Update disease_steps.py

disease_steps.py

@@ -1,11 +1,11 @@
 disease_next_steps = {
-    "asthma": [
-        "Schedule lung function testing.",
-        "Review and practice correct inhaler technique.",
-        "Identify and avoid environmental triggers.",
-        "Develop a written asthma action plan."
+    "tumor": [
+        "Schedule oncologist consultation for diagnosis.",
+        "Obtain biopsy and imaging for tumor characterization.",
+        "Discuss treatment options including surgery or chemotherapy.",
+        "Plan supportive care and monitoring for complications."
     ],
-    "heart disease": [
+    "heart": [
         "Schedule ECG and echocardiogram.",
         "Check cholesterol and lipid profile.",
         "Adopt a heart-healthy diet with reduced sodium.",
@@ -17,6 +17,12 @@ disease_next_steps = {
         "Consult a dietitian for meal planning.",
         "Start regular physical activity tailored to needs."
     ],
+    "cancer": [
+        "Schedule oncologist consultation for staging.",
+        "Obtain biopsy and necessary imaging.",
+        "Discuss chemotherapy, radiation, or surgery options.",
+        "Plan supportive care, including nutrition and counseling."
+    ],
     "hypertension": [
         "Measure blood pressure at home daily.",
         "Reduce salt and processed food intake.",
@@ -29,35 +35,11 @@ disease_next_steps = {
         "Enroll in a stroke rehabilitation program.",
         "Review and manage risk factors to prevent recurrence."
     ],
-    "cancer": [
-        "Schedule oncologist consultation for staging.",
-        "Obtain biopsy and necessary imaging.",
-        "Discuss chemotherapy, radiation, or surgery options.",
-        "Plan supportive care, including nutrition and counseling."
-    ],
-    "tuberculosis": [
-        "Get diagnostic tests: sputum test and chest X-ray.",
-        "Start multi-drug antibiotic therapy as prescribed.",
-        "Adhere strictly to the full treatment duration.",
-        "Schedule monthly follow-up visits for monitoring."
-    ],
-    "pneumonia": [
-        "Obtain chest X-ray if symptoms are severe.",
-        "Start antibiotics if bacterial pneumonia is diagnosed.",
-        "Maintain adequate hydration and rest.",
-        "Monitor breathing and oxygen levels if advised."
-    ],
-    "bronchitis": [
-        "Avoid smoking and exposure to lung irritants.",
-        "Use bronchodilators or inhalers if prescribed.",
-        "Stay well hydrated with warm fluids.",
-        "Monitor for worsening cough or shortness of breath."
-    ],
-    "copd": [
-        "Schedule spirometry testing to assess lung function.",
-        "Start maintenance inhalers or nebulizer therapy.",
-        "Enroll in a pulmonary rehabilitation program.",
-        "Avoid exposure to pollutants and secondhand smoke."
+    "asthma": [
+        "Schedule lung function testing.",
+        "Review and practice correct inhaler technique.",
+        "Identify and avoid environmental triggers.",
+        "Develop a written asthma action plan."
     ],
     "arthritis": [
         "Schedule rheumatology consultation for management plan.",
@@ -71,6 +53,12 @@ disease_next_steps = {
         "Use prescribed acute pain relief as needed.",
         "Practice stress reduction techniques like mindfulness."
     ],
+    "depression": [
+        "Schedule mental health evaluation.",
+        "Discuss therapy options such as CBT or counseling.",
+        "Consider antidepressant medication if indicated.",
+        "Monitor mood and symptoms regularly."
+    ],
     "anemia": [
         "Get blood tests for iron, B12, and folate levels.",
         "Begin iron or vitamin supplementation if indicated.",
@@ -107,7 +95,7 @@ disease_next_steps = {
         "Coordinate school-based support services.",
         "Educate caregivers about autism spectrum strategies."
     ],
-    "parkinson's disease": [
+    "parkinson": [
         "Conduct neurological evaluation for symptom assessment.",
         "Discuss initiation of dopaminergic therapy.",
         "Begin physical and occupational therapy.",
@@ -125,35 +113,41 @@ disease_next_steps = {
         "Monitor intraocular pressure at regular intervals.",
         "Consider laser or surgical options if indicated."
     ],
+    "sclerosis": [
+        "Schedule neurology evaluation for symptom assessment.",
+        "Consider disease-modifying therapy if indicated.",
+        "Begin physical and occupational therapy.",
+        "Monitor disease progression with regular follow-up."
+    ],
     "hepatitis": [
         "Get liver function tests and hepatitis panel.",
         "Determine hepatitis type (A, B, C).",
         "Discuss antiviral therapy options if needed.",
         "Schedule regular monitoring for liver damage."
     ],
-    "kidney disease": [
+    "kidney": [
         "Schedule nephrology consultation for staging.",
         "Check blood creatinine and GFR levels.",
         "Implement dietary changes to reduce sodium and protein.",
         "Monitor blood pressure closely."
     ],
-    "thyroid disorder": [
+    "thyroid": [
         "Get TSH, T3, and T4 blood tests.",
         "Begin thyroid hormone replacement if indicated.",
         "Monitor symptoms and medication side effects.",
         "Schedule endocrinology follow-up for dose adjustments."
     ],
-    "hiv/aids": [
+    "HIV": [
         "Get confirmatory HIV testing with viral load.",
         "Start antiretroviral therapy immediately.",
         "Monitor CD4 count and viral load regularly.",
         "Counsel on safe sexual practices and transmission prevention."
     ],
-    "dengue": [
-        "Get blood tests to confirm diagnosis.",
-        "Monitor platelet counts daily if hospitalized.",
-        "Maintain strict hydration.",
-        "Seek immediate care if bleeding or severe abdominal pain develops."
+    "AIDS": [
+        "Get confirmatory HIV testing with viral load.",
+        "Start antiretroviral therapy immediately.",
+        "Monitor CD4 count and viral load regularly.",
+        "Counsel on safe sexual practices and transmission prevention."
     ],
     "malaria": [
         "Get diagnostic blood smear or rapid test.",
@@ -161,13 +155,264 @@ disease_next_steps = {
         "Monitor for complications like anemia or cerebral malaria.",
         "Educate on prevention with bed nets and repellents."
     ],
-    "covid-19": [
+    "tuberculosis": [
+        "Get diagnostic tests: sputum test and chest X-ray.",
+        "Start multi-drug antibiotic therapy as prescribed.",
+        "Adhere strictly to the full treatment duration.",
+        "Schedule monthly follow-up visits for monitoring."
+    ],
+    "chickenpox": [
+        "Confirm diagnosis and isolate to prevent spread.",
+        "Take antiviral medication if prescribed.",
+        "Relieve itching with calamine lotion or oatmeal baths.",
+        "Monitor for complications such as bacterial skin infection."
+    ],
+    "covid19": [
         "Get confirmatory PCR or antigen testing.",
         "Isolate to prevent spread to others.",
         "Monitor symptoms and oxygen saturation at home.",
         "Seek emergency care if breathing difficulty or chest pain occurs."
     ],
-    "unknown": [
-        "Could not recognize disease"
-    ]
-}
+    "influenza": [
+        "Get rapid influenza testing if needed.",
+        "Start antiviral medication if within treatment window.",
+        "Rest, hydrate, and manage fever with acetaminophen.",
+        "Monitor for respiratory complications or worsening symptoms."
+    ],
+    "smallpox": [
+        "Seek emergency medical care immediately.",
+        "Implement strict isolation precautions.",
+        "Report to public health authorities.",
+        "Supportive care for symptoms and potential antiviral therapy."
+    ],
+    "measles": [
+        "Confirm diagnosis with serology or PCR testing.",
+        "Isolate to prevent transmission.",
+        "Manage symptoms with supportive care (fluids, fever control).",
+        "Monitor for complications like pneumonia or encephalitis."
+    ],
+    "polio": [
+        "Confirm diagnosis via stool or throat sample testing.",
+        "Supportive care for symptom management.",
+        "Implement physical therapy if paralysis occurs.",
+        "Monitor respiratory function and prevent complications."
+    ],
+    "cholera": [
+        "Immediate oral or IV rehydration therapy.",
+        "Start antibiotics if indicated.",
+        "Maintain strict hygiene to prevent spread.",
+        "Monitor electrolytes and kidney function closely."
+    ],
+    "botulism": [
+        "Seek emergency medical care immediately.",
+        "Administer botulinum antitoxin if indicated.",
+        "Provide supportive care for breathing and swallowing.",
+        "Monitor for complications in ICU if needed."
+    ],
+    "lyme disease": [
+        "Confirm diagnosis with serology or clinical evaluation.",
+        "Start appropriate antibiotic therapy.",
+        "Monitor for progression or neurological involvement.",
+        "Educate on tick avoidance and preventive measures."
+    ],
+    "dengue fever": [
+        "Confirm diagnosis with blood tests.",
+        "Monitor platelet counts daily if hospitalized.",
+        "Maintain strict hydration.",
+        "Seek immediate care if bleeding, severe abdominal pain, or persistent vomiting develops."
+    ],
+    "typhoid": [
+        "Confirm diagnosis with blood or stool culture.",
+        "Start appropriate antibiotic therapy.",
+        "Maintain hydration and proper nutrition.",
+        "Monitor for complications like intestinal perforation."
+    ],
+    "herpes simplex": [
+        "Confirm diagnosis with PCR or culture if needed.",
+        "Start antiviral therapy if indicated.",
+        "Educate on preventing transmission to others.",
+        "Monitor for recurrent outbreaks and manage symptoms."
+    ],
+    "herpes zoster": [
+        "Confirm diagnosis clinically or with PCR.",
+        "Start antiviral therapy within 72 hours of rash onset.",
+        "Relieve pain with analgesics or topical treatments.",
+        "Monitor for complications like postherpetic neuralgia."
+    ],
+    "chronic fatigue syndrome": [
+        "Conduct comprehensive evaluation to rule out other causes.",
+        "Develop pacing strategies for daily activities.",
+        "Consider cognitive behavioral therapy and graded exercise therapy.",
+        "Monitor symptom progression and adjust management plan accordingly."
+    ],
+    "fibromyalgia": [
+        "Confirm diagnosis based on clinical criteria.",
+        "Start pharmacologic management for pain and sleep disturbances.",
+        "Encourage low-impact exercise and physical therapy.",
+        "Implement stress reduction techniques and support counseling."
+    ],
+    "sleep apnea": [
+        "Schedule overnight sleep study (polysomnography).",
+        "Consider CPAP therapy or dental appliance for airway support.",
+        "Evaluate for weight loss or lifestyle modification needs.",
+        "Monitor symptoms and adherence to treatment regularly."
+    ],
+    "narcolepsy": [
+        "Schedule sleep study with multiple sleep latency testing.",
+        "Start stimulant or wakefulness-promoting medications as indicated.",
+        "Educate about safety measures and scheduled naps.",
+        "Monitor symptoms and adjust treatment as needed."
+    ],
+    "insomnia": [
+        "Identify underlying causes and contributing factors.",
+        "Implement sleep hygiene strategies.",
+        "Consider cognitive behavioral therapy for insomnia.",
+        "Start pharmacologic treatment if indicated and monitor effects."
+    ],
+    "meningitis": [
+        "Seek urgent medical evaluation and lumbar puncture for diagnosis.",
+        "Start empiric antibiotics if bacterial meningitis suspected.",
+        "Provide supportive care for hydration and symptom management.",
+        "Monitor for complications and follow-up after treatment."
+    ],
+    "encephalitis": [
+        "Confirm diagnosis with MRI and CSF analysis.",
+        "Start antiviral or supportive therapy as indicated.",
+        "Monitor neurological status closely in hospital setting.",
+        "Provide rehabilitation for residual neurological deficits."
+    ],
+    "brain abscess": [
+        "Confirm diagnosis with imaging (CT or MRI).",
+        "Start intravenous antibiotics promptly.",
+        "Consider surgical drainage if indicated.",
+        "Monitor for neurological deterioration and follow-up imaging."
+    ],
+    "spinal cord infection": [
+        "Obtain MRI and laboratory testing for confirmation.",
+        "Start targeted antimicrobial therapy.",
+        "Monitor neurological function closely.",
+        "Consider surgical intervention if abscess or compression occurs."
+    ],
+    "Guillain-Barré syndrome": [
+        "Hospitalize for monitoring of respiratory function.",
+        "Start intravenous immunoglobulin (IVIG) or plasma exchange therapy.",
+        "Monitor motor strength and autonomic function closely.",
+        "Provide rehabilitation for recovery of mobility and function."
+    ],
+    "toxoplasmosis": [
+        "Confirm diagnosis via serology or PCR testing.",
+        "Start antiparasitic therapy if indicated.",
+        "Monitor for neurological or ocular complications.",
+        "Educate immunocompromised patients about prevention measures."
+    ],
+    "pericarditis": [
+        "Obtain ECG, echocardiogram, and inflammatory markers.",
+        "Start anti-inflammatory therapy (NSAIDs or colchicine).",
+        "Monitor for complications like pericardial effusion.",
+        "Schedule follow-up evaluation with cardiologist."
+    ],
+    "sjogren’s syndrome": [
+        "Confirm diagnosis with blood tests and salivary/lacrimal gland evaluation.",
+        "Start symptomatic treatment for dry eyes and mouth.",
+        "Consider immunomodulatory therapy if systemic involvement exists.",
+        "Schedule regular follow-up with rheumatologist."
+    ],
+    "trigeminal neuralgia": [
+        "Confirm diagnosis clinically and rule out secondary causes with imaging.",
+        "Start anticonvulsant therapy for pain relief.",
+        "Consider surgical intervention if medical therapy fails.",
+        "Monitor pain frequency and medication side effects."
+    ],
+    "rectal cancer": [
+        "Schedule colonoscopy and imaging for staging.",
+        "Discuss surgery, chemotherapy, and/or radiation options.",
+        "Implement supportive care including nutrition and counseling.",
+        "Schedule regular follow-up for surveillance and recurrence prevention."
+    ],
+    "cardiac": [
+        "Schedule ECG and echocardiogram.",
+        "Check cholesterol and lipid profile.",
+        "Monitor blood pressure regularly.",
+        "Adopt a heart-healthy diet with reduced sodium and saturated fats.",
+        "Discuss stress testing with your cardiologist."
+    ],
+    "inflammation": [
+        "Order CRP and ESR blood tests.",
+        "Evaluate for autoimmune markers (ANA, RF).",
+        "Rule out chronic infections or inflammatory diseases.",
+        "Adopt an anti-inflammatory diet rich in omega-3 fatty acids."
+    ],
+    "vitamin": [
+        "Check vitamin D, B12, folate, and iron levels.",
+        "Review dietary intake and consider supplementation.",
+        "Encourage sun exposure (for vitamin D).",
+        "Monitor for symptoms of deficiency (fatigue, neuropathy, anemia)."
+    ],
+    "electrolyte": [
+        "Check sodium, potassium, calcium, magnesium, and chloride levels.",
+        "Assess hydration status.",
+        "Review medications that affect electrolyte balance (diuretics, ACE inhibitors).",
+        "Provide supplementation or restriction based on results."
+    ],
+    "blood-pressure": [
+        "Monitor blood pressure at home daily.",
+        "Limit sodium intake and processed foods.",
+        "Increase physical activity with regular aerobic exercise.",
+        "Discuss antihypertensive medications if readings remain high."
+    ],
+    "cbc": [
+        "Review hemoglobin, WBC, and platelet counts.",
+        "Screen for anemia if hemoglobin is low.",
+        "Investigate infection or inflammation if WBC is elevated.",
+        "Consider hematology referral for abnormal platelet counts."
+    ],
+    "iron": [
+        "Check serum ferritin and iron studies.",
+        "Screen for anemia and fatigue symptoms.",
+        "Assess diet for iron intake (red meat, leafy greens).",
+        "Consider iron supplementation if levels are low."
+    ],
+    "liver": [
+        "Order liver function tests (ALT, AST, bilirubin).",
+        "Screen for viral hepatitis.",
+        "Assess alcohol intake and metabolic syndrome.",
+        "Consider liver ultrasound for persistent abnormalities."
+    ],
+    "respiratory": [
+        "Check oxygen saturation and respiratory rate.",
+        "Evaluate for asthma, COPD, or pneumonia symptoms.",
+        "Order chest X-ray or pulmonary function tests if indicated.",
+        "Encourage smoking cessation and vaccination (flu, pneumonia)."
+    ],
+    "coagulation": [
+        "Order PT/INR and aPTT tests.",
+        "Screen for bleeding or clotting disorders.",
+        "Review medication history (warfarin, heparin, DOACs).",
+        "Consult hematology if abnormal results persist."
+    ],
+    "hormone": [
+        "Check thyroid function tests (TSH, T3, T4).",
+        "Screen for cortisol, testosterone, and estrogen imbalances.",
+        "Evaluate symptoms of hormonal deficiency or excess.",
+        "Refer to endocrinology for persistent abnormalities."
+    ],
+    "infection": [
+        "Order CBC with differential for infection signs.",
+        "Screen for specific infections (HIV, TB, hepatitis, COVID-19).",
+        "Monitor temperature and vital signs.",
+        "Start empiric antibiotics if clinically indicated."
+    ],
+    "blood-gas": [
+        "Order arterial blood gas (ABG) test.",
+        "Check pH, PaCO₂, and bicarbonate levels.",
+        "Differentiate between respiratory and metabolic causes.",
+        "Provide oxygen or ventilation support as needed."
+    ],
+    "vitals": [
+        "Record temperature, blood pressure, heart rate, respiratory rate, and oxygen saturation.",
+        "Establish baseline and monitor trends.",
+        "Identify abnormal values early for intervention.",
+        "Reassess regularly in acute and chronic conditions."
+    ]    
+}
+