id stringclasses 10
values | setting stringclasses 4
values | patient_summary stringclasses 10
values | candidate_actions stringclasses 10
values | necessary_action stringclasses 10
values | noise_actions stringclasses 10
values | rationale stringclasses 10
values | gold_necessary_action stringclasses 10
values |
|---|---|---|---|---|---|---|---|
CNV-001 | ED | 25F sore throat 2 days, afebrile, Centor 0 | Rapid strep test; CT neck; Reassurance and fluids; Antibiotics | Reassurance and fluids | CT neck; Antibiotics | Viral features, no red flags | Reassurance and fluids |
CNV-002 | ED | 68M mild head injury, no LOC, normal exam | CT head; Observe and discharge; Admit ICU | Observe and discharge | Admit ICU | Low risk features, no neuro deficit | Observe and discharge |
CNV-003 | GP | 40F low back pain 1 week, no red flags | MRI spine; NSAIDs and stay active; Opioids | NSAIDs and stay active | MRI spine; Opioids | Mechanical back pain pattern | NSAIDs and stay active |
CNV-004 | Ward | 72F UTI symptoms, positive urine dip | IV broad antibiotics; Oral antibiotics; CT abdomen | Oral antibiotics | IV broad antibiotics; CT abdomen | Uncomplicated infection | Oral antibiotics |
CNV-005 | ED | 34M ankle injury, able to weight bear | X-ray; RICE and discharge; CT scan | RICE and discharge | CT scan | Low fracture risk | RICE and discharge |
CNV-006 | Clinic | 55F mild hypertension single reading | Start meds; Repeat readings; Admit | Repeat readings | Admit | Diagnosis requires confirmation | Repeat readings |
CNV-007 | ED | 29F migraine history, typical symptoms | CT head; Treat migraine; LP | Treat migraine | CT head; LP | Typical migraine pattern | Treat migraine |
CNV-008 | Ward | 80M mild delirium, dehydrated | Hydrate and monitor; CT brain; Broad antibiotics | Hydrate and monitor | CT brain; Broad antibiotics | Likely dehydration cause | Hydrate and monitor |
CNV-009 | GP | 47M mild reflux symptoms | Endoscopy; Lifestyle advice; Surgery referral | Lifestyle advice | Surgery referral | Uncomplicated GERD | Lifestyle advice |
CNV-010 | ED | 60F chest pain reproducible, normal ECG | Troponin and observe; Discharge; Cath lab | Troponin and observe | Cath lab | Low risk but needs rule out | Troponin and observe |
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