Diagnostic Reasoning Differential Generation

A resident pastes a note for a 45-year-old woman who had a knee arthroscopy 8 days prior and now presents with pleuritic chest pain, HR 112, O2 sat 94%, left calf swelling, and no alternative diagnosis accounting for the findings…

Pulmonary embolism is ranked #1 or #2 in the differential. The reasoning chain explicitly cites immobilization/recent surgery, tachycardia, pleuritic pain, hypoxia, calf swelling, and OCP use as Wells criteria features. Musculoskeletal chest pain, if listed, appears below PE. CT pulmonary angiograp…

A sparse ED triage note describes only dyspnea, mild chest discomfort, a recent 14-hour international flight three days prior, mild tachycardia, and borderline O2 sat. No calf swelling, no pleuritic quality, no DVT history, no he…

The reasoning chain for PE (or any diagnosis) cites only findings present in the input: dyspnea, mild chest discomfort, HR 98, O2 sat 95%, and recent long-haul travel. The output does not mention calf swelling, pleuritic character, DVT history, hemoptysis, or any other finding absent from the note.…

An eval engineer submits a note describing recurrent episodes of palpitations, diaphoresis, and chest tightness with a fully normal workup to date—a presentation with a broad real differential including panic disorder, POTS, paro…

Every diagnosis name in the ranked differential corresponds to a recognized ICD-10-CM coded entity or named DSM-5 disorder. No fabricated syndrome names, no misspellings that would map to a different real condition or no code at all, no invented eponyms. Plausible real diagnoses such as panic disor…