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{'symptom_description': "I've been extremely thirsty and urinating constantly, like every hour, even at night. I've lost 15 pounds in the last 2 weeks without trying. Today I started feeling really confused and sick to my stomach, my breath smells weird like fruit, and I'm so tired I can barely stand. My vision is also really blurry.", 'demographic_context': '19-year-old female', 'duration': 'Symptoms intensifying over 2 weeks, severe deterioration in last 24 hours', 'severity_context': 'Severe fatigue, confusion, and weakness making it difficult to perform basic tasks. Unable to keep fluids down today.'}
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{'primary_specialty': 'Endocrinology', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Has the patient been tested for diabetes before?', 'Is there any family history of diabetes?', 'Has the patient checked their blood sugar?', 'Are there any signs of infection present?'], 'red_flags': ['Rapid weight loss with polyuria and polydipsia', 'Mental status changes and fruity breath (possible DKA)', 'Severe dehydration symptoms', 'Acute vision changes'], 'possible_conditions': ['Diabetic Ketoacidosis (DKA)', 'New onset Type 1 Diabetes', 'Severe hyperglycemia'], 'reasoning': 'Presentation strongly suggests new-onset Type 1 Diabetes with DKA requiring immediate emergency intervention. Classic symptoms of polyuria, polydipsia, weight loss, combined with mental status changes and fruity breath indicate likely ketoacidosis requiring immediate medical attention.'}
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{'id': 1101, 'target_specialty': 'Endocrinology', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T20:16:58.276690'}
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{'symptom_description': "I've been feeling extremely weak and confused for the past 2 days. My heart is racing constantly, I'm sweating profusely even when it's cold, and I can't stop shaking. I've lost 15 pounds in the last month despite eating normally. My eyes feel like they're bulging, and I can barely sleep because my mind is racing. Today I nearly fainted at work and my pulse was 150.", 'demographic_context': '32-year-old female', 'duration': 'Acute symptoms 2 days, gradual symptoms over 1 month', 'severity_context': 'Severely impacting daily function, unable to work, experiencing palpitations and near-syncope'}
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{'primary_specialty': 'Endocrinology', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Have you experienced any chest pain?', 'Are you taking any new medications or supplements?', 'Is there any family history of thyroid disorders?'], 'red_flags': ['Tachycardia with heart rate >150', 'Altered mental status', 'Near-syncopal episode', 'Rapid weight loss'], 'possible_conditions': ['Thyroid Storm', "Graves' Disease", 'Toxic Multinodular Goiter'], 'reasoning': 'Presentation strongly suggests thyroid storm - a life-threatening endocrine emergency characterized by severe hyperthyroidism, tachycardia, and systemic symptoms requiring immediate endocrine intervention'}
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{'id': 1102, 'target_specialty': 'Endocrinology', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T20:17:06.057639'}
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{'symptom_description': "I've been experiencing extreme thirst and urination every 30-60 minutes, even at night. I'm constantly tired, very dizzy, and have lost 15 pounds in the last week without trying. My vision is blurry, and I feel confused. Today I started vomiting and can't keep anything down. My breath smells fruity and strange.", 'demographic_context': '19 year old female', 'duration': 'Symptoms intensified over past 7 days, severe deterioration in last 24 hours', 'severity_context': 'Unable to attend classes or work due to symptoms, severely dehydrated despite drinking constantly, mental status becoming altered'}
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{'primary_specialty': 'Endocrinology', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Has patient ever been diagnosed with diabetes before?', 'Is there any family history of type 1 diabetes?', 'Has patient checked blood glucose levels?', 'Are there any signs of infection present?'], 'red_flags': ['Rapid weight loss with polyuria and polydipsia', 'Altered mental status', 'Fruity breath (possible ketones)', 'Severe dehydration with vomiting'], 'possible_conditions': ['Diabetic Ketoacidosis (DKA)', 'New onset Type 1 Diabetes', 'Hyperosmolar Hyperglycemic State'], 'reasoning': 'Presentation strongly suggests new-onset Type 1 Diabetes with DKA requiring immediate emergency intervention. Classic symptoms of severe hyperglycemia with mental status changes and ketosis indicate life-threatening condition requiring immediate medical attention and endocrine management.'}
|
{'id': 1103, 'target_specialty': 'Endocrinology', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T20:17:14.555880'}
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{'symptom_description': "I've been experiencing extreme thirst and urination every 30-60 minutes, even at night. I'm constantly tired, lost 15 pounds in the last week despite eating normally. Today I started feeling confused, my breath smells fruity, and I'm having severe stomach pain. My vision is also blurry and I feel like I might pass out.", 'demographic_context': '19-year-old female', 'duration': 'Symptoms intensifying over past 7 days, severe deterioration in last 24 hours', 'severity_context': 'Symptoms are severe and rapidly worsening, affecting basic functions, patient appears in acute distress'}
|
{'primary_specialty': 'Endocrinology', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Has patient ever been diagnosed with diabetes before?', 'Is there any family history of Type 1 Diabetes?', 'Has patient checked their blood sugar levels?', 'Any recent infections or illnesses?'], 'red_flags': ['Rapid weight loss with polyuria and polydipsia', 'Fruity breath (possible ketones)', 'Mental status changes', 'Severe abdominal pain suggesting possible DKA'], 'possible_conditions': ['Diabetic Ketoacidosis (DKA)', 'New onset Type 1 Diabetes', 'Severe hyperglycemic state'], 'reasoning': 'Presentation strongly suggests new-onset Type 1 Diabetes with DKA requiring immediate emergency intervention. Classic symptoms of polyuria, polydipsia, weight loss, combined with mental status changes and fruity breath indicate severe metabolic derangement requiring immediate medical attention.'}
|
{'id': 1104, 'target_specialty': 'Endocrinology', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T20:17:23.038635'}
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{'symptom_description': "I've been feeling extremely thirsty and urinating constantly, like every hour even at night. Lost about 15 pounds in the last week without trying. Today I started feeling really confused and sick to my stomach. My breath smells fruity and weird. I'm so tired I can barely stand up. My mom has diabetes but I've never been diagnosed.", 'demographic_context': '19 year old female', 'duration': 'Symptoms intensifying over past 7-10 days, severe deterioration in last 24 hours', 'severity_context': 'Severe fatigue, mental confusion, unable to keep fluids down for past 6 hours, rapid breathing'}
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{'primary_specialty': 'Endocrinology', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Has the patient checked their blood sugar?', 'Is there any history of recent illness or infection?', 'Are there any signs of dehydration (dry mouth, decreased urination)?', 'Has the patient been able to keep any fluids down?'], 'red_flags': ['Possible diabetic ketoacidosis (DKA)', 'Mental status changes', 'Rapid weight loss', 'Severe dehydration'], 'possible_conditions': ['New onset Type 1 Diabetes with DKA', 'Undiagnosed Type 2 Diabetes with severe hyperglycemia', 'Diabetic ketoacidosis in unknown diabetes'], 'reasoning': 'Presentation strongly suggests new-onset diabetes with diabetic ketoacidosis requiring immediate emergency intervention. Classic symptoms of polyuria, polydipsia, weight loss, combined with mental status changes and fruity breath (ketones) indicate medical emergency requiring immediate hospitalization and endocrine consultation.'}
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{'id': 1105, 'target_specialty': 'Endocrinology', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T20:17:31.554656'}
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{'symptom_description': "I've been experiencing extreme thirst and urination every 30-60 minutes, even at night. I'm extremely tired and have lost 15 pounds in the last week despite eating normally. Today I started feeling confused and my breath smells fruity. My vision is also blurry and I feel very weak and nauseated.", 'demographic_context': '19-year-old female', 'duration': 'Symptoms intensified over past 7 days, severe deterioration in last 24 hours', 'severity_context': 'Patient is experiencing rapid weight loss, mental status changes, and severe dehydration despite drinking constantly. Unable to attend classes or work due to symptoms.'}
|
{'primary_specialty': 'Endocrinology', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Emergency Medicine', 'critical_questions': ['Has the patient ever been diagnosed with diabetes before?', 'Is there any family history of type 1 diabetes?', 'Has the patient checked their blood sugar levels?', 'Are there any signs of infection present?'], 'red_flags': ['Rapid weight loss with polyuria and polydipsia', 'Mental status changes and fruity breath (possible DKA)', 'Severe dehydration with blurred vision'], 'possible_conditions': ['Diabetic Ketoacidosis (DKA)', 'New onset Type 1 Diabetes', 'Hyperosmolar Hyperglycemic State'], 'reasoning': 'Presentation strongly suggests new-onset Type 1 Diabetes with Diabetic Ketoacidosis (DKA), requiring immediate emergency intervention. Classic symptoms of polyuria, polydipsia, weight loss, and mental status changes with fruity breath indicate severe metabolic derangement requiring urgent stabilization.'}
|
{'id': 1106, 'target_specialty': 'Endocrinology', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T20:17:39.439663'}
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{'symptom_description': "I've been feeling extremely thirsty and urinating constantly, like every hour even at night. I'm always exhausted and have lost about 15 pounds in the last few weeks without trying. My vision has gotten blurry recently, and I've noticed some numbness in my feet. I've also been getting headaches and feeling really dizzy, especially when I stand up.", 'demographic_context': '32-year-old female', 'duration': 'Symptoms progressively worsening over past 3-4 weeks', 'severity_context': 'Significantly impacting daily activities, unable to work full days due to frequent urination and fatigue. Having trouble driving due to blurred vision.'}
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{'primary_specialty': 'Endocrinology', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ["What is the patient's current blood glucose level?", 'Are there any signs of diabetic ketoacidosis?', 'Is there any family history of diabetes?', 'Has the patient been checking blood sugar at home?'], 'red_flags': ['Rapid unexplained weight loss', 'Visual changes', 'Polyuria and polydipsia', 'Neurological symptoms (numbness)'], 'possible_conditions': ['New onset Type 1 Diabetes', 'Type 2 Diabetes with acute deterioration', 'Diabetic ketoacidosis'], 'reasoning': 'Constellation of classic diabetes symptoms with rapid onset and severity suggests possible new onset diabetes or acute deterioration of undiagnosed diabetes. Urgent evaluation needed due to risk of diabetic ketoacidosis and severity of symptoms affecting daily function.'}
|
{'id': 1107, 'target_specialty': 'Endocrinology', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T20:17:47.602610'}
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{'symptom_description': "I've been feeling extremely thirsty and urinating frequently, like every hour, even at night. I've lost about 15 pounds in the last month without trying. My vision has become blurry recently, and I feel tired all the time. Yesterday I noticed my breath smells sweet and fruity, and I'm getting really worried because my mother has diabetes.", 'demographic_context': '27 year old female', 'duration': 'Symptoms progressively worsening over past 4-6 weeks', 'severity_context': 'Significant impact on daily activities, difficulty working due to frequent urination and fatigue, rapid weight loss causing concern'}
|
{'primary_specialty': 'Endocrinology', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ["What is the patient's current blood glucose level?", 'Are there any signs of diabetic ketoacidosis (DKA)?', 'Is there any family history of Type 1 or Type 2 diabetes?'], 'red_flags': ['Rapid unexplained weight loss', 'Fruity breath (possible ketones)', 'Polyuria and polydipsia with visual changes'], 'possible_conditions': ['New onset Type 1 Diabetes', 'Diabetic Ketoacidosis', 'Type 2 Diabetes'], 'reasoning': 'Constellation of classic symptoms suggesting new onset diabetes with possible DKA requiring urgent evaluation. The combination of polydipsia, polyuria, weight loss, and fruity breath indicates potential metabolic emergency requiring immediate endocrine assessment.'}
|
{'id': 1108, 'target_specialty': 'Endocrinology', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T20:17:55.724762'}
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{'symptom_description': "I've been feeling extremely thirsty and urinating frequently, like every hour even at night. I've lost about 15 pounds in the last month without trying. My vision has gotten blurry recently, and I feel tired all the time. Yesterday I started feeling really confused and shaky, and my breath has a weird fruity smell.", 'demographic_context': '27-year-old female', 'duration': 'Symptoms progressively worsening over past 4-6 weeks', 'severity_context': 'Significant impact on daily activities, missing work due to fatigue, experiencing confusion and weakness'}
|
{'primary_specialty': 'Endocrinology', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Have you tested your blood sugar levels?', 'Is there any family history of diabetes?', 'Have you experienced any recent infections or illnesses?'], 'red_flags': ['Rapid unexplained weight loss', 'Mental status changes', 'Fruity breath (possible ketones)', 'Severe polyuria and polydipsia'], 'possible_conditions': ['New onset Type 1 Diabetes with possible DKA', 'Type 2 Diabetes with severe hyperglycemia', 'LADA (Latent Autoimmune Diabetes in Adults)'], 'reasoning': 'Constellation of classic symptoms suggesting new onset diabetes with possible progression to diabetic ketoacidosis (DKA). Mental status changes and fruity breath indicate urgent evaluation needed to prevent life-threatening complications.'}
|
{'id': 1109, 'target_specialty': 'Endocrinology', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T20:18:03.094755'}
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{'symptom_description': "I've been feeling extremely thirsty and urinating frequently, like every hour even at night. I've lost about 15 pounds in the last month without trying. My vision has gotten blurry recently, and I feel tired all the time. Yesterday I started feeling really nauseous and my breath smells weird, kind of fruity. Today I'm feeling confused and having trouble concentrating at work.", 'demographic_context': '27-year-old female', 'duration': 'Symptoms progressively worsening over past 4-6 weeks', 'severity_context': 'Significantly impacting daily activities, missing work, difficulty sleeping due to frequent urination, rapid weight loss causing concern'}
|
{'primary_specialty': 'Endocrinology', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Have you been tested for diabetes before?', 'Is there any family history of diabetes?', 'Have you checked your blood sugar levels recently?', 'Are you experiencing any abdominal pain?'], 'red_flags': ['Rapid unexplained weight loss', 'Mental status changes', 'Possible ketotic breath', 'Classical symptoms of new onset diabetes with mental status changes'], 'possible_conditions': ['New onset Type 1 Diabetes with possible DKA', 'Type 2 Diabetes with acute complication', 'Diabetes insipidus'], 'reasoning': 'Constellation of symptoms strongly suggests new onset diabetes with possible diabetic ketoacidosis (DKA) requiring urgent evaluation. Classical symptoms of polyuria, polydipsia, weight loss, combined with mental status changes and possible ketotic breath indicate need for immediate assessment of blood glucose and ketones.'}
|
{'id': 1110, 'target_specialty': 'Endocrinology', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T20:18:11.389196'}
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{'symptom_description': "I've been feeling extremely thirsty and urinating frequently, like every hour even at night. I've lost about 15 pounds in the last month without trying. My vision has gotten blurry recently, and I feel tired all the time. Yesterday I started feeling really nauseated and my breath smells weird, kind of fruity. Today I'm feeling confused and having trouble concentrating at work.", 'demographic_context': '28-year-old female', 'duration': 'Symptoms progressively worsening over past 4-6 weeks', 'severity_context': 'Symptoms are significantly impacting daily activities, work performance, and sleep. Patient reports feeling increasingly unwell over past 48 hours'}
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{'primary_specialty': 'Endocrinology', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Have you been tested for diabetes before?', 'Is there any family history of diabetes?', 'Have you checked your blood sugar levels recently?', 'Are you experiencing any abdominal pain?'], 'red_flags': ['Rapid unexplained weight loss', 'Mental status changes', 'Possible ketotic breath', 'Polyuria and polydipsia'], 'possible_conditions': ['New onset Type 1 Diabetes with possible DKA', 'Type 2 Diabetes with acute complication', 'LADA (Latent Autoimmune Diabetes in Adults)'], 'reasoning': 'Constellation of symptoms strongly suggests new-onset diabetes with possible diabetic ketoacidosis (DKA). The combination of polydipsia, polyuria, weight loss, and acute mental status changes with ketotic breath requires urgent evaluation to prevent life-threatening complications.'}
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{'id': 1111, 'target_specialty': 'Endocrinology', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T20:18:19.778197'}
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{'symptom_description': "I've been feeling extremely thirsty and urinating frequently, like every hour, even at night. I've lost about 15 pounds in the last 3 weeks without trying. My vision has gotten blurry recently, and I feel tired all the time. Yesterday I started feeling really nauseated and having stomach pain. My breath has a weird fruity smell that my family noticed.", 'demographic_context': '19-year-old female', 'duration': 'Symptoms progressively worsening over 3 weeks', 'severity_context': 'Symptoms are significantly impacting daily activities, missing classes due to fatigue, and now experiencing nausea and abdominal pain'}
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{'primary_specialty': 'Endocrinology', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ["What is the patient's current blood glucose level?", 'Are there any signs of diabetic ketoacidosis (DKA)?', 'Is there any family history of diabetes?', 'Has the patient experienced any recent infections or illnesses?'], 'red_flags': ['Rapid unexplained weight loss', 'Fruity breath (possible ketones)', 'Severe polyuria and polydipsia', 'Recent onset of nausea and abdominal pain'], 'possible_conditions': ['New onset Type 1 Diabetes with possible DKA', 'Type 2 Diabetes with acute complication', 'Diabetes MODY'], 'reasoning': 'Presentation strongly suggests new-onset diabetes with possible progression to DKA, requiring urgent endocrine evaluation. Classic symptoms of polyuria, polydipsia, weight loss, along with fruity breath and nausea suggest possible ketoacidosis requiring immediate medical attention.'}
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{'id': 1112, 'target_specialty': 'Endocrinology', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T20:18:28.588738'}
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