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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is skipping beats. It mostly happens when I'm stressed at work or after drinking coffee. I also get a bit short of breath when climbing stairs lately, which never used to happen before.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, able to continue normal activities with some limitation on exertion'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like chest pain or dizziness?', 'Does the patient have a family history of heart problems?', "What is the patient's caffeine intake and stress level?"], 'red_flags': ['Increasing frequency of palpitations', 'Progressive exercise intolerance'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Anxiety-related palpitations', 'Paroxysmal Atrial Fibrillation'], 'reasoning': 'Combination of palpitations and exercise intolerance warrants cardiac evaluation. While symptoms suggest possible benign causes, proper cardiac assessment needed to rule out arrhythmias and structural heart issues. Age and progressive nature of symptoms indicate need for cardiology workup.'}
|
{'id': 101, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:38:34.931491'}
|
{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm sitting quietly or trying to sleep. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen before.", 'demographic_context': '52-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. No chest pain or dizziness. Can complete normal tasks but needs to pause when climbing stairs.'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that consistently bring on the palpitations?', 'Is there any family history of heart disease or arrhythmias?', 'Have you experienced any recent weight changes or thyroid issues?'], 'red_flags': ['Development of sudden dizziness or fainting', 'Onset of chest pain or pressure'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Age, gradual onset of palpitations with mild exertional symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Symptoms suggest benign process but warrant cardiology workup to rule out more serious conditions.'}
|
{'id': 102, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:38:42.918347'}
|
{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm at rest. Sometimes it makes me feel a bit lightheaded. It's like my heart is skipping beats. Also noticed I get more tired than usual when climbing stairs lately.", 'demographic_context': '47-year-old female', 'duration': 'Episodes occurring intermittently over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly affecting exercise tolerance and causing anxiety'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Is there any family history of heart disease or sudden cardiac death?', 'Have you experienced any chest pain or pressure during these episodes?'], 'red_flags': ['Lightheadedness during palpitations', 'Decreased exercise tolerance'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Supraventricular Tachycardia'], 'reasoning': 'Combination of palpitations, fatigue, and reduced exercise tolerance suggests cardiac arrhythmia requiring evaluation with ECG, Holter monitoring, and cardiac assessment. Symptoms pattern and age demographic align with common presentations of cardiac rhythm disturbances.'}
|
{'id': 103, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:38:50.393468'}
|
{'symptom_description': "I've been having this pressure sensation in my chest that comes and goes, usually when I'm walking uphill or doing yard work. It feels like someone is sitting on my chest and I get more short of breath than I used to. Sometimes it goes away if I stop and rest for a few minutes. I've also noticed I get tired more easily lately and occasionally feel my heart racing.", 'demographic_context': '58-year-old male, overweight', 'duration': 'Symptoms gradually developing over past 3-4 months', 'severity_context': 'Moderate discomfort, able to continue daily activities but with limitation, no symptoms at rest'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Does the chest discomfort radiate to arms, jaw, or back?', 'Any associated symptoms like sweating or nausea during episodes?', 'Family history of heart disease?'], 'red_flags': ['Exertional chest pressure relieved by rest', 'Progressive decrease in exercise tolerance'], 'possible_conditions': ['Stable Angina', 'Coronary Artery Disease', 'Hypertensive Heart Disease'], 'reasoning': 'Progressive exertional chest pressure with associated shortness of breath and fatigue suggests stable angina pattern requiring cardiac evaluation. Symptoms are consistent with potential coronary artery disease but present in stable pattern appropriate for routine evaluation.'}
|
{'id': 104, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:38:57.669253'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, and my heart seems to race for a few minutes before returning to normal. It's not painful, just uncomfortable and makes me anxious when it occurs.", 'demographic_context': '42-year-old female', 'duration': 'Occurring intermittently for past 3 months', 'severity_context': 'Episodes last 3-5 minutes, happen 2-3 times per week, no loss of consciousness, able to continue daily activities'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes?', 'Any family history of heart conditions?', 'Any associated symptoms like chest pain or shortness of breath?'], 'red_flags': ['Episodes of lightheadedness', 'Increasing frequency of palpitations'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia', 'Premature Atrial Contractions', 'Anxiety-induced palpitations'], 'reasoning': 'Pattern of symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. While not immediately threatening, proper diagnosis and management is important for long-term health outcomes.'}
|
{'id': 105, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:04.483303'}
|
{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is skipping beats. It mostly happens when I'm stressed at work or after drinking coffee. I also get a bit short of breath when climbing stairs lately, which never used to happen before.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, able to continue normal activities with some limitation on exertion'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like dizziness or chest pain?', 'Does the patient have a family history of heart disease?', 'Is the patient taking any medications including over-the-counter supplements?'], 'red_flags': ['Increasing frequency of palpitations', 'Progressive exercise intolerance'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'The combination of palpitations, exercise intolerance, and progressive symptoms warrants cardiac evaluation. While likely benign, proper assessment needed to rule out arrythmias and structural heart disease.'}
|
{'id': 106, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:11.295344'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. It feels like my heart is skipping beats or racing for a few minutes at a time. I've also noticed I get more tired than usual when climbing stairs.", 'demographic_context': '42-year-old female', 'duration': 'Episodes occurring intermittently over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly affecting exercise tolerance and causing anxiety'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with chest pain?', 'Is there any family history of heart disease or sudden cardiac death?', 'Do symptoms worsen with physical activity?'], 'red_flags': ['Syncope during episodes', 'Associated chest pain'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal SVT', 'Anxiety-induced palpitations'], 'reasoning': 'Pattern of symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation warrant cardiology workup to rule out structural heart disease and determine appropriate management.'}
|
{'id': 107, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:18.094824'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is racing or skipping beats. It mostly happens when I'm at rest or trying to sleep. I also feel a bit more tired than usual lately and occasionally get lightheaded when standing up quickly.", 'demographic_context': '46-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. No chest pain or shortness of breath during physical activity.'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that bring on the palpitations?', 'Have you had any recent changes in caffeine intake or stress levels?', 'Do you have any family history of heart problems or arrhythmias?'], 'red_flags': ['Episodes of syncope would increase urgency', 'Development of chest pain would require immediate evaluation'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'Presenting symptoms suggest possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and pattern of symptoms warrant cardiology workup, though presentation suggests non-emergency nature.'}
|
{'id': 108, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:25.312393'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes I feel a bit lightheaded when it happens, and I notice it more when I'm stressed at work. My heart seems to race and then go back to normal. I've also been more tired than usual lately.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Episodes occur 2-3 times per week, no syncope, able to continue daily activities but causing anxiety'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain symptoms?', 'Does physical activity trigger or worsen the episodes?', 'Is there any family history of heart conditions?'], 'red_flags': ['Lightheadedness during episodes', 'Increasing frequency of episodes'], 'possible_conditions': ['Paroxysmal Atrial Fibrillation', 'Premature Atrial Contractions', 'Anxiety-induced palpitations'], 'reasoning': 'Pattern of intermittent palpitations with associated symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. While not immediately threatening, requires thorough cardiac workup to rule out underlying arrhythmias.'}
|
{'id': 109, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:32.583627'}
|
{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work or after drinking coffee. Sometimes I feel a bit lightheaded when it happens. My heart feels like it's racing or skipping beats during these episodes. They usually pass after a few minutes.", 'demographic_context': '42-year-old female', 'duration': 'Episodes occurring intermittently over past 3 months', 'severity_context': 'Episodes are mild to moderate, not interfering with daily activities but causing anxiety'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are symptoms associated with physical exertion?', 'Any family history of heart disease or sudden cardiac death?', 'Any concurrent symptoms like chest pain or shortness of breath?'], 'red_flags': ['Syncope during episodes', 'Sustained palpitations lasting >24 hours'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Supraventricular Tachycardia', 'Anxiety-induced palpitations'], 'reasoning': 'Pattern of palpitations with clear triggers suggests possible arrhythmia requiring cardiac evaluation. Age and presentation warrant investigation of underlying cardiac rhythm disturbances, though symptoms suggest benign origin. Holter monitoring and cardiac workup appropriate.'}
|
{'id': 110, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:39.800077'}
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{'symptom_description': "I've been getting these episodes where my heart feels like it's fluttering or skipping beats, especially when I'm trying to relax in the evening. Sometimes I feel a bit light-headed when it happens. It's not painful, just uncomfortable and makes me anxious. I've also noticed I get more tired than usual when walking up stairs.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Episodes last 5-10 minutes, occur 2-3 times per week, no severe symptoms but causing anxiety and affecting daily activities'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes?', 'Have you experienced any chest pain or pressure?', 'Do you have any family history of heart problems?'], 'red_flags': ['Light-headedness during episodes', 'Exercise intolerance developing'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Middle-aged patient presenting with palpitations, fatigue, and exercise intolerance warrants cardiac evaluation. While symptoms suggest possible arrhythmia, presentation is stable and chronic, making routine cardiology assessment appropriate for proper diagnosis and management.'}
|
{'id': 111, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:47.229449'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs, which never used to happen before. Coffee seems to make it worse.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms gradually developed over last 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly affecting sleep and moderate physical activity'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like dizziness or chest pain?', 'Is there any family history of heart disease?', 'Are you taking any medications including over-the-counter supplements?'], 'red_flags': ['Progressive exercise intolerance', 'Nighttime palpitations'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Patient presents with cardiac symptoms including palpitations and exertional dyspnea requiring rhythm assessment and cardiac workup. Age and gradual onset suggest possible structural or electrical cardiac changes requiring evaluation.'}
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{'id': 112, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:39:53.748042'}
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{'symptom_description': "I've been having this fluttering sensation in my chest, like my heart is skipping beats. It comes and goes throughout the day, especially when I'm trying to rest. Sometimes I feel a bit lightheaded when it happens, and I notice I get more tired than usual when climbing stairs.", 'demographic_context': '48-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, able to continue daily activities with some limitation during episodes'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that seem to bring on the palpitations?', 'Have you experienced any chest pain or pressure with these episodes?', 'Is there any family history of heart problems or sudden cardiac death?'], 'red_flags': ['Episodes of lightheadedness', 'Exercise intolerance'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Atrial Fibrillation', 'Supraventricular Tachycardia'], 'reasoning': 'Pattern of palpitations with associated symptoms suggests cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation warrant cardiology workup to rule out underlying structural heart disease.'}
|
{'id': 113, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:00.437711'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen. No real chest pain, just occasional discomfort and I feel more tired than usual.", 'demographic_context': '52-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities, mainly bothersome at night and during physical exertion'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Has there been any syncope or near-syncope episodes?', 'Is there any family history of cardiac conditions?', 'Are symptoms worse with specific activities or positions?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal symptoms'], 'possible_conditions': ['Atrial Fibrillation', 'Premature Ventricular Contractions', 'Mitral Valve Prolapse'], 'reasoning': 'Combination of palpitations, exertional dyspnea, and fatigue in middle-aged patient suggests possible cardiac arrhythmia or structural heart condition requiring cardiac evaluation including ECG, Holter monitoring, and possible echocardiogram'}
|
{'id': 114, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:07.502106'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is racing or skipping beats. It mostly happens when I'm at rest or trying to sleep. I also feel a bit more tired than usual lately and sometimes get lightheaded when standing up quickly.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. No chest pain or severe shortness of breath.'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that seem to bring on the palpitations?', 'Have you had any recent changes in caffeine intake or stress levels?', 'Do you have any family history of heart problems or arrhythmias?'], 'red_flags': ['Episodes of syncope or near-syncope', 'Concurrent chest pain'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Palpitations with associated symptoms warrant cardiac evaluation to rule out arrhythmias. While symptoms suggest benign etiology given lack of severe symptoms, cardiology workup including Holter monitoring would be appropriate for proper diagnosis and management.'}
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{'id': 115, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:15.693992'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, and my heart seems to race for a few minutes before returning to normal. It's not painful, just uncomfortable and makes me anxious when it occurs.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Episodes occur 2-3 times per week, lasting 3-5 minutes each time. No syncope or severe limitations to daily activities'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes (caffeine, alcohol, stress)?', 'Do you experience any chest pain during these episodes?', 'Have you noticed any correlation with physical activity?'], 'red_flags': ['Lightheadedness during episodes', 'Increasing frequency of episodes'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia (PSVT)', 'Atrial Fibrillation', 'Anxiety-induced palpitations'], 'reasoning': 'Recurrent palpitations with associated symptoms suggest cardiac arrhythmia requiring evaluation with ECG, Holter monitoring, and cardiac workup. Pattern and presentation consistent with possible PSVT or paroxysmal AFib, though benign causes need to be ruled out.'}
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{'id': 116, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:23.512463'}
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{'symptom_description': "I've been having this fluttering sensation in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. My heart feels like it's racing or skipping beats. It's not painful, just uncomfortable and makes me anxious when it occurs.", 'demographic_context': '42-year-old female', 'duration': 'Occurring intermittently for past 3 months', 'severity_context': 'Episodes last 5-10 minutes, happen 2-3 times per week, not interfering with daily activities but causing anxiety'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes (caffeine, stress, exercise)?', 'Have you experienced any chest pain or shortness of breath?', 'Is there any family history of heart problems?'], 'red_flags': ['Lightheadedness during episodes', 'Increasing frequency of episodes'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Supraventricular Tachycardia (PSVT)', 'Anxiety-related palpitations'], 'reasoning': 'Pattern of palpitations with associated symptoms warrants cardiac evaluation to rule out arrhythmias. While likely benign, proper diagnosis requires ECG monitoring and cardiac assessment. Symptoms suggest possible PACs or PSVT requiring confirmation through Holter monitoring.'}
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{'id': 117, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:30.952839'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. It's like my heart is skipping beats. I can feel it most when I'm lying down at night trying to sleep.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly causing anxiety and sleep disruption'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like chest pain or shortness of breath?', 'Do the palpitations occur with physical activity?', 'Is there any family history of heart conditions?'], 'red_flags': ['Episodes of lightheadedness', 'Sleep disruption'], 'possible_conditions': ['Premature Atrial Contractions', 'Anxiety-related palpitations', 'Paroxysmal Supraventricular Tachycardia'], 'reasoning': 'Cardiac palpitations with associated symptoms require evaluation to rule out arrhythmias. While likely benign given patient age and presentation, proper cardiac workup needed to ensure no underlying structural or electrical cardiac abnormalities.'}
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{'id': 118, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:38.120198'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm at rest. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen. No chest pain, but I do feel more tired than usual.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. Patient can complete normal tasks but needs to take breaks during physical exertion'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms during the palpitations (dizziness, chest pain)?', 'Is there any family history of heart disease or arrhythmias?', 'Are symptoms worse with exercise or specific activities?'], 'red_flags': ['Progressive exercise intolerance', 'New onset palpitations in middle age'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Thyroid dysfunction'], 'reasoning': 'Middle-aged patient presenting with new onset palpitations and exercise intolerance requires cardiac evaluation to rule out arrhythmias and assess cardiac function. Symptoms suggest possible electrical conduction abnormalities requiring ECG and possible Holter monitoring.'}
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{'id': 119, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:45.604521'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs, which never used to happen before. No real chest pain, just occasional pressure that comes and goes.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. More pronounced during physical exertion and at night.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Any family history of heart disease or arrhythmias?', 'Are symptoms related to specific activities or times of day?', 'Any recent changes in caffeine intake or stress levels?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal palpitations'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations, exertional dyspnea, and nocturnal symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and gradual onset support routine rather than urgent evaluation.'}
|
{'id': 120, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:52.673410'}
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{'symptom_description': "I've been feeling short of breath when climbing stairs or walking uphill. Sometimes I get a fluttering sensation in my chest that lasts a few seconds, especially when I'm stressed. My smartwatch showed my heart rate going up to 120 even when I'm just doing light activities. I also feel more tired than usual lately.", 'demographic_context': '48-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Able to perform daily activities but experiencing increased fatigue and having to slow down on stairs'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain or pressure symptoms?', 'Does patient have any family history of heart disease?', 'Are symptoms worse with exertion and improve with rest?'], 'red_flags': ['Unexplained tachycardia during light activity', 'Progressive exercise intolerance'], 'possible_conditions': ['Paroxysmal atrial fibrillation', 'Premature atrial contractions', 'Exercise-induced arrhythmia'], 'reasoning': 'Combination of exertional dyspnea, palpitations, and documented tachycardia suggests possible cardiac arrhythmia requiring evaluation. Age and gradual onset without acute severe symptoms makes this appropriate for routine cardiology consultation.'}
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{'id': 121, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:40:59.357487'}
|
{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is skipping beats. It mostly happens when I'm at rest or trying to sleep. I also feel a bit more tired than usual lately and occasionally get lightheaded when standing up quickly.", 'demographic_context': '48-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. No chest pain or shortness of breath during physical activity.'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that seem to bring on the palpitations?', 'Have you had any recent changes in caffeine intake or stress levels?', 'Do you have any family history of heart problems or arrhythmias?'], 'red_flags': ['Syncope or near-syncope episodes', 'Progressive fatigue'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'Pattern of symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation warrant cardiology workup to rule out underlying rhythm disturbances, though presentation suggests non-emergency nature.'}
|
{'id': 122, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:06.896029'}
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{'symptom_description': "I've been feeling my heart flutter and skip beats occasionally, especially when I'm trying to sleep at night. Sometimes I feel a bit lightheaded when I stand up quickly. I also get short of breath more easily when climbing stairs lately, which never used to happen. No chest pain, but I do feel tired more than usual.", 'demographic_context': '58-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities, mainly affecting exercise tolerance and sleep quality'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any family members with heart conditions or sudden cardiac death?', 'Are you currently taking any medications, including over-the-counter supplements?', 'Do symptoms worsen with physical activity or specific positions?'], 'red_flags': ['Syncope or near-syncope episodes', 'Progressive exercise intolerance'], 'possible_conditions': ['Atrial Fibrillation', 'Premature Ventricular Contractions', 'Mild Heart Failure'], 'reasoning': 'Combination of palpitations, orthostatic symptoms, and exertional dyspnea in middle-aged patient suggests possible cardiac arrhythmia or early heart failure requiring cardiac evaluation. Symptoms are chronic but stable, warranting routine rather than urgent evaluation.'}
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{'id': 123, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:14.164661'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes it feels like my heart is racing or skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen before.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities; no chest pain or fainting'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Has there been any recent weight gain or thyroid issues?', 'Is there any family history of heart problems?'], 'red_flags': ['Development of chest pain', 'Syncope or near-syncope episodes'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations and exertional dyspnea warrants cardiac evaluation. Age and presentation suggest possible rhythm disturbance requiring holter monitoring and cardiac workup, though symptoms currently stable enough for routine evaluation.'}
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{'id': 124, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:20.980720'}
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{'symptom_description': "I've been having this occasional fluttering feeling in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen. No real chest pain, just these weird palpitations and some fatigue.", 'demographic_context': '48-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. Main impact is on sleep quality and exercise tolerance'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Is there any family history of heart disease or arrhythmias?', 'Are you currently taking any medications including over-the-counter supplements?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal symptoms'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Thyroid dysfunction'], 'reasoning': 'Combination of palpitations, exercise intolerance, and gradual onset suggests possible cardiac arrhythmia requiring evaluation. Age and gender also entering perimenopause range where cardiac symptoms can manifest. Routine evaluation appropriate given stable symptoms without acute distress.'}
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{'id': 125, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:28.398888'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I'm lying down at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs, which never used to happen before. No real chest pain, just occasional pressure that comes and goes.", 'demographic_context': '48-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities, mainly bothersome at night and during physical exertion'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any family members with heart conditions?', 'Have you noticed any swelling in your ankles?', 'Do symptoms worsen with certain activities or positions?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal symptoms'], 'possible_conditions': ['Paroxysmal atrial fibrillation', 'Premature ventricular contractions', 'Early stages of heart failure'], 'reasoning': 'Pattern of palpitations with exercise intolerance suggests cardiac arrhythmia or early cardiac dysfunction requiring evaluation with ECG, Holter monitoring, and cardiac function assessment. Age and gradual onset make this appropriate for routine cardiology referral.'}
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{'id': 126, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:35.506672'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I climb stairs or do yard work. Sometimes I feel a bit lightheaded and need to sit down. I also notice my heart seems to race or skip beats occasionally, particularly in the evenings. No real chest pain, just discomfort and awareness of my heartbeat.", 'demographic_context': '58-year-old female', 'duration': 'Symptoms gradually developing over 3 months', 'severity_context': 'Able to perform daily activities but needs to take breaks; symptoms are bothersome but not severely limiting'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Have you ever been diagnosed with thyroid problems?', 'Do you consume caffeine or alcohol regularly?', 'Is there any family history of heart problems?'], 'red_flags': ['Lightheadedness with exertion', 'Progressive worsening of symptoms'], 'possible_conditions': ['Atrial Fibrillation', 'Premature Ventricular Contractions', 'Supraventricular Tachycardia'], 'reasoning': 'Pattern of palpitations with exertion, associated lightheadedness, and gradual onset suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation pattern warrant cardiology workup to rule out structural heart disease.'}
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{'id': 127, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:42.737651'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is racing or skipping beats. It mainly happens when I'm stressed at work or after drinking coffee. I also get a bit short of breath when climbing stairs lately.", 'demographic_context': '42-year-old female, office worker with sedentary lifestyle', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. No chest pain or fainting episodes.'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are symptoms associated with any particular triggers?', 'Is there any family history of heart disease or arrhythmias?', 'Have you experienced any dizziness or syncope with these episodes?'], 'red_flags': ['Development of chest pain', 'Syncope or near-syncope episodes'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Supraventricular Tachycardia', 'Anxiety-related palpitations'], 'reasoning': 'Pattern of palpitations with trigger factors, combined with new onset exertional dyspnea, warrants cardiac evaluation for possible arrhythmia. Age and gender also entering period of increased cardiovascular risk factors.'}
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{'id': 128, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:50.109433'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, and my heart seems to race for a few minutes then goes back to normal. It's not painful, just uncomfortable and makes me anxious when it occurs.", 'demographic_context': '42-year-old female', 'duration': 'Occurring intermittently for past 3 months', 'severity_context': 'Episodes last 3-5 minutes, happen 2-3 times per week, no loss of consciousness'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes?', 'Any family history of heart problems or sudden cardiac death?', 'Any associated chest pain or shortness of breath?'], 'red_flags': ['Lightheadedness during episodes', 'Increasing frequency of episodes'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia', 'Atrial Fibrillation', 'Anxiety-induced palpitations'], 'reasoning': 'Recurrent palpitations with associated symptoms suggest possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Pattern and duration of symptoms indicate non-emergency but necessary cardiology assessment.'}
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{'id': 129, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:41:57.187515'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. I also notice I get more tired than usual when climbing stairs lately. No real chest pain, just this weird sensation and occasional shortness of breath.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities; worse during stress'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms during these episodes (sweating, nausea, dizziness)?', 'Is there any family history of heart disease or arrhythmias?', 'Do the episodes occur at rest or with exertion?'], 'red_flags': ['Lightheadedness during palpitations', 'New onset exercise intolerance'], 'possible_conditions': ['Paroxysmal Atrial Fibrillation', 'Premature Ventricular Contractions', 'Anxiety-induced palpitations'], 'reasoning': 'Combination of palpitations, exercise intolerance, and intermittent symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation pattern warrant cardiology workup though not immediately urgent.'}
|
{'id': 130, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:04.746648'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm at work or feeling stressed. Sometimes I feel a bit lightheaded when it happens, and my heart seems to race for a few minutes before going back to normal. It's not painful, just uncomfortable and makes me anxious when it happens.", 'demographic_context': '42-year-old female', 'duration': 'Episodes occurring intermittently over past 3 months', 'severity_context': 'Episodes last 2-5 minutes, occur 2-3 times per week, no loss of consciousness'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes (caffeine, stress, exercise)?', 'Is there any family history of heart problems or sudden cardiac death?', 'Do you experience any chest pain or shortness of breath during these episodes?'], 'red_flags': ['Episodes of lightheadedness', 'Increasing frequency of palpitations'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia (PSVT)', 'Premature Atrial Contractions (PACs)', 'Anxiety-induced palpitations'], 'reasoning': 'Pattern of intermittent palpitations with associated symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. While not immediately dangerous, proper diagnosis and management is important for long-term health outcomes.'}
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{'id': 131, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:12.020894'}
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{'symptom_description': "I've been having this fluttering sensation in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, and my heart seems to race for a few minutes before returning to normal. It's not painful, just uncomfortable and makes me anxious when it occurs.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Episodes last 3-5 minutes, occur 2-3 times per week, no loss of consciousness, able to continue daily activities'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes?', 'Have you experienced any chest pain or pressure?', 'Is there any family history of heart problems?'], 'red_flags': ['Lightheadedness during episodes', 'Increasing frequency of episodes'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia', 'Atrial Fibrillation', 'Anxiety-induced palpitations'], 'reasoning': 'Pattern of symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation warrant cardiology workup to rule out structural heart disease and determine appropriate management.'}
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{'id': 132, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:18.984422'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I climb stairs or do yard work. Sometimes I feel a bit lightheaded and short of breath when it happens. I also notice my heart seems to race or skip beats occasionally, particularly in the evenings. It's not painful, just uncomfortable and concerning.", 'demographic_context': '53-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly with exertion. Can complete daily activities but feels need to rest more frequently'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any family history of heart problems?', 'Do symptoms worsen with caffeine intake?', 'Have you experienced any chest pain or pressure?'], 'red_flags': ['Episodes of lightheadedness with exertion', 'Increasing frequency of palpitations'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': "Patient's age and presentation of palpitations with exertional symptoms warrant cardiac evaluation. Pattern suggests possible arrhythmia requiring holter monitoring and cardiac workup, though symptoms are stable and non-emergent."}
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{'id': 133, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:26.474814'}
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{'symptom_description': "I've been having this feeling of fluttering in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is racing or skipping beats. It mostly happens when I'm at rest or trying to sleep. I also get a bit short of breath when climbing stairs lately, which never used to happen before.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. No chest pain or fainting episodes.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that bring on the palpitations?', 'Has there been any recent change in caffeine intake or stress levels?', 'Is there any family history of heart problems or sudden cardiac death?'], 'red_flags': ['Development of sudden severe chest pain', 'Fainting or near-fainting episodes'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations and new onset exertional dyspnea warrants cardiac evaluation. While symptoms suggest possible arrhythmia, severity and stability make this appropriate for routine rather than urgent evaluation.'}
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{'id': 134, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:33.531971'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs, which never used to happen before. No real chest pain, just occasional discomfort.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities, mainly during physical exertion or stress'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like dizziness or fainting?', 'Is there any family history of heart disease?', 'Do symptoms worsen with physical activity or emotional stress?'], 'red_flags': ['Progressive exercise intolerance', 'Palpitations with pre-syncope'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations and exertional symptoms in middle-aged adult warrants cardiac evaluation. While likely benign, need to rule out arrhythmias and assess cardiac function. Pattern suggests possible PVCs or paroxysmal arrhythmia requiring holter monitoring and basic cardiac workup.'}
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{'id': 135, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:40.689673'}
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{'symptom_description': "I've been feeling this fluttering sensation in my chest, like my heart is skipping beats. Sometimes it makes me feel a bit lightheaded, especially when I'm climbing stairs. I also notice I get more tired than usual during my regular activities. The symptoms aren't constant - they come and go throughout the day.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating; able to continue daily activities with some limitations'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any family members with heart conditions?', 'Do symptoms worsen with physical activity?', 'Are there any associated symptoms like chest pain or shortness of breath?'], 'red_flags': ['Lightheadedness with exertion', 'Progressive fatigue'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Mitral Valve Prolapse'], 'reasoning': 'The combination of palpitations, exertional symptoms, and fatigue suggests possible cardiac arrhythmia or structural heart condition requiring cardiac evaluation, though presentation suggests non-emergency assessment is appropriate'}
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{'id': 136, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:47.763191'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm at rest. Sometimes it makes me feel a bit lightheaded. I also notice I get more tired than usual when climbing stairs. The fluttering episodes last maybe 5-10 minutes each time.", 'demographic_context': '52-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. No syncope or severe chest pain.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain symptoms?', 'Does patient have history of thyroid disease?', 'Any family history of cardiac arrhythmias or sudden cardiac death?'], 'red_flags': ['Lightheadedness during palpitation episodes', 'Exercise intolerance developing'], 'possible_conditions': ['Paroxysmal Atrial Fibrillation', 'Premature Atrial Contractions', 'Supraventricular Tachycardia'], 'reasoning': 'Combination of palpitations, intermittent lightheadedness, and exercise intolerance suggests possible cardiac arrhythmia requiring evaluation with ECG, Holter monitoring, and cardiac workup. Age and symptom pattern align with common presentation of paroxysmal arrhythmias.'}
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{'id': 137, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:42:55.336927'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is racing or skipping beats. It tends to happen more when I'm stressed at work or after drinking coffee. I also feel a bit short of breath and tired when climbing stairs lately.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not debilitating; able to continue normal activities with some limitation during episodes'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like chest pain or dizziness?', 'Does patient have family history of heart conditions?', "What is patient's caffeine intake and stress level?"], 'red_flags': ['Episodes lasting longer than 24 hours', 'Syncope or near-syncope during episodes'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Cardiac arrhythmia workup needed due to recurring palpitations with associated symptoms. Age and risk factors warrant cardiology evaluation for proper diagnosis and management, though presentation suggests non-emergency nature.'}
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{'id': 138, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:02.661695'}
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{'symptom_description': "I've been having this weird fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes I feel a bit lightheaded when it happens, and I notice it more when I'm stressed at work. My heart seems to race and then slow down randomly, especially in the afternoons.", 'demographic_context': '42-year-old female', 'duration': 'Occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities; able to work and exercise but feeling anxious about episodes'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like chest pain or shortness of breath?', 'Do the episodes occur with physical exertion?', 'Is there any family history of heart problems or sudden cardiac death?'], 'red_flags': ['Episodes of lightheadedness', 'Irregular heart rhythm pattern'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Supraventricular Tachycardia (PSVT)', 'Anxiety-related palpitations'], 'reasoning': 'Palpitations with associated symptoms warrant cardiac evaluation to rule out arrhythmias. The intermittent nature and duration suggest need for monitoring and professional assessment, though presentation suggests non-emergency status.'}
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{'id': 139, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:10.082895'}
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{'symptom_description': "I've been having this fluttering sensation in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, and my heart seems to race for a few minutes before returning to normal. It's making me anxious but doesn't stop me from doing my daily activities.", 'demographic_context': '42-year-old female', 'duration': 'Occurring intermittently for past 3 months', 'severity_context': 'Episodes last 3-5 minutes, occur 2-3 times per week, no syncope or severe limitations'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes?', 'Have you had any chest pain during these episodes?', 'Do you have any family history of heart problems?'], 'red_flags': ['Lightheadedness during episodes', 'Increasing frequency of episodes'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia', 'Atrial Fibrillation', 'Anxiety-induced palpitations'], 'reasoning': 'Patient presents with classic symptoms of cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and symptom pattern suggest need for cardiology workup to rule out structural heart disease and determine appropriate management.'}
|
{'id': 140, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:17.353821'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed or after drinking coffee. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs, which never used to happen before.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly causing anxiety and limiting exercise'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any chest pain?', 'Is there any family history of heart disease?', 'Have you noticed any triggers besides coffee and stress?', 'Have you had any recent changes in medication?'], 'red_flags': ['Increasing frequency of palpitations', 'New onset exercise intolerance'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-induced palpitations'], 'reasoning': 'Combination of palpitations and exercise intolerance warrants cardiac evaluation. Age and presentation suggest possible rhythm disturbance requiring Holter monitoring and cardiac workup to rule out structural heart disease.'}
|
{'id': 141, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:24.214044'}
|
{'symptom_description': "I've been having this fluttering sensation in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen. No real chest pain, just occasional pressure that comes and goes.", 'demographic_context': '47-year-old female, overweight, office worker', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. More bothersome at night and during mild exertion.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Do the palpitations occur at specific times or with specific triggers?', 'Is there any family history of heart disease or arrhythmias?', 'Are you currently taking any medications including over-the-counter?'], 'red_flags': ['Progressive exercise intolerance', 'Nocturnal symptoms'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations, exercise intolerance, and gradual onset suggests possible cardiac arrhythmia requiring evaluation. Age and symptoms pattern warrant cardiology workup including Holter monitoring and stress testing.'}
|
{'id': 142, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:32.090406'}
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{'symptom_description': "I've been feeling my heart racing and fluttering occasionally, especially when I'm trying to sleep at night. Sometimes I feel a bit short of breath when climbing stairs but it goes away with rest. I also notice some mild pressure in my chest that comes and goes, usually lasting a few minutes at a time. No pain radiating to arms or jaw.", 'demographic_context': '47-year-old female, slightly overweight', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. Patient can complete normal tasks but feels anxious about symptoms.'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are symptoms associated with physical exertion?', 'Any family history of heart disease?', 'Any history of thyroid problems or anxiety disorders?'], 'red_flags': ['Development of sustained chest pain', 'Syncope or near-syncope episodes'], 'possible_conditions': ['Paroxysmal atrial fibrillation', 'Premature ventricular contractions', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations, intermittent shortness of breath, and chest pressure in middle-aged female warrants cardiac evaluation. While symptoms suggest possible arrhythmia or early heart disease, presentation is stable and suitable for routine cardiology assessment.'}
|
{'id': 143, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:39.156101'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it makes me feel a bit lightheaded and I notice it especially when I'm trying to sleep at night. My heart seems to race or skip beats occasionally. I've also been more tired than usual lately.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not debilitating, able to continue daily activities'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for the palpitations?', 'Is there any associated chest pain or pressure?', 'Does the patient have any family history of heart conditions?', 'Are symptoms worse with exercise or at rest?'], 'red_flags': ['Lightheadedness during episodes', 'Progressive fatigue'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Presenting symptoms suggest cardiac arrhythmia requiring evaluation with ECG and possibly Holter monitoring. Age and symptom pattern warrant cardiology workup to rule out structural heart disease and determine appropriate management.'}
|
{'id': 144, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:46.847243'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed or after drinking coffee. Sometimes I feel a bit lightheaded when it happens. My heart feels like it's racing or skipping beats during these episodes. They last maybe 5-10 minutes each time.", 'demographic_context': '42-year-old female', 'duration': 'Episodes occurring intermittently over past 3 months', 'severity_context': 'Episodes are bothersome but not incapacitating, able to continue daily activities, no syncope'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain symptoms?', 'Does patient have history of thyroid disease?', 'Is there family history of sudden cardiac death or arrhythmias?'], 'red_flags': ['Episode duration exceeding 30 minutes', 'Syncope or near-syncope during episodes'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Supraventricular Tachycardia (PSVT)', 'Anxiety-induced palpitations'], 'reasoning': 'Symptoms suggestive of cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Pattern of palpitations with clear triggers warrants cardiology workup to differentiate between benign and pathological causes.'}
|
{'id': 145, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:43:54.342132'}
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{'symptom_description': "I've been getting this fluttering feeling in my chest a few times a week, especially when I'm stressed at work. Sometimes it feels like my heart is skipping beats. I also feel a bit short of breath when climbing stairs, which never used to happen before. No real chest pain, just occasional tightness.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. Can complete normal tasks but with some effort on stairs.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Is there any family history of heart disease?', 'Have you noticed any ankle swelling or weight gain?', 'Are you experiencing any dizziness with the palpitations?'], 'red_flags': ['Progressive exercise intolerance', 'New onset palpitations in middle age'], 'possible_conditions': ['Premature Ventricular Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Middle-aged patient with new onset palpitations and reduced exercise tolerance requires cardiac evaluation to rule out arrhythmias and assess cardiac function. While symptoms are stable, comprehensive cardiovascular assessment is indicated due to progressive nature of symptoms.'}
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{'id': 146, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:01.387209'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. My heart feels like it's racing for a few minutes, then goes back to normal. I've also noticed I get more tired than usual when climbing stairs.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Episodes occur 2-3 times per week, lasting 3-5 minutes each time. No syncope or severe chest pain. Able to continue daily activities.'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes?', 'Is there any family history of heart disease or arrhythmias?', 'Do you experience any chest pain during these episodes?'], 'red_flags': ['Lightheadedness during episodes', 'Exercise intolerance developing'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia (PSVT)', 'Anxiety-induced palpitations', 'Premature Atrial Contractions (PACs)'], 'reasoning': 'Symptoms suggest possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Pattern of palpitations with associated symptoms warrants cardiology workup, though presentation suggests non-emergency nature.'}
|
{'id': 147, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:08.707299'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. It's like my heart is skipping beats. I also notice I get more tired than usual when climbing stairs lately.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Episodes last 5-10 minutes, occur 2-3 times per week, no syncope or severe chest pain'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are symptoms associated with physical exertion?', 'Any family history of heart disease or sudden cardiac death?', 'Any current medications, particularly stimulants or thyroid medications?'], 'red_flags': ['Episodes of lightheadedness', 'Decreased exercise tolerance'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-induced palpitations'], 'reasoning': 'Combination of palpitations, exercise intolerance, and lightheadedness suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation pattern consistent with common cardiac rhythm disturbances.'}
|
{'id': 148, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:15.533192'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. My heart seems to race for a few minutes then goes back to normal. I also notice I get more tired than usual when climbing stairs.", 'demographic_context': '42-year-old female', 'duration': 'Episodes occurring intermittently over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, able to continue daily activities'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Have you experienced any chest pain or pressure?', 'Is there any family history of heart problems?', 'Do you have any history of thyroid problems?'], 'red_flags': ['Lightheadedness during episodes', 'Exercise intolerance developing'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia (PSVT)', 'Premature Atrial Contractions', 'Anxiety-related palpitations'], 'reasoning': 'Pattern of intermittent palpitations with associated symptoms suggests possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation warrant cardiology workup to rule out structural heart disease or electrical conduction abnormalities.'}
|
{'id': 149, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:22.927347'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm at rest. Sometimes it makes me feel a bit lightheaded and I need to sit down. I also notice I get more tired than usual when climbing stairs lately. No real chest pain, just this strange flutter and occasional dizziness.", 'demographic_context': '52-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. Can complete normal tasks but needs to rest more frequently'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms during these episodes (sweating, chest pain, shortness of breath)?', 'Is there any family history of heart disease or arrhythmias?', 'Are symptoms triggered by specific activities or occur randomly?'], 'red_flags': ['Lightheadedness with palpitations', 'Decreased exercise tolerance'], 'possible_conditions': ['Atrial Fibrillation', 'Premature Atrial Contractions', 'Supraventricular Tachycardia'], 'reasoning': 'Combination of palpitations, fatigue, and exercise intolerance suggests possible cardiac arrhythmia requiring evaluation. Age and presentation pattern typical for new-onset cardiac rhythm disturbance. While not emergency level, requires thorough cardiology workup including ECG and possible Holter monitoring.'}
|
{'id': 150, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:30.659535'}
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{'symptom_description': "I've been feeling my heart racing and fluttering, especially in the evenings when I'm trying to relax. Sometimes it feels like my heart skips a beat. I also get a bit short of breath when climbing stairs, which never used to happen before. No chest pain, but I do feel tired more easily lately.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities; mainly affecting exercise tolerance and evening relaxation'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for the palpitations?', 'Is there any family history of heart disease?', 'Have there been any recent changes in caffeine intake or stress levels?'], 'red_flags': ['Increasing frequency of palpitations', 'Progressive exercise intolerance'], 'possible_conditions': ['Premature Ventricular Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related Palpitations'], 'reasoning': 'Combination of palpitations and exercise intolerance warrants cardiac evaluation. Age and gradual onset suggest likely benign cause, but requires thorough cardiac workup to rule out arrhythmias and structural heart issues.'}
|
{'id': 151, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:37.125544'}
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{'symptom_description': "I've been getting these fluttering sensations in my chest a few times a week, especially when I'm stressed at work. Sometimes it feels like my heart is skipping beats. I also notice I get a bit more out of breath than usual when climbing stairs, which never used to happen before.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, able to continue normal activities with minor limitations'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Is there any family history of heart disease?', 'Are there any accompanying symptoms like dizziness or chest pain?'], 'red_flags': ['Progressive exercise intolerance', 'Increasing frequency of palpitations'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations and exercise intolerance warrants cardiac evaluation. Age and gradual onset suggest potentially benign but requires investigation to rule out arrhythmias or structural heart issues.'}
|
{'id': 152, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:44.087160'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I climb stairs or do yard work. Sometimes I feel a bit lightheaded and need to sit down. My heart seems to race and then slow down at random times. It's not painful, just uncomfortable and concerning. I also notice I get more tired than usual lately.", 'demographic_context': '54-year-old female, post-menopausal, office worker with sedentary lifestyle', 'duration': 'Symptoms gradually developed over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly with exertion. Can perform daily activities but with some limitation'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain or pressure symptoms?', 'Is there any family history of heart disease or arrhythmias?', 'Are symptoms worse at any particular time of day or with specific activities?'], 'red_flags': ['Episodes of lightheadedness with exertion', 'Progressive fatigue'], 'possible_conditions': ['Paroxysmal Atrial Fibrillation', 'Premature Atrial Contractions', 'Inappropriate Sinus Tachycardia'], 'reasoning': 'Presentation suggests possible cardiac arrhythmia given episodic nature of symptoms, association with exertion, and age/demographic profile. While not immediately dangerous, requires evaluation to rule out underlying cardiac conditions and establish appropriate management plan.'}
|
{'id': 153, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:52.074365'}
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{'symptom_description': "I've been having this uncomfortable pressure in my chest, mostly when I walk up stairs or do yard work. It feels like someone is sitting on my chest, but goes away after I rest for a few minutes. Sometimes I also feel a bit short of breath during these episodes. I've noticed I get more tired than usual lately too.", 'demographic_context': '57 year old male, overweight, office worker', 'duration': 'Symptoms started about 2 months ago, occurring 2-3 times per week', 'severity_context': 'Moderate discomfort that resolves with rest, no pain at rest, able to perform daily activities but with limitations'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Do you have any family history of heart disease?', 'Do you experience any associated symptoms like sweating or nausea during these episodes?', 'Have you noticed any ankle swelling or palpitations?'], 'red_flags': ['Exertional chest pressure relieved by rest', 'Progressive fatigue with activity'], 'possible_conditions': ['Stable Angina', 'Coronary Artery Disease', 'Deconditioning'], 'reasoning': 'Symptoms suggest stable angina pattern with typical exertional chest pressure relieved by rest. Age and risk factors support need for cardiac evaluation, but stable pattern and absence of rest symptoms allows for routine rather than urgent evaluation.'}
|
{'id': 154, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:44:59.244897'}
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{'symptom_description': "I've been having this fluttering sensation in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen. No real chest pain, just occasional discomfort and I feel more tired than usual.", 'demographic_context': '52-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. Main impact is on sleep quality and exercise tolerance'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like dizziness or fainting?', 'Is there any family history of heart disease or arrhythmias?', 'Are symptoms worse with physical activity or emotional stress?'], 'red_flags': ['Progressive decrease in exercise tolerance', 'Nocturnal symptoms'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'Age, gradual onset of palpitations with reduced exercise tolerance suggests possible cardiac arrhythmia requiring evaluation. Symptoms suggest rhythm disturbance rather than acute coronary syndrome, making routine cardiology evaluation appropriate.'}
|
{'id': 155, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:06.513497'}
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{'symptom_description': "I've been feeling my heart skip beats and flutter occasionally, especially when I'm trying to sleep at night. Sometimes I feel a bit lightheaded when it happens. I also get short of breath more easily when climbing stairs lately, which never used to be an issue. My Apple Watch shows my heart rate jumping between 55 and 110 randomly.", 'demographic_context': '48-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating; able to continue normal activities with some limitation on exercise'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain symptoms?', 'Is there any family history of heart disease or arrhythmias?', 'Are symptoms related to specific activities or times of day?'], 'red_flags': ['Episodes of lightheadedness with palpitations', 'Progressive exercise intolerance'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Sinus Node Dysfunction'], 'reasoning': 'Combination of palpitations, exercise intolerance, and documented heart rate variability suggests possible cardiac arrhythmia requiring evaluation with ECG, Holter monitoring, and cardiac assessment. Symptoms are stable and gradually progressive, making routine cardiology evaluation appropriate.'}
|
{'id': 156, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:14.090813'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs lately, which never used to happen. No chest pain, but I do feel more tired than usual.", 'demographic_context': '54-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities, mainly bothersome at night and during physical exertion'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any family members with heart conditions?', 'Do symptoms worsen with specific activities or times of day?', 'Are you taking any medications including over-the-counter drugs?'], 'red_flags': ['Progressive exercise intolerance', 'New onset arrhythmia symptoms'], 'possible_conditions': ['Paroxysmal Atrial Fibrillation', 'Premature Ventricular Contractions', 'Early stages of Heart Failure'], 'reasoning': 'Combination of palpitations, arrhythmia symptoms, and new onset exertional dyspnea in middle-aged patient warrants cardiac evaluation. Pattern suggests possible rhythm disorder requiring ECG monitoring and cardiac workup.'}
|
{'id': 157, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:21.186560'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually lasting a few minutes at a time. Sometimes it feels like my heart is racing or skipping beats. It mostly happens when I'm stressed at work or after drinking coffee. I also get a bit short of breath when climbing stairs lately.", 'demographic_context': '42 year old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities. No syncope or severe chest pain.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like chest pain or dizziness?', 'Does patient have history of thyroid disease or caffeine sensitivity?', 'Any family history of heart problems or sudden cardiac death?'], 'red_flags': ['Monitor for syncope or pre-syncope', 'Watch for sustained palpitations >24 hours'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Age, symptom pattern, and presence of palpitations with mild dyspnea warrant cardiac evaluation to rule out arrhythmia. While likely benign, proper cardiac workup needed to establish diagnosis and provide appropriate management.'}
|
{'id': 158, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:28.121551'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit lightheaded when I climb stairs, which never used to happen before. No real chest pain, just occasional discomfort and these weird palpitations.", 'demographic_context': '46-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities; mainly bothersome at night and during moderate exertion'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms during palpitations (sweating, chest pain, dizziness)?', 'Is there any family history of heart disease or sudden cardiac death?', 'Are symptoms related to caffeine intake or other triggers?'], 'red_flags': ['Lightheadedness during physical exertion', 'Progressive worsening of symptoms'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'Combination of palpitations and exertional symptoms warrants cardiac evaluation. Age and progressive nature of symptoms suggest need for proper rhythm assessment and structural heart evaluation, though presentation suggests non-emergency nature.'}
|
{'id': 159, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:35.603659'}
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{'symptom_description': "I've been having this weird fluttering feeling in my chest, especially when I'm trying to sleep at night. Sometimes it feels like my heart is skipping beats. I also get a bit short of breath when climbing stairs now, which never used to happen. No real chest pain, just occasional discomfort and I feel more tired than usual.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities. More pronounced during rest and mild exertion.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that make the symptoms worse?', 'Is there any family history of heart disease?', 'Are you currently taking any medications including over-the-counter ones?'], 'red_flags': ['Increasing frequency of palpitations', 'Progressive exercise intolerance'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Thyroid dysfunction'], 'reasoning': 'Combination of palpitations, exercise intolerance, and fatigue suggests possible cardiac arrhythmia or conduction abnormality requiring cardiology evaluation and likely Holter monitoring. Age and gradual onset support routine rather than urgent referral.'}
|
{'id': 160, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:42.865579'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. My heart feels like it's racing or skipping beats. It's not painful, just uncomfortable and makes me anxious when it occurs.", 'demographic_context': '42-year-old female', 'duration': 'Occurring intermittently for past 3 months', 'severity_context': 'Episodes last 5-10 minutes, happening 2-3 times per week. Able to continue normal activities but finding it distressing'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for these episodes (caffeine, alcohol, stress)?', 'Do you experience any shortness of breath during episodes?', 'Have you had any recent changes in medications?'], 'red_flags': ['Syncope or near-syncope during episodes', 'Family history of sudden cardiac death'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Supraventricular Tachycardia (PSVT)', 'Anxiety-induced palpitations'], 'reasoning': 'Symptoms suggest cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Pattern and presentation consistent with benign palpitations but requires confirmation and exclusion of more serious arrhythmias.'}
|
{'id': 161, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:50.136067'}
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{'symptom_description': "I've been having this tight feeling in my chest, mostly when I walk up stairs or do yard work. It goes away when I rest for a few minutes. Sometimes I feel a bit short of breath during these episodes. I've also noticed my ankles are slightly swollen by the end of the day. No pain radiating to arms or jaw, but it's concerning me.", 'demographic_context': '58-year-old male, overweight', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Moderate discomfort during physical activity, no symptoms at rest, able to perform daily activities with some limitations'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Do you have any history of heart disease in your family?', 'Are you taking any medications currently?', 'Have you noticed any palpitations or irregular heartbeats?'], 'red_flags': ['Progressive exertional chest discomfort', 'Lower extremity edema'], 'possible_conditions': ['Stable Angina', 'Early Heart Failure', 'Coronary Artery Disease'], 'reasoning': 'Progressive exertional chest discomfort with associated symptoms suggests stable angina pattern. Age, gender, and risk factors warrant cardiac evaluation. Symptoms are stable and predictable, making routine cardiology assessment appropriate.'}
|
{'id': 162, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:45:56.896760'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm at rest. Sometimes it feels like my heart is skipping beats. I also get a bit lightheaded when I climb stairs. Recently I've noticed I get more tired than usual during my regular activities.", 'demographic_context': '52-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, able to perform daily activities with some limitation'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any known triggers for the palpitations?', 'Is there any family history of heart disease?', 'Do symptoms worsen with physical activity?', 'Any recent changes in caffeine intake or stress levels?'], 'red_flags': ['Lightheadedness with exertion', 'Progressive fatigue'], 'possible_conditions': ['Premature Atrial Contractions', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Age, pattern of palpitations, and associated symptoms suggest possible cardiac arrhythmia requiring evaluation with ECG and Holter monitoring. While not immediately threatening, proper cardiac evaluation needed to rule out underlying rhythm disorders.'}
|
{'id': 163, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:46:04.267511'}
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{'symptom_description': "I've been having this fluttering feeling in my chest, especially when I climb stairs or do yard work. Sometimes I feel a bit lightheaded and need to sit down. My smartwatch shows my heart rate jumping up to 120-130 even with mild activity. I've also noticed I get more tired than usual during the day.", 'demographic_context': '47-year-old female', 'duration': 'Symptoms gradually developing over past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly with physical activity'}
|
{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Any family history of heart disease or arrhythmias?', 'Are symptoms associated with caffeine intake or stress?', 'Any history of thyroid problems?'], 'red_flags': ['Episodes of lightheadedness', 'Unexplained tachycardia with mild exertion'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia (PSVT)', 'Atrial Fibrillation', 'Inappropriate Sinus Tachycardia'], 'reasoning': 'Symptoms suggest possible cardiac arrhythmia requiring evaluation with ECG and possible Holter monitoring. Age and presentation pattern warrant cardiology workup to rule out structural heart disease and establish appropriate management plan.'}
|
{'id': 164, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:46:11.538279'}
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{'symptom_description': "I've been having this fluttering feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens. My heart seems to race for a few minutes and then goes back to normal. I've also noticed I get more tired than usual when climbing stairs.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Episodes occur 2-3 times per week, lasting 3-5 minutes each time. No fainting or severe chest pain. Able to continue daily activities but concerned.'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Routine', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that consistently cause the palpitations?', 'Is there any family history of heart problems or sudden cardiac death?', 'Have you noticed any correlation with caffeine intake or exercise?'], 'red_flags': ['Episodes of lightheadedness', 'Exercise intolerance developing'], 'possible_conditions': ['Paroxysmal Supraventricular Tachycardia (PSVT)', 'Premature Atrial Contractions', 'Anxiety-induced palpitations'], 'reasoning': 'Intermittent palpitations with associated symptoms suggest possible cardiac arrhythmia. While not immediately dangerous given the pattern and stability, evaluation needed to rule out structural heart disease and determine appropriate management.'}
|
{'id': 165, 'target_specialty': 'Cardiology', 'target_urgency': 'Routine', 'generated_timestamp': '2025-08-10T17:46:19.212474'}
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{'symptom_description': "I've been having this fluttering sensation in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, but it passes after a few minutes. I also notice my heart seems to race occasionally, especially after drinking coffee.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over the past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, able to continue normal activities'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Have you experienced any chest pain or pressure?', 'Do you have a family history of heart problems?'], 'red_flags': ['Episodes of lightheadedness', 'Increased frequency of palpitations'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Anxiety-related palpitations', 'Caffeine sensitivity'], 'reasoning': 'Pattern of palpitations with possible triggers suggests need for cardiac monitoring and evaluation, though stable presentation and absence of severe symptoms indicates non-urgent assessment is appropriate. Age and gender also place patient in a demographic where careful evaluation of heart rhythm is warranted.'}
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{'id': 166, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:46:26.489393'}
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{'symptom_description': "I've been feeling my heart skip beats and flutter occasionally, especially when I'm trying to sleep at night. Sometimes I feel a bit lightheaded when it happens, but it passes quickly. I can feel my pulse being irregular when I check it. No chest pain, but I do get somewhat anxious when it happens.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over the past 3 months', 'severity_context': 'Mild to moderate discomfort, no significant impact on daily activities, mainly noticeable at rest'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers for the palpitations (caffeine, stress, exercise)?', 'Has there been any recent change in thyroid medication or other medications?', 'Is there any family history of heart rhythm disorders?'], 'red_flags': ['Episodes of lightheadedness', 'Irregular pulse'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'The presence of irregular heartbeat with occasional lightheadedness warrants cardiac evaluation, though the absence of chest pain and stable vital signs suggests non-emergency observation. Age and gender also factor into risk assessment for various arrhythmias.'}
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{'id': 167, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:46:33.861910'}
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{'symptom_description': "I've been feeling my heart flutter and skip beats occasionally, especially when I'm trying to sleep at night. Sometimes I feel a bit lightheaded when I stand up quickly. I also notice my heart racing after climbing stairs, but it settles down after a few minutes. No chest pain, but I do feel tired more easily lately.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Mild to moderate impact on daily activities, no severe episodes, able to work normally'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any family members with heart conditions or sudden cardiac death?', 'Do symptoms worsen with exercise or specific activities?', 'Are you currently taking any medications including supplements?'], 'red_flags': ['Lightheadedness with positional changes', 'Increasing fatigue'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'Patient presents with cardiac symptoms suggesting possible arrhythmia. While symptoms are not severe or immediately threatening, evaluation by cardiology is appropriate for proper diagnosis and monitoring. Age and presentation pattern warrant professional assessment but not urgent intervention.'}
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{'id': 168, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:46:40.791561'}
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{'symptom_description': "I've been feeling my heart skip beats and flutter occasionally, especially when I'm trying to fall asleep at night. It's not painful, but I can definitely feel it and it makes me anxious. Sometimes I feel a bit lightheaded when it happens, but it passes quickly. I've also noticed I get more tired than usual when climbing stairs.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over the past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, mainly causing anxiety and mild activity limitation'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain symptoms?', 'Does the palpitation occur with physical exertion?', 'Is there any family history of heart disease or sudden cardiac death?'], 'red_flags': ['Lightheadedness during palpitations', 'New onset exercise intolerance'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-induced palpitations'], 'reasoning': 'The combination of palpitations, occasional lightheadedness, and exercise intolerance warrants cardiac evaluation. While likely benign, these symptoms need monitoring and possible Holter monitoring to rule out concerning arrhythmias.'}
|
{'id': 169, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:46:47.789682'}
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{'symptom_description': "I've been noticing my heart seems to flutter or skip beats occasionally, especially when I'm trying to relax in the evening. It's not painful, but I can definitely feel it and it makes me a bit anxious. Sometimes I feel slightly lightheaded when it happens, but it passes quickly. I've also noticed I get more tired than usual when climbing stairs.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over the past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities; no chest pain or severe shortness of breath'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any triggers that seem to bring on the palpitations?', 'Have you had any recent changes in caffeine intake or stress levels?', 'Do you have any family history of heart problems?'], 'red_flags': ['Episodes of lightheadedness', 'Increasing fatigue with exertion'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'The combination of palpitations, occasional lightheadedness, and exercise intolerance warrants cardiac evaluation. While symptoms are not severe or immediately concerning, proper assessment of rhythm disturbances is important for appropriate management and to rule out underlying cardiac conditions.'}
|
{'id': 170, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:46:54.792604'}
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{'symptom_description': "I've been feeling my heart flutter and skip beats occasionally, especially when I'm trying to sleep at night. Sometimes I feel a bit lightheaded when it happens, but it usually passes quickly. I also notice I get more tired than usual when climbing stairs.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are noticeable but not severely limiting daily activities; no fainting episodes'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any family members with heart conditions or sudden cardiac death?', 'Do symptoms worsen with exercise or specific activities?', 'Are you currently taking any medications including over-the-counter?'], 'red_flags': ['Lightheadedness accompanying palpitations', 'Exercise-related fatigue'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Patient presents with cardiac symptoms including palpitations and exercise intolerance requiring rhythm assessment and cardiac evaluation. While not urgent, monitoring is needed to rule out significant arrhythmias and assess cardiovascular fitness.'}
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{'id': 171, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:02.124044'}
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{'symptom_description': "I've been having this fluttering sensation in my chest occasionally, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, but it goes away after a few minutes. I also notice my heart seems to race more than usual when I climb stairs.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are mild to moderate, not interfering with daily activities but causing anxiety'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated symptoms like chest pain or shortness of breath?', 'Does the palpitation occur at rest or with exertion?', 'Is there any family history of heart disease or sudden cardiac death?'], 'red_flags': ['Episodes of lightheadedness', 'Increasing frequency of palpitations'], 'possible_conditions': ['Premature Atrial Contractions', 'Anxiety-induced palpitations', 'Paroxysmal Supraventricular Tachycardia'], 'reasoning': 'Patient presents with cardiac symptoms (palpitations, exercise-related tachycardia) requiring evaluation of cardiac rhythm and structure. While not urgent, symptoms warrant cardiology assessment to rule out arrhythmias and establish baseline cardiac function.'}
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{'id': 172, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:09.160228'}
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{'symptom_description': "I've been having this fluttering sensation in my chest, mostly when I'm trying to relax in the evening. Sometimes it feels like my heart skips a beat. It's not painful, but it makes me feel anxious when it happens. I've also noticed I get a bit more short of breath when climbing stairs lately, but it goes away quickly when I rest.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over the past 3 months', 'severity_context': 'Mild to moderate, not interfering with daily activities but causing anxiety'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Is there any family history of heart disease?', 'Are there any associated symptoms like dizziness or chest pain?'], 'red_flags': ['Progressive shortness of breath', 'Family history of sudden cardiac death'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'The combination of palpitations and mild dyspnea warrants cardiac evaluation to rule out arrhythmias. While symptoms are mild and likely benign, proper diagnosis is important for appropriate management and patient reassurance.'}
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{'id': 173, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:16.256988'}
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{'symptom_description': "I've been having these occasional fluttering sensations in my chest, especially when I'm trying to sleep at night. Sometimes I feel a bit lightheaded when I stand up quickly. I've also noticed my heart seems to skip beats now and then. It's not painful, just uncomfortable and makes me anxious when it happens.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are mild to moderate, not interfering with daily activities but causing anxiety and sleep disruption'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers or activities?', 'Is there any family history of heart conditions or sudden cardiac death?', 'Are there any associated symptoms like chest pain or shortness of breath?'], 'red_flags': ['Episodes of lightheadedness with positional changes', 'Irregular heart rhythm sensations'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Benign Palpitations', 'Paroxysmal Atrial Fibrillation'], 'reasoning': 'Patient presents with classic symptoms of cardiac rhythm disturbances requiring evaluation. While symptoms suggest benign nature, proper cardiac workup including ECG and possible Holter monitoring is warranted to rule out significant arrhythmias.'}
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{'id': 174, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:23.367879'}
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{'symptom_description': "I've been having this fluttering sensation in my chest that comes and goes, usually when I'm stressed at work. Sometimes I feel a bit lightheaded when it happens, but it passes after a few minutes. I've also noticed I get more tired than usual climbing the stairs lately.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are bothersome but not severely limiting daily activities, no syncope or severe chest pain'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers?', 'Have you experienced any chest pain or pressure?', 'Is there any family history of heart disease or sudden cardiac death?'], 'red_flags': ['Progressive fatigue with exertion', 'Episodes of lightheadedness'], 'possible_conditions': ['Premature Atrial Contractions (PACs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations, exertional fatigue, and lightheadedness warrants cardiac evaluation to rule out arrhythmias and assess cardiac function, though presentation suggests non-emergency nature'}
|
{'id': 175, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:30.285240'}
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{'symptom_description': "I've been feeling my heart flutter and skip beats occasionally, especially when I'm trying to fall asleep at night. Sometimes I feel a bit lightheaded when it happens, but it usually passes quickly. I also notice I get somewhat short of breath when climbing stairs, but I can still complete my daily activities.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Mild to moderate impact on daily life, no severe episodes, able to continue normal activities'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain symptoms?', 'Do symptoms worsen with physical activity?', 'Is there any family history of heart disease or sudden cardiac death?'], 'red_flags': ['Episodes of lightheadedness', 'Progressive exercise intolerance'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Patient presents with cardiac symptoms including palpitations and mild exercise intolerance requiring cardiac evaluation. While not immediately threatening, these symptoms warrant investigation to rule out underlying arrhythmias or structural heart disease. The combination of palpitations with lightheadedness suggests cardiac monitoring would be appropriate.'}
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{'id': 176, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:37.437147'}
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{'symptom_description': "I've been having this fluttery feeling in my chest that comes and goes, usually when I'm stressed at work. Sometimes it feels like my heart skips a beat. It's not painful, just uncomfortable and makes me feel anxious when it happens. I also notice I get a bit more out of breath climbing stairs than I used to.", 'demographic_context': '42-year-old female, office worker, moderately active', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Symptoms are mild to moderate, not interfering with daily activities but causing anxiety'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Do the palpitations occur at specific times or with specific triggers?', 'Is there any family history of heart disease or arrhythmias?', 'Are there any associated symptoms like dizziness or chest pain?'], 'red_flags': ['Increasing frequency of episodes', 'New onset shortness of breath with exertion'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Anxiety-related palpitations'], 'reasoning': 'Combination of palpitations and mild exertional symptoms warrants cardiac evaluation to rule out arrhythmias. While likely benign given patient age and presentation, proper cardiac workup needed to ensure no underlying structural heart disease or significant arrhythmia.'}
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{'id': 177, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:45.105635'}
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{'symptom_description': "I've been feeling my heart sort of flutter and skip beats occasionally, especially when I'm trying to relax in the evening. It's not painful, but I can definitely feel it and it makes me a bit anxious. Sometimes I feel slightly lightheaded when it happens, but it passes quickly.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over the past 3 months', 'severity_context': 'Noticeable but not interfering with daily activities, no associated chest pain or severe symptoms'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers (caffeine, stress, exercise)?', 'Have you experienced any syncope or near-syncope episodes?', 'Is there any family history of heart conditions or sudden cardiac death?'], 'red_flags': ['Episodes of lightheadedness, though brief', 'Increasing frequency of palpitations'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'Patient presents with palpitations and occasional lightheadedness requiring cardiac evaluation. While symptoms suggest benign nature, proper assessment needed to rule out arrhythmias. Age and symptom pattern warrant cardiologist review but not urgent intervention.'}
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{'id': 178, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:47:52.814560'}
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{'symptom_description': "I've been feeling my heart flutter and skip beats occasionally, especially when I'm trying to relax in the evening. Sometimes I feel a bit lightheaded when it happens. It's not painful, just uncomfortable and makes me anxious when it occurs. I can usually feel my heart doing extra beats or pausing briefly.", 'demographic_context': '42-year-old female', 'duration': 'Intermittent episodes over the past 3 months', 'severity_context': 'Symptoms are noticeable but not debilitating, no impact on daily activities, mainly causing anxiety'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are the palpitations associated with any specific triggers (caffeine, stress, exercise)?', 'Have you experienced any chest pain or shortness of breath with these episodes?', 'Do you have any family history of heart conditions?'], 'red_flags': ['Lightheadedness during episodes', 'Increasing frequency of episodes'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Benign Palpitations', 'Paroxysmal Supraventricular Tachycardia (PSVT)'], 'reasoning': 'Pattern suggests possible cardiac arrhythmia requiring evaluation, but stable presentation and absence of severe symptoms indicates non-urgent cardiology assessment is appropriate. Holter monitoring and basic cardiac workup needed to rule out significant arrhythmias.'}
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{'id': 179, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:48:00.802814'}
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{'symptom_description': "I've been feeling my heart flutter and skip beats occasionally, especially when I'm trying to sleep at night. Sometimes I feel a bit lightheaded when it happens, but it passes quickly. I also notice I get more tired than usual when climbing stairs, but I can still do my normal activities.", 'demographic_context': '42-year-old female', 'duration': 'Symptoms occurring intermittently for past 3 months', 'severity_context': 'Mild to moderate impact on daily activities, no severe episodes, able to continue working and regular activities'}
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{'primary_specialty': 'Cardiology', 'urgency_level': 'Observation', 'confidence_score': 0.85, 'secondary_specialty': 'Internal Medicine', 'critical_questions': ['Are there any associated chest pain symptoms?', 'Is there any family history of heart disease or sudden cardiac death?', 'Do the palpitations occur with physical exertion?'], 'red_flags': ['Development of syncope or near-syncope', 'Sudden worsening of symptoms'], 'possible_conditions': ['Premature Ventricular Contractions (PVCs)', 'Paroxysmal Atrial Fibrillation', 'Benign Palpitations'], 'reasoning': 'Combination of palpitations, mild exercise intolerance, and intermittent symptoms suggests possible cardiac arrhythmia requiring evaluation but not urgent intervention given stable presentation and absence of severe symptoms'}
|
{'id': 180, 'target_specialty': 'Cardiology', 'target_urgency': 'Observation', 'generated_timestamp': '2025-08-10T17:48:08.071065'}
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{'symptom_description': "I've been having severe crushing chest pain radiating to my left arm and jaw for the last hour. I'm sweating a lot, feel really short of breath, and nauseous. The pain is much worse than anything I've felt before. I took some antacids thinking it was heartburn but it's not helping at all.", 'demographic_context': '58-year-old male', 'duration': '1 hour and worsening', 'severity_context': 'Severe pain rated 9/10, patient appears distressed and diaphoretic, having difficulty speaking full sentences'}
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{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any previous history of heart problems or similar episodes?', 'Current medications, especially blood thinners?', 'Family history of early heart disease?', 'Any cocaine or stimulant use?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Radiation to arm and jaw', 'Associated symptoms: diaphoresis, dyspnea, nausea', 'Duration > 30 minutes'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggests acute coronary syndrome requiring immediate emergency evaluation. Classic symptoms of MI with multiple high-risk features necessitate immediate ECG, cardiac biomarkers, and potential emergency cardiac catheterization.'}
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{'id': 181, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:48:15.768165'}
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{'symptom_description': "I woke up an hour ago with the worst chest pain I've ever felt - like an elephant sitting on my chest. The pain is spreading to my left arm and jaw. I'm sweating a lot, feel really short of breath, and nauseous. I took some antacids thinking it was heartburn but it's not helping at all. I've never felt anything like this before.", 'demographic_context': '58-year-old male', 'duration': 'Acute onset 1 hour ago', 'severity_context': 'Severe crushing chest pain 8/10, with associated symptoms causing significant distress'}
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{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any prior history of heart disease or cardiac events?', 'Current medications, especially blood thinners?', 'Any cocaine or stimulant use?', 'Family history of early cardiac death?'], 'red_flags': ['Classic signs of acute myocardial infarction', 'Radiation of pain to arm and jaw', 'Associated autonomic symptoms', 'Acute onset in high-risk demographic'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggests acute coronary syndrome requiring immediate emergency evaluation. Classic symptoms in high-risk demographic with multiple concerning associated symptoms warrant immediate ECG, cardiac biomarkers, and potential cardiac catheterization.'}
|
{'id': 182, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:48:23.276029'}
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{'symptom_description': 'Started having severe crushing chest pain that radiates to my left arm and jaw about 30 minutes ago. Feel very short of breath, sweating a lot, and nauseous. Taking deep breaths makes the pain worse. Never felt anything like this before. Also feeling lightheaded and very anxious.', 'demographic_context': '58-year-old male', 'duration': '30 minutes and ongoing', 'severity_context': 'Severe pain rated 9/10, having difficulty speaking full sentences due to breathlessness, feels like an elephant sitting on chest'}
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{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any previous history of heart problems or heart attacks?', 'Do you have any known risk factors (diabetes, high blood pressure, smoking)?', 'Have you taken any medications to try to relieve the pain?', 'Any cocaine or stimulant use?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Radiation of pain to jaw and left arm', 'Acute onset with associated autonomic symptoms', 'Shortness of breath and diaphoresis'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggests acute coronary syndrome requiring immediate emergency evaluation. Classic symptoms with multiple high-risk features necessitate immediate ECG, cardiac biomarkers, and potential emergency cardiac catheterization.'}
|
{'id': 183, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:48:31.316229'}
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{'symptom_description': "I woke up with extreme chest pain that feels like crushing pressure and it's radiating down my left arm. I'm sweating a lot, feel really short of breath, and very nauseated. The pain is much worse than any heartburn I've had before. I also feel lightheaded and weak.", 'demographic_context': '58-year-old male', 'duration': 'Started 45 minutes ago', 'severity_context': 'Pain is 9/10, getting worse, can barely move or speak due to pain and breathlessness'}
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{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any history of heart disease or previous cardiac events?', 'Any medications currently taking?', 'Family history of early heart attacks?', 'Any cocaine or stimulant use?'], 'red_flags': ['Chest pain with radiation to left arm', 'Diaphoresis and shortness of breath', 'Associated nausea and lightheadedness', 'Age and gender risk profile'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Acute Coronary Syndrome'], 'reasoning': 'Classic presentation of acute myocardial infarction with typical symptoms requiring immediate emergency evaluation, ECG, cardiac enzymes, and likely urgent cardiac catheterization. Time-critical condition where delays increase mortality risk.'}
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{'id': 184, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:48:38.739934'}
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{'symptom_description': 'Sudden severe crushing chest pain radiating to left arm and jaw, started while watching TV. Feel very short of breath, sweating profusely, and extremely nauseated. Also feeling lightheaded and weak. Have never felt pain this bad before.', 'demographic_context': '62-year-old male', 'duration': 'Started 45 minutes ago and getting worse', 'severity_context': 'Pain is 9/10, can barely speak full sentences, had to sit down immediately and cannot move due to pain'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any previous history of heart problems or similar pain?', 'Do you take any blood thinners or heart medications?', 'Any recent physical exertion or emotional stress?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Respiratory distress', 'Diaphoresis with associated symptoms', 'Duration >30 minutes without relief'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggests acute coronary syndrome requiring immediate emergency evaluation. Classic symptoms of MI with multiple high-risk features requiring immediate ECG, cardiac biomarkers, and potential emergency reperfusion therapy.'}
|
{'id': 185, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:48:46.371329'}
|
{'symptom_description': "Severe crushing chest pain radiating to left arm and jaw, started while watching TV. Feel sweaty, nauseous, and short of breath. Can't get comfortable and feel like there's a heavy weight on my chest. Never felt pain like this before.", 'demographic_context': '58-year-old male, overweight', 'duration': 'Started 45 minutes ago, getting progressively worse', 'severity_context': 'Pain is 9/10, can barely speak full sentences, having trouble staying still'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Do you have any history of heart problems or previous heart attacks?', 'Are you taking any blood thinners or heart medications?', 'Any cocaine or stimulant use recently?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Diaphoresis with chest pain', 'Duration >30 minutes', 'Progressive worsening'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggestive of acute coronary syndrome requiring immediate emergency intervention. Classic symptoms of MI with high-risk features necessitating immediate ECG, cardiac biomarkers, and potential emergency catheterization lab activation.'}
|
{'id': 186, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:48:53.602091'}
|
{'symptom_description': "I suddenly started having severe crushing chest pain that radiates down my left arm and up into my jaw. I'm sweating a lot, feel very short of breath, and extremely nauseated. The pain feels like an elephant is sitting on my chest. I've never felt anything like this before.", 'demographic_context': '62-year-old male', 'duration': 'Started 45 minutes ago and getting worse', 'severity_context': 'Pain is 9/10, can barely speak, having trouble catching breath, feeling lightheaded'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Do you have any history of heart problems?', 'Have you taken any medications for the pain?', 'Is there any family history of heart disease?', 'Did you experience any preceding physical exertion?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Radiation of pain to arm and jaw', 'Associated symptoms (diaphoresis, dyspnea, nausea)', 'Age and gender risk factors'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggests acute coronary syndrome requiring immediate emergency intervention. Classic symptoms, demographic risk factors, and sudden onset mandate immediate ECG, cardiac biomarkers, and potential emergency cardiac catheterization.'}
|
{'id': 187, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:49:00.932471'}
|
{'symptom_description': "I was working in my garden when I suddenly felt intense chest pain radiating down my left arm and up into my jaw. I'm very sweaty, nauseated, and having trouble catching my breath. The pain feels like heavy pressure, like an elephant sitting on my chest. I've never felt anything like this before.", 'demographic_context': '67-year-old male', 'duration': 'Started 45 minutes ago and continuing', 'severity_context': 'Severe pain rated 9/10, causing significant distress and inability to move comfortably'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Do you have any history of heart disease or previous heart attacks?', 'Are you taking any blood thinners or heart medications?', 'Have you taken any medication to try to relieve the pain?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Duration over 30 minutes', 'Associated symptoms (diaphoresis, dyspnea, nausea)', 'Age and gender risk factors'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggests acute coronary syndrome requiring immediate emergency intervention. Classic symptoms combined with risk factors (age, gender) warrant immediate ECG, cardiac biomarkers, and potential cardiac catheterization.'}
|
{'id': 188, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:49:09.724694'}
|
{'symptom_description': "I've been having severe crushing chest pain radiating to my left arm and jaw for the last hour. I'm sweating a lot, feel really short of breath, and very nauseated. The pain feels like an elephant sitting on my chest. I took some antacids thinking it was heartburn but it's not helping at all. I've never felt anything this bad before.", 'demographic_context': '58-year-old male', 'duration': '1 hour and worsening', 'severity_context': 'Severe pain rated 9/10, causing significant distress, unable to find comfortable position'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any previous history of heart problems or similar episodes?', 'Current medications, especially blood thinners?', 'Any recent cocaine or stimulant use?', 'Family history of early heart disease?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Radiation to arm and jaw', 'Associated autonomic symptoms (diaphoresis, nausea)', 'Duration over 30 minutes'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggestive of acute coronary syndrome requiring immediate emergency evaluation. Classic symptoms with multiple high-risk features necessitate immediate ECG, cardiac biomarkers, and potential emergency cardiac catheterization.'}
|
{'id': 189, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:49:17.501946'}
|
{'symptom_description': "I'm having severe crushing chest pain radiating to my left arm and jaw. Feel very short of breath and sweating a lot. Also really nauseous and dizzy. The pain is like nothing I've ever felt before - feels like an elephant sitting on my chest.", 'demographic_context': '58-year-old male', 'duration': 'Started suddenly about 45 minutes ago while walking up stairs', 'severity_context': 'Pain is 9/10, getting worse, can barely speak full sentences due to breathlessness'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any previous heart problems or cardiac history?', 'Any family history of early heart disease?', 'Are you taking any blood thinners or heart medications?', 'Any cocaine or stimulant use?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Diaphoresis with chest pain', 'Progressive worsening of symptoms', 'Associated shortness of breath'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Aortic Dissection'], 'reasoning': 'Classic presentation of acute coronary syndrome requiring immediate emergency evaluation and intervention. Combination of typical chest pain, radiation pattern, associated symptoms and demographic risk factors strongly suggests acute cardiac event requiring immediate ECG, cardiac biomarkers, and possible emergency cardiac catheterization.'}
|
{'id': 190, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:49:25.691710'}
|
{'symptom_description': "I woke up with the worst headache of my life about an hour ago. The pain is unbearable, like someone's drilling into my skull. I vomited twice and my neck feels really stiff. The light is killing my eyes and I'm having trouble focusing. My vision seems a bit blurry on the right side.", 'demographic_context': '42-year-old female', 'duration': 'Sudden onset 1 hour ago', 'severity_context': "Patient rates pain 10/10, describes it as 'worst headache ever experienced', causing vomiting and photophobia"}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.95, 'secondary_specialty': 'Neurology', 'critical_questions': ['Any recent trauma or injury to head/neck?', 'Any history of migraines or similar headaches?', 'Any weakness or numbness on one side of body?', 'Any recent blood pressure issues?'], 'red_flags': ['Thunderclap headache with sudden onset', 'Neck stiffness', 'Neurological symptoms (visual changes)', 'Associated vomiting'], 'possible_conditions': ['Subarachnoid hemorrhage', 'Meningitis', 'Cerebral venous thrombosis'], 'reasoning': 'Sudden onset severe headache with neurological symptoms, neck stiffness, and vomiting strongly suggests possible subarachnoid hemorrhage or other acute intracranial event requiring immediate emergency evaluation and neuroimaging'}
|
{'id': 191, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:49:32.963758'}
|
{'symptom_description': "I've been having severe crushing chest pain radiating to my left arm and jaw for the last hour. I'm sweating a lot, feel very nauseous, and can barely catch my breath. The pain is much worse than any heartburn I've had before. I tried taking antacids but they didn't help at all. I also feel lightheaded and my heart is racing.", 'demographic_context': '58-year-old male', 'duration': '1 hour and worsening', 'severity_context': 'Severe pain rated 9/10, causing significant distress, difficulty breathing, and inability to find comfortable position'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Emergency', 'confidence_score': 0.98, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Do you have any history of heart problems or previous heart attacks?', 'Are you taking any blood thinners or heart medications?', 'Do you have any risk factors like diabetes, high blood pressure, or smoking?'], 'red_flags': ['Classic symptoms of acute myocardial infarction', 'Radiation of pain to arm and jaw', 'Associated symptoms: diaphoresis, dyspnea, nausea', 'Acute onset with severe intensity'], 'possible_conditions': ['Acute Myocardial Infarction', 'Unstable Angina', 'Acute Coronary Syndrome'], 'reasoning': 'Presentation strongly suggests acute cardiac event requiring immediate emergency evaluation. Classic symptoms of MI with multiple high-risk features necessitate immediate ECG, cardiac biomarkers, and potential emergency cardiac intervention.'}
|
{'id': 192, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Emergency', 'generated_timestamp': '2025-08-10T17:49:40.611883'}
|
{'symptom_description': "I started having severe chest pain that radiates down my left arm about an hour ago. It feels like a heavy pressure, like an elephant sitting on my chest. I'm also feeling really sweaty and nauseated. The pain gets worse when I try to move around. I've never felt anything like this before.", 'demographic_context': '58-year-old male', 'duration': '1 hour', 'severity_context': 'Pain rated 8/10, causing significant distress, limiting movement, patient appears anxious and diaphoretic'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any history of heart disease or previous cardiac events?', 'Current medications, especially blood thinners?', 'Any recent cocaine or stimulant use?', 'Family history of early heart disease?'], 'red_flags': ['Chest pain with radiation to left arm', 'Diaphoresis and nausea', 'Age and gender risk profile', 'Acute onset with significant severity'], 'possible_conditions': ['Acute Coronary Syndrome', 'Unstable Angina', 'Myocardial Infarction'], 'reasoning': 'Presentation strongly suggests acute cardiac event requiring immediate evaluation. Classic symptoms of ACS/MI in high-risk demographic. Requires immediate ECG, cardiac enzymes, and potential cardiac intervention.'}
|
{'id': 193, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:49:47.842995'}
|
{'symptom_description': "I started feeling really tight chest pain about an hour ago, like something heavy sitting on my chest. It's spreading into my left arm and I feel kind of nauseous. I'm also sweating a lot even though I'm just sitting here. I took some antacids thinking it was heartburn but it's not helping at all.", 'demographic_context': '58 year old male', 'duration': 'Symptoms started approximately 1 hour ago', 'severity_context': 'Pain rated 7/10, worsening with minimal exertion, causing significant distress'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any prior history of heart problems or similar episodes?', 'Do you have any risk factors like diabetes, high blood pressure, or smoking?', 'Have you taken any medications besides antacids for this?'], 'red_flags': ['Chest pain radiating to left arm', 'Associated diaphoresis and nausea', 'No relief with antacids'], 'possible_conditions': ['Acute Coronary Syndrome', 'Unstable Angina', 'Myocardial Infarction'], 'reasoning': 'Presentation strongly suggests acute cardiac event requiring immediate evaluation. Classic symptoms of chest pain with radiation, associated symptoms, and risk factors based on demographic warrant urgent cardiac workup and monitoring.'}
|
{'id': 194, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:49:55.039903'}
|
{'symptom_description': "I've been having really bad chest pain that started suddenly about 2 hours ago. It feels like intense pressure and squeezing in the middle of my chest. The pain is also going down my left arm and up into my jaw. I'm feeling really sweaty and nauseous, and I'm having trouble catching my breath. I tried taking some antacids thinking it was heartburn but it didn't help at all.", 'demographic_context': '58-year-old male', 'duration': '2 hours', 'severity_context': 'Severe pain rated 8/10, causing significant distress and anxiety, limiting ability to move or lie flat'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any history of heart disease or previous cardiac events?', 'Do you have any risk factors like high blood pressure, diabetes, or smoking?', 'Have you taken any medications for the pain?'], 'red_flags': ['Radiating chest pain with associated symptoms', 'Diaphoresis and shortness of breath', 'Age and gender risk profile'], 'possible_conditions': ['Acute Coronary Syndrome', 'Unstable Angina', 'Myocardial Infarction'], 'reasoning': 'Presentation strongly suggests acute cardiac event requiring immediate evaluation. Classic symptoms of cardiac ischemia in high-risk demographic with multiple concerning associated symptoms necessitate urgent emergency assessment and intervention.'}
|
{'id': 195, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:50:02.053996'}
|
{'symptom_description': "I've been having intense chest pain that started about 2 hours ago. It feels like pressure in the middle of my chest and it's radiating down my left arm. I'm also feeling really sweaty and nauseous. I tried taking antacids thinking it was heartburn but it's not helping at all. I'm really worried because my father had a heart attack at my age.", 'demographic_context': '58-year-old male', 'duration': '2 hours and ongoing', 'severity_context': 'Pain rated 7/10, causing significant distress, impacting ability to perform normal activities'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Is there any shortness of breath?', 'Any history of heart disease or previous cardiac events?', 'Are you currently taking any blood thinners or heart medications?'], 'red_flags': ['Chest pain with radiation to left arm', 'Associated symptoms (diaphoresis, nausea)', 'Family history of early cardiac events'], 'possible_conditions': ['Acute Coronary Syndrome', 'Unstable Angina', 'Myocardial Infarction'], 'reasoning': 'Presentation of acute chest pain with classic cardiac features (radiation to left arm, associated symptoms) in middle-aged male with family history requires immediate evaluation to rule out acute cardiac event. Urgent rather than emergency due to maintained stability but requires prompt assessment.'}
|
{'id': 196, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:50:09.382511'}
|
{'symptom_description': "I've been having intense pain in my lower right abdomen since early this morning. It started as a dull ache around my belly button but moved to the right side and has gotten much worse. I feel nauseous and threw up twice. I have no appetite and it hurts more when I walk or cough. I also have a low fever.", 'demographic_context': '23-year-old male', 'duration': '12 hours and progressively worsening', 'severity_context': 'Pain is 8/10, making it difficult to walk normally or find a comfortable position'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.89, 'secondary_specialty': 'General Surgery', 'critical_questions': ['Has there been any migration of the pain from the umbilical area to the right lower quadrant?', 'Have you experienced similar pain before?', 'Any recent changes in bowel habits or urination?', 'Any recent trauma or similar symptoms in family/contacts?'], 'red_flags': ['Progressive worsening of localized right lower quadrant pain', 'Presence of fever with localized abdominal pain', 'Rebound tenderness if present'], 'possible_conditions': ['Acute Appendicitis', 'Mesenteric Adenitis', 'Right-sided Diverticulitis'], 'reasoning': 'Presentation strongly suggests acute appendicitis requiring urgent surgical evaluation. The classical migration of periumbilical pain to RLQ, combined with fever, nausea, and progressive worsening warrants immediate assessment to prevent potential perforation.'}
|
{'id': 197, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:50:17.404152'}
|
{'symptom_description': "Woke up with severe upper right abdominal pain that's been getting worse over the day. The pain radiates to my back and right shoulder. I've vomited twice and can't keep anything down. Feel feverish and shaky. The pain is really sharp and gets worse when I move or take deep breaths.", 'demographic_context': '42 year old female', 'duration': 'Pain started 8 hours ago, progressively worsening', 'severity_context': 'Pain rated 8/10, causing significant distress, unable to find comfortable position'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.89, 'secondary_specialty': 'General Surgery', 'critical_questions': ['Have you had similar pain before or any history of gallstones?', 'Have you noticed any yellowing of your skin or eyes?', 'Any recent fatty meals or alcohol consumption?'], 'red_flags': ['Acute severe right upper quadrant pain with radiation', 'Associated fever and vomiting', 'Signs of systemic inflammatory response'], 'possible_conditions': ['Acute cholecystitis', 'Choledocholithiasis', 'Acute pancreatitis'], 'reasoning': 'Presentation strongly suggests acute biliary pathology requiring urgent evaluation. Combination of RUQ pain, fever, and vomiting with characteristic radiation pattern indicates need for immediate imaging and possible surgical consultation.'}
|
{'id': 198, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:50:24.340408'}
|
{'symptom_description': "I've been having intense chest pain and tightness that started while I was exercising at the gym. The pain is radiating down my left arm and into my jaw. I feel really sweaty and nauseous, and I'm having trouble catching my breath. I took some antacids thinking it was heartburn but it's not helping at all.", 'demographic_context': '54-year-old male', 'duration': 'Started 45 minutes ago, progressively worsening', 'severity_context': 'Pain is 8/10, making it difficult to move or concentrate. Feeling anxious and lightheaded.'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.95, 'secondary_specialty': 'Cardiology', 'critical_questions': ['Any history of heart disease or previous cardiac events?', 'Any family history of early heart disease?', 'Are you currently taking any medications?', 'Do you have any risk factors like diabetes, high blood pressure, or high cholesterol?'], 'red_flags': ['Chest pain with radiation to arm and jaw', 'Associated symptoms: sweating, nausea, shortness of breath', 'Age and presentation consistent with ACS'], 'possible_conditions': ['Acute Coronary Syndrome', 'Unstable Angina', 'Myocardial Infarction', 'Aortic Dissection'], 'reasoning': 'Presentation strongly suggests acute cardiac event requiring immediate evaluation. Pattern of symptoms, age, and risk profile warrant urgent cardiac workup including ECG, troponins, and possible cardiac catheterization.'}
|
{'id': 199, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:50:31.843740'}
|
{'symptom_description': "I've been having severe stomach pain in my lower right side since early this morning. It started around my belly button but moved to the right. Now it really hurts to walk or cough. I felt nauseous and threw up twice today. I've completely lost my appetite and have a low fever.", 'demographic_context': '23 year old male', 'duration': '12 hours and progressively worsening', 'severity_context': 'Pain is 7/10, sharp and constant, significantly worse with movement'}
|
{'primary_specialty': 'Emergency Medicine', 'urgency_level': 'Urgent', 'confidence_score': 0.89, 'secondary_specialty': 'General Surgery', 'critical_questions': ['Has the pain migrated from another location?', 'Have you had similar pain before?', 'Any recent trauma to the abdomen?', 'Any changes in bowel movements or urination?'], 'red_flags': ['Migration of pain to right lower quadrant', 'Fever with localized abdominal pain', 'Progressive worsening over hours', 'Rebound tenderness'], 'possible_conditions': ['Acute Appendicitis', 'Mesenteric Adenitis', 'Right-sided Diverticulitis'], 'reasoning': 'Presentation strongly suggests acute appendicitis with classic migration of periumbilical pain to RLQ, associated symptoms of fever, nausea/vomiting, and progressive worsening. Requires urgent surgical evaluation and likely imaging.'}
|
{'id': 200, 'target_specialty': 'Emergency Medicine', 'target_urgency': 'Urgent', 'generated_timestamp': '2025-08-10T17:50:39.526442'}
|
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