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### Assistant: Do you have the perception of seeing two images of a single object seen overlapping or adjacent to each other (double vision)? ### 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 67.98% and Guillain-Barré syndrome with a probability of 32.02%. 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: Do you have the perception of seeing two images of a single object seen overlapping or adjacent to each other (double vision)?### ###Human: Yes ###Assistant: Are there any members of your family who have been diagnosed myasthenia gravis?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Myasthenia gravis at 22.9% probability, and Pulmonary embolism at 13.3% probability. Does your difficulty swallowing come and go, or is it constant?### ###Human: My difficulty swallowing comes and goes. ###Assistant: Let's schedule a blood test to check for acetylcholine receptor antibodies, which can help confirm a diagnosis of Myasthenia gravis.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have a known issue with one of your heart valves? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are PSVT at 30.4% probability, and Myocarditis at 29.7% probability. Does the dizziness you feel come on suddenly or gradually? ### Human: The dizziness comes on suddenly. ### Assistant: Let's schedule an ECG to further evaluate for PSVT.

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is sensitive and burning. It is located in my tonsil (R) and tonsil (L), thyroid cartilage, palace, and pharynx. The intensity of the pain is 4 on a scale of 0 to 10, and it appeared relatively fast with a rating of 1.### ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### ###Human: Yes, I have. I also live with 4 or more people, smoke cigarettes, have traveled out of the country in the last 4 weeks, and am immunosuppressed.### ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 33.8% probability and Viral pharyngitis at 21.6% probability. Does the pain in your tonsils worsen when you swallow?### ###Human: Yes, the pain does worsen when I swallow.### ###Assistant: Let's perform a throat swab to confirm the presence of a viral infection and rule out bronchitis.###

### 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: The pain is sharp ### Assistant: Do you feel pain somewhere? ### ### Human: side of the chest(R), side of the chest(L), breast(R), breast(L), posterior chest wall(R) ### 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: 3 ### 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: Have you had chills or shivers? ### ### 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: Y ### Assistant: On a scale of 0 to 10, Is the rash swollen? ### ### Human: 3 ### Assistant: Where is the affected region located? ### ### Human: lumbar spine, commissure(L), belly ### 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: N ### Assistant: On a scale of 0 to 10, How severe is the itching? ### ### Human: 2 ### Assistant: Do you have diffuse (widespread) muscle pain? ### ### Human: Yes ### Assistant: Have you recently had a loss of appetite or do you get full more quickly than usual? ### ### Human: Yes ### Assistant: Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today? ### ### Human: Yes ### Assistant: 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: Do you have Parkinson’s disease? ### ### Human: Yes ### Assistant: Do you have heart failure? ### ### 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 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 13.3% probability and Pneumonia at 12.5% probability. Does the cough produce colored or more abundant sputum than usual? ### ### Human: Yes ### Assistant: Let's get a chest X-ray to confirm the diagnosis.

### Assistant: What are your symptoms? ### Human: I have haunting, a knife stroke, violent, sharp pain in my forehead, cheek(L), eye(R), eye(L), and temple(R). The pain intensity is 10, and it appeared rapidly with a 9 on the scale. I also have nasal congestion or a clear runny nose. ### 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 69.1% probability, and Anemia at 30.9% 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 neurological examination to further investigate and confirm the diagnosis of Cluster headache.

###Assistant: Can you describe the pain you're feeling in more detail?### ###Human: The pain is haunting, like a knife stroke, violent, and sickening. It's located in my upper chest, hypochondrium (L), belly, and epigastric area. On a scale of 0 to 10, the intensity is 6. It radiates to my thoracic spine and scapula (R). It appeared quickly, with a rating of 6.### ###Assistant: Do you drink alcohol excessively or have an addiction to alcohol? Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, I do drink alcohol excessively and have an addiction to alcohol. I have also traveled out of the country in the last 4 weeks.### ###Assistant: Based on your symptoms and antecedents, the two most likely diagnoses are Possible NSTEMI / STEMI at 14.8% probability and Boerhaave at 14.7% probability. Does the pain worsen when you swallow or eat?### ###Human: Yes, the pain does worsen when I swallow or eat.### ###Assistant: Let's schedule an upper gastrointestinal endoscopy to further investigate the cause of your symptoms.###

###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 heartbreaking, haunting, a knife stroke, violent, or sickening?### ###Human: Yes, the pain is heartbreaking, haunting, a knife stroke, violent, and sickening. It is located in my flank (L), upper chest, hypochondrium (L), belly, and epigastric. The intensity of the pain is 10 on a scale of 0 to 10. It radiates to my thoracic spine and scapula (L). The pain is precisely located at 7 and appeared rapidly at 7. ###Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, I drink alcohol excessively and have an addiction to alcohol. I have traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are Boerhaave at 14% probability and Spontaneous pneumothorax at 11.4% probability. Does the pain increase or decrease with physical exertion?### ###Human: The pain does not change with physical exertion. ###Assistant: Let's schedule an esophagram to further investigate the possibility of Boerhaave syndrome.

###Assistant: What are your symptoms? ###Human: I have the perception of seeing two images of a single object seen overlapping or adjacent to each other (double vision). I also have difficulty articulating words/speaking, shortness of breath or difficulty breathing, weakness in both arms and/or both legs, symptoms of muscle weakness that increase with fatigue and/or stress, and a hard time opening/raising one or both eyelids. I previously had weakness/paralysis in one or more of my limbs or in my face. ###Assistant: Are there any members of your family who have been diagnosed with myasthenia gravis? ###Human: Yes, there are. ###Assistant: Based on your history, the two most likely diagnoses are Myasthenia gravis at 15.8% probability, and Guillain-Barré syndrome at 13.3% probability. Do you experience any tingling or numbness in your limbs? ###Human: No, I do not experience any tingling or numbness in my limbs. ###Assistant: Let's proceed with a blood test to check for specific antibodies related to myasthenia gravis.

###Assistant: What are your symptoms? ###Human: I have swollen or painful lymph nodes, significantly increased sweating, tedious pain in the back of the head, top of the head, and forehead with an intensity of 6, a sore throat, pale rash on lower gum, upper gum, labia majora(R), labia majora(L), and internal cheek(R), diffuse muscle pain, and feeling nauseous. ###Assistant: Have you ever had a sexually transmitted infection, currently using intravenous drugs, or traveled out of the country in the last 4 weeks? ###Human: Yes, I have had a sexually transmitted infection, currently using intravenous drugs, and traveled out of the country in the last 4 weeks. ###Assistant: Based on your history, the two most likely diagnoses are HIV (initial infection) at 21.7% probability and Chagas at 20.9% probability. Does the pain caused by the rash increase or decrease with movement? ###Human: The pain caused by the rash does not increase or decrease with movement. ###Assistant: Let's proceed with a blood test to check for HIV and Chagas infection.

###Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is tedious, sensitive, tugging, and heavy. It is located in my upper chest, calf (R), breast (R), breast (L), and posterior chest wall (L). On a scale of 0 to 10, the intensity of the pain is 5. The pain radiates to my biceps (R), biceps (L), jaw, shoulder (R), and shoulder (L). It appeared with a speed of 2. ###Assistant: Have you ever had fluid in your lungs, currently undergo dialysis, have heart failure, or traveled out of the country in the last 4 weeks?### Human: Yes, I have had fluid in my lungs, currently undergo dialysis, have heart failure, and 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 8.2% probability and Unstable angina at 7.6% probability. Does the pain in your upper chest worsen when lying down and improve when sitting up?### Human: Yes, my symptoms are worse when lying down and alleviated while sitting up. ###Assistant: Let's perform a chest X-ray to further investigate the possibility of acute pulmonary edema.

### Assistant: Do you have intense coughing fits? ### Human: Yes, I do. ### Assistant: Did you vomit after coughing? ### Human: Yes, I did. ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I have. ### Assistant: The top 2 potential diagnoses are Whooping cough with a probability of 50.9% and Bronchitis with a probability of 49.1%. ### Assistant: Do you have any other symptoms associated with your coughing fits, such as a runny nose or fever? ### Human: No, I don't have a runny nose or fever. ### Assistant: I recommend getting a throat swab to test for Whooping cough.

###Assistant: What are your symptoms? ###Human: I have been coughing up blood and have pain in the side of the chest (L), scapula (R), scapula (L), breast (R), and breast (L). The pain intensity is 1 on a scale of 0-10, and it radiates to the side of the chest (R), side of the chest (L), scapula (R), scapula (L), and posterior chest wall (R). The pain appeared relatively fast with a score of 4. ###Assistant: Any relevant medical history? ###Human: I have had deep vein thrombosis (DVT) and have been unable to move or get up for more than 3 consecutive days within the last 4 weeks. I have also 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 23.1% probability and Pulmonary embolism at 22.9% probability. Does the pain worsen with deep breathing or coughing? ###Human: The pain does not worsen with deep breathing or coughing. ###Assistant: Let's proceed with a D-dimer blood test to help confirm or rule out the possibility of a pulmonary embolism.

###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), palace, pharynx, under the jaw, and trachea? ###Human: Yes ###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: 6 ###Assistant: On a scale of 0 to 10, how fast did the pain appear? ###Human: 2 ###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 live with 4 or more people? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Have you had a cold in the last 2 weeks? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 24.7% probability and Acute laryngitis at 16.9% probability. Does the pain increase with coughing or speaking? ###Human: The pain does not increase with coughing or speaking. ###Assistant: Let's perform a throat swab to check for any bacterial infection.

###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 is sensitive and tugging ###Assistant: Do you feel pain in any specific locations?### ###Human: ankle(L), side of the chest(R), calf(R), breast(L), posterior chest wall(R) ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 4 ###Assistant: Does the pain radiate to another location?### ###Human: biceps(R), biceps(L), triceps(R), triceps(L), shoulder(L) ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 1 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 3 ###Assistant: Have you ever had fluid in your lungs?### ###Human: Yes ###Assistant: Do you currently undergo dialysis?### ###Human: Yes ###Assistant: Do you have high blood pressure or do you take medications to treat high blood pressure?### ###Human: Yes ###Assistant: Have you ever had a heart attack or do you have angina (chest pain)?### ###Human: Yes ###Assistant: Do you have heart failure?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Acute pulmonary edema at 9.2% probability, and SLE at 7.6% probability. Does the swelling in your body seem to be related to any specific trigger or event?### ###Human: The swelling does not seem to be related to any specific trigger or event. ###Assistant: Let's get a chest X-ray to examine for potential acute pulmonary edema.###

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

### Assistant: Have you noticed weakness in your facial muscles and/or eyes? ### ### Human: Yes, I have noticed weakness in my facial muscles and eyes. ### ### Assistant: Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? ### ### Human: Yes, I have recently had numbness, loss of sensation or tingling in both arms and legs and around my mouth. ### ### Assistant: Have you recently had a viral infection? ### ### Human: Yes, I have recently had a viral infection. ### ### Assistant: Based on your history, the two most likely diagnoses are Guillain-Barré syndrome at 100% probability, and another condition at 0% probability. Does the weakness in your facial muscles and eyes come on suddenly or gradually? ### ### Human: The weakness in my facial muscles and eyes came on suddenly. ### ### Assistant: I recommend conducting a nerve conduction study to confirm the diagnosis of Guillain-Barré syndrome. ### ### Human: Thank you for your recommendation. ###

###Assistant: Can you describe the rash in more detail?### ###Human: The rash is pink, not peeling off, slightly swollen (3/10), located on the back of the neck, biceps (L), ankle (R), ankle (L), and cervical spine. The pain caused by the rash is mild (2/10) but the itching is severe (9/10).### ###Assistant: Have you eaten 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 15.4% probability, and Panic attack at 12.0% probability. Does the rash worsen with stress or anxiety?### ###Human: The rash does not worsen with stress or anxiety.### ###Assistant: I recommend performing a skin prick test to confirm the diagnosis of Scombroid food poisoning.

###Assistant: Can you characterize your pain for me?### ###Human: The pain is sensitive and tugging.### ###Assistant: Have you ever had a diagnosis of anemia?### ###Human: Yes, I have.### ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 16.6% probability and Ebola at 11.7% probability. Does the pain you're experiencing radiate to another location?### ###Human: The pain does not radiate to another location.### ###Assistant: I recommend getting a complete blood count (CBC) to further investigate your anemia.###

###Assistant: Do you feel pain somewhere, related to your reason for consulting?### ###Human: Yes, the pain is sensitive, tugging, and exhausting. It is located at the back of the head, top of the head, forehead, temple (R), and temple (L). The intensity of the pain is 4 out of 10, and it appeared with a speed of 3 out of 10. ###Assistant: Do you have any family members who have been diagnosed with anemia?### ###Human: Yes, I do have family members who have been diagnosed with anemia. ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 16.6% probability and Atrial fibrillation at 13.6% probability. Does the pain radiate to another location?### ###Human: No, the pain does not radiate to another location. ###Assistant: Let's conduct a complete blood count (CBC) test to further investigate the possibility of anemia.

### 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 a specific location like the palace or trachea? ### Human: Yes, in the trachea. ### Assistant: Do you have a cough and has your voice become deeper, softer, or hoarse? ### Human: Yes, I have a cough and my voice has become hoarse. ### Assistant: Do you live with 4 or more people, attend or work in a daycare, and have you traveled out of the country in the last 4 weeks? ### Human: Yes, I live with 4 or more people, attend a daycare, and have traveled out of the country. ### Assistant: Based on your symptoms and antecedents, the two most likely diagnoses are Bronchitis at 26.7% probability and Acute laryngitis at 22.9% probability. Does the pain radiate to another location or is it localized to the trachea? ### Human: The pain is localized to the trachea. ### Assistant: Let's perform a throat swab to check for any bacterial infection that could indicate Bronchitis.

###Assistant: What are your symptoms? ###Human: I have pain somewhere, related to my reason for consulting. The pain is heavy and located in the iliac fossa (R), hip (L), and testicle (R). On a scale of 0 to 10, the intensity of the pain is 3. The pain appeared quickly, with a rating of 6. ###Assistant: Any relevant medical history? ###Human: I am significantly overweight compared to people of the same height as me. I was born prematurely and suffered complications at birth. I have traveled out of the country in the last 4 weeks. ###Assistant: The two most likely diagnoses are Inguinal hernia at 65% probability and Scombroid food poisoning at 28% probability. Does the pain radiate to another location? ###Human: The pain does not radiate to another location. ###Assistant: Are the symptoms or pain increased with coughing, with an effort like lifting a weight or from forcing a bowel movement? ###Human: Yes, the symptoms or pain are increased with coughing, with an effort like lifting a weight or from forcing a bowel movement. ###Assistant: Based on your symptoms, it would be beneficial to perform 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 sharp pain in my lower chest, side of the chest (R), side of the chest (L), upper chest, and posterior chest wall (R). The pain intensity is 1 on a scale of 0 to 10, and it appeared quickly. ###Assistant: Have you had pneumonia before? ###Human: Yes, I have had pneumonia before. ###Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 10.5% probability and Influenza at 9.3% probability. Does the pain radiate to another location? ###Human: No, the pain does not radiate to another location. ###Assistant: Do you have diffuse muscle pain? ###Human: Yes, I do have diffuse muscle pain. ###Assistant: Let's get a chest X-ray to examine for potential pneumonia.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain as tedious, heavy, exhausting. Do you feel pain somewhere in your lower chest, upper chest, breast (R), breast (L), or epigastric area? ###Human: The pain is in my lower chest, upper chest, and breasts (R) and (L). ###Assistant: On a scale of 0 to 10, how intense is the pain? ###Human: 5 ###Assistant: Does the pain radiate to another location such as the biceps (R), biceps (L), thyroid cartilage, under the jaw, or shoulder (R)? ###Human: Yes, it radiates to my right biceps. ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Do you have diabetes, high cholesterol, addiction to alcohol, smoke cigarettes, high blood pressure, exercise regularly, traveled out of the country in the last 4 weeks, or have close family members with cardiovascular disease before the age of 50? ###Human: Yes to all of those. ###Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Possible NSTEMI / STEMI at 30.4% probability and Anaphylaxis at 19.4% probability. Does the pain increase or decrease with physical exertion? ###Human: The pain does not change with physical exertion. ###Assistant: Let's recommend an ECG to further evaluate for a possible NSTEMI/STEMI.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes, the pain is like a knife stroke in my lower chest, side of the chest (L), upper chest, and breast (R). The intensity of the pain is 3 on a scale of 0 to 10, and it appeared with a speed of 5. ###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 NSTEMI / STEMI at 16.0% probability and GERD at 14.1% 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 worsen when lying down and improve when sitting up? ###Human: Yes, my symptoms are worse when lying down and alleviated while sitting up. ###Assistant: I recommend we perform an ECG to further evaluate for NSTEMI / STEMI.

###Assistant: Can you characterize your pain for me?### Human: The pain is burning.### 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 39.5% probability, and Acute laryngitis at 35.2% probability. Does the pain radiate to another location?### Human: Nowhere.### Assistant: I recommend a throat swab to help differentiate between Bronchitis and Acute laryngitis.

### Assistant: What are your symptoms? ### Human: I have had diarrhea and an increase in stool frequency. I have pain in my flank (L), belly, and epigastric area. The pain is a cramp with an intensity of 4 on a scale of 0 to 10. It radiates to my thoracic spine and appeared with a speed of 2. I also have a yellow rash in my epigastric region that is larger than 1cm, not swollen, and causes pain with an intensity of 3. I feel nauseous, have pale stools, and dark urine. ### Assistant: Any relevant medical history? ### Human: I have chronic pancreatitis, diabetes, I smoke cigarettes, I have traveled out of the country in the last 4 weeks, and there are family members diagnosed with pancreatic cancer. ### Assistant: Based on your history, the two most likely diagnoses are Pancreatic neoplasm at 54.6% probability, and Possible NSTEMI / STEMI at 35.7% probability. Does the pain in your epigastric region worsen after eating fatty foods? ### Human: Yes, the pain in my epigastric region 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: Do you have swollen or painful lymph nodes? ### ### Human: Yes ### Assistant: Have you ever had a sexually transmitted infection? ### ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are HIV (initial infection) at 49.8% probability, and Chagas at 29.0% probability. Does the pain in your head radiate to another location? ### ### Human: Nowhere ### Assistant: Let's conduct an HIV test to confirm the diagnosis.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you feel slightly dizzy or lightheaded? ### Human: Yes ### Assistant: Do you feel your heart is beating very irregularly or in a disorganized pattern? ### Human: Yes ### Assistant: Have you been diagnosed with hyperthyroidism? ### Human: Yes ### Assistant: Do you have a known issue with one of your heart valves? ### Human: Yes ### Assistant: Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? ### Human: Yes ### Assistant: Do you have diabetes? ### Human: Yes ### Assistant: Are you significantly overweight compared to people of the same height as you? ### Human: Yes ### Assistant: Do you have high blood pressure or do you take medications to treat high blood pressure? ### Human: Yes ### Assistant: Do you have a known heart defect? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Atrial fibrillation at 17.99% probability, and PSVT at 14.25% probability. Does the irregular heartbeat worsen with physical activity or at rest? ### Human: The irregular heartbeat seems to worsen with physical activity. ### Assistant: Let's schedule an ECG to further evaluate your heart rhythm and determine if you have Atrial fibrillation or PSVT.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: sharp ### Assistant: Do you feel pain somewhere? ### Human: ear(R), ear(L) ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 3 ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 7 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 4 ### Assistant: Are you more irritable or has your mood been very unstable recently? ### Human: Yes ### 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 increase with chewing or swallowing? ### Human: No ### Assistant: Let's perform a physical examination to check for any signs of inflammation or infection in your ears.

###Assistant: What are your symptoms? ###Human: I have significantly increased sweating, tedious and sensitive pain at the top of the head, forehead, cheek (R), temple (R), and temple (L) with an intensity of 5 on a scale of 0 to 10. The pain appeared with a speed of 4 and does not radiate to another location. I also have a cough that produces colored sputum, a fever, diffuse muscle pain, and nasal congestion. ###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 Pneumonia at 17.1% probability and Influenza at 16.3% probability. Does the pain in your head and face worsen with movement or touch? ###Human: The pain in my head and face does not worsen with movement or touch. ###Assistant: Let's perform a chest X-ray to rule out pneumonia and influenza.

###Assistant: Have you noticed that you produce more saliva than usual? ###Human: Yes ###Assistant: Do you have pain that improves when you lean forward? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: sharp ###Assistant: Do you feel pain somewhere? ###Human: tonsil(R), tonsil(L), back of the neck, side of the neck(R), palace ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 10 ###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: 6 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 6 ###Assistant: Do you have a fever (either felt or measured with a thermometer)? ###Human: Yes ###Assistant: Have you noticed a high pitched sound when breathing in? ###Human: Yes ###Assistant: Have you noticed that the tone of your voice has become deeper, softer or hoarse? ###Human: Yes ###Assistant: Do you regularly take stimulant drugs? ###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: Are your vaccinations up to date? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Epiglottitis at 28.2% probability, and HIV (initial infection) at 21.2% probability. Does the pain increase or decrease with physical exertion? ###Human: The pain does not increase or decrease with physical exertion. ###Assistant: I recommend a throat culture to help differentiate between Epiglottitis and HIV (initial infection). ###Human: Thank you for your recommendation.

### Assistant: Have you had a fever over the last few days?### Human: Yes, I have had a fever.### Assistant: Do you have a cough as well?### Human: Yes, I do have a cough.### Assistant: Are you infected with the human immunodeficiency virus (HIV)?### Human: Yes, I am infected with HIV.### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 44.5% probability, and Tuberculosis at 35.1% probability. Does your cough produce any sputum?### Human: Yes, my cough does produce sputum.### Assistant: I recommend getting a sputum test to further investigate the possibility of Tuberculosis.

###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 ###Assistant: Characterize your pain.### ###Human: heartbreaking, haunting, a knife stroke, sickening ###Assistant: Do you feel pain somewhere?### ###Human: lower chest, flank(R), flank(L), upper chest, belly ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 10 ###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: 2 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 6 ###Assistant: Are you feeling nauseous or do you feel like vomiting?### ###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 Boerhaave at 24.9% probability, and Possible NSTEMI / STEMI at 22.3% probability. Does the pain in your lower chest worsen when you swallow or eat?### ###Human: Yes ###Assistant: Let's schedule an esophagogastroduodenoscopy (EGD) to further evaluate for Boerha and rule out other potential causes of your symptoms.

###Assistant: Have you been coughing up blood?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear?### ###Human: The pain is sensitive and burning in my tonsil (R) and tonsil (L). The pain intensity is 3. The pain is precisely located at 6 and appeared slowly at 1. ###Assistant: Do you have a fever? Do you have a cough?### ###Human: Yes, I have a fever and a cough. ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? Do you attend or work in a daycare? 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, I attend a daycare, I have traveled out of the country, and I am immunosuppressed. ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 22.0% probability and Tuberculosis at 21.2% probability. Does the pain in your tonsils worsen when you swallow?### ###Human: Yes, the pain in my tonsils worsens when I swallow. ###Assistant: Let's get a sputum culture to check for any bacterial infection that could be causing your symptoms.

### Assistant: Have you vomited several times or have you made several efforts to vomit? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? Characterize your pain. Do you feel pain somewhere? On a scale of 0 to 10, How intense is the pain? Does the pain radiate to another location? On a scale of 0 to 10, How precisely is the pain located? On a scale of 0 to 10, How fast did the pain appear? Are you experiencing shortness of breath or difficulty breathing in a significant way? Have you recently thrown up blood or something resembling coffee beans? ### Human: The pain is heartbreaking, violent, and sickening. I feel pain in my lower chest, flank(R), upper chest, belly, and epigastric. The pain intensity is 8. The pain radiates to scapula(R) and scapula(L). The pain is located precisely at 2. The pain appeared fast at 6. I am experiencing shortness of breath and have thrown up blood. ### Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I drink alcohol excessively and have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Atrial fibrillation at 21.2% probability and Myocarditis at 17.2% probability. Does the pain increase or decrease with movement or certain positions? ### Human: The pain does not seem to be affected by movement or certain positions. ### Assistant: Let's perform an ECG to check for any abnormalities in heart rhythm and function.

### Assistant: Have you ever felt like you were suffocating for a very short time associated with inability to breathe or speak? ### Human: Yes ### Assistant: Do you have trouble keeping your tongue in your mouth? ### Human: Yes ### Assistant: Have you started or taken any antipsychotic medication within the last 7 days? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are acute dystonic reactions at 100% probability. Does the suffocation feeling occur suddenly or gradually? ### Human: It occurs suddenly. ### Assistant: Let's perform a physical examination to assess your symptoms further.

### Assistant: Do you have pain somewhere, related to your reason for consulting? Can you characterize your pain as tedious and tell me where you feel the pain? On a scale of 0 to 10, how intense is the pain and how precisely is it located? How fast did the pain appear?### Human: Yes, I have pain in my occiput, temple (R), and temple (L). The pain intensity is 7, and it is located precisely at 2. The pain appeared slowly with a score of 1. ### 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, I live with 4 or more people, I smoke cigarettes, and I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are URTI at 36.2% probability and Influenza at 25.1% probability. Does the pain radiate to another location or is it localized to the occiput and temples?### Human: The pain is localized to the occiput and temples, it does not radiate to another location. ### Assistant: Let's perform a rapid influenza test to help differentiate between URTI and Influenza.

###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, palace, or pharynx? ###Human: Yes, in my tonsil (R) and tonsil (L). ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks? Do you live with 4 or more people? Do you attend or work in a daycare? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks? Are you immunosuppressed? ###Human: Yes, Yes, Yes, Yes, Yes, Yes ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 26% probability and Possible NSTEMI / STEMI at 15.6% probability. Does the pain radiate to another location? ###Human: Nowhere ###Assistant: Let's do a throat swab to confirm the diagnosis of Viral pharyngitis.

### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### ### Human: Yes ### Assistant: Have you ever had pneumonia? ### ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 25.1% probability, and Bronchiectasis at 19.3% probability. Does the cough worsen at night or in the morning? ### ### Human: The cough tends to worsen in the morning. ### Assistant: I recommend getting a sputum culture to help differentiate between Bronchitis and Bronchiectasis. ### ### Human: Thank you for your recommendation.

### Assistant: Do you feel your heart is beating fast (racing), irregularly (missing a beat) or do you feel palpitations? ### Human: Yes ### Assistant: Have you recently had a viral infection? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Possible NSTEMI / STEMI with a probability of 28.7% and Pericarditis with a probability of 25.1%. Does the pain radiate to another location, such as the thoracic spine or posterior chest wall? ### Human: Yes, the pain radiates to the thoracic spine and posterior chest wall. ### Assistant: I recommend we perform an ECG to further evaluate your heart's condition.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Have you had any vaginal discharge? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Sarcoidosis at 23.9% probability, and Possible NSTEMI / STEMI at 22.2% probability. Does the pain in your fingers and wrist worsen with movement or rest? ###Human: The pain is sensitive and sharp in my fingers and wrist, but it doesn't worsen with movement or rest. ###Assistant: Let's proceed with a chest X-ray to further evaluate your symptoms and rule out any potential issues related to Sarcoidosis.

### Assistant: Are you feeling nauseous or do you feel like vomiting? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is tedious, heavy, sharp, sickening, and scary. It is located in the lower chest, biceps (R), side of the chest (L), upper chest, and breast (R). The intensity of the pain is 7 on a scale of 0 to 10. It radiates to biceps (R), biceps (L), thyroid cartilage, thoracic spine, and shoulder (R). The pain is precisely located at 2 on a scale of 0 to 10 and appeared rapidly with a score of 8. ### Assistant: Have you recently had a loss of appetite or do you get full more quickly than usual? ### Human: Yes ### Assistant: Are you infected with the human immunodeficiency virus (HIV)? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Possible NSTEMI / STEMI at 44.7% probability and Chagas at 18.2% probability. Does the pain in your chest increase with physical exertion or decrease with rest? ### Human: The pain does not change with physical exertion or rest. ### Assistant: Let's proceed with an ECG to further evaluate the possibility of NSTEMI / STEMI.

###Assistant: Can you characterize your pain for me?### ###Human: The pain is sensitive.### ###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 17.4% probability, and Bronchitis at 14.4% probability. Does the pain in your tonsil radiate to any other location?### ###Human: The pain is localized to my tonsil.### ###Assistant: Let's perform a throat swab to confirm the diagnosis of Viral pharyngitis.### ###Human: Thank you for your help.### The dialogue must end with the Assistant.

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### ### Human: Yes ### Assistant: Have you been coughing up blood? 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? Where is the swelling located? Did you lose consciousness? ### ### Human: Yes, a knife stroke, side of the chest(R), side of the chest(L), scapula(L), breast(L), posterior chest wall(R), 6, side of the chest(L), breast(R), posterior chest wall(R), 10, 4, nowhere, Yes ### 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, Yes, Yes ### Assistant: Based on your history, the two most likely diagnoses are Pulmonary embolism at 11.9% probability, and Possible NSTEMI / STEMI at 10.8% probability. Does the pain worsen with deep breathing or coughing? ### ### Human: The pain does worsen with deep breathing or coughing. ### Assistant: Let's proceed with a CT pulmonary angiography to confirm or rule out a pulmonary embolism. ### ### Human: Thank you for your help.

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

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### Human: Yes ### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Do you have cystic fibrosis? ### Human: Yes ### Assistant: Have you ever had pneumonia? ### 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 13.6% probability, and Bronchiectasis at 12.7% probability. Does the sputum you cough up have a foul odor or taste? ### Human: The sputum does not have a foul odor or taste. ### Assistant: Let's proceed with a sputum culture to further investigate the cause of your symptoms.

### Assistant: Can you describe the pain you're feeling in your head in more detail?### Human: The pain is tedious and sensitive, located at the back of the head, top of the head, forehead, and right temple. The intensity is 2 out of 10, and it appeared with a speed of 3 out of 10.### 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 31.1% probability, and Chagas at 22% probability. Does the rash on your skin peel off or not?### Human: The lesions do not peel off.### Assistant: I recommend getting a blood test to check for HIV infection.

### 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. Do you feel pain somewhere in your iliac fossa (R) and testicle (R)? On a scale of 0 to 10, how intense is the pain at a 3? Does the pain radiate to another location? ### Human: Nowhere. The pain is precisely located at a 2 and appeared quickly at a 6. I also have a pale rash in my iliac fossa (L) that is swollen at a 3. The pain caused by the rash is at a 5. The lesions are larger than 1cm but do not peel off. The itching is not severe. I also have intense coughing fits. ### Assistant: Were you born prematurely or did you suffer any complication at birth? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I was born prematurely and had complications at birth. Yes, 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 29.7% probability, and Bronchitis at 24.3% probability. Does the pain in your iliac fossa (R) worsen with movement or coughing? ### Human: The pain in my iliac fossa (R) does not worsen with movement or coughing. ### Assistant: Let's schedule a physical examination to further evaluate your symptoms and consider imaging studies to confirm the diagnosis.

### Assistant: Do you constantly feel fatigued or do you have non-restful sleep? ### Human: Yes ### 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: back of the neck, ankle(R), ankle(L), shoulder(R), shoulder(L) ### 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: 8 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 4 ### Assistant: Do you constantly feel fatigued or do you have non-restful sleep? ### 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: red ### 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: cheek(R), nose ### 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: Do you have painful mouth ulcers or sores? ### Human: Yes ### Assistant: Have you ever had a pericarditis? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Are you consulting because you have 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 SLE at 64.8% probability, and Anemia at 33.1% probability. Does the pain in your joints worsen with movement or rest? ### Human: The pain in my joints worsens with movement. ### Assistant: I recommend conducting an ANA blood test to further investigate the possibility of SLE.

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is tedious, sensitive, and heavy. It is located on the top of the head, cheek (R), cheek (L), occiput, and temple (R). The intensity of the pain is 6 on a scale of 0 to 10, and it appeared with a speed of 3.### ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### ###Human: Yes, I have been in contact with a person with similar symptoms. I also 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 Pneumonia at 15.9% probability and Influenza at 15.6% probability. Does the pain in your head and cheeks worsen with movement or touch?### ###Human: The pain in my head and cheeks does not worsen with movement or touch.### ###Assistant: Let's get a chest X-ray to examine for potential pneumonia.###

###Assistant: What are your symptoms?### Human: I have pain somewhere related to my reason for consulting. It feels like a knife stroke and is located in my flank (L), hypochondrium (L), pubis, and belly. The pain intensity is 8 on a scale of 0 to 10, and it appeared quickly with a rating of 7. I also have a pink rash on my biceps (R), mouth, thyroid cartilage, ankle (R), and ankle (L). The rash is swollen with a rating of 6, larger than 1cm, and causes severe itching with a rating of 10. I am feeling nauseous, have swelling in my forehead, cheek (R), and cheek (L), and have lost consciousness. I also noticed a high-pitched sound when breathing in. ### Assistant: Any relevant medical history?### Human: I have a known severe food allergy, have traveled out of the country in the last 4 weeks, and am more likely to develop common allergies than the general population. ### Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 17.8% probability and Localized edema at 13.8% probability. Does the itching worsen at night or with exposure to heat?### Human: The itching does not worsen at night or with exposure to heat. ### Assistant: Let's perform a skin prick test to confirm the presence of allergens that may be causing the rash and itching.

###Assistant: What are your symptoms? ###Human: I have significantly increased sweating, tedious pain on the top of the head and cheek (R) with an intensity of 2 on a scale of 0 to 10. The pain appeared at a rate of 5 and does not radiate to another location. I also have a cough that produces colored sputum, a sore throat, diffuse muscle pain, and nasal congestion. ###Assistant: Do you live with 4 or more people? ###Human: Yes, I live with 4 or more people. I have traveled out of the country in the last 4 weeks and am exposed to secondhand cigarette smoke on a daily basis. ###Assistant: Based on your history, the two most likely diagnoses are URTI at 15.3% probability and Bronchitis at 14.1% probability. Does the pain in your head and cheek worsen with movement or touch? ###Human: The pain does not worsen with movement or touch. ###Assistant: Let's perform a chest X-ray to rule out Bronchitis and further evaluate your symptoms for a more accurate diagnosis.

### Assistant: Can you describe the pain you are feeling in your flank?### Human: The pain feels like a knife stroke, sharp, and has a pain intensity of 3. It appeared quickly with a rating of 6.### Assistant: Do you have a known severe food allergy or have you traveled out of the country in the last 4 weeks?### Human: Yes, I have a known severe food allergy and I have traveled out of the country in the last 4 weeks.### Assistant: Based on your history, the two most likely diagnoses are Anaphylaxis at 12.4% probability, and Pancreatic neoplasm at 8.6% probability. Does the rash on your skin peel off or is it swollen?### Human: The rash is pink in color, does not peel off, and has a swelling intensity of 5.### Assistant: Let's perform an allergy test to confirm if the symptoms are due to an allergic reaction.

###Assistant: What are your symptoms? ###Human: I am experiencing shortness of breath, dizziness, and my cheeks suddenly turned red. I have a pink rash on the back of my neck, biceps (R), mouth, thyroid cartilage, and right ankle. The rash is swollen at a level of 5 out of 10 in intensity, and the pain caused by the rash is a 3 out of 10. The lesions are larger than 1cm and the itching is severe at a level of 9 out of 10. I also feel my heart beating irregularly. ###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 symptoms and antecedents, the two most likely diagnoses are Scombroid food poisoning with a probability of 16.3% and PSVT with a probability of 13.2%. Does the rash peel off or remain 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: Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today? ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes ###Assistant: Characterize your pain. ###Human: a knife stroke ###Assistant: Do you feel pain somewhere? Is it on the side of the chest (R), side of the chest (L), upper chest, or breast (L)? ###Human: side of the chest (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: 5 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 2 ###Assistant: Do you feel out of breath with minimal physical effort? ###Human: Yes ###Assistant: Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today? ###Human: Yes ###Assistant: Are your symptoms worse when lying down and alleviated while sitting up? ###Human: Yes ###Assistant: Do you have symptoms that are increased with physical exertion but alleviated with rest? ###Human: Yes ###Assistant: Have you recently had a viral infection? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Myocarditis at 100% probability. Does the pain increase or decrease with physical exertion? ###Human: My symptoms increase with physical exertion but alleviate with rest. ###Assistant: Let's get an echocardiogram to further evaluate for Myocarditis. ###Human: Okay.

###Assistant: Can you describe the pain you're experiencing in more detail? Where is it located and how intense is it on a scale of 0 to 10?### ###Human: The pain is burning and sharp, located in my mouth, forehead, cheek (R), cheek (L), and eye (R). It's a 2 in intensity.### ###Assistant: Have you ever been diagnosed with gastroesophageal reflux or do you have a history of it?### ###Human: Yes, I have been diagnosed with gastroesophageal reflux.### ###Assistant: Based on your history, the two most likely diagnoses are Viral pharyngitis at 16.8% probability and URTI at 16.6% probability. Does the pain radiate to another location, and if so, where does it radiate to?### ###Human: Yes, the pain radiates to the back of my head, forehead, nose, temple (R), and temple (L).### ###Assistant: I recommend a nasal endoscopy to further evaluate your symptoms and determine the underlying cause.###

### Assistant: Can you describe the pain you're experiencing in more detail? Where exactly is it located and how intense is it on a scale of 0 to 10? ### ### Human: I have sharp pain in the back of the neck, dorsal aspect of the wrist (R), palmar face of the wrist (L), knee (R), and shoulder (R). The pain intensity is 2 out of 10 and it's precisely located at 6 out of 10. The pain appeared suddenly with no radiation to another location. ### ### Assistant: Have you ever had pericarditis or high blood pressure in the past? Have you traveled out of the country recently? ### ### Human: Yes, I have had pericarditis and high blood pressure. I have also traveled out of the country in the last 4 weeks. ### ### Assistant: Based on your symptoms and medical history, the top two potential diagnoses are SLE with a probability of 23% and NSTEMI/STEMI with a probability of 23.7%. Does the rash on your nose peel off or is it swollen? ### ### Human: The rash on my nose does not peel off and it is slightly swollen at a level of 2 out of 10. ### ### Assistant: I recommend getting a blood test to check for specific antibodies related to SLE to confirm the diagnosis.

### Assistant: Do you have swelling in one or more areas of your body? ### Human: Yes ### Assistant: Have you been in contact with or ate something that you have an allergy to? ### Human: Yes ### Assistant: Do you feel lightheaded and dizzy or do you feel like you are about to faint? ### Human: Yes ### Assistant: Do you have any lesions, redness or problems on your skin that you believe are related to the condition you are consulting for? ### Human: Yes ### Assistant: Do you have a known severe food allergy? ### Human: Yes ### Assistant: Based on your symptoms and medical history, the two most likely diagnoses are Anaphylaxis at 20.2% probability, and Localized edema at 13.5% probability. Does the rash on your skin peel off? ### Human: No ### Assistant: I recommend conducting a skin prick test to confirm the presence of any allergies.

###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes ###Assistant: Characterize your pain.### ###Human: Heartbreaking, haunting, a knife stroke, violent, sickening ###Assistant: Do you feel pain somewhere?### ###Human: Flank(R), belly ###Assistant: On a scale of 0 to 10, How intense is the pain?### ###Human: 7 ###Assistant: Does the pain radiate to another location?### ###Human: Scapula(R), scapula(L) ###Assistant: On a scale of 0 to 10, How precisely is the pain located?### ###Human: 7 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 10 ###Assistant: Are you feeling nauseous or do you feel like vomiting?### ###Human: Yes ###Assistant: Have you vomited several times or have you made several efforts to vomit?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Boerhaave at 14.4% probability, and Pulmonary embolism at 9.8% probability. Does the pain in your flank radiate to your scapula on the right or left side more prominently?### ###Human: The pain in my flank radiates more to the scapula on the right side. ###Assistant: Let's schedule an upper gastrointestinal endoscopy to further investigate the possibility of Boerhaave.

###Assistant: Do you have pain somewhere, related to your reason for consulting?### Human: Yes, the pain is sensitive and exhausting. It is located on the posterior chest wall (R) and posterior chest wall (L). On a scale of 0 to 10, the intensity of the pain is 2. It appeared with a precision of 1 and a speed of 1. ###Assistant: Do you smoke cigarettes and have family members who have had lung cancer?### Human: Yes, I smoke cigarettes and have family members who have had lung cancer. ###Assistant: Based on your history, the two most likely diagnoses are Pulmonary neoplasm at 9.5% probability and Tuberculosis at 7.6% probability. Does the pain radiate to another location?### Human: No, the pain does not radiate to another location. ###Assistant: Let's schedule a chest X-ray to further investigate for a potential pulmonary neoplasm.###

###Assistant: Can you characterize your pain for me?### Human: The pain is heavy.### 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 100% probability. Does the pain radiate to another location?### Human: Nowhere.### Assistant: Let's do a throat swab to confirm the diagnosis of URTI.

###Assistant: Can you describe the pain you're feeling in your iliac fossa (R), hip (R), hip (L), and testicle (L)?### ###Human: The pain is heavy and has a precise location of 5 on a scale of 0 to 10. It appeared with a speed of 4 out of 10.### ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes.### ###Assistant: The top two potential diagnoses are Inguinal hernia with a probability of 52.6% and Anaphylaxis with a probability of 30.1%. Does the rash on your iliac fossa (L) peel off or is it swollen?### ###Human: The rash is pale in color, does not peel off, and is swollen at a level of 7 out of 10.### ###Assistant: I recommend a physical examination to further evaluate your symptoms and determine the cause of your pain.###

### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have swollen or painful lymph nodes? ### Human: Yes ### Assistant: Have you lost consciousness associated with violent and sustained muscle contractions or had an absence episode? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? How would you characterize your pain? ### Human: Yes, the pain is sensitive and sharp. It is located in my fingers (ring finger)(R), (L), (index)(R), (L), (middle)(L). The intensity of the pain is 6 out of 10, and it is precisely located at 7. The pain appeared suddenly and does not radiate to another location. ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: The top 2 potential diagnoses are Sarcoidosis at 42.9% probability and Acute dystonic reactions at 32.0% probability. Does the pain in your fingers worsen with any specific movements or actions? ### Human: The pain in my fingers does not worsen with any specific movements or actions. ### Assistant: Let's proceed with a chest X-ray to further evaluate for Sarcoidosis.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: haunting, a knife stroke, tugging, violent, sharp ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 10 ### 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: 6 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 7 ### Assistant: Do you feel that your eyes produce excessive tears? ### Human: Yes ### Assistant: Do you have nasal congestion or a clear runny nose? ### Human: Yes ### Assistant: Have any of your family members been diagnosed with cluster headaches? ### Human: Yes ### Assistant: Do you drink alcohol excessively or do you have an addiction to alcohol? ### Human: Yes ### Assistant: Do you take medication that dilates your blood vessels? ### 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 Cluster headache at 59.3% probability, and Chagas at 20.4% 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 brain MRI to further investigate the potential Cluster headache.

###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: upper chest, breast(R), posterior chest wall(L) ###Assistant: On a scale of 0 to 10, How intense is the pain? ###Human: 3 ###Assistant: Does the pain radiate to another location? ###Human: nowhere ###Assistant: On a scale of 0 to 10, How precisely is the pain located? ###Human: 3 ###Assistant: On a scale of 0 to 10, How fast did the pain appear? ###Human: 3 ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ###Human: Yes ###Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ###Human: Yes ###Assistant: Have you noticed a wheezing sound when you exhale? ###Human: Yes ###Assistant: Do you smoke cigarettes? ###Human: Yes ###Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks? ###Human: Yes ###Assistant: Are your vaccinations up to date? ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Acute COPD exacerbation/infection at 6.99% probability, and Bronchitis at 6.32% probability. Does the pain increase with coughing or deep breathing? ###Human: The pain does not increase with coughing or deep breathing. ###Assistant: Let's proceed with a chest X-ray to further evaluate your condition.

### Assistant: Have you lost consciousness associated with violent and sustained muscle contractions or had an absence episode? ### Human: Yes ### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes, the pain is sensitive and sharp in my finger (ring finger)(L), finger (little finger)(L), finger (index)(L), dorsal aspect of the wrist(L), and shoulder(R). The pain intensity is 5 on a scale of 0 to 10, and it appeared with a speed of 5. ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Are you significantly overweight compared to people of the same height as you? Do you work in agriculture? 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 symptoms and antecedents, the two most likely diagnoses are Possible NSTEMI / STEMI at 27.4% probability and Pulmonary embolism at 25.1% probability. Does the pain in your fingers and wrist worsen with movement or rest? ### Human: The pain does not radiate to another location, and it is precisely located at 3 on a scale of 0 to 10. ### Assistant: Let's proceed with a chest X-ray to rule out any potential pulmonary issues.

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes, I have sharp pain in my lower chest, side of the chest (R), flank (L), hypochondrium (L), and breast (R). ###Assistant: Have you ever been diagnosed with depression? ###Human: Yes, I have. ###Assistant: Based on your history, the two most likely diagnoses are Panic attack at 9.4% probability, and PSVT at 8.2% probability. Do you feel like your heart is beating fast, irregularly, or do you feel palpitations? ###Human: Yes, I feel like my heart is beating fast and irregularly. ###Assistant: Do you feel shortness of breath or difficulty breathing in a significant way? ###Human: Yes, I do. ###Assistant: Let's consider conducting an ECG to further evaluate for PSVT.

### Assistant: Have you noticed that you produce more saliva than usual? ### Human: Yes ### Assistant: Have you or any member of your family ever had croup? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Croup at 9.9% probability, and Allergic sinusitis at 7.9% probability. Does the high pitched sound when breathing in worsen at night or during the day? ### Human: It seems to worsen at night. ### Assistant: Let's perform a throat swab to check for the presence of the virus causing croup.

### Assistant: What are your symptoms? ### Human: I have pain somewhere, related to my reason for consulting. It's a cramp, sharp pain on the side of the chest (L), flank (R), flank (L), iliac fossa (R), and iliac fossa (L). The pain intensity is 5 on a scale of 0 to 10, and it appeared very fast with a rating of 9. I also feel like I am choking or suffocating, lightheaded and dizzy, and detached from my own body or surroundings. I have also experienced numbness, loss of sensation, or tingling in both arms and legs and around my mouth. ### Assistant: Any relevant medical history? ### Human: I feel anxious, drink alcohol excessively, suffer from chronic anxiety, have fibromyalgia, had a head trauma, and traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Panic attack at 18.7% probability, and Anemia at 12.8% probability. Does the pain radiate to another location or is it localized to the areas you mentioned? ### Human: The pain is localized to the areas I mentioned. ### Assistant: Let's recommend a blood test to check for anemia and further evaluate your symptoms.

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is sharp and located in the back of the neck, ankle(R), dorsal aspect of the wrist(R), palmar face of the wrist(L), and shoulder(L). It's an 8 out of 10 in intensity and appeared relatively fast at a 5 out of 10.### ###Assistant: Have you ever had pericarditis, do you smoke cigarettes, and are you consulting because you have high blood pressure?### ###Human: Yes, I have had pericarditis, I do smoke cigarettes, and I am consulting because I have high blood pressure.### ###Assistant: Based on your history, the two most likely diagnoses are SLE at 7.2% probability and Possible NSTEMI / STEMI at 6.9% probability. Does the rash on your cheek(R) and nose peel off?### ###Human: No, the rash does not peel off.### ###Assistant: Let's proceed with a blood test to check for specific antibodies related to SLE.

###Assistant: Can you describe the pain you're feeling in your ear?### ###Human: The pain is sensitive and sharp, with an intensity of 9 out of 10. It appeared quickly and is located specifically in my right ear.### ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, I have. My vaccinations are up to date.### ###Assistant: Based on your history, the two most likely diagnoses are Acute otitis media at 62.3% probability, and URTI at 21.2% probability. Does the pain in your ear radiate to any other location?### ###Human: No, the pain is only located in my right ear.### ###Assistant: I recommend a physical examination of your ear to further diagnose the issue.###

### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Is your nose or the back of your throat itchy? Do you have nasal congestion or a clear runny nose? Do you have a cough? ### Human: Yes, yes, yes ### Assistant: Do you have any close family members who suffer from allergies (any type), hay fever or eczema? Do you have asthma or have you ever had to use a bronchodilator in the past? Have you traveled out of the country in the last 4 weeks? Do you live in a big city? Are you more likely to develop common allergies than the general population? ### Human: Yes, yes, yes, yes, yes ### Assistant: Based on your history, the two most likely diagnoses are Allergic sinusitis at 40.8% probability, and Bronchitis at 33.9% probability. Does your cough worsen at night or with exposure to certain triggers? ### Human: My cough tends to worsen at night. ### Assistant: Let's perform an allergy test to further investigate the possibility of allergic sinusitis.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: tedious, heavy, exhausting ### Assistant: Do you feel pain somewhere? ### Human: side of the chest(R), side of the chest(L), breast(R), breast(L), epigastric ### Assistant: On a scale of 0 to 10, How intense is the pain? ### Human: 3 ### Assistant: Does the pain radiate to another location? ### Human: biceps(L), thyroid cartilage, thoracic spine, shoulder(R), shoulder(L) ### Assistant: On a scale of 0 to 10, How precisely is the pain located? ### Human: 6 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 8 ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you constantly feel fatigued or do you have non-restful sleep? ### Human: Yes ### Assistant: Do you have symptoms that are increased with physical exertion but alleviated with rest? ### 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 have high blood pressure or do you take medications to treat high blood pressure? ### Human: Yes ### Assistant: Have you ever had a heart attack or do you have angina (chest pain)? ### Human: Yes ### Assistant: Do you exercise regularly, 4 times per week or more? ### 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 Unstable angina at 8.8% probability, and Stable angina at 8.2% 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 stress test to further evaluate your chest pain and shortness of breath.

### Assistant: Have you noticed a wheezing sound when you exhale? ### Human: Yes ### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Do you have any family members who have asthma? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 41.3% probability, and Bronchospasm / acute asthma exacerbation at 32.6% probability. Does the cough produce any mucus or phlegm? ### Human: Yes, it produces yellowish-green mucus. ### Assistant: I recommend performing a pulmonary function test to further evaluate your lung function and help differentiate between bronchitis and bronchospasm / acute asthma exacerbation.

### 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: tedious, tugging ### Assistant: Do you feel pain somewhere?### Human: ankle(R), ankle(L), side of the chest(L), breast(R), posterior chest wall(L) ### Assistant: On a scale of 0 to 10, How intense is the pain?### Human: 6 ### Assistant: Does the pain radiate to another location?### Human: biceps(L), jaw, scapula(L), shoulder(R), shoulder(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: 8 ### Assistant: Do you have bouts of choking or shortness of breath that wake you up at night?### Human: Yes ### Assistant: Do you have swelling in one or more areas of your body?### Human: Yes ### Assistant: Where is the swelling located?### Human: ankle(R), calf(R), calf(L), tibia(R) ### Assistant: Do you have symptoms that are increased with physical exertion but alleviated with rest?### Human: Yes ### Assistant: Have you ever had fluid in your lungs?### 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 heart failure?### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks?### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Acute pulmonary edema at 11.1% probability, and Unstable angina at 9.8% probability. Does the pain in your chest radiate to your jaw or shoulder?### Human: Yes ### Assistant: Let's perform an ECG to further evaluate for any signs of unstable angina.

###Assistant: What are your symptoms?### Human: I feel my abdomen is bloated or distended, and I have heavy pain in my iliac fossa (R), hip (R), hip (L), testicle (R), and testicle (L). The pain intensity is 1 on a scale of 0 to 10, and it appeared with a pace of 4. ###Assistant: Any relevant medical history?### Human: 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 51.4% probability, and Bronchitis at 48.6% probability. Does the pain radiate to another location?### Human: The pain does not radiate to another location. ###Assistant: Let's recommend a physical examination to further evaluate your symptoms and determine the cause of your pain.###

###Assistant: Do you have pain somewhere, related to your reason for consulting? ###Human: Yes, I feel pain in my thyroid cartilage, palate, pharynx, and under the jaw. The pain is sensitive and burning, with an intensity of 4 on a scale of 0 to 10. It appeared relatively fast, with a rating 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 recently. I have also traveled out of the country in the last 4 weeks and I am immunosuppressed. ###Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 24.9% probability and Viral pharyngitis at 17.6% probability. Does the pain radiate to another location? ###Human: No, the pain does not radiate to another location. ###Assistant: Let's perform a throat swab to test for viral pharyngitis and rule out other potential causes.

###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 the pain as sensitive and specify the locations where you feel the pain? On a scale of 0 to 10, how intense is the pain and how precisely is it located? How fast did the pain appear?### ###Human: Yes, I have pain in my tonsil (L), thyroid cartilage, pharynx, and under the jaw. The pain intensity is 4, and it is precisely located at 7. The pain appeared slowly, with a rating of 1. ###Assistant: Do you live with 4 or more people? Do you attend or work in a daycare? Do you smoke cigarettes? Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, 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 Acute laryngitis at 81.3% probability and Viral pharyngitis at 18.7% probability. Does the pain in your tonsil (L) worsen when you swallow?### ###Human: Yes, the pain in my tonsil (L) worsens when I swallow. ###Assistant: I recommend a throat swab to confirm the diagnosis of Acute laryngitis.

### Assistant: Are your symptoms more prominent at night? ### 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: It feels like a knife stroke, sharp. ### Assistant: Do you feel pain somewhere? ### Human: Yes, on the side of the chest (R), upper chest, breast (L), and posterior chest wall (R). ### 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: 8 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 3 ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: 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: 5 ### Assistant: Where is the affected region located? ### Human: back of the neck, side of the neck (L), buttock (L), shoulder (R), shoulder (L) ### 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: No ### Assistant: On a scale of 0 to 10, How severe is the itching? ### Human: 0 ### Assistant: Have you noticed any new fatigue, generalized and vague discomfort, diffuse (widespread) muscle aches or a change in your general well-being related to your consultation today? ### Human: Yes ### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Are your symptoms more prominent at night? ### Human: Yes ### Assistant: Do you have pain that is increased when you breathe in deeply? ### 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 Parkinson’s disease? ### 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 6.96% probability and Pneumonia at 6.82% probability. Does the pain in your chest worsen when you cough? ### Human: Yes ### Assistant: Let's get a chest X-ray to confirm the diagnosis. ###

###Assistant: Do you have nasal congestion or a clear runny nose?### ###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 12.8% probability, and URTI at 12.2% probability. Does the pain in the back of your head and neck worsen with movement or certain positions?### ###Human: The pain is sensitive, heavy, and exhausting. It does not radiate to another location. ###Assistant: Let's perform a rapid influenza diagnostic test to confirm the diagnosis.

### Assistant: Can you describe the pain you're feeling in your ear?### Human: The pain is sensitive and located in my right and left ear. It's intense, around an 8 out of 10, and appeared relatively fast, about a 2 out of 10.### Assistant: Have you recently been treated with an oral antibiotic for an ear infection?### Human: Yes, I have. I have also traveled out of the country in the last 4 weeks, but my vaccinations are up to date.### Assistant: Based on your history, the two most likely diagnoses are Acute otitis media at 49.5% probability, and Croup at 22.7% probability. Does the pain in your ear radiate to another location?### Human: No, the pain is only located in my ears.### Assistant: I recommend a physical examination of your ears to further diagnose the issue.

###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: tedious, exhausting ###Assistant: Do you feel pain somewhere?### Human: lower chest, side of the chest(R), 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: biceps(R), biceps(L), thyroid cartilage, trachea, shoulder(R) ###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: 7 ###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 drink alcohol excessively or do you have an addiction to alcohol?### 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: Have you ever had a heart attack or do you have angina (chest pain)?### Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### Human: Yes ###Assistant: 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 26.3% probability and GERD at 17.0% probability. Does the pain worsen after eating or lying down?### Human: The pain does not worsen after eating or lying down. ###Assistant: Let's schedule an ECG to further evaluate for Possible NSTEMI / STEMI.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: sensitive, sharp ### Assistant: Do you feel pain somewhere? ### Human: ear(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: 10 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 4 ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### Human: Yes ### Assistant: Do you have nasal congestion or a clear runny nose? ### Human: Yes ### Assistant: 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 Acute otitis media at 49.5% probability, and Croup at 22.7% probability. Does the pain in your ear increase when you chew or swallow? ### Human: Yes ### Assistant: Let's perform a pneumatic otoscopy to further evaluate your ear pain.

###Assistant: Can you describe the pain you're experiencing in more detail?### Human: The pain is sensitive, tugging, and exhausting. It is located at the back of my head, forehead, and right temple. The intensity is 5 out of 10, and it appeared relatively fast at a level of 5. ###Assistant: Have you ever had a diagnosis of anemia before?### Human: Yes, I have had a diagnosis of anemia in the past. ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 19.3% probability and Atrial fibrillation at 13.4% probability. Does the pain in your head and temple worsen with movement or certain positions?### Human: The pain does not worsen with movement or specific positions. ###Assistant: I recommend getting a complete blood count (CBC) to further investigate your anemia.###

### Assistant: Have you noticed a wheezing sound when you exhale? ### Human: Yes ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? Do you have a cough that produces colored or more abundant sputum than usual? Have you noticed a wheezing sound when you exhale? ### Human: Yes, I am experiencing shortness of breath and have a cough that produces colored sputum. Yes, I have noticed a wheezing sound when I exhale. ### Assistant: Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? Have you had one or several flare ups of chronic obstructive pulmonary disease (COPD) in the past year? Do you smoke cigarettes? Do you have a chronic obstructive pulmonary disease (COPD)? Have you ever been diagnosed with gastroesophageal reflux? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I have severe COPD and have had flare-ups in the past year. I smoke cigarettes, have COPD, have been diagnosed with gastroesophageal reflux, and have traveled out of the country in the last 4 weeks. ### Assistant: The two most likely diagnoses are Acute COPD exacerbation/infection at 12.6% probability, and Bronchitis at 11.8% probability. Does your cough produce more sputum in the morning or throughout the day? ### Human: My cough produces more sputum throughout the day. ### Assistant: Let's perform a chest X-ray to further evaluate your condition.

###Assistant: Do you have pain somewhere, related to your reason for consulting?### ###Human: Yes, the pain is tedious and sensitive. It is located on my cheek (L), occiput, and temple (R). The intensity of the pain is 4 on a scale of 0 to 10, and it appeared with a speed of 3.### ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes, I have. I attend a daycare, smoke cigarettes, and am exposed to secondhand cigarette smoke on a daily basis.### ###Assistant: Based on your history, the two most likely diagnoses are URTI at 16.7% probability and Influenza at 15.8% probability. Does the pain in your cheek (L) and temple (R) worsen with movement or touch?### ###Human: The pain does not radiate to another location, and it is precisely located at 4 on a scale of 0 to 10.### ###Assistant: I recommend a throat swab test to confirm the diagnosis of URTI or Influenza.###

###Assistant: Can you describe the pain you're experiencing in more detail?### ###Human: The pain is tedious and sensitive. It is located at the top of the head, forehead, cheek (R), cheek (L), and occiput. The intensity of the pain is 7 out of 10, and it appeared relatively fast with a score of 2.### ###Assistant: Have you been in contact with a person with similar symptoms in the past 2 weeks?### ###Human: Yes, I have been in contact with a person with similar symptoms. I also attend or work in a daycare, 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 Pneumonia at 18.5% probability and Bronchitis at 17.7% 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 perform a chest X-ray to further evaluate your symptoms and determine if pneumonia is the cause.###

### 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 as sensitive and burning. Do you feel pain in your lower chest, side of the chest (R), side of the chest (L), posterior chest wall (R), or posterior chest wall (L)? On a scale of 0 to 10, how intense is the pain? Does the pain radiate to another location? How precisely is the pain located? How fast did the pain appear? Do you have a cough that produces colored or more abundant sputum than usual? Do you have a fever? Do you have a sore throat? Are your symptoms more prominent at night? ### Human: Yes, I have pain in my lower chest. The pain is a 1 in intensity and located precisely at a 2. It appeared quickly. I have a cough that produces colored sputum, a fever, and a sore throat. My symptoms are more prominent at night. ### Assistant: Do you smoke cigarettes? Do you have a chronic obstructive pulmonary disease (COPD)? Have you traveled out of the country in the last 4 weeks? Are your vaccinations up to date? ### Human: Yes, I smoke cigarettes. Yes, I have COPD. Yes, I have traveled out of the country in the last 4 weeks. Yes, my vaccinations are up to date. ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 12.7% probability and Acute COPD exacerbation/infection at 12.5% 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 a potential pneumonia.

###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 (L), thyroid cartilage, and palace? On a scale of 0 to 10, how intense is the pain? ###Human: Yes, the pain is a 6 in intensity. ###Assistant: Does the pain radiate to another location? On a scale of 0 to 10, how precisely is the pain located? How fast did the pain appear? ###Human: The pain does not radiate, it is precisely located at an 8, and it appeared instantly. ###Assistant: Do you have nasal congestion or a clear runny nose? Do you have a cough? ###Human: Yes, I have nasal congestion and a cough. ###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? Have you traveled out of the country in the last 4 weeks? ###Human: Yes, I have been in contact with someone with similar symptoms, I live with 4 or more people, and I 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 26.9% probability and Bronchitis at 23.9% probability. Does the pain in your tonsil (L) worsen with swallowing or talking? ###Human: The pain does worsen with swallowing. ###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 ### Assistant: Can you characterize your pain for me? ### Human: It's a burning pain. ### Assistant: Where do you feel the pain? ### Human: I feel the pain on the side of the chest (L), pharynx, posterior chest wall (R), and posterior chest wall (L). ### Assistant: On a scale of 0 to 10, how intense is the pain? ### Human: It's a 4. ### Assistant: Do you have a cough? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Bronchitis at 32.1% probability and Possible NSTEMI / STEMI at 21.2% probability. Does the pain radiate to another location? ### Human: No, the pain does not radiate to another location. ### Assistant: Let's recommend a chest X-ray to further investigate your symptoms.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: sensitive ### Assistant: Do you feel pain somewhere? ### Human: side of the chest(R), pharynx, posterior chest wall(R) ### 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: 2 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 2 ### Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way? ### Human: Yes ### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### Human: Yes ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### Human: Yes ### Assistant: Do you have nasal congestion or a clear runny nose? ### Human: Yes ### Assistant: Do you smoke cigarettes? ### Human: Yes ### Assistant: Do you have a chronic obstructive pulmonary disease (COPD)? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Pneumonia at 9.8% probability, and Bronchitis at 9.3% probability. Does the pain increase with coughing or deep breathing? ### Human: The pain does not increase with coughing or deep breathing. ### Assistant: Let's get a chest X-ray to examine for potential pneumonia.

###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? Do you feel pain in your tonsil (R), tonsil (L), palace, under the jaw, or trachea? On a scale of 0 to 10, how intense is the pain? How precisely is the pain located? How fast did the pain appear? ###Human: Yes, the pain is sensitive. I feel pain in my tonsil (R) and tonsil (L). The pain intensity is 3, the location precision is 6, and the onset speed is 4. ###Assistant: Do you attend or work in a daycare? 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 attend a daycare, 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 47.1% probability and Possible NSTEMI / STEMI at 28.9% probability. Does the pain radiate to another location? ###Human: No, the pain does not radiate to another location. ###Assistant: I recommend a throat swab to confirm the diagnosis of Acute laryngitis.

### Assistant: Have you noticed a wheezing sound when you exhale? ### Human: Yes, I have. ### Assistant: Do you have a cough that produces colored or more abundant sputum than usual? ### Human: Yes, I do. ### Assistant: Do you have severe Chronic Obstructive Pulmonary Disease (COPD)? ### Human: Yes, I do. I have had one or several flare ups of chronic obstructive pulmonary disease (COPD) in the past year. I also smoke cigarettes and have been diagnosed with gastroesophageal reflux. I work in the mining sector 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 25.5% probability, and Acute COPD exacerbation / infection at 24.9% probability. Does the wheezing sound worsen at night or with physical activity? ### Human: The wheezing sound tends to worsen at night. ### Assistant: Let's perform a chest X-ray to further evaluate your condition.

###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 ###Assistant: Characterize your pain.### ###Human: sensitive, tugging ###Assistant: Do you feel pain somewhere?### ###Human: back of head, 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: 3 ###Assistant: On a scale of 0 to 10, How fast did the pain appear?### ###Human: 5 ###Assistant: Are you experiencing shortness of breath or difficulty breathing in a significant way?### ###Human: Yes ###Assistant: Do you 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 constantly feel fatigued or do you have non-restful sleep?### ###Human: Yes ###Assistant: Do you have very abundant or very long menstruation periods?### ###Human: Yes ###Assistant: Is your skin much paler than usual?### ###Human: Yes ###Assistant: Have you noticed light red blood or blood clots in your stool?### ###Human: Yes ###Assistant: Do you have a poor diet?### ###Human: Yes ###Assistant: Have you ever had a diagnosis of anemia?### ###Human: Yes ###Assistant: Do you have chronic kidney failure?### ###Human: Yes ###Assistant: Are you taking any new oral anticoagulants (NOACs)?### ###Human: Yes ###Assistant: Do you think you are pregnant or are you currently pregnant?### ###Human: Yes ###Assistant: Have you traveled out of the country in the last 4 weeks?### ###Human: Yes ###Assistant: Based on your history, the two most likely diagnoses are Anemia at 21.4% probability, and Myocarditis at 12.0% probability. Does the pain in your head worsen with movement or changes in position?### ###Human: The pain in my head does not worsen with movement or changes in position. ###Assistant: Let's conduct a blood test to check for anemia and further investigate the cause of your symptoms.

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### ### Human: Yes, the pain is sharp and located in the back of the neck, ankle(R), ankle(L), dorsal aspect of the wrist(R), and shoulder(L). The intensity of the pain is 5 on a scale of 0 to 10, and it appeared relatively fast with a rating of 2.### ### Assistant: Have you ever had a pericarditis? ### ### Human: Yes, I have had pericarditis. I am also consulting because I have high blood pressure, had my first menstrual period before the age of 12, 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 10% probability and Possible NSTEMI / STEMI at 7.9% probability. Does the rash on your cheek(R) and nose peel off? ### ### Human: No, the lesions do not peel off.### ### Assistant: Let's schedule a blood test to check for specific antibodies related to SLE. This will help confirm the diagnosis. ### ### Human: Thank you for your recommendation.

###Assistant: Can you characterize your pain for me?### ###Human: The pain is tedious, sensitive, and heavy.### ###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 URTI at 17.7% probability, and Influenza at 16.5% probability. Does the pain radiate to another location?### ###Human: The pain does not radiate to another location.### ###Assistant: I recommend conducting a rapid influenza diagnostic test to confirm the diagnosis.###

### Assistant: Do you have pain somewhere, related to your reason for consulting? ### Human: Yes ### Assistant: Characterize your pain. ### Human: Sensitive ### Assistant: Do you feel pain somewhere? ### Human: Ear (R) ### 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: 7 ### Assistant: On a scale of 0 to 10, How fast did the pain appear? ### Human: 3 ### Assistant: Do you have a fever (either felt or measured with a thermometer)? ### Human: Yes ### Assistant: Do you have nasal congestion or a clear runny nose? ### Human: Yes ### Assistant: Have you traveled out of the country in the last 4 weeks? ### Human: Yes ### Assistant: Based on your history, the two most likely diagnoses are Acute otitis media at 62.3% probability, and URTI at 21.2% probability. Does the pain increase with swallowing or chewing? ### Human: The pain does not increase with swallowing or chewing. ### Assistant: Let's perform a physical examination to check for signs of acute otitis media.

### Assistant: What are your symptoms? ### Human: I have pain in the side of my chest (R) that is sharp and feels like a cramp. The intensity of the pain is 4 on a scale of 0 to 10, and it appeared quickly with a rating of 7. I also have shortness of breath, feel like I'm dying, and have palpitations. I have numbness in both arms and legs and around my mouth. I feel detached from my body and surroundings. ### Assistant: Any relevant medical history? ### Human: I feel anxious and have been diagnosed with depression. I suffer from chronic anxiety and fibromyalgia. I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Panic attack at 9.6% probability, and Guillain-Barré syndrome at 7.6% probability. Does the pain radiate to another location? ### Human: The pain does not radiate to another location. ### Assistant: Let's recommend a blood test to check for any abnormalities that could help differentiate between Panic attack 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? 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, it's a cramp, sharp pain in the lower chest, side of the chest(R), side of the chest(L), iliac fossa(L), hypochondrium(L). The pain intensity is 3, it's precisely located at 10, and it appeared at a pace of 6. ### Assistant: Are you feeling lightheaded and dizzy or do you feel like you are about to faint? Are you feeling nauseous or do you feel like vomiting? Do you feel your heart is beating fast, irregularly, or do you feel palpitations? Have you recently had numbness, loss of sensation or tingling, in both arms and legs and around your mouth? Do you feel like you are detached from your own body or your surroundings? Do you currently, or did you ever, have numbness, loss of sensitivity or tingling anywhere on your body? ### Human: Yes, I feel lightheaded and dizzy, nauseous, have palpitations, had numbness, and feel detached from my body. ### Assistant: Do you feel anxious? Do you suffer from chronic anxiety? Do you have asthma or have you ever had to use a bronchodilator in the past? Do you suffer from fibromyalgia? Have you traveled out of the country in the last 4 weeks? ### Human: Yes, I feel anxious and suffer from chronic anxiety. I have asthma and have used a bronchodilator in the past. I also suffer from fibromyalgia. Yes, I have traveled out of the country in the last 4 weeks. ### Assistant: Based on your history, the two most likely diagnoses are Panic attack at 7.9% probability, and PSVT at 6.9% 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 psychological evaluation to further assess the possibility of a panic attack.