yes ### Assistant: Do you smoke cigarettes? Have any of your family members ever had a pneumothorax? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, Yes, Yes ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 11.8% probability, and Myocarditis at 9.4% probability. Does the pain increase or decrease with physical exertion? ### Human: I have symptoms that increase with physical exertion but alleviate with rest. ### Assistant: Let's get a chest X-ray to examine for a potential pneumothorax. ### Human: Okay.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as tedious and exhausting? Do you feel pain in your lower chest, side of the chest (R), upper chest, breast (L), and epigastric area? On a scale of 0 to 10, how intense is the pain? Does it radiate to your thyroid cartilage, thoracic spine, trachea, and shoulders (R) and (L)? How precisely is the pain located and how fast did it appear? ### Human: Yes, the pain is a 5 in intensity and is located in those areas. It is a 2 in precision and appeared quickly with a 7 in pace. ### Assistant: Do you have diabetes, are you significantly overweight, drink alcohol excessively, smoke cigarettes, have high blood pressure, have had a heart attack or angina, traveled out of the country in the last 4 weeks, and have close family members with cardiovascular disease before the age of 50? ### Human: Yes, I have diabetes, am significantly overweight, drink excessively, smoke cigarettes, have high blood pressure, have had a heart attack, traveled recently, and have family members with cardiovascular disease. ### Assistant: Based on your history, the two most likely diagnoses are unstable angina at 12.8% probability and possible NSTEMI/STEMI at 12.3% probability. Does the pain increase or decrease with physical exertion? ### Human: I have symptoms that increase with physical exertion but alleviate with rest. ### Assistant: Let's schedule a stress test to further evaluate your symptoms and determine the best course of action.

###Assistant: Have you had significantly increased sweating?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: sensitive, exhausting ###Assistant: Do you feel pain somewhere?### ###Human: back of head, back of the neck, side of the neck(R), top of the head, forehead ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 8 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 3 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 1 ###Assistant: Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long?### ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)?### ###Human: Yes ###Assistant: Have you had chills or shivers?### ###Human: Yes ###Assistant: Do you have a sore throat?### ###Human: Yes ###Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for?### ###Human: Yes ###Assistant: What color is the rash?### ###Human: pink ###Assistant: Do your lesions peel off?### ###Human: N ###Assistant: On a scale of 0 to 10, Is the rash swollen?### ###Human: 1 ###Assistant: Where is the affected region located?### ###Human: side of the neck(R), side of the neck(L) ###Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash?### ###Human: 2 ###Assistant: Is the lesion (or are the lesions) larger than 1cm?### ###Human: Y ###Assistant: On a scale of 0 to 10, How severe is the itching?### ###Human: 4 ###Assistant: Do you have diffuse (widespread) muscle pain?### ###Human: Yes ###Assistant: Do you have nasal congestion or a clear runny nose?### ###Human: Yes ###Assistant: Do you have a cough?### ###Human: Yes ###Assistant: Do you smoke cigarettes?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Influenza at 14.7% probability, and URTI at 14.1% probability. Does the muscle pain worsen with movement or at rest?### ###Human: The muscle pain worsens with movement. ###Assistant: Let's perform a rapid influenza diagnostic test to confirm the diagnosis.

###Assistant: Do you feel your abdomen is bloated or distended (swollen due to pressure from inside)? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain as heavy. On a scale of 0 to 10, How intense is the pain? ###Human: 3 ###Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? What color is the rash? ###Human: Yes, the rash is pale. ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your symptoms and antecedents, the two most likely diagnoses are Inguinal hernia with a probability of 28.0% and Bronchitis with a probability of 23.7%. Does the pain radiate to another location? ###Human: The pain does not radiate to another location. ###Assistant: Let's perform a physical examination to further evaluate the abdominal pain and rash.

###Assistant: Have you noticed a wheezing sound when you exhale? ###Human: Yes ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Have you had 2 or more asthma attacks in the past year? ###Human: Yes ###Assistant: Do you have any family members who have asthma? ###Human: Yes ###Assistant: Have you had a cold in the last 2 weeks? ###Human: Yes ###Assistant: Have you been diagnosed with chronic sinusitis? ###Human: Yes ###Assistant: Do you have asthma or have you ever had to use a bronchodilator in the past? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Are you exposed to secondhand cigarette smoke on a daily basis? ###Human: Yes ###Assistant: Are you more likely to develop common allergies than the general population? ###Human: Yes ###Assistant: 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. Does the shortness of breath worsen with physical activity or at rest? ###Human: The shortness of breath worsens with physical activity. ###Assistant: Let's perform a pulmonary function test to further evaluate your breathing difficulties.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as sensitive and burning? Where do you feel the pain and how intense is it on a scale of 0 to 10? ### Human: Yes, I feel pain in my finger (ring finger)(R), finger (index)(R), finger (middle)(L), dorsal aspect of the wrist(R), and shoulder(L). The pain intensity is 3. ### Assistant: Have you noticed a diffuse (widespread) redness in one or both eyes? What color is the rash and where is the affected region located? ### Human: Yes, I have noticed redness in my eyes, but the rash color is not applicable, and the affected region is nowhere. ### Assistant: Are you significantly overweight compared to people of the same height as you? Do you work in agriculture and have you traveled out of the country in the last 4 weeks? ### Human: Yes, I am significantly overweight, work in agriculture, and have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 52.2% probability and Acute dystonic reactions at 26.4% probability. Does the pain radiate to another location or is it precisely located in one area? ### Human: The pain does not radiate to another location and is precisely located in one area. ### Assistant: Let's recommend a chest X-ray to examine for potential NSTEMI / STEMI as a next step for diagnosis. ###

###Assistant: Are you feeling nauseous or do you feel like vomiting?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as heartbreaking, a knife stroke, and sickening?### ###Human: Yes, the pain is heartbreaking, a knife stroke, and sickening. ###Assistant: Do you feel pain in your flank (L), hypochondrium (R), hypochondrium (L), and epigastric areas? On a scale of 0 to 10, how intense is the pain? Does it radiate to your scapula (R) and scapula (L)? How precisely is the pain located, and how fast did it appear?### ###Human: Yes, I feel pain in those areas. The pain intensity is 10. It radiates to my scapula (R) and scapula (L). The pain is precisely located at 1 on a scale of 0 to 10, and it appeared very fast, at a 9. ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? Have you recently thrown up blood or something resembling coffee beans? Have you vomited several times or made several efforts to vomit?### ###Human: Yes, I am experiencing shortness of breath. I have thrown up blood and vomited several times. ###Assistant: Do you drink alcohol excessively or have an addiction to alcohol? Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, I drink alcohol excessively, and I have traveled out of the country in the last 4 weeks. ###Assistant: Based on your symptoms and antecedents, the two most likely diagnoses are Boerhaave at 16.6% probability and Panic attack at 13.6% probability. Does the pain in your hypochondrium (R) worsen with deep breathing or coughing?### ###Human: Yes, the pain in my hypochondrium (R) worsens with deep breathing and coughing. ###Assistant: Let's proceed with an esophagram to further evaluate for Boerhajsonave.

### Assistant: What are your symptoms? ### Human: I have pain in my lower chest, upper chest, and left breast. The pain feels like a knife stroke and has an intensity of 6 on a scale of 0 to 10. It appeared quickly with a rating of 6. I also have shortness of breath, cough with colored sputum, fever, chills, and a rash on my thoracic spine, left commissure, left buttock, right shoulder, and left shoulder. The rash is pink, does not peel off, and is swollen with a pain intensity of 4. I also have diffuse muscle pain, loss of appetite, nasal congestion, and a clear runny nose. My symptoms are more prominent at night. ### Assistant: Any relevant medical history? ### Human: I drink alcohol excessively, smoke cigarettes, have Parkinson's disease, asthma, and a BMI less than 18.5. I have also traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 6.7% probability and Bronchitis at 6.1% probability. Does your cough worsen at night or with physical activity? ### Human: My cough tends to worsen at night and with physical activity. ### Assistant: Let's schedule a chest X-ray to further evaluate for pneumonia.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: sensitive, a knife stroke, exhausting ### Assistant: Do you feel pain somewhere? ### Human: posterior chest wall(R), posterior chest wall(L) ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 6 ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Have you recently had a loss of appetite or do you get full more quickly than usual? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Are you a former smoker? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Are you exposed to secondhand cigarette smoke on a daily basis? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 19.78% probability, and Possible NSTEMI / STEMI at 19.06% probability. Does the pain radiate to another location? ### Human: nowhere ### Assistant: Let's schedule a CT pulmonary angiography to further investigate for a potential pulmonary embolism.

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is burning and located in my tonsil (R), tonsil (L), thyroid cartilage, palace, and pharynx. It's an 8 out of 10 in intensity and appeared quickly.### ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### ###Human: Yes, I have. I live with 4 or more people, attend a daycare, smoke cigarettes, and have traveled out of the country in the last 4 weeks.### ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 22.7% probability and Bronchitis at 19.1% probability. Does the pain in your tonsils worsen when you swallow?### ###Human: Yes, the pain does worsen when I swallow.### ###Assistant: Let's do a throat swab to confirm the diagnosis of Viral pharyngitis.###

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes, I have pain in the side of the chest (L), scapula (R), breast (R), posterior chest wall (R), and posterior chest wall (L). ###Assistant: Have you ever had deep vein thrombosis (DVT)? ###Human: Yes, I have had deep vein thrombosis (DVT). ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 19.98% probability, and Spontaneous pneumothorax at 17.12% probability. Does the pain radiate to another location? ###Human: Yes, the pain radiates to the side of the chest (R), side of the chest (L), scapula (R), posterior chest wall (R), and posterior chest wall (L). ###Assistant: Do you have any swelling located anywhere? ###Human: Nowhere. ###Assistant: Let's get a CT pulmonary angiography to further investigate for a potential pulmonary embolism.

### Assistant: Do you feel slightly dizzy or lightheaded? ### Human: Yes ### Assistant: Do you regularly drink coffee or tea? ### Human: Yes ### Assistant: The top 2 potential diagnoses are PSVT with a probability of 41.8% and Atrial fibrillation with a probability of 26.1%. Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your symptoms, the two most likely diagnoses are PSVT at 41.8% probability and Atrial fibrillation at 26.1% probability. Do you feel slightly dizzy or lightheaded? ### Human: Yes ### Assistant: I recommend an ECG to further evaluate your heart rhythm. ### Human: Thank you for your help.

### Assistant: Do you have pain or weakness in your jaw? ### Human: Yes ### Assistant: Are there any members of your family who have been diagnosed myasthenia gravis? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Myasthenia gravis with a probability of 63.07% and Guillain-Barré syndrome with a probability of 36.93%. Do you feel weakness in both arms and/or both legs? ### Human: Yes ### Assistant: I recommend a blood test to check for specific antibodies related to Myasthenia gravis.

###Assistant: Have you noticed that the tone of your voice has become deeper, softer or hoarse? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as sensitive and burning? Do you feel pain in your tonsil (R), tonsil (L), palace, pharynx, or under the jaw? On a scale of 0 to 10, how intense is the pain? Does the pain radiate to another location? How precisely is the pain located? How fast did the pain appear? Do you have a cough? ###Human: Yes, I have pain in my tonsil (R) and tonsil (L) with an intensity of 5. The pain is not radiating, located at a 2 on the scale, and appeared quickly. I also have a cough. ###Assistant: Do you live with 4 or more people? Do you smoke cigarettes? Have you had a cold in the last 2 weeks? Have you traveled out of the country in the last 4 weeks? ###Human: Yes, I live with 4 or more people, smoke cigarettes, had a cold in the last 2 weeks, and traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are Acute laryngitis at 26.7% probability and Bronchitis at 24.8% probability. Does the pain in your tonsils worsen with swallowing or talking? ###Human: The pain in my tonsils worsens with talking. ###Assistant: Let's perform a throat swab to check for any bacterial infection that could be causing your symptoms.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain as sensitive and burning. Do you feel pain in your tonsil (R), tonsil (L), thyroid cartilage, pharynx, or trachea? ###Human: Tonsil (R) ###Assistant: On a scale of 0 to 10, how intense is the pain? ###Human: 3 ###Assistant: Do you have a fever and a cough? ###Human: Yes, I have a fever and a cough. ###Assistant: Have you lived with 4 or more people, had a cold in the last 2 weeks, and traveled out of the country in the last 4 weeks? ###Human: Yes, I have lived with 4 or more people, had a cold in the last 2 weeks, and traveled out of the country in the last 4 weeks. ###Assistant: Based on your symptoms and antecedents, 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? ###Human: Nowhere ###Assistant: Let's perform a throat swab to help differentiate between Bronchitis and Acute laryngitis.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain as burning. Do you feel pain in your tonsil (R), tonsil (L), thyroid cartilage, palace, under the jaw? ### Human: Yes, I feel pain in my tonsil (R) and tonsil (L). ### Assistant: On a scale of 0 to 10, how intense is the pain? ### Human: 3 ### Assistant: Do you have a fever? ### Human: Yes ### Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 42.9% probability, and Viral pharyngitis at 21.4% probability. Does the pain radiate to another location? ### Human: No, the pain does not radiate to another location. ### Assistant: Let's ask, does the pain increase or decrease with swallowing? This can help differentiate between the two potential diagnoses. ### Human: The pain increases with swallowing. ### Assistant: I recommend a throat swab to test for viral pharyngitis.

###Assistant: Do you feel your abdomen is bloated or distended (swollen due to pressure from inside)?### ###Human: Yes ###Assistant: Were you born prematurely or did you suffer any complication at birth?### ###Human: Yes ###Assistant: The top 2 potential diagnoses are Inguinal hernia with a probability of 31.3% and Bronchitis with a probability of 24.1%. Does the pain you feel in the iliac fossa radiate to any other location?### ###Human: Nowhere ###Assistant: I recommend a physical examination to further evaluate your symptoms and determine the cause of your pain. Thank you for providing this information.### ###Human: Thank you for your help.

###Assistant: Have you had significantly increased sweating?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: a cramp ###Assistant: Do you feel pain somewhere?### ###Human: side of the chest(L), flank(R), flank(L), iliac fossa(R), belly ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 3 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 10 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 8 ###Assistant: Do you feel lightheaded and dizzy or do you feel like you are about to faint?### ###Human: Yes ###Assistant: Do you feel like you are dying or were you afraid that you were about do die?### ###Human: Yes ###Assistant: Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body?### ###Human: Yes ###Assistant: Do you feel anxious?### ###Human: Yes ###Assistant: Have you ever been diagnosed with depression?### ###Human: Yes ###Assistant: Do you suffer from chronic anxiety?### ###Human: Yes ###Assistant: Have you ever had a migraine or is a member of your family known to have migraines?### ###Human: Yes ###Assistant: Do you have asthma or have you ever had to use a bronchodilator in the past?### ###Human: Yes ###Assistant: Do you suffer from fibromyalgia?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 14.1% probability, and Panic attack at 12.7% probability. Does the pain increase or decrease with physical exertion?### ###Human: The pain does not increase or decrease with physical exertion. ###Assistant: Let's get an ECG to check for any signs of a possible heart attack.###

###Assistant: What are your symptoms? ###Human: I have had diarrhea and an increase in stool frequency. My cheeks suddenly turned red, and I have lesions on my skin that are pink in color. The affected regions are my biceps (R), mouth, cervical spine, thoracic spine, and lumbar spine. The pain caused by the rash is a 3 out of 10, and the itching is a 7 out of 10. ###Assistant: Did you eat dark-fleshed fish (such as tuna) or Swiss cheese before the reaction occurred? ###Human: Yes, I did eat dark-fleshed fish before the reaction occurred. I also traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are Scombroid food poisoning at 19.3% probability and Anaphylaxis at 13.1% probability. Does the rash peel off or remain intact? ###Human: The rash does not peel off. ###Assistant: Let's perform a skin prick test to help differentiate between Scombroid food poisoning and Anaphylaxis.

### Assistant: Can you describe the pain caused by the rash in more detail?### Human: The pain caused by the rash is a 7 on a scale of 0 to 10.### Assistant: Have you traveled out of the country in the last 4 weeks?### Human: Yes, I have.### Assistant: Based on your history, the two most likely diagnoses are HIV (initial infection) at 100% probability, and another condition at 0% probability. Does the rash appear in any other location on your body besides the ones you mentioned?### Human: No, it only appears in those locations.### Assistant: I recommend getting a blood test to check for HIV infection.

### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### Human: Yes ### Assistant: Have you ever been diagnosed with gastroesophageal reflux? ### Human: Yes ### Assistant: 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 during the day or at night? ### Human: It occurs more during the day. ### Assistant: I recommend a sputum culture to help differentiate between Bronchitis and Acute COPD exacerbation / infection.

###Assistant: Do you have a cough that produces colored or more abundant sputum than usual?### ###Human: Yes ###Assistant: Have you ever had pneumonia before?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 11.3% probability, and Bronchitis at 10.8% probability. Does the pain radiate to another location?### ###Human: Nowhere ###Assistant: Let's get a chest X-ray to examine for potential pneumonia.

###Assistant: Can you please describe your pain in more detail?### ###Human: The pain is haunting, a knife stroke, tugging, violent, and sharp. It is located in my forehead, cheek (R), cheek (L), eye (R), and temple (R). The intensity of the pain is 9 out of 10, and it appeared rapidly with a score of 8.### ###Assistant: Do you take medication that dilates your blood vessels?### ###Human: Yes, I do.### ###Assistant: 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?### ###Human: The pain does not radiate to another location.### ###Assistant: Let's schedule a neurological examination to further evaluate your symptoms and confirm the diagnosis.###

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: a knife stroke ###Assistant: Do you feel pain somewhere?### ###Human: tonsil(R), tonsil(L), back of the neck, palace, pharynx ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 5 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 8 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 9 ###Assistant: Do you have difficulty swallowing, or have a feeling of discomfort/blockage when swallowing?### ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)?### ###Human: Yes ###Assistant: Have you noticed that you produce more saliva than usual?### ###Human: Yes ###Assistant: Do you regularly take stimulant drugs?### ###Human: Yes ###Assistant: Do you have diabetes?### ###Human: Yes ###Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol?### ###Human: Yes ###Assistant: Do you have high blood pressure or do you take medications to treat high blood pressure?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Croup at 13.5% probability, and Pneumonia at 13.0% probability. Does the pain radiate to another location?### ###Human: The pain does not radiate to another location. ###Assistant: Let's perform a throat swab to check for any bacterial infection that could be causing your symptoms.

###Assistant: What are your symptoms? ###Human: I have pain somewhere related to my reason for consulting. It is heavy and exhausting. The pain is located in the back of my head, side of the neck (R), side of the neck (L), top of the head, and forehead. The intensity of the pain is 3 on a scale of 0 to 10. I feel so tired that I am unable to do my usual activities and have a fever, chills, sore throat, diffuse muscle pain, loss of appetite, nasal congestion, and a cough. ###Assistant: Have you traveled out of the country in the last 4 weeks? Do you smoke cigarettes? ###Human: Yes, I have traveled out of the country in the last 4 weeks and I smoke cigarettes. ###Assistant: Based on your history, the two most likely diagnoses are Influenza at 16.9% probability and URTI at 16.2% probability. Does the pain in your head and neck worsen with movement or certain positions? ###Human: The pain does not worsen with movement or certain positions. ###Assistant: I recommend getting a rapid influenza test to confirm the diagnosis.

### Assistant: What are your symptoms? ### Human: I have pain somewhere related to my reason for consulting. The pain is tedious, sensitive, and tugging. It is located in my ankle (R), ankle (L), calf (L), breast (R), and posterior chest wall (R). The pain intensity is 7 on a scale of 0 to 10. The pain radiates to my biceps (R), biceps (L), jaw, shoulder (R), and shoulder (L). The pain location precision is 4 on a scale of 0 to 10, and it appeared with a speed of 3 on a scale of 0 to 10. I am also experiencing shortness of breath and difficulty breathing, with bouts of choking that wake me up at night. I have swelling in my ankle (R), ankle (L), calf (L), and tibia (R). I have noticed new fatigue, generalized discomfort, and muscle aches. My symptoms worsen when lying down but improve when sitting up. They also worsen with physical exertion but improve with rest. ### Assistant: Any relevant medical history? ### Human: I have had fluid in my lungs, high blood pressure, a heart attack, and heart failure. I have also traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Acute pulmonary edema at 8.3% probability and Pulmonary embolism at 6.8% probability. Does the pain in your ankle (R) worsen with physical exertion or is it constant? ### Human: The pain in my ankle (R) worsens with physical exertion. ### Assistant: Let's get a chest X-ray to examine for potential pulmonary edema.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Can you characterize your pain for me? Is it sensitive or burning? ###Human: It is sensitive and burning. ###Assistant: Where do you feel the pain specifically? ###Human: I feel the pain in my thyroid cartilage, palate, and pharynx. ###Assistant: On a scale of 0 to 10, how intense is the pain? ###Human: The pain is an 8. ###Assistant: Do you have a fever? ###Human: Yes, I do. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ###Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 27.4% probability and Possible NSTEMI / STEMI at 17.1% probability. Does the pain radiate to another location? ###Human: No, the pain does not radiate to another location. ###Assistant: Let's focus on the pain location. Can you describe how precisely the pain is located on a scale of 0 to 10? ###Human: The pain is located at a 5. ###Assistant: I recommend a throat swab to confirm the diagnosis of Viral pharyngitis.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: sensitive, a knife stroke, sharp ###Assistant: Do you feel pain somewhere?### ###Human: side of the chest(R), side of the chest(L), scapula(R), scapula(L), breast(L) ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 9 ###Assistant: Does the pain radiate to another location?### ###Human: upper chest, scapula(R), breast(R), posterior chest wall(R) ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 10 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 10 ###Assistant: Do you have swelling in one or more areas of your body?### ###Human: Yes ###Assistant: Where is the swelling located?### ###Human: calf(R) ###Assistant: Did you lose consciousness?### ###Human: Yes ###Assistant: Have you ever had deep vein thrombosis (DVT)?### ###Human: Yes ###Assistant: Have you had surgery within the last month?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 12.5% probability, and Possible NSTEMI / STEMI at 9.9% probability. Does the pain increase with deep breathing or coughing?### ###Human: The pain does not increase with deep breathing or coughing. ###Assistant: Let's get a CT pulmonary angiography to further investigate for a potential pulmonary embolism.

###Assistant: Have you been coughing up blood? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: burning ###Assistant: Do you feel pain somewhere? ###Human: tonsil(R), thyroid cartilage, palace, pharynx, under the jaw ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 6 ###Assistant: Does the pain radiate to another location? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 10 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 1 ###Assistant: Do you have nasal congestion or a clear runny nose? ###Human: Yes ###Assistant: Do you live with 4 or more people? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Are you immunosuppressed? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 41.5% probability, and Possible NSTEMI / STEMI at 24.9% probability. Does the pain increase with swallowing or talking? ###Human: The pain increases with swallowing. ###Assistant: Let's perform a rapid strep test to confirm the diagnosis of Viral pharyngitis.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Can you please characterize your pain for me? Is it heavy, sharp, sickening, or scary? ### Human: The pain is heavy, sharp, sickening, and scary. ### Assistant: Where do you feel the pain? Is it on the side of the chest (R), side of the chest (L), breast (R), breast (L), or epigastric? ### Human: I feel the pain on the side of the chest (R). ### Assistant: On a scale of 0 to 10, how intense is the pain? ### Human: The pain intensity is 10. ### Assistant: Does the pain radiate to another location, such as the biceps (R), biceps (L), thyroid cartilage, thoracic spine, or shoulder (R)? ### Human: The pain does not radiate to any other location. ### Assistant: On a scale of 0 to 10, how precisely is the pain located? ### Human: The pain is located with a precision of 2. ### Assistant: On a scale of 0 to 10, how fast did the pain appear? ### Human: The pain appeared with a speed of 7. ### Assistant: Are you infected with the human immunodeficiency virus (HIV)? ### Human: Yes ### Assistant: Do you have diabetes? ### Human: Yes ### Assistant: Are you significantly overweight compared to people of the same height as you? ### Human: Yes ### Assistant: Do you have high cholesterol or do you take medications to treat high cholesterol? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Do you have high blood pressure or do you take medications to treat high blood pressure? ### Human: Yes ### Assistant: Do you have a problem with poor circulation? ### Human: Yes ### Assistant: Are you a former smoker? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Do you have close family members who had a cardiovascular disease problem before the age of 50? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 100% probability. Does the pain radiate to the biceps (R) or biceps (L)? ### Human: The pain does not radiate to the biceps (R) or biceps (L). ### Assistant: Let's proceed with an ECG to further evaluate your condition.

###Assistant: Have you noticed that the tone of your voice has become deeper, softer or hoarse? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? ###Human: The pain is burning. I feel pain in my tonsil (R), thyroid cartilage, pharynx, under the jaw. The intensity is 3. The pain is located precisely at 4. The pain appeared at a rate of 4. ###Assistant: Do you live with 4 or more people? Have you had a cold in the last 2 weeks? Have you traveled out of the country in the last 4 weeks? ###Human: Yes, I live with 4 or more people. Yes, I had a cold in the last 2 weeks. Yes, I traveled out of the country in the last 4 weeks. ###Assistant: 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 worsen with swallowing or speaking? ###Human: The pain worsens with speaking. ###Assistant: Let's perform a throat swab to confirm the diagnosis of Acute laryngitis.

### Assistant: What are your symptoms? ### Human: I have significantly increased sweating, tedious, sensitive, heavy pain in my cheek (R), cheek (L), occiput, temple (R), and temple (L). The pain intensity is 6 on a scale of 0-10. The pain does not radiate to another location and is precisely located at 4. It appeared fast. I have a cough that produces colored or more abundant sputum than usual, a fever, sore throat, diffuse muscle pain, and nasal congestion. ### 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 smoke cigarettes? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I have been in contact with a person with similar symptoms, live with 4 or more people, smoke cigarettes, and have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are URTI at 16.1% probability and Influenza at 15.2% probability. Does the pain in your cheek (R) or cheek (L) worsen with chewing or talking? ### Human: The pain in my cheek (R) and cheek (L) does not worsen with chewing or talking. ### Assistant: Let's perform a rapid influenza diagnostic test to differentiate between URTI and Influenza.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: It feels like a knife stroke, tugging, burning, and sickening. ###Assistant: Do you feel pain somewhere? ###Human: In my lower chest, upper chest, hypochondrium(R), hypochondrium(L), and belly. ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 3 ###Assistant: Does the pain radiate to another location? ###Human: Yes, to my lower chest and upper chest. ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 2 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 2 ###Assistant: Have you recently had stools that were black (like coal)? ###Human: Yes ###Assistant: Do you have a burning sensation that starts in your stomach then goes up into your throat, and can be associated with a bitter taste in your mouth? ###Human: Yes ###Assistant: Do you have a cough? ###Human: Yes ###Assistant: Are you significantly overweight compared to people of the same height as you? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Do you have a hiatal hernia? ###Human: Yes ###Assistant: Do you have asthma or have you ever had to use a bronchodilator in the past? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 29.6% probability, and Possible NSTEMI / STEMI at 20.9% probability. Does the pain increase with coughing or deep breathing? ###Human: The pain does not increase with coughing or deep breathing. ###Assistant: Let's schedule an upper endoscopy to further evaluate your symptoms and rule out GERD.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Have you been coughing up blood? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: sensitive, a knife stroke, sharp ### Assistant: Do you feel pain somewhere? ### Human: side of the chest(L), breast(R), breast(L), posterior chest wall(R), posterior chest wall(L) ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 1 ### Assistant: Does the pain radiate to another location? ### Human: side of the chest(R), scapula(R), scapula(L), posterior chest wall(R), posterior chest wall(L) ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 9 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 7 ### Assistant: Do you have swelling in one or more areas of your body? ### Human: Yes ### Assistant: Where is the swelling located? ### Human: calf(L) ### Assistant: Do you have pain that is increased when you breathe in deeply? ### Human: Yes ### Assistant: Do you have an active cancer? ### Human: Yes ### Assistant: Have you ever had deep vein thrombosis (DVT)? ### Human: Yes ### Assistant: Have you been unable to move or get up for more than 3 consecutive days within the last 4 weeks? ### Human: Yes ### Assistant: Have you had surgery within the last month? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 10.9% probability, and Pericarditis at 8.8% probability. Does the pain worsen with deep breathing or coughing? ### Human: The pain does worsen with deep breathing. ### Assistant: Let's get a CT pulmonary angiography to confirm or rule out a pulmonary embolism. ###

###Assistant: What are your symptoms? ###Human: I have been coughing up blood. I have pain in my tonsil (L), thyroid cartilage, palace, under the jaw. The pain is burning and has an intensity of 8 on a scale of 0 to 10. It appeared at a pace of 1. I also have nasal congestion or a clear runny nose. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? ###Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 41.5% probability, and Possible NSTEMI / STEMI at 24.9% probability. Does the pain radiate to another location? ###Human: No, the pain does not radiate to another location. ###Assistant: Let's focus on the burning pain you mentioned. Does the pain increase or decrease with swallowing? ###Human: The pain increases with swallowing. ###Assistant: I recommend a throat swab to confirm the diagnosis of Viral pharyngitis.

### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Have you been coughing up blood? ### Human: Yes ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### Human: Yes ### Assistant: Have you had an involuntary weight loss over the last 3 months? ### Human: Yes ### Assistant: Are you infected with the human immunodeficiency virus (HIV)? ### Human: Yes ### Assistant: Do you take corticosteroids? ### Human: Yes ### Assistant: Are you currently using intravenous drugs? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Is your BMI less than 18.5, or are you underweight? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Tuberculosis at 13.6% probability, and Bronchitis at 12.7% probability. Does your cough worsen at night or in the morning? ### Human: My cough tends to worsen in the morning. ### Assistant: Let's schedule a sputum test to check for tuberculosis as the next step for diagnosis. ###

### Assistant: Have you been coughing up blood? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize the pain for me? ### Human: Yes, the pain is sensitive, a knife stroke, and sharp. It is located on the side of the chest (R) and side of the chest (L). On a scale of 0 to 10, the intensity is 5. The pain radiates to the side of the chest (R), side of the chest (L), scapula (L), breast (L), and posterior chest wall (L). The pain appeared quickly with a score of 7. ### Assistant: Do you have swelling in one or more areas of your body? Where is the swelling located? ### Human: Yes, I have swelling in the posterior aspect of the ankle (L) and calf (L). ### Assistant: Do you have an active cancer? Have you had surgery within the last month? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I have an active cancer. Yes, I had surgery within the last month. Yes, I traveled out of the country in the last 4 weeks. ### Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Pulmonary embolism at 10.3% probability and Pulmonary neoplasm at 9.1% probability. Does the pain increase when you breathe in deeply? ### Human: Yes, the pain is increased when I breathe in deeply. ### Assistant: Let's proceed with a CT pulmonary angiography to further investigate for a potential pulmonary embolism.

###Assistant: Have you been coughing up blood?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: It feels like a knife stroke, sharp. ###Assistant: Do you feel pain somewhere?### ###Human: side of the chest(L), posterior chest wall(R) ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 5 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 5 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 4 ###Assistant: Do you have a cough that produces colored or more abundant sputum than usual?### ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)?### ###Human: Yes ###Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for?### ###Human: Yes ###Assistant: What color is the rash?### ###Human: pink ###Assistant: Do your lesions peel off?### ###Human: Yes ###Assistant: On a scale of 0 to 10, Is the rash swollen?### ###Human: 4 ###Assistant: Where is the affected region located?### ###Human: back of the neck, commissure(L), buttock(R), shoulder(L) ###Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash?### ###Human: 0 ###Assistant: Is the lesion (or are the lesions) larger than 1cm?### ###Human: N ###Assistant: On a scale of 0 to 10, How severe is the itching?### ###Human: 1 ###Assistant: Do you have a cough?### ###Human: Yes ###Assistant: Do you have heart failure?### ###Human: Yes ###Assistant: Have you ever had a stroke?### ###Human: Yes ###Assistant: Have you ever had pneumonia?### ###Human: Yes ###Assistant: Do you have a chronic obstructive pulmonary disease (COPD)?### ###Human: Yes ###Assistant: Do you have asthma or have you ever had to use a bronchodilator in the past?### ###Human: Yes ###Assistant: Have you had surgery within the last month?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Is your BMI less than 18.5, or are you underweight?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 37.1% probability, and Pneumonia at 30.9% probability. Does the pain increase or decrease with coughing?### ###Human: The pain does not increase or decrease with coughing. ###Assistant: Let's get a chest X-ray to confirm the diagnosis.### ###Human: Okay.

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is sensitive, like a pulse, located at the back of my head, temple (R), and temple (L). On a scale of 0 to 10, the intensity is 3, and it appeared relatively fast at a 5.### ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, I have. I have also had sexual intercourse with an HIV-positive partner in the past 12 months and currently use intravenous drugs.### ###Assistant: Based on your history, the two most likely diagnoses are HIV (initial infection) at 30.3% probability and Influenza at 25.4% probability. Does the pain in your head radiate to any other location?### ###Human: No, the pain does not radiate to another location.### ###Assistant: I recommend getting a blood test to check for HIV infection.###

###Assistant: Can you describe your pain for me?### Human: The pain is heartbreaking, haunting, and sharp. It is located in my breast (R) and posterior chest wall (R). The intensity is 7 out of 10, and it radiates to my posterior chest wall (L). It appeared very quickly, with a rating of 9 out of 10. ###Assistant: Do you have any relevant medical history?### Human: Yes, I have been treated for osteoporosis, and I have a history of excessive alcohol consumption. I have also traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are spontaneous rib fracture at 19.9% probability and bronchitis at 18.1% probability. Does the pain increase with movement or deep breathing?### Human: Yes, the pain does increase with movement and deep breathing. ###Assistant: Let's schedule a chest X-ray to further investigate the possibility of a spontaneous rib fracture.

###Assistant: Can you describe the pain you're experiencing in detail?### Human: The pain is tedious, sensitive, and feels like a pulse. It is located at the back of my head, back of the neck, top of the head, and temple (R). The intensity of the pain is 7 on a scale of 0 to 10, and it appeared suddenly. ###Assistant: Have you ever had a sexually transmitted infection?### Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are HIV (initial infection) at 33.8% probability and Chagas at 23.6% probability. Does the rash you mentioned peel off at all?### Human: No, it does not peel off. ###Assistant: I recommend getting a blood test to check for HIV to confirm the diagnosis.### Human: Thank you for your help.

###Assistant: What are your symptoms? ###Human: I have been coughing up blood and have pain in my lower chest, side of the chest (R), and side of the chest (L). The pain feels like a knife stroke, with an intensity of 6 on a scale of 0 to 10. The pain appeared relatively fast, with a rating of 4. I also have a cough that produces colored sputum, a pink rash on the side of my neck (R), flank (R), and flank (L) that peels off, and diffuse muscle pain. I have nasal congestion, a clear runny nose, and pain that increases when I breathe in deeply. I have also experienced a loss of appetite and fatigue. ###Assistant: Any relevant medical history? ###Human: I have had pneumonia, smoke cigarettes, have COPD, had surgery within the last month, and have traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 13.9% probability and Bronchiectasis at 11.8% probability. Does the pain in your chest radiate to another location? ###Human: The pain does not radiate to another location. ###Assistant: Let's get a chest X-ray to examine for potential bronchitis or bronchiectasis.

###Assistant: Can you describe the pain you're experiencing in your lower chest and breasts?### Human: The pain feels like a knife stroke, sharp. It's located in my lower chest, breast (R), and breast (L). The intensity of the pain is 8 out of 10. ###Assistant: Have you recently had a viral infection or a history of pericarditis?### Human: Yes, I have recently had a viral infection and have had pericarditis before. ###Assistant: 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 radiate to another location, such as your thoracic spine or posterior chest wall (R)?### Human: Yes, the pain does radiate to my thoracic spine and posterior chest wall (R). ###Assistant: I recommend getting an ECG to further evaluate for any potential cardiac issues related to pericarditis or NSTEMI/STEMI.###

###Assistant: Do you feel lightheaded and dizzy or do you feel like you are about to faint? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes, a cramp ###Assistant: Do you feel pain somewhere? If so, where? ###Human: Yes, on the top of the head, temple (R) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 2 ###Assistant: Have you recently had stools that were black (like coal)? ###Human: Yes ###Assistant: Do you have a poor diet? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 32.8% probability, and HIV (initial infection) at 16.9% probability. Does the pain radiate to another location? ###Human: Nowhere ###Assistant: Let's recommend a blood test to check your hemoglobin levels for a more accurate diagnosis.

###Assistant: Can you characterize your pain for me?### Human: The pain is tedious and heavy. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### Human: Yes. ###Assistant: Based on your history, the two most likely diagnoses are URTI at 21.3% probability, and Influenza at 19.3% probability. Does the pain radiate to another location?### Human: Nowhere. ###Assistant: Let's do a nasal swab to test for the presence of the virus causing the symptoms.

###Assistant: Have you had significantly increased sweating?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: heavy, exhausting ###Assistant: Do you feel pain somewhere?### ###Human: back of the neck, top of the head, forehead, occiput, pharynx ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 7 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 3 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 4 ###Assistant: Do you feel so tired that you are unable to do your usual activities or are you stuck in your bed all day long?### ###Human: Yes ###Assistant: Do you have a fever (either felt or measured with a thermometer)?### ###Human: Yes ###Assistant: Have you had chills or shivers?### ###Human: Yes ###Assistant: Do you have a sore throat?### ###Human: Yes ###Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for?### ###Human: Yes ###Assistant: What color is the rash?### ###Human: pink ###Assistant: Do your lesions peel off?### ###Human: N ###Assistant: On a scale of 0 to 10, Is the rash swollen?### ###Human: 4 ###Assistant: Where is the affected region located?### ###Human: side of the neck(L) ###Assistant: On a scale of 0 to 10, How intense is the pain caused by the rash?### ###Human: 3 ###Assistant: Is the lesion (or are the lesions) larger than 1cm?### ###Human: Y ###Assistant: On a scale of 0 to 10, How severe is the itching?### ###Human: 1 ###Assistant: Have you recently had a loss of appetite or do you get full more quickly then usually?### ###Human: Yes ###Assistant: Do you have nasal congestion or a clear runny nose?### ###Human: Yes ###Assistant: Do you have a cough?### ###Human: Yes ###Assistant: Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed?### ###Human: Yes, Yes, Yes ###Assistant: Based on your history, the two most likely diagnoses are Influenza at 12.8% probability, and URTI at 12.5% probability. Does the pain in your neck and head worsen with movement or certain positions?### ###Human: The pain remains constant and does not worsen with movement or positions. ###Assistant: Let's perform a rapid influenza diagnostic test to confirm the diagnosis.

###Assistant: Have you noticed a wheezing sound when you exhale?### ###Human: Yes ###Assistant: Have you had 2 or more asthma attacks in the past year?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchospasm / acute asthma exacerbation at 9.7% probability, and Bronchitis at 8.4% probability. Does your cough produce any mucus?### ###Human: Yes, my cough produces yellowish-green mucus. ###Assistant: I recommend performing a pulmonary function test to further evaluate your lung function and confirm the diagnosis.

###Assistant: Do you feel pain somewhere, related to your reason for consulting? ###Human: Yes, the pain is tugging, a cramp. It is located at the top of the head, forehead, and temple (L). The intensity of the pain is 5 out of 10, and it appeared at a pace of 1 out of 10. ###Assistant: Have you ever had a diagnosis of anemia? ###Human: Yes, I have had a diagnosis of anemia. I also have a poor diet, chronic kidney failure, and I am underweight with a BMI less than 18.5. ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 15.1% probability and Atrial fibrillation at 12.4% probability. Does the pain radiate to another location? ###Human: No, the pain does not radiate to another location. ###Assistant: Do you have very abundant or very long menstruation periods? ###Human: Yes, I have very abundant or very long menstruation periods. ###Assistant: Let's conduct a blood test to check your hemoglobin levels and further investigate the possibility of anemia.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, I have sharp pain in the back of the neck, ankle (R), dorsal aspect of the wrist (L), shoulder (R), and shoulder (L). The pain intensity is 6 on a scale of 0 to 10, and it appeared quickly with a rating of 1. ### Assistant: Have you ever had pericarditis? ### Human: Yes, I have had pericarditis. ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 12.9% probability and SLE at 12.3% probability. Does the pain in your neck and joints worsen with movement or rest? ### Human: The pain in my neck and joints does not worsen with movement or rest. ### Assistant: Let's proceed with a blood test to check for any autoimmune markers that could indicate SLE as a potential diagnosis.

###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes, I have pain in my flank (L), hypochondrium (L), and epigastric region. The pain is sensitive with an intensity of 3 on a scale of 0 to 10. It radiates to my thoracic spine and appeared with a pace of 1.### ###Assistant: Do you have chronic pancreatitis?### ###Human: Yes, I do have chronic pancreatitis. I also smoke cigarettes and have traveled out of the country in the last 4 weeks.### ###Assistant: Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 48.4% probability, and Anemia at 26.3% probability. Does the pain in your flank and hypochondrium worsen after eating fatty foods?### ###Human: Yes, the pain does worsen after eating fatty foods.### ###Assistant: I recommend getting a CT scan of your abdomen to further evaluate the possibility of a pancreatic neoplasm.###

### Assistant: What are your symptoms? ### Human: I have haunting, a knife stroke, sharp pain in my forehead, cheek(R), eye(R), eye(L), and temple(R). The pain intensity is 7 on a scale of 0 to 10, and it appeared rapidly with a score of 9. I also feel that my eyes produce excessive tears. ### Assistant: Have any of your family members been diagnosed with cluster headaches? ### Human: Yes, some family members have been diagnosed with cluster headaches. I also drink alcohol excessively, have an addiction to alcohol, take medication that dilates my blood vessels, and have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Cluster headache at 100% probability. Does the pain increase or decrease with physical exertion? ### Human: The pain does not increase or decrease with physical exertion. ### Assistant: Do you experience any specific triggers that worsen your headaches, such as certain foods or activities? ### Human: No, I do not experience any specific triggers that worsen my headaches. ### Assistant: I recommend a neurological examination to further evaluate your symptoms and confirm the diagnosis of Cluster headache.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: burning, sharp ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 5 ###Assistant: Does the pain radiate to another location? ###Human: back of head, temple(R), temple(L) ###Assistant: Have you had a cold in the last 2 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Acute rhinosinusitis at 20.6% probability, and Chronic rhinosinusitis at 19.2% probability. Does the pain increase or decrease with physical exertion? ###Human: The pain does not increase or decrease with physical exertion. ###Assistant: Let's recommend a nasal endoscopy to further evaluate your symptoms.

###Assistant: What are your symptoms?### Human: I have significantly increased sweating and a sharp cramp-like pain on the side of my chest (R) with an intensity of 6. I also have shortness of breath, dizziness, fear of dying, nausea, numbness in my arms and legs, and feeling detached from my body. ###Assistant: Any relevant medical history?### Human: I feel anxious, have a history of migraines in my family, asthma, fibromyalgia, head trauma, and recent travel out of the country. ###Assistant: Based on your history, the two most likely diagnoses are Panic attack at 14.9% probability, and Boerhaave at 10.3% probability. Does the pain radiate to another location?### Human: The pain does not radiate to another location. ###Assistant: Let's recommend a psychological evaluation to further assess for panic attacks.###

###Assistant: Do you have a cough?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: burning ###Assistant: Do you feel pain somewhere?### ###Human: side of the chest(L), upper chest, breast(R) ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 3 ###Assistant: Does the pain radiate to another location?### ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 5 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 4 ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you have a sore throat?### ###Human: Yes ###Assistant: Do you have a cough?### ###Human: Yes ###Assistant: Have you noticed a wheezing sound when you exhale?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Are your vaccinations up to date?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 5.2% probability, and Bronchitis at 5% probability. Does the pain increase or decrease with physical exertion?### ###Human: The pain does not increase or decrease with physical exertion. ###Assistant: Let's get a chest X-ray to examine for any potential abnormalities.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain as tedious, tugging, or sharp. How intense is the pain on a scale of 0 to 10? ###Human: The pain is tedious, tugging, and sharp with an intensity of 8. ###Assistant: Do you have swelling in one or more areas of your body? Where is the swelling located? ###Human: Yes, the swelling is located in my ankle(L), thigh(R), thigh(L), dorsal aspect of the foot(L), and sole(R). ###Assistant: Are you currently taking or have you recently taken anti-inflammatory drugs (NSAIDs)? Do you have a known issue with one of your heart valves? ###Human: Yes, I am currently taking anti-inflammatory drugs (NSAIDs) and I have a known issue with one of my heart valves. ###Assistant: Based on your history, the two most likely diagnoses are Localized edema at 67.5% probability and Chagas at 20.3% probability. Does the pain radiate to another location? ###Human: The pain does not radiate to another location. ###Assistant: Let's focus on the pain location. Can you describe how precisely the pain is located in the ankle and foot areas to help differentiate between Localized edema and Chagas? ###Human: The pain is located with a precision of 3 on a scale of 0 to 10. ###Assistant: I recommend a Doppler ultrasound to further evaluate the swelling and pain in your ankle and foot areas. ###Human: Thank you for your recommendation.