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GOUT200 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Altercation while making arrest, c/o R hand pain, unable to straighten out 5th digit, and L sided face pain after being punched with closed fist. Denies hx.
OUTPUT:
| N |
GOUT201 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Cut on L upper thigh wtih saw. Bleeding controlled and wrapped by EMS.Unaware if tet shot UTD. denies PMHX
OUTPUT:
| N |
GOUT202 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Generalized pain all over. Patient not answering questions in triage, just responds with "thats a good question"
OUTPUT:
| N |
GOUT203 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: R knee pain and swelling x2 weeks. "I've just been feeling tired also" PMHX Mitral Valve, sleep apnea, migraines, HTN
OUTPUT:
| N |
GOUT204 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: R wrist pain/swelling/numbness since this morning. Denies trauma-related event. Denies hx.
OUTPUT:
| N |
GOUT205 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o R elbow pain and limited range of motion/unable to pick up objects since fall from bicycle today around 0940. denies head injury. pt states "i dont have a tendon in this R arm" d/t past injury.
OUTPUT:
| N |
GOUT206 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o left flank pain and left lower abdominal pain. pmh tia, cad.
OUTPUT:
| N |
GOUT207 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o lower bilateral extremeity swelling x1 day, denies SOB, pain. pmh: DM, liver tx 1994
OUTPUT:
| N |
GOUT208 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o right calf swelling. patient had right knee injury on Wednesday. on call provider told her to come to ED for possible blood clot. no pmh.
OUTPUT:
| N |
GOUT209 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o right foot redness after stepping on nail today at work. Patient also complains of left ear drainage. no pmh.
OUTPUT:
| N |
GOUT2010 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o right hip and right leg pain that started after she stood up 3 days after back surgery on 01/05/12. pmh diabetes.
OUTPUT:
| N |
GOUT2011 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: c/o urinary urgency and left flank pain that started this morning. no pmh.
OUTPUT:
| N |
GOUT2012 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: cp started 1 hour to arrival , c/o pain that radiates to back , left side face, shoulder. denies N/V pmh:MVP
OUTPUT:
| N |
GOUT2013 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: laceration to right index finger, dog bite. Hand is red and swollen to hand to right index knuckle. the redness and swelling started overnight. PMH neg
OUTPUT:
| N |
GOUT2014 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: lower abd pain, nausea, urinary frequency
OUTPUT:
| N |
GOUT2015 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Bilateral foot pain and swelling x 2 months, hx of same. Hx HTN.
OUTPUT:
| N |
GOUT2016 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: C/o R knee swollen x 3 days and difficulty ambultating. Pt. HI w + AVH telling him to kill his family members w no specific plan. PMH: bipolar
OUTPUT:
| N |
GOUT2017 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Left calf, thigh, hip pain x3 days. Denies injury. Pmhx gout
OUTPUT:
| N |
GOUT2018 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt stating he got into a fight 3 hrs ago and is complaing of right sided head pain aong with lower back pain. NEG LOC. Brusing noted around eyes. A&0x3 PMHX: bells plasy, rhabdomylosyis gout
OUTPUT:
| N |
GOUT2019 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Requesting detox for clearance into rehab. Regularly uses Heroin, meth, and alcohol. Last use 1650 today. 6-pack beer today. Also c/o bilateral hand and foot pain, swelling. Hx COPD, HepC.
OUTPUT:
| N |
GOUT2020 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right knee pain x1.5 months. Had xray here 2 days ago, lwbs
OUTPUT:
| N |
GOUT2021 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right foot pain onset x 1 month after "stepping wrong". Negative imaging initially, continued pain. Hx HTN.
OUTPUT:
| N |
GOUT2022 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right knee pain since 04/28. Denies injury. Unable to ambulate. Pmhx dm, prostate ca(about to start radiation therapy)
OUTPUT:
| N |
GOUT2023 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: left wrist and hand swelling starting 2 weeks ago, c/o throbbing pn in hand, denies PMH
OUTPUT:
| Y |
GOUT2024 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: L ankle pain x3 days. States she was walking, and it started hurting. PMH: Denies
OUTPUT:
| N |
GOUT2025 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: MVC 1 hr PTA. pt c/o chest and neck pain. currently on blood thinners. (-)LOC, + airbag. pmhx: blood clots in lungs in 1973., HTN, HLD
OUTPUT:
| N |
GOUT2026 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: MVC 2 weeks ago. RLQ tenderness since accident. Yesterday developed n/v/d and fever. Now RLQ pain radiating into testicles. Sore throat, cough, chills. pmh: prostate cx 3 years ago, diverticulitis, crohns, HTN, DM
OUTPUT:
| N |
GOUT2027 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Per patient, possible gout flare-up. Pt c/o pain and swelling in R hand. Took gabapentin 2 hours pta with minimal relief. hx: htn, gout
OUTPUT:
| Y |
GOUT2028 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt w/ hx copd c/o wheezing after multiple neb treatments @home. Also c/o pain and swelling to R last 2 toes since this am. Does have hx of gout. Denies further medical hx
OUTPUT:
| Y |
GOUT2029 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: R foot pain x 2 days, denies injury, also reports productive cough/congestion x one week; PMH: asthma
OUTPUT:
| Y |
GOUT2030 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right side pain from axilla to right hip s/p fall from wheelchair 1 week ago. pmh: htn, dm, asthma
OUTPUT:
| N |
GOUT2031 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o L knee pain for a couple months. pt denies trauma. pmhx: HTN, DMII
OUTPUT:
| N |
GOUT2032 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o R foot pain x5 hours. mild swelling noted. pt denies trauma. denies pmhx
OUTPUT:
| U |
GOUT2033 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o R sided knee pain since 0650. pt denies trauma. pmhx: GERD, anemia
OUTPUT:
| N |
GOUT2034 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: sent from WIREGRASS for HA with nausea since 0343 AM; PMH: gout
OUTPUT:
| N |
GOUT2035 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "I fell going up the steps and I guess I just got twisted up. The R side of my neck and my R wrist hurt real bad." No deformities seen, pt endoreses pain w/ movement. Denies numbness/tingling.Pmhx: HTN, Gout, T2DM
OUTPUT:
| N |
GOUT2036 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "yesterday around 0917 am my R knee just popped. I have pain in my knee and it goes up to my thigh." Pt ambulates with walker. Denies numbness/tingling. Pmhx: gout, OA.
OUTPUT:
| N |
GOUT2037 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "my L knee is swelling due to the weather changes. It just needs to be tapped. I called my doctor but she can't see me until april."
OUTPUT:
| N |
GOUT2038 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt c/o right knee pain for the past couple of days
OUTPUT:
| N |
GOUT2039 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: non productive cough, sore throat, sinus congestion/drainage x 4 days; hx dm, enlarged heart, gastric bypass, appy, hysterectomy, gout, narcolepsy
OUTPUT:
| N |
GOUT2040 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "I need to go back to Red Bay", "I see people following me down the street" endorses recent meth use. pain to B feet. denies SI.
OUTPUT:
| N |
GOUT2041 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: feel like I have strep throat again". c/o sore throat, cough, sneezing. states diagnosed with strep 1990-09-16
OUTPUT:
| N |
GOUT2042 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: 2 wk hx. of left foot pain. Hx. fx. left foot 3 years ago. No known injury, "I've been working with a friend of mine last 2 weeks".
OUTPUT:
| N |
GOUT2043 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Left lower arm swelling x3 days, denies injury or pain; recently had skin cancer removed on L hand on 05/21/73. pmhx HTN, DM
OUTPUT:
| N |
GOUT2044 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt complaining of Right knee pain for 1 week. Denies any trauma to the knee. Ambulatory in triage. Pt states he is having HI at this time but no SI. PMHX: bipolar, schizophrenia
OUTPUT:
| N |
GOUT2045 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right hip pain x 2 weeks "It woke me up this AM". No known injury.
OUTPUT:
| N |
GOUT2046 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Stool coming thru vagina x's 2 weeks. History
OUTPUT:
| N |
GOUT2047 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: increased pain and swelling to R upper arm, seen here monday for same
OUTPUT:
| N |
GOUT2048 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: poss dislocated R big toe x2 hrs PTA, states poss happened 3x thoughout the day but last time pt unable to "pop" it back in herself. also c/o pain and swelling to R big toe; denies pmhx
OUTPUT:
| N |
GOUT2049 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: pt c/o CP sharp in nature to right chest and right arm that is moving to left chest starting @ 0343 pm of 09/15/10. PMHx: DM, HTN, gout
OUTPUT:
| N |
GOUT2050 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: L knee pain for 2 weeks, unable to walk for 2 days . Non compliant with gout meds. Lknee edematous without erythema. PMHx; gout HTN,
OUTPUT:
| Y |
GOUT2051 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: N/V/D x 3 days, weakness, chest pain with vomiting pmhx: gout
OUTPUT:
| N |
GOUT2052 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: lower back pain x 1 day. lifting TV yesterday but pain began after bending over to fix car tire. PMH: HTN, Gout
OUTPUT:
| N |
GOUT2053 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: "my foot looks black and swollen"; L foot darker and swollen in appearance; intermittent, sharp pains. pmhx: hand foot surgery on 04/08/1970
OUTPUT:
| N |
GOUT2054 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt had fall this AM, landed on knees. c/o bilateral knee pain, left ankle, left big toe pain. PMH: gout, COPD, HTN
OUTPUT:
| N |
GOUT2055 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: R hip and R ankle pain x 2-3 months; numbness and tingling when laying on hip pmhx: schizophernia
OUTPUT:
| N |
GOUT2056 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: bilateral leg pain, per pt has gout, obvious swelling BLE, leg numbness, denies CP denis SOB pmhx: dm,
OUTPUT:
| N |
GOUT2057 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: left lower leg redness and pain x 3 days
OUTPUT:
| N |
GOUT2058 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: generalized abd pain .. had colonoscopy last wednesday (routine)
OUTPUT:
| N |
GOUT2059 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: left foot pain from gout x one week
OUTPUT:
| Y |
GOUT2060 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: right foot problems for 2 weeks ..has appt Aug 2nd with podiatrist at ph
OUTPUT:
| Y |
GOUT2061 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: right knee pain, states it is swollen and having trouble bending it.. pt is amb in triage and denies any injury
OUTPUT:
| N |
GOUT2062 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt c/o swelling and pain to BLE. L>R. Denies SOB or CP. PMH: HIV (compliant on antiretrovirals), Prediabetic
OUTPUT:
| N |
GOUT2063 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Pt states that he has been feeling dizzy for 40 minutes and also c/o leg pain PMH: DM, gout
OUTPUT:
| N |
GOUT2064 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: R knee and lower back pain x 2 days, denies recent injury; PMH: HTN, DM
OUTPUT:
| Y |
GOUT2065 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: L shoulder pain x 1 week. No trauma
OUTPUT:
| N |
GOUT2066 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Syncopal episode today. Pt c/o R rib pain and head pain. PMH: Stents, HTN, HLD, Gout
OUTPUT:
| N |
GOUT2067 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: scratch on left elbow, red skin around, poss cellulutis PMH tetanus x2 years ago, GOUT
OUTPUT:
| N |
GOUT2068 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right foot pain for a week, tender to palpation. dark area noted on top of right foot near toes and another towards outside of foot. PMG dialysis, gout
OUTPUT:
| N |
GOUT2069 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Right knee pain.
OUTPUT:
| N |
GOUT2070 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: Slipped sidewalk 1756, right wrist pain and deformity. ICE applied. Pt. had tylenol and phenergan PTA. Hx. gout, kidney stones, GERD
OUTPUT:
| N |
GOUT2071 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: dropped 10 lb weight on L foot, L great toe appears red, swollen and tender to touch. PMH: HIV, GERD
OUTPUT:
| Y |
GOUT2072 | You are tasked with predicting whether a patient's chief complaint in the emergency department (ED) indicates a gout flare. Use the following guidelines to assist in your prediction:
1. **Suspicion for gout**: only if the patient presents with multiple key indicators such as rapid onset of severe pain, redness, and swelling, especially in the first metatarsophalangeal (MTP) joints. Consider other joints like the midfoot, ankle, knee, hand, wrist, and elbow, but be cautious if these symptoms are isolated.
2. **Key symptoms** to consider:
- Intense joint pain, usually peaking within 4-12 hours.
- Lingering discomfort after the severe pain subsides.
- Inflammation and redness: swollen, tender, warm, and red joints.
- Limited range of motion as the condition progresses.
3. **Evaluate the context**: When the complaint mentions multiple joints, generalized swelling, or severe pain, consider the possibility of gout, especially if the patient has a history of gout or has been non-compliant with medications.
4. **Differential diagnosis**: While conditions like septic arthritis or other inflammatory arthritides should be considered, the presence of gout history with compatible symptoms should strongly favor a "YES" unless another diagnosis is more likely.
5. **Chronic conditions**: If the patient has chronic gout or a history of gout-related joint issues, the threshold for suspecting an acute flare should be lower, particularly with relevant symptoms.
6. **Gout-related mentions**: Any mention of gout in the complaint or history, combined with compatible symptoms (even if mild), should increase the likelihood of predicting "YES", but consider the context carefully.
Based on these refined guidelines, evaluate the provided chief complaint to determine whether it indicates a gout flare. Consider all possibilities and think critically before giving an answer, especially "YES".
Here are some examples:
Example #1 Chief complaints: "gout flare up" L arm swelling x 1 week. denies any other pmh Ground truth. Prediction: YES
Example #2 Chief complaints: "I started breathing hard" hx- htn, gout, anxiety Ground truth. Prediction: NO
Example #3 Chief complaints: "pain in the foot, no history of gout" Ground truth. Prediction: NO
Please think step by step, and the output format should be as follows:
Chief complaints: [complaint_text]
Thinking process: [Your analysis]
Final answer (Yes or No): [Your answer]
INPUT:
Chief complaints: dropped 10 lb weight on L foot, PMH: HIV
OUTPUT:
| Y |
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