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GOUT20_finetune_train

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[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: constipation x 9 days, reports rectal bleeding since \"putting my finger up there\" this AM, denies PMH\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Right hip pain x 2 weeks \"It woke me up this AM\". No known injury.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt reports 2 seizure-like activities (1 on tuesday that lasted 1 min and 1 last night that lasted 15 minutes). pt states \"my girlfriend said i was asleep and then i woke up and didn't remember what happened.\" pt reports he was oriented upon awakening.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Sore Throat x 3 days\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o left wrist pain after shutting trunk of car on his wrist yesterday at 1532. no pmh.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o R side neck pain and swelling x 1day. pmhx chf, icd, htn\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: left 2nd finger suture removal, no complaints\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o BLE pain, no swelling noted. pmhx: a-fib, HTN, sleep apnea\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"I've been feeling poorly\" x 2 days. Lower back pain. Frequent urination x 2 days. HA since 0135. From PROVIDENCE. Uses cane.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: n/v for a week. body aches\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: flu like symptoms x 2 days\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: fell while intoxicated last night, reports twisting L ankle and hearing \"pop\", reports pain in L ankle; PMH: HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: poss uti, c/o dull lower back pain x 6 days pmhx:HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt reports chest pain x10minutes denies PMH denies si, hi with plan to shoot boyfriend in head, says has access to gun\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt c/o back pain and pinching in both arms that has been going on for a month. PMH: HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: chest congestion, productive cough x one week; reports BLE pain- hx arthritis, ran out of arthritis medications on Sunday (takes Robaxin 750)\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt disloclated L wrist a month ago and had surgery and was D/C with a follow up this Thursday. Pt ran out of pain medicine and says that he can't wait until the follow up. PMH denies\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o \"CP, back pain x 2days.\" pmhx gerd, renal stents, pvd stents, copd\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: hard to breath, feels scared, symptoms x one week\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: c/o loss of appetite, fatigue, NVD x 1week. denies pain. pmhx pancreatitis, cardiac arrest yrs ago (due to hx of prolonged QT)\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Epigastric pain since yesterday wirth nausea\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: sob and right chest pain x 1 weeks - hx of multiple back surgeries\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: sore throat and dry cough x one week, denies pmh\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: \"heart racing\", seen at clinic yesterday for same PMH pacemaker, CHF, vtach, WPW,\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Sorethroat for 4 days. Sent from Urgent Care. Muffled voice. Fever\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Pt c/o right upper thigh pain similar to previous DVT. Pt had clots in leg/lungs 5 months ago. PMH: HTN\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: intermitent, midline chest pain with fatigue and R shoulder pain x2 days, shoulder pain worse with movt; denies chest pain currently\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Left hip pain for approx 6 months, has been seen for same before, needs follow up for pain management or at mcmillan- needs referrel, taking aleve everday for the pain ambulatory in triage with steady gait pmhx: htn, prostate ca,\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: Patient c/o sore throat since last night, RLQ abd pain since today, and headahce for the past few days. pmh lupus\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: unable to pay for abx Rx for R arm infection provided by Eastpointe lsat night - PMH: IV drug use, last used yesterday\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: coughing x 4 days\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: intermittent CP x 2 months, pmh HTN, thyroid dz, lung CA (not on chemo)\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: pt c/o pain in L abdomen and L flank, known tumor on T7 rib, diagnosed with Hodgkins in 1977. pmhx: Hodgkins\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: left foot pain chronic but worse tonight. pmh gout\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "Y" } ]

[ { "role": "user", "content": "You are a doctor in the emergency department of a hospital. Your responsibility is to pre-identify if the patient has a gout flare based on their chief complaint. Here are several previous examples of patients' chief complaints and the ground truth:\n\nExample #1\nChief complaints: \"gout flare up\" L arm swelling x 1 week. denies any other pmh\nGround truth: YES\n\nExample #2\nChief complaints: \"I started breathing hard\" hx- htn, gout, anxiety\nGround truth: NO\n\nNow, given the patient's chief complaint in the ED, determine if they likely have gout. Use the following guidelines:\n\nGuidelines:\nSymptoms: Rapid onset of severe pain, redness, and swelling, particularly in the first MTP joints or other joints.\nSigns: Intense joint pain, lingering discomfort, inflammation, redness, and limited range of motion.\nKey Phrases: Look for terms in the GOUT-GAZETEER (e.g., gout, pain, tender, swelling, swollen, stiff) in the complaint or problem list, especially with musculoskeletal complaints.\nLocation Indicators: Use terms in the LOCATION-GAZETEER (e.g., toe, ankle, foot, thumb, arm, shoulder, leg, knee, wrist, feet, finger, elbow, hip, hand; LLE, RLE, LUE, RUE, UE, LE).\nPMH Indicators: Consider past medical history terms in the PMH-GAZETEER (e.g., pmh, hx, pmxh, pmx).\nDiagnosis Indicators: Presence of MSU crystals, sudden severe pain, hyperuricemia, and response to colchicine.\nDecision Criteria:\nBe conservative and only diagnose gout if multiple strong indicators are present.\nPay attention to other possible diagnoses and be cautious of over-diagnosing gout based on minimal evidence.\nCross-reference all available indicators and ensure they align with typical gout presentations.\nAdditional Considerations:\nInjury with Exacerbation: If an injury is reported but there is significant redness, swelling, and pain, consider if the injury could have triggered a gout flare.\nMusculoskeletal Pain: If musculoskeletal pain is described with terms like \"pain,\" \"swelling,\" \"tender,\" or \"stiff,\" especially in the lower extremities, be cautious of a possible gout flare.\nMultiple Locations: If pain is described in multiple joints or locations, consider gout as a differential diagnosis.\nPast Medical History: Even if the primary complaint doesn't directly suggest gout, a history of conditions like HTN, DM, or past gout can indicate a higher risk.\nThink step-by-step. The answer should follow the format below, and be super strict when giving the final answer as 'Yes':\n\nFinal answer (Yes or No): [Your answer]\n\nINPUT:\nChief complaints: RLQ abd pain radiating to R flank with trouble urinating. Denies hx.\n\nOUTPUT: \n\n " }, { "role": "assistant", "content": "N" } ]