question stringlengths 693 1.92k | series stringlengths 5.85k 15.2k | correct_answer stringlengths 6 137 |
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A 65-year-old male with a history of ischemic heart disease presents to the emergency department after collapsing at home. His wife reports he complained of palpitations, shortness of breath, nausea, and chest pain prior to collapsing. On arrival, he is unresponsive and pulseless with absent breath sounds. His skin is... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 65-year-old male collapsed at home with palpitations, shortness of breath, nausea, and chest pain prior to collapse and has a history of ischemic heart disease. He is now unresponsive, pulseless, and apneic with ventricular fibrillation on... | Cardiopulmonary Arrest |
A 65-year-old female presents with a chief complaint of progressively worsening blurry vision in both eyes over the past six months. The onset was sudden and painless, and her vision has deteriorated to approximately 20/200 in both eyes. She denies any pain, redness, or discharge. She has a history of Parkinson's di... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 65-year-old female is experiencing progressively worsening blurry vision in both eyes over six months. The onset was sudden and painless. Vision is now 20/200. I need to understand more about the onset and progression, and if there are a... | Amantadine Keratopathy |
A 55-year-old male presents with chest discomfort. He describes the pain as a pressure-like sensation across his chest, provoked by walking uphill and relieved by rest within 5 minutes. He also reports occasional shortness of breath with exertion. He denies fever, chills, cough, or recent illness. His blood pressur... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 55-year-old male presents with chest discomfort that is pressure-like, brought on by exertion (walking uphill), and relieved by rest within 5 minutes. This sounds like angina. I need to assess his risk factors and get more details about th... | Stable Angina |
A 35-year-old female presents with gradual onset of blurred vision and floaters in her left eye over the past six months. She also notes that her left eye appears lighter in color than her right eye. She denies pain, redness, or discharge. Vital signs: BP 120/80 mmHg, HR 72 bpm, RR 16 breaths/min, Temp 98.6°F. Physic... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 35-year-old female presents with gradual onset of blurred vision and floaters in her left eye over six months. The chronicity and lack of acute symptoms like pain or redness are important. I should first ask about any eye pain, redness, ... | Fuchs Uveitis Syndrome |
A newborn female infant presents with a cleft lip and palate, polydactyly on her left hand, and rocker-bottom feet. Her temperature is 36.5°C, heart rate is 130 bpm, respiratory rate is 40 breaths per minute, and blood pressure is 60/40 mmHg. On physical examination, she has a small head with a sloping forehead. A h... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A newborn female infant is presenting with multiple congenital anomalies: cleft lip and palate, polydactyly, and rocker-bottom feet. This combination suggests a possible genetic syndrome. I need to get a better understanding of her current ... | Trisomy 13 (Patau Syndrome) |
A 32-year-old female presents with painful sexual intercourse for the past 6 months. The pain is described as a deep ache in her pelvis during and after intercourse. She also reports some mild discomfort with urination. Her vital signs are: blood pressure 118/72 mmHg, heart rate 76 bpm, respiratory rate 16 breaths/mi... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 32-year-old female presenting with deep pelvic pain during and after intercourse for 6 months is concerning for several conditions. Given the duration and nature of the pain, chronic conditions are more likely than acute infections. The mi... | Dyspareunia |
A 45-year-old woman presents with a slow-growing, painless nodule on her left forearm that she noticed about a year ago. It has gradually increased in size and is now approximately 3 cm in diameter. She denies any pain, ulceration, or bleeding from the site. The nodule is slightly raised, pink, and firm to the touch... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 45-year-old woman has a slow-growing, painless nodule on her forearm for a year. The key here is 'slow-growing' and 'painless'. I need to understand the appearance of the nodule and if there are any other symptoms associated with it.\",\... | Endovascular Papillary Angioendothelioma (EPA) |
A 65-year-old male with a history of hypertension, hyperlipidemia, and type 2 diabetes presents with progressive exertional angina over the past 6 months. He now experiences chest pain even with minimal exertion, lasting for 5-10 minutes and relieved by rest. He denies any associated nausea, vomiting, or diaphoresis. ... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 65-year-old male presents with progressive exertional chest pain. Given his age and the progressive nature of the pain, cardiac issues are high on my differential. I need to assess his risk factors and current vital signs to start evaluat... | Chronic Total Occlusion of the Coronary Artery |
A 55-year-old female presents with progressively worsening blurry vision, redness, tearing, and photophobia in her right eye for the past 8 months. She underwent a complicated cataract surgery in that eye approximately 9 months ago. She reports constant, aching pain that is worse when she blinks. Her vital signs are... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 55-year-old female presenting with worsening blurry vision, redness, tearing, photophobia, and pain in her right eye for 8 months post cataract surgery is concerning. Given the prolonged symptoms and post-operative context, I'm thinking ab... | Epithelial Downgrowth |
A 35-year-old woman presents with fatigue and shortness of breath on exertion for the past six months. She also complains of feeling irritable and having difficulty concentrating. She denies any fever, chills, or weight loss. She has heavy menstrual periods. Her blood pressure is 110/70 mmHg, pulse rate 90 beats per... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 35-year-old woman is presenting with fatigue and shortness of breath on exertion for six months. These are quite general symptoms, but fatigue and exertional dyspnea often point towards cardiopulmonary or hematologic issues. I should firs... | Chronic Iron Deficiency |
A 78-year-old female is brought to the emergency department by her daughter due to increasing confusion and agitation over the past 24 hours. The daughter reports that her mother has been seeing "spiders crawling on the walls" and hearing "whispering voices." The patient appears disoriented to time and place. She is... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 78-year-old female presenting with acute confusion, agitation, visual and auditory hallucinations is concerning. Delirium is high on differential. I need to assess vital signs and basic labs to rule out immediate life-threatening condition... | Delirium |
A 2-week-old male infant is brought to the clinic by his mother due to concerns about his feeding and a rash. The mother reports the infant has been feeding poorly and seems lethargic. She also noticed a rash developing over the past few days. The infant was born at 37 weeks gestation via vaginal delivery. The mother... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 2-week-old infant presents with poor feeding, lethargy and rash. In a neonate, sepsis, congenital infections and metabolic disorders are important considerations. I will start by asking for more details about the rash and feeding problems... | Congenital Cytomegalovirus (CMV) |
A 3-week-old male infant is brought to the clinic by his mother due to increasing difficulty feeding and shortness of breath. The mother reports that the baby tires easily during feeds and has a bluish tinge around his lips, especially after crying. The infant's birth weight was 3.2 kg, and his current weight is 3.1 k... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 3-week-old male infant is presenting with difficulty feeding and shortness of breath, along with cyanosis. This sounds concerning, especially at this age. I need to get a better picture of his current condition. I'd like to know his vital... | Pulmonary Atresia With Ventricular Septal Defect (PAVSD) |
A 4-year-old boy presents to the emergency department with difficulty breathing and drooling. His parents report he has had a sore throat and muffled voice for the past 24 hours. He appears anxious and is sitting in a tripod position. His temperature is 39.2°C, heart rate is 130 beats per minute, respiratory rate is ... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 4-year-old boy is presenting with difficulty breathing and drooling. This is concerning, especially given the sore throat and muffled voice. I'm worried about an upper airway obstruction. First, I want to assess his vital signs to see how ... | Epiglottitis |
A 65-year-old woman presents with increasing difficulty swallowing and a vague feeling of fullness in her upper abdomen for the past 3 months. She also reports unintentional weight loss of approximately 10 pounds during this time. She denies any fever, vomiting, or changes in bowel habits. Her vital signs are: blood... | "<interaction>\n[\n {\n \"role\": \"trainee\",\n \"result_analysis\": \"A 65-year-old woman is presenting with difficulty swallowing and upper abdominal fullness for 3 months, along with weight loss. This is concerning for a possible esophageal or gastric issue, potentially malignancy. I'd like to get some basic... | Linitis Plastica |
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