| case,ground_truth | |
| "A 15-year-old boy presents with recurrent wheezing, cough, and shortness of breath during exercise. | |
| Spirometry demonstrates reversible airflow obstruction.",Asthma | |
| "A 22-year-old woman presents with episodic chest tightness and wheezing triggered by dust exposure. | |
| Symptoms improve after using an inhaled bronchodilator",Asthma | |
| "A 10-year-old boy presents with recurrent nighttime coughing and wheezing. | |
| Pulmonary function testing shows reversible airflow obstruction",Asthma | |
| "A 30-year-old woman presents with shortness of breath and chest tightness after exposure to cold air. | |
| Physical examination reveals expiratory wheezes.",Asthma | |
| "A 17-year-old girl presents with recurrent wheezing during pollen season. | |
| Spirometry reveals a reduced FEV1 that improves after bronchodilator administration.",Asthma | |
| "A 35-year-old man presents with intermittent cough and shortness of breath. | |
| Symptoms worsen at night and improve with inhaler use",Asthma | |
| "A 28-year-old woman presents with recurrent episodes of wheezing and chest tightness after exposure to pet dander. | |
| Pulmonary function tests demonstrate reversible airflow limitation.",Asthma | |
| "A 12-year-old boy presents with cough, wheezing, and difficulty breathing during sports activities. | |
| Symptoms improve after rest and bronchodilator use.",Asthma | |
| "A 40-year-old woman presents with recurrent episodes of breathlessness and chest tightness. | |
| Examination reveals diffuse expiratory wheezes. | |
| Spirometry demonstrates reversible airflow obstruction.",Asthma | |
| "A 25-year-old man presents with intermittent wheezing, cough, and shortness of breath triggered by smoke exposure. | |
| Pulmonary function testing shows significant improvement in FEV1 after bronchodilator therapy.",Asthma | |
| "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 photosensitivity, oral ulcers, and fatigue. | |
| Urinalysis demonstrates proteinuria. | |
| Laboratory testing reveals positive ANA.","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 27-year-old woman presents with fever, fatigue, and pain in multiple joints. | |
| Physical examination reveals a malar rash. | |
| Anti-Smith antibodies are positive.","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 35-year-old woman presents with pleuritic chest pain and fatigue. | |
| Echocardiography demonstrates a small pericardial effusion. | |
| Laboratory studies reveal positive ANA and anti-dsDNA antibodies.","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 29-year-old woman presents with hair loss, fatigue, and joint pain. | |
| Laboratory tests reveal anemia and positive ANA. | |
| ","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 22-year-old woman presents with recurrent oral ulcers, photosensitivity, and fatigue. | |
| Laboratory testing reveals low complement levels and positive anti-dsDNA antibodies.","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 31-year-old woman presents with swelling of the legs and frothy urine. | |
| Urinalysis demonstrates significant proteinuria. | |
| ANA and anti-dsDNA antibodies are positive.","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 26-year-old woman presents with fatigue, fever, and symmetric joint pain involving the hands and wrists. | |
| Laboratory studies reveal positive ANA and leukopenia.","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 34-year-old woman presents with facial rash that worsens after sun exposure and persistent fatigue. | |
| Laboratory tests reveal positive ANA and anti-Smith antibodies.","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "A 28-year-old woman presents with fatigue, joint pain, chest discomfort, and recurrent oral ulcers. | |
| Laboratory testing reveals positive ANA, positive anti-dsDNA antibodies, and low complement levels. | |
| ","Systemic Lupus Erythematosus (SLE) | |
| " | |
| "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 15-year-old boy presents with nausea, vomiting, abdominal pain, and excessive urination. | |
| Laboratory tests reveal blood glucose of 530 mg/dL and positive serum ketones. | |
| Arterial blood gas shows a pH of 7.20.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA) | |
| "An 18-year-old woman presents with fatigue, excessive thirst, and rapid deep breathing. | |
| Laboratory testing reveals glucose of 470 mg/dL, bicarbonate of 12 mEq/L, and positive urine ketones.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA) | |
| "A 13-year-old girl presents with polyuria, polydipsia, weight loss, and lethargy. | |
| Blood glucose is 400 mg/dL. | |
| Arterial blood gas demonstrates metabolic acidosis, and serum ketones are elevated. | |
| ",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA) | |
| "A 20-year-old man presents with vomiting, dehydration, and confusion. | |
| Laboratory evaluation reveals glucose of 550 mg/dL, positive ketones, and arterial pH of 7.10.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA) | |
| "A 16-year-old girl presents with excessive thirst, weight loss, nausea, and fruity-smelling breath. | |
| Laboratory studies reveal glucose of 490 mg/dL, elevated serum ketones, and low bicarbonate levels.",Type 1 Diabetes Mellitus with Diabetic Ketoacidosis (DKA) | |
| "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 42-year-old woman presents with drooping eyelids that worsen by evening and improve after sleep. | |
| Neurological examination reveals fatigable extraocular muscle weakness. | |
| Acetylcholine receptor antibodies are positive.",Myasthenia Gravis | |
| "A 50-year-old man presents with difficulty speaking and swallowing after prolonged conversation and meals. | |
| Repetitive nerve stimulation testing demonstrates a decremental response.",Myasthenia Gravis | |
| "A 33-year-old woman presents with generalized weakness, diplopia, and difficulty holding her arms above her head. | |
| Symptoms improve after administration of edrophonium.",Myasthenia Gravis | |
| "A 60-year-old man presents with progressive fatigue and difficulty climbing stairs. | |
| Neurological examination reveals proximal muscle weakness without sensory deficits. | |
| Acetylcholine receptor antibodies are detected.",Myasthenia Gravis | |
| "A 29-year-old woman presents with intermittent ptosis, diplopia, and facial muscle weakness. | |
| Symptoms worsen toward the end of the day. | |
| Chest CT demonstrates thymic hyperplasia.",Myasthenia Gravis | |
| "A 38-year-old woman presents with fatigue, weight gain, constipation, and cold intolerance. | |
| Physical examination reveals dry skin and a diffusely enlarged thyroid gland. | |
| Laboratory tests show elevated TSH, low free T4, and positive anti-thyroid peroxidase (anti-TPO) antibodies.",Hashimoto Thyroiditis | |
| "A 45-year-old woman presents with fatigue, depression, and increased sensitivity to cold. | |
| Physical examination reveals dry skin and mild thyroid enlargement. | |
| Laboratory studies demonstrate elevated TSH and positive anti-TPO antibodies.",Hashimoto Thyroiditis | |
| "A 50-year-old woman presents with weight gain, constipation, and hair thinning. | |
| Laboratory tests reveal elevated TSH, low free T4, and positive anti-thyroglobulin antibodies.",Hashimoto Thyroiditis | |
| "A 42-year-old woman presents with fatigue, memory difficulties, and cold intolerance. | |
| Physical examination reveals dry skin and bradycardia. | |
| Laboratory studies show elevated TSH and low free T4.",Hashimoto Thyroiditis | |
| "A 36-year-old woman presents with facial puffiness, fatigue, and constipation. | |
| Examination reveals a diffuse, non-tender goiter. | |
| Laboratory testing reveals positive anti-TPO antibodies and elevated TSH. | |
| ",Hashimoto Thyroiditis | |
| "A 47-year-old woman presents with lethargy, weight gain, and dry coarse skin. | |
| Laboratory tests show low free T4 and elevated TSH. | |
| Anti-thyroid peroxidase antibodies are positive.",Hashimoto Thyroiditis | |
| "A 40-year-old woman presents with fatigue, hoarseness of voice, and cold intolerance. | |
| Physical examination reveals a firm enlarged thyroid gland. | |
| Laboratory testing demonstrates elevated TSH and low T4.",Hashimoto Thyroiditis | |
| "A 52-year-old woman presents with constipation, depression, and unexplained weight gain. | |
| Laboratory studies reveal positive anti-thyroglobulin antibodies and elevated TSH.",Hashimoto Thyroiditis | |
| "A 34-year-old woman presents with excessive fatigue and difficulty concentrating. | |
| Physical examination reveals dry skin and delayed relaxation of deep tendon reflexes. | |
| Laboratory tests show elevated TSH and low free T4.",Hashimoto Thyroiditis | |
| "A 44-year-old woman presents with cold intolerance, fatigue, and gradual weight gain. | |
| Examination reveals a painless goiter. | |
| Laboratory testing shows elevated TSH, decreased free T4, and positive anti-TPO antibodies. | |
| ",Hashimoto Thyroiditis | |
| "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 diffuse thyroid enlargement. | |
| Laboratory tests show suppressed TSH and elevated free T4.",Graves Disease | |
| "A 35-year-old woman presents with palpitations, nervousness, insomnia, and tremors. | |
| Examination reveals warm moist skin and a diffuse goiter. | |
| Laboratory studies show elevated T3 levels and low TSH.",Graves Disease | |
| "A 29-year-old woman presents with heat intolerance, weight loss, and frequent bowel movements. | |
| Physical examination reveals lid lag and exophthalmos. | |
| Laboratory tests show elevated T4 and suppressed TSH.",Graves Disease | |
| "A 32-year-old woman presents with tachycardia, tremors, and excessive sweating. | |
| Examination reveals a thyroid bruit and diffuse thyroid enlargement. | |
| Laboratory studies demonstrate elevated free T4. | |
| ",Graves Disease | |
| "A 24-year-old woman presents with palpitations, weight loss, and anxiety. | |
| Physical examination reveals exophthalmos and a diffuse goiter. | |
| Laboratory tests show elevated T3 and T4 with suppressed TSH.",Graves Disease | |
| "A 38-year-old woman presents with fatigue, tremors, and increased sweating. | |
| Examination reveals diffuse thyroid enlargement and tachycardia. | |
| TSH receptor antibodies are positive",Graves Disease | |
| "A 38-year-old woman presents with fatigue, tremors, and increased sweating. | |
| Examination reveals diffuse thyroid enlargement and tachycardia. | |
| TSH receptor antibodies are positive",Graves Disease | |
| "A 26-year-old woman presents with nervousness, insomnia, and tremors. | |
| Physical examination reveals exophthalmos and warm moist skin. | |
| Laboratory evaluation shows elevated T3/T4 and suppressed TSH.",Graves Disease | |
| "A 40-year-old woman presents with palpitations, heat intolerance, and diffuse neck swelling. | |
| Physical examination reveals a bruit over the thyroid gland. | |
| Laboratory studies show positive TSH receptor antibodies and elevated free T4.",Graves Disease | |
| "A 25-year-old woman presents with fatigue, pallor, and shortness of breath on exertion. | |
| Laboratory tests reveal hemoglobin of 8.5 g/dL, low ferritin, and microcytic hypochromic anemia.",Iron Deficiency Anemia | |
| "A 30-year-old woman presents with fatigue and craving for ice. | |
| Physical examination reveals pale conjunctiva. | |
| Laboratory tests show low hemoglobin and low serum ferritin.",Iron Deficiency Anemia | |
| "A 40-year-old woman presents with weakness, dizziness, and heavy menstrual bleeding. | |
| Laboratory studies reveal microcytic hypochromic anemia and low ferritin levels.",Iron Deficiency Anemia | |
| "A 28-year-old woman presents with fatigue and brittle nails. | |
| Physical examination reveals spoon-shaped nails (koilonychia). | |
| Laboratory tests show low serum iron and low ferritin.",Iron Deficiency Anemia | |
| "A 55-year-old man presents with fatigue and unintentional weight loss. | |
| Laboratory tests reveal microcytic anemia and low ferritin. | |
| Colonoscopy identifies a bleeding colonic lesion.",Iron Deficiency Anemia | |
| "A 19-year-old woman presents with fatigue, headaches, and poor concentration. | |
| Laboratory evaluation reveals low hemoglobin, low ferritin, and increased total iron-binding capacity (TIBC).",Iron Deficiency Anemia | |
| "A 35-year-old woman presents with palpitations and exertional dyspnea. | |
| Laboratory studies reveal hemoglobin of 7.9 g/dL and microcytic hypochromic",Iron Deficiency Anemia | |
| "A 45-year-old woman presents with chronic fatigue and restless legs syndrome. | |
| Laboratory testing reveals low ferritin and low serum iron levels.",Iron Deficiency Anemia | |
| "A 12-year-old girl presents with fatigue and poor school performance. | |
| Laboratory studies demonstrate low hemoglobin, low ferritin, and microcytosis.",Iron Deficiency Anemia | |
| "A 32-year-old pregnant woman presents with fatigue and weakness. | |
| Laboratory tests reveal low hemoglobin, low ferritin, and microcytic anemia.",Iron Deficiency Anemia | |
| "A 68-year-old man presents with resting tremor in his right hand, rigidity, and slowness of movement. | |
| Neurological examination reveals a shuffling gait.",Parkinson Disease | |
| "A 72-year-old woman presents with progressive difficulty walking and frequent falls. | |
| Examination reveals cogwheel rigidity and bradykinesia.",Parkinson Disease | |
| "A 65-year-old man presents with a unilateral resting tremor and reduced facial expression. | |
| Physical examination reveals masked facies and rigidity.",Parkinson Disease | |
| "A 70-year-old woman presents with slowness in performing daily activities and hand tremors. | |
| Neurological examination reveals bradykinesia and postural instability. | |
| ",Parkinson Disease | |
| "A 67-year-old man presents with difficulty initiating movement and a shuffling gait. | |
| Examination reveals rigidity and resting tremor.",Parkinson Disease | |
| "A 74-year-old woman presents with tremors that improve during voluntary movement. | |
| Physical examination reveals cogwheel rigidity and slowed movements.",Parkinson Disease | |
| "A 63-year-old man presents with soft speech, tremor, and progressive difficulty writing. | |
| Neurological examination reveals micrographia and rigidity.)",Parkinson Disease | |
| "A 71-year-old man presents with resting tremor, constipation, and loss of smell. | |
| Neurological examination demonstrates bradykinesia and rigidity.",Parkinson Disease | |
| "A 69-year-old woman presents with progressive slowness of movement and difficulty maintaining balance. | |
| Physical examination reveals postural instability and masked facies.",Parkinson Disease | |
| "A 66-year-old man presents with unilateral hand tremor, rigidity, and difficulty rising from a chair. | |
| Neurological examination reveals bradykinesia and reduced arm swing while walking.",Parkinson Disease | |
| "A 25-year-old man presents with chronic diarrhea, abdominal pain, and weight loss. | |
| Colonoscopy reveals skip lesions involving the terminal ileum and colon.",Crohn Disease | |
| "A 30-year-old woman presents with recurrent abdominal cramps and non-bloody diarrhea. | |
| Colonoscopy demonstrates patchy areas of inflammation separated by normal mucosa. | |
| ",Crohn Disease | |
| "A 28-year-old man presents with abdominal pain, fever, and weight loss. | |
| MRI enterography reveals terminal ileal thickening and fistula formation.",Crohn Disease | |
| "A 35-year-old woman presents with chronic diarrhea and perianal pain. | |
| Physical examination reveals a perianal fistula. | |
| Colonoscopy shows 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 31-year-old woman presents with abdominal pain, chronic diarrhea, and unintended weight loss. | |
| CT enterography demonstrates segmental bowel wall thickening and strictures. | |
| ",Crohn Disease | |
| "A 27-year-old man presents with recurrent abdominal pain and intermittent diarrhea. | |
| Colonoscopy reveals aphthous ulcers and skip lesions in the terminal ileum.",Crohn Disease | |
| "A 40-year-old woman presents with diarrhea, fatigue, and perianal drainage. | |
| MRI pelvis demonstrates a perianal fistula. | |
| Colonoscopy reveals patchy inflammation.",Crohn Disease | |
| "A 29-year-old man presents with abdominal cramps, diarrhea, and low-grade fever. | |
| Laboratory studies reveal elevated CRP and anemia. | |
| Endoscopy demonstrates cobblestone appearance of the intestinal mucosa. | |
| ",Crohn Disease | |
| "A 33-year-old woman presents with chronic diarrhea, abdominal pain, and weight loss. | |
| Colonoscopy reveals skip lesions and terminal ileal involvement. | |
| Biopsy demonstrates transmural inflammation.",Crohn Disease | |