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GOUT19_test

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GOUT190

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "can't walk", reports onset at 0830 am. oriented x2. aortic valve replacement in May. wife reports episode of similar last week, hospitalized at Wiregrass Medical Center for UTI, gout - pmhx: CVA (L side residual deficits) OUTPUT:

N

GOUT191

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "dehydration" Chest hurts, hips hurt, cramps PMH- Hip replacement, gout, missed pain clinic appt today, thinks he has a gout flair up knee and foot pain OUTPUT:

Y

GOUT192

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh OUTPUT:

Y

GOUT193

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "I started breathing hard" hx- htn, gout, anxiety, OUTPUT:

N

GOUT194

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "I think I have a gout flare up" L wrist pain & swelling since 0838 AM. Hx: afib, gout, HTN OUTPUT:

Y

GOUT195

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "I want to see if I have an infection" pt vague about symptoms, and having gout flare up, big toe swollen, feet hurt pmhx: gout, htn OUTPUT:

N

GOUT196

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "My gout done flared up on me", c/o R ankle, L shoulder, and chronic lower back pain. pmh- gout OUTPUT:

Y

GOUT197

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "my gout is hurting me"- reports bilateral foot pain x 2 weeks; pmh HTN, DM, gout, prostate cancer on chemo pills OUTPUT:

Y

GOUT198

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: "umbearable" right foot/ankle pain pmh gout OUTPUT:

Y

GOUT199

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: (LMC) transfer for renal transplant. pt SOB x 1 day. possibly rejecting kidney. kidney tx in 2008. hx:DM, gout, HTN, renal failure, seizure OUTPUT:

N

GOUT1910

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: (JI) dizziness and SOB. recent HTN med change from losartan to amlodipine. pmh HTN, RA, gout OUTPUT:

N

GOUT1911

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: (RM) intermittent cp since this am, worse during funeral. 162 aspirin and 1 nitro en route resolving pain. SI " that is everyday but I just push it out of my mind" pmh gsw R chest, CHF, HTN, gout L elbow, PTSD OUTPUT:

N

GOUT1912

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: (Grandview tx) neck pain and right arm pain following syncopal episode. abrasion to right forehead, left knee. C-collar present on arrival. A&Ox1 PMH: HTN, GERD, gout, ASA daily OUTPUT:

N

GOUT1913

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: (Stat call) epigastric pain and hypotension since this morning. PMH: ESRD (dialysis M,W,F) CHF, gout, HTN OUTPUT:

N

GOUT1914

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: abd pain, NV x 1 year, worse over last 7 months. has lost 100lbs in last year. pmh: hernia repair 06/20/97, gout, migraines OUTPUT:

N

GOUT1915

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Aching in chest, sides, shoulders, pain with inspiration x 2 days. Pain in chest radiates into back. PMH gout, arthritis, HTN, OUTPUT:

N

GOUT1916

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: AMS, lethargy, increasing generalized weakness over 2 weeks. Hx: ESRD on hemodialysis at home, HTN, DM, gout, neuropathy OUTPUT:

N

GOUT1917

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: bil. knee pain for "a while". fell earlier today d/t the pain. Admits to hitting head, denies LOC. Also c/o L wrist pain. hx: gout. per pt, she was seen here for same recently. OUTPUT:

N

GOUT1918

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: bilat foot poain, r hand pain r/t gout per patient. states ran out of his meds yesterday OUTPUT:

N

GOUT1919

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Bilateral ankle and foot pain x 2 weeks. C/o chills, coughing x 2 weeks. Seen PCP, dx with athletes foot to left foot. PMH gout, HTN OUTPUT:

Y

GOUT1920

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: bilateral knee swelling Left sided chest pain, jaw pain, BLE swelling, SOB, coughing more often, and weakness, that has gotten worse over the past day pt is wearing life vest pmhx: chf, dm, htn gout OUTPUT:

N

GOUT1921

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: bilateral leg and feet pain. weeping fluid. has CHF. increased leg pain PMH: CHF, gout OUTPUT:

N

GOUT1922

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: bilateral leg swelling x2 days pmhx: gout, HTN, DM OUTPUT:

N

GOUT1923

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Burn to chest, face, and arms from boiling water. PMH: HTN, gout. OUTPUT:

N

GOUT1924

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: C/o aphasia x 2 days. Seen at PCP yesterday and had work-up. CT findings compatible with acute to subacute ischemia within the left frontal lobe. PMH: depression, GERD, gout, HTN, MVP OUTPUT:

N

GOUT1925

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: C/O bilateral groin pain worseing x2d w/difficulty urinating and fever/chills. Also R low back pain, abd cramping. Pt denies dysuria, n/v/d. PMHX gout OUTPUT:

N

GOUT1926

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: C/o CP with dyspnea since yesterday. PMH: gout, HTN, HLD, DM, asthma, DVT, a-fib OUTPUT:

N

GOUT1927

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: C/o CP with dyspnea x 2 days. PMH: back pain, gout, HTN OUTPUT:

N

GOUT1928

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: c/o fevers, HA, PMHx: gout, HTN OUTPUT:

N

GOUT1929

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: c/o HA & elevated BP since this morning PMHx: DM, HTN, arthritis, gout OUTPUT:

N

GOUT1930

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: c/o L sided neck pain rad down L arm x1 month. denies CP. denies injury. recieved nerve block one week ago w/out relief. PMH: HTN, gout, depression, DMii OUTPUT:

N

GOUT1931

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: C/o left foot and knee pain since Tuesday "I think it's gout" PMH gout, AICD, Hep C OUTPUT:

Y

GOUT1932

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: c/o lower mid abd pain that radiates to his back x 1 week. Improvement with tylenol & ibuprofen. Hx: HTN, stents, CAD, gout, renal insuff, stroke, bladder cancer years ago, multiple surgeries OUTPUT:

N

GOUT1933

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: c/o R big toe hurting from gout and headaches x3 weeks pmh gout, HTN, acid reflux OUTPUT:

Y

GOUT1934

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: c/o SOB, Aching and congestion since 0827. PMH of HF, HTN, asthma, gout. OUTPUT:

N

GOUT1935

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: C/O sudden onset nontraumatic R knee pain and burning started last night, states feels similar to his gout flares in his foot, on allopurinol. Patient denies fevers, CP, SOB, abd pain or nausea. Pt is ambulatory PMHX CKD, gout, htn OUTPUT:

Y

GOUT1936

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: call to EMS for heart palpitations, possible STEMI on EMS EKG; upon arrival pt complaining of heart racing pmh chf, htn, gout, hernia OUTPUT:

N

GOUT1937

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Called back to ED for positive blood cultures x2. Here Thursday for swelling to right leg, "turning colors" PMH gout, HTN OUTPUT:

N

GOUT1938

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: cannot bend R knee after twisting 2 days ago. no pain initially but has progressively gotten stiff and tender on knee cap. PMH: gout, CHF OUTPUT:

U

GOUT1939

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: chest and abd pain, recently dx w/ flu, given antibiotics/steroids. denies cough. pmh kidney tx (1986), gout, htn, dm. OUTPUT:

N

GOUT1940

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: chest and back pain that has been going on for weeks. Also c/o H/A for past few hours. pmh gout, HTN, seizures OUTPUT:

N

GOUT1941

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: chest pain radiating to R side x2 1/2 hrs, diaphoresis, SOB, nausea, vomiting x2; pmhx gout OUTPUT:

N

GOUT1942

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: chest pain, gout pain in hands and ankles, "high bp", hx: gout, HTN OUTPUT:

Y

GOUT1943

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: CP SOB and sore throat x1 hr pmh COPD, gout, htn, arthritis OUTPUT:

N

GOUT1944

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: CP x 3 days, body and abd swelling, fatigue x one week, pmh asthma, HLD, gout, CHF, neuropathy, CKD, low mag, coronary stents, one kidney OUTPUT:

N

GOUT1945

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: CP x one day, pmh CAD, COPD, gout, CHF, cocaine abuse, AICD OUTPUT:

N

GOUT1946

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Doc N Box DX pt w/ R hip FX on wed. Pt states no falls or injuries. PMH: gout OUTPUT:

N

GOUT1947

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: dog scratch to left thumb PMH VP shunt, brain sx, poly kidney disease, lumpectomy L side HTN gout arthirtis HLD thryoid dx AFIB, xaerlto, CHF, COPD OUTPUT:

U

GOUT1948

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: dysphonia x 2 weeks, found spot on lungs 2 weeks ago by PCP, weight loss, pmh gout OUTPUT:

N

GOUT1949

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Edema to bilateral lower legs since yesterday, chest pain since 1329. Had cardiac surgery 2 weeks ago w/ablation. PMH CHF, HTN, afib, COPD, OA, gout, anxiety, depression OUTPUT:

N

GOUT1950

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: endorses flank pain and N. Sent to ER for BS of 600, PMH, AKI, UTI, CHF, gout, ESBL, pulm htn, DBT, fibromyalgia, kidney failure OUTPUT:

N

GOUT1951

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Fall 6 x in 24 hours due to lower extremity weakness. denies hitting head. PMH: colon cancer metastisized to liver, brain, DM, gout, defibrillator, MI 2013, CHF, 2LNC at baseline OUTPUT:

U

GOUT1952

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Fell 2 days ago, reporting L ankle and R side pain, PMH: Leukemia, gout (per ems leukemia, per pt renal ca no treatment) OUTPUT:

N

GOUT1953

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: fever 2 days ago, diarrhea, nasuea, recent radiation treatment for squamous cell carcinoma, chemo every monday PMH: Squamous cell carcinoma, shrapnel in head, gout, HTN, OUTPUT:

N

GOUT1954

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: from Red Bay - pt reports SI - per report from Unity: pt maniipulative and agressive today. PMH cerbral palsy, bipolar disorder,gout, anixety, depression, CAD s/p 4 stents in 1999 OUTPUT:

N

GOUT1955

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: FROM Tanner Medical Center. Dizziness since yesterday, HR noted to be 36 at MD office. Unabel to obtain BP at sign-in, taken directly to a room. Hx. HTN, gout, hyst. Pt.denies pain OUTPUT:

N

GOUT1956

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: fullness in the chest x one day, pmh HTN, gout OUTPUT:

N

GOUT1957

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: gout flare up that started yesterday in left wrist,pain 10/10 Hx of gout, chronic back pain, depression OUTPUT:

Y

GOUT1958

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: gout flare up to both feet, unable to ambulate. states ran out of colchicine 3 days ago PMH: gout, HTN, DMii OUTPUT:

Y

GOUT1959

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: gout flare-up to R ankle x 4 days. "I have gout medicine but my bookbag got taken 4 days ago" OUTPUT:

Y

GOUT1960

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Gout flareup to L hipx2 days, does not take medication for gout, pmhx: gout OUTPUT:

Y

GOUT1961

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: great right toe pain x2 days and right heel pain x 5 years PMH: gout, HTN, DM OUTPUT:

Y

GOUT1962

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Had IVC filter pulled out Monday and site won't stop bleeding. C/o SOB and swelling to abdomen. PMH cirrhosis, chronic pancreatitis, DM, neuropathy, gout OUTPUT:

U

GOUT1963

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Increase pain and redness @ left great toe and surrounding foot. Hx. gout. recent hospitalization for blood clot in foot and gout. Uses walker. PALE COMPLEXION OUTPUT:

Y

GOUT1964

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: Increased swelling to bilateral feet x 2 weeks, left hip pain x 2 weeks, period has lasted 3 weeks but is postmenopausal . PMH HTN, gout, arthritis OUTPUT:

N

GOUT1965

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: intermittant SOB x 2wks, denies CP, 97% RA, bilat +3 pitting edema PMH: CHF, pacemaker, CAGB, valve replacement, HTN, gout OUTPUT:

N

GOUT1966

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: joint pain x 3 months, pmh HTN, gout, bone CA (not on chemo) OUTPUT:

Y

GOUT1967

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: L ankle pain since last PM. Denies trauma. hx: possible gout, cardiac OUTPUT:

Y

GOUT1968

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: L arm/shoulder pain x4days, "i can't use it or sleep". denies trauma. pmh gout, htn, dm. OUTPUT:

Y

GOUT1969

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: L big toe pain x4wks. recently tx for gout flare. put capsacin patch which made it burn. pmh DM2, gout. OUTPUT:

Y

GOUT1970

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: L foot gout flare-up since saturday, doesnt take meds for gout - PMH: gout OUTPUT:

Y

GOUT1971

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: L foot pain x 1 week. pmhx: DM, gout OUTPUT:

Y

GOUT1972

You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction: 1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated. 2. **Key symptoms** to consider: - Intense joint pain, usually peaking within 4-12 hours. - Lingering discomfort after the severe pain subsides. - Inflammation and redness: swollen, tender, warm, and red joints. - Limited range of motion as the condition progresses. 3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications. 4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely. 5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms. 6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully. Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES". Here are some examples: Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO Please think step by step, and the output format should be as follows: Chief complaints: [complaint_text] Thinking process: [Your analysis] Final answer (Yes or No): [Your answer] INPUT: Chief complaints: L foot, R hand pain. Pain x1 day. pt. feels the pain is related to his known diagnosis of gout. Takes Allopurinol. hx: gout, HTN OUTPUT:

Y