5shot.csv

case,ground_truth
"A 30-year-old woman presents with weight loss, heat intolerance, palpitations, and tremors.
Physical examination reveals exophthalmos and diffuse goiter.
Laboratory tests show low TSH and elevated T3/T4.",Graves Disease
"A 27-year-old woman presents with anxiety, excessive sweating, increased appetite, and unintentional weight loss.
Physical examination reveals a diffusely enlarged thyroid gland and mild exophthalmos.
Laboratory studies show suppressed TSH and elevated free T4.",Graves Disease
"A 35-year-old woman presents with palpitations, tremors, nervousness, and difficulty sleeping.
Examination reveals warm skin, tachycardia, and a diffuse goiter.
Laboratory tests demonstrate low TSH and elevated T3 levels.",Graves Disease
"A 29-year-old woman presents with heat intolerance, weight loss, frequent bowel movements, and palpitations.
Physical examination reveals lid lag, exophthalmos, and diffuse thyroid enlargement.
Laboratory tests show elevated T3/T4 and suppressed TSH.",Graves Disease
"A 32-year-old woman presents with fatigue despite increased energy levels, tremors, and rapid heartbeat.
Examination reveals a bruit over a diffusely enlarged thyroid gland and mild exophthalmos.
Laboratory studies show low TSH and markedly elevated free T4.",Graves Disease
"A 62-year-old man presents with fatigue, recurrent infections, and easy bruising for the past two months.
Complete blood count reveals anemia, thrombocytopenia, and leukocytosis.
Peripheral blood smear shows numerous myeloblasts with Auer rods.",Acute Myeloid Leukemia (AML)
"A 55-year-old woman presents with fever, fatigue, and bleeding gums.
Laboratory studies reveal pancytopenia.
Bone marrow biopsy demonstrates more than 20% myeloblasts.",Acute Myeloid Leukemia (AML)
"A 68-year-old man presents with fatigue, shortness of breath, and recurrent respiratory infections.
CBC shows severe anemia and elevated white blood cell count.
Flow cytometry demonstrates CD13 and CD33 positivity.",Acute Myeloid Leukemia (AML)
"A 47-year-old woman presents with petechiae, easy bruising, and persistent fatigue.
Peripheral smear reveals circulating blast cells.
Bone marrow examination shows hypercellularity with myeloblast predominance.",Acute Myeloid Leukemia (AML)
"A 59-year-old man presents with weakness, fever, and unexplained weight loss.
Laboratory tests reveal leukocytosis and thrombocytopenia.
Peripheral smear demonstrates Auer rods within blast cells.",Acute Myeloid Leukemia (AML)
"A 22-year-old man presents with abdominal pain that started around the umbilicus and later migrated to the right lower quadrant.
He reports nausea and loss of appetite.
Physical examination reveals tenderness at McBurney's point.",Acute Appendicitis
"A 19-year-old woman presents with fever, vomiting, and right lower quadrant abdominal pain.
Laboratory tests reveal leukocytosis with neutrophilia.
Abdominal ultrasound demonstrates an enlarged non-compressible appendix.",Acute Appendicitis
"A 35-year-old man presents with worsening abdominal pain, nausea, and low-grade fever.
Physical examination reveals rebound tenderness in the right iliac fossa.
CT scan shows periappendiceal fat stranding.",Acute Appendicitis
"A 28-year-old woman presents with sharp right lower quadrant pain aggravated by movement.
Laboratory testing shows elevated white blood cell count.
CT abdomen reveals a dilated appendix with wall thickening.",Acute Appendicitis
"A 31-year-old man presents with abdominal pain, vomiting, and fever.
Physical examination demonstrates positive Rovsing sign and guarding.
Imaging confirms inflammation of the appendix.",Acute Appendicitis
"A 48-year-old man presents with severe epigastric pain radiating to the back.
He reports nausea and multiple episodes of vomiting.
Serum lipase is markedly elevated.",Acute Pancreatitis
"A 55-year-old woman presents with sudden onset upper abdominal pain after a heavy meal.
Laboratory tests reveal elevated amylase and lipase levels.
Ultrasound demonstrates gallstones.",Acute Pancreatitis
"A 50-year-old man with a history of alcohol abuse presents with severe abdominal pain and vomiting.
Physical examination reveals epigastric tenderness.
CT scan shows pancreatic edema.",Acute Pancreatitis
"A 43-year-old woman presents with severe abdominal pain radiating to the back and fever.
Serum lipase is elevated to more than three times the upper limit of normal.
CT imaging reveals peripancreatic inflammation.",Acute Pancreatitis
"A 60-year-old man presents with intense epigastric pain, nausea, and abdominal distension.
Laboratory studies show elevated amylase and lipase.
Abdominal CT confirms acute pancreatic inflammation.",Acute Pancreatitis
"A 65-year-old woman presents with sudden onset shortness of breath and pleuritic chest pain.
She recently underwent hip replacement surgery.
CT pulmonary angiography reveals a filling defect in the pulmonary artery.",Pulmonary Embolism
"A 58-year-old man presents with acute shortness of breath and hemoptysis.
Oxygen saturation is 89% on room air.
CT angiography demonstrates emboli in segmental pulmonary arteries.",Pulmonary Embolism
"A 42-year-old woman presents with sudden chest pain and difficulty breathing after a long international flight.
D-dimer levels are elevated.
CT pulmonary angiography confirms pulmonary artery thrombosis.",Pulmonary Embolism
"A 70-year-old man presents with sudden onset dyspnea and tachycardia.
Physical examination reveals unilateral leg swelling.
Imaging demonstrates emboli in the pulmonary vasculature.",Pulmonary Embolism
"A 55-year-old woman presents with pleuritic chest pain, tachypnea, and dizziness.
Arterial blood gas analysis reveals hypoxemia.
CT pulmonary angiography identifies multiple pulmonary emboli.",Pulmonary Embolism
"A 25-year-old man presents with chronic diarrhea, abdominal pain, and weight loss.
Colonoscopy reveals skip lesions throughout the colon and terminal ileum.",Crohn Disease
"A 30-year-old woman presents with recurrent abdominal cramps and non-bloody diarrhea.
Colonoscopy shows patchy areas of inflammation separated by normal mucosa",Crohn Disease
"A 28-year-old man presents with abdominal pain, fever, and unintended weight loss.
MRI enterography reveals thickening of the terminal ileum and fistula formation.",Crohn Disease
"A 35-year-old woman presents with chronic diarrhea and perianal pain.
Examination reveals a perianal fistula.
Colonoscopy demonstrates patchy intestinal inflammation.",Crohn Disease
"A 22-year-old man presents with abdominal pain, diarrhea, and iron deficiency anemia.
Colonoscopy reveals cobblestone mucosa and skip lesions.",Crohn Disease
"A 72-year-old man develops sudden right-sided weakness and slurred speech.
Brain MRI reveals an acute infarct in the left middle cerebral artery territory.",Acute Ischemic Stroke
"A 68-year-old woman presents with sudden facial droop and inability to move her left arm.
CT scan excludes intracranial hemorrhage.",Acute Ischemic Stroke
"A 75-year-old man presents with abrupt loss of speech and right arm weakness.
MRI demonstrates restricted diffusion in the left cerebral hemisphere.",Acute Ischemic Stroke
"A 60-year-old woman presents with sudden vision loss in the right visual field and difficulty speaking.
Brain imaging reveals an infarct in the left posterior cerebral circulation.",Acute Ischemic Stroke
"A 70-year-old man with atrial fibrillation presents with sudden left-sided weakness and facial droop.
MRI confirms an acute cerebral infarction.",Acute Ischemic Stroke
"A 38-year-old woman presents with weight gain, muscle weakness, and easy bruising.
Physical examination reveals moon facies and purple abdominal striae.",Cushing Syndrome
"A 45-year-old woman presents with central obesity, hypertension, and fatigue.
Laboratory tests reveal elevated cortisol levels.",Cushing Syndrome
"A 50-year-old man presents with weight gain, diabetes, and proximal muscle weakness.
Low-dose dexamethasone suppression testing fails to suppress cortisol.",Cushing Syndrome
"A 42-year-old woman presents with facial rounding, abdominal obesity, and purple stretch marks.
Laboratory evaluation shows elevated urinary free cortisol.",Cushing Syndrome
"A 55-year-old man presents with hypertension, weight gain, and easy bruising.
Physical examination reveals proximal muscle wasting and abdominal striae.",Cushing Syndrome
"A 28-year-old woman presents with blurred vision in her right eye and pain with eye movement.
MRI of the brain reveals multiple periventricular demyelinating plaques.",Multiple Sclerosis
"A 32-year-old woman presents with numbness and tingling in both legs that developed over several days.
MRI reveals demyelinating lesions in the spinal cord and brain.",Multiple Sclerosis
"A 35-year-old woman presents with intermittent weakness of her left arm and episodes of double vision.
Neurological examination reveals hyperreflexia.",Multiple Sclerosis
"A 30-year-old woman presents with fatigue, difficulty walking, and urinary urgency.
MRI demonstrates multiple white matter plaques.",Multiple Sclerosis
"A 27-year-old woman presents with recurrent episodes of limb weakness and visual disturbances.
CSF analysis reveals oligoclonal bands.",Multiple Sclerosis
"A 25-year-old woman presents with fatigue, pallor, and yellowing of the eyes.
Laboratory tests reveal low hemoglobin, elevated indirect bilirubin, and increased reticulocyte count.
Direct Coombs test is positive.",Autoimmune Hemolytic Anemia
"A 40-year-old woman presents with weakness, dark urine, and shortness of breath.
Laboratory studies show anemia, elevated lactate dehydrogenase (LDH), and decreased haptoglobin levels.
Direct antiglobulin test is positive.",Autoimmune Hemolytic Anemia
"A 32-year-old man presents with fatigue, jaundice, and splenomegaly.
Peripheral blood smear reveals spherocytes.
Direct Coombs test is positive.",Autoimmune Hemolytic Anemia
"A 55-year-old woman presents with progressive fatigue and recurrent episodes of jaundice.
Laboratory tests show elevated indirect bilirubin, increased reticulocyte count, and low hemoglobin.
Direct Coombs test is positive.",Autoimmune Hemolytic Anemia
"A 28-year-old woman presents with weakness, palpitations, and scleral icterus.
Laboratory evaluation demonstrates anemia, elevated LDH, low haptoglobin, and a positive Direct Coombs test.",Autoimmune Hemolytic Anemia
"A 16-year-old boy presents with excessive thirst, frequent urination, weight loss, and vomiting.
Blood glucose is 420 mg/dL.
Urinalysis reveals ketones, and arterial blood gas shows metabolic acidosis.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA
"A 14-year-old girl presents with abdominal pain, nausea, vomiting, and excessive thirst.
Laboratory tests reveal blood glucose of 380 mg/dL, positive serum ketones, and low serum bicarbonate.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA
"A 19-year-old man presents with fatigue, polyuria, polydipsia, and rapid breathing.
Blood glucose is 510 mg/dL.
Arterial blood gas reveals metabolic acidosis, and ketones are present in urine.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA
"A 12-year-old boy presents with dehydration, confusion, and vomiting.
Laboratory tests show glucose of 450 mg/dL, elevated serum ketones, and arterial pH of 7.15.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA
"A 17-year-old girl presents with weight loss, excessive thirst, frequent urination, and fruity-smelling breath.
Laboratory studies reveal blood glucose of 480 mg/dL, positive ketones, and metabolic acidosis.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA
"A 24-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash across her cheeks.
Laboratory testing reveals positive ANA and anti-dsDNA antibodies.",Systemic Lupus Erythematosus (SLE)
"A 30-year-old woman presents with fatigue, photosensitivity, and oral ulcers.
Urinalysis reveals proteinuria.
Laboratory tests show positive ANA and low complement levels.",Systemic Lupus Erythematosus (SLE)
"A 27-year-old woman presents with fever, fatigue, and pain in multiple joints.
Physical examination reveals a malar rash.
Laboratory studies show positive ANA and anti-Smith antibodies.",Systemic Lupus Erythematosus (SLE)
"A 35-year-old woman presents with chest pain that worsens on deep inspiration and fatigue.
Echocardiography demonstrates a small pericardial effusion.
Laboratory testing reveals positive ANA and anti-dsDNA antibodies.",Systemic Lupus Erythematosus (SLE)
"A 29-year-old woman presents with fatigue, hair loss, joint pain, and a facial rash.
Laboratory tests reveal anemia, positive ANA, and positive anti-dsDNA antibodies.",Systemic Lupus Erythematosus (SLE)
"A 15-year-old boy presents with recurrent wheezing, cough, and shortness of breath.
Symptoms worsen during exercise and improve with inhaled bronchodilators.
Spirometry demonstrates reversible airflow obstruction.",Asthma
"A 22-year-old woman presents with episodic chest tightness, wheezing, and nighttime cough.
Symptoms are triggered by exposure to dust.
Pulmonary function testing shows improvement after bronchodilator administration.",Asthma
"A 10-year-old boy presents with repeated episodes of wheezing and difficulty breathing.
Symptoms occur mainly during pollen season.
Spirometry reveals reversible airflow limitation.",Asthma
"A 35-year-old woman presents with recurrent shortness of breath and chest tightness that worsen at night.
Physical examination reveals diffuse expiratory wheezes.
Symptoms improve after administration of albuterol.",Asthma
"A 28-year-old man presents with intermittent cough, wheezing, and shortness of breath triggered by cold air.
Spirometry demonstrates reduced FEV1 that improves significantly after bronchodilator therapy.",Asthma
"A 35-year-old woman presents with recurrent episodes of severe headaches, palpitations, and excessive sweating.
Blood pressure during episodes is 190/110 mmHg.
Laboratory testing reveals elevated urinary metanephrines.",Pheochromocytoma
"A 42-year-old man presents with episodic anxiety, sweating, and rapid heartbeat.
Blood pressure fluctuates between normal values and severe hypertension.
Plasma free metanephrines are markedly elevated.",Pheochromocytoma
"A 50-year-old woman presents with recurrent pounding headaches and palpitations.
CT scan reveals an adrenal mass.
Urinary catecholamines are significantly elevated.",Pheochromocytoma
"A 29-year-old woman presents with episodic tremors, sweating, and severe hypertension.
Laboratory studies reveal elevated plasma metanephrine levels.
MRI demonstrates a right adrenal tumor.",Pheochromocytoma
"A 45-year-old man presents with intermittent headaches, palpitations, and panic attack-like episodes.
Blood pressure is persistently elevated.
Biochemical testing demonstrates increased urinary vanillylmandelic acid (VMA).",Pheochromocytoma
"A 30-year-old woman presents with drooping of both eyelids and double vision that worsens throughout the day.
Symptoms improve after resting.
Acetylcholine receptor antibodies are positive.",Myasthenia Gravis
"A 45-year-old woman presents with progressive difficulty chewing and swallowing toward the end of meals.
Neurological examination is otherwise normal.
Serologic testing reveals acetylcholine receptor antibodies.",Myasthenia Gravis
"A 27-year-old woman presents with intermittent double vision and generalized muscle weakness.
Symptoms worsen in the evening after prolonged activity.
Electromyography demonstrates a decremental response on repetitive stimulation.",Myasthenia Gravis
"A 55-year-old man presents with difficulty climbing stairs and lifting objects overhead.
Physical examination reveals proximal muscle weakness that worsens with repeated movements.
Acetylcholine receptor antibody testing is positive.",Myasthenia Gravis
"A 38-year-old woman presents with ptosis, dysarthria, and generalized fatigue.
CT scan of the chest reveals a thymoma.
Serologic testing is positive for acetylcholine receptor antibodies.",Myasthenia Gravis
"A 7-year-old boy presents with fatigue, fever, and easy bruising.
Physical examination reveals hepatosplenomegaly and cervical lymphadenopathy.
Bone marrow biopsy shows lymphoblasts accounting for more than 25% of nucleated cells.",Acute Lymphoblastic Leukemia (ALL)
"A 10-year-old girl presents with recurrent infections, pallor, and bone pain.
Complete blood count reveals anemia and thrombocytopenia.
Peripheral smear demonstrates circulating lymphoblasts.",Acute Lymphoblastic Leukemia (ALL)
"A 6-year-old boy presents with fatigue, fever, and petechiae.
Laboratory tests reveal pancytopenia.
Flow cytometry demonstrates TdT-positive lymphoblasts.",Acute Lymphoblastic Leukemia (ALL)
"A 12-year-old boy presents with cough and shortness of breath.
Chest X-ray reveals a mediastinal mass.
Bone marrow examination shows lymphoblast proliferation.",Acute Lymphoblastic Leukemia (ALL)
"An 8-year-old girl presents with fatigue, fever, and enlarged lymph nodes.
Laboratory studies show leukocytosis with circulating lymphoblasts.
Bone marrow biopsy confirms acute lymphoblastic leukemia.",Acute Lymphoblastic Leukemia (ALL)
"A 52-year-old woman presents with recurrent kidney stones, constipation, and fatigue.
Laboratory tests reveal elevated serum calcium and elevated parathyroid hormone levels.",Primary Hyperparathyroidism
"A 60-year-old man presents with generalized bone pain and recurrent nephrolithiasis.
Laboratory testing demonstrates hypercalcemia and elevated PTH.
Neck ultrasound reveals a parathyroid adenoma.",Primary Hyperparathyroidism
"A 48-year-old woman presents with depression, fatigue, and abdominal discomfort.
Laboratory studies reveal serum calcium of 11.8 mg/dL and elevated PTH levels.",Primary Hyperparathyroidism
"A 55-year-old woman presents with muscle weakness and recurrent fractures.
DEXA scan demonstrates reduced bone mineral density.
Laboratory tests reveal hypercalcemia and elevated parathyroid hormone.",Primary Hyperparathyroidism
"A 63-year-old man presents with fatigue, constipation, and excessive thirst.
Laboratory evaluation reveals elevated calcium, low phosphate, and elevated PTH levels.",Primary Hyperparathyroidism
"A 62-year-old man with a history of diabetes presents with fatigue, swelling of the legs, and decreased urine output.
Laboratory tests reveal elevated serum creatinine and reduced estimated glomerular filtration rate (eGFR).",Chronic Kidney Disease
"A 55-year-old woman presents with weakness, nausea, and persistent hypertension.
Laboratory studies show elevated blood urea nitrogen (BUN), elevated creatinine, and proteinuria.",Chronic Kidney Disease
"A 68-year-old man presents with fatigue, pruritus, and ankle swelling.
Laboratory tests reveal anemia and decreased eGFR.",Chronic Kidney Disease
"A 59-year-old woman presents with generalized weakness and decreased appetite.
Laboratory evaluation reveals hyperkalemia, elevated creatinine, and metabolic acidosis.",Chronic Kidney Disease
"A 65-year-old man with longstanding hypertension presents with fatigue and lower extremity edema.
Urinalysis reveals proteinuria.
Serum creatinine is persistently elevated.",Chronic Kidney Disease
"A 60-year-old woman presents with swelling and pain in her left calf after a long flight.
Doppler ultrasound reveals thrombosis of the popliteal vein.",Deep Vein Thrombosis
"A 48-year-old man presents with redness, warmth, and swelling of the right leg.
Ultrasound demonstrates a thrombus in the femoral vein",Deep Vein Thrombosis
"A 72-year-old woman develops calf pain three days after hip replacement surgery.
Physical examination reveals unilateral leg edema.
Venous Doppler confirms deep venous thrombosis.",Deep Vein Thrombosis
"A 55-year-old man presents with sudden swelling and tenderness of the left lower limb.
Laboratory testing reveals elevated D-dimer levels.
Ultrasound identifies a thrombus in the deep venous system",Deep Vein Thrombosis
"A 40-year-old woman taking oral contraceptive pills presents with unilateral leg pain and swelling.
Venous ultrasound reveals a clot in the femoral vein.",Deep Vein Thrombosis
"A 45-year-old man presents with chronic cough, night sweats, fever, and weight loss.
Chest X-ray reveals cavitary lesions in the upper lobes.
Sputum smear is positive for acid-fast bacilli.",Tuberculosis
"A 38-year-old woman presents with persistent cough, low-grade fever, and weight loss.
Chest imaging reveals upper lobe infiltrates.
Sputum culture grows Mycobacterium tuberculosis.",Tuberculosis
"A 52-year-old man presents with hemoptysis, night sweats, and fatigue.
Chest X-ray shows cavitary lung lesions.
Sputum testing is positive for acid-fast organisms.",Tuberculosis
"A 29-year-old woman presents with chronic cough and unintended weight loss.
CT scan demonstrates apical lung infiltrates.
Interferon-gamma release assay is positive.",Tuberculosis
"A 60-year-old man presents with fever, chronic productive cough, and night sweats.
Chest radiography reveals upper lobe cavitation.
Sputum microscopy identifies acid-fast bacilli.",Tuberculosis