Dialogue rounds: 1
Student: Hello Mr. Zhang, I'm Dr. Zhang, I'm here to see you now, may I ask what's wrong with you?
2024-10-27 20:15:00
I have a stomachache.
2024-10-27 20:15:01
Dialogue rounds: 2
STUDENT: Can you describe specifically where it hurts?
2024-10-27 20:15:25
AI: Upper and middle abdominal pain
2024-10-27 20:15:26
Dialogue rounds: 3
STUDENT: Can you describe the nature of the pain, e.g. burning pain, cutting pain
2024-10-27 20:16:32
AI: Cauterizing pain
2024-10-27 20:16:33
Dialogue rounds: 4
STUDENT: If pain was rated on a scale of 1-10, with a higher number representing more pain, what would you rate your pain
2024-10-27 20:17:21
AI: 5-6
2024-10-27 20:17:24
Dialogue rounds: 5
STUDENT: When did the pain start for you?
2024-10-27 20:17:50
AI: This one was a week ago.
2024-10-27 20:17:51
Dialogue rounds: 6
STUDENT: Did you do anything a week ago that might have caused your stomach to hurt?
2024-10-27 20:18:48
AI: Drinking too much for socializing.
2024-10-27 20:18:49
Dialogue rounds: 7
STUDENT: Does it hurt all the time or in bursts?
2024-10-27 20:19:30
AI: It's been hurting for a week.
2024-10-27 20:19:31
Dialogue rounds: 8
STUDENT: How many times a day do you usually have an attack?
2024-10-27 20:20:33
AI: It's been hurting for a week.
2024-10-27 20:20:34
Dialogue rounds: 9
Students: will the activity intensify?
2024-10-27 20:20:52
AI: Activity will not intensify
2024-10-27 20:20:53
Dialogue rounds: 10
STUDENT: Is there any way to relieve your pain, like lying down or eating something
2024-10-27 20:21:22
AI: No, it's always been like this, and this time the pills didn't help.
2024-10-27 20:21:23
Dialogue rounds: 11
STUDENT: Are there times of the day when it intensifies?
2024-10-27 20:21:54
AI: heavier after eating
2024-10-27 20:21:55
Dialogue rounds: 12
STUDENT: Have you had diarrhea this week?
2024-10-27 20:23:00
AI: No
2024-10-27 20:23:01
Dialogue rounds: 13
STUDENT: Has there been any occurrence of black stools
2024-10-27 20:23:15
AI: Yes, this week I had 5 black stools intermittently.
2024-10-27 20:23:17
Dialogue rounds: 14
Student: Is the amount of black stool normal
2024-10-27 20:23:46
AI: about 200-300g/times
2024-10-27 20:23:49
Dialogue rounds: 15
Student: How about the texture of the black stool
2024-10-27 20:39:02
AI: Black and shiny, much like the asphalt.
2024-10-27 20:39:03
Dialogue rounds: 16
STUDENT: Does black stool have any particular odor?
2024-10-27 20:39:34
AI: No specific odor
2024-10-27 20:39:36
Dialogue rounds: 17
STUDENT: Any dizziness or fatigue this week?
2024-10-27 20:40:52
AI: Yes, there has been dizziness and fatigue this week.
2024-10-27 20:40:53
Dialogue rounds: 18
STUDENT: When do the symptoms of dizziness and weakness usually occur?
2024-10-27 20:41:13
AI: There has been dizziness and lethargy all week.
2024-10-27 20:41:14
Dialogue rounds: 19
STUDENT: Have you ever felt or has anyone around you felt that you were blushing and your lips were a little purple?
2024-10-27 20:42:13
AI: No
2024-10-27 20:42:14
Dialogue rounds: 20
Student: any headaches?
2024-10-27 20:49:39
AI: No
2024-10-27 20:49:40
Dialogue rounds: 21
STUDENT: Any more chest pain or tightness in the chest?
2024-10-27 20:50:04
AI: No
2024-10-27 20:50:06
Dialogue rounds: 22
STUDENT: Has the abdominal pain involved other places, has it felt like there is pain elsewhere
2024-10-27 20:51:00
AI: No
2024-10-27 20:51:01
Dialogue rounds: 23
STUDENT: Have you been to the doctor since the onset of the illness this week?
2024-10-27 20:52:31
AI: No
2024-10-27 20:52:32
Dialogue rounds: 24
STUDENT: Is there any medication you're taking now this week?
2024-10-27 20:52:50
AI: This week to now have to take gastric Su granules.
2024-10-27 20:52:52
Dialogue rounds: 25
STUDENT: How about a specific dose
2024-10-27 20:53:20
AI: Take 1 packet at a time, 3 times a day.
2024-10-27 20:53:22
Dialogue rounds: 26
Student: how many days on medication
2024-10-27 20:53:44
AI: Took medication for 3 days.
2024-10-27 20:53:45
Dialogue rounds: 27
STUDENT: Did you get better this week with the medication?
2024-10-27 20:54:00
AI: No better.
2024-10-27 20:54:02
Dialogue rounds: 28
STUDENT: Do you know the exact number of milligrams of the medication, or was the box of the medication photographed or saved?
2024-10-27 20:54:51
AI: I don't know the exact milligrams of the medication and I don't keep a pill box.
2024-10-27 20:54:53
Dialogue rounds: 29
STUDENT: How many days ago did you start stopping your medication
2024-10-27 20:55:29
AI: I haven't started going off the medication yet.
2024-10-27 20:55:31
Dialogue rounds: 30
STUDENT: When did you start your medication this week?
2024-10-27 20:55:55
AI: I started my meds 3 days ago this week.
2024-10-27 20:55:56
Dialogue rounds: 31
STUDENT: Has such a symptom ever occurred before
2024-10-27 20:56:33
AI: Symptoms like this have occurred before.
2024-10-27 20:56:34
Dialogue rounds: 32
STUDENT: How many times has this come up before
2024-10-27 20:56:56
AI: It has come up many times before, I don't remember exactly how many times.
2024-10-27 20:56:57
Dialogue rounds: 33
STUDENT: When was the first time you had such a symptom
2024-10-27 20:57:23
AI: The first time I experienced such symptoms was 3 months ago.
2024-10-27 20:57:24
Dialogue rounds: 34
STUDENT: Did you do anything three months ago that might have caused the abdominal pain to appear?
2024-10-27 20:57:57
AI: Nothing was done three months ago that could have caused the abdominal pain to appear.
2024-10-27 20:57:58
Dialogue rounds: 35
Student: any triggers for the first abdominal pain?
2024-10-27 20:58:20
AI: First presentation of abdominal pain with no apparent trigger.
2024-10-27 20:58:21
Dialogue rounds: 36
STUDENT: Where exactly did the abdominal pain occur for the first time?
2024-10-27 20:58:49
AI: The first occurrence of abdominal pain was upper-middle abdominal pain.
2024-10-27 20:58:50
Dialogue rounds: 37
STUDENT: How about the pain rating for the first occurrence of abdominal pain
2024-10-27 20:59:10
AI: The pain rating for the first occurrence of abdominal pain is mild (grade 2-3).
2024-10-27 20:59:12
Dialogue rounds: 38
STUDENT: Can you describe the nature of the pain for the first occurrence of abdominal pain?
2024-10-27 20:59:37
AI: The nature of the pain at the first occurrence of abdominal pain is vague.
2024-10-27 20:59:38
Dialogue rounds: 39
Student: how long did the first episode of abdominal pain last
2024-10-27 20:59:55
AI: The first episode of abdominal pain lasted 20-30 minutes.
2024-10-27 20:59:57
Dialogue rounds: 40
Student: Is there anything you can do to relieve abdominal pain the first time it occurs?
2024-10-27 21:00:26
AI: The first abdominal pain was relieved by taking GastroSol granules.
2024-10-27 21:00:28
Dialogue rounds: 41
Student: what was the exact amount of medication taken at the first occurrence of abdominal pain
2024-10-27 21:00:55
AI: 1 packet each time, 3 times a day.
2024-10-27 21:00:56
Dialogue rounds: 42
Student: Did the abdominal pain get better after taking medication for the first time?
2024-10-27 21:01:29
AI: The first time I had abdominal pain, I took medicine and the pain got better.
2024-10-27 21:01:30
Dialogue rounds: 43
STUDENT: Did you have black stools when you first experienced abdominal pain?
2024-10-27 21:02:22
AI: Black stools were not present at the time of the first episode of abdominal pain.
2024-10-27 21:02:23
Dialogue rounds: 44
STUDENT: What were you doing when you first experienced abdominal pain?
2024-10-27 21:03:30
AI: Didn't do anything special the first time I had abdominal pain.
2024-10-27 21:03:32
Dialogue rounds: 45
STUDENT: Did you experience dizziness and fatigue with the first abdominal pain?
2024-10-27 21:04:07
AI: The first abdominal pain was not accompanied by dizziness or weakness.
2024-10-27 21:04:10
Dialogue rounds: 46
STUDENT: What are the usual symptoms of abdominal pain afterward?
2024-10-27 21:04:15
AI: Abdominal pain usually occurs afterward when you stay up late and eat irregularly.
2024-10-27 21:04:19
Dialogue rounds: 47
STUDENT: Has the abdominal pain been present for the past three months?
2024-10-27 21:05:21
AI: Abdominal pain has been present for the past three months.
2024-10-27 21:05:22
Dialogue rounds: 48
STUDENT: When did black poop first appear?
2024-10-27 21:05:52
AI: The blackouts have started to appear in the last week.
2024-10-27 21:05:53
Dialogue rounds: 49
Student: Have you been to the doctor for abdominal pain for three months?
2024-10-27 21:06:30
AI: Abdominal pain for three months without going to the doctor.
2024-10-27 21:06:32
Dialogue rounds: 50
Student: do you take any medication when you have abdominal pain for three months?
2024-10-27 21:07:09
AI: For three months now, I have been taking gastrointestinal granules when I have abdominal pain.
2024-10-27 21:07:11
Dialogue rounds: 51
Student: any relief of symptoms after taking the medication
2024-10-27 21:07:29
AI: Symptoms are relieved with medication.
2024-10-27 21:07:30
Dialogue rounds: 52
STUDENT: Have you had any fainting spells in the past week?
2024-10-27 21:08:41
AI: There was no syncope.
2024-10-27 21:08:42
Dialogue rounds: 53
STUDENT: Any respiratory distress?
2024-10-27 21:09:28
AI: There was no respiratory distress.
2024-10-27 21:09:29
Dialogue rounds: 54
STUDENT: Was there a fever?
2024-10-27 21:09:43
AI: No fever is present.
2024-10-27 21:09:45
Dialogue rounds: 55
Student: any fear of cold or heat?
2024-10-27 21:10:26
AI: There is no fear of cold or heat.
2024-10-27 21:10:27
Dialogue rounds: 56
STUDENT: Any symptoms of cold sweats?
2024-10-27 21:10:38
AI: Symptoms of cold sweats.
2024-10-27 21:10:40
Dialogue rounds: 57
Student: any symptoms of irritable thirst
2024-10-27 21:11:16
AI: There are symptoms of irritable thirst.
2024-10-27 21:11:17
Dialogue rounds: 58
Student: any symptoms of coughing up phlegm?
2024-10-27 21:12:05
AI: No symptoms of coughing up phlegm.
2024-10-27 21:12:06
Dialogue rounds: 59
STUDENT: Has there been hemoptysis
2024-10-27 21:12:17
AI: There was no hemoptysis.
2024-10-27 21:12:18
Dialogue rounds: 60
STUDENT: Have you had any symptoms of vomiting blood since this week?
2024-10-27 21:12:36
AI: There have been no symptoms of vomiting blood.
2024-10-27 21:12:37
Dialogue rounds: 61
STUDENT: How are you doing mentally this week?
2024-10-27 21:12:59
AI: You are in good spirits this week.
2024-10-27 21:13:00
Dialogue rounds: 62
STUDENT: How was your sleep this week
2024-10-27 21:13:15
AI: You've been sleeping OK this week.
2024-10-27 21:13:17
Dialogue rounds: 63
Student: Is it normal to urinate
2024-10-27 21:13:26
AI: Irregular urination, slightly less urine, yellow color.
2024-10-27 21:13:28
Dialogue rounds: 64
STUDENT: Does urine have any particular odor?
2024-10-27 21:13:48
AI: Urine has no specific odor.
2024-10-27 21:13:50
Dialogue rounds: 65
STUDENT: Any bloody urine or painful urination?
2024-10-27 21:14:16
AI: There is no hematuria or painful urination.
2024-10-27 21:14:18
Dialogue rounds: 66
STUDENT: Has your weight changed this week
2024-10-27 21:14:30
AI: Slight weight loss.
2024-10-27 21:14:31
Dialogue rounds: 67
STUDENT: I'm going to take a past history, what was your previous health condition
2024-10-27 21:15:57
AI: It's pretty healthy.
2024-10-27 21:15:58
Dialogue rounds: 68
STUDENT: Have you ever had any illnesses? For example, appendicitis, tonsillitis, acute appendicitis, neocoronary
2024-10-27 21:16:44
AI: A 5-year history of migraine headaches.
2024-10-27 21:16:45
Dialogue rounds: 69
STUDENT: When did the migraines start?
2024-10-27 21:17:19
AI: Migraines started about 5 years ago.
2024-10-27 21:17:20
Dialogue rounds: 70
STUDENT: What are the usual conditions for a migraine attack?
2024-10-27 21:17:42
AI: Migraine usually has no obvious triggers.
2024-10-27 21:17:44
Dialogue rounds: 71
STUDENT: What about the nature of migraines
2024-10-27 21:18:19
AI/Migraine is pulsatile to moderate in nature.
2024-10-27 21:18:21
Dialogue rounds: 72
STUDENT: Can you describe the exact location of the migraine?
2024-10-27 21:20:17
AI: Migraine headache located on the right side of the head.
2024-10-27 21:20:18
Dialogue rounds: 73
Student: how painful are migraines
2024-10-27 21:20:36
AI: Migraine pain is moderate.
2024-10-27 21:20:37
Dialogue rounds: 74
STUDENT: Is there any relief for migraines? Like lying on your side or resting
2024-10-27 21:21:14
AI: Take acetaminophen for relief of migraine attacks.
2024-10-27 21:21:16
Dialogue rounds: 75
Student: how long each migraine attack lasts
2024-10-27 21:21:45
AI: Migraine headaches last about 1 day per attack.
2024-10-27 21:21:47
Dialogue rounds: 76
STUDENT: Have you been to a doctor for migraines in the past five years?
2024-10-27 21:22:02
AI: I have been to the doctor for migraines for five years.
2024-10-27 21:22:03
Dialogue rounds: 77
STUDENT: When did you go to the hospital?
2024-10-27 21:22:32
AI: Went to the hospital about 5 years ago.
2024-10-27 21:22:34
Dialogue rounds: 78
STUDENT: Did you go to the hospital and have any tests done?
2024-10-27 21:22:38
AI: No inspections were done.
2024-10-27 21:22:39
Dialogue rounds: 79
STUDENT: Did the doctor make any diagnosis?
2024-10-27 21:22:55
AI: The doctor made a diagnosis of migraine.
2024-10-27 21:22:57
Dialogue rounds: 80
STUDENT: Did the doctor prescribe any medication?
2024-10-27 21:23:17
AI: The doctor prescribed acetaminophen for the pain.
2024-10-27 21:23:18
Dialogue rounds: 81
Student: Do you remember the exact amount?
2024-10-27 21:23:28
AI: Take 1 tablet per headache attack.
2024-10-27 21:23:30
Dialogue rounds: 82
Student: any relief of symptoms after taking
2024-10-27 21:23:48
AI: Symptoms have been relieved after administration.
2024-10-27 21:23:49
Dialogue rounds: 83
Student: Have you ever had acute or chronic infectious diseases such as tuberculosis, hepatitis, etc.?
2024-10-27 21:24:31
AI: No acute or chronic infectious diseases such as tuberculosis or hepatitis.
2024-10-27 21:24:33
Dialogue rounds: 84
Student: Have you ever had a chronic disease such as high blood pressure or coronary heart disease?
2024-10-27 21:24:50
AI: No chronic diseases such as hypertension or coronary heart disease.
2024-10-27 21:24:52
Dialogue rounds: 85
STUDENT: Have you ever had surgery?
2024-10-27 21:25:26
AI: No surgery has been done.
2024-10-27 21:25:27
Dialogue rounds: 86
Student: Have you ever had a blood transfusion?
2024-10-27 21:25:37
AI: No blood transfusions.
2024-10-27 21:25:38
Dialogue rounds: 87
Student: Have you had any trauma?
2024-10-27 21:25:52
AI: No trauma.
2024-10-27 21:25:53
Dialogue rounds: 88
STUDENT: Are you allergic to any foods or medications?
2024-10-27 21:26:17
AI: No food or drug allergies.
2024-10-27 21:26:18
Dialogue rounds: 89
Student: Have you followed the national vaccination program?
2024-10-27 21:26:58
AI: Yes
2024-10-27 21:26:59
Dialogue rounds: 90
STUDENT: I'm going to do a personal history inquiry now, and I'm asking where you were born and raised
2024-10-27 21:27:25
AI: I was born and raised in Shantou.
2024-10-27 21:27:26
Dialogue rounds: 91
Student: ever go out and stay away?
2024-10-27 21:27:43
AI: Four years of university study in Guangzhou.
2024-10-27 21:27:45
Dialogue rounds: 92
Student: Have you been exposed to infected water
2024-10-27 21:28:04
AI: No contact with infected water.
2024-10-27 21:28:07
Dialogue rounds: 93
Student: Have you ever been to an infectious disease endemic area?
2024-10-27 21:28:24
AI: Has not been to an infectious disease endemic area.
2024-10-27 21:28:25
Dialogue rounds: 94
Student: How educated are you?
2024-10-27 21:28:35
AI: Bachelor's degree.
2024-10-27 21:28:37
Dialogue rounds: 95
Student: What is your work environment like
2024-10-27 21:28:50
AI: Busy work environment with frequent overtime and socializing.
2024-10-27 21:28:51
Dialogue rounds: 96
Student: what do you do for a living
2024-10-27 21:29:19
AI: I'm a factory electrician.
2024-10-27 21:29:20
Dialogue rounds: 97
Student: How is your living environment
2024-10-27 21:30:06
AI: Living at 69 Changping Road, Shantou.
2024-10-27 21:30:07
Dialogue rounds: 98
STUDENT: Have you been exposed to radioactive materials or poisons?
2024-10-27 21:30:28
AI: No exposure to radioactive materials or toxins.
2024-10-27 21:30:29
Dialogue rounds: 99
STUDENT: Are you addicted to any drugs?
2024-10-27 21:31:21
AI: Not addicted to drug taking.
2024-10-27 21:31:23
Dialogue rounds: 100
Student: Do you smoke?
2024-10-27 21:31:34
AI: I have smoked for 8 years, about 10 cigarettes a day.
2024-10-27 21:31:36
Dialogue rounds: 101
Student: Have you quit smoking?
2024-10-27 21:31:46
AI: Didn't quit smoking.
2024-10-27 21:31:48
Dialogue rounds: 102
Student: Have you been drinking?
2024-10-27 21:31:55
I have to drink.
2024-10-27 21:31:57
Dialogue rounds: 103
Student: How much do you drink?
2024-10-27 21:32:22
AI: Socially about 500 ml/dose.
2024-10-27 21:32:23
Dialogue rounds: 104
Student: How often do you drink
2024-10-27 21:32:34
AI: Frequent socializing, drinking about 500 ml/time.
2024-10-27 21:32:36
Dialogue rounds: 105
Student: How long have you been working
2024-10-27 21:34:51
AI: Worked for an unknown number of years.
2024-10-27 21:34:53
Dialogue rounds: 106
Student: How long have you been drinking
2024-10-27 21:35:12
AI: I've been drinking for about 4 years.
2024-10-27 21:35:13
Dialogue rounds: 107
Student: Have you had multiple sexual partners?
2024-10-27 21:35:29
AI: No multiple sexual partners.
2024-10-27 21:35:30
Dialogue rounds: 108
STUDENT: I am conducting a marital history interview, are you married?
2024-10-27 21:36:24
AI: Yes, I'm married.
2024-10-27 21:36:25
Dialogue rounds: 109
Student: When did you get married?
2024-10-27 21:36:34
AI: I got married at 26.
2024-10-27 21:36:35
Dialogue rounds: 110
Student: How old is your loved one?
2024-10-27 21:36:55
AI: My lover is 27 years old.
2024-10-27 21:36:56
Dialogue rounds: 111
Student: How is your loved one's health?
2024-10-27 21:37:11
AI: My loved ones are in good health.
2024-10-27 21:37:12
Dialogue rounds: 112
Student: How is your relationship with your loved one?
2024-10-27 21:41:32
AI: I have a good relationship with my lover.
2024-10-27 21:41:34
Dialogue rounds: 113
Student: Do you have children?
2024-10-27 21:41:45
AI: Yes, I have a son who is 1 year old.
2024-10-27 21:41:46
Dialogue rounds: 114
Student: How is your son's health?
2024-10-27 21:41:58
AI: My son is in good health.
2024-10-27 21:41:59
Dialogue rounds: 115
Student: Do you and your lover have a harmonious sex life?
2024-10-27 21:42:17
AI: My lover and I have a harmonious sexual life as a couple.
2024-10-27 21:42:18
Dialogue rounds: 116
Student: I am conducting a family history inquiry, are your parents alive?
2024-10-27 21:42:53
AI: My parents are alive.
2024-10-27 21:42:54
Dialogue rounds: 117
Student: How old are your parents?
2024-10-27 21:43:08
AI: My father is 56 and my mother is 55.
2024-10-27 21:43:10
Dialogue rounds: 118
Student: Did your parents suffer from any illnesses, such as high blood pressure, diabetes, coronary heart disease, etc.?
2024-10-27 21:43:46
AI: My father is in good health and my mother had a stomach ulcer and HP infection 2 years ago.
2024-10-27 21:43:48
Dialogue rounds: 119
Student: How is your mother's health at present
2024-10-27 21:44:13
AI: My mother's health is now healed.
2024-10-27 21:44:14
Dialogue rounds: 120
Student: Do you have any siblings?
2024-10-27 21:44:38
AI: I have a sister who is 30 years old.
2024-10-27 21:44:39
Dialogue rounds: 121
学生：您姐姐身体情况怎么样
2024-10-27 21:44:50
AI: 我姐姐身体情况很健康。
2024-10-27 21:44:52
对话轮次: 122
学生：您家中有肺结核，肝炎等急慢性传染病的患者吗
2024-10-27 21:45:18
AI: 没有。
2024-10-27 21:45:19
对话轮次: 123
学生：您家中有高血压，糖尿病等慢性病患者吗
2024-10-27 21:46:09
AI: 没有。
2024-10-27 21:46:10
对话轮次: 124
学生：您族中有精神病，血友病等遗传病吗
2024-10-27 21:46:31
AI: 没有。
2024-10-27 21:46:32
对话轮次: 125
学生：您家中有类似情况的患者吗
2024-10-27 21:46:45
AI: 我母亲2年前有腹痛，查出胃溃疡和HP感染。
2024-10-27 21:46:50
对话轮次: 126
学生：好的，我的问诊结束了，请问关于您的病情您有什么想问的吗
2024-10-27 21:47:52
AI: 医生，我很担心，我是不是很严重，是不是要死了？
2024-10-27 21:47:53
对话轮次: 127
学生：您现在在医院，无论如何我们会都第一时间为您提供救治，请您不用过度担心
2024-10-27 21:49:40
AI: 好的，谢谢。
2024-10-27 21:49:41
对话轮次: 128
学生：我的问诊结束了，谢谢您的配合
2024-10-27 21:50:07
AI: 好的，谢谢。
2024-10-27 21:50:08