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GOUT19_finetune_train

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[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: pt c/o intermittent fluttering in chest, left thigh numbness, right arm/shoulder pain for \"months\" pmh HTN, gout. no CP or SOB throughout triage\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Intermittent cx painx2 days, denies SOB/N/V, pmhx: gout, anxiety, HTN, DM, hyperlipidemia\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Per EMS suspected aspiration at nursing home, nurse stated increased gurgling sounds and SOB from pt, no aspiration ever witnessed from anyone, PMH: afib, HTN,sepsis, PVD with multiple bed sores, glaucoma, gout, osteoarthritis\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: SOB x 1 week, audible wheezing in triage, coughing. satting 80's in triage. States was seen in an JH ER and they gave him one breathing tx and dc-ed. PMH: gout, HTN\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: sent from childrens for shortness of breath, low sats on RA-2L. pt dcd from GMC yesterday per EMS.PMH: endocarditis, gout, HTN, DM,\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: At work 03/03/20 pt began to have SOB at rest and when attempting to sleep. Had to sleep sitting upright. C/o of \"slight chest pain\". Pt has hx of htn, gout. Out of BP meds 2 mths d/t no PCP at present.\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: txer Princeton - SBO, appendicitis - c/o dizziness x2 days, abd pain - PMH: diabetes, gout, CKD (L port for dialysis, supposedly has no started dialysis)\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: pt reports gout and pain in BLE for a little while. requesting pain meds. pmh: htn\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: right sided body pain x 8 days, pmh HTN, DM, RA, OA, gout, pancreatitis\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: fell one week ago, in with c/o scrapes to left leg and lethargy. PMH:DM,CVA w/ residual L side weakness, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: got kicked out of shelter last night, states he cannot walk, left knee gout flare up PMH unknown\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: c/o fatigue x2 days and wanting to get assessed because her portable heart monitor reported arrythmias. denies CP, mild SOB intermittently. pmh- thyroidectomy 1977, partial parathyroidectomy, gout, stage 3 kidney disease.\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: CP w/ shortness of breath started @ 0702 today. PMHx: OSA, GERD, dyslipidemia, HTN, asthma, nephrolithiasis, DM, anemia, gout, obesity, angina\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Altercation at work, had eyes gouged with fingers, bleeding with abrasions, left shoulder out of place. PMH RA, HTN, gout, DM\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: severe abdominal pain yesterday, N/V/D , dizziness, denies CP, knee pain pmhx:dm. htn, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: R hand swelling, noticed it last night around 1000 pm, when got home from wor, possible gout, could be related to cleaning supplies. no redness. pmh: denies\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: pt c/o \"blisters\" to bilateral heels xs 3 days with ankle edema. pmh gout. ambulates independently\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: lower abd constant buring pain since 08/25, c/o N/V - recently dx with possible lymphoma - PMH:HTN, CKD, Hep C, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: difficulty swallowing. pt states \"it feels like food isnt going down\" cough x3 weeks. pmh: DM, HTN, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: (BB) right sided abdominal pain pmh: gout, DM, stroke-left sided weakness, COPD, gallstones\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: pt reports lower back pain that radiates down to left foot. patient denies any cp or sob at this time. patient denies any recent falls. patient uses wheelchair. PMH HTN gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: \"been feeling bad\" last 2 weeks & switched BP medications last week & worried about BP PMHx: CHF, HTN, gout, 3 strokes, DM\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Chronic neck, shoulder and back pain self placed c-collar. pt seen last week for the same pmh htn, arthritis, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Around 1101 pm woke up with a headache on the right side, steady ache from back to front per pt has never had a headache like this pmhx; htn, gout, bursitis\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Complaints of shortness of breath and swelling to left hand and BIL ankles; PMH CHF, gout, DM\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: sent from DCH Regional Medical Center for possible infection of L BKA 2 weeks ago; PMH HTN, COPD, CHF, gout, DM, ESRD on dialysis\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Ortho tx from Red Bay for L distal malleolus, L distal femur fx secondary to falling out of bed this AM. PMH: gout, HLD, htn, B knee replacements\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: elevated bp and elevated glucose, pmh CAD, gouth, HTN, DM\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Leg cramps for \"a while.\" Pt states he's tired of them and tired of taking pills for it. Hx: HTN, HLD, CHF, prev. CVA w/ hemiplegia on left, anemia, gout, depression\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: STEMI - CP starting around 0042, radiating to jaw Hx: DM, gout, HLD\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Eufaula tx for renal pt. 1999 renal tx with new onset of anuria. HR 130s. 4morphine with EMS 0947 PMHx gout/ RF/ lupus\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: walked outside of a gas station and began being \"shocked\" on his feet. \"There was water and a live wire right when I walked out. Wearing rubber-soled shoes. bilateral feet tingling. pmhx: gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: pt from RBH, sent here for blood clot found in leg during US today, recent mvc with femur fx pmh: gout, surgeries, lithotripsy\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: pt c/o sob x 2 weeks adn ankle pain from gout, pt placed on 2LNC of o2 sats up to 92%\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Leur lock fell off the end of port-a-cath causing blood to come from tubing. PMH: asthma, gout, HTN, gastric CA, FOLFOX chemo infusion\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: LVAD pt who present with low flow alarm. Per caregiver alarm has been going off all day and pt was seen in clinic this am. pt having N/V and weakness for the past few days. LVAD placed 03/1983. PMH CHF, Cervical cancer, htn, gout and defibulator\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: bilateral feet swelling and pain. ambulatory, off gout meds x1 year hx; gout, arthritis\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: SI \"losing my mind, losing everything\" states people are out to kill him. \"i walk on the train tracks a lot\" PMH: gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: \"Out of my mental health pills and I'm having anxiety and thoughts of hurting myself\" States he wants to get run over by a train PMH gout, bipolar, schizophrenia\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: low energy, sick feeling, HA, extreme fatigue, symptoms x one month, pmh HTN, CABG, CAD, coronary stents, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: C/O LLE swelling/stiff x2d and radiating into L abd/LUE, also RLE pain xweeks and currently on IV abx through PICC RUE. States nausea this am, denies fevers/vomiting/diarrhea PMHX htn, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: arrives in custody with lac to L hand and avulsion to back of scalp from breaking/throwing a tv. bleeding controlled. unsure if tetanus is UTD, but recently had stitches. tearful througout triage\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: CP left chest and sternum x1 week, dull pressure with no alleviating interventions, started while covering plants with tarps, no relief since, MI 1978 w/ 3 stents, HTN, HLD, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: pt from russellville hospital for SI. pt states \"I just want to kill myself\", pt states he does have a plan. PMHx: RA, gout, HTN, bil AKA\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: swollen penis X 3 days, painful at times. PMH: DM, HTN, gout,\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: C/o vaginal and buttock pressure with N/V/D x 2 days that is progressively getting worse. PMH: HTN, arthritis, gout, fibroid tumors\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: States has hiccups every day for approx 1 year. States drank approx 3 gallon of water today to try to stop the hiccups. States he thinks now his Na is low. C/o cramping in left arm and leg. C/o chest pressure with dyspnea. PMH: DM2, gout, HTN\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: C/o mid abdominal pain x 5 hrs. PMH: depression, arthritis, gout, back pain, gastric bypass\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: RLQ abd pain and no BM since 07/29 - Cystoscopy,bilateral retrograde pyelogram, right ureteroscopy, right ureteral stricture biopsy. right ureteral stent - PMH: HIV, diabetes, hypertension, hyperlipidemia, gout and prostate cancer.\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: surgery for MRSA abcess on spine 2 weeks ago at Mizell, had wound vac - which was removed by follow up appt MD, wound open and pink, told to apply wet to dry dressings at home, numnbess to B legs, med hx asthma, gout, HTN, pupils pinpoint\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: inspire implant surgery on sunday for sleep apnea, states that he has noticed increased swelling today, unable to swallow, mild pain, nasal drainage pmhx: sleep apnea, HTN, hypothyroidism, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: gout flare in left foot, right 5th finger, and left shoulder PMH: gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: painful pressure when urinating, blood clots in urine since yesterday PMH heart valves, defibrilator, htn, gout, MI\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: chest pain x 9 hours- sharp right sided pain PMH: CHF, open heart surgery, pacemaker, DM, knee replacement, HTN, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: (ssh) reports feeling nervous about having skipped his DM medications and eating too much candy, hx: gout, DM\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Constipation x3 weeks. Taking laxatives with watery diarrhea, last BM this morning. PMH: HTN, gout\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: hematuria and dark tarry stools x 2 weeks PMH: HTN, gout,\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patient chief complaints and the ground truth:\n\nExample 1\nChief complaints: #gout flare up# L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample 2\nChief complaints: #I started breathing hard# hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nThink step-by-step. You should only output #Y# for #YES# or #N# for #NO#.\n\nINPUT:\nChief complaints: Hemorrhoid pain that is worse when sitting. Seen last night for same. pmh Dm Htn gout, arthritis\n\nOUTPUT: \n\n\n " }, { "role": "assistant", "content": "N" } ]