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|
A 43-year-old African American woman presents to the clinic with irritative lesions in the folds of her abdomen and in her genital region as well as painful ulcers in her oral mucosa. The patient reports noticing some flaccid blisters in addition to the lesions she presents with. On examination, erythematous, vegetative lesions are found. She states that the affected areas are painful but not pruritic.
|
She has a previous history of herpes simplex virus (HSV).
|
Proderma gangraneosum, Pemphigus vegetans, Bowen’s disease, Squamous cell carcinoma
|
Pemphigus vegetans
| 2
| 0
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have painful ulcers in my mouth."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 43-year-old woman."}, {"role": "assistant", "content": "Do you have any other symptoms like fever or swollen lymph nodes?"}, {"role": "user", "content": "I do not experience swollen lymph nodes."}, {"role": "assistant", "content": "Have you recently had any infections or illnesses?"}, {"role": "user", "content": "I don't experience any symptoms of an infection or illness."}, {"role": "assistant", "content": "Are you currently taking any medications?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Do you have a history of any medical conditions?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you noticed any triggers or factors that make the ulcers worse?"}, {"role": "user", "content": "The painful ulcers in my oral mucosa get worse when I eat spicy food."}, {"role": "assistant", "content": "Do you smoke or use tobacco products?"}, {"role": "user", "content": "I do not use tobacco products."}, {"role": "assistant", "content": "Do you have any known allergies or are you taking any supplements?"}, {"role": "user", "content": "I don't have any known allergies."}, {"role": "assistant", "content": "Have you recently experienced significant stress or illness?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Do you have a family history of similar symptoms or conditions?"}, {"role": "user", "content": "I do not experience similar symptoms or conditions in my family."}, {"role": "assistant", "content": "Have you recently had any dental procedures or injuries in your mouth?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Do you consume alcohol regularly?"}, {"role": "user", "content": "I do not consume alcohol regularly."}, {"role": "assistant", "content": "Have you noticed any white patches or coating in your mouth?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Have you experienced any recent weight loss or fatigue?"}, {"role": "user", "content": "I do not experience weight loss."}, {"role": "assistant", "content": "Do you have any history of gastrointestinal issues or similar symptoms?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Have you noticed any triggers or factors that make the ulcers worse?"}, {"role": "user", "content": "The painful ulcers in my mouth get worse when I eat."}, {"role": "assistant", "content": "Have you experienced any recent changes in diet or new foods?"}, {"role": "user", "content": "No, my diet has not changed."}, {"role": "assistant", "content": "Have you recently taken any over-the-counter pain relievers or antibiotics?"}, {"role": "user", "content": "I do not take any medications."}, {"role": "assistant", "content": "Have you noticed any sensitivity to light or temperature in the affected area?"}, {"role": "user", "content": "I don't experience sensitivity to light or temperature."}, {"role": "assistant", "content": "Have you had any recent changes in stress levels or lifestyle?"}], "mcq_success_rate_list": [0.0, 0.26, 0.34, 0.24, 0.48, 0.5, 0.1, 0.14, 0.3, 0.2, 0.26, 0.22, 0.16, 0.1, 0.06, 0.14, 0.22, 0.3, 0.18, 0.24], "mcq_final_success_rate": 0.24, "mcq_max_success_rate": 0.5, "mcq_avg_success_rate": 0.22200000000000003, "mcq_num_questions_after_max": 14, "frq_success_rate_list": [0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.02, "frq_avg_success_rate": 0.001, "frq_num_questions_after_max": 19, "num_questions_after_max": 14, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my mouth.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 43-year-old woman.",
"role": "user"
},
{
"content": "Do you have any other symptoms like fever or swollen lymph nodes?",
"role": "assistant"
},
{
"content": "I do not experience swollen lymph nodes.",
"role": "user"
},
{
"content": "Have you recently had any infections or illnesses?",
"role": "assistant"
},
{
"content": "I don't experience any symptoms of an infection or illness.",
"role": "user"
},
{
"content": "Are you currently taking any medications?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Do you have a history of any medical conditions?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you noticed any triggers or factors that make the ulcers worse?",
"role": "assistant"
},
{
"content": "The painful ulcers in my oral mucosa get worse when I eat spicy food.",
"role": "user"
},
{
"content": "Do you smoke or use tobacco products?",
"role": "assistant"
},
{
"content": "I do not use tobacco products.",
"role": "user"
},
{
"content": "Do you have any known allergies or are you taking any supplements?",
"role": "assistant"
},
{
"content": "I don't have any known allergies.",
"role": "user"
},
{
"content": "Have you recently experienced significant stress or illness?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Do you have a family history of similar symptoms or conditions?",
"role": "assistant"
},
{
"content": "I do not experience similar symptoms or conditions in my family.",
"role": "user"
},
{
"content": "Have you recently had any dental procedures or injuries in your mouth?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Do you consume alcohol regularly?",
"role": "assistant"
},
{
"content": "I do not consume alcohol regularly.",
"role": "user"
},
{
"content": "Have you noticed any white patches or coating in your mouth?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Have you experienced any recent weight loss or fatigue?",
"role": "assistant"
},
{
"content": "I do not experience weight loss.",
"role": "user"
},
{
"content": "Do you have any history of gastrointestinal issues or similar symptoms?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Have you noticed any triggers or factors that make the ulcers worse?",
"role": "assistant"
},
{
"content": "The painful ulcers in my mouth get worse when I eat.",
"role": "user"
},
{
"content": "Have you experienced any recent changes in diet or new foods?",
"role": "assistant"
},
{
"content": "No, my diet has not changed.",
"role": "user"
},
{
"content": "Have you recently taken any over-the-counter pain relievers or antibiotics?",
"role": "assistant"
},
{
"content": "I do not take any medications.",
"role": "user"
},
{
"content": "Have you noticed any sensitivity to light or temperature in the affected area?",
"role": "assistant"
},
{
"content": "I don't experience sensitivity to light or temperature.",
"role": "user"
},
{
"content": "Have you had any recent changes in stress levels or lifestyle?",
"role": "assistant"
}
] |
0
|
A 43-year-old African American woman presents to the clinic with irritative lesions in the folds of her abdomen and in her genital region as well as painful ulcers in her oral mucosa. The patient reports noticing some flaccid blisters in addition to the lesions she presents with. On examination, erythematous, vegetative lesions are found. She states that the affected areas are painful but not pruritic.
|
She has a previous history of herpes simplex virus (HSV).
|
Proderma gangraneosum, Pemphigus vegetans, Bowen’s disease, Squamous cell carcinoma
|
Pemphigus vegetans
| 2
| 1
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have painful ulcers in my mouth."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 43-year-old woman."}, {"role": "assistant", "content": "Do you have any other symptoms like fever or swollen lymph nodes?"}, {"role": "user", "content": "I do not experience any swollen lymph nodes."}, {"role": "assistant", "content": "Have you noticed any white patches or coating in the ulcers?"}, {"role": "user", "content": "I don't see any white patches in the ulcers."}, {"role": "assistant", "content": "Do you have a history of any medical conditions or take any medications?"}, {"role": "user", "content": "I do not have a history of any medical conditions that I know of."}, {"role": "assistant", "content": "Have you recently been exposed to someone with similar symptoms?"}, {"role": "user", "content": "I don't know."}, {"role": "assistant", "content": "Have you recently had any dental procedures or injuries to the mouth?"}, {"role": "user", "content": "No, I don't experience any mouth injuries."}, {"role": "assistant", "content": "Do you have a family history of similar mouth issues or autoimmune diseases?"}, {"role": "user", "content": "I don't have a family history of similar mouth issues or autoimmune diseases."}, {"role": "assistant", "content": "Do the ulcers heal on their own, or do you use any topical medications for them?"}, {"role": "user", "content": "I use topical medications for the ulcers."}, {"role": "assistant", "content": "Have you noticed any triggers like certain foods or stress before the ulcers appear?"}, {"role": "user", "content": "I don't experience any triggers."}, {"role": "assistant", "content": "Do the ulcers occur in specific areas of your mouth?"}, {"role": "user", "content": "The painful ulcers are in my oral mucosa."}, {"role": "assistant", "content": "Have you recently experienced any systemic symptoms like fatigue or weight loss?"}, {"role": "user", "content": "I do not experience fatigue."}, {"role": "assistant", "content": "Have you noticed any changes in your diet recently, such as increased sugar intake?"}, {"role": "user", "content": "I have noticed painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Do the ulcers cause difficulty eating or speaking?"}, {"role": "user", "content": "Yes."}, {"role": "assistant", "content": "Have you had any recent infections or illnesses?"}, {"role": "user", "content": "I don't experience any symptoms of an infection."}, {"role": "assistant", "content": "Are the ulcers persistent, or do they come and go?"}, {"role": "user", "content": "The painful ulcers in my oral mucosa are persistent."}, {"role": "assistant", "content": "Have you experienced any similar symptoms in the past?"}, {"role": "user", "content": "I've had this kind of problem before, but it wasn't this bad."}, {"role": "assistant", "content": "Do the ulcers feel like a burning sensation or sharp pain?"}, {"role": "user", "content": "The ulcers in my mouth feel like sharp pain."}, {"role": "assistant", "content": "Are the ulcers accompanied by any discharge or bleeding?"}, {"role": "user", "content": "There is no discharge from the ulcers."}, {"role": "assistant", "content": "Do you have any history of autoimmune diseases?"}, {"role": "user", "content": "I do not experience any symptoms that suggest an autoimmune disease."}, {"role": "assistant", "content": "Have you noticed any other symptoms, like fever or swollen glands, in the past?"}], "mcq_success_rate_list": [0.02, 0.24, 0.14, 0.12, 0.16, 0.14, 0.14, 0.18, 0.08, 0.16, 0.14, 0.1, 0.2, 0.36, 0.18, 0.32, 0.04, 0.12, 0.22, 0.24], "mcq_final_success_rate": 0.24, "mcq_max_success_rate": 0.36, "mcq_avg_success_rate": 0.16500000000000004, "mcq_num_questions_after_max": 6, "frq_success_rate_list": [0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.02, "frq_avg_success_rate": 0.001, "frq_num_questions_after_max": 19, "num_questions_after_max": 6, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my mouth.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 43-year-old woman.",
"role": "user"
},
{
"content": "Do you have any other symptoms like fever or swollen lymph nodes?",
"role": "assistant"
},
{
"content": "I do not experience any swollen lymph nodes.",
"role": "user"
},
{
"content": "Have you noticed any white patches or coating in the ulcers?",
"role": "assistant"
},
{
"content": "I don't see any white patches in the ulcers.",
"role": "user"
},
{
"content": "Do you have a history of any medical conditions or take any medications?",
"role": "assistant"
},
{
"content": "I do not have a history of any medical conditions that I know of.",
"role": "user"
},
{
"content": "Have you recently been exposed to someone with similar symptoms?",
"role": "assistant"
},
{
"content": "I don't know.",
"role": "user"
},
{
"content": "Have you recently had any dental procedures or injuries to the mouth?",
"role": "assistant"
},
{
"content": "No, I don't experience any mouth injuries.",
"role": "user"
},
{
"content": "Do you have a family history of similar mouth issues or autoimmune diseases?",
"role": "assistant"
},
{
"content": "I don't have a family history of similar mouth issues or autoimmune diseases.",
"role": "user"
},
{
"content": "Do the ulcers heal on their own, or do you use any topical medications for them?",
"role": "assistant"
},
{
"content": "I use topical medications for the ulcers.",
"role": "user"
},
{
"content": "Have you noticed any triggers like certain foods or stress before the ulcers appear?",
"role": "assistant"
},
{
"content": "I don't experience any triggers.",
"role": "user"
},
{
"content": "Do the ulcers occur in specific areas of your mouth?",
"role": "assistant"
},
{
"content": "The painful ulcers are in my oral mucosa.",
"role": "user"
},
{
"content": "Have you recently experienced any systemic symptoms like fatigue or weight loss?",
"role": "assistant"
},
{
"content": "I do not experience fatigue.",
"role": "user"
},
{
"content": "Have you noticed any changes in your diet recently, such as increased sugar intake?",
"role": "assistant"
},
{
"content": "I have noticed painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Do the ulcers cause difficulty eating or speaking?",
"role": "assistant"
},
{
"content": "Yes.",
"role": "user"
},
{
"content": "Have you had any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I don't experience any symptoms of an infection.",
"role": "user"
},
{
"content": "Are the ulcers persistent, or do they come and go?",
"role": "assistant"
},
{
"content": "The painful ulcers in my oral mucosa are persistent.",
"role": "user"
},
{
"content": "Have you experienced any similar symptoms in the past?",
"role": "assistant"
},
{
"content": "I've had this kind of problem before, but it wasn't this bad.",
"role": "user"
},
{
"content": "Do the ulcers feel like a burning sensation or sharp pain?",
"role": "assistant"
},
{
"content": "The ulcers in my mouth feel like sharp pain.",
"role": "user"
},
{
"content": "Are the ulcers accompanied by any discharge or bleeding?",
"role": "assistant"
},
{
"content": "There is no discharge from the ulcers.",
"role": "user"
},
{
"content": "Do you have any history of autoimmune diseases?",
"role": "assistant"
},
{
"content": "I do not experience any symptoms that suggest an autoimmune disease.",
"role": "user"
},
{
"content": "Have you noticed any other symptoms, like fever or swollen glands, in the past?",
"role": "assistant"
}
] |
0
|
A 43-year-old African American woman presents to the clinic with irritative lesions in the folds of her abdomen and in her genital region as well as painful ulcers in her oral mucosa. The patient reports noticing some flaccid blisters in addition to the lesions she presents with. On examination, erythematous, vegetative lesions are found. She states that the affected areas are painful but not pruritic.
|
She has a previous history of herpes simplex virus (HSV).
|
Proderma gangraneosum, Pemphigus vegetans, Bowen’s disease, Squamous cell carcinoma
|
Pemphigus vegetans
| 2
| 2
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have painful ulcers in my mouth."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 43-year-old woman."}, {"role": "assistant", "content": "Do you have a fever or any other symptoms like fatigue or swollen glands?"}, {"role": "user", "content": "I do not experience a fever."}, {"role": "assistant", "content": "Have you recently been exposed to anyone with similar symptoms?"}, {"role": "user", "content": "I do not know if I have been exposed to anyone with similar symptoms."}, {"role": "assistant", "content": "Do you have any known medical conditions or take any regular medications?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you recently used any new products in your mouth, such as toothpaste or lipstick?"}, {"role": "user", "content": "No, I haven't used any new products in my mouth."}, {"role": "assistant", "content": "Have you experienced similar symptoms in the past?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Is there any family history of similar symptoms or related conditions?"}, {"role": "user", "content": "I do not know."}, {"role": "assistant", "content": "Have you noticed any triggers or factors that worsen or alleviate your ulcers?"}, {"role": "user", "content": "The painful ulcers in my mouth are worse when I eat."}, {"role": "assistant", "content": "Have you recently experienced any stress or significant life changes?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you noticed any white or yellowish coating on the ulcers?"}, {"role": "user", "content": "I don't see a white or yellowish coating on the ulcers."}, {"role": "assistant", "content": "Have you had any recent illnesses or infections before these ulcers appeared?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you noticed any changes in the size or number of ulcers?"}, {"role": "user", "content": "The painful ulcers in my oral mucosa are getting bigger."}, {"role": "assistant", "content": "Do you smoke or consume alcohol regularly?"}, {"role": "user", "content": "I don't drink alcohol regularly."}, {"role": "assistant", "content": "Have you recently been diagnosed with or treated for any sexually transmitted infections?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Have you experienced any pain or discomfort during or after dental procedures?"}, {"role": "user", "content": "Yes, I experience pain in my oral mucosa."}, {"role": "assistant", "content": "Do you have any history of diabetes or immune system issues?"}, {"role": "user", "content": "I do not have diabetes."}, {"role": "assistant", "content": "Have you noticed any swollen or tender lymph nodes near your neck?"}, {"role": "user", "content": "I don't experience swollen or tender lymph nodes near my neck."}, {"role": "assistant", "content": "Have you recently traveled or been in contact with anyone who was sick?"}, {"role": "user", "content": "I do not experience any symptoms of fever."}, {"role": "assistant", "content": "Are the ulcers located only inside your mouth, or do they appear elsewhere?"}, {"role": "user", "content": "The ulcers are located in my oral mucosa."}, {"role": "assistant", "content": "Do you have any other chronic health conditions?"}], "mcq_success_rate_list": [0.0, 0.36, 0.46, 0.08, 0.28, 0.2, 0.44, 0.42, 0.24, 0.46, 0.12, 0.32, 0.18, 0.0, 0.16, 0.1, 0.18, 0.24, 0.06, 0.12], "mcq_final_success_rate": 0.12, "mcq_max_success_rate": 0.46, "mcq_avg_success_rate": 0.221, "mcq_num_questions_after_max": 17, "frq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.0, "frq_avg_success_rate": 0.0, "frq_num_questions_after_max": 19, "num_questions_after_max": 17, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my mouth.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 43-year-old woman.",
"role": "user"
},
{
"content": "Do you have a fever or any other symptoms like fatigue or swollen glands?",
"role": "assistant"
},
{
"content": "I do not experience a fever.",
"role": "user"
},
{
"content": "Have you recently been exposed to anyone with similar symptoms?",
"role": "assistant"
},
{
"content": "I do not know if I have been exposed to anyone with similar symptoms.",
"role": "user"
},
{
"content": "Do you have any known medical conditions or take any regular medications?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you recently used any new products in your mouth, such as toothpaste or lipstick?",
"role": "assistant"
},
{
"content": "No, I haven't used any new products in my mouth.",
"role": "user"
},
{
"content": "Have you experienced similar symptoms in the past?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Is there any family history of similar symptoms or related conditions?",
"role": "assistant"
},
{
"content": "I do not know.",
"role": "user"
},
{
"content": "Have you noticed any triggers or factors that worsen or alleviate your ulcers?",
"role": "assistant"
},
{
"content": "The painful ulcers in my mouth are worse when I eat.",
"role": "user"
},
{
"content": "Have you recently experienced any stress or significant life changes?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you noticed any white or yellowish coating on the ulcers?",
"role": "assistant"
},
{
"content": "I don't see a white or yellowish coating on the ulcers.",
"role": "user"
},
{
"content": "Have you had any recent illnesses or infections before these ulcers appeared?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you noticed any changes in the size or number of ulcers?",
"role": "assistant"
},
{
"content": "The painful ulcers in my oral mucosa are getting bigger.",
"role": "user"
},
{
"content": "Do you smoke or consume alcohol regularly?",
"role": "assistant"
},
{
"content": "I don't drink alcohol regularly.",
"role": "user"
},
{
"content": "Have you recently been diagnosed with or treated for any sexually transmitted infections?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Have you experienced any pain or discomfort during or after dental procedures?",
"role": "assistant"
},
{
"content": "Yes, I experience pain in my oral mucosa.",
"role": "user"
},
{
"content": "Do you have any history of diabetes or immune system issues?",
"role": "assistant"
},
{
"content": "I do not have diabetes.",
"role": "user"
},
{
"content": "Have you noticed any swollen or tender lymph nodes near your neck?",
"role": "assistant"
},
{
"content": "I don't experience swollen or tender lymph nodes near my neck.",
"role": "user"
},
{
"content": "Have you recently traveled or been in contact with anyone who was sick?",
"role": "assistant"
},
{
"content": "I do not experience any symptoms of fever.",
"role": "user"
},
{
"content": "Are the ulcers located only inside your mouth, or do they appear elsewhere?",
"role": "assistant"
},
{
"content": "The ulcers are located in my oral mucosa.",
"role": "user"
},
{
"content": "Do you have any other chronic health conditions?",
"role": "assistant"
}
] |
0
|
A 43-year-old African American woman presents to the clinic with irritative lesions in the folds of her abdomen and in her genital region as well as painful ulcers in her oral mucosa. The patient reports noticing some flaccid blisters in addition to the lesions she presents with. On examination, erythematous, vegetative lesions are found. She states that the affected areas are painful but not pruritic.
|
She has a previous history of herpes simplex virus (HSV).
|
Proderma gangraneosum, Pemphigus vegetans, Bowen’s disease, Squamous cell carcinoma
|
Pemphigus vegetans
| 2
| 3
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have painful ulcers in my mouth."}, {"role": "assistant", "content": "How long have you had these ulcers?"}, {"role": "user", "content": "I've had them for a while, but I'm not sure exactly how long."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 43-year-old woman."}, {"role": "assistant", "content": "Do you have any other symptoms, like fever or fatigue?"}, {"role": "user", "content": "I do not experience fatigue."}, {"role": "assistant", "content": "Have you recently experienced any stress or illness?"}, {"role": "user", "content": "I've been experiencing painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Do you have any history of similar issues or other medical conditions?"}, {"role": "user", "content": "I don't have any history of similar issues."}, {"role": "assistant", "content": "Are you currently taking any medications or supplements?"}, {"role": "user", "content": "I don't know."}, {"role": "assistant", "content": "Do you have a family history of similar oral lesions or autoimmune conditions?"}, {"role": "user", "content": "I do not experience similar oral lesions or autoimmune conditions in my family."}, {"role": "assistant", "content": "Have you noticed any triggers, like certain foods or stress, that make the ulcers worse?"}, {"role": "user", "content": "I don't notice any triggers that make the ulcers worse."}, {"role": "assistant", "content": "Have you recently undergone any dental procedures or trauma to your mouth?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Have you experienced any recent weight loss or loss of appetite?"}, {"role": "user", "content": "No, I haven't experienced any weight loss."}, {"role": "assistant", "content": "Do the ulcers appear red or purple in color?"}, {"role": "user", "content": "The ulcers in my mouth appear red."}, {"role": "assistant", "content": "Have you noticed any white patches or coating in the affected areas?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Have you been experiencing any systemic symptoms, like swollen lymph nodes or headaches?"}, {"role": "user", "content": "I have swollen lymph nodes."}, {"role": "assistant", "content": "Have you had any recent infections or illnesses, like colds or flu?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you noticed any lesions or bumps in your mouth besides the ulcers?"}, {"role": "user", "content": "Yes, I have flaccid blisters in my mouth."}, {"role": "assistant", "content": "Do the blisters rupture and scab over?"}, {"role": "user", "content": "Yes, they do."}, {"role": "assistant", "content": "Have you noticed any other areas, like your throat or gums, with similar symptoms?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Do you consume alcohol or smoke?"}, {"role": "user", "content": "I don't consume alcohol or smoke."}, {"role": "assistant", "content": "Have you experienced any recent changes in diet or taken any new foods?"}, {"role": "user", "content": "I have noticed some new skin lesions in the folds of my abdomen."}, {"role": "assistant", "content": "Have you had any recent changes in your weight or appetite?"}], "mcq_success_rate_list": [0.0, 0.08, 0.14, 0.2, 0.42, 0.38, 0.5, 0.26, 0.28, 0.3, 0.34, 0.24, 0.24, 0.08, 0.06, 0.02, 0.1, 0.0, 0.06, 0.26], "mcq_final_success_rate": 0.26, "mcq_max_success_rate": 0.5, "mcq_avg_success_rate": 0.198, "mcq_num_questions_after_max": 13, "frq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.0, "frq_avg_success_rate": 0.0, "frq_num_questions_after_max": 19, "num_questions_after_max": 13, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my mouth.",
"role": "user"
},
{
"content": "How long have you had these ulcers?",
"role": "assistant"
},
{
"content": "I've had them for a while, but I'm not sure exactly how long.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 43-year-old woman.",
"role": "user"
},
{
"content": "Do you have any other symptoms, like fever or fatigue?",
"role": "assistant"
},
{
"content": "I do not experience fatigue.",
"role": "user"
},
{
"content": "Have you recently experienced any stress or illness?",
"role": "assistant"
},
{
"content": "I've been experiencing painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Do you have any history of similar issues or other medical conditions?",
"role": "assistant"
},
{
"content": "I don't have any history of similar issues.",
"role": "user"
},
{
"content": "Are you currently taking any medications or supplements?",
"role": "assistant"
},
{
"content": "I don't know.",
"role": "user"
},
{
"content": "Do you have a family history of similar oral lesions or autoimmune conditions?",
"role": "assistant"
},
{
"content": "I do not experience similar oral lesions or autoimmune conditions in my family.",
"role": "user"
},
{
"content": "Have you noticed any triggers, like certain foods or stress, that make the ulcers worse?",
"role": "assistant"
},
{
"content": "I don't notice any triggers that make the ulcers worse.",
"role": "user"
},
{
"content": "Have you recently undergone any dental procedures or trauma to your mouth?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Have you experienced any recent weight loss or loss of appetite?",
"role": "assistant"
},
{
"content": "No, I haven't experienced any weight loss.",
"role": "user"
},
{
"content": "Do the ulcers appear red or purple in color?",
"role": "assistant"
},
{
"content": "The ulcers in my mouth appear red.",
"role": "user"
},
{
"content": "Have you noticed any white patches or coating in the affected areas?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Have you been experiencing any systemic symptoms, like swollen lymph nodes or headaches?",
"role": "assistant"
},
{
"content": "I have swollen lymph nodes.",
"role": "user"
},
{
"content": "Have you had any recent infections or illnesses, like colds or flu?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you noticed any lesions or bumps in your mouth besides the ulcers?",
"role": "assistant"
},
{
"content": "Yes, I have flaccid blisters in my mouth.",
"role": "user"
},
{
"content": "Do the blisters rupture and scab over?",
"role": "assistant"
},
{
"content": "Yes, they do.",
"role": "user"
},
{
"content": "Have you noticed any other areas, like your throat or gums, with similar symptoms?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Do you consume alcohol or smoke?",
"role": "assistant"
},
{
"content": "I don't consume alcohol or smoke.",
"role": "user"
},
{
"content": "Have you experienced any recent changes in diet or taken any new foods?",
"role": "assistant"
},
{
"content": "I have noticed some new skin lesions in the folds of my abdomen.",
"role": "user"
},
{
"content": "Have you had any recent changes in your weight or appetite?",
"role": "assistant"
}
] |
0
|
A 43-year-old African American woman presents to the clinic with irritative lesions in the folds of her abdomen and in her genital region as well as painful ulcers in her oral mucosa. The patient reports noticing some flaccid blisters in addition to the lesions she presents with. On examination, erythematous, vegetative lesions are found. She states that the affected areas are painful but not pruritic.
|
She has a previous history of herpes simplex virus (HSV).
|
Proderma gangraneosum, Pemphigus vegetans, Bowen’s disease, Squamous cell carcinoma
|
Pemphigus vegetans
| 2
| 4
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have painful ulcers in my mouth."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 43-year-old woman."}, {"role": "assistant", "content": "How long have you had these ulcers?"}, {"role": "user", "content": "I've had them for a while, but I'm not exactly sure how long."}, {"role": "assistant", "content": "Do you have any other symptoms, like fever or swollen lymph nodes?"}, {"role": "user", "content": "I do not experience swollen lymph nodes."}, {"role": "assistant", "content": "Have you recently started any new medications or supplements?"}, {"role": "user", "content": "I do not take any new medications or supplements."}, {"role": "assistant", "content": "Do you have any known medical conditions or allergies?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Is there any history of similar symptoms in your family?"}, {"role": "user", "content": "I don't know."}, {"role": "assistant", "content": "Have you experienced any recent stress or illness?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Have you noticed any triggers or factors that make the ulcers worse?"}, {"role": "user", "content": "The painful ulcers in my oral mucosa get worse when I eat."}, {"role": "assistant", "content": "Have you had any recent dental procedures or trauma to your mouth?"}, {"role": "user", "content": "I do not experience any pain in my mouth that I associate with dental procedures or trauma."}, {"role": "assistant", "content": "Do you smoke or drink alcohol regularly?"}, {"role": "user", "content": "I do not drink alcohol regularly."}, {"role": "assistant", "content": "Have you recently been diagnosed with or treated for any sexually transmitted infections?"}, {"role": "user", "content": "I have painful ulcers in my oral mucosa."}, {"role": "assistant", "content": "Have you had any recent infections or illnesses before these ulcers appeared?"}, {"role": "user", "content": "I do not experience any fever."}, {"role": "assistant", "content": "Do the ulcers appear red or purple in color?"}, {"role": "user", "content": "The ulcers in my oral mucosa appear red."}, {"role": "assistant", "content": "Do the ulcers bleed when you remove them?"}, {"role": "user", "content": "No, they don't bleed."}, {"role": "assistant", "content": "Do you have any history of similar symptoms in the past?"}, {"role": "user", "content": "I don't experience symptoms like this often."}, {"role": "assistant", "content": "Have you noticed any other symptoms, like swollen gums or bleeding gums?"}, {"role": "user", "content": "I do not experience swollen gums."}, {"role": "assistant", "content": "Have you recently experienced any significant weight loss or fatigue?"}, {"role": "user", "content": "I do not experience fatigue."}, {"role": "assistant", "content": "Are the ulcers located only inside your mouth, or do they appear on your lips or fingers?"}, {"role": "user", "content": "The ulcers are located inside my mouth."}, {"role": "assistant", "content": "Have you been on any long-term medications or have any chronic illnesses?"}, {"role": "user", "content": "I do not take any medications regularly."}, {"role": "assistant", "content": "Do you have any known allergies to foods or medications?"}], "mcq_success_rate_list": [0.02, 0.32, 0.06, 0.12, 0.1, 0.12, 0.2, 0.24, 0.68, 0.3, 0.46, 0.12, 0.2, 0.02, 0.1, 0.04, 0.06, 0.12, 0.02, 0.1], "mcq_final_success_rate": 0.1, "mcq_max_success_rate": 0.68, "mcq_avg_success_rate": 0.17, "mcq_num_questions_after_max": 11, "frq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.0, "frq_avg_success_rate": 0.0, "frq_num_questions_after_max": 19, "num_questions_after_max": 11, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my mouth.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 43-year-old woman.",
"role": "user"
},
{
"content": "How long have you had these ulcers?",
"role": "assistant"
},
{
"content": "I've had them for a while, but I'm not exactly sure how long.",
"role": "user"
},
{
"content": "Do you have any other symptoms, like fever or swollen lymph nodes?",
"role": "assistant"
},
{
"content": "I do not experience swollen lymph nodes.",
"role": "user"
},
{
"content": "Have you recently started any new medications or supplements?",
"role": "assistant"
},
{
"content": "I do not take any new medications or supplements.",
"role": "user"
},
{
"content": "Do you have any known medical conditions or allergies?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Is there any history of similar symptoms in your family?",
"role": "assistant"
},
{
"content": "I don't know.",
"role": "user"
},
{
"content": "Have you experienced any recent stress or illness?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Have you noticed any triggers or factors that make the ulcers worse?",
"role": "assistant"
},
{
"content": "The painful ulcers in my oral mucosa get worse when I eat.",
"role": "user"
},
{
"content": "Have you had any recent dental procedures or trauma to your mouth?",
"role": "assistant"
},
{
"content": "I do not experience any pain in my mouth that I associate with dental procedures or trauma.",
"role": "user"
},
{
"content": "Do you smoke or drink alcohol regularly?",
"role": "assistant"
},
{
"content": "I do not drink alcohol regularly.",
"role": "user"
},
{
"content": "Have you recently been diagnosed with or treated for any sexually transmitted infections?",
"role": "assistant"
},
{
"content": "I have painful ulcers in my oral mucosa.",
"role": "user"
},
{
"content": "Have you had any recent infections or illnesses before these ulcers appeared?",
"role": "assistant"
},
{
"content": "I do not experience any fever.",
"role": "user"
},
{
"content": "Do the ulcers appear red or purple in color?",
"role": "assistant"
},
{
"content": "The ulcers in my oral mucosa appear red.",
"role": "user"
},
{
"content": "Do the ulcers bleed when you remove them?",
"role": "assistant"
},
{
"content": "No, they don't bleed.",
"role": "user"
},
{
"content": "Do you have any history of similar symptoms in the past?",
"role": "assistant"
},
{
"content": "I don't experience symptoms like this often.",
"role": "user"
},
{
"content": "Have you noticed any other symptoms, like swollen gums or bleeding gums?",
"role": "assistant"
},
{
"content": "I do not experience swollen gums.",
"role": "user"
},
{
"content": "Have you recently experienced any significant weight loss or fatigue?",
"role": "assistant"
},
{
"content": "I do not experience fatigue.",
"role": "user"
},
{
"content": "Are the ulcers located only inside your mouth, or do they appear on your lips or fingers?",
"role": "assistant"
},
{
"content": "The ulcers are located inside my mouth.",
"role": "user"
},
{
"content": "Have you been on any long-term medications or have any chronic illnesses?",
"role": "assistant"
},
{
"content": "I do not take any medications regularly.",
"role": "user"
},
{
"content": "Do you have any known allergies to foods or medications?",
"role": "assistant"
}
] |
1
|
A 20-year-old male with a medical history of diabetes mellitus type 1 presents with ecchymosis and bullous lesions on his back, posterior legs, and buttocks. He was playing football when he ran into another player and became unconscious. He was immobile in the hospital for 3 days before he regained consciousness.
|
He has about 7 tense blisters with areas of surrounding erythema on the back, buttocks, and posterior thighs.
|
Bullosis diabeticorum, Subepidermal bullae, Bullous leukocytoclastic vasculitis, Pressure bullae (coma bullae)
|
Pressure bullae (coma bullae)
| 4
| 0
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have ecchymosis on my back, legs, and buttocks."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 20-year-old male."}, {"role": "assistant", "content": "When did these ecchymosis appear?"}, {"role": "user", "content": "They appeared after I regained consciousness."}, {"role": "assistant", "content": "Have you experienced any pain, swelling, or tenderness in these areas?"}, {"role": "user", "content": "I have pain and swelling in my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "Have you had any recent injuries or trauma to these areas?"}, {"role": "user", "content": "I ran into another player while playing football and became unconscious."}, {"role": "assistant", "content": "Are you currently taking any medications or supplements?"}, {"role": "user", "content": "I take insulin for my diabetes."}, {"role": "assistant", "content": "Do you have a history of any bleeding disorders or blood diseases?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you noticed any other symptoms, such as weakness, numbness, or difficulty breathing?"}, {"role": "user", "content": "I don't experience weakness or numbness."}, {"role": "assistant", "content": "Do you have any family history of bleeding disorders or similar conditions?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you been experiencing frequent infections or unusual bleeding elsewhere on your body?"}, {"role": "user", "content": "I have unusual bleeding, my skin bruises easily."}, {"role": "assistant", "content": "Have you noticed any changes in your urine, like blood in it, or noticed any swelling in your legs or feet?"}, {"role": "user", "content": "I have noticed blood in my urine."}, {"role": "assistant", "content": "Have you had any recent blood tests, and were there any abnormal findings, such as low platelet counts?"}, {"role": "user", "content": "My platelet count is low."}, {"role": "assistant", "content": "Have you experienced any recent weight loss or fatigue?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you been taking any medications or supplements for your diabetes or other conditions?"}, {"role": "user", "content": "I take insulin for my diabetes."}, {"role": "assistant", "content": "Have you noticed any unusual paleness or shortness of breath?"}, {"role": "user", "content": "I do not experience shortness of breath."}, {"role": "assistant", "content": "Have you had any recent infections or been on antibiotics?"}, {"role": "user", "content": "I do not experience any symptoms of recent infections or being on antibiotics."}, {"role": "assistant", "content": "Have you noticed any changes in your stool, like blood in it, or any unusual bowel habits?"}, {"role": "user", "content": "I do not experience blood in my stool."}, {"role": "assistant", "content": "Have you been experiencing frequent infections or unusual bleeding elsewhere on your body?"}, {"role": "user", "content": "I have unusual bleeding, I have ecchymosis."}, {"role": "assistant", "content": "Do you have a history of any autoimmune diseases or family history of bleeding disorders?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you experienced any joint pain or swelling?"}, {"role": "user", "content": "I do not experience joint pain or swelling."}, {"role": "assistant", "content": "Have you had any recent vaccinations or received blood transfusions?"}], "mcq_success_rate_list": [0.02, 0.04, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 0.92, 1.0, 0.92, 0.62, 0.0, 0.26, 0.0, 0.14, 0.62, 1.0, 0.0, 0.12], "mcq_final_success_rate": 0.12, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.583, "mcq_num_questions_after_max": 17, "frq_success_rate_list": [0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.02, "frq_avg_success_rate": 0.001, "frq_num_questions_after_max": 19, "num_questions_after_max": 17, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have ecchymosis on my back, legs, and buttocks.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 20-year-old male.",
"role": "user"
},
{
"content": "When did these ecchymosis appear?",
"role": "assistant"
},
{
"content": "They appeared after I regained consciousness.",
"role": "user"
},
{
"content": "Have you experienced any pain, swelling, or tenderness in these areas?",
"role": "assistant"
},
{
"content": "I have pain and swelling in my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "Have you had any recent injuries or trauma to these areas?",
"role": "assistant"
},
{
"content": "I ran into another player while playing football and became unconscious.",
"role": "user"
},
{
"content": "Are you currently taking any medications or supplements?",
"role": "assistant"
},
{
"content": "I take insulin for my diabetes.",
"role": "user"
},
{
"content": "Do you have a history of any bleeding disorders or blood diseases?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you noticed any other symptoms, such as weakness, numbness, or difficulty breathing?",
"role": "assistant"
},
{
"content": "I don't experience weakness or numbness.",
"role": "user"
},
{
"content": "Do you have any family history of bleeding disorders or similar conditions?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you been experiencing frequent infections or unusual bleeding elsewhere on your body?",
"role": "assistant"
},
{
"content": "I have unusual bleeding, my skin bruises easily.",
"role": "user"
},
{
"content": "Have you noticed any changes in your urine, like blood in it, or noticed any swelling in your legs or feet?",
"role": "assistant"
},
{
"content": "I have noticed blood in my urine.",
"role": "user"
},
{
"content": "Have you had any recent blood tests, and were there any abnormal findings, such as low platelet counts?",
"role": "assistant"
},
{
"content": "My platelet count is low.",
"role": "user"
},
{
"content": "Have you experienced any recent weight loss or fatigue?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you been taking any medications or supplements for your diabetes or other conditions?",
"role": "assistant"
},
{
"content": "I take insulin for my diabetes.",
"role": "user"
},
{
"content": "Have you noticed any unusual paleness or shortness of breath?",
"role": "assistant"
},
{
"content": "I do not experience shortness of breath.",
"role": "user"
},
{
"content": "Have you had any recent infections or been on antibiotics?",
"role": "assistant"
},
{
"content": "I do not experience any symptoms of recent infections or being on antibiotics.",
"role": "user"
},
{
"content": "Have you noticed any changes in your stool, like blood in it, or any unusual bowel habits?",
"role": "assistant"
},
{
"content": "I do not experience blood in my stool.",
"role": "user"
},
{
"content": "Have you been experiencing frequent infections or unusual bleeding elsewhere on your body?",
"role": "assistant"
},
{
"content": "I have unusual bleeding, I have ecchymosis.",
"role": "user"
},
{
"content": "Do you have a history of any autoimmune diseases or family history of bleeding disorders?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you experienced any joint pain or swelling?",
"role": "assistant"
},
{
"content": "I do not experience joint pain or swelling.",
"role": "user"
},
{
"content": "Have you had any recent vaccinations or received blood transfusions?",
"role": "assistant"
}
] |
1
|
A 20-year-old male with a medical history of diabetes mellitus type 1 presents with ecchymosis and bullous lesions on his back, posterior legs, and buttocks. He was playing football when he ran into another player and became unconscious. He was immobile in the hospital for 3 days before he regained consciousness.
|
He has about 7 tense blisters with areas of surrounding erythema on the back, buttocks, and posterior thighs.
|
Bullosis diabeticorum, Subepidermal bullae, Bullous leukocytoclastic vasculitis, Pressure bullae (coma bullae)
|
Pressure bullae (coma bullae)
| 4
| 1
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have ecchymosis on my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 20-year-old male."}, {"role": "assistant", "content": "How long have you had these ecchymosis?"}, {"role": "user", "content": "I had ecchymosis after I became unconscious from the football injury, and it's been present since then."}, {"role": "assistant", "content": "Have you noticed any changes in the size, color, or pain associated with the ecchymosis?"}, {"role": "user", "content": "The ecchymosis on my back, legs, and buttocks is painful."}, {"role": "assistant", "content": "Do you have a history of any bleeding disorders or take any medications regularly?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you experienced any recent infections, fever, or weight loss?"}, {"role": "user", "content": "I do not experience fever."}, {"role": "assistant", "content": "Do you have a family history of bleeding disorders or blood diseases?"}, {"role": "user", "content": "I do not experience any bleeding disorders or blood diseases."}, {"role": "assistant", "content": "Have you noticed any other symptoms, such as fatigue, weakness, or difficulty breathing?"}, {"role": "user", "content": "I have ecchymosis on my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "Have you had any recent injuries or trauma to your back, legs, or buttocks?"}, {"role": "user", "content": "I became unconscious after running into another player while playing football."}, {"role": "assistant", "content": "Have you been diagnosed with or treated for any blood diseases or autoimmune conditions?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you experienced any changes in skin color, such as turning blue or pale, over the affected areas?"}, {"role": "user", "content": "I have ecchymosis over the affected areas."}, {"role": "assistant", "content": "Do you have a history of any autoimmune diseases or conditions like lupus?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you noticed any swelling or tenderness in the areas around the ecchymosis?"}, {"role": "user", "content": "I have swelling around the ecchymosis on my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "Have you had any recent blood tests or platelet counts done?"}, {"role": "user", "content": "I do not know if I have had any recent blood tests or platelet counts done."}, {"role": "assistant", "content": "Have you experienced any unusual bleeding or bruising elsewhere on your body?"}, {"role": "user", "content": "I have ecchymosis on my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "Have you been taking any medications for your diabetes or other conditions?"}, {"role": "user", "content": "I do not take any medications for my diabetes or other conditions."}, {"role": "assistant", "content": "Have you noticed any changes in urine color, such as it being dark or foaming?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you experienced any recent infections or illnesses, such as a cold or skin infection?"}, {"role": "user", "content": "I do not experience any symptoms of a cold or skin infection."}, {"role": "assistant", "content": "Do you have any known allergies to medications or foods?"}, {"role": "user", "content": "I do not experience any known allergies to medications or foods."}, {"role": "assistant", "content": "Have you had any recent surgeries or medical procedures?"}, {"role": "user", "content": "No, I haven't."}, {"role": "assistant", "content": "Have you experienced any headaches, dizziness, or vision changes recently?"}], "mcq_success_rate_list": [0.26, 0.02, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 0.9, 1.0, 1.0, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.909, "mcq_num_questions_after_max": 17, "frq_success_rate_list": [0.1, 0.0, 0.0, 0.04, 0.0, 0.0, 0.0, 0.0, 0.0, 0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.1, "frq_avg_success_rate": 0.008, "frq_num_questions_after_max": 19, "num_questions_after_max": 17, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have ecchymosis on my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 20-year-old male.",
"role": "user"
},
{
"content": "How long have you had these ecchymosis?",
"role": "assistant"
},
{
"content": "I had ecchymosis after I became unconscious from the football injury, and it's been present since then.",
"role": "user"
},
{
"content": "Have you noticed any changes in the size, color, or pain associated with the ecchymosis?",
"role": "assistant"
},
{
"content": "The ecchymosis on my back, legs, and buttocks is painful.",
"role": "user"
},
{
"content": "Do you have a history of any bleeding disorders or take any medications regularly?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you experienced any recent infections, fever, or weight loss?",
"role": "assistant"
},
{
"content": "I do not experience fever.",
"role": "user"
},
{
"content": "Do you have a family history of bleeding disorders or blood diseases?",
"role": "assistant"
},
{
"content": "I do not experience any bleeding disorders or blood diseases.",
"role": "user"
},
{
"content": "Have you noticed any other symptoms, such as fatigue, weakness, or difficulty breathing?",
"role": "assistant"
},
{
"content": "I have ecchymosis on my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "Have you had any recent injuries or trauma to your back, legs, or buttocks?",
"role": "assistant"
},
{
"content": "I became unconscious after running into another player while playing football.",
"role": "user"
},
{
"content": "Have you been diagnosed with or treated for any blood diseases or autoimmune conditions?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you experienced any changes in skin color, such as turning blue or pale, over the affected areas?",
"role": "assistant"
},
{
"content": "I have ecchymosis over the affected areas.",
"role": "user"
},
{
"content": "Do you have a history of any autoimmune diseases or conditions like lupus?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you noticed any swelling or tenderness in the areas around the ecchymosis?",
"role": "assistant"
},
{
"content": "I have swelling around the ecchymosis on my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "Have you had any recent blood tests or platelet counts done?",
"role": "assistant"
},
{
"content": "I do not know if I have had any recent blood tests or platelet counts done.",
"role": "user"
},
{
"content": "Have you experienced any unusual bleeding or bruising elsewhere on your body?",
"role": "assistant"
},
{
"content": "I have ecchymosis on my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "Have you been taking any medications for your diabetes or other conditions?",
"role": "assistant"
},
{
"content": "I do not take any medications for my diabetes or other conditions.",
"role": "user"
},
{
"content": "Have you noticed any changes in urine color, such as it being dark or foaming?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you experienced any recent infections or illnesses, such as a cold or skin infection?",
"role": "assistant"
},
{
"content": "I do not experience any symptoms of a cold or skin infection.",
"role": "user"
},
{
"content": "Do you have any known allergies to medications or foods?",
"role": "assistant"
},
{
"content": "I do not experience any known allergies to medications or foods.",
"role": "user"
},
{
"content": "Have you had any recent surgeries or medical procedures?",
"role": "assistant"
},
{
"content": "No, I haven't.",
"role": "user"
},
{
"content": "Have you experienced any headaches, dizziness, or vision changes recently?",
"role": "assistant"
}
] |
1
|
A 20-year-old male with a medical history of diabetes mellitus type 1 presents with ecchymosis and bullous lesions on his back, posterior legs, and buttocks. He was playing football when he ran into another player and became unconscious. He was immobile in the hospital for 3 days before he regained consciousness.
|
He has about 7 tense blisters with areas of surrounding erythema on the back, buttocks, and posterior thighs.
|
Bullosis diabeticorum, Subepidermal bullae, Bullous leukocytoclastic vasculitis, Pressure bullae (coma bullae)
|
Pressure bullae (coma bullae)
| 4
| 2
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have ecchymosis on my back, legs, and buttocks."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 20-year-old male."}, {"role": "assistant", "content": "Have you experienced any recent trauma or injury to these areas?"}, {"role": "user", "content": "Yes, I was playing football and ran into another player, which caused me to become unconscious."}, {"role": "assistant", "content": "Do you have any history of bleeding disorders or clotting disorders?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Are you currently taking any medications or supplements?"}, {"role": "user", "content": "I'm not aware of my current medication list."}, {"role": "assistant", "content": "Do you have a family history of bleeding disorders or clotting disorders?"}, {"role": "user", "content": "I do not experience any bleeding disorders or clotting disorders in my family."}, {"role": "assistant", "content": "Have you noticed any swelling, pain, or warmth in the affected areas?"}, {"role": "user", "content": "The areas with ecchymosis and bullous lesions are painful."}, {"role": "assistant", "content": "Have you experienced any recent infections or illnesses?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you noticed any changes in urination or stool color?"}, {"role": "user", "content": "I do not experience any changes in urination or stool color."}, {"role": "assistant", "content": "Have you experienced any recent weight loss or fatigue?"}, {"role": "user", "content": "I do not experience weight loss."}, {"role": "assistant", "content": "Have you been experiencing any headaches or dizziness?"}, {"role": "user", "content": "I have been experiencing dizziness."}, {"role": "assistant", "content": "Have you had any recent changes in blood pressure readings?"}, {"role": "user", "content": "I do not know my recent blood pressure readings."}, {"role": "assistant", "content": "Have you noticed any changes in your skin color or temperature?"}, {"role": "user", "content": "My skin is purple in some areas."}, {"role": "assistant", "content": "Have you experienced any shortness of breath or chest pain?"}, {"role": "user", "content": "I do not experience any chest pain."}, {"role": "assistant", "content": "Do you have any history of blood clots or venous disorders?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you been immobile for long periods recently, like long travel or bed rest?"}, {"role": "user", "content": "I was immobile in the hospital for 3 days."}, {"role": "assistant", "content": "Do you have any history of blood thinners or anticoagulants?"}, {"role": "user", "content": "I do not take any blood thinners or anticoagulants."}, {"role": "assistant", "content": "Have you noticed any redness or warmth in the affected areas before the ecchymosis appeared?"}, {"role": "user", "content": "I don't notice any redness or warmth in the affected areas."}, {"role": "assistant", "content": "Have you been diagnosed with or treated for any autoimmune conditions?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you experienced any recent changes in vision or sensitivity to light?"}, {"role": "user", "content": "I don't experience any changes in vision."}, {"role": "assistant", "content": "Have you had any recent dental procedures or infections?"}], "mcq_success_rate_list": [0.02, 0.06, 1.0, 1.0, 1.0, 1.0, 0.0, 0.0, 0.0, 0.12, 0.0, 0.76, 0.06, 0.0, 0.38, 1.0, 1.0, 1.0, 0.42, 0.08], "mcq_final_success_rate": 0.08, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.445, "mcq_num_questions_after_max": 17, "frq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.02, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.02, "frq_avg_success_rate": 0.001, "frq_num_questions_after_max": 2, "num_questions_after_max": 2, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have ecchymosis on my back, legs, and buttocks.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 20-year-old male.",
"role": "user"
},
{
"content": "Have you experienced any recent trauma or injury to these areas?",
"role": "assistant"
},
{
"content": "Yes, I was playing football and ran into another player, which caused me to become unconscious.",
"role": "user"
},
{
"content": "Do you have any history of bleeding disorders or clotting disorders?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Are you currently taking any medications or supplements?",
"role": "assistant"
},
{
"content": "I'm not aware of my current medication list.",
"role": "user"
},
{
"content": "Do you have a family history of bleeding disorders or clotting disorders?",
"role": "assistant"
},
{
"content": "I do not experience any bleeding disorders or clotting disorders in my family.",
"role": "user"
},
{
"content": "Have you noticed any swelling, pain, or warmth in the affected areas?",
"role": "assistant"
},
{
"content": "The areas with ecchymosis and bullous lesions are painful.",
"role": "user"
},
{
"content": "Have you experienced any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you noticed any changes in urination or stool color?",
"role": "assistant"
},
{
"content": "I do not experience any changes in urination or stool color.",
"role": "user"
},
{
"content": "Have you experienced any recent weight loss or fatigue?",
"role": "assistant"
},
{
"content": "I do not experience weight loss.",
"role": "user"
},
{
"content": "Have you been experiencing any headaches or dizziness?",
"role": "assistant"
},
{
"content": "I have been experiencing dizziness.",
"role": "user"
},
{
"content": "Have you had any recent changes in blood pressure readings?",
"role": "assistant"
},
{
"content": "I do not know my recent blood pressure readings.",
"role": "user"
},
{
"content": "Have you noticed any changes in your skin color or temperature?",
"role": "assistant"
},
{
"content": "My skin is purple in some areas.",
"role": "user"
},
{
"content": "Have you experienced any shortness of breath or chest pain?",
"role": "assistant"
},
{
"content": "I do not experience any chest pain.",
"role": "user"
},
{
"content": "Do you have any history of blood clots or venous disorders?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you been immobile for long periods recently, like long travel or bed rest?",
"role": "assistant"
},
{
"content": "I was immobile in the hospital for 3 days.",
"role": "user"
},
{
"content": "Do you have any history of blood thinners or anticoagulants?",
"role": "assistant"
},
{
"content": "I do not take any blood thinners or anticoagulants.",
"role": "user"
},
{
"content": "Have you noticed any redness or warmth in the affected areas before the ecchymosis appeared?",
"role": "assistant"
},
{
"content": "I don't notice any redness or warmth in the affected areas.",
"role": "user"
},
{
"content": "Have you been diagnosed with or treated for any autoimmune conditions?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you experienced any recent changes in vision or sensitivity to light?",
"role": "assistant"
},
{
"content": "I don't experience any changes in vision.",
"role": "user"
},
{
"content": "Have you had any recent dental procedures or infections?",
"role": "assistant"
}
] |
1
|
A 20-year-old male with a medical history of diabetes mellitus type 1 presents with ecchymosis and bullous lesions on his back, posterior legs, and buttocks. He was playing football when he ran into another player and became unconscious. He was immobile in the hospital for 3 days before he regained consciousness.
|
He has about 7 tense blisters with areas of surrounding erythema on the back, buttocks, and posterior thighs.
|
Bullosis diabeticorum, Subepidermal bullae, Bullous leukocytoclastic vasculitis, Pressure bullae (coma bullae)
|
Pressure bullae (coma bullae)
| 4
| 3
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have ecchymosis and bullous lesions on my back, legs, and buttocks."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 20-year-old male."}, {"role": "assistant", "content": "Have you experienced any recent infections or illnesses?"}, {"role": "user", "content": "I don't experience any recent infections or illnesses."}, {"role": "assistant", "content": "Do you have any history of autoimmune diseases or similar symptoms before?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Are you currently taking any medications for your diabetes or other conditions?"}, {"role": "user", "content": "I take insulin for my diabetes."}, {"role": "assistant", "content": "Have you noticed any triggers like sunlight, specific foods, or pressure causing these symptoms?"}, {"role": "user", "content": "These bullous lesions on my back, legs, and buttocks seem to appear after I press on them."}, {"role": "assistant", "content": "Does anyone in your family have a history of similar skin issues or autoimmune diseases?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you experienced any joint pain, fatigue, or other systemic symptoms recently?"}, {"role": "user", "content": "I do not experience joint pain or fatigue."}, {"role": "assistant", "content": "Have you noticed any changes in your skin recently, such as peeling or blistering?"}, {"role": "user", "content": "I have bullous lesions on my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "Have you recently started any new skincare products or medications?"}, {"role": "user", "content": "I don't use any new skincare products."}, {"role": "assistant", "content": "Have you been exposed to any known allergens or irritants recently?"}, {"role": "user", "content": "No, I don't know if I was exposed to any."}, {"role": "assistant", "content": "Have you experienced any itching or tingling before the lesions appear?"}, {"role": "user", "content": "No, I don't experience itching or tingling before the lesions appear."}, {"role": "assistant", "content": "Have you had any recent injuries or trauma to your back, legs, or buttocks?"}, {"role": "user", "content": "I ran into another player while playing football."}, {"role": "assistant", "content": "Did you experience any pain or discomfort after the injury?"}, {"role": "user", "content": "I have pain on my back, legs, and buttocks."}, {"role": "assistant", "content": "Have you noticed any blisters or changes in the size of the bullous lesions since they appeared?"}, {"role": "user", "content": "The bullous lesions on my back, legs, and buttocks have not changed in size."}, {"role": "assistant", "content": "Do the blisters appear only on certain areas, or do they spread throughout?"}, {"role": "user", "content": "They appear on my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "Have you experienced any recent changes in your diet or any new foods introduced?"}, {"role": "user", "content": "No, my diet has remained the same."}, {"role": "assistant", "content": "Have you noticed any changes in the color of the affected areas, such as turning red or purple?"}, {"role": "user", "content": "The affected areas are purple."}, {"role": "assistant", "content": "Have you had any recent blood tests or skin biopsy done?"}, {"role": "user", "content": "I do not experience any symptoms of fever."}, {"role": "assistant", "content": "Do you have any family history of autoimmune diseases or similar skin conditions?"}, {"role": "user", "content": "I do not have a family history of autoimmune diseases or similar skin conditions."}, {"role": "assistant", "content": "Have you noticed any swelling or tenderness around the affected areas?"}], "mcq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.0, 1.0, 0.78, 0.74, 0.88, 0.44, 0.46, 0.18, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.624, "mcq_num_questions_after_max": 14, "frq_success_rate_list": [0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.02], "frq_final_success_rate": 0.02, "frq_max_success_rate": 0.02, "frq_avg_success_rate": 0.002, "frq_num_questions_after_max": 19, "num_questions_after_max": 14, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have ecchymosis and bullous lesions on my back, legs, and buttocks.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 20-year-old male.",
"role": "user"
},
{
"content": "Have you experienced any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I don't experience any recent infections or illnesses.",
"role": "user"
},
{
"content": "Do you have any history of autoimmune diseases or similar symptoms before?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Are you currently taking any medications for your diabetes or other conditions?",
"role": "assistant"
},
{
"content": "I take insulin for my diabetes.",
"role": "user"
},
{
"content": "Have you noticed any triggers like sunlight, specific foods, or pressure causing these symptoms?",
"role": "assistant"
},
{
"content": "These bullous lesions on my back, legs, and buttocks seem to appear after I press on them.",
"role": "user"
},
{
"content": "Does anyone in your family have a history of similar skin issues or autoimmune diseases?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you experienced any joint pain, fatigue, or other systemic symptoms recently?",
"role": "assistant"
},
{
"content": "I do not experience joint pain or fatigue.",
"role": "user"
},
{
"content": "Have you noticed any changes in your skin recently, such as peeling or blistering?",
"role": "assistant"
},
{
"content": "I have bullous lesions on my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "Have you recently started any new skincare products or medications?",
"role": "assistant"
},
{
"content": "I don't use any new skincare products.",
"role": "user"
},
{
"content": "Have you been exposed to any known allergens or irritants recently?",
"role": "assistant"
},
{
"content": "No, I don't know if I was exposed to any.",
"role": "user"
},
{
"content": "Have you experienced any itching or tingling before the lesions appear?",
"role": "assistant"
},
{
"content": "No, I don't experience itching or tingling before the lesions appear.",
"role": "user"
},
{
"content": "Have you had any recent injuries or trauma to your back, legs, or buttocks?",
"role": "assistant"
},
{
"content": "I ran into another player while playing football.",
"role": "user"
},
{
"content": "Did you experience any pain or discomfort after the injury?",
"role": "assistant"
},
{
"content": "I have pain on my back, legs, and buttocks.",
"role": "user"
},
{
"content": "Have you noticed any blisters or changes in the size of the bullous lesions since they appeared?",
"role": "assistant"
},
{
"content": "The bullous lesions on my back, legs, and buttocks have not changed in size.",
"role": "user"
},
{
"content": "Do the blisters appear only on certain areas, or do they spread throughout?",
"role": "assistant"
},
{
"content": "They appear on my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "Have you experienced any recent changes in your diet or any new foods introduced?",
"role": "assistant"
},
{
"content": "No, my diet has remained the same.",
"role": "user"
},
{
"content": "Have you noticed any changes in the color of the affected areas, such as turning red or purple?",
"role": "assistant"
},
{
"content": "The affected areas are purple.",
"role": "user"
},
{
"content": "Have you had any recent blood tests or skin biopsy done?",
"role": "assistant"
},
{
"content": "I do not experience any symptoms of fever.",
"role": "user"
},
{
"content": "Do you have any family history of autoimmune diseases or similar skin conditions?",
"role": "assistant"
},
{
"content": "I do not have a family history of autoimmune diseases or similar skin conditions.",
"role": "user"
},
{
"content": "Have you noticed any swelling or tenderness around the affected areas?",
"role": "assistant"
}
] |
1
|
A 20-year-old male with a medical history of diabetes mellitus type 1 presents with ecchymosis and bullous lesions on his back, posterior legs, and buttocks. He was playing football when he ran into another player and became unconscious. He was immobile in the hospital for 3 days before he regained consciousness.
|
He has about 7 tense blisters with areas of surrounding erythema on the back, buttocks, and posterior thighs.
|
Bullosis diabeticorum, Subepidermal bullae, Bullous leukocytoclastic vasculitis, Pressure bullae (coma bullae)
|
Pressure bullae (coma bullae)
| 4
| 4
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have ecchymosis and bullous lesions on my back, legs, and buttocks."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 20-year-old male."}, {"role": "assistant", "content": "How long have you been experiencing these symptoms?"}, {"role": "user", "content": "They started after I became unconscious from the football injury."}, {"role": "assistant", "content": "Do you have a history of any bleeding disorders or clotting disorders?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Are you currently taking any medications or supplements?"}, {"role": "user", "content": "I have been taking insulin for my diabetes."}, {"role": "assistant", "content": "Have you noticed any other symptoms, such as fatigue, weakness, or shortness of breath?"}, {"role": "user", "content": "I do not experience shortness of breath."}, {"role": "assistant", "content": "Have you experienced any recent infections or illnesses?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Do you have a family history of bleeding disorders or clotting disorders?"}, {"role": "user", "content": "I do not experience any family history of bleeding disorders or clotting disorders."}, {"role": "assistant", "content": "Have you noticed any changes in your skin color, such as purple or red, in addition to the lesions?"}, {"role": "user", "content": "Yes, I have purple spots on my skin."}, {"role": "assistant", "content": "Have you been experiencing any unusual bleeding, like nosebleeds or gum bleeding?"}, {"role": "user", "content": "I have bruises on my back, legs, and buttocks."}, {"role": "assistant", "content": "Have you noticed any swelling or pain in the affected areas?"}, {"role": "user", "content": "Yes, I have swelling on my back, posterior legs, and buttocks."}, {"role": "assistant", "content": "Have you experienced any recent trauma or injury to your back, legs, or buttocks?"}, {"role": "user", "content": "I ran into another player while playing football."}, {"role": "assistant", "content": "Have you been diagnosed with any recent blood transfusions or received any medications recently?"}, {"role": "user", "content": "I don't experience any recent blood transfusions or received any medications recently."}, {"role": "assistant", "content": "Have you been experiencing any episodes of dizziness or lightheadedness?"}, {"role": "user", "content": "I feel dizzy."}, {"role": "assistant", "content": "Have you noticed any changes in your urine, such as blood in urine or reduced output?"}, {"role": "user", "content": "I do not experience blood in urine, but I do have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you had any recent changes in your diet or taken any supplements?"}, {"role": "user", "content": "I have been taking insulin for my diabetes."}, {"role": "assistant", "content": "Have you noticed any changes in your blood pressure readings?"}, {"role": "user", "content": "I do not experience changes in my blood pressure readings."}, {"role": "assistant", "content": "Have you been feeling unusually tired or weak recently?"}, {"role": "user", "content": "I have diabetes."}, {"role": "assistant", "content": "Have you noticed any yellowing of your skin or eyes (jaundice)?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you experienced any recent infections or illnesses?"}, {"role": "user", "content": "I have diabetes mellitus type 1."}, {"role": "assistant", "content": "Have you had any history of liver disease or alcohol use?"}], "mcq_success_rate_list": [0.0, 0.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 0.78, 1.0, 0.06, 0.88, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.8360000000000001, "mcq_num_questions_after_max": 17, "frq_success_rate_list": [0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.02, 0.0, 0.0, 0.0, 0.02, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.02, "frq_avg_success_rate": 0.003, "frq_num_questions_after_max": 19, "num_questions_after_max": 17, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have ecchymosis and bullous lesions on my back, legs, and buttocks.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 20-year-old male.",
"role": "user"
},
{
"content": "How long have you been experiencing these symptoms?",
"role": "assistant"
},
{
"content": "They started after I became unconscious from the football injury.",
"role": "user"
},
{
"content": "Do you have a history of any bleeding disorders or clotting disorders?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Are you currently taking any medications or supplements?",
"role": "assistant"
},
{
"content": "I have been taking insulin for my diabetes.",
"role": "user"
},
{
"content": "Have you noticed any other symptoms, such as fatigue, weakness, or shortness of breath?",
"role": "assistant"
},
{
"content": "I do not experience shortness of breath.",
"role": "user"
},
{
"content": "Have you experienced any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Do you have a family history of bleeding disorders or clotting disorders?",
"role": "assistant"
},
{
"content": "I do not experience any family history of bleeding disorders or clotting disorders.",
"role": "user"
},
{
"content": "Have you noticed any changes in your skin color, such as purple or red, in addition to the lesions?",
"role": "assistant"
},
{
"content": "Yes, I have purple spots on my skin.",
"role": "user"
},
{
"content": "Have you been experiencing any unusual bleeding, like nosebleeds or gum bleeding?",
"role": "assistant"
},
{
"content": "I have bruises on my back, legs, and buttocks.",
"role": "user"
},
{
"content": "Have you noticed any swelling or pain in the affected areas?",
"role": "assistant"
},
{
"content": "Yes, I have swelling on my back, posterior legs, and buttocks.",
"role": "user"
},
{
"content": "Have you experienced any recent trauma or injury to your back, legs, or buttocks?",
"role": "assistant"
},
{
"content": "I ran into another player while playing football.",
"role": "user"
},
{
"content": "Have you been diagnosed with any recent blood transfusions or received any medications recently?",
"role": "assistant"
},
{
"content": "I don't experience any recent blood transfusions or received any medications recently.",
"role": "user"
},
{
"content": "Have you been experiencing any episodes of dizziness or lightheadedness?",
"role": "assistant"
},
{
"content": "I feel dizzy.",
"role": "user"
},
{
"content": "Have you noticed any changes in your urine, such as blood in urine or reduced output?",
"role": "assistant"
},
{
"content": "I do not experience blood in urine, but I do have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you had any recent changes in your diet or taken any supplements?",
"role": "assistant"
},
{
"content": "I have been taking insulin for my diabetes.",
"role": "user"
},
{
"content": "Have you noticed any changes in your blood pressure readings?",
"role": "assistant"
},
{
"content": "I do not experience changes in my blood pressure readings.",
"role": "user"
},
{
"content": "Have you been feeling unusually tired or weak recently?",
"role": "assistant"
},
{
"content": "I have diabetes.",
"role": "user"
},
{
"content": "Have you noticed any yellowing of your skin or eyes (jaundice)?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you experienced any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I have diabetes mellitus type 1.",
"role": "user"
},
{
"content": "Have you had any history of liver disease or alcohol use?",
"role": "assistant"
}
] |
2
|
A 71-year-old Caucasian man with myelodysplastic syndrome and on chemotherapy with azacitidine presented to the hospital with 2 days of high fever and 4 days of worsening skin lesions. The lesions appeared on the elbows as “blood blisters,” which grew larger and more painful. He denied any other new medications. He was placed on broad spectrum antibiotics by infectious disease physicians out of concern for ecthyma gangrenosum, and dermatology was consulted. On examination, violaceous, edematous plaques with a central pseudovesicle were seen on the bilateral elbows.
|
Punch biopsies were performed for tissue culture and histology.
|
Bacterial sepsis, Sweet syndrome, Cellulitis, Erysipelas
|
Sweet syndrome
| 2
| 0
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 71-year-old man."}, {"role": "assistant", "content": "Do you have any other symptoms like cough, sore throat, or fatigue?"}, {"role": "user", "content": "I don't experience any fatigue."}, {"role": "assistant", "content": "Have you had any recent infections or illnesses?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "Do you have any history of chronic illnesses or medications you're currently taking?"}, {"role": "user", "content": "I have myelodysplastic syndrome and I'm currently on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you noticed any unusual bruising or bleeding?"}, {"role": "user", "content": "I have bruising on my elbows from the blood blisters."}, {"role": "assistant", "content": "Have you experienced any bone pain or tenderness?"}, {"role": "user", "content": "I do not experience any bone pain or tenderness."}, {"role": "assistant", "content": "Do you have any family history of blood disorders or cancers?"}, {"role": "user", "content": "I have myelodysplastic syndrome."}, {"role": "assistant", "content": "Have you experienced any weight loss or night sweats recently?"}, {"role": "user", "content": "I have not experienced any weight loss."}, {"role": "assistant", "content": "Have you noticed any changes in your appetite or digestive issues?"}, {"role": "user", "content": "No, I haven't experienced any digestive issues."}, {"role": "assistant", "content": "Have you had any recent blood transfusions or bone pain procedures?"}, {"role": "user", "content": "I have been receiving chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you noticed any swelling in your lymph nodes or neck?"}, {"role": "user", "content": "I do not experience any swelling in my lymph nodes or neck."}, {"role": "assistant", "content": "Have you had any recent infections or blood tests done?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "Are you currently on any other medications besides azacitidine?"}, {"role": "user", "content": "I denied any other new medications."}, {"role": "assistant", "content": "Have you experienced any difficulty breathing or chest pain?"}, {"role": "user", "content": "No, I don't experience any difficulty breathing or chest pain."}, {"role": "assistant", "content": "Have you had any recent dental procedures or infections?"}, {"role": "user", "content": "No, I have not had any recent dental procedures or infections."}, {"role": "assistant", "content": "Have you noticed any skin rashes or unusual skin changes?"}, {"role": "user", "content": "I have worsening skin lesions on my elbows that appear as \"blood blisters\" and are becoming larger and more painful."}, {"role": "assistant", "content": "Have you experienced any bone pain or tenderness?"}, {"role": "user", "content": "I do not experience any bone pain or tenderness."}, {"role": "assistant", "content": "Have you noticed any changes in your urine or stool color?"}, {"role": "user", "content": "No, I do not experience any changes in urine or stool color."}, {"role": "assistant", "content": "Have you had any recent changes in your diet or supplements taken?"}, {"role": "user", "content": "I am on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Do you have any history of infections or sexually transmitted infections?"}], "mcq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.92, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 0.96, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.7939999999999999, "mcq_num_questions_after_max": 14, "frq_success_rate_list": [0.06, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.12, 0.12, 0.02, 0.04], "frq_final_success_rate": 0.04, "frq_max_success_rate": 0.12, "frq_avg_success_rate": 0.018, "frq_num_questions_after_max": 3, "num_questions_after_max": 3, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 71-year-old man.",
"role": "user"
},
{
"content": "Do you have any other symptoms like cough, sore throat, or fatigue?",
"role": "assistant"
},
{
"content": "I don't experience any fatigue.",
"role": "user"
},
{
"content": "Have you had any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "Do you have any history of chronic illnesses or medications you're currently taking?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome and I'm currently on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you noticed any unusual bruising or bleeding?",
"role": "assistant"
},
{
"content": "I have bruising on my elbows from the blood blisters.",
"role": "user"
},
{
"content": "Have you experienced any bone pain or tenderness?",
"role": "assistant"
},
{
"content": "I do not experience any bone pain or tenderness.",
"role": "user"
},
{
"content": "Do you have any family history of blood disorders or cancers?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Have you experienced any weight loss or night sweats recently?",
"role": "assistant"
},
{
"content": "I have not experienced any weight loss.",
"role": "user"
},
{
"content": "Have you noticed any changes in your appetite or digestive issues?",
"role": "assistant"
},
{
"content": "No, I haven't experienced any digestive issues.",
"role": "user"
},
{
"content": "Have you had any recent blood transfusions or bone pain procedures?",
"role": "assistant"
},
{
"content": "I have been receiving chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you noticed any swelling in your lymph nodes or neck?",
"role": "assistant"
},
{
"content": "I do not experience any swelling in my lymph nodes or neck.",
"role": "user"
},
{
"content": "Have you had any recent infections or blood tests done?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "Are you currently on any other medications besides azacitidine?",
"role": "assistant"
},
{
"content": "I denied any other new medications.",
"role": "user"
},
{
"content": "Have you experienced any difficulty breathing or chest pain?",
"role": "assistant"
},
{
"content": "No, I don't experience any difficulty breathing or chest pain.",
"role": "user"
},
{
"content": "Have you had any recent dental procedures or infections?",
"role": "assistant"
},
{
"content": "No, I have not had any recent dental procedures or infections.",
"role": "user"
},
{
"content": "Have you noticed any skin rashes or unusual skin changes?",
"role": "assistant"
},
{
"content": "I have worsening skin lesions on my elbows that appear as \"blood blisters\" and are becoming larger and more painful.",
"role": "user"
},
{
"content": "Have you experienced any bone pain or tenderness?",
"role": "assistant"
},
{
"content": "I do not experience any bone pain or tenderness.",
"role": "user"
},
{
"content": "Have you noticed any changes in your urine or stool color?",
"role": "assistant"
},
{
"content": "No, I do not experience any changes in urine or stool color.",
"role": "user"
},
{
"content": "Have you had any recent changes in your diet or supplements taken?",
"role": "assistant"
},
{
"content": "I am on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Do you have any history of infections or sexually transmitted infections?",
"role": "assistant"
}
] |
2
|
A 71-year-old Caucasian man with myelodysplastic syndrome and on chemotherapy with azacitidine presented to the hospital with 2 days of high fever and 4 days of worsening skin lesions. The lesions appeared on the elbows as “blood blisters,” which grew larger and more painful. He denied any other new medications. He was placed on broad spectrum antibiotics by infectious disease physicians out of concern for ecthyma gangrenosum, and dermatology was consulted. On examination, violaceous, edematous plaques with a central pseudovesicle were seen on the bilateral elbows.
|
Punch biopsies were performed for tissue culture and histology.
|
Bacterial sepsis, Sweet syndrome, Cellulitis, Erysipelas
|
Sweet syndrome
| 2
| 1
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 71-year-old man."}, {"role": "assistant", "content": "Do you have any other symptoms like cough, shortness of breath, or chest pain?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you traveled recently or been in contact with someone who was sick?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Do you have any history of chronic illnesses or ongoing medications?"}, {"role": "user", "content": "I have myelodysplastic syndrome and I'm on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you experienced any recent weight loss or night sweats?"}, {"role": "user", "content": "I have experienced some recent weight loss."}, {"role": "assistant", "content": "Have you noticed any unusual bleeding or bruising?"}, {"role": "user", "content": "I have noticed some bleeding under the skin on my elbows."}, {"role": "assistant", "content": "Is there any family history of blood disorders or cancers?"}, {"role": "user", "content": "I have myelodysplastic syndrome."}, {"role": "assistant", "content": "Have you experienced any bone pain or joint pain?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you had any recent infections or blood tests?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "Have you had any recent infections or blood tests?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "Have you experienced any fatigue or weakness recently?"}, {"role": "user", "content": "I have been feeling weak."}, {"role": "assistant", "content": "Are you currently taking any medications besides azacitidine?"}, {"role": "user", "content": "No, I'm not taking any other medications."}, {"role": "assistant", "content": "Have you noticed any swelling or lumps in your neck, armpits, or groin?"}, {"role": "user", "content": "I have swelling on my elbows."}, {"role": "assistant", "content": "Have you had any recent changes in appetite or nausea?"}, {"role": "user", "content": "I do not experience nausea."}, {"role": "assistant", "content": "Have you noticed any changes in urine color or frequency?"}, {"role": "user", "content": "No, I don't experience any changes in urine color or frequency."}, {"role": "assistant", "content": "Do you have any history of alcohol use or liver disease?"}, {"role": "user", "content": "I do not experience liver disease."}, {"role": "assistant", "content": "Have you experienced any headaches or dizziness recently?"}, {"role": "user", "content": "I do not experience headaches or dizziness."}, {"role": "assistant", "content": "Have you had any recent changes in your diet or supplements?"}, {"role": "user", "content": "I have been taking azacitidine as part of my chemotherapy treatment."}, {"role": "assistant", "content": "Have you noticed any changes in your skin, such as rashes or changes in color?"}, {"role": "user", "content": "I have skin lesions on my elbows that appear as \"blood blisters\" and are painful."}, {"role": "assistant", "content": "Have you had any recent blood transfusions or bone pain?"}], "mcq_success_rate_list": [0.0, 0.0, 0.02, 0.0, 0.96, 0.76, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.7869999999999999, "mcq_num_questions_after_max": 13, "frq_success_rate_list": [0.1, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.14], "frq_final_success_rate": 0.14, "frq_max_success_rate": 0.14, "frq_avg_success_rate": 0.012, "frq_num_questions_after_max": 0, "num_questions_after_max": 0, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 71-year-old man.",
"role": "user"
},
{
"content": "Do you have any other symptoms like cough, shortness of breath, or chest pain?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you traveled recently or been in contact with someone who was sick?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Do you have any history of chronic illnesses or ongoing medications?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome and I'm on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you experienced any recent weight loss or night sweats?",
"role": "assistant"
},
{
"content": "I have experienced some recent weight loss.",
"role": "user"
},
{
"content": "Have you noticed any unusual bleeding or bruising?",
"role": "assistant"
},
{
"content": "I have noticed some bleeding under the skin on my elbows.",
"role": "user"
},
{
"content": "Is there any family history of blood disorders or cancers?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Have you experienced any bone pain or joint pain?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you had any recent infections or blood tests?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "Have you had any recent infections or blood tests?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "Have you experienced any fatigue or weakness recently?",
"role": "assistant"
},
{
"content": "I have been feeling weak.",
"role": "user"
},
{
"content": "Are you currently taking any medications besides azacitidine?",
"role": "assistant"
},
{
"content": "No, I'm not taking any other medications.",
"role": "user"
},
{
"content": "Have you noticed any swelling or lumps in your neck, armpits, or groin?",
"role": "assistant"
},
{
"content": "I have swelling on my elbows.",
"role": "user"
},
{
"content": "Have you had any recent changes in appetite or nausea?",
"role": "assistant"
},
{
"content": "I do not experience nausea.",
"role": "user"
},
{
"content": "Have you noticed any changes in urine color or frequency?",
"role": "assistant"
},
{
"content": "No, I don't experience any changes in urine color or frequency.",
"role": "user"
},
{
"content": "Do you have any history of alcohol use or liver disease?",
"role": "assistant"
},
{
"content": "I do not experience liver disease.",
"role": "user"
},
{
"content": "Have you experienced any headaches or dizziness recently?",
"role": "assistant"
},
{
"content": "I do not experience headaches or dizziness.",
"role": "user"
},
{
"content": "Have you had any recent changes in your diet or supplements?",
"role": "assistant"
},
{
"content": "I have been taking azacitidine as part of my chemotherapy treatment.",
"role": "user"
},
{
"content": "Have you noticed any changes in your skin, such as rashes or changes in color?",
"role": "assistant"
},
{
"content": "I have skin lesions on my elbows that appear as \"blood blisters\" and are painful.",
"role": "user"
},
{
"content": "Have you had any recent blood transfusions or bone pain?",
"role": "assistant"
}
] |
2
|
A 71-year-old Caucasian man with myelodysplastic syndrome and on chemotherapy with azacitidine presented to the hospital with 2 days of high fever and 4 days of worsening skin lesions. The lesions appeared on the elbows as “blood blisters,” which grew larger and more painful. He denied any other new medications. He was placed on broad spectrum antibiotics by infectious disease physicians out of concern for ecthyma gangrenosum, and dermatology was consulted. On examination, violaceous, edematous plaques with a central pseudovesicle were seen on the bilateral elbows.
|
Punch biopsies were performed for tissue culture and histology.
|
Bacterial sepsis, Sweet syndrome, Cellulitis, Erysipelas
|
Sweet syndrome
| 2
| 2
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 71-year-old man."}, {"role": "assistant", "content": "How long have you had the fever?"}, {"role": "user", "content": "I've had a high fever for 2 days."}, {"role": "assistant", "content": "Do you have any other symptoms like cough, sore throat, or fatigue?"}, {"role": "user", "content": "I have been feeling very weak lately."}, {"role": "assistant", "content": "Do you have any history of chronic illnesses or recent infections?"}, {"role": "user", "content": "I have myelodysplastic syndrome."}, {"role": "assistant", "content": "Are you currently on any medications?"}, {"role": "user", "content": "I'm on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you noticed any changes in your skin or eyes, like yellowing?"}, {"role": "user", "content": "I have violaceous, edematous plaques with a central pseudovesicle on my elbows."}, {"role": "assistant", "content": "Have you experienced any bleeding or bruising?"}, {"role": "user", "content": "I have bruising on my elbows."}, {"role": "assistant", "content": "Do you have any family history of blood disorders or cancers?"}, {"role": "user", "content": "I have myelodysplastic syndrome."}, {"role": "assistant", "content": "Have you had any recent infections or blood transfusions?"}, {"role": "user", "content": "I have been on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you experienced any bone pain or tenderness?"}, {"role": "user", "content": "I do not experience bone pain or tenderness."}, {"role": "assistant", "content": "Have you noticed any unusual bleeding or bruising?"}, {"role": "user", "content": "I have some bleeding blisters on my elbows."}, {"role": "assistant", "content": "Have you had any recent changes in weight or appetite?"}, {"role": "user", "content": "I do not experience any weight changes or appetite changes."}, {"role": "assistant", "content": "Have you had any recent changes in urination or noticed any changes in urine color?"}, {"role": "user", "content": "No, I do not experience any changes in urination."}, {"role": "assistant", "content": "Have you been experiencing any shortness of breath or chest pain?"}, {"role": "user", "content": "No, I don't experience shortness of breath or chest pain."}, {"role": "assistant", "content": "Have you noticed any swelling or lumps in your neck, armpits, or groin?"}, {"role": "user", "content": "I have swelling and lumps in my neck."}, {"role": "assistant", "content": "Have you been feeling unusually tired or weak lately?"}, {"role": "user", "content": "No, my main complaint is the skin lesions on my elbows."}, {"role": "assistant", "content": "Have you experienced any recent infections or blood transfusions?"}, {"role": "user", "content": "I have been on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you had any recent changes in blood work results?"}, {"role": "user", "content": "I have myelodysplastic syndrome, which I've been managing with chemotherapy."}, {"role": "assistant", "content": "Have you noticed any itching of the skin?"}, {"role": "user", "content": "I don't experience itching of the skin."}, {"role": "assistant", "content": "Have you had any history of liver disease or alcohol use?"}], "mcq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.46, 0.72, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.759, "mcq_num_questions_after_max": 13, "frq_success_rate_list": [0.08, 0.0, 0.0, 0.0, 0.0, 0.0, 0.82, 0.92, 0.86, 0.66, 0.84, 0.94, 0.6, 0.6, 0.68, 0.34, 0.4, 0.52, 0.8, 0.56], "frq_final_success_rate": 0.56, "frq_max_success_rate": 0.94, "frq_avg_success_rate": 0.48100000000000004, "frq_num_questions_after_max": 8, "num_questions_after_max": 8, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 71-year-old man.",
"role": "user"
},
{
"content": "How long have you had the fever?",
"role": "assistant"
},
{
"content": "I've had a high fever for 2 days.",
"role": "user"
},
{
"content": "Do you have any other symptoms like cough, sore throat, or fatigue?",
"role": "assistant"
},
{
"content": "I have been feeling very weak lately.",
"role": "user"
},
{
"content": "Do you have any history of chronic illnesses or recent infections?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Are you currently on any medications?",
"role": "assistant"
},
{
"content": "I'm on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you noticed any changes in your skin or eyes, like yellowing?",
"role": "assistant"
},
{
"content": "I have violaceous, edematous plaques with a central pseudovesicle on my elbows.",
"role": "user"
},
{
"content": "Have you experienced any bleeding or bruising?",
"role": "assistant"
},
{
"content": "I have bruising on my elbows.",
"role": "user"
},
{
"content": "Do you have any family history of blood disorders or cancers?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Have you had any recent infections or blood transfusions?",
"role": "assistant"
},
{
"content": "I have been on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you experienced any bone pain or tenderness?",
"role": "assistant"
},
{
"content": "I do not experience bone pain or tenderness.",
"role": "user"
},
{
"content": "Have you noticed any unusual bleeding or bruising?",
"role": "assistant"
},
{
"content": "I have some bleeding blisters on my elbows.",
"role": "user"
},
{
"content": "Have you had any recent changes in weight or appetite?",
"role": "assistant"
},
{
"content": "I do not experience any weight changes or appetite changes.",
"role": "user"
},
{
"content": "Have you had any recent changes in urination or noticed any changes in urine color?",
"role": "assistant"
},
{
"content": "No, I do not experience any changes in urination.",
"role": "user"
},
{
"content": "Have you been experiencing any shortness of breath or chest pain?",
"role": "assistant"
},
{
"content": "No, I don't experience shortness of breath or chest pain.",
"role": "user"
},
{
"content": "Have you noticed any swelling or lumps in your neck, armpits, or groin?",
"role": "assistant"
},
{
"content": "I have swelling and lumps in my neck.",
"role": "user"
},
{
"content": "Have you been feeling unusually tired or weak lately?",
"role": "assistant"
},
{
"content": "No, my main complaint is the skin lesions on my elbows.",
"role": "user"
},
{
"content": "Have you experienced any recent infections or blood transfusions?",
"role": "assistant"
},
{
"content": "I have been on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you had any recent changes in blood work results?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome, which I've been managing with chemotherapy.",
"role": "user"
},
{
"content": "Have you noticed any itching of the skin?",
"role": "assistant"
},
{
"content": "I don't experience itching of the skin.",
"role": "user"
},
{
"content": "Have you had any history of liver disease or alcohol use?",
"role": "assistant"
}
] |
2
|
A 71-year-old Caucasian man with myelodysplastic syndrome and on chemotherapy with azacitidine presented to the hospital with 2 days of high fever and 4 days of worsening skin lesions. The lesions appeared on the elbows as “blood blisters,” which grew larger and more painful. He denied any other new medications. He was placed on broad spectrum antibiotics by infectious disease physicians out of concern for ecthyma gangrenosum, and dermatology was consulted. On examination, violaceous, edematous plaques with a central pseudovesicle were seen on the bilateral elbows.
|
Punch biopsies were performed for tissue culture and histology.
|
Bacterial sepsis, Sweet syndrome, Cellulitis, Erysipelas
|
Sweet syndrome
| 2
| 3
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 71-year-old man."}, {"role": "assistant", "content": "When did the fever start?"}, {"role": "user", "content": "It started 2 days ago."}, {"role": "assistant", "content": "Do you have any other symptoms like a cough, sore throat, or fatigue?"}, {"role": "user", "content": "I do not experience a cough, sore throat, or fatigue."}, {"role": "assistant", "content": "Do you have any history of chronic illnesses or recent infections?"}, {"role": "user", "content": "I have myelodysplastic syndrome."}, {"role": "assistant", "content": "Are you currently taking any medications or treatments?"}, {"role": "user", "content": "I'm currently on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you noticed any unusual bleeding or bruising?"}, {"role": "user", "content": "I have been experiencing blood blisters on my elbows."}, {"role": "assistant", "content": "Have you experienced any bone pain or tenderness?"}, {"role": "user", "content": "I have not experienced any bone pain or tenderness."}, {"role": "assistant", "content": "Have you had any recent blood transfusions or changes in blood products?"}, {"role": "user", "content": "I have been receiving chemotherapy with azacitidine."}, {"role": "assistant", "content": "Is there any family history of blood disorders or cancers?"}, {"role": "user", "content": "I have myelodysplastic syndrome."}, {"role": "assistant", "content": "Have you had any recent infections or illnesses before the fever started?"}, {"role": "user", "content": "I have been experiencing a high fever for the past 2 days."}, {"role": "assistant", "content": "Have you noticed any changes in your weight or appetite recently?"}, {"role": "user", "content": "I don't experience any changes in my weight or appetite."}, {"role": "assistant", "content": "Have you experienced any night sweats?"}, {"role": "user", "content": "Yes, I have had high fever."}, {"role": "assistant", "content": "Have you noticed any swollen lymph nodes or lumps?"}, {"role": "user", "content": "I do not experience swollen lymph nodes or lumps."}, {"role": "assistant", "content": "Have you had any recent changes in urination or stool patterns?"}, {"role": "user", "content": "No, I do not experience any changes in urination or stool patterns."}, {"role": "assistant", "content": "Have you been experiencing any itching without a rash?"}, {"role": "user", "content": "I do not experience itching."}, {"role": "assistant", "content": "Have you had any recent travel or exposure to infections?"}, {"role": "user", "content": "No, I don't think so."}, {"role": "assistant", "content": "Have you experienced any unusual bleeding or bruising?"}, {"role": "user", "content": "I have been experiencing some bleeding under the skin on my elbows."}, {"role": "assistant", "content": "Have you noticed any changes in your urine color or frequency?"}, {"role": "user", "content": "No, my urine color and frequency seem normal."}, {"role": "assistant", "content": "Have you experienced any shortness of breath or chest pain?"}, {"role": "user", "content": "I do not experience shortness of breath or chest pain."}, {"role": "assistant", "content": "Have you noticed any unusual fatigue or weakness?"}], "mcq_success_rate_list": [0.02, 0.0, 0.0, 0.22, 0.7, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.797, "mcq_num_questions_after_max": 14, "frq_success_rate_list": [0.12, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.12, "frq_avg_success_rate": 0.006, "frq_num_questions_after_max": 19, "num_questions_after_max": 14, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 71-year-old man.",
"role": "user"
},
{
"content": "When did the fever start?",
"role": "assistant"
},
{
"content": "It started 2 days ago.",
"role": "user"
},
{
"content": "Do you have any other symptoms like a cough, sore throat, or fatigue?",
"role": "assistant"
},
{
"content": "I do not experience a cough, sore throat, or fatigue.",
"role": "user"
},
{
"content": "Do you have any history of chronic illnesses or recent infections?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Are you currently taking any medications or treatments?",
"role": "assistant"
},
{
"content": "I'm currently on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you noticed any unusual bleeding or bruising?",
"role": "assistant"
},
{
"content": "I have been experiencing blood blisters on my elbows.",
"role": "user"
},
{
"content": "Have you experienced any bone pain or tenderness?",
"role": "assistant"
},
{
"content": "I have not experienced any bone pain or tenderness.",
"role": "user"
},
{
"content": "Have you had any recent blood transfusions or changes in blood products?",
"role": "assistant"
},
{
"content": "I have been receiving chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Is there any family history of blood disorders or cancers?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Have you had any recent infections or illnesses before the fever started?",
"role": "assistant"
},
{
"content": "I have been experiencing a high fever for the past 2 days.",
"role": "user"
},
{
"content": "Have you noticed any changes in your weight or appetite recently?",
"role": "assistant"
},
{
"content": "I don't experience any changes in my weight or appetite.",
"role": "user"
},
{
"content": "Have you experienced any night sweats?",
"role": "assistant"
},
{
"content": "Yes, I have had high fever.",
"role": "user"
},
{
"content": "Have you noticed any swollen lymph nodes or lumps?",
"role": "assistant"
},
{
"content": "I do not experience swollen lymph nodes or lumps.",
"role": "user"
},
{
"content": "Have you had any recent changes in urination or stool patterns?",
"role": "assistant"
},
{
"content": "No, I do not experience any changes in urination or stool patterns.",
"role": "user"
},
{
"content": "Have you been experiencing any itching without a rash?",
"role": "assistant"
},
{
"content": "I do not experience itching.",
"role": "user"
},
{
"content": "Have you had any recent travel or exposure to infections?",
"role": "assistant"
},
{
"content": "No, I don't think so.",
"role": "user"
},
{
"content": "Have you experienced any unusual bleeding or bruising?",
"role": "assistant"
},
{
"content": "I have been experiencing some bleeding under the skin on my elbows.",
"role": "user"
},
{
"content": "Have you noticed any changes in your urine color or frequency?",
"role": "assistant"
},
{
"content": "No, my urine color and frequency seem normal.",
"role": "user"
},
{
"content": "Have you experienced any shortness of breath or chest pain?",
"role": "assistant"
},
{
"content": "I do not experience shortness of breath or chest pain.",
"role": "user"
},
{
"content": "Have you noticed any unusual fatigue or weakness?",
"role": "assistant"
}
] |
2
|
A 71-year-old Caucasian man with myelodysplastic syndrome and on chemotherapy with azacitidine presented to the hospital with 2 days of high fever and 4 days of worsening skin lesions. The lesions appeared on the elbows as “blood blisters,” which grew larger and more painful. He denied any other new medications. He was placed on broad spectrum antibiotics by infectious disease physicians out of concern for ecthyma gangrenosum, and dermatology was consulted. On examination, violaceous, edematous plaques with a central pseudovesicle were seen on the bilateral elbows.
|
Punch biopsies were performed for tissue culture and histology.
|
Bacterial sepsis, Sweet syndrome, Cellulitis, Erysipelas
|
Sweet syndrome
| 2
| 4
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 71-year-old man."}, {"role": "assistant", "content": "Do you have any other symptoms like cough, sore throat, or fatigue?"}, {"role": "user", "content": "I don't experience any shortness of breath."}, {"role": "assistant", "content": "Do you have a history of any chronic illnesses or current medications?"}, {"role": "user", "content": "I have myelodysplastic syndrome and I'm on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you noticed any unusual bruising or bleeding?"}, {"role": "user", "content": "I have been experiencing worsening skin lesions."}, {"role": "assistant", "content": "Do you have any family history of blood disorders or cancer?"}, {"role": "user", "content": "I have myelodysplastic syndrome."}, {"role": "assistant", "content": "Have you experienced any weight loss or night sweats recently?"}, {"role": "user", "content": "I don't experience weight loss."}, {"role": "assistant", "content": "Have you noticed any changes in your blood work, such as anemia or abnormal blood cell counts?"}, {"role": "user", "content": "I have been experiencing anemia due to my myelodysplastic syndrome."}, {"role": "assistant", "content": "Have you had any recent infections or illnesses?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "Have you noticed any swelling in your lymph nodes or abdomen?"}, {"role": "user", "content": "I do not experience any swelling in my lymph nodes or abdomen."}, {"role": "assistant", "content": "Have you experienced any bone pain or joint pain?"}, {"role": "user", "content": "No, I do not experience any bone pain or joint pain."}, {"role": "assistant", "content": "Have you had any recent blood transfusions or treatments?"}, {"role": "user", "content": "I am on chemotherapy with azacitidine."}, {"role": "assistant", "content": "Have you experienced any difficulty concentrating or unusual fatigue?"}, {"role": "user", "content": "I do not experience difficulty concentrating or unusual fatigue."}, {"role": "assistant", "content": "Do you have any history of liver disease or alcohol use?"}, {"role": "user", "content": "I do not experience liver disease or alcohol use."}, {"role": "assistant", "content": "Have you noticed any changes in your appetite or digestive issues?"}, {"role": "user", "content": "I do not experience any digestive issues."}, {"role": "assistant", "content": "Have you had any recent changes in urine color or noticed any yellowing of your skin or eyes?"}, {"role": "user", "content": "I do not experience jaundice."}, {"role": "assistant", "content": "Have you experienced any changes in appetite or digestive issues?"}, {"role": "user", "content": "No, I don't experience any changes in appetite."}, {"role": "assistant", "content": "Have you had any recent dental procedures or infections?"}, {"role": "user", "content": "No, I don't experience any symptoms of a dental procedure or infection."}, {"role": "assistant", "content": "Have you noticed any bleeding or unusual bruising without any injury?"}, {"role": "user", "content": "I experience bleeding and bruising easily."}, {"role": "assistant", "content": "Have you had any recent infections or illnesses?"}, {"role": "user", "content": "I have a high fever."}, {"role": "assistant", "content": "Have you experienced any weight loss or night sweats recently?"}], "mcq_success_rate_list": [0.0, 0.0, 0.0, 0.9, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0, 1.0], "mcq_final_success_rate": 1.0, "mcq_max_success_rate": 1.0, "mcq_avg_success_rate": 0.845, "mcq_num_questions_after_max": 15, "frq_success_rate_list": [0.16, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.16, "frq_avg_success_rate": 0.008, "frq_num_questions_after_max": 19, "num_questions_after_max": 15, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 71-year-old man.",
"role": "user"
},
{
"content": "Do you have any other symptoms like cough, sore throat, or fatigue?",
"role": "assistant"
},
{
"content": "I don't experience any shortness of breath.",
"role": "user"
},
{
"content": "Do you have a history of any chronic illnesses or current medications?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome and I'm on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you noticed any unusual bruising or bleeding?",
"role": "assistant"
},
{
"content": "I have been experiencing worsening skin lesions.",
"role": "user"
},
{
"content": "Do you have any family history of blood disorders or cancer?",
"role": "assistant"
},
{
"content": "I have myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Have you experienced any weight loss or night sweats recently?",
"role": "assistant"
},
{
"content": "I don't experience weight loss.",
"role": "user"
},
{
"content": "Have you noticed any changes in your blood work, such as anemia or abnormal blood cell counts?",
"role": "assistant"
},
{
"content": "I have been experiencing anemia due to my myelodysplastic syndrome.",
"role": "user"
},
{
"content": "Have you had any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "Have you noticed any swelling in your lymph nodes or abdomen?",
"role": "assistant"
},
{
"content": "I do not experience any swelling in my lymph nodes or abdomen.",
"role": "user"
},
{
"content": "Have you experienced any bone pain or joint pain?",
"role": "assistant"
},
{
"content": "No, I do not experience any bone pain or joint pain.",
"role": "user"
},
{
"content": "Have you had any recent blood transfusions or treatments?",
"role": "assistant"
},
{
"content": "I am on chemotherapy with azacitidine.",
"role": "user"
},
{
"content": "Have you experienced any difficulty concentrating or unusual fatigue?",
"role": "assistant"
},
{
"content": "I do not experience difficulty concentrating or unusual fatigue.",
"role": "user"
},
{
"content": "Do you have any history of liver disease or alcohol use?",
"role": "assistant"
},
{
"content": "I do not experience liver disease or alcohol use.",
"role": "user"
},
{
"content": "Have you noticed any changes in your appetite or digestive issues?",
"role": "assistant"
},
{
"content": "I do not experience any digestive issues.",
"role": "user"
},
{
"content": "Have you had any recent changes in urine color or noticed any yellowing of your skin or eyes?",
"role": "assistant"
},
{
"content": "I do not experience jaundice.",
"role": "user"
},
{
"content": "Have you experienced any changes in appetite or digestive issues?",
"role": "assistant"
},
{
"content": "No, I don't experience any changes in appetite.",
"role": "user"
},
{
"content": "Have you had any recent dental procedures or infections?",
"role": "assistant"
},
{
"content": "No, I don't experience any symptoms of a dental procedure or infection.",
"role": "user"
},
{
"content": "Have you noticed any bleeding or unusual bruising without any injury?",
"role": "assistant"
},
{
"content": "I experience bleeding and bruising easily.",
"role": "user"
},
{
"content": "Have you had any recent infections or illnesses?",
"role": "assistant"
},
{
"content": "I have a high fever.",
"role": "user"
},
{
"content": "Have you experienced any weight loss or night sweats recently?",
"role": "assistant"
}
] |
3
|
A 37-year-old man without a significant past medical history presents to the dermatology clinic with an itchy rash on his right hand that he has had for about 4 months. He had tried numerous over-the-counter hand creams and hydrocortisone cream with no improvement. Additional questioning revealed a 1-year-history of dry, itchy feet. As a construction worker, he wears occlusive, steel-toed work boots and often wears gloves. He is also right-handed. Examination of his hands reveals a normal left hand and a scaly right palm.
|
Diffuse, fine, dry white scale was present on the plantar aspect of both feet.
|
Keratolysis exfoliativa, Dyshidrotic eczema, Palmar plantar pustulosis, Tinea
|
Tinea
| 4
| 0
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have an itchy rash on my right hand."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 37-year-old man."}, {"role": "assistant", "content": "How long have you had the rash?"}, {"role": "user", "content": "I have had the rash for about 4 months."}, {"role": "assistant", "content": "Do you have any other symptoms, like pain or swelling?"}, {"role": "user", "content": "I experience pain in my right hand."}, {"role": "assistant", "content": "Have you noticed any changes in the size or appearance of the rash?"}, {"role": "user", "content": "The rash on my right hand has been the same size for the past 4 months."}, {"role": "assistant", "content": "Do you have a history of any skin conditions or allergies?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you been exposed to any irritants, toxins, or allergens recently?"}, {"role": "user", "content": "I wear occlusive, steel-toed work boots and often wear gloves as a construction worker."}, {"role": "assistant", "content": "Do you have any medical conditions, such as diabetes or arthritis?"}, {"role": "user", "content": "I do not have a significant past medical history."}, {"role": "assistant", "content": "Are you currently taking any medications or supplements?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Is there any family history of skin conditions or autoimmune diseases?"}, {"role": "user", "content": "I do not have any family history of skin conditions or autoimmune diseases."}, {"role": "assistant", "content": "Have you experienced any recent stress or illness?"}, {"role": "user", "content": "I do not experience stress or illness."}, {"role": "assistant", "content": "Have you noticed any blisters or lesions on the rash?"}, {"role": "user", "content": "I do not experience blisters on the rash."}, {"role": "assistant", "content": "Have you had any recent injuries or trauma to your right hand?"}, {"role": "user", "content": "No, I haven't had any recent injuries to my right hand."}, {"role": "assistant", "content": "Do you have a history of frequent hand or skin contact with chemicals or metals?"}, {"role": "user", "content": "I am a construction worker and wear occlusive, steel-toed work boots and often wear gloves."}, {"role": "assistant", "content": "Have you noticed any changes in the texture of the skin on your right hand?"}, {"role": "user", "content": "The skin on my right hand is scaly."}, {"role": "assistant", "content": "Have you experienced any changes in the color of the skin on your right hand?"}, {"role": "user", "content": "No, the skin on my right hand is its normal color."}, {"role": "assistant", "content": "Do you have any history of occupational exposure to asbestos, silica, or other harmful substances?"}, {"role": "user", "content": "I work as a construction worker and wear occlusive, steel-toed work boots."}, {"role": "assistant", "content": "Have you noticed any other areas of your body with similar skin changes or symptoms?"}, {"role": "user", "content": "I have dry, itchy feet."}, {"role": "assistant", "content": "Have you been diagnosed with any chronic illnesses or autoimmune conditions?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Do you experience any joint pain or swelling in your body?"}, {"role": "user", "content": "I do not experience joint pain or swelling."}, {"role": "assistant", "content": "Have you noticed any triggers, like specific foods or activities, that worsen the rash?"}], "mcq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "mcq_final_success_rate": 0.0, "mcq_max_success_rate": 0.0, "mcq_avg_success_rate": 0.0, "mcq_num_questions_after_max": 19, "frq_success_rate_list": [0.12, 0.14, 0.02, 0.14, 0.06, 0.12, 0.14, 0.0, 0.02, 0.0, 0.0, 0.0, 0.04, 0.04, 0.04, 0.0, 0.0, 0.02, 0.0, 0.02], "frq_final_success_rate": 0.02, "frq_max_success_rate": 0.14, "frq_avg_success_rate": 0.046000000000000006, "frq_num_questions_after_max": 18, "num_questions_after_max": 18, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have an itchy rash on my right hand.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 37-year-old man.",
"role": "user"
},
{
"content": "How long have you had the rash?",
"role": "assistant"
},
{
"content": "I have had the rash for about 4 months.",
"role": "user"
},
{
"content": "Do you have any other symptoms, like pain or swelling?",
"role": "assistant"
},
{
"content": "I experience pain in my right hand.",
"role": "user"
},
{
"content": "Have you noticed any changes in the size or appearance of the rash?",
"role": "assistant"
},
{
"content": "The rash on my right hand has been the same size for the past 4 months.",
"role": "user"
},
{
"content": "Do you have a history of any skin conditions or allergies?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you been exposed to any irritants, toxins, or allergens recently?",
"role": "assistant"
},
{
"content": "I wear occlusive, steel-toed work boots and often wear gloves as a construction worker.",
"role": "user"
},
{
"content": "Do you have any medical conditions, such as diabetes or arthritis?",
"role": "assistant"
},
{
"content": "I do not have a significant past medical history.",
"role": "user"
},
{
"content": "Are you currently taking any medications or supplements?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Is there any family history of skin conditions or autoimmune diseases?",
"role": "assistant"
},
{
"content": "I do not have any family history of skin conditions or autoimmune diseases.",
"role": "user"
},
{
"content": "Have you experienced any recent stress or illness?",
"role": "assistant"
},
{
"content": "I do not experience stress or illness.",
"role": "user"
},
{
"content": "Have you noticed any blisters or lesions on the rash?",
"role": "assistant"
},
{
"content": "I do not experience blisters on the rash.",
"role": "user"
},
{
"content": "Have you had any recent injuries or trauma to your right hand?",
"role": "assistant"
},
{
"content": "No, I haven't had any recent injuries to my right hand.",
"role": "user"
},
{
"content": "Do you have a history of frequent hand or skin contact with chemicals or metals?",
"role": "assistant"
},
{
"content": "I am a construction worker and wear occlusive, steel-toed work boots and often wear gloves.",
"role": "user"
},
{
"content": "Have you noticed any changes in the texture of the skin on your right hand?",
"role": "assistant"
},
{
"content": "The skin on my right hand is scaly.",
"role": "user"
},
{
"content": "Have you experienced any changes in the color of the skin on your right hand?",
"role": "assistant"
},
{
"content": "No, the skin on my right hand is its normal color.",
"role": "user"
},
{
"content": "Do you have any history of occupational exposure to asbestos, silica, or other harmful substances?",
"role": "assistant"
},
{
"content": "I work as a construction worker and wear occlusive, steel-toed work boots.",
"role": "user"
},
{
"content": "Have you noticed any other areas of your body with similar skin changes or symptoms?",
"role": "assistant"
},
{
"content": "I have dry, itchy feet.",
"role": "user"
},
{
"content": "Have you been diagnosed with any chronic illnesses or autoimmune conditions?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Do you experience any joint pain or swelling in your body?",
"role": "assistant"
},
{
"content": "I do not experience joint pain or swelling.",
"role": "user"
},
{
"content": "Have you noticed any triggers, like specific foods or activities, that worsen the rash?",
"role": "assistant"
}
] |
3
|
A 37-year-old man without a significant past medical history presents to the dermatology clinic with an itchy rash on his right hand that he has had for about 4 months. He had tried numerous over-the-counter hand creams and hydrocortisone cream with no improvement. Additional questioning revealed a 1-year-history of dry, itchy feet. As a construction worker, he wears occlusive, steel-toed work boots and often wears gloves. He is also right-handed. Examination of his hands reveals a normal left hand and a scaly right palm.
|
Diffuse, fine, dry white scale was present on the plantar aspect of both feet.
|
Keratolysis exfoliativa, Dyshidrotic eczema, Palmar plantar pustulosis, Tinea
|
Tinea
| 4
| 1
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have an itchy rash on my right hand."}, {"role": "assistant", "content": "How long have you had the rash?"}, {"role": "user", "content": "I've had the rash for about 4 months."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 37-year-old man."}, {"role": "assistant", "content": "Have you noticed any changes in the size or appearance of the rash?"}, {"role": "user", "content": "The rash on my right hand has been the same size for the past 4 months."}, {"role": "assistant", "content": "Do you have any other symptoms, such as pain or swelling?"}, {"role": "user", "content": "I do not experience pain."}, {"role": "assistant", "content": "Have you had any recent illness or injury to your hand?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Do you have any known allergies or are you currently taking any medications?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Do you have a history of any skin conditions or eczema?"}, {"role": "user", "content": "No, I do not have a history of skin conditions or eczema."}, {"role": "assistant", "content": "Have you noticed any triggers or factors that make the rash worse?"}, {"role": "user", "content": "Wearing occlusive, steel-toed work boots makes the rash on my hand worse."}, {"role": "assistant", "content": "Do you have any family history of skin conditions or autoimmune diseases?"}, {"role": "user", "content": "I do not have a family history of skin conditions or autoimmune diseases."}, {"role": "assistant", "content": "Have you experienced any changes in your diet or any new products recently?"}, {"role": "user", "content": "I've been eating the same foods and using the same soaps and lotions as always."}, {"role": "assistant", "content": "Have you noticed any blisters or crusting on the rash?"}, {"role": "user", "content": "I do not experience blisters or crusting on the rash."}, {"role": "assistant", "content": "Have you had any recent changes in your occupation or exposure to chemicals?"}, {"role": "user", "content": "I'm a construction worker, so I'm exposed to various materials and chemicals on the job."}, {"role": "assistant", "content": "Have you experienced any other skin issues, such as hand eczema or dermatitis?"}, {"role": "user", "content": "I have a rash on my right hand."}, {"role": "assistant", "content": "Do you smoke or consume alcohol regularly?"}, {"role": "user", "content": "I do not smoke or consume alcohol regularly."}, {"role": "assistant", "content": "Have you noticed any changes in the color of the rash?"}, {"role": "user", "content": "The rash on my right hand is the same color as my skin."}, {"role": "assistant", "content": "Have you experienced any joint pain or stiffness?"}, {"role": "user", "content": "I do not experience joint pain or stiffness."}, {"role": "assistant", "content": "Do you have any other medical conditions or take any regular medications?"}, {"role": "user", "content": "I do not have any other medical conditions."}, {"role": "assistant", "content": "Have you had any recent stress or emotional issues?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you noticed any triggers or factors that worsen the rash at specific times?"}, {"role": "user", "content": "The rash seems to be worse when I wear my work gloves."}, {"role": "assistant", "content": "Do you experience any itching at specific times of day?"}], "mcq_success_rate_list": [0.0, 0.02, 0.0, 0.0, 0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "mcq_final_success_rate": 0.0, "mcq_max_success_rate": 0.02, "mcq_avg_success_rate": 0.002, "mcq_num_questions_after_max": 18, "frq_success_rate_list": [0.26, 0.14, 0.02, 0.2, 0.12, 0.02, 0.0, 0.02, 0.04, 0.04, 0.1, 0.0, 0.04, 0.12, 0.0, 0.02, 0.02, 0.08, 0.02, 0.08], "frq_final_success_rate": 0.08, "frq_max_success_rate": 0.26, "frq_avg_success_rate": 0.06700000000000002, "frq_num_questions_after_max": 19, "num_questions_after_max": 18, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have an itchy rash on my right hand.",
"role": "user"
},
{
"content": "How long have you had the rash?",
"role": "assistant"
},
{
"content": "I've had the rash for about 4 months.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 37-year-old man.",
"role": "user"
},
{
"content": "Have you noticed any changes in the size or appearance of the rash?",
"role": "assistant"
},
{
"content": "The rash on my right hand has been the same size for the past 4 months.",
"role": "user"
},
{
"content": "Do you have any other symptoms, such as pain or swelling?",
"role": "assistant"
},
{
"content": "I do not experience pain.",
"role": "user"
},
{
"content": "Have you had any recent illness or injury to your hand?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Do you have any known allergies or are you currently taking any medications?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Do you have a history of any skin conditions or eczema?",
"role": "assistant"
},
{
"content": "No, I do not have a history of skin conditions or eczema.",
"role": "user"
},
{
"content": "Have you noticed any triggers or factors that make the rash worse?",
"role": "assistant"
},
{
"content": "Wearing occlusive, steel-toed work boots makes the rash on my hand worse.",
"role": "user"
},
{
"content": "Do you have any family history of skin conditions or autoimmune diseases?",
"role": "assistant"
},
{
"content": "I do not have a family history of skin conditions or autoimmune diseases.",
"role": "user"
},
{
"content": "Have you experienced any changes in your diet or any new products recently?",
"role": "assistant"
},
{
"content": "I've been eating the same foods and using the same soaps and lotions as always.",
"role": "user"
},
{
"content": "Have you noticed any blisters or crusting on the rash?",
"role": "assistant"
},
{
"content": "I do not experience blisters or crusting on the rash.",
"role": "user"
},
{
"content": "Have you had any recent changes in your occupation or exposure to chemicals?",
"role": "assistant"
},
{
"content": "I'm a construction worker, so I'm exposed to various materials and chemicals on the job.",
"role": "user"
},
{
"content": "Have you experienced any other skin issues, such as hand eczema or dermatitis?",
"role": "assistant"
},
{
"content": "I have a rash on my right hand.",
"role": "user"
},
{
"content": "Do you smoke or consume alcohol regularly?",
"role": "assistant"
},
{
"content": "I do not smoke or consume alcohol regularly.",
"role": "user"
},
{
"content": "Have you noticed any changes in the color of the rash?",
"role": "assistant"
},
{
"content": "The rash on my right hand is the same color as my skin.",
"role": "user"
},
{
"content": "Have you experienced any joint pain or stiffness?",
"role": "assistant"
},
{
"content": "I do not experience joint pain or stiffness.",
"role": "user"
},
{
"content": "Do you have any other medical conditions or take any regular medications?",
"role": "assistant"
},
{
"content": "I do not have any other medical conditions.",
"role": "user"
},
{
"content": "Have you had any recent stress or emotional issues?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you noticed any triggers or factors that worsen the rash at specific times?",
"role": "assistant"
},
{
"content": "The rash seems to be worse when I wear my work gloves.",
"role": "user"
},
{
"content": "Do you experience any itching at specific times of day?",
"role": "assistant"
}
] |
3
|
A 37-year-old man without a significant past medical history presents to the dermatology clinic with an itchy rash on his right hand that he has had for about 4 months. He had tried numerous over-the-counter hand creams and hydrocortisone cream with no improvement. Additional questioning revealed a 1-year-history of dry, itchy feet. As a construction worker, he wears occlusive, steel-toed work boots and often wears gloves. He is also right-handed. Examination of his hands reveals a normal left hand and a scaly right palm.
|
Diffuse, fine, dry white scale was present on the plantar aspect of both feet.
|
Keratolysis exfoliativa, Dyshidrotic eczema, Palmar plantar pustulosis, Tinea
|
Tinea
| 4
| 2
|
{"multiturn_conversation": [{"role": "system", "content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized."}, {"role": "assistant", "content": "Hi! What symptoms are you facing today?"}, {"role": "user", "content": "I have an itchy rash on my right hand."}, {"role": "assistant", "content": "What is your age and sex?"}, {"role": "user", "content": "I am a 37-year-old man."}, {"role": "assistant", "content": "How long have you had the rash?"}, {"role": "user", "content": "I've had the rash for about 4 months."}, {"role": "assistant", "content": "Do you have any history of skin conditions or allergies?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you recently changed any skincare or personal care products?"}, {"role": "user", "content": "No, I haven't changed any."}, {"role": "assistant", "content": "Do you have any other symptoms, like redness or scaling?"}, {"role": "user", "content": "Yes, I have scaling on my right palm."}, {"role": "assistant", "content": "Do you have a history of eczema or any other skin condition?"}, {"role": "user", "content": "I do not have a history of eczema."}, {"role": "assistant", "content": "Have you experienced any triggers or irritants before the rash appeared?"}, {"role": "user", "content": "I wear occlusive, steel-toed work boots and often wear gloves as a construction worker."}, {"role": "assistant", "content": "Do you have any family history of skin conditions or autoimmune diseases?"}, {"role": "user", "content": "I do not experience any family history of skin conditions or autoimmune diseases."}, {"role": "assistant", "content": "Have you noticed any changes in your diet or any new foods recently?"}, {"role": "user", "content": "No, I haven't noticed any changes in my diet."}, {"role": "assistant", "content": "Do you have any other medical conditions or take any medications?"}, {"role": "user", "content": "I do not have a significant past medical history."}, {"role": "assistant", "content": "Have you experienced any joint pain or swelling?"}, {"role": "user", "content": "I do not experience joint pain or swelling."}, {"role": "assistant", "content": "Have you noticed any changes in the size or appearance of the rash?"}, {"role": "user", "content": "The rash on my right hand has been about the same size for the past 4 months."}, {"role": "assistant", "content": "Have you ever had any issues with your hands or skin before?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you experienced any other symptoms, like fatigue or changes in mood?"}, {"role": "user", "content": "No, I don't experience fatigue or changes in mood."}, {"role": "assistant", "content": "Have you noticed any triggers or irritants before the rash appeared?"}, {"role": "user", "content": "Wearing my occlusive, steel-toed work boots seems to make it worse."}, {"role": "assistant", "content": "Have you had any recent illnesses or infections?"}, {"role": "user", "content": "No."}, {"role": "assistant", "content": "Have you recently experienced any significant stress or anxiety?"}, {"role": "user", "content": "I do not experience stress or anxiety."}, {"role": "assistant", "content": "Do you smoke or consume alcohol regularly?"}, {"role": "user", "content": "I do not consume alcohol regularly."}, {"role": "assistant", "content": "Have you noticed any changes in the color or texture of your skin?"}, {"role": "user", "content": "My right hand has a scaly palm."}, {"role": "assistant", "content": "Have you ever been diagnosed with any autoimmune diseases?"}], "mcq_success_rate_list": [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "mcq_final_success_rate": 0.0, "mcq_max_success_rate": 0.0, "mcq_avg_success_rate": 0.0, "mcq_num_questions_after_max": 19, "frq_success_rate_list": [0.16, 0.16, 0.02, 0.08, 0.08, 0.0, 0.0, 0.0, 0.0, 0.02, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0], "frq_final_success_rate": 0.0, "frq_max_success_rate": 0.16, "frq_avg_success_rate": 0.025999999999999995, "frq_num_questions_after_max": 19, "num_questions_after_max": 19, "conversation_length": 42, "diagnosis_success": false}
|
[
{
"content": "You are an AI doctor. Arrive at a diagnosis of a patient's medical condition. Ask only one question at a time, and it should not be more than 1 line. Continue asking questions until you're 100% confident of the diagnosis. Do not ask the same question multiple times. Ask different questions to cover more information. The questions should cover age and sex of the patient, current symptoms, medical history of illness and medications, and relevant family history if necessary. Keep your questions short and brief to not confuse the patient. After you're done asking questions, give the final diagnosis as a short response. Do not explain, only give the diagnosis name. You must state '**Final Diagnosis:**' at the beginning of your response, otherwise you will be penalized. You must give only 1 diagnosis otherwise you will be penalized.",
"role": "system"
},
{
"content": "Hi! What symptoms are you facing today?",
"role": "assistant"
},
{
"content": "I have an itchy rash on my right hand.",
"role": "user"
},
{
"content": "What is your age and sex?",
"role": "assistant"
},
{
"content": "I am a 37-year-old man.",
"role": "user"
},
{
"content": "How long have you had the rash?",
"role": "assistant"
},
{
"content": "I've had the rash for about 4 months.",
"role": "user"
},
{
"content": "Do you have any history of skin conditions or allergies?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you recently changed any skincare or personal care products?",
"role": "assistant"
},
{
"content": "No, I haven't changed any.",
"role": "user"
},
{
"content": "Do you have any other symptoms, like redness or scaling?",
"role": "assistant"
},
{
"content": "Yes, I have scaling on my right palm.",
"role": "user"
},
{
"content": "Do you have a history of eczema or any other skin condition?",
"role": "assistant"
},
{
"content": "I do not have a history of eczema.",
"role": "user"
},
{
"content": "Have you experienced any triggers or irritants before the rash appeared?",
"role": "assistant"
},
{
"content": "I wear occlusive, steel-toed work boots and often wear gloves as a construction worker.",
"role": "user"
},
{
"content": "Do you have any family history of skin conditions or autoimmune diseases?",
"role": "assistant"
},
{
"content": "I do not experience any family history of skin conditions or autoimmune diseases.",
"role": "user"
},
{
"content": "Have you noticed any changes in your diet or any new foods recently?",
"role": "assistant"
},
{
"content": "No, I haven't noticed any changes in my diet.",
"role": "user"
},
{
"content": "Do you have any other medical conditions or take any medications?",
"role": "assistant"
},
{
"content": "I do not have a significant past medical history.",
"role": "user"
},
{
"content": "Have you experienced any joint pain or swelling?",
"role": "assistant"
},
{
"content": "I do not experience joint pain or swelling.",
"role": "user"
},
{
"content": "Have you noticed any changes in the size or appearance of the rash?",
"role": "assistant"
},
{
"content": "The rash on my right hand has been about the same size for the past 4 months.",
"role": "user"
},
{
"content": "Have you ever had any issues with your hands or skin before?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you experienced any other symptoms, like fatigue or changes in mood?",
"role": "assistant"
},
{
"content": "No, I don't experience fatigue or changes in mood.",
"role": "user"
},
{
"content": "Have you noticed any triggers or irritants before the rash appeared?",
"role": "assistant"
},
{
"content": "Wearing my occlusive, steel-toed work boots seems to make it worse.",
"role": "user"
},
{
"content": "Have you had any recent illnesses or infections?",
"role": "assistant"
},
{
"content": "No.",
"role": "user"
},
{
"content": "Have you recently experienced any significant stress or anxiety?",
"role": "assistant"
},
{
"content": "I do not experience stress or anxiety.",
"role": "user"
},
{
"content": "Do you smoke or consume alcohol regularly?",
"role": "assistant"
},
{
"content": "I do not consume alcohol regularly.",
"role": "user"
},
{
"content": "Have you noticed any changes in the color or texture of your skin?",
"role": "assistant"
},
{
"content": "My right hand has a scaly palm.",
"role": "user"
},
{
"content": "Have you ever been diagnosed with any autoimmune diseases?",
"role": "assistant"
}
] |
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