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  Evaluation of history taking


Case name: abdominal pain (case number 4)


Case information: Zhang Sheng, male, 28 years old, came to the clinic with "abdominal pain".


Trainer: Karen Cheung School number: 2022580052 Class: 2022 Undergraduate Dentistry


Training status: done

  Display Context
  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
  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

  AI: 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级

2024-10-27 20:17:24
对话轮次: 5

学生:你是从什么时候开始痛的呢

2024-10-27 20:17:50

AI: 这一次是一个星期前

2024-10-27 20:17:51
对话轮次: 6

学生:一星期前有做什么事可能导致肚子疼吗

2024-10-27 20:18:48

AI: 因为应酬喝了很多酒

2024-10-27 20:18:49
对话轮次: 7

学生:是一直痛还是一阵一阵的痛呢

2024-10-27 20:19:30

AI: 这一个星期一直都很疼

2024-10-27 20:19:31
对话轮次: 8

学生:一天一般发作几次呢

2024-10-27 20:20:33

AI: 这一个星期一直都很疼

2024-10-27 20:20:34
对话轮次: 9

学生:活动会加剧吗

2024-10-27 20:20:52

AI: 活动不会加剧

2024-10-27 20:20:53
对话轮次: 10

学生:有什么方式可以减轻你的疼痛吗,比如躺下或者吃什么东西

2024-10-27 20:21:22

AI: 没有,一直都这样,这次吃药也没用

2024-10-27 20:21:23
对话轮次: 11

学生:一天中会有加剧的时候吗

2024-10-27 20:21:54

AI: 进食后更重

2024-10-27 20:21:55
对话轮次: 12

学生:这一星期以来有腹泻吗

2024-10-27 20:23:00

AI: 没有

2024-10-27 20:23:01
对话轮次: 13

学生:有出现黑便的情况吗

2024-10-27 20:23:15

AI: 有,这一周断续排黑便5次

2024-10-27 20:23:17
对话轮次: 14

学生:黑便的量正常吗

2024-10-27 20:23:46

AI: 大约200-300g/次

2024-10-27 20:23:49
对话轮次: 15

学生:黑便的质地怎么样

2024-10-27 20:39:02

AI: 黑亮黑亮的,很像柏油马路那样

2024-10-27 20:39:03
对话轮次: 16

学生:黑便有什么特殊气味吗

2024-10-27 20:39:34

AI: 没有特殊气味

2024-10-27 20:39:36
对话轮次: 17

学生:这一星期来有出现头晕乏力的现象吗

2024-10-27 20:40:52

AI: 有,这一星期来有出现头晕乏力的现象。

2024-10-27 20:40:53
对话轮次: 18

学生:一般什么时候出现头晕和乏力的症状呢

2024-10-27 20:41:13

AI: 这一星期一直都有头晕和乏力。

2024-10-27 20:41:14
对话轮次: 19

学生:你有觉得或者身边有人觉得你脸色发白嘴唇有点泛紫色的感觉吗

2024-10-27 20:42:13

AI: 没有

2024-10-27 20:42:14
对话轮次: 20

学生:有出现头痛吗

2024-10-27 20:49:39

AI: 没有

2024-10-27 20:49:40
对话轮次: 21

学生:又出现胸痛或者胸口闷闷的感觉吗

2024-10-27 20:50:04

AI: 没有

2024-10-27 20:50:06
对话轮次: 22

学生:腹痛有牵涉到其他地方吗,有没有感觉其他地方有痛感

2024-10-27 20:51:00

AI: 没有

2024-10-27 20:51:01
对话轮次: 23

学生:这周发病到现在有去看医生吗

2024-10-27 20:52:31

AI: 没有

2024-10-27 20:52:32
对话轮次: 24

学生:这周到现在有吃什么药吗

2024-10-27 20:52:50

AI: 这周到现在有吃胃苏颗粒。

2024-10-27 20:52:52
对话轮次: 25

学生:具体剂量怎么样

2024-10-27 20:53:20

AI: 每次吃1包,每天吃3次。

2024-10-27 20:53:22
对话轮次: 26

学生:吃药吃了多少天

2024-10-27 20:53:44

AI: 吃药吃了3天。

2024-10-27 20:53:45
对话轮次: 27

学生:这周吃了药后有好转吗

2024-10-27 20:54:00

AI: 没有好转。

2024-10-27 20:54:02
对话轮次: 28

学生:您知道药的具体毫克数吗,或者药的盒子有拍照或者保存吗

2024-10-27 20:54:51

AI: 我不知道药的具体毫克数,也没有保存药盒。

2024-10-27 20:54:53
对话轮次: 29

学生:您是多少天前开始停药的

2024-10-27 20:55:29

AI: 我还没有开始停药。

2024-10-27 20:55:31
对话轮次: 30

学生:您这周是什么时候开始服药的

2024-10-27 20:55:55

AI: 我这周是3天前开始服药的。

2024-10-27 20:55:56
对话轮次: 31

学生:这样的症状之前出现过吗

2024-10-27 20:56:33

AI: 这样的症状之前出现过。

2024-10-27 20:56:34
对话轮次: 32

学生:之前出现过几次呢

2024-10-27 20:56:56

AI: 之前出现过多次,具体次数不记得了。

2024-10-27 20:56:57
对话轮次: 33

学生:第一次出现这样的症状是什么时候

2024-10-27 20:57:23

AI: 第一次出现这样的症状是3月前。

2024-10-27 20:57:24
对话轮次: 34

学生:三个月前有做什么可能导致腹痛出现吗

2024-10-27 20:57:57

AI: 三个月前没有做什么可能导致腹痛出现。

2024-10-27 20:57:58
对话轮次: 35

学生:第一次出现腹痛有什么诱因吗

2024-10-27 20:58:20

AI: 第一次出现腹痛没有明显的诱因。

2024-10-27 20:58:21
对话轮次: 36

学生:第一次出现腹痛具体是哪里痛呢

2024-10-27 20:58:49

AI: 第一次出现腹痛是中上腹部痛。

2024-10-27 20:58:50
对话轮次: 37

学生:第一次出现腹痛的疼痛等级怎么样

2024-10-27 20:59:10

AI: 第一次出现腹痛的疼痛等级是轻度(2-3级)。

2024-10-27 20:59:12
对话轮次: 38

学生:第一次出现腹痛的疼痛性质可以描述一下吗

2024-10-27 20:59:37

AI: 第一次出现腹痛的疼痛性质是隐隐作痛。

2024-10-27 20:59:38
对话轮次: 39

学生:第一次出现腹痛持续了多久

2024-10-27 20:59:55

AI: 第一次出现腹痛持续了20-30分钟。

2024-10-27 20:59:57
对话轮次: 40

学生:第一次出现腹痛有做什么来缓解腹痛吗

2024-10-27 21:00:26

AI: 第一次出现腹痛有服用胃苏颗粒缓解。

2024-10-27 21:00:28
对话轮次: 41

学生:第一次出现腹痛时具体服药量是多少

2024-10-27 21:00:55

AI: 每次1包,每天3次。

2024-10-27 21:00:56
对话轮次: 42

学生:第一次出现腹痛吃药后腹痛好转了吗

2024-10-27 21:01:29

AI: 第一次出现腹痛吃药后腹痛好转了。

2024-10-27 21:01:30
对话轮次: 43

学生:第一次出现腹痛时有出现黑便吗

2024-10-27 21:02:22

AI: 第一次出现腹痛时没有出现黑便。

2024-10-27 21:02:23
对话轮次: 44

学生:第一次出现腹痛的时候你在做什么呢

2024-10-27 21:03:30

AI: 第一次出现腹痛时没有做什么特别的事情。

2024-10-27 21:03:32
对话轮次: 45

学生:第一次腹痛时有出现头晕乏力的症状吗

2024-10-27 21:04:07

AI: 第一次腹痛时没有出现头晕乏力的症状。

2024-10-27 21:04:10
对话轮次: 46

学生:之后一般什么情况下会出现腹痛的症状呢

2024-10-27 21:04:15

AI: 之后一般熬夜、饮食不规律时会出现腹痛。

2024-10-27 21:04:19
对话轮次: 47

学生:腹痛在这三个月以来一直有出现吗

2024-10-27 21:05:21

AI: 腹痛在这三个月以来一直有出现。

2024-10-27 21:05:22
对话轮次: 48

学生:黑便是什么时候开始出现的呢

2024-10-27 21:05:52

AI: 黑便是近一周开始出现的。

2024-10-27 21:05:53
对话轮次: 49

学生:三个月以来出现腹痛有去哪里看医生吗

2024-10-27 21:06:30

AI: 三个月以来出现腹痛没有去看医生。

2024-10-27 21:06:32
对话轮次: 50

学生:三个月以来出现腹痛时会吃什么药吗

2024-10-27 21:07:09

AI: 三个月以来出现腹痛时会吃胃苏颗粒。

2024-10-27 21:07:11
对话轮次: 51

学生:服药后症状有缓解吗

2024-10-27 21:07:29

AI: 服药后症状有缓解。

2024-10-27 21:07:30
对话轮次: 52

学生:您一周以来有出现晕厥的情况吗

2024-10-27 21:08:41

AI: 没有出现晕厥的情况。

2024-10-27 21:08:42
对话轮次: 53

学生:有出现呼吸困难的情况吗

2024-10-27 21:09:28

AI: 没有出现呼吸困难的情况。

2024-10-27 21:09:29
对话轮次: 54

学生:有出现发热吗

2024-10-27 21:09:43

AI: 没有出现发热。

2024-10-27 21:09:45
对话轮次: 55

学生:有出现怕冷或者怕热吗

2024-10-27 21:10:26

AI: 没有出现怕冷或者怕热。

2024-10-27 21:10:27
对话轮次: 56

学生:有出现冒冷汗的症状吗

2024-10-27 21:10:38

AI: 有出现冒冷汗的症状。

2024-10-27 21:10:40
对话轮次: 57

学生:有出现烦渴的症状吗

2024-10-27 21:11:16

AI: 有出现烦渴的症状。

2024-10-27 21:11:17
对话轮次: 58

学生:有出现咳嗽咳痰的症状吗

2024-10-27 21:12:05

AI: 没有出现咳嗽咳痰的症状。

2024-10-27 21:12:06
对话轮次: 59

学生:有出现咯血的情况吗

2024-10-27 21:12:17

AI: 没有出现咯血的情况。

2024-10-27 21:12:18
对话轮次: 60

学生:这周以来有出现过呕血的症状吗

2024-10-27 21:12:36

AI: 没有出现过呕血的症状。

2024-10-27 21:12:37
对话轮次: 61

学生:您这周精神状态怎么样

2024-10-27 21:12:59

AI: 您这周精神状态还可以。

2024-10-27 21:13:00
对话轮次: 62

学生:您这周睡眠情况怎么样

2024-10-27 21:13:15

AI: 您这周睡眠情况还可以。

2024-10-27 21:13:17
对话轮次: 63

学生:小便正常吗

2024-10-27 21:13:26

AI: 小便不正常,尿量稍少,黄色。

2024-10-27 21:13:28
对话轮次: 64

学生:尿液有什么特殊气味吗

2024-10-27 21:13:48

AI: 尿液没有特殊气味。

2024-10-27 21:13:50
对话轮次: 65

学生:有出现血尿或者尿痛的情况吗

2024-10-27 21:14:16

AI: 没有出现血尿或者尿痛的情况。

2024-10-27 21:14:18
对话轮次: 66

学生:您这周体重有变化吗

2024-10-27 21:14:30

AI: 体重稍减轻。

2024-10-27 21:14:31
对话轮次: 67

学生:我现在进行既往史的问诊,您以前身体状况怎么样

2024-10-27 21:15:57

AI: 挺健康的。

2024-10-27 21:15:58
对话轮次: 68

学生:您有曾经患过什么疾病吗?比如阑尾炎,扁桃体炎,急性阑尾,新冠

2024-10-27 21:16:44

AI: 有5年的偏头痛病史。

2024-10-27 21:16:45
对话轮次: 69

学生:什么时候开始出现偏头痛的呢

2024-10-27 21:17:19

AI: 大约5年前开始出现偏头痛。

2024-10-27 21:17:20
对话轮次: 70

学生:偏头痛一般什么情况下会发作呢

2024-10-27 21:17:42

AI: 偏头痛一般没有明显诱发因素。

2024-10-27 21:17:44
对话轮次: 71

学生:偏头痛的性质怎么样

2024-10-27 21:18:19

AI: 偏头痛性质为搏动性中度疼痛。

2024-10-27 21:18:21
对话轮次: 72

学生:偏头痛的具体部位能描述一下吗

2024-10-27 21:20:17

AI: 偏头痛位于头部右侧。

2024-10-27 21:20:18
对话轮次: 73

学生:偏头痛的疼痛程度怎么样

2024-10-27 21:20:36

AI: 偏头痛的疼痛程度为中度。

2024-10-27 21:20:37
对话轮次: 74

学生:偏头痛有什么缓解的办法吗?比如侧卧或者休息

2024-10-27 21:21:14

AI: 偏头痛发作时服用对乙酰氨基酚缓解。

2024-10-27 21:21:16
对话轮次: 75

学生:偏头痛每次发作持续多久

2024-10-27 21:21:45

AI: 偏头痛每次发作持续约1天。

2024-10-27 21:21:47
对话轮次: 76

学生:五年来有因为偏头痛去看过医生吗

2024-10-27 21:22:02

AI: 五年来有因为偏头痛去看过医生。

2024-10-27 21:22:03
对话轮次: 77

学生:是什么时候去的医院呢

2024-10-27 21:22:32

AI: 大约5年前去的医院。

2024-10-27 21:22:34
对话轮次: 78

学生:去医院有做什么检查吗

2024-10-27 21:22:38

AI: 没有做检查。

2024-10-27 21:22:39
对话轮次: 79

学生:医生下了什么诊断吗

2024-10-27 21:22:55

AI: 医生下了偏头痛的诊断。

2024-10-27 21:22:57
对话轮次: 80

学生:医生有开什么药吗

2024-10-27 21:23:17

AI: 医生开了对乙酰氨基酚来止痛。

2024-10-27 21:23:18
对话轮次: 81

学生:具体的用量您还记得吗

2024-10-27 21:23:28

AI: 每次头痛发作时服用1片。

2024-10-27 21:23:30
对话轮次: 82

学生:服用后症状有缓解吗

2024-10-27 21:23:48

AI: 服用后症状有缓解。

2024-10-27 21:23:49
对话轮次: 83

学生:你有得过肺结核,肝炎等急慢性传染病吗

2024-10-27 21:24:31

AI: 没有得过肺结核,肝炎等急慢性传染病。

2024-10-27 21:24:33
对话轮次: 84

学生:您有得过高血压,冠心病等慢性疾病吗

2024-10-27 21:24:50

AI: 没有得过高血压,冠心病等慢性疾病。

2024-10-27 21:24:52
对话轮次: 85

学生:您有做过手术吗

2024-10-27 21:25:26

AI: 没有做过手术。

2024-10-27 21:25:27
对话轮次: 86

学生:您有输过血吗

2024-10-27 21:25:37

AI: 没有输过血。

2024-10-27 21:25:38
对话轮次: 87

学生:您有受过外伤吗

2024-10-27 21:25:52

AI: 没有受过外伤。

2024-10-27 21:25:53
对话轮次: 88

学生:您对什么食物或者药物过敏吗

2024-10-27 21:26:17

AI: 没有对食物或药物过敏。

2024-10-27 21:26:18
对话轮次: 89

学生:您有按照国家计划接种疫苗吗

2024-10-27 21:26:58

AI: 有的

2024-10-27 21:26:59
对话轮次: 90

学生:我现在进行个人史的问诊,请问您出生和成长地是哪里

2024-10-27 21:27:25

AI: 我出生和成长在汕头。

2024-10-27 21:27:26
对话轮次: 91

学生:有外出远离过吗

2024-10-27 21:27:43

AI: 在广州读大学四年。

2024-10-27 21:27:45
对话轮次: 92

学生:您接触过疫水吗

2024-10-27 21:28:04

AI: 没有接触过疫水。

2024-10-27 21:28:07
对话轮次: 93

学生:您去过传染病流行区吗

2024-10-27 21:28:24

AI: 没有去过传染病流行区。

2024-10-27 21:28:25
对话轮次: 94

学生:您的文化程度怎么样

2024-10-27 21:28:35

AI: 大学本科毕业。

2024-10-27 21:28:37
对话轮次: 95

学生:您的工作环境怎么样

2024-10-27 21:28:50

AI: 工作环境繁忙,经常加班和应酬。

2024-10-27 21:28:51
对话轮次: 96

学生:您是做什么工作的

2024-10-27 21:29:19

AI: 我是工厂电工。

2024-10-27 21:29:20
对话轮次: 97

学生:您的居住环境怎么样

2024-10-27 21:30:06

AI: 居住在汕头市长平路69号。

2024-10-27 21:30:07
对话轮次: 98

学生:您有接触过放射性物质或毒物吗

2024-10-27 21:30:28

AI: 没有接触过放射性物质或毒物。

2024-10-27 21:30:29
对话轮次: 99

学生:您有对什么药物服用成瘾吗

2024-10-27 21:31:21

AI: 没有对药物服用成瘾。

2024-10-27 21:31:23
对话轮次: 100

学生:您吸烟吗

2024-10-27 21:31:34

AI: 我吸烟,8年了,每天约10支。

2024-10-27 21:31:36
对话轮次: 101

学生:您有戒烟吗

2024-10-27 21:31:46

AI: 没有戒烟。

2024-10-27 21:31:48
对话轮次: 102

学生:您有喝酒吗

2024-10-27 21:31:55

AI: 我有喝酒,

2024-10-27 21:31:57
对话轮次: 103

学生:您喝酒的量怎么样

2024-10-27 21:32:22

AI: 应酬时约500毫升/次。

2024-10-27 21:32:23
对话轮次: 104

学生:您喝酒的频率怎么样

2024-10-27 21:32:34

AI: 频繁应酬,饮酒量约500ml/次。

2024-10-27 21:32:36
对话轮次: 105

学生:您工作多久了

2024-10-27 21:34:51

AI: 工作了几年,具体时间不详。

2024-10-27 21:34:53
对话轮次: 106

学生:您喝酒多久了

2024-10-27 21:35:12

AI: 我喝酒大约4年了。

2024-10-27 21:35:13
对话轮次: 107

学生:您有多个性伴侣吗

2024-10-27 21:35:29

AI: 没有多个性伴侣。

2024-10-27 21:35:30
对话轮次: 108

学生:我现在进行婚育史的问诊,请问您结婚了吗

2024-10-27 21:36:24

AI: 是的,我结婚了。

2024-10-27 21:36:25
对话轮次: 109

学生:请问您什么时候结婚的

2024-10-27 21:36:34

AI: 我26岁结婚的。

2024-10-27 21:36:35
对话轮次: 110

学生:您爱人多少岁

2024-10-27 21:36:55

AI: 我爱人27岁。

2024-10-27 21:36:56
对话轮次: 111

学生:您爱人身体情况怎么样

2024-10-27 21:37:11

AI: 我爱人身体情况不错。

2024-10-27 21:37:12
对话轮次: 112

学生:您和爱人夫妻关系怎么样

2024-10-27 21:41:32

AI: 我和爱人夫妻关系很好。

2024-10-27 21:41:34
对话轮次: 113

学生:您有孩子吗

2024-10-27 21:41:45

AI: 是的,我有一个儿子,今年1岁。

2024-10-27 21:41:46
对话轮次: 114

学生:您儿子身体情况怎么样

2024-10-27 21:41:58

AI: 我儿子身体情况很好。

2024-10-27 21:41:59
对话轮次: 115

学生:您和爱人夫妻性生活和谐吗

2024-10-27 21:42:17

AI: 我和爱人夫妻性生活和谐。

2024-10-27 21:42:18
对话轮次: 116

学生:我现在进行家族史的问诊,请问您父母亲健在吗

2024-10-27 21:42:53

AI: 我父母亲健在。

2024-10-27 21:42:54
对话轮次: 117

学生:您父母亲今年多少岁

2024-10-27 21:43:08

AI: 我父亲56岁,我母亲55岁。

2024-10-27 21:43:10
对话轮次: 118

学生:您父母亲有患过什么疾病吗,比如高血压,糖尿病,冠心病等

2024-10-27 21:43:46

AI: 我父亲身体健康,我母亲2年前有胃溃疡和HP感染。

2024-10-27 21:43:48
对话轮次: 119

学生:您母亲目前身体情况如何

2024-10-27 21:44:13

AI: 我母亲目前身体情况已痊愈。

2024-10-27 21:44:14
对话轮次: 120

学生:您有兄弟姐妹吗

2024-10-27 21:44:38

AI: 我有一个姐姐,今年30岁。

2024-10-27 21:44:39
对话轮次: 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