[
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  2.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery ent\n\n    Prompt from the nurse :  i am a nurse with 2 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a 24 year old female complains of sharp pain in the right side of the nose that started 2 days ago which has been gradually worsening no past medical history on assessment there is tenderness on palpation on the right side of the nasal bridge no visible signs of inflammation or infection vitals bp 129 81 mmhg pr 81 rr 20 t 36 8 spo2 94 question what could be the diagnosis of the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  22.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 22 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 3 years old boy was brought to the facility had inserted a bean seed on the right nostrils on exam it was deep how do i remove it do i need to refer\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  nan\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a national referral hospitals in uasin gishu county in kenya a 22 year old man was brought in by the mother with a history of weakness of the lower limbs which increased in severity over two weeks followed by loss of sensation and difficulty in breathing on assessment he was unable to move vital signs t 38\u00b0c pr 102 rr 21 breaths min spo 72 questions 1 what could be the diagnosis 2 how will the mother handle it if it\u2019s a serious disease\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  nan\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse working in a dispensaries and private clinics in kakamega county in kenya a 6 years old girl is brought to opd with history of twitching the father reports the baby was asleep when she suddenly woke up from sleep and started twitching no history of ailments reports the baby was very okay during the day on examination the baby is stable no twitching noted vital signs normal and mrdt done negative what could be the problem with the girl what is the diagnosis and which medication do i prescribe\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : health centres\n    - Years of Experience:  nan\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse working in a health centres in kakamega county in kenya so i was in the mch clinic in the morning i was doing vaccinations so we received a mother who had come with a one year old boy who had never received the nine month vaccination that is measles and he was having a rash on the skin on the face the legs and the abdomen and the mother also said that the baby was really coughing on assessment the boy has red eyes red conjunctiva he had a very light runny nose and he was also feverish so i queried measles infection and i was asking myself now what kind of treatment do i give at this point or should i just refer this boy and notify the public health so that they can take a sample to go and test for the measles virus\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  10.0\n    - Nursing Specialty: surgical care\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 10 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a patient is brought to the ward for excision of keloid around the neck and the ear this is his second time to undergo the same surgery of keloid excision question what should be done to avoid recurrence\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  30.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 30 years of experience in general nursing working in a health centres in uasin gishu county in kenya a 14 years old female patient complains of right lower limb pain for one day she is reported to have had a fell while playing football vital signs are normal questions what treatment can be diagnosed what other investigations could be diagnosed\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : health centres\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse working in a health centres in kakamega county in kenya a mother came in maternity ward with the history of premature rupture of membranes vaginal examination was done it was seven centimeters dilated descent four parts up and cord prolapse cord was presenting was i to deliver the mother or refer for further management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kiambu county in kenya 23 year old is brought to the mch clinic 10 days post delivery with complain of accusing everyone of wanting to poison her baby including the husband agitation and staying awake for long sometimes she looks withdrawn the husband reports she had a normal delivery to a male infant bwt 2900gms all other vitals were within normal range a possible diagnosis of postpartum psychosis was suspected should i admit the mother or treat as an outpatient which treatment should i give that will not affect the breastfeeding baby what is the fate of the baby with the current condition of the mother will she be able to take care of him or we introduce supplementary feeds\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  10.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 10 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 4 year old boy referred from west pokot west kapenguria county hospitalwith complains of gradual abdominal distention for 3 weeks the patient is wasted dehydrated and pale with swollen abdomen palpable mass in the abdomen no bowel sounds vitals pulse 112 blood pressure 98 50mmhg respiration rate 20b min temperature 36 7 degrees celsius spo2 96 labs cbc uecs radiology abdominal ultrasound intestinal obstruction due to worms patient prepared for emergency laparotomy and evacuation questions what are the predisposing factors to worm infestation what are the preventive measures of worm infestation what management should be instituted after surgery\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  15.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 15 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a female patient is brought in the outpatient department with complaint of altered level of consciousness for one day by his relatives the patient was well until morning when he came to the hospital and she was found in her house not talking and not speaking the patient had no history of any trauma hypertension or diabetes on examination the patient was sick looking and responsive the mouth seemed to be deviated to the left with general weakness on the right side on the right upper limb and the lower limb the bp at that time was 166 78 with an spo2 of 76 in room air can this patient be suffering from a cerebrovascular accident and if so how do i manage cerebrovascular accident if the patient needs an urgent ct scan and it s not available in our facility to rule out the diagnosis which medication can i give first\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  12.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya an 8 year old male complains of easy fatigability weight loss and drenching night sweats for 2 weeks now has fevers on and off on exam pale the abdomen is a palpable mass in the llq also has profound weight loss and loss of appetite temp 37 2degrees celsius p 126b min rr 38b min wt 18kgs spo2 96 ra questions what investigations need to be done what is the immediate management of this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  17.0\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 17 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a mother who delivered 10 days ago comes with complaints of painful swelling and discharge from the episiotomy scar she delivered a live male infant weighing 4 kilograms in a dispensary she had no complications and was discharged home vitals temperature 38 degrees celsius pulse 110 bpm respirations 20 breaths minute blood pressure 100 70 mmhg she has foul smell chills and fever evident discharge from the episiotomy site questions how should the mother be managed what health education should be given to her what should be done to the baby\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse working in a dispensaries and private clinics in kakamega county in kenya so mine is a 20 year old comes to the facility for her 6th anc visit she has no complaints then a hiv syphilis dual retest is done and syphilis turns positive 6 months ago during her first anc visit syphilis was positive and both the client and the partner were treated with a full course of antibiotics the client was sent for a vdrl at a bigger facility which turned positive again should the client be treated again for syphilis or should we assume that it is the uncleared antibodies that are still in circulation then in the register should it be recorded again as syphilis positive thank you\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  16.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  critical care\n\n    Prompt from the nurse :  i am a nurse with 16 years of experience in cardiology working in a national referral hospitals in uasin gishu county in kenya a patient admitted from a peripheral facility with difficulty in breathing leg ulcers chest pains and abdominal fullness and discomfort he is an 85 year old patient who has been sick for the past three months on treatment on and off discharged today from another hospital where he was being managed for heart failure and chronic leg ulcers admitted several times was done bladder surgery in 2010 transfused this month 6 units of platelets while at a private hospital admitted at moi teaching and referral hospital in june 2024 with same symptoms no history of chronic illness in the family used to be a herder does not smoke nor take cigarettes widower with four living children all adults he is clinically sick in respiratory distress weak and not able to perform any activity random blood sugar 2 2mmol l questions q1 what is the possible diagnosis q2 what other investigations should be done q3 how can this patient be managed\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  10.0\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 10 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a 30 year old woman came to the facility with a history of having per vaginal bleeding for the last one month she is on depo as a method of family planning she resides at kisor assessment on examination appears fairly stable and pale vital signs bp 120 70 pulse 76 spo2 94 weight 55 kg questions 1 what could be the possible cause of the per vaginal bleeding 2 what investigations can be done 3 what is the management of the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : county hospitals\n    - Years of Experience:  1.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  critical care\n\n    Prompt from the nurse :  i am a nurse with 1 years of experience in general nursing working in a county hospitals in uasin gishu county in kenya 12 year old girl is brought by her father to the emergency with complains of difficulty in breathing shortness of breath productive cough green yellow in color extreme tiredness with fever and chills on observation patient is very sick complains of sharp pain when coughing and when breathing deeply and sits in an upright position vital signs blood pressure 98 65mmhg pulse rate 72b min saturation 88 temperature 37 2 respiratory rate 30b min 1 what is the acute management of the patient 2 what are the investigations required for this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  22.0\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 22 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a mother 4th day post delivery was brought to the facility talking to herself she doesnt want to breastfeed okay to bless the feet we just take it easy the breasts were engorged temperature slightly high 37 8 the question how to help her come back on her senses again to help this baby who is so much in need of breastmilk previously you had mentioned was she with the baby when she came to the facility yes was she with the baby when she came to the facility okay how to help the baby the baby is now with the relatives and they are okay yes is she with the baby in the facility is she with the baby in the facility yes okay both of them are in the facility okay how to help the baby pardon how to help the baby how to help this baby we are so much in need of breastmilk\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  15.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 15 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya an 8 year old boy was rushed to the ed with complaints of foreign body on the left eye mother reports that the child sustained the injury while playing he was hit by a stick by another child on the face on assessment has a visible stick embedded in the cornea of the left eye no bleeding noted but the child reports pain bp 100 60mmhg p 90b m spo2 97 on ra temp 36 60c questions 1 what is the immediate care of the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  17.0\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 17 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya patient came in with complaints per vaginal bleeding at 7 weeks gestation no lower abdominal pain reported she is not pale vs bp98 70mmhg p 96b min r 18 temp 36 4 para 0 0 question 1 what investigations will be carried out 2 how will she be managed\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  nan\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse working in a national referral hospitals in uasin gishu county in kenya a 6 year old male patient was admitted with a history of abdominal distention for 1 month not opened bowel for 3 days and postprandial vomiting for 2 days avpu is aka avpu temp 36 4oc spo2 84 bp 80 40 mmhg questions what is the cause of obstruction what is the immediate management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  nan\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a national referral hospitals in uasin gishu county in kenya a 40 year old lady reports to the out patient department with complain of right lower leg swelling tenderness and lower legs extremities edema extending to the thighs she reports being involved in a motorcycle accident a week ago she is a telephone operator and been having varicose veins vitals temp 380 c blood pressure 130 80 mmhg pulse rate 90 b m respiration 20 b m questions what could be the diagnosis and differential diagnosis what laboratory and radiological investigations are needed what treatment should be provided and take home message for the client\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: elgeiyo marakwet\n    - Health level\t : county hospitals\n    - Years of Experience:  1.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 1 years of experience in general nursing working in a county hospitals in elgeiyo marakwet county in kenya a 32 year old male presents with complains of difficulty in breathing shortness of breath productive cough and sharp pain when coughing on assessment patient is sick looking uses accessory muscles for breathing v signs bp 110 65mmhg pr 74b min spo2 88 on room air and 99 on oxygen via face mask 10l min rr 22b min and t 37oc questions what is the immediate care of this patient what are the investigations required by this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  20.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 20 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a woman aged 46 years complained of pain on the radio ulna region she states that pain started three days ago without any cause or trauma she took some painkillers mara moja without any improvements x ray done and it was normal treatment given im tramadol iv ceftriaxone but patient still complaining of pain bp 128 78mmhg pulse 95 and temperature 85 bpm question what could be the cause of pain why is the patient not responding to treatment\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  12.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 60 year old patient is brought to the emergency department with complaint of generalized weakness muscle cramps palpitation and increased urination he is a known hypertensive patient and is on loop diuretics upon examination serum potassium level was 2 8 meq per litre what is the management of this patient and what dietary advice should i give this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  15.0\n    - Nursing Specialty: surgical care\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 15 years of experience in mental health and psychiatric nursing working in a national referral hospitals in uasin gishu county in kenya a 27 years old male is transferred in from surgical ward with tracheostomy secondary to injuries following attempted suicide patient is irritable and uncooperative while settling patient in bed he violently turn and dislodge the tracheostomy tube questions 1 what immediate care of this patient 2 what could have been done better to prevent the events\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  nan\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a national referral hospitals in uasin gishu county in kenya pateint m is a 30 year old medical student on internship during the ward procedure she pricked herself while fixing a branular the client is a known patient with immunosuppression hiv tb and on management of hepatitis a she is on treatment for diabetes and hypertension on examination she is very anxious the temperature 36 spo2 98 bp 90 60 pulse 110 questions how should needle prick be handled and what is the immediate care what investigations should be done before initiating the treatment\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  27.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 27 years of experience in general nursing working in a health centres in uasin gishu county in kenya a 49 year old male comes to the hospital with a history of abdominal swelling and not passing stool for the last 3 days on examination there are no bowel sounds the distension can be felt on palpation the problem has persisted despite the patient drinking water he lives with his family vital signs bp 109 74 mmhg p 82 min spo2 96 temp 37 2\u00b0c resp 22 min questions what is the immediate care which investigations should be done\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : health centres\n    - Years of Experience:  nan\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse working in a health centres in kakamega county in kenya after removal of jadelle to a 40 year old female only one rod was removed but the second rod was not removed could not be located upon palpation now the question that i m asking myself was it really jadelle that was inserted or an implanon was it inserted well but the mother will need an x ray\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  16.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 16 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 50 year old male patient comes in with hotness of the body and occasional chills fatigue general body and joint aches headache shortness of breath and fatigue for 4 days temperature 38 6\u00b0c pulse 101 bpm spo 80 on room air respiration 24 minute bp 150 91 mmhg questions what is the patient likely to be suffering from what are the differential diagnoses how do i manage the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  nan\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse working in a health centres in uasin gishu county in kenya a 6 years old boy was brought to the hospital with complains of vomiting and abdominal pain he was given babymol syrup at home without improvement from 1 what could be this child be suffering from 2 what is the immediate management required for this child 3 which investigation might be required to confirm the diagnosis\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  16.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  critical care\n\n    Prompt from the nurse :  i am a nurse with 16 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 15 year old male patient is brought in with altered mental status for 1 hour the mother reports that they were playing at home with his sibling the younger brother tied a rope around his neck and pulled he fell down and became unresponsive until the parents came to his rescue he is very restless and confused gcs 13 15 there is cyanosis on the lips and pallor of the hands temperature 35 9\u00b0c pulse 124 bpm spo 84 on room air respiration 26 minute bp 151 94 mmhg questions how do i manage the patient what are the investigations required which specialists will i need to incorporate in the care of the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  18.0\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 18 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 42 year old para 2 0 gravida 3 came to the hospital with chief complaints of abdominal pains and lower back pains for 3 hours prior to visiting the hospital her gestation age is 43 weeks she was diagnosed with diabetes in pregnancy and she is on oral hypoglycemics she was also diagnosed with hypertension also on oral antihypertensives temperature 36 70c pulse 91 beats minute respiration 19 breaths minute blood pressure 156 101mmhg question s what is the differential diagnosis what is the immediate management of the patient what is the radiological examination that will be requested\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  31.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 31 years of experience in general nursing working in a sub county hospitals and nursing homes in kakamega county in kenya a 1yr baby is brought to mch by the grand mother for check up history of immunisation is unknown baby abandoned in her compound no bcg scar can t support head can t stand or make any sounds squint eyes what immunisations do i give is it too late for physiotherapy\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  9.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 9 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a patient comes to the outpatient department complaining of vomiting blood and passing bloody stool for one day on history taking the patient has been well until this morning that morning when he comes to the facility when he started vomiting and passing stool he has no history of being treated for peptic ulcer disease or anything on assessment he looks pale and weak the other vitals are within normal range but on doing an hb the hb is 4 how can i go how can i manage this patient depending that now the hb is 4 and the patient might be in shock because of bleeding can i give the iv fluids or blood first this patient might benefit from further evaluation how can i help the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  16.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 16 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 22 years old male patient presents with a traumatically amputated right hand for the last 1 hour he was preparing feeds for the animals when accidentally put his hand in the grinder the hand was completely severed off and is carried in salty water in a polythene bag the stump is still achieving bleeding temp 35 9 pr 112 b min spo2 is 96 and bp 90 51 mmhg questions what is the immediate care which investigations are required\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  17.0\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 17 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 37 year old lady on a wheelchair brought in with complaints of lower abdominal pains and drainage of liquor at 40 weeks gestation she is a primigravida she sustained a hip injury 12 years ago following a road accident and had done hip replacement assessment bp 126 78mmhg pulse 74 temp 36 8 resp 20 ve cervix 4cm dilated fhr 140b min question what mode of delivery will be preferred\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  10.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 10 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a know hypertensive patient come with bp of 180 100 what amount of lasix should i give\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  27.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 27 years of experience in general nursing working in a health centres in uasin gishu county in kenya a 47 year old man comes to the clinic with hx of being kicked by a neighbor on the scrotal region and was not able to hold urine after the incident on observation t 37 20c p 74b m r 22b m bp 140 90 mmhg spo2 90 on palpation the patient was in severe pain and urine was dribbling and had blood recommendation urgent radiological investigations required pt re assured questions what is the extent of the injury how much blood has the patient lost\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  12.0\n    - Nursing Specialty: emergency care mental health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 48 year old man is brought to emergency department one hour after attempted suicide by drinking a toilet detergent he is conscious and reports pain when swallowing on assessment patient has normal vital signs and is oriented on person place and time how do i manage this patient and what counseling do i give the relative and the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  9.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 9 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a 12 year old boy is brought to the pediatrics clinic feeding too much thirst and drinking lots of water passing urine multiple time at night loss of weight yet he eats too much on assessment the patient is emaciated and weak rbs high t 36 2c questions what is the most likely diagnosis what test would you do to confirm dx\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kakamega county in kenya a six year old boy is brought by her mum with the history of having inserted a bean in the ear on examination there was a bean seen in the ear so i asked myself how can i reassure the mother the mother s boy that the bean will be removed then how can i position this baby so that the bean can be removed without further injuries\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  22.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 22 years of experience in general nursing working in a dispensaries and private clinics in uasin gishu county in kenya a 65 year old male client is brought in at emergency unit with complains of difficulty in breathing and fever past medical history indicates that he is a known hypertensive patient who has defaulted medication he is also a smoker vital signs bp 165 100mmhg pr 121b m temperature 38 9 spo2 92 questions 1 what further investigations is needed to manage this client 2 what is the possible diagnosis\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  20.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 20 years of experience in general nursing working in a health centres in uasin gishu county in kenya a 24 year old female came with severe epigastric pain vomiting general weakness unable to retain food bp 100 60mmhg pulse 80 beats min temperatures 36 3 degrees celsius rbs 2 7mmol l questions 1 what investigation should i do 2 what is the immediate management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  22.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 22 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 60 year old man came to the facility with his history of alopecia falling of hair what is the cause cause he s not been on radiotherapy or chemotherapy which are known to cause that how to relieve the anxiety cause he s concerned what medications to give if there s any and if\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  22.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 22 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya mch a 1 year old baby boy was brought to the clinic with growths in both nostrils since birth was using the mouth to breath and it worsened at night a diagnosis of adenoids was made how quick would he be relieved from this do i refer to the ent for possible removal in theatre\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  14.0\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 14 years of experience in general nursing working in a dispensaries and private clinics in kiambu county in kenya i have a mother at first visit she s 30 years old she s part 4 0 gravida 5 after anc profile the hb was 5 5 but everything else was okay weight also okay now she has 34 weeks for gestation now my question is what should i give so yeah the question is what should i give ifas aferon or iron sucrose and also i wanted to know why the patient didn t come to anc what could be the reason\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  12.0\n    - Nursing Specialty: surgical care\n    - Clinical Panel Focus:  critical care surgery\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 80 year old man was brought in an emergency department by relative in a semi conscious state has been bedridden for a month following a spinal injury secondary to rta on examination the patient is dehydrated has shallow breaths bp of 83 over 48 spo2 of 68 in room air and has extensive gluteal abscess what is the medical management of this patient and what is the surgical intervention that should be done to this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : community health centers\n    - Years of Experience:  24.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 24 years of experience in general nursing working in a community health centers in uasin gishu county in kenya a 5 year old boy comes to the health facility with a swollen right hand around the wrist he fell while playing there is no history of underlying condition on assessment the hand is swollen and tender0 vital signs indicate temperature of 36 4 0 c pulse 97 beats per minute respiratory rate 32 breaths per minute spo2 96 questions what is the diagnosis what investigations are necessary what is the management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  12.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya this middle aged man came to the hospital being supported by his twin brother with complaints of pain in the chest after having been stabbed by the wife and with the stabbing knife in situ at the chest the patient is seemingly stable and even communicating and explaining what happened the diagnosis was a stab wound in situ no obvious bleeding so the question i asked myself what major organs could have been affected would it be wise to even interfere with the knife what would be the best position to put the patient in to place the patient in and what kind of imaging would be done to show the magnitude of the damage\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : health centres\n    - Years of Experience:  nan\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a health centres in kiambu county in kenya 60 yr old lady who is known diabetic and has been on follow up with good adherence since 7 years ago came with complains of having noticed high sugars every time she checks with her glucometer at home since 1 week ago she has also been experiencing excessive sweating thirst weakness and excessive urination blood sugar test revealed high sugars and client has been adhering to diet well her vitals and other lab works were normal what could be the cause of the consistent high sugars how should i manage the case\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  22.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 22 years of experience in general nursing working in a dispensaries and private clinics in uasin gishu county in kenya a 32 year old female presents to the outpatient clinic with nausea general body weakness abdominal discomfort in the left upper quadrant history taking patient reports of pale colored stool with dark urine currently on combined oral contraceptive and breast feeding physical examination skin looks jaundiced and slight swelling of legs vital signs bp 128 76mmhg pr 82b m respiration 18 b m temperature 37 3 questions what laboratory investigations are needed to confirm diagnosis what is the immediate management for this patient what is the cause of this dark urine\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  26.0\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 26 years of experience in general nursing working in a sub county hospitals and nursing homes in kakamega county in kenya a 38 year old pregnant woman was admitted in maternity ward on taking history she had swollen legs and body observations were taken temperature was 36 7 degrees centigrade pulse was 78 per minute respiration was 20 and blood pressure was 110 over 114 on palpation the woman was 36 weeks gestation a diagnosis of pet was done should i admit this patient in the ward which tests should i do which treatment can i initiate to lower this blood pressure or should i refer this patient to the next level for further management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  17.0\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 17 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 44 year old mother in active phase of labour on oxytocin infusion complains of shortness of breath is anxious and in distress she is a para 7 1 at 40 40 vital signs bp 98 60mmhg pulse 112b min respirations 22 min temperature 36 8 fhr 120b min the mother is getting more confused extremities feel cold on touch questions what could be happening with the mother diagnosis what intervention needs to be done\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  12.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 1 year old female came with complaints of confusion for 2 days and had convulsions more than 10 times while at home before they were rushed to the hospital also report projectile vomiting with hotness of body has a previous history of common cold a week prior and this is the 3rd admission rr 32b min temp 38oc pulse 100b min spo2 93 wt 10kgs on assessment the neck is soft the chest is clear and kernig\u2019s sign is negative questions what is the immediate care what investigations are needed to be done\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kiambu county in kenya a teenager 17 years female presents herself in the center of cancer and chronic disease clinic and reports that she is a non positive and has been very active on otc psychosocial groups now she feels she wants to be sexually active on reports from the file the final round the last three months was zero and adherence was good no missed appointment and all other parameters appear normal question one what are the risks involved in this behavior whether the partner is positive or negative question two is the partner tested question three what are the available counselling options for this teenager question four how possible is it to bring the partner for hts services\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: mental health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kakamega county in kenya a patient is brought to hospital very talkative and violet no previous history of same disease malaria test is negative what could b the problem what diagnosis is it\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  15.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 15 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 44 year old man was brought in a e with a complaint of pain and difficulty in breathing for one day following a stab wound on the chest with a knife by a person known to him in a bar how do i manage chest trauma injury do i remove the knife or refer the patient to a facility for surgical intervention\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  27.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 27 years of experience in general nursing working in a health centres in uasin gishu county in kenya a 19 year old girl comes to the clinic complaining of epigastric pain occurring typically at night and when she is hungry she also reports patting dark stool sometimes \u00b7 temp 37\u00b0c resp 20b min pulse 76 bpm bp 110 70 mmhg spo 92 hb 10 2 g dl recommendations sent to level four for proper management and investigations avoid foods that bring discomfort questions what causes the night pain what is causing the borderline hb\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kiambu county in kenya a nanny was brought in by her employer with complaints of abdominal cramping and backache examination done vitals normal abdomen distended on palpation determined to be a term pregnancy with very strong contractions delivered with no time with no complications the lady never wanted the employer to know the outcome and also did not want to see the baby q1 in such instances what should i do\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : county hospitals\n    - Years of Experience:  1.0\n    - Nursing Specialty: surgical care\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 1 years of experience in general nursing working in a county hospitals in uasin gishu county in kenya 55 year old woman admitted in the female surgical in the female surgical ward with a fracture of tibia fibula of right limb fell off from the bed during the routine care injuring the affected leg patient complains of severe pain rates 9 10 and numbness of the leg vital signs blood pressure 118 78mmhg pulse rate 106b min saturation 96 temperature 36 8 questions 1 what is the immediate care of the patient 2 what investigations are necessary\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  30.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 30 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 50yr old male presents with loss of consciousness for 3 hours now she is a known hypertensive and hiv ve on haart for 5 years and antihypertensives for 2 years vitals bp 190 90 mmhg pr 120b min rr 14b minspo2 90 rbs 2 8mmol gcs 13 15 questions what could be causing the collapse what is the priority care what investigations are necessary\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  12.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in primary care working in a national referral hospitals in uasin gishu county in kenya patient fk a 24 years old female was admitted through ed to a medical ward with complaints of reduced urine output 1 52 general body swelling 1 12 and easy fatigability vitals bp 92 49 mmhg pulse 87bmp spo2 90 temp 36 0 rbs 7 9mmol l input 500mls output 230 mls investigations cbc wbc 19 7 hb 9 7g dl platelets 583 coagulation profile inr 1 22 neoplastin 16 2 sec aptt 34 4sec bs no mps seen lfts albumin 35 05 bilirubin total 4 4umol bilirubin direct 1 5umol l aspirate amino trans liquid 5 7u l uecs urea 26 7mmol l creatinine 2837 h sodium 126 7mmol l potassium 8 35mmol l chloride 95 7mmol l questions what is the immediate care of patient fk what other investigation is required what is our patient suffering from\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in uasin gishu county in kenya a newborn is brought in with history of respiratory distress the child was born 8 hours ago to a house help and she hid the baby on the wardrobe on assessment child appears to have strangulation marks around the neck temp 36 8 pr 142b m rr 65b m spo2 72 questions what could be the effect of prolonged deprivation of oxygen to the infant what is the immediate care management of the infant\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kiambu county in kenya post delivery 2 weeks the mother came in for a check she noted the episiotomy had not healed had a smelling discharge puslike and perineum region hygiene was not well maintained has chills bp a pulse of 146b min had been on oral antibiotics with no significant improvement dx of puerperal sepsis cbc was done and wbc was significantly elevated started on iv antibiotics informed the doctor of interventions and asked for guidance on whether there is something he would like me to continue intervening before his arrival to review the patient q1 what i miss out on throughout the process\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : health centres\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse working in a health centres in kiambu county in kenya a 26 years old para 0 0 at 38 weeks gestation came to the hospital with history of dol for 5 days mild cramps foul smelling liqour with normal fetal heart rates what is the right treatment to give what is the outcome of the baby and what would be the most appropriate mode of delivery\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  10.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 10 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 23 year old male from kericho brought in with complain of sudden loss of visionon both eyes occuring 5 hours after ingestion of illicit brew went to a health center before being referred to mtrh a known alcoholic and smokes cigarette married with two children currently jobless on examination no light perception on both eyes vitals respiration 20 pulse 78 spo2 98 temperature 36 2 blood pressure 110 68mmhg questions what is the immediate management of alcohol substance induced optic neuropathy what are the investigative procedures to be done on this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse working in a dispensaries and private clinics in kiambu county in kenya a mother comes into the hospital after delivering two days ago and the relative reports that the mother is withdrawn and not interested with the baby a diagnosis of postpartum depression is made what could be the possible cause of this illness and what are the possible counselling options for this child\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  23.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 23 years of experience in general nursing working in a dispensaries and private clinics in uasin gishu county in kenya a 60 year old man brought to outpatient clinic with inability to walk difficulty in breathing coughing and history of not feeding for the last two days on examination blood pressure \u2013 130 70 mmhg pulse \u2013 92 b min respiration rate \u2013 24 b min temperature \u2013 36 4 c questions what are the investigations to be done what are the management to the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  10.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 10 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 25 year old male came to the facility with complaints of abdominal pain inability to pass urine and a palpable mass in the suprapubic region the nurse delegated the duty of catheter insertion to a medical student who was around after the student had inserted the catheter and ballooned the patient complained of sharp pain in the penis and requested the catheter to be removed on assessment of the urethral meatus the catheter had been inserted but there was no urine output in the bag there was blood oozing and the patient could not tolerate the pain questions what caused the patient to have sudden bleeding how should the patient be managed what caused the urine retention\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  20.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 20 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya mother brought in a year old girl having complaints of inserting a bean in the nose the mother reports that the child inserted the bean 2 days ago and she tried to remove it by herself without success on examination the bean inside the right nose is physically seen but deep inside and appears swollen temperature 36 4 spo2 97 and pulse 98 bpm question what is immediate management care\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  29.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 29 years of experience in general nursing working in a health centres in uasin gishu county in kenya a young man 27 years old came to the facility with chief complaints of mandibular pain and not being able to eat on examination swollen cheeks swollen gums and dental caries on the tooth vitals bp 120 80 pulse 120 respirations 20 temperature 38 4 spo2 95 questions 1 what could be the cause of the high temperature 2 what is the treatment of this condition\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: elgeiyo marakwet\n    - Health level\t : county hospitals\n    - Years of Experience:  1.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 1 years of experience in general nursing working in a county hospitals in elgeiyo marakwet county in kenya a 2 month old baby is brought by her mother to mch clinic for routine immunizations the baby was born at home and has never received any immunization mother reports baby breastfeeds well on examination baby is alert breathing well on room air with rr of 35 b min current weight 5 8 kg questions how should the nurse proceed with immunizations what are the health messages appropriate for the mother\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  1.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 1 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a 7 year old boy came to the facility with cystic fibrosis and is admitted in the ward for respiratory exacerbation on assessment persistent and increased respiratory rate temp 36 40c spo2 89 questions how do i educate the family on how to cope with his emotional impact of his illness what is the management of his condition\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  15.0\n    - Nursing Specialty: mental health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 15 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya an 18 year old girl was brought by the mother with a history of having noticed the girl had been having low moods and reduced appetite for 2 months the girl reported that she has been feeling hopeless lately and had little interest in doing things on assessment appearance she appeared kempt behavior makes poor eye contact mood and affect mood low flat and restricted bp 100 70mmhg p 80b m sp02 96 on ra temp \u2013 36 8\u00b0c questions 1 x0001 how can the patient be managed 2 x0001 which specialty can the patient be referred to\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  20.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 20 years of experience in general nursing and primary care working in a health centres in uasin gishu county in kenya a 39 year old male comes to the clinic with complaints of cracked lips for i week he has been applying vaseline with mild relief on examination the patient has cracked lips and the surrounding skin has been eroded the lips become very painful especially when feeding he has no underlying infection vital signs bp 117 71 mmhg p 86 min temp 37 2 resp 16 min spo2 98 pain is recurrent for the last 3 months questions what investigations can be done how can the patient be treated\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  nan\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse working in a national referral hospitals in uasin gishu county in kenya a 35 year old mother in active labour suddenly develops difficulty in breathing coughing and restlessness vitals bp 90 40 mmhg pr 100b min spo2 70 on oxygen questions what could have caused these symptoms what is the immediate management what are the possible investigations\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kiambu county in kenya during a normal anc visit a 23 year old is done routine breast examination and a breast lump is palpated on the right breast she is a para 1 0g2 at 34 weeks gestation fhr normal no other complains raised observations normal which investigation should i send her to do to confirm the diagnosis could it be a normal cysts or a cancerous mass what effect does it have onthe baby\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  9.0\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 9 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a 4day old baby was brought to the hospital with history of irritability on assessment the child had jaundice sunken eyes and dry skin the mother is 16 years old she states does not have enough milk to breastfeed the baby vital signs t 38 5c p 132 spo2 94 questions what could be the cause of jaundice and fever what is the immediate management of this neonate what are the health messages that can be shared with the mother on care of the baby on discharge\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  10.0\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 10 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a mother brought a two week old neonate male with complaints of hotness of the body for the last two days and refusal to breastfeed on examination neonate is sick looking dehydrated with a weak cry and no tears observed abdomen sunken vital signs temperature 39 6 pulse 168 questions what can i do to reduce fever what lab test can be done what support can we offer the mother\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: surgical care\n    - Clinical Panel Focus:  internal medicine surgery\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kakamega county in kenya a 60 yr old male patient known case of diabetes is brought to hospital with with diabetic wound on examination wound seems septic bood sugar level is 21mmol l how do i manage the wound how do i reduce blood sugar\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  12.0\n    - Nursing Specialty: sexual and reproductive health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 25 year old male presented to the emergency department with a complaint of severe burning sensation during urinarinating and purulent urethral discharge he reports having unprotected sexual intercourse with multiple partners over the past month on physical examination it reveals redness and tenderness around the urethral opening urethral swab confirmed this as gonorrhea how do i manage this patient and what health education do i give this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  14.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 14 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya an eight month old child was brought to the child welfare clinic unable to breastfeed and had bulging fontanelles sudden onset of symptoms one day ago assessment temperature 38 0 c pulse 120bpm spo2 98 and child is irritable questions what infection is likely to present with the above symptoms\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  nan\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse working in a sub county hospitals and nursing homes in kakamega county in kenya an 18yr old girl is brought in with difficulty in breathing restlessness and swollen face allergic to red meat ate beef 30mins ago resp distress puffy face which would the best drug for this allergic rxn could she benefit from supplemental oxygen\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  12.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in primary care working in a national referral hospitals in uasin gishu county in kenya gk age 42 years male patient was admitted through a e department with complaints of body swelling not passing urine not feeding well and dib on assessment he has massive abdominal pains deep jaundice and generalized body weakness vitals bp 130 80mmhg p 95bt min temp 35 8 rr 26br min spo2 85 rbs 4 9mmol questions what is the acute management for the patient what investigation should be done what is the long term management for the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  nan\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse working in a dispensaries and private clinics in kakamega county in kenya a child was brought one year old so on examination this child was not able to hold his neck and the lower limbs were weak so when i asked the mother if she has noticed anything abnormal about the child she said she is a business lady and most of the time the child keeps sleeping so she didn t know anything about the child so the child my question was is this child lame or it s because of over sleeping that he is weak and will this child benefit from physiotherapy if i refer so i decided to refer this child to a physiotherapist to identify the problem\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : dispensaries and private clinics\n    - Years of Experience:  22.0\n    - Nursing Specialty: maternal and child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 22 years of experience in general nursing working in a dispensaries and private clinics in uasin gishu county in kenya a 10 year old boy was brought to the outpatient department with complaints of fever fatigue muscle weakness and difficulty in walking mother reports of high fever for the last 3 days and weakness in the right leg no history of trauma or any injury past medical history the child was fully immunized against immunizable diseases no history of admission on assessment weakness in the right leg vital signs temp 38 6 pr 100b m rr 20 b m questions what is the cause of weakness in the leg what is the immediate management of the patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : community health centers\n    - Years of Experience:  24.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 24 years of experience in general nursing working in a community health centers in uasin gishu county in kenya a 56 year old male comes to the facility with severe headache blurred vision and weakness he is a known hypertensive who has not been compliant with medication on assessment he is weak lethargic and drowsy no focal abnormalities noted vital signs temperature 37 0 c pulse 115 beats per minute respiratory rate 28 breaths per minute blood pressure 200 115 mmhg and spo2 97 questions what is the diagnosis what investigations can be done what is the effective management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  15.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 15 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 5 year old boy was rushed to the ed having ingested hydrogen peroxide accidentally 2 hours ago the mother reports that she works at a small dairy where she had gone with him on assessment alert irritable hematemesis noted temp 36 00c p 100b m bp 100 50mmhg spo2 93 on ra mouth erythematous abdomen mild epigastric tenderness questions what is the immediate care of the patient what investigations can be done what speciality can the child be referred to\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: elgeiyo marakwet\n    - Health level\t : county hospitals\n    - Years of Experience:  1.0\n    - Nursing Specialty: general emergency\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 1 years of experience in general nursing working in a county hospitals in elgeiyo marakwet county in kenya a 55 year old female presents to opd with complains of frequent urination increased thirst and hunger and blurred vision for one week has history of weight loss over 2 months ago there is history of diabetes in the family on assessment patient appears weak and sick looking v signs bp 125 90 mmhg pr 88 b m spo2 97 on room air rr 23 b min rbs 28 mmol l questions what is the immediate care of this patient what laboratory investigations are required for this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  9.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 9 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a 30 year old woman presents with complaints of joint pain in her wrist and ankle o e the patient experienced mild tenderness on both wrists bp 124 76mmhg p 82b min t 36 1oc questions what could be the possible diagnosis which investigations could be done to aid in diagnosis what is the possible management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  17.0\n    - Nursing Specialty: emergency care pediatric\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 17 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya an 8 year old female is brought to the emergency department with severe respiratory distress this followed an accidental drowning in a swimming pool spo2 75 on room air apnoeic unresponsive and has bradycardia the patient was immediately started on oxygen therapy questions 1 what is the likely diagnosis 2 when is the appropriate time to assess a patient\u2019s respiratory effort and circulation 3 what is the most important step\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  2.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 2 years of experience in general nursing working in a sub county hospitals and nursing homes in uasin gishu county in kenya a 35 year old male reports of a deep cut wound on the leg from a fall at home no medical history on assessment the wound appears open due to laceration and bleeding moderate swelling and bruising around the wound vitals bp 132 72 mmhg pr 92 rr 18 t 36 7 spo2 93 question what could be the immediate management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  24.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  critical care\n\n    Prompt from the nurse :  i am a nurse with 24 years of experience in cardiology working in a national referral hospitals in uasin gishu county in kenya a 17 year old girl was brought to the facility unresponsive she was preparing to sit for her kcse mathematics paper in an hours\u2019 time when she suddenly stopped talking rolled her eyes and fell to the floor no history of previous illness nor history of taking any medication vital signa temp 36 8 centigrade pulse \u2013 82bpm rr \u2013 18b m spo2 94 questions what is the differential diagnosis what caused the unresponsiveness in this patient what is the management of this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  17.0\n    - Nursing Specialty: child health\n    - Clinical Panel Focus:  paediatrics\n\n    Prompt from the nurse :  i am a nurse with 17 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 5 month old infant is brought to the emergency with complains of being lethargic and apneic the infant was previously healthy the mother left the child and other siblings in the care of their step father on assessment the infant is tachycardic with cool extremities vitals pulse 180b m bp 90 50 mmhg temp 35 8 spo2 90 on room air respirations are irregular fluid resuscitation commenced immediately anterior fontanel is tense and no bruises identified questions what is the possible diagnosis what else needs to be done to resuscitate the infant which diagnostic studies are indicated are other subspecialty consultation required\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : health centres\n    - Years of Experience:  29.0\n    - Nursing Specialty: surgical care\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 29 years of experience in general nursing working in a health centres in uasin gishu county in kenya a child 6 years of age came to the clinic accompanied by the mother with complaints of a painful right eye and swelling on the same eye on examination the right eye had protruded ptosis of the right eye the eye appeared injected and very teary pulse 128 temperature 38 4 respirations 24 referred to the eye clinic for management questions 1 what are the investigations which could be done\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kakamega\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  6.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 6 years of experience in general nursing working in a sub county hospitals and nursing homes in kakamega county in kenya a 49 year old lady presented at the facility with palpitations severe headache confusion anxiety and chest pains for one week so the patient had been diagnosed with hypertension 10 years ago but doesn t attend any hypertension clinic and is not on any medications whenever she feels sick she just gets her medication over the counter there is also a history of hypertension in the family upon checking the bps she had a reading of 196 over 124 mmhg and a pulse rate of 126 beats per minute so we made a diagnosis of hypertension urgency should i administer nifedipine and hctz to lower the bps or should i admit the patient or should i refer the patient for further management\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  12.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  obstetrics and gynaecology\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 35 year old man comes to the outpatient department with complaint of having been trying to conceive with his partner for over a year without success he has a history of past testicular injury and smoking on assessment there are no obvious physical symptoms but he reports reduced libido and occasional erectile dysfunction how do i manage this patient and what tests and investigations should be included in the management of this patient\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: uasin gishu\n    - Health level\t : national referral hospitals\n    - Years of Experience:  18.0\n    - Nursing Specialty: surgical care\n    - Clinical Panel Focus:  surgery\n\n    Prompt from the nurse :  i am a nurse with 18 years of experience in general nursing working in a national referral hospitals in uasin gishu county in kenya a 48 year old was brought from theatre post thyroidectomy the patient complained of dizziness loss of voice and anterior neck swelling temperature 35 60c pulse 56 beats minute respiration 14 breaths minute blood pressure 70 50mmhg spo2 91 at room air question s what might have caused the loss of voice what might have caused the low blood pressure what is the emergency management that needs to be done\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    },
    {
        "Prompt": "\n      You are a professional clinician assistant. Based on the following information, generate a clinical response that reflects the background and expertise of the nurse:\n\n    - County: kiambu\n    - Health level\t : sub county hospitals and nursing homes\n    - Years of Experience:  12.0\n    - Nursing Specialty: adult health\n    - Clinical Panel Focus:  internal medicine\n\n    Prompt from the nurse :  i am a nurse with 12 years of experience in general nursing working in a sub county hospitals and nursing homes in kiambu county in kenya a 58 year old patient come to outpatient department accompanied by relative with complaint of fever and chills on examination there is generalized lymphadenopathy and a diagnosis of non hodgkin lymphoma was made how do i break this news to the patient and relative and two what is the management of non hodgkin lymphoma\n\n    Based on this profile, generate a professional and realistic clinical response as if the nurse is answering a patient or colleague's medical question regarding surgical or ENT care. Keep the tone clinical yet empathetic.\n\n  "
    }
]