vignette_id,target_disease,organ_system,is_rare,prevalence,difficulty,positive_findings,negative_findings,n_positive,n_negative,n_required_given,n_required_total,split,used_confounder_distractor
189,Hypothyroidism,Metabolic,False,0.05,hard,JAK2_mutation;cold_intolerance;duration_15min_3hrs;elevated_TSH;hair_loss,heat_intolerance;polydipsia;weight_loss_rapid,5,3,2,4,original,False
81,Stroke_Ischemic,Neuro,False,0.03,hard,arm_weakness;central_obesity;focal_neuro_deficit;hypertension;speech_difficulty;tongue_biting,altered_mental_status;bilateral_pain;vision_changes,6,3,2,3,original,False
75,Stroke_Ischemic,Neuro,False,0.03,easy,arm_weakness;focal_neuro_deficit;hypertension;speech_difficulty;sudden_onset,bilateral_pain;bilateral_symptoms;elevated_opening_pressure;headache;relapsing_remitting_course,5,5,3,3,original,False
188,Hypothyroidism,Metabolic,False,0.05,medium,bradycardia;cold_intolerance;dry_skin;elevated_TSH;fatigue;weight_gain,central_obesity;elevated_cortisol;hypotension;polydipsia,6,4,4,4,original,False
219,Addison_Disease,Metabolic,True,0.0001,easy,fatigue;hyperpigmentation;hyponatremia;hypotension;low_cortisol;nausea;weight_loss_rapid,elevated_cortisol;high_fasting_glucose;purple_striae,7,3,5,5,original,False
310,Gout,Immuno,False,0.04,hard,MSU_crystals;asymmetric_joint;peripheral_neuropathy;podagra;rapid_onset_hours;redness;warmth,DIP_involvement;morning_stiffness_over_1hr;positive_ANA;positive_RF,7,4,2,4,original,False
73,Stroke_Ischemic,Neuro,False,0.03,easy,atrial_fibrillation;focal_neuro_deficit;hypertension;speech_difficulty;sudden_onset,headache;lacrimation;neck_stiffness;vision_changes,5,4,3,3,original,False
288,Rheumatoid_Arthritis,Immuno,False,0.01,hard,fatigue;mass_on_imaging;morning_stiffness_over_1hr;oral_ulcers;positive_RF;rheumatoid_nodules;symmetric_swelling,asymmetric_joint;positive_anti_SSB;sacroiliac_tenderness,7,3,3,4,original,False
57,Idiopathic_Intracranial_HTN,Neuro,True,0.001,hard,elevated_opening_pressure;female;vision_changes;widened_mediastinum,fever;sudden_onset,4,2,2,4,original,False
53,Idiopathic_Intracranial_HTN,Neuro,True,0.001,medium,elevated_opening_pressure;family_history;obesity;papilledema;transient_visual_obscurations;vision_changes,fever;neck_stiffness,6,2,3,4,original,False
637,Community_Pneumonia,Pulmo,False,0.01,easy,crackles;fever;infiltrate_on_CXR;pleuritic_chest_pain;productive_cough;rigors,chronic_cough;chronic_dyspnea;dry_cough;hemoptysis;noncaseating_granulomas;weight_loss_rapid,6,6,4,4,original,False
172,Diabetes_Insipidus,Metabolic,True,0.0003,easy,dilute_urine;hypernatremia;low_urine_osmolality;nocturia;polydipsia;polyuria,fatigue;glycosuria;ketoacidosis;young_age,6,4,4,4,original,False
560,Heart_Failure,Cardio,False,0.02,medium,PND;crackles;dyspnea;elevated_BNP;fatigue;orthopnea;peripheral_edema,fever;pleuritic_chest_pain;sudden_onset;tearing_chest_pain,7,4,4,4,original,False
163,T1_Diabetes,Metabolic,False,0.005,medium,autoantibodies_positive;high_fasting_glucose;polydipsia;polyuria;thin_body_habitus;weight_loss_rapid;young_age,central_obesity;heat_intolerance;hypotension;obesity,7,4,4,5,original,False
663,Tuberculosis,Pulmo,False,0.003,easy,chronic_cough;hemoptysis;night_sweats;positive_AFB;positive_PPD;upper_lobe_cavitation;weight_loss_rapid,barrel_chest;productive_cough;progressive_dyspnea;reversible_airflow_obstruction;sputum_production,7,5,4,4,original,False
66,Multiple_Sclerosis,Neuro,True,0.003,medium,balance_problems;fatigue;numbness;relapsing_remitting_course;troponin_elevated;vision_changes,fever;headache;papilledema;speech_difficulty;sudden_onset,6,5,4,4,original,False
420,Iron_Deficiency_Anemia,Hemato,False,0.08,hard,brittle_nails;electrical_alternans;fatigue;koilonychia;low_ferritin;pallor;pica,microangiopathic_hemolytic_anemia;normal_ferritin;thrombocytopenia,7,3,3,4,original,False
580,Pulmonary_Embolism,Cardio,False,0.002,easy,elevated_D_dimer;hemoptysis;pleuritic_chest_pain;sudden_dyspnea;tachycardia;unilateral_leg_swelling,diffuse_ST_elevation;elevated_BNP;radiation_to_arm,6,3,4,4,original,False
42,Cluster_Headache,Neuro,True,0.001,medium,autonomic_features;conjunctival_injection;headache;lacrimation;morning_stiffness_over_1hr;periorbital_pain;ptosis;rhinorrhea;unilateral_pain,bilateral_pain;fever;nausea;neck_stiffness;sudden_onset,9,5,5,5,original,False
501,Hodgkin_Lymphoma,Hemato,False,0.003,hard,Reed_Sternberg_cells;painless_lymphadenopathy;splenomegaly_childhood,high_MCV;normal_RDW;normal_ferritin;thrombocytopenia,3,4,2,3,original,False
389,Asthma,Immuno,False,0.08,medium,bloody_diarrhea;cough;dyspnea;episodic_symptoms;nocturnal_symptoms;reversible_airflow_obstruction;trigger_exposure;wheezing,asymmetric_joint;fever;joint_pain;morning_stiffness_over_1hr,8,4,4,4,original,False
268,Primary_Hyperaldosteronism,Metabolic,True,0.001,easy,adrenal_mass;elevated_aldosterone;hypertension;hypokalemia;low_renin,cold_intolerance;elevated_cortisol;hyperpigmentation;hypotension;low_TSH;polyuria,5,6,4,4,original,False
113,Myasthenia_Gravis,Neuro,True,0.0002,medium,diplopia;dysphagia;fatigable_weakness;ptosis;thymoma,fatigue;fever;headache;papilledema,5,4,3,4,original,False
183,Hypothyroidism,Metabolic,False,0.05,easy,cold_intolerance;constipation;dry_skin;elevated_TSH;fatigue;weight_gain,HbA1c_elevated;dilute_urine;heat_intolerance;polyuria;tachycardia;weight_loss_rapid;young_age,6,7,4,4,original,False
269,Primary_Hyperaldosteronism,Metabolic,True,0.001,medium,adrenal_mass;elevated_aldosterone;hypertension;hypokalemia;low_renin;metabolic_alkalosis;muscle_weakness,elevated_cortisol;heat_intolerance;high_fasting_glucose;polydipsia;polyuria;purple_striae,7,6,4,4,original,False
608,Pericarditis,Cardio,False,0.003,medium,elevated_hemoglobin;pain_worse_supine;pericardial_effusion;pericardial_friction_rub;pleuritic_chest_pain;viral_prodrome,ST_elevation_focal;chest_pain;elevated_BNP;muffled_heart_sounds;peripheral_edema;troponin_elevated,6,6,3,4,original,False
308,Gout,Immuno,False,0.04,medium,MSU_crystals;acute_joint_pain;asymmetric_joint;high_uric_acid;podagra;reversible_airflow_obstruction,age_over_50;dry_eyes;malar_rash;morning_stiffness_over_1hr;positive_RF,6,5,4,4,original,False
202,Hyperthyroidism,Metabolic,False,0.02,hard,anxiety;exophthalmos;fluctuating_symptoms;hypercalcemia;hyperreflexia;low_TSH;weight_loss_rapid,cold_intolerance;dilute_urine;fatigue;low_cortisol;polydipsia,7,5,2,4,original,False
645,Community_Pneumonia,Pulmo,False,0.01,hard,bloody_diarrhea;dyspnea;elevated_WBC;fever;infiltrate_on_CXR;pleuritic_chest_pain;productive_cough,bilateral_hilar_lymphadenopathy;persistent_cough;smoking_history,7,3,3,4,original,False
218,Addison_Disease,Metabolic,True,0.0001,easy,fatigue;hyperpigmentation;hyponatremia;hypotension;low_cortisol;nausea;salt_craving,HbA1c_elevated;central_obesity;elevated_cortisol;moon_face;purple_striae;young_age,7,6,5,5,original,False
291,Osteoarthritis,Immuno,False,0.15,easy,DIP_involvement;age_over_50;crepitus;joint_pain;reduced_ROM,asymmetric_joint;morning_stiffness_over_1hr;positive_RF;sacroiliac_tenderness;symmetric_swelling,5,5,4,4,original,False
399,Sarcoidosis,Immuno,True,0.001,easy,bilateral_hilar_lymphadenopathy;elevated_ACE;erythema_nodosum;fatigue;noncaseating_granulomas;uveitis,MSU_crystals;morning_stiffness_over_1hr,6,2,3,3,original,False
572,Acute_MI,Cardio,False,0.005,medium,ST_elevation;chest_pain;dyspnea;radiation_to_arm;troponin_elevated,pericardial_friction_rub;peripheral_edema,5,2,4,4,original,False
169,Diabetes_Insipidus,Metabolic,True,0.0003,easy,dilute_urine;low_urine_osmolality;nocturia;polydipsia;polyuria,HbA1c_elevated;elevated_cortisol;fatigue;high_fasting_glucose;ketoacidosis;moon_face,5,6,4,4,original,False
265,Primary_Hyperaldosteronism,Metabolic,True,0.001,easy,elevated_aldosterone;hypertension;hypokalemia;low_renin,elevated_cortisol;hypotension;low_urine_osmolality,4,3,4,4,original,False
360,Sjogren_Syndrome,Immuno,True,0.004,hard,dental_caries;dry_eyes;fatigue;joint_pain;pain_worse_supine;positive_anti_SSA;positive_anti_SSB;prolonged_aPTT,DIP_involvement;morning_stiffness_over_1hr;sacroiliac_tenderness,8,3,3,4,original,False
79,Stroke_Ischemic,Neuro,False,0.03,medium,arm_weakness;autonomic_features;facial_droop;focal_neuro_deficit;speech_difficulty,bilateral_symptoms;fever;headache;nausea;papilledema;photophobia,5,6,2,3,original,False
587,Pulmonary_Embolism,Cardio,False,0.002,hard,elevated_D_dimer;isolated_thrombocytopenia;sudden_dyspnea;tachycardia;unilateral_leg_swelling,fatigue;jugular_venous_distension;peripheral_edema;troponin_elevated,5,4,3,4,original,False
261,Metabolic_Syndrome,Metabolic,False,0.12,hard,acanthosis_nigricans;balance_problems;central_obesity;high_fasting_glucose;high_triglycerides;hypertension,elevated_cortisol;heat_intolerance;hypotension;ketoacidosis,6,4,4,5,original,False
254,Metabolic_Syndrome,Metabolic,False,0.12,easy,acanthosis_nigricans;central_obesity;fatty_liver;high_fasting_glucose;high_triglycerides;hypertension;hyperuricemia;low_HDL,dilute_urine;hypotension;polydipsia;thin_body_habitus;weight_gain,8,5,5,5,original,False
344,Ankylosing_Spondylitis,Immuno,True,0.002,medium,HLA_B27;delayed_reflexes;inflammatory_back_pain;morning_stiffness_over_1hr;sacroiliac_tenderness;uveitis;young_male,DIP_involvement;acute_joint_pain;high_uric_acid;malar_rash,7,4,4,4,original,False
374,Allergic_Rhinitis,Immuno,False,0.2,easy,itching;nasal_congestion;sneezing;watery_eyes,age_over_50;fever;photosensitivity;positive_ANA;positive_RF;symmetric_swelling,4,6,4,4,original,False
640,Community_Pneumonia,Pulmo,False,0.01,easy,crackles;elevated_WBC;fever;infiltrate_on_CXR;productive_cough,chronic_cough;chronic_dyspnea;night_sweats;reversible_airflow_obstruction;smoking_history;weight_loss_rapid,5,6,4,4,original,False
475,TTP,Hemato,True,3e-05,medium,elevated_LDH;fever;microangiopathic_hemolytic_anemia;neurologic_symptoms;schistocytes;thrombocytopenia,HbS_on_electrophoresis;isolated_thrombocytopenia;no_splenomegaly;normal_coagulation_studies,6,4,5,5,original,False
417,Iron_Deficiency_Anemia,Hemato,False,0.08,hard,ascending_weakness;brittle_nails;fatigue;koilonychia;low_MCV;low_ferritin,HbS_on_electrophoresis;microangiopathic_hemolytic_anemia;pain_crisis;schistocytes;splenomegaly,6,5,3,4,original,False
182,Hypothyroidism,Metabolic,False,0.05,easy,cold_intolerance;constipation;dry_skin;elevated_TSH;fatigue;hair_loss;weight_gain,heat_intolerance;high_fasting_glucose;hyperpigmentation;low_cortisol;polydipsia,7,5,4,4,original,False
531,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,easy,age_over_50;lymphocytosis;mature_small_lymphocytes;painless_lymphadenopathy;smudge_cells;splenomegaly,fever;high_MCV;isolated_thrombocytopenia;microangiopathic_hemolytic_anemia;no_splenomegaly;target_cells,6,6,4,4,original,False
334,Psoriatic_Arthritis,Immuno,True,0.002,hard,asymmetric_joint;dactylitis;dehydration;hypokalemia;joint_pain,MSU_crystals;malar_rash;positive_RF,5,3,2,3,original,False
634,COPD,Pulmo,False,0.06,hard,FEV1_reduced;aortic_regurgitation_murmur;chronic_cough;chronic_dyspnea;smoking_history,no_smoking_history;noncaseating_granulomas;young_age,5,3,3,4,original,False
293,Osteoarthritis,Immuno,False,0.15,medium,Heberden_nodes;age_over_50;crepitus;joint_pain;low_B12;stiffness_under_30min,MSU_crystals;high_uric_acid;malar_rash;morning_stiffness_over_1hr;symmetric_swelling,6,5,3,4,original,False
280,Rheumatoid_Arthritis,Immuno,False,0.01,easy,MCP_PIP_involvement;elevated_ESR;fatigue;joint_pain;morning_stiffness_over_1hr;positive_RF;rheumatoid_nodules;symmetric_swelling,asymmetric_joint;back_pain;high_uric_acid,8,3,4,4,original,False
37,Cluster_Headache,Neuro,True,0.001,easy,autonomic_features;conjunctival_injection;duration_15min_3hrs;headache;lacrimation;periorbital_pain;rhinorrhea;unilateral_pain,duration_4_72hrs;fever;nausea;numbness;vision_changes,8,5,5,5,original,False
646,Community_Pneumonia,Pulmo,False,0.01,hard,crackles;dyspnea;fever;hypotension;pleuritic_chest_pain;rigors,chronic_cough;persistent_cough;reversible_airflow_obstruction;smoking_history,6,4,2,4,original,False
449,Sickle_Cell_Disease,Hemato,False,0.003,medium,African_descent;HbS_on_electrophoresis;chronic_hemolytic_anemia;jaundice;pain_crisis;sacroiliac_tenderness;splenomegaly_childhood,high_MCV;low_ferritin;microangiopathic_hemolytic_anemia;pallor;schistocytes;target_cells,7,6,3,4,original,False
90,Parkinsons_Disease,Neuro,False,0.01,medium,asymmetric_onset;masked_facies;micrographia;resting_tremor;rigidity,altered_mental_status;bilateral_pain;elevated_opening_pressure;photophobia,5,4,3,4,original,False
40,Cluster_Headache,Neuro,True,0.001,easy,autonomic_features;conjunctival_injection;headache;lacrimation;periorbital_pain;ptosis;unilateral_pain,duration_4_72hrs;fatigue;nausea;photophobia;relapsing_remitting_course,7,5,5,5,original,False
321,Systemic_Lupus,Immuno,True,0.005,hard,cytopenias;duration_15min_3hrs;photosensitivity;positive_ANA;renal_involvement;xanthochromia_CSF,acute_joint_pain;age_over_50;crepitus;positive_RF;positive_anti_SSB,6,5,2,4,original,False
220,Addison_Disease,Metabolic,True,0.0001,easy,fatigue;hyperpigmentation;hyponatremia;hypotension;low_cortisol;salt_craving,elevated_cortisol;high_fasting_glucose;moon_face;polydipsia;weight_gain,6,5,5,5,original,False
470,TTP,Hemato,True,3e-05,easy,elevated_LDH;fever;low_ADAMTS13;microangiopathic_hemolytic_anemia;neurologic_symptoms;schistocytes;thrombocytopenia,high_MCV;low_B12;normal_RDW;normal_ferritin;petechiae;sickle_cells,7,6,5,5,original,False
686,Lung_Cancer,Pulmo,False,0.005,easy,clubbing;hemoptysis;hoarseness;mass_on_imaging;persistent_cough;superior_vena_cava_syndrome;weight_loss_rapid,chronic_cough;honeycombing_on_CT;infiltrate_on_CXR;noncaseating_granulomas;reversible_airflow_obstruction;smoking_history,7,6,4,4,original,False
684,Sarcoidosis_Pulmo,Pulmo,True,0.001,hard,aura;chronic_cough;erythema_nodosum;noncaseating_granulomas;photosensitivity;uveitis,chronic_dyspnea;honeycombing_on_CT;persistent_cough,6,3,2,3,original,False
325,Psoriatic_Arthritis,Immuno,True,0.002,easy,DIP_involvement;dactylitis;enthesitis;joint_pain;psoriasis,dry_eyes;inflammatory_back_pain,5,2,3,3,original,False
508,Polycythemia_Vera,Hemato,True,0.0005,easy,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;erythromelalgia;headache;pruritus_after_bathing;splenomegaly,mild_anemia;neurologic_symptoms;normal_coagulation_studies;normal_ferritin;pallor,7,5,4,4,original,False
535,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,medium,HLA_B27;age_over_50;fatigue;immunodeficiency;lymphocytosis;mature_small_lymphocytes;painless_lymphadenopathy,chronic_hemolytic_anemia;low_MCV;neurologic_symptoms;thrombocytopenia;young_age,7,5,4,4,original,False
14,Tension_Headache,Neuro,False,0.2,easy,bilateral_pain;headache;pressing_quality,aura;elevated_opening_pressure;nausea;vision_changes;vomiting,3,5,3,3,original,False
447,Sickle_Cell_Disease,Hemato,False,0.003,easy,HbS_on_electrophoresis;chronic_hemolytic_anemia;dactylitis;pain_crisis;sickle_cells;splenomegaly_childhood,high_MCV;normal_RDW;normal_ferritin;target_cells;thrombocytopenia,6,5,4,4,original,False
672,Tuberculosis,Pulmo,False,0.003,hard,chronic_cough;malar_rash;night_sweats;optic_neuritis;positive_AFB;positive_PPD,barrel_chest;bilateral_hilar_lymphadenopathy;honeycombing_on_CT;productive_cough;smoking_history,6,5,3,4,original,False
323,Systemic_Lupus,Immuno,True,0.005,hard,electrical_alternans;fatigue;malar_rash;oral_ulcers;positive_ANA;sickle_cells,DIP_involvement;MSU_crystals;asymmetric_joint,6,3,2,4,original,False
153,T2_Diabetes,Metabolic,False,0.1,hard,HbA1c_elevated;fatigue;obesity;polydipsia;polyuria;throbbing_quality,high_fasting_glucose;hyponatremia;low_cortisol;young_age,6,4,3,4,original,False
229,Pheochromocytoma,Metabolic,True,0.0002,easy,diaphoresis;elevated_catecholamines;episodic_hypertension;headache;pallor;palpitations;tachycardia,HbA1c_elevated;low_urine_osmolality;polyuria;purple_striae;weight_gain,7,5,5,5,original,False
654,Pulmonary_Fibrosis,Pulmo,True,0.002,medium,clubbing;dry_cough;progressive_dyspnea;reduced_DLCO;velcro_crackles,chronic_cough;crackles;hemoptysis;reversible_airflow_obstruction;smoking_history,5,5,3,4,original,False
100,Guillain_Barre,Neuro,True,0.0001,easy,areflexia;ascending_weakness;progressive_course;respiratory_difficulty;symmetric_weakness,fever;lacrimation;upper_motor_neuron_signs;vision_changes,5,4,4,4,original,False
178,Diabetes_Insipidus,Metabolic,True,0.0003,hard,chronic_cough;dehydration;dilute_urine;dry_cough;polydipsia,glycosuria;high_fasting_glucose;polyuria;young_age,5,4,2,4,original,False
217,Addison_Disease,Metabolic,True,0.0001,easy,fatigue;hyperkalemia;hyperpigmentation;hyponatremia;hypotension;low_cortisol;salt_craving,central_obesity;high_fasting_glucose;polydipsia;polyuria;weight_gain;weight_loss_rapid,7,6,5,5,original,False
363,Reactive_Arthritis,Immuno,True,0.003,easy,asymmetric_joint;conjunctivitis;preceding_infection;urethritis;young_male,high_uric_acid;positive_RF;sacroiliac_tenderness,5,3,4,4,original,False
10,Migraine,Neuro,False,0.12,hard,aura;dental_caries;duration_4_72hrs;headache;photophobia;throbbing_quality;unilateral_pain,altered_mental_status;elevated_opening_pressure;papilledema;pressing_quality,7,4,2,3,original,False
63,Multiple_Sclerosis,Neuro,True,0.003,easy,balance_problems;fatigue;lhermitte_sign;numbness;relapsing_remitting_course;vision_changes;white_matter_lesions,fever;headache;lacrimation;papilledema;periorbital_pain,7,5,4,4,original,False
539,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,hard,age_over_50;immunodeficiency;painless_lymphadenopathy;smudge_cells;sneezing;splenomegaly,petechiae;sickle_cells;young_age,6,3,2,4,original,False
639,Community_Pneumonia,Pulmo,False,0.01,easy,crackles;elevated_WBC;fever;infiltrate_on_CXR;pleuritic_chest_pain;productive_cough;rigors,barrel_chest;persistent_cough,7,2,4,4,original,False
324,Systemic_Lupus,Immuno,True,0.005,hard,fatigue;itching;joint_pain;malar_rash;oral_ulcers;serositis,crepitus;dry_mouth;positive_RF;sacroiliac_tenderness,6,4,2,4,original,False
556,Heart_Failure,Cardio,False,0.02,easy,PND;crackles;dyspnea;elevated_BNP;fatigue;jugular_venous_distension;peripheral_edema,elevated_D_dimer;pleuritic_chest_pain;radiation_to_arm;sudden_onset;tachycardia,7,5,4,4,original,False
678,Sarcoidosis_Pulmo,Pulmo,True,0.001,medium,bilateral_hilar_lymphadenopathy;chronic_cough;erythema_nodosum;fatigue;noncaseating_granulomas;uveitis,positive_AFB;progressive_dyspnea;weight_loss_rapid,6,3,3,3,original,False
287,Rheumatoid_Arthritis,Immuno,False,0.01,hard,MCP_PIP_involvement;ST_elevation_focal;morning_stiffness_over_1hr;petechial_rash;positive_RF;rheumatoid_nodules;symmetric_swelling,asymmetric_joint;joint_pain;tophi,7,3,3,4,original,False
683,Sarcoidosis_Pulmo,Pulmo,True,0.001,hard,bilateral_hilar_lymphadenopathy;brittle_nails;chronic_cough;erythema_nodosum;fatigue,chronic_dyspnea;fever;infiltrate_on_CXR;positive_AFB;sputum_production,5,5,2,3,original,False
162,T1_Diabetes,Metabolic,False,0.005,medium,high_fasting_glucose;polydipsia;polyuria;thin_body_habitus;young_age,age_over_50;central_obesity;fatigue;gradual_onset;heat_intolerance;hypotension,5,6,4,5,original,False
674,Sarcoidosis_Pulmo,Pulmo,True,0.001,easy,bilateral_hilar_lymphadenopathy;chronic_cough;noncaseating_granulomas;uveitis,night_sweats;persistent_cough;positive_AFB;progressive_dyspnea;upper_lobe_cavitation,4,5,3,3,original,False
313,Systemic_Lupus,Immuno,True,0.005,easy,fatigue;joint_pain;malar_rash;oral_ulcers;photosensitivity;positive_ANA;renal_involvement;serositis,age_over_50;crepitus;dry_eyes;positive_anti_SSA;sacroiliac_tenderness;tophi,8,6,4,4,original,False
361,Reactive_Arthritis,Immuno,True,0.003,easy,asymmetric_joint;conjunctivitis;dactylitis;enthesitis;preceding_infection;urethritis,DIP_involvement;crepitus;malar_rash;psoriasis,6,4,4,4,original,False
510,Polycythemia_Vera,Hemato,True,0.0005,medium,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;splenomegaly,HbS_on_electrophoresis;chronic_hemolytic_anemia;pain_crisis;pallor,4,4,4,4,original,False
633,COPD,Pulmo,False,0.06,hard,FEV1_reduced;ST_elevation_focal;barrel_chest;chronic_cough;chronic_dyspnea;positive_kernig;prolonged_expiration;smoking_history,,8,0,3,4,original,False
616,Cardiac_Tamponade,Cardio,True,0.0005,easy,electrical_alternans;hypotension;jugular_venous_distension;muffled_heart_sounds;pericardial_effusion;pulsus_paradoxus;tachycardia,chest_pain;crackles;dyspnea;elevated_D_dimer;peripheral_edema;pleuritic_chest_pain;tearing_chest_pain,7,7,4,4,original,False
658,Pulmonary_Fibrosis,Pulmo,True,0.002,hard,clubbing;honeycombing_on_CT;low_TSH;normal_B12;velcro_crackles,chronic_cough;productive_cough;smoking_history;sputum_production,5,4,2,4,original,False
236,Pheochromocytoma,Metabolic,True,0.0002,medium,diaphoresis;elevated_catecholamines;episodic_hypertension;immunodeficiency;pallor;tachycardia,bradycardia;elevated_TSH;fatigue;low_urine_osmolality,6,4,4,5,original,False
540,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,hard,ST_elevation_focal;immunodeficiency;lymphocytosis;painless_lymphadenopathy,Reed_Sternberg_cells;neurologic_symptoms;petechiae;sickle_cells;young_age,4,5,2,4,original,False
285,Rheumatoid_Arthritis,Immuno,False,0.01,hard,MCP_PIP_involvement;dyspnea;elevated_ESR;fatigue;joint_pain;morning_stiffness_over_1hr;palpitations;positive_RF;rheumatoid_nodules,positive_anti_SSA;psoriasis;sacroiliac_tenderness,9,3,3,4,original,False
322,Systemic_Lupus,Immuno,True,0.005,hard,acute_joint_pain;blurred_vision;joint_pain;oral_ulcers;positive_ANA,asymmetric_joint;inflammatory_back_pain;morning_stiffness_over_1hr,5,3,2,4,original,False
31,Bacterial_Meningitis,Neuro,False,0.002,medium,altered_mental_status;elevated_cortisol;headache;neck_stiffness;petechial_rash;photophobia,autonomic_features;focal_neuro_deficit;gradual_onset;periorbital_pain;relapsing_remitting_course;speech_difficulty,6,6,3,4,original,False
19,Tension_Headache,Neuro,False,0.2,medium,bilateral_pain;headache;muscle_tension;stress,nausea;papilledema;sudden_onset;throbbing_quality,4,4,2,3,original,False
620,Cardiac_Tamponade,Cardio,True,0.0005,medium,electrical_alternans;hypotension;muffled_heart_sounds;pulsus_paradoxus;tachycardia,crackles;elevated_BNP;peripheral_edema;pleuritic_chest_pain;troponin_elevated;widened_mediastinum,5,6,3,4,original,False
468,ITP,Hemato,True,0.0001,hard,bruising;megakaryocyte_hyperplasia;no_splenomegaly;normal_coagulation_studies;petechiae;pleuritic_chest_pain;thunderclap_headache,HbS_on_electrophoresis;fever;renal_failure;splenomegaly,7,4,3,4,original,False
438,Thalassemia_Trait,Hemato,False,0.01,medium,family_history;mild_anemia;normal_RDW;normal_ferritin;splenomegaly;target_cells,diarrhea;high_MCV;low_ferritin;pain_crisis;peripheral_neuropathy;thrombocytopenia,6,6,4,5,original,False
161,T1_Diabetes,Metabolic,False,0.005,medium,high_fasting_glucose;ketoacidosis;mild_anemia;polydipsia;polyuria;young_age,age_over_50;gradual_onset;hyperpigmentation;low_TSH;low_cortisol,6,5,5,5,original,False
168,T1_Diabetes,Metabolic,False,0.005,hard,autoantibodies_positive;high_fasting_glucose;ketoacidosis;low_ferritin;polydipsia;polyuria;thin_body_habitus,fatigue;hyperpigmentation;purple_striae,7,3,4,5,original,False
131,Epilepsy,Neuro,False,0.01,hard,EEG_abnormality;peripheral_neuropathy;postictal_confusion;recurrent_episodes;seizures,ascending_weakness;neck_stiffness;vision_changes,5,3,2,3,original,False
318,Systemic_Lupus,Immuno,True,0.005,medium,fatigue;isolated_thrombocytopenia;joint_pain;malar_rash;photosensitivity;renal_involvement;serositis,MSU_crystals;age_over_50;asymmetric_joint;positive_anti_SSA,7,4,3,4,original,False
607,Pericarditis,Cardio,False,0.003,medium,diffuse_ST_elevation;pain_worse_supine;pericardial_effusion;pleuritic_chest_pain;viral_prodrome,elevated_D_dimer;fatigue;radiation_to_arm;troponin_markedly_elevated,5,4,3,4,original,False
147,T2_Diabetes,Metabolic,False,0.1,easy,HbA1c_elevated;acanthosis_nigricans;high_fasting_glucose;polydipsia;polyuria,central_obesity;cold_intolerance;elevated_cortisol;tachycardia,5,4,4,4,original,False
346,Ankylosing_Spondylitis,Immuno,True,0.002,hard,inflammatory_back_pain;morning_stiffness_over_1hr;relief_with_glucose;uveitis;young_male,acute_joint_pain;dry_eyes;joint_pain;positive_ANA,5,4,2,4,original,False
454,Sickle_Cell_Disease,Hemato,False,0.003,hard,HbS_on_electrophoresis;chronic_hemolytic_anemia;dactylitis;relief_with_glucose;sickle_cells,high_MCV;low_B12;low_MCV;target_cells,5,4,3,4,original,False
129,Epilepsy,Neuro,False,0.01,hard,EEG_abnormality;hyperuricemia;hypocellular_bone_marrow;incontinence;recurrent_episodes;seizures,ascending_weakness;elevated_opening_pressure;neck_stiffness;relapsing_remitting_course;unilateral_pain,6,5,2,3,original,False
379,Allergic_Rhinitis,Immuno,False,0.2,medium,itching;pale_nasal_mucosa;sneezing;watery_eyes,fatigue;fever;inflammatory_back_pain;morning_stiffness_over_1hr,4,4,3,4,original,False
385,Asthma,Immuno,False,0.08,easy,chest_tightness;dyspnea;episodic_symptoms;reversible_airflow_obstruction;wheezing,crackles;fever;rash;sacroiliac_tenderness,5,4,4,4,original,False
62,Multiple_Sclerosis,Neuro,True,0.003,easy,fatigue;numbness;relapsing_remitting_course;vision_changes;white_matter_lesions,autonomic_features;fever;headache;papilledema;speech_difficulty,5,5,4,4,original,False
428,B12_Deficiency,Hemato,False,0.03,medium,high_MCV;hypersegmented_neutrophils;low_B12;peripheral_neuropathy;subacute_combined_degeneration,HbS_on_electrophoresis;diarrhea;low_MCV;low_ferritin;pallor,5,5,3,4,original,False
676,Sarcoidosis_Pulmo,Pulmo,True,0.001,easy,bilateral_hilar_lymphadenopathy;chronic_cough;fatigue;hypercalcemia;noncaseating_granulomas;uveitis,crackles;fever;honeycombing_on_CT;infiltrate_on_CXR;positive_AFB;progressive_dyspnea;sputum_production,6,7,3,3,original,False
150,T2_Diabetes,Metabolic,False,0.1,medium,HbA1c_elevated;fatigue;high_fasting_glucose;obesity;polyuria;ptosis,cold_intolerance;heat_intolerance;tachycardia;young_age,6,4,3,4,original,False
362,Reactive_Arthritis,Immuno,True,0.003,easy,asymmetric_joint;conjunctivitis;dactylitis;preceding_infection;urethritis;young_male,DIP_involvement;morning_stiffness_over_1hr;positive_ANA;positive_RF;symmetric_swelling,6,5,4,4,original,False
373,Allergic_Rhinitis,Immuno,False,0.2,easy,clear_rhinorrhea;itching;nasal_congestion;pale_nasal_mucosa;seasonal_pattern;sneezing;watery_eyes,HLA_B27;fatigue;fever;inflammatory_back_pain;morning_stiffness_over_1hr;positive_RF;psoriasis,7,7,4,4,original,False
7,Migraine,Neuro,False,0.12,medium,HLA_B27;aura;duration_4_72hrs;headache;nausea;photophobia,focal_neuro_deficit;neck_stiffness;papilledema;relapsing_remitting_course,6,4,3,3,original,False
252,Insulinoma,Metabolic,True,4e-05,hard,confusion;elevated_insulin_during_hypoglycemia;normal_B12;relief_with_glucose;sudden_onset;whipple_triad,HbA1c_elevated;high_fasting_glucose;polydipsia;polyuria;weight_gain,6,5,3,5,original,False
211,Cushing_Syndrome,Metabolic,True,0.001,medium,central_obesity;easy_bruising;elevated_cortisol;hyperglycemia;hypertension;moon_face;restrictive_pattern,hyperpigmentation;low_cortisol;polydipsia;polyuria,7,4,3,4,original,False
239,Pheochromocytoma,Metabolic,True,0.0002,hard,elevated_catecholamines;episodic_hypertension;headache;optic_neuritis;pallor;postictal_confusion,elevated_cortisol;polydipsia;young_age,6,3,3,5,original,False
33,Bacterial_Meningitis,Neuro,False,0.002,hard,fever;neck_stiffness;photophobia;positive_AFB;positive_brudzinski;positive_kernig,aura;bilateral_pain;periorbital_pain,6,3,2,4,original,False
58,Idiopathic_Intracranial_HTN,Neuro,True,0.001,hard,elevated_opening_pressure;fatigable_weakness;female;heat_intolerance;papilledema;tinnitus;transient_visual_obscurations;vision_changes,fever;headache;neck_stiffness;unilateral_pain,8,4,3,4,original,False
258,Metabolic_Syndrome,Metabolic,False,0.12,medium,central_obesity;high_fasting_glucose;high_triglycerides;hypertension;hyperuricemia;low_HDL,heat_intolerance;low_cortisol;polydipsia;polyuria;thin_body_habitus;weight_loss_rapid,6,6,5,5,original,False
631,COPD,Pulmo,False,0.06,medium,chronic_cough;chronic_dyspnea;sputum_production;unilateral_leg_swelling,eosinophilia;infiltrate_on_CXR;noncaseating_granulomas;reversible_airflow_obstruction;young_age,4,5,3,4,original,False
88,Parkinsons_Disease,Neuro,False,0.01,easy,asymmetric_onset;bradykinesia;masked_facies;resting_tremor;rigidity;shuffling_gait,bilateral_pain;fever;nausea;pressing_quality;relapsing_remitting_course;young_age,6,6,4,4,original,False
137,Subarachnoid_Hemorrhage,Neuro,True,0.001,medium,loss_of_consciousness;neck_stiffness;sacroiliac_tenderness;sudden_onset;thunderclap_headache;vomiting;worst_headache_of_life,aura;autonomic_features;elevated_opening_pressure;fever;photophobia;vision_changes,7,6,4,4,original,False
682,Sarcoidosis_Pulmo,Pulmo,True,0.001,hard,chronic_cough;erythema_nodosum;fatigue;hypercalcemia;noncaseating_granulomas;rhinorrhea,infiltrate_on_CXR;positive_AFB;sputum_production,6,3,2,3,original,False
92,Parkinsons_Disease,Neuro,False,0.01,medium,asymmetric_onset;masked_facies;micrographia;resting_tremor;rigidity,altered_mental_status;bilateral_pain;headache;numbness;vision_changes,5,5,3,4,original,False
597,Aortic_Dissection,Cardio,True,0.0003,hard,Marfan_history;blood_pressure_differential;pruritus_after_bathing;sudden_onset;tearing_chest_pain,ST_elevation;diffuse_ST_elevation;elevated_BNP,5,3,3,4,original,False
500,Hodgkin_Lymphoma,Hemato,False,0.003,medium,B_symptoms;Reed_Sternberg_cells;night_sweats;weight_loss_rapid,low_MCV;low_ferritin;petechiae;schistocytes,4,4,2,3,original,False
82,Stroke_Ischemic,Neuro,False,0.03,hard,arm_weakness;dry_mouth;focal_neuro_deficit;hypertension;sudden_onset,fever;gradual_onset;neck_stiffness;numbness;vision_changes,5,5,2,3,original,False
485,HUS,Hemato,True,2e-05,medium,E_coli_O157;diarrhea;hypoxemia;microangiopathic_hemolytic_anemia;renal_failure;schistocytes,HbS_on_electrophoresis;fatigue;neurologic_symptoms;no_diarrhea,6,4,4,5,original,False
207,Cushing_Syndrome,Metabolic,True,0.001,easy,central_obesity;elevated_cortisol;hypertension;moon_face;proximal_muscle_weakness;purple_striae,heat_intolerance;hyperpigmentation;ketoacidosis;weight_loss_rapid,6,4,4,4,original,False
213,Cushing_Syndrome,Metabolic,True,0.001,hard,central_obesity;cold_intolerance;easy_bruising;hyperglycemia;moon_face;proximal_muscle_weakness;purple_striae,fatigue;hypotension;weight_loss_rapid,7,3,3,4,original,False
315,Systemic_Lupus,Immuno,True,0.005,easy,fatigue;joint_pain;malar_rash;photosensitivity;positive_ANA;renal_involvement;serositis,DIP_involvement;age_over_50;crepitus;morning_stiffness_over_1hr,7,4,4,4,original,False
610,Pericarditis,Cardio,False,0.003,hard,diffuse_ST_elevation;facial_droop;fever;pericardial_effusion;pericardial_friction_rub;pleuritic_chest_pain,dyspnea;radiation_to_arm;tachycardia;tearing_chest_pain,6,4,3,4,original,False
300,Osteoarthritis,Immuno,False,0.15,hard,DIP_involvement;Heberden_nodes;dry_skin;joint_pain;reduced_ROM;stiffness_under_30min;vomiting,MSU_crystals;dactylitis;malar_rash;morning_stiffness_over_1hr,7,4,2,4,original,False
191,Hypothyroidism,Metabolic,False,0.05,hard,delayed_reflexes;elevated_TSH;fatigue;limited_spinal_mobility,low_urine_osmolality;moon_face;polydipsia;tachycardia,4,4,2,4,original,False
365,Reactive_Arthritis,Immuno,True,0.003,medium,asymmetric_joint;conjunctivitis;enthesitis;hypotension;urethritis,DIP_involvement;MSU_crystals;crepitus;dactylitis;positive_RF;symmetric_swelling,5,6,3,4,original,False
198,Hyperthyroidism,Metabolic,False,0.02,medium,exophthalmos;heat_intolerance;hyperreflexia;low_TSH;tremor;weight_loss_rapid,HbA1c_elevated;constipation;elevated_TSH;fatigue,6,4,3,4,original,False
685,Lung_Cancer,Pulmo,False,0.005,easy,hemoptysis;mass_on_imaging;persistent_cough;smoking_history;weight_loss_rapid,night_sweats;noncaseating_granulomas;positive_AFB;reversible_airflow_obstruction;sputum_production,5,5,4,4,original,False
629,COPD,Pulmo,False,0.06,medium,S3_gallop;chronic_cough;chronic_dyspnea;prolonged_expiration;smoking_history;sputum_production,eosinophilia;no_smoking_history;noncaseating_granulomas;productive_cough;progressive_dyspnea,6,5,4,4,original,False
352,Sjogren_Syndrome,Immuno,True,0.004,easy,dry_eyes;dry_mouth;positive_anti_SSA;positive_anti_SSB,dactylitis,4,1,4,4,original,False
356,Sjogren_Syndrome,Immuno,True,0.004,medium,dehydration;dry_eyes;dry_mouth;fatigue;joint_pain;positive_anti_SSA;positive_anti_SSB,dactylitis;malar_rash;positive_RF;sacroiliac_tenderness;tophi,7,5,4,4,original,False
282,Rheumatoid_Arthritis,Immuno,False,0.01,medium,elevated_ESR;joint_pain;low_MCV;morning_stiffness_over_1hr;positive_RF,DIP_involvement;asymmetric_joint;dactylitis;psoriasis,5,4,3,4,original,False
439,Thalassemia_Trait,Hemato,False,0.01,medium,JAK2_mutation;mild_anemia;normal_RDW;normal_ferritin;target_cells,high_MCV;low_B12;microangiopathic_hemolytic_anemia;pallor;peripheral_neuropathy;thrombocytopenia,5,6,4,5,original,False
275,Primary_Hyperaldosteronism,Metabolic,True,0.001,hard,elevated_aldosterone;hypertension;hypokalemia;metabolic_alkalosis;petechial_rash;postictal_confusion,HbA1c_elevated;heat_intolerance;hyperkalemia;hyperpigmentation;hypotension,6,5,3,4,original,False
687,Lung_Cancer,Pulmo,False,0.005,easy,hemoptysis;mass_on_imaging;persistent_cough;weight_loss_rapid,bilateral_hilar_lymphadenopathy;positive_AFB;velcro_crackles,4,3,4,4,original,False
267,Primary_Hyperaldosteronism,Metabolic,True,0.001,easy,adrenal_mass;elevated_aldosterone;hypertension;hypokalemia;low_renin;muscle_weakness,elevated_cortisol;low_TSH;polyuria;purple_striae;young_age,6,5,4,4,original,False
22,Tension_Headache,Neuro,False,0.2,hard,acute_joint_pain;bilateral_pain;erythema_nodosum;headache;mild_photophobia;muscle_tension,elevated_opening_pressure;nausea;vision_changes,6,3,2,3,original,False
455,Sickle_Cell_Disease,Hemato,False,0.003,hard,HbS_on_electrophoresis;areflexia;chronic_hemolytic_anemia;dactylitis;pain_crisis;splenomegaly_childhood,fatigue;low_MCV;low_ferritin;schistocytes;target_cells,6,5,3,4,original,False
340,Ankylosing_Spondylitis,Immuno,True,0.002,easy,HLA_B27;enthesitis;inflammatory_back_pain;morning_stiffness_over_1hr;sacroiliac_tenderness,crepitus;dry_mouth;photosensitivity;positive_RF;positive_anti_SSA,5,5,4,4,original,False
651,Pulmonary_Fibrosis,Pulmo,True,0.002,easy,age_over_50;clubbing;dry_cough;honeycombing_on_CT;progressive_dyspnea;velcro_crackles,fever;infiltrate_on_CXR;reversible_airflow_obstruction;smoking_history,6,4,4,4,original,False
264,Metabolic_Syndrome,Metabolic,False,0.12,hard,central_obesity;fatty_liver;high_triglycerides;hypertension;hyperuricemia;low_HDL;muscle_weakness;pruritus,elevated_cortisol;ketoacidosis;low_TSH;young_age,8,4,4,5,original,False
39,Cluster_Headache,Neuro,True,0.001,easy,autonomic_features;conjunctival_injection;duration_15min_3hrs;headache;lacrimation;periorbital_pain;ptosis;rhinorrhea;unilateral_pain,elevated_opening_pressure;fever;nausea,9,3,5,5,original,False
165,T1_Diabetes,Metabolic,False,0.005,hard,high_fasting_glucose;polydipsia;tophi;young_age,acanthosis_nigricans;fatigue;purple_striae,4,3,3,5,original,False
627,COPD,Pulmo,False,0.06,easy,barrel_chest;chronic_cough;chronic_dyspnea;decreased_breath_sounds;smoking_history;sputum_production,eosinophilia;noncaseating_granulomas;productive_cough;progressive_dyspnea,6,4,4,4,original,False
181,Hypothyroidism,Metabolic,False,0.05,easy,bradycardia;cold_intolerance;constipation;delayed_reflexes;elevated_TSH;fatigue;hair_loss;weight_gain,heat_intolerance;high_fasting_glucose;hyperpigmentation;low_TSH;low_urine_osmolality;purple_striae;young_age,8,7,4,4,original,False
279,Rheumatoid_Arthritis,Immuno,False,0.01,easy,joint_pain;morning_stiffness_over_1hr;positive_RF;symmetric_swelling,DIP_involvement;MSU_crystals;asymmetric_joint;back_pain;malar_rash;sacroiliac_tenderness;tophi,4,7,4,4,original,False
203,Hyperthyroidism,Metabolic,False,0.02,hard,diarrhea;heat_intolerance;hyperreflexia;low_TSH;positive_anti_SSB,bradycardia;constipation;elevated_TSH;polyuria,5,4,2,4,original,False
668,Tuberculosis,Pulmo,False,0.003,medium,fever;hemoptysis;night_sweats;positive_AFB;weight_loss_rapid,honeycombing_on_CT;velcro_crackles,5,2,3,4,original,False
230,Pheochromocytoma,Metabolic,True,0.0002,easy,diaphoresis;elevated_catecholamines;episodic_hypertension;headache;tachycardia,bradycardia;cold_intolerance;dilute_urine;ketoacidosis;low_cortisol;polyuria,5,6,5,5,original,False
541,Aplastic_Anemia,Hemato,True,2e-05,easy,bleeding;fatigue;hypocellular_bone_marrow;pancytopenia;petechiae;recurrent_infections,elevated_hemoglobin;fever;normal_RDW;normal_ferritin;pallor,6,5,5,5,original,False
83,Stroke_Ischemic,Neuro,False,0.03,hard,arm_weakness;chronic_cough;focal_neuro_deficit;hypertension;sudden_onset,fatigue;gradual_onset;headache;papilledema,5,4,2,3,original,False
543,Aplastic_Anemia,Hemato,True,2e-05,easy,bleeding;fatigue;hypocellular_bone_marrow;pallor;pancytopenia;petechiae;recurrent_infections;reticulocytopenia,HbS_on_electrophoresis;JAK2_mutation;fever;lymphocytosis;no_splenomegaly,8,5,5,5,original,False
208,Cushing_Syndrome,Metabolic,True,0.001,easy,central_obesity;easy_bruising;elevated_cortisol;hyperglycemia;moon_face;purple_striae,fatigue;low_cortisol;polydipsia;polyuria;tachycardia;weight_loss_rapid,6,6,4,4,original,False
418,Iron_Deficiency_Anemia,Hemato,False,0.08,hard,delayed_reflexes;dental_caries;koilonychia;low_MCV;low_ferritin;pallor,jaundice;low_B12;mild_anemia;target_cells,6,4,3,4,original,False
443,Thalassemia_Trait,Hemato,False,0.01,hard,low_MCV;muffled_heart_sounds;normal_ferritin;splenomegaly;target_cells;unilateral_pain,fatigue;neurologic_symptoms;thrombocytopenia,6,3,3,5,original,False
273,Primary_Hyperaldosteronism,Metabolic,True,0.001,hard,HbA1c_elevated;adrenal_mass;hypokalemia;low_renin;metabolic_alkalosis;muscle_weakness;velcro_crackles,high_fasting_glucose;weight_gain;weight_loss_rapid,7,3,2,4,original,False
480,TTP,Hemato,True,3e-05,hard,fever;microangiopathic_hemolytic_anemia;neurologic_symptoms;renal_failure;target_cells;thrombocytopenia,fatigue;isolated_thrombocytopenia;low_B12;normal_coagulation_studies,6,4,4,5,original,False
448,Sickle_Cell_Disease,Hemato,False,0.003,easy,African_descent;HbS_on_electrophoresis;chronic_hemolytic_anemia;dactylitis;pain_crisis;sickle_cells,fatigue;high_MCV;low_ferritin;no_splenomegaly;target_cells;thrombocytopenia,6,6,4,4,original,False
623,Cardiac_Tamponade,Cardio,True,0.0005,hard,African_descent;electrical_alternans;hypotension;jugular_venous_distension;pulsus_paradoxus;tachycardia,diffuse_ST_elevation;peripheral_edema;troponin_elevated,6,3,3,4,original,False
50,Idiopathic_Intracranial_HTN,Neuro,True,0.001,easy,elevated_opening_pressure;headache;obesity;papilledema;transient_visual_obscurations;vision_changes,focal_neuro_deficit;lacrimation;relapsing_remitting_course;unilateral_pain,6,4,4,4,original,False
416,Iron_Deficiency_Anemia,Hemato,False,0.08,medium,African_descent;fatigue;glossitis;koilonychia;low_MCV;pallor;pica,mild_anemia;pain_crisis;splenomegaly;thrombocytopenia,7,4,3,4,original,False
695,Lung_Cancer,Pulmo,False,0.005,hard,clubbing;constipation;hemoptysis;mass_on_imaging;orthopnea;smoking_history;superior_vena_cava_syndrome;weight_loss_rapid,chronic_cough;dry_cough;productive_cough,8,3,3,4,original,False
110,Myasthenia_Gravis,Neuro,True,0.0002,easy,anti_AChR_antibodies;diplopia;dysphagia;fatigable_weakness;fluctuating_symptoms;ptosis,areflexia;ascending_weakness;photophobia;sensory_loss,6,4,4,4,original,False
30,Bacterial_Meningitis,Neuro,False,0.002,medium,altered_mental_status;fever;headache;neck_stiffness;positive_kernig,autonomic_features;gradual_onset;pressing_quality;sudden_onset;vision_changes,5,5,4,4,original,False
398,Sarcoidosis,Immuno,True,0.001,easy,bilateral_hilar_lymphadenopathy;erythema_nodosum;fatigue;hypercalcemia;noncaseating_granulomas;uveitis,HLA_B27;dactylitis;high_uric_acid;photosensitivity;positive_RF,6,5,3,3,original,False
512,Polycythemia_Vera,Hemato,True,0.0005,medium,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;headache;plethora;pruritus_after_bathing,anemia;low_MCV;mild_anemia;neurologic_symptoms,6,4,3,4,original,False
101,Guillain_Barre,Neuro,True,0.0001,medium,areflexia;ascending_weakness;elevated_CSF_protein;preceding_infection;progressive_course,asymmetric_onset;bilateral_pain;headache;lacrimation,5,4,3,4,original,False
187,Hypothyroidism,Metabolic,False,0.05,medium,bradycardia;cold_intolerance;constipation;delayed_reflexes;dry_skin;elevated_TSH;fatigue;hair_loss;isolated_thrombocytopenia;weight_gain,HbA1c_elevated;heat_intolerance;purple_striae;tachycardia;young_age,10,5,4,4,original,False
464,ITP,Hemato,True,0.0001,medium,bruising;isolated_thrombocytopenia;normal_coagulation_studies;petechiae,HbS_on_electrophoresis;abnormal_coagulation;chronic_hemolytic_anemia;pallor;target_cells,4,5,3,4,original,False
478,TTP,Hemato,True,3e-05,hard,elevated_LDH;facial_droop;fever;neurologic_symptoms;schistocytes;thin_body_habitus;thrombocytopenia,high_MCV;isolated_thrombocytopenia;microangiopathic_hemolytic_anemia;normal_coagulation_studies,7,4,4,5,original,False
650,Pulmonary_Fibrosis,Pulmo,True,0.002,easy,age_over_50;dry_cough;honeycombing_on_CT;progressive_dyspnea;velcro_crackles,chronic_dyspnea;fever;persistent_cough;positive_AFB;reversible_airflow_obstruction,5,5,4,4,original,False
571,Acute_MI,Cardio,False,0.005,medium,ST_elevation;chest_pain;diaphoresis;elevated_cortisol;radiation_to_arm;risk_factors;troponin_elevated,elevated_BNP;orthopnea;peripheral_edema;pleuritic_chest_pain;sudden_onset,7,5,4,4,original,False
45,Cluster_Headache,Neuro,True,0.001,hard,autonomic_features;conjunctival_injection;headache;periorbital_pain;rhinorrhea;troponin_markedly_elevated,altered_mental_status;bilateral_pain;duration_4_72hrs;focal_neuro_deficit,6,4,3,5,original,False
382,Allergic_Rhinitis,Immuno,False,0.2,hard,clear_rhinorrhea;immunodeficiency;itching;nasal_congestion;pale_nasal_mucosa;tingling;watery_eyes,HLA_B27;joint_pain;malar_rash;morning_stiffness_over_1hr;positive_RF,7,5,3,4,original,False
93,Parkinsons_Disease,Neuro,False,0.01,hard,asymmetric_onset;dyspnea;elevated_catecholamines;postural_instability;rigidity;shuffling_gait,altered_mental_status;fever;symmetric_onset,6,3,2,4,original,False
621,Cardiac_Tamponade,Cardio,True,0.0005,hard,Mediterranean_descent;muffled_heart_sounds;pericardial_effusion;pulsus_paradoxus;tachycardia;upper_lobe_cavitation,ST_elevation;crackles;elevated_BNP;pericardial_friction_rub;pleuritic_chest_pain,6,5,2,4,original,False
80,Stroke_Ischemic,Neuro,False,0.03,medium,arm_weakness;focal_neuro_deficit;pain_crisis;sudden_onset,bilateral_symptoms;fever;gradual_onset;numbness,4,4,2,3,original,False
200,Hyperthyroidism,Metabolic,False,0.02,medium,anxiety;heat_intolerance;hyperreflexia;low_TSH;velcro_crackles;weight_loss_rapid,dilute_urine;high_fasting_glucose;low_cortisol;polydipsia,6,4,3,4,original,False
65,Multiple_Sclerosis,Neuro,True,0.003,medium,balance_problems;fatigue;hypernatremia;lhermitte_sign;numbness;optic_neuritis;relapsing_remitting_course;vision_changes,fever;focal_neuro_deficit;headache;papilledema,8,4,4,4,original,False
222,Addison_Disease,Metabolic,True,0.0001,medium,delayed_reflexes;hyperkalemia;hyperpigmentation;hyponatremia;hypotension;low_cortisol;nausea,elevated_cortisol;low_urine_osmolality;polyuria;purple_striae,7,4,4,5,original,False
378,Allergic_Rhinitis,Immuno,False,0.2,medium,itching;lacrimation;nasal_congestion;sneezing,acute_joint_pain;fatigue;rash;symmetric_swelling,4,4,3,4,original,False
52,Idiopathic_Intracranial_HTN,Neuro,True,0.001,easy,elevated_opening_pressure;headache;papilledema;vision_changes,fever;focal_neuro_deficit;lacrimation;neck_stiffness;relapsing_remitting_course;sudden_onset,4,6,4,4,original,False
128,Epilepsy,Neuro,False,0.01,medium,loss_of_consciousness;lymphocytosis;recurrent_episodes;seizures;tongue_biting,altered_mental_status;elevated_opening_pressure;headache;lacrimation;neck_stiffness,5,5,3,3,original,False
403,Sarcoidosis,Immuno,True,0.001,medium,bilateral_hilar_lymphadenopathy;cough;elevated_ACE;fatigue;hypercalcemia;noncaseating_granulomas,DIP_involvement;dactylitis;morning_stiffness_over_1hr;positive_RF,6,4,3,3,original,False
641,Community_Pneumonia,Pulmo,False,0.01,medium,dyspnea;fever;infiltrate_on_CXR;productive_cough,barrel_chest;reversible_airflow_obstruction;smoking_history;weight_loss_rapid,4,4,3,4,original,False
241,Insulinoma,Metabolic,True,4e-05,easy,confusion;diaphoresis;elevated_insulin_during_hypoglycemia;fasting_hypoglycemia;pancreatic_mass;relief_with_glucose;whipple_triad,HbA1c_elevated;cold_intolerance;ketoacidosis;polydipsia;polyuria;weight_loss_rapid,7,6,5,5,original,False
446,Sickle_Cell_Disease,Hemato,False,0.003,easy,African_descent;HbS_on_electrophoresis;chronic_hemolytic_anemia;pain_crisis;sickle_cells,diarrhea;fever;high_MCV;microangiopathic_hemolytic_anemia;target_cells,5,5,4,4,original,False
135,Subarachnoid_Hemorrhage,Neuro,True,0.001,easy,neck_stiffness;sudden_onset;thunderclap_headache;worst_headache_of_life;xanthochromia_CSF,aura;gradual_onset;headache;pressing_quality,5,4,4,4,original,False
692,Lung_Cancer,Pulmo,False,0.005,medium,hemoptysis;mass_on_imaging;persistent_cough;postictal_confusion;weight_loss_rapid,bilateral_hilar_lymphadenopathy;fever;honeycombing_on_CT;noncaseating_granulomas;reversible_airflow_obstruction;velcro_crackles,5,6,4,4,original,False
613,Cardiac_Tamponade,Cardio,True,0.0005,easy,hypotension;jugular_venous_distension;muffled_heart_sounds;pulsus_paradoxus;tachycardia,blood_pressure_differential;fatigue;pleuritic_chest_pain;sudden_dyspnea,5,4,4,4,original,False
139,Subarachnoid_Hemorrhage,Neuro,True,0.001,medium,neck_stiffness;sudden_onset;thunderclap_headache;xanthochromia_CSF,fever;headache;numbness;papilledema,4,4,3,4,original,False
353,Sjogren_Syndrome,Immuno,True,0.004,medium,dry_eyes;dry_mouth;positive_anti_SSA;positive_anti_SSB,age_over_50;asymmetric_joint;crepitus;dactylitis;joint_pain;positive_ANA,4,6,4,4,original,False
170,Diabetes_Insipidus,Metabolic,True,0.0003,easy,dehydration;dilute_urine;hypernatremia;low_urine_osmolality;nocturia;polydipsia;polyuria,central_obesity;elevated_TSH;fatigue;purple_striae;tachycardia,7,5,4,4,original,False
270,Primary_Hyperaldosteronism,Metabolic,True,0.001,medium,elevated_aldosterone;hypertension;hypokalemia;low_renin;muscle_weakness,HbA1c_elevated;elevated_cortisol;ketoacidosis;weight_gain,5,4,4,4,original,False
528,Hemophilia_A,Hemato,True,0.0001,hard,easy_bruising;exophthalmos;hemarthrosis;male;mature_small_lymphocytes;muscle_hematomas;prolonged_aPTT;prolonged_bleeding,neurologic_symptoms;normal_RDW;pain_crisis,8,3,3,4,original,False
680,Sarcoidosis_Pulmo,Pulmo,True,0.001,medium,bilateral_hilar_lymphadenopathy;chronic_cough;elevated_ACE;fatigue;noncaseating_granulomas;positive_anti_SSB;uveitis,chronic_dyspnea;persistent_cough;positive_AFB;sputum_production;upper_lobe_cavitation;weight_loss_rapid,7,6,3,3,original,False
415,Iron_Deficiency_Anemia,Hemato,False,0.08,medium,brittle_nails;fatigue;low_MCV;low_ferritin;pallor;pica,chronic_hemolytic_anemia;diarrhea;high_MCV;microangiopathic_hemolytic_anemia;peripheral_neuropathy,6,5,4,4,original,False
107,Guillain_Barre,Neuro,True,0.0001,hard,ascending_weakness;high_triglycerides;progressive_course,headache;lacrimation;vision_changes,3,3,2,4,original,False
545,Aplastic_Anemia,Hemato,True,2e-05,medium,bleeding;hypocellular_bone_marrow;pancytopenia;recurrent_infections;reticulocytopenia,lymphocytosis;microangiopathic_hemolytic_anemia;normal_ferritin;petechiae,5,4,4,5,original,False
304,Gout,Immuno,False,0.04,easy,MSU_crystals;acute_joint_pain;asymmetric_joint;high_uric_acid;podagra;rapid_onset_hours;warmth,age_over_50;dactylitis;joint_pain;morning_stiffness_over_1hr;psoriasis,7,5,4,4,original,False
314,Systemic_Lupus,Immuno,True,0.005,easy,cytopenias;joint_pain;malar_rash;photosensitivity;positive_ANA,asymmetric_joint;crepitus;dry_mouth;high_uric_acid;sacroiliac_tenderness,5,5,4,4,original,False
482,HUS,Hemato,True,2e-05,easy,E_coli_O157;bloody_diarrhea;diarrhea;microangiopathic_hemolytic_anemia;renal_failure;schistocytes;thrombocytopenia,fatigue;high_MCV;low_B12;neurologic_symptoms;normal_coagulation_studies;pallor;sickle_cells,7,7,5,5,original,False
358,Sjogren_Syndrome,Immuno,True,0.004,hard,dry_eyes;elevated_cortisol;parotid_enlargement;positive_anti_SSA;worst_headache_of_life,MSU_crystals;asymmetric_joint;crepitus,5,3,2,4,original,False
24,Tension_Headache,Neuro,False,0.2,hard,EEG_abnormality;bilateral_pain;headache;mild_photophobia,altered_mental_status;papilledema;relapsing_remitting_course,4,3,2,3,original,False
9,Migraine,Neuro,False,0.12,hard,S3_gallop;headache;photophobia;throbbing_quality;unilateral_pain,focal_neuro_deficit;neck_stiffness;papilledema;vision_changes,5,4,2,3,original,False
532,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,easy,age_over_50;fatigue;immunodeficiency;lymphocytosis;mature_small_lymphocytes;painless_lymphadenopathy;smudge_cells;splenomegaly,HbS_on_electrophoresis;low_B12;low_MCV;low_ferritin;microangiopathic_hemolytic_anemia;mild_anemia;schistocytes,8,7,4,4,original,False
20,Tension_Headache,Neuro,False,0.2,medium,bilateral_pain;mild_photophobia;muscle_tension;pressing_quality;proximal_muscle_weakness,aura;headache;nausea;neck_stiffness;papilledema;photophobia,5,6,2,3,original,False
551,Aplastic_Anemia,Hemato,True,2e-05,hard,bleeding;fatigue;hypokalemia;pancytopenia;petechiae;positive_AFB;recurrent_infections;reticulocytopenia,Reed_Sternberg_cells;fever;lymphocytosis;neurologic_symptoms;pain_crisis,8,5,4,5,original,False
506,Polycythemia_Vera,Hemato,True,0.0005,easy,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;pruritus_after_bathing;splenomegaly,fatigue;isolated_thrombocytopenia;normal_ferritin;pallor;petechiae,5,5,4,4,original,False
332,Psoriatic_Arthritis,Immuno,True,0.002,medium,DIP_involvement;asymmetric_joint;dactylitis;enthesitis;nail_pitting;psoriasis,MSU_crystals;high_uric_acid;joint_pain;malar_rash;morning_stiffness_over_1hr,6,5,2,3,original,False
423,B12_Deficiency,Hemato,False,0.03,easy,fatigue;glossitis;high_MCV;low_B12;peripheral_neuropathy;subacute_combined_degeneration,diarrhea;microangiopathic_hemolytic_anemia;normal_B12;pain_crisis;petechiae;schistocytes;sickle_cells,6,7,4,4,original,False
388,Asthma,Immuno,False,0.08,easy,chest_tightness;dyspnea;episodic_symptoms;reversible_airflow_obstruction;trigger_exposure;wheezing,crackles;fever;joint_pain;photosensitivity;symmetric_swelling,6,5,4,4,original,False
424,B12_Deficiency,Hemato,False,0.03,easy,fatigue;glossitis;high_MCV;hypersegmented_neutrophils;low_B12;pallor;peripheral_neuropathy;subacute_combined_degeneration,low_MCV;microangiopathic_hemolytic_anemia;mild_anemia;no_splenomegaly;schistocytes,8,5,4,4,original,False
533,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,medium,age_over_50;fatigue;low_renin;mature_small_lymphocytes;painless_lymphadenopathy;splenomegaly,Reed_Sternberg_cells;fever;low_B12;young_age,6,4,3,4,original,False
435,Thalassemia_Trait,Hemato,False,0.01,easy,Mediterranean_descent;family_history;low_MCV;mild_anemia;normal_RDW;normal_ferritin;splenomegaly;target_cells,high_MCV;microangiopathic_hemolytic_anemia;no_splenomegaly;sickle_cells;thrombocytopenia,8,5,5,5,original,False
592,Aortic_Dissection,Cardio,True,0.0003,easy,Marfan_history;blood_pressure_differential;hypertension_history;sudden_onset;tearing_chest_pain;widened_mediastinum,chest_pain;dyspnea;peripheral_edema;pleuritic_chest_pain;radiation_to_arm;troponin_elevated,6,6,4,4,original,False
174,Diabetes_Insipidus,Metabolic,True,0.0003,medium,dehydration;dilute_urine;hypernatremia;low_ADAMTS13;low_urine_osmolality;polydipsia;polyuria,heat_intolerance;high_fasting_glucose;ketoacidosis;purple_striae,7,4,4,4,original,False
357,Sjogren_Syndrome,Immuno,True,0.004,hard,dry_mouth;fatigue;parotid_enlargement;petechiae;positive_anti_SSA;positive_anti_SSB,DIP_involvement;acute_joint_pain;crepitus;positive_ANA,6,4,3,4,original,False
102,Guillain_Barre,Neuro,True,0.0001,medium,areflexia;ascending_weakness;preceding_infection;progressive_course;symmetric_weakness;tingling,asymmetric_onset;headache;pressing_quality;resting_tremor,6,4,4,4,original,False
140,Subarachnoid_Hemorrhage,Neuro,True,0.001,medium,nausea;neck_stiffness;parotid_enlargement;sudden_onset;thunderclap_headache,aura;numbness;vision_changes,5,3,3,4,original,False
553,Heart_Failure,Cardio,False,0.02,easy,S3_gallop;dyspnea;elevated_BNP;fatigue;peripheral_edema,ST_elevation;pericardial_friction_rub;tearing_chest_pain;unilateral_leg_swelling,5,4,4,4,original,False
164,T1_Diabetes,Metabolic,False,0.005,medium,autoantibodies_positive;high_fasting_glucose;ketoacidosis;polydipsia;polyuria;symmetric_swelling;weight_loss_rapid;young_age,acanthosis_nigricans;age_over_50;central_obesity;elevated_cortisol;fatigue,8,5,5,5,original,False
451,Sickle_Cell_Disease,Hemato,False,0.003,medium,HbS_on_electrophoresis;chronic_hemolytic_anemia;pain_crisis;sickle_cells;splenomegaly_childhood,high_MCV;mild_anemia;normal_RDW;normal_coagulation_studies;target_cells;thrombocytopenia,5,6,4,4,original,False
141,Subarachnoid_Hemorrhage,Neuro,True,0.001,hard,exophthalmos;sudden_dyspnea;sudden_onset;vomiting;worst_headache_of_life;xanthochromia_CSF,aura;headache;pressing_quality,6,3,2,4,original,False
109,Myasthenia_Gravis,Neuro,True,0.0002,easy,diplopia;dysphagia;fatigable_weakness;fluctuating_symptoms;positive_edrophonium_test;ptosis;thymoma,areflexia;headache;resting_tremor;unilateral_pain,7,4,4,4,original,False
221,Addison_Disease,Metabolic,True,0.0001,medium,fatigue;hyperkalemia;hyperpigmentation;hyponatremia;hypotension;low_cortisol,HbA1c_elevated;central_obesity;dilute_urine;high_fasting_glucose;polyuria;weight_gain,6,6,5,5,original,False
143,Subarachnoid_Hemorrhage,Neuro,True,0.001,hard,nausea;sudden_onset;thunderclap_headache;worst_headache_of_life;xanthochromia_CSF;young_age,fever;gradual_onset;headache,6,3,3,4,original,False
521,Hemophilia_A,Hemato,True,0.0001,medium,family_history;hemarthrosis;prolonged_aPTT;prolonged_bleeding,fatigue;isolated_thrombocytopenia;low_ferritin;normal_coagulation_studies;target_cells,4,5,3,4,original,False
8,Migraine,Neuro,False,0.12,medium,aura;blurred_vision;headache;nausea;photophobia;throbbing_quality;unilateral_pain,altered_mental_status;lacrimation;neck_stiffness;papilledema,7,4,3,3,original,False
294,Osteoarthritis,Immuno,False,0.15,medium,DIP_involvement;age_over_50;crepitus;joint_pain,asymmetric_joint;malar_rash;photosensitivity;positive_ANA;positive_RF;psoriasis,4,6,4,4,original,False
262,Metabolic_Syndrome,Metabolic,False,0.12,hard,acanthosis_nigricans;blood_pressure_differential;central_obesity;fatty_liver;high_fasting_glucose;low_HDL;postictal_confusion,low_TSH;low_cortisol;polydipsia;thin_body_habitus,7,4,3,5,original,False
691,Lung_Cancer,Pulmo,False,0.005,medium,clubbing;hemoptysis;hoarseness;mass_on_imaging;persistent_cough;smoking_history;weight_loss_rapid,chronic_dyspnea;crackles;dry_cough;positive_AFB;reversible_airflow_obstruction;velcro_crackles,7,6,4,4,original,False
538,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,hard,anxiety;immunodeficiency;lymphocytosis;mature_small_lymphocytes;productive_cough,fatigue;high_MCV;sickle_cells,5,3,2,4,original,False
249,Insulinoma,Metabolic,True,4e-05,hard,diaphoresis;elevated_insulin_during_hypoglycemia;inflammatory_back_pain;relief_with_glucose;restrictive_pattern;whipple_triad,HbA1c_elevated;dilute_urine;elevated_cortisol;polyuria,6,4,3,5,original,False
394,Asthma,Immuno,False,0.08,hard,chest_tightness;constipation;dyspnea;episodic_symptoms;trigger_exposure;wheezing,asymmetric_joint;crepitus;malar_rash;positive_ANA,6,4,3,4,original,False
536,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,medium,age_over_50;fatigue;immunodeficiency;lymphocytosis;painless_lymphadenopathy;smudge_cells;splenomegaly;thrombocytopenia,fever;no_splenomegaly;peripheral_neuropathy;young_age,8,4,3,4,original,False
404,Sarcoidosis,Immuno,True,0.001,medium,bilateral_hilar_lymphadenopathy;erythema_nodosum;fatigue;uveitis,dactylitis;morning_stiffness_over_1hr;positive_RF;psoriasis,4,4,2,3,original,False
114,Myasthenia_Gravis,Neuro,True,0.0002,medium,anti_AChR_antibodies;diplopia;fatigable_weakness;postictal_confusion;ptosis,areflexia;fever;neck_stiffness;resting_tremor,5,4,3,4,original,False
250,Insulinoma,Metabolic,True,4e-05,hard,confusion;diaphoresis;elevated_insulin_during_hypoglycemia;fasting_hypoglycemia;high_uric_acid;whipple_triad,elevated_TSH;elevated_cortisol;polydipsia,6,3,4,5,original,False
327,Psoriatic_Arthritis,Immuno,True,0.002,easy,dactylitis;enthesitis;joint_pain;psoriasis,DIP_involvement;HLA_B27;MSU_crystals;high_uric_acid;positive_RF;symmetric_swelling,4,6,3,3,original,False
286,Rheumatoid_Arthritis,Immuno,False,0.01,hard,clubbing;elevated_ESR;morning_stiffness_over_1hr;symmetric_swelling;wheezing,asymmetric_joint;inflammatory_back_pain;sacroiliac_tenderness,5,3,2,4,original,False
655,Pulmonary_Fibrosis,Pulmo,True,0.002,medium,age_over_50;dry_cough;honeycombing_on_CT;progressive_dyspnea;reduced_DLCO;restrictive_pattern;velcro_crackles,fever;infiltrate_on_CXR;smoking_history;weight_loss_rapid,7,4,4,4,original,False
309,Gout,Immuno,False,0.04,hard,acute_joint_pain;age_over_50;asymmetric_joint;hemoptysis;high_uric_acid,joint_pain;positive_ANA;psoriasis,5,3,3,4,original,False
160,T1_Diabetes,Metabolic,False,0.005,easy,autoantibodies_positive;high_fasting_glucose;ketoacidosis;polydipsia;polyuria;thin_body_habitus;weight_loss_rapid;young_age,HbA1c_elevated;acanthosis_nigricans;elevated_TSH;gradual_onset;obesity,8,5,5,5,original,False
524,Hemophilia_A,Hemato,True,0.0001,medium,easy_bruising;hemarthrosis;low_factor_VIII;prolonged_aPTT;prolonged_bleeding,HbS_on_electrophoresis;high_MCV;isolated_thrombocytopenia;low_MCV;peripheral_neuropathy;sickle_cells,5,6,4,4,original,False
471,TTP,Hemato,True,3e-05,easy,fever;low_ADAMTS13;microangiopathic_hemolytic_anemia;neurologic_symptoms;renal_failure;schistocytes;thrombocytopenia,fatigue;high_MCV;isolated_thrombocytopenia;low_ferritin;no_splenomegaly,7,5,5,5,original,False
317,Systemic_Lupus,Immuno,True,0.005,medium,fatigue;low_MCV;malar_rash;oral_ulcers;photosensitivity;positive_ANA;serositis,joint_pain;morning_stiffness_over_1hr;positive_anti_SSA;tophi,7,4,3,4,original,False
132,Epilepsy,Neuro,False,0.01,hard,incontinence;pallor;postictal_confusion;recurrent_episodes;seizures;sudden_dyspnea,ascending_weakness;autonomic_features;bilateral_pain,6,3,2,3,original,False
577,Pulmonary_Embolism,Cardio,False,0.002,easy,Wells_score_high;elevated_D_dimer;hemoptysis;hypoxemia;pleuritic_chest_pain;sudden_dyspnea;tachycardia;unilateral_leg_swelling,crackles;diffuse_ST_elevation;elevated_BNP;pain_worse_supine;troponin_elevated,8,5,4,4,original,False
450,Sickle_Cell_Disease,Hemato,False,0.003,medium,African_descent;HbS_on_electrophoresis;MSU_crystals;chronic_hemolytic_anemia;dactylitis;jaundice;pain_crisis;sickle_cells;splenomegaly_childhood,high_MCV;isolated_thrombocytopenia;microangiopathic_hemolytic_anemia;no_splenomegaly;normal_coagulation_studies,9,5,4,4,original,False
632,COPD,Pulmo,False,0.06,medium,altered_mental_status;chronic_cough;chronic_dyspnea;decreased_breath_sounds;smoking_history;sputum_production,no_smoking_history;weight_loss_rapid;young_age,6,3,4,4,original,False
565,Acute_MI,Cardio,False,0.005,easy,ST_elevation;chest_pain;dyspnea;radiation_to_arm;risk_factors;troponin_elevated,fever;hypotension;jugular_venous_distension,6,3,4,4,original,False
472,TTP,Hemato,True,3e-05,easy,elevated_LDH;fever;low_ADAMTS13;microangiopathic_hemolytic_anemia;neurologic_symptoms;renal_failure;schistocytes;thrombocytopenia,HbS_on_electrophoresis;isolated_thrombocytopenia;low_B12;low_MCV;no_splenomegaly;normal_coagulation_studies;pain_crisis,8,7,5,5,original,False
677,Sarcoidosis_Pulmo,Pulmo,True,0.001,medium,bilateral_hilar_lymphadenopathy;chronic_cough;erythema_nodosum;noncaseating_granulomas;uveitis,honeycombing_on_CT;positive_AFB;sputum_production;weight_loss_rapid,5,4,3,3,original,False
316,Systemic_Lupus,Immuno,True,0.005,easy,fatigue;joint_pain;malar_rash;photosensitivity;positive_ANA,DIP_involvement;asymmetric_joint;crepitus;morning_stiffness_over_1hr;positive_RF;symmetric_swelling,5,6,4,4,original,False
386,Asthma,Immuno,False,0.08,easy,chest_tightness;dyspnea;episodic_symptoms;nocturnal_symptoms;reversible_airflow_obstruction;trigger_exposure;wheezing,MSU_crystals;fever;morning_stiffness_over_1hr;positive_ANA;rash,7,5,4,4,original,False
272,Primary_Hyperaldosteronism,Metabolic,True,0.001,medium,elevated_aldosterone;hypertension;low_renin,elevated_TSH;hyperkalemia;moon_face,3,3,3,4,original,False
688,Lung_Cancer,Pulmo,False,0.005,easy,clubbing;hemoptysis;hoarseness;mass_on_imaging;persistent_cough;weight_loss_rapid,bilateral_hilar_lymphadenopathy;infiltrate_on_CXR;positive_AFB,6,3,4,4,original,False
576,Acute_MI,Cardio,False,0.005,hard,chest_pain;dyspnea;high_fasting_glucose;normal_ferritin;radiation_to_arm;risk_factors;troponin_elevated,elevated_BNP;peripheral_edema;pleuritic_chest_pain,7,3,3,4,original,False
196,Hyperthyroidism,Metabolic,False,0.02,easy,diarrhea;exophthalmos;heat_intolerance;hyperreflexia;low_TSH;tachycardia;weight_loss_rapid,moon_face;polydipsia;polyuria;weight_gain;young_age,7,5,4,4,original,False
355,Sjogren_Syndrome,Immuno,True,0.004,medium,dry_eyes;dry_mouth;fatigue;joint_pain;positive_anti_SSA;positive_anti_SSB,HLA_B27;acute_joint_pain;high_uric_acid;morning_stiffness_over_1hr;photosensitivity;tophi,6,6,4,4,original,False
25,Bacterial_Meningitis,Neuro,False,0.002,easy,altered_mental_status;fever;headache;neck_stiffness;photophobia;positive_kernig,bilateral_pain;pressing_quality,6,2,4,4,original,False
247,Insulinoma,Metabolic,True,4e-05,medium,confusion;fasting_hypoglycemia;relief_with_glucose;whipple_triad,HbA1c_elevated;cold_intolerance;polyuria,4,3,4,5,original,False
125,Epilepsy,Neuro,False,0.01,medium,incontinence;recurrent_episodes;seizures;tongue_biting,bilateral_pain;papilledema;progressive_course;vision_changes,4,4,2,3,original,False
605,Pericarditis,Cardio,False,0.003,medium,diffuse_ST_elevation;fever;pain_worse_supine;pericardial_effusion;pleuritic_chest_pain;viral_prodrome,blood_pressure_differential;hypotension;tearing_chest_pain;troponin_markedly_elevated,6,4,3,4,original,False
259,Metabolic_Syndrome,Metabolic,False,0.12,medium,acanthosis_nigricans;central_obesity;fatty_liver;high_fasting_glucose;hypertension;hyperuricemia;low_HDL,dilute_urine;elevated_cortisol;ketoacidosis;polyuria;weight_gain,7,5,4,5,original,False
70,Multiple_Sclerosis,Neuro,True,0.003,hard,fatigue;glycosuria;lhermitte_sign;numbness;relapsing_remitting_course,headache;papilledema;photophobia,5,3,3,4,original,False
47,Cluster_Headache,Neuro,True,0.001,hard,autonomic_features;blood_pressure_differential;conjunctival_injection;lacrimation;periorbital_pain;positive_edrophonium_test;rhinorrhea;unilateral_pain,fatigue;sudden_onset;vision_changes,8,3,4,5,original,False
157,T1_Diabetes,Metabolic,False,0.005,easy,high_fasting_glucose;ketoacidosis;polydipsia;polyuria;young_age,cold_intolerance;elevated_cortisol;gradual_onset;moon_face;obesity;weight_loss_rapid,5,6,5,5,original,False
72,Multiple_Sclerosis,Neuro,True,0.003,hard,balance_problems;fatigue;hypertension;lhermitte_sign;numbness;optic_neuritis;vision_changes;white_matter_lesions,fever;lacrimation;periorbital_pain;sudden_onset;unilateral_pain,8,5,3,4,original,False
666,Tuberculosis,Pulmo,False,0.003,medium,chronic_cough;fever;positive_AFB;positive_PPD;upper_lobe_cavitation;weight_loss_rapid,hemoptysis;productive_cough;reversible_airflow_obstruction;smoking_history,6,4,3,4,original,False
409,Iron_Deficiency_Anemia,Hemato,False,0.08,easy,fatigue;glossitis;low_MCV;low_ferritin;pallor,jaundice;low_B12;normal_coagulation_studies;normal_ferritin,5,4,4,4,original,False
276,Primary_Hyperaldosteronism,Metabolic,True,0.001,hard,adrenal_mass;elevated_aldosterone;hypertension;low_renin;metabolic_alkalosis;muscle_weakness;photophobia;positive_edrophonium_test,elevated_cortisol;high_fasting_glucose;hyperkalemia,8,3,3,4,original,False
330,Psoriatic_Arthritis,Immuno,True,0.002,medium,asymmetric_joint;dactylitis;joint_pain,MSU_crystals;acute_joint_pain;dry_eyes;malar_rash;morning_stiffness_over_1hr;sacroiliac_tenderness,3,6,2,3,original,False
426,B12_Deficiency,Hemato,False,0.03,medium,fatigue;high_MCV;low_B12;pallor;peripheral_neuropathy,low_MCV;low_ferritin;normal_B12;schistocytes;sickle_cells;target_cells,5,6,4,4,original,False
98,Guillain_Barre,Neuro,True,0.0001,easy,areflexia;ascending_weakness;elevated_CSF_protein;preceding_infection;progressive_course;respiratory_difficulty;symmetric_weakness;tingling,asymmetric_onset;autonomic_features;fatigue;headache;photophobia;vision_changes,8,6,4,4,original,False
488,HUS,Hemato,True,2e-05,medium,bloody_diarrhea;diarrhea;microangiopathic_hemolytic_anemia;renal_failure;thrombocytopenia,chronic_hemolytic_anemia;fatigue;fever;low_B12;low_MCV;low_ferritin,5,6,4,5,original,False
437,Thalassemia_Trait,Hemato,False,0.01,medium,family_history;low_MCV;mild_anemia;normal_RDW;normal_ferritin;splenomegaly;target_cells,microangiopathic_hemolytic_anemia;peripheral_neuropathy;petechiae;schistocytes,7,4,5,5,original,False
205,Cushing_Syndrome,Metabolic,True,0.001,easy,central_obesity;elevated_cortisol;hypertension;moon_face;purple_striae,hypotension;low_cortisol;polydipsia;weight_loss_rapid;young_age,5,5,4,4,original,False
2,Migraine,Neuro,False,0.12,easy,headache;nausea;photophobia;throbbing_quality,altered_mental_status;periorbital_pain;sudden_onset;unilateral_pain,4,4,3,3,original,False
618,Cardiac_Tamponade,Cardio,True,0.0005,medium,hypotension;jugular_venous_distension;muffled_heart_sounds;pericardial_effusion;pulsus_paradoxus;tachycardia,ST_elevation;crackles;diffuse_ST_elevation;peripheral_edema;sudden_dyspnea,6,5,4,4,original,False
552,Aplastic_Anemia,Hemato,True,2e-05,hard,bleeding;crackles;fatigue;hypocellular_bone_marrow;pallor;pancytopenia;petechiae,chronic_hemolytic_anemia;elevated_hemoglobin;target_cells,7,3,4,5,original,False
487,HUS,Hemato,True,2e-05,medium,E_coli_O157;diarrhea;microangiopathic_hemolytic_anemia;renal_failure;schistocytes;thrombocytopenia;widened_mediastinum,high_MCV;low_ferritin;no_diarrhea;pain_crisis;petechiae,7,5,5,5,original,False
555,Heart_Failure,Cardio,False,0.02,easy,PND;dyspnea;elevated_BNP;fatigue;jugular_venous_distension;peripheral_edema,pleuritic_chest_pain;sudden_dyspnea;widened_mediastinum,6,3,4,4,original,False
15,Tension_Headache,Neuro,False,0.2,easy,bilateral_pain;headache;muscle_tension;pressing_quality;stress,aura;focal_neuro_deficit;lacrimation;papilledema;throbbing_quality;vision_changes,5,6,3,3,original,False
206,Cushing_Syndrome,Metabolic,True,0.001,easy,central_obesity;easy_bruising;elevated_cortisol;hyperglycemia;hypertension;moon_face;purple_striae,fatigue;heat_intolerance;hyperpigmentation;low_cortisol;low_urine_osmolality;polydipsia,7,6,4,4,original,False
617,Cardiac_Tamponade,Cardio,True,0.0005,medium,hypotension;jugular_venous_distension;muffled_heart_sounds;pericardial_effusion;pulsus_paradoxus;tachycardia,crackles;dyspnea;elevated_BNP;pleuritic_chest_pain,6,4,4,4,original,False
369,Reactive_Arthritis,Immuno,True,0.003,hard,HLA_B27;conjunctivitis;low_urine_osmolality;preceding_infection;young_male,DIP_involvement;acute_joint_pain;symmetric_swelling,5,3,2,4,original,False
452,Sickle_Cell_Disease,Hemato,False,0.003,medium,African_descent;HbS_on_electrophoresis;Wells_score_high;chronic_hemolytic_anemia;jaundice;pain_crisis;sickle_cells,high_MCV;low_MCV;microangiopathic_hemolytic_anemia;normal_ferritin;schistocytes;target_cells,7,6,4,4,original,False
130,Epilepsy,Neuro,False,0.01,hard,EEG_abnormality;loss_of_consciousness;orthopnea;postictal_confusion;recurrent_episodes,elevated_opening_pressure;headache;neck_stiffness;papilledema;relapsing_remitting_course,5,5,2,3,original,False
635,COPD,Pulmo,False,0.06,hard,FEV1_reduced;barrel_chest;chronic_dyspnea;decreased_breath_sounds;high_fasting_glucose;sputum_production,hemoptysis;mass_on_imaging;persistent_cough;positive_AFB,6,4,2,4,original,False
497,Hodgkin_Lymphoma,Hemato,False,0.003,medium,B_symptoms;painless_lymphadenopathy;pruritus;weight_loss_rapid,chronic_hemolytic_anemia;isolated_thrombocytopenia;low_MCV;target_cells,4,4,2,3,original,False
111,Myasthenia_Gravis,Neuro,True,0.0002,easy,diplopia;fatigable_weakness;fluctuating_symptoms;ptosis;thymoma,ascending_weakness;periorbital_pain;resting_tremor;unilateral_pain,5,4,4,4,original,False
612,Pericarditis,Cardio,False,0.003,hard,areflexia;diffuse_ST_elevation;pain_worse_supine;pleuritic_chest_pain;weight_gain,chest_pain;jugular_venous_distension;tearing_chest_pain;troponin_markedly_elevated,5,4,3,4,original,False
413,Iron_Deficiency_Anemia,Hemato,False,0.08,medium,brittle_nails;fatigue;koilonychia;low_MCV;low_ferritin;pruritus_after_bathing,jaundice;normal_coagulation_studies,6,2,3,4,original,False
124,Epilepsy,Neuro,False,0.01,easy,incontinence;loss_of_consciousness;postictal_confusion;recurrent_episodes;seizures;tongue_biting,altered_mental_status;elevated_opening_pressure;fever;headache;neck_stiffness;papilledema;progressive_course,6,7,3,3,original,False
99,Guillain_Barre,Neuro,True,0.0001,easy,areflexia;ascending_weakness;elevated_CSF_protein;progressive_course;symmetric_weakness;tingling,asymmetric_onset;headache;numbness;periorbital_pain;vision_changes,6,5,4,4,original,False
515,Polycythemia_Vera,Hemato,True,0.0005,hard,PND;elevated_hematocrit;elevated_hemoglobin;erythromelalgia;headache;morning_stiffness_over_1hr;pruritus_after_bathing;splenomegaly,chronic_hemolytic_anemia;fatigue;low_MCV;mild_anemia;peripheral_neuropathy,8,5,3,4,original,False
431,B12_Deficiency,Hemato,False,0.03,hard,dehydration;high_MCV;low_B12;pallor,low_MCV;mild_anemia;no_splenomegaly;normal_B12;target_cells,4,5,2,4,original,False
104,Guillain_Barre,Neuro,True,0.0001,medium,areflexia;ascending_weakness;crepitus;elevated_CSF_protein;preceding_infection;progressive_course;symmetric_weakness,fatigue;fever;papilledema;upper_motor_neuron_signs,7,4,4,4,original,False
148,T2_Diabetes,Metabolic,False,0.1,easy,HbA1c_elevated;fatigue;high_fasting_glucose;obesity;polydipsia;polyuria,autoantibodies_positive;elevated_TSH;heat_intolerance;ketoacidosis;low_urine_osmolality;weight_loss_rapid,6,6,4,4,original,False
393,Asthma,Immuno,False,0.08,hard,chest_tightness;dyspnea;episodic_symptoms;trigger_exposure;upper_lobe_cavitation,crepitus;high_uric_acid;morning_stiffness_over_1hr;positive_ANA,5,4,2,4,original,False
277,Rheumatoid_Arthritis,Immuno,False,0.01,easy,MCP_PIP_involvement;fatigue;joint_pain;morning_stiffness_over_1hr;positive_RF;symmetric_swelling,DIP_involvement;asymmetric_joint;dry_mouth;photosensitivity;positive_ANA;positive_anti_SSA;sacroiliac_tenderness,6,7,4,4,original,False
509,Polycythemia_Vera,Hemato,True,0.0005,medium,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;headache;pruritus_after_bathing;splenomegaly,fever;high_MCV;pallor;petechiae,6,4,4,4,original,False
17,Tension_Headache,Neuro,False,0.2,medium,bilateral_pain;headache;hypocellular_bone_marrow;mild_photophobia;muscle_tension;pressing_quality;stress,aura;fatigue;lacrimation;periorbital_pain,7,4,3,3,original,False
525,Hemophilia_A,Hemato,True,0.0001,hard,family_history;hemarthrosis;hypertension_history;low_factor_VIII;muscle_hematomas;prolonged_bleeding,isolated_thrombocytopenia;low_B12;low_ferritin;mild_anemia;normal_coagulation_studies,6,5,3,4,original,False
554,Heart_Failure,Cardio,False,0.02,easy,PND;S3_gallop;crackles;dyspnea;elevated_BNP;fatigue;jugular_venous_distension;orthopnea;peripheral_edema,ST_elevation;diffuse_ST_elevation;pleuritic_chest_pain;radiation_to_arm;widened_mediastinum,9,5,4,4,original,False
619,Cardiac_Tamponade,Cardio,True,0.0005,medium,electrical_alternans;hypotension;jugular_venous_distension;pericardial_effusion;pulsus_paradoxus,ST_elevation;chest_pain;pain_worse_supine;pericardial_friction_rub,5,4,3,4,original,False
481,HUS,Hemato,True,2e-05,easy,diarrhea;microangiopathic_hemolytic_anemia;renal_failure;schistocytes;thrombocytopenia,fatigue;low_B12;no_splenomegaly;normal_ferritin;pain_crisis,5,5,5,5,original,False
615,Cardiac_Tamponade,Cardio,True,0.0005,easy,electrical_alternans;hypotension;jugular_venous_distension;muffled_heart_sounds;pulsus_paradoxus;tachycardia,diffuse_ST_elevation;elevated_BNP;fatigue;peripheral_edema;radiation_to_arm;troponin_elevated,6,6,4,4,original,False
67,Multiple_Sclerosis,Neuro,True,0.003,medium,balance_problems;fatigue;lhermitte_sign;numbness;vision_changes,altered_mental_status;headache;papilledema;speech_difficulty;sudden_onset,5,5,3,4,original,False
64,Multiple_Sclerosis,Neuro,True,0.003,easy,fatigue;lhermitte_sign;numbness;relapsing_remitting_course;vision_changes;white_matter_lesions,elevated_opening_pressure;fever;headache;photophobia,6,4,4,4,original,False
184,Hypothyroidism,Metabolic,False,0.05,easy,bradycardia;cold_intolerance;elevated_TSH;fatigue;weight_gain,central_obesity;heat_intolerance;low_TSH;polydipsia;tachycardia;weight_loss_rapid,5,6,4,4,original,False
123,Epilepsy,Neuro,False,0.01,easy,loss_of_consciousness;recurrent_episodes;seizures,ascending_weakness;elevated_opening_pressure;headache;papilledema;progressive_course,3,5,3,3,original,False
593,Aortic_Dissection,Cardio,True,0.0003,medium,Marfan_history;blood_pressure_differential;sudden_onset;tearing_chest_pain,ST_elevation;diffuse_ST_elevation;elevated_D_dimer;orthopnea;peripheral_edema;troponin_elevated,4,6,3,4,original,False
29,Bacterial_Meningitis,Neuro,False,0.002,medium,altered_mental_status;fever;neck_stiffness;petechial_rash;positive_brudzinski;positive_kernig;superior_vena_cava_syndrome,aura;gradual_onset;headache;vision_changes,7,4,3,4,original,False
44,Cluster_Headache,Neuro,True,0.001,medium,autonomic_features;conjunctival_injection;headache;lacrimation;periorbital_pain;ptosis;unilateral_pain,bilateral_pain;fever;nausea;sudden_onset,7,4,5,5,original,False
36,Bacterial_Meningitis,Neuro,False,0.002,hard,altered_mental_status;blood_pressure_differential;headache;neck_stiffness;normal_coagulation_studies;petechial_rash;positive_brudzinski,bilateral_pain;gradual_onset;pressing_quality,7,3,3,4,original,False
669,Tuberculosis,Pulmo,False,0.003,hard,chronic_cough;fever;positive_AFB;positive_PPD;upper_lobe_cavitation;white_matter_lesions,mass_on_imaging;persistent_cough;reversible_airflow_obstruction;smoking_history;weight_loss_rapid,6,5,2,4,original,False
95,Parkinsons_Disease,Neuro,False,0.01,hard,asymmetric_onset;bradykinesia;limited_spinal_mobility;masked_facies;micrographia;rigidity,fatigue;lacrimation;numbness;symmetric_onset;young_age,6,5,3,4,original,False
302,Gout,Immuno,False,0.04,easy,MSU_crystals;acute_joint_pain;asymmetric_joint;high_uric_acid;male;redness;warmth,DIP_involvement;HLA_B27;dry_mouth;malar_rash;photosensitivity;positive_RF;symmetric_swelling,7,7,4,4,original,False
547,Aplastic_Anemia,Hemato,True,2e-05,medium,bleeding;fatigue;hypocellular_bone_marrow;pallor;pancytopenia;petechiae;recurrent_infections,isolated_thrombocytopenia;low_B12;low_MCV;normal_coagulation_studies,7,4,5,5,original,False
609,Pericarditis,Cardio,False,0.003,hard,diffuse_ST_elevation;eosinophilia;fever;pericardial_effusion;pericardial_friction_rub;polyuria;viral_prodrome,ST_elevation;ST_elevation_focal;radiation_to_arm,7,3,2,4,original,False
502,Hodgkin_Lymphoma,Hemato,False,0.003,hard,B_symptoms;asymmetric_joint;mediastinal_mass;moon_face;painless_lymphadenopathy;pruritus,isolated_thrombocytopenia;low_B12;low_ferritin;sickle_cells,6,4,2,3,original,False
648,Community_Pneumonia,Pulmo,False,0.01,hard,FEV1_reduced;dyspnea;fever;infiltrate_on_CXR;productive_cough;rigors,chronic_dyspnea;hemoptysis;honeycombing_on_CT;smoking_history;sputum_production,6,5,3,4,original,False
74,Stroke_Ischemic,Neuro,False,0.03,easy,focal_neuro_deficit;speech_difficulty;sudden_onset,altered_mental_status;gradual_onset;papilledema;relapsing_remitting_course;unilateral_pain,3,5,3,3,original,False
364,Reactive_Arthritis,Immuno,True,0.003,easy,asymmetric_joint;conjunctivitis;dactylitis;enthesitis;preceding_infection;urethritis;young_male,acute_joint_pain;age_over_50;high_uric_acid;joint_pain;sacroiliac_tenderness,7,5,4,4,original,False
396,Asthma,Immuno,False,0.08,hard,chest_tightness;cough;dyspnea;reversible_airflow_obstruction;throbbing_quality;wheezing,crackles;fever;photosensitivity,6,3,3,4,original,False
292,Osteoarthritis,Immuno,False,0.15,easy,DIP_involvement;age_over_50;bony_enlargement;crepitus;joint_pain;reduced_ROM;stiffness_under_30min,malar_rash;morning_stiffness_over_1hr,7,2,4,4,original,False
675,Sarcoidosis_Pulmo,Pulmo,True,0.001,easy,bilateral_hilar_lymphadenopathy;chronic_cough;erythema_nodosum;fatigue;hypercalcemia;noncaseating_granulomas,crackles;honeycombing_on_CT;night_sweats;persistent_cough;productive_cough,6,5,3,3,original,False
574,Acute_MI,Cardio,False,0.005,hard,chest_pain;diaphoresis;elevated_D_dimer;radiation_to_arm;risk_factors;troponin_elevated,fatigue;fever;muffled_heart_sounds;pleuritic_chest_pain;sudden_dyspnea,6,5,3,4,original,False
647,Community_Pneumonia,Pulmo,False,0.01,hard,elevated_WBC;fever;infiltrate_on_CXR;koilonychia;pleuritic_chest_pain;productive_cough;rigors,barrel_chest;chronic_cough;chronic_dyspnea;smoking_history,7,4,3,4,original,False
240,Pheochromocytoma,Metabolic,True,0.0002,hard,adrenal_mass;diaphoresis;diffuse_ST_elevation;elevated_catecholamines;headache;tachycardia;viral_prodrome,elevated_TSH;polyuria;weight_gain;weight_loss_rapid,7,4,4,5,original,False
192,Hypothyroidism,Metabolic,False,0.05,hard,chronic_cough;cold_intolerance;delayed_reflexes;dry_skin;hair_loss;weight_gain;widened_mediastinum,HbA1c_elevated;low_TSH;tachycardia,7,3,2,4,original,False
491,HUS,Hemato,True,2e-05,hard,elevated_TSH;renal_failure;schistocytes;thrombocytopenia,low_MCV;neurologic_symptoms;normal_RDW;normal_ferritin;sickle_cells,4,5,3,5,original,False
461,ITP,Hemato,True,0.0001,medium,bruising;crepitus;isolated_thrombocytopenia;mucosal_bleeding;no_splenomegaly;normal_coagulation_studies,low_MCV;microangiopathic_hemolytic_anemia;normal_RDW;normal_ferritin;thrombocytopenia,6,5,3,4,original,False
517,Hemophilia_A,Hemato,True,0.0001,easy,easy_bruising;hemarthrosis;low_factor_VIII;male;muscle_hematomas;prolonged_aPTT;prolonged_bleeding,fever;normal_RDW;peripheral_neuropathy;schistocytes;target_cells,7,5,4,4,original,False
548,Aplastic_Anemia,Hemato,True,2e-05,medium,bleeding;fatigue;hypocellular_bone_marrow;nausea;pallor;pancytopenia;petechiae;recurrent_infections,chronic_hemolytic_anemia;low_B12;low_MCV;neurologic_symptoms;normal_RDW,8,5,5,5,original,False
227,Addison_Disease,Metabolic,True,0.0001,hard,fatigue;hyperkalemia;hyperpigmentation;hyponatremia;low_cortisol;nausea;renal_involvement;salt_craving,dilute_urine;elevated_TSH;elevated_cortisol;polydipsia,8,4,4,5,original,False
320,Systemic_Lupus,Immuno,True,0.005,medium,cytopenias;joint_pain;malar_rash;positive_ANA;renal_involvement,crepitus;high_uric_acid;morning_stiffness_over_1hr;symmetric_swelling;tophi,5,5,3,4,original,False
18,Tension_Headache,Neuro,False,0.2,medium,bilateral_pain;headache;mild_photophobia;muscle_tension;pressing_quality;psoriasis,aura;autonomic_features;nausea;neck_stiffness;vision_changes,6,5,3,3,original,False
244,Insulinoma,Metabolic,True,4e-05,easy,confusion;diaphoresis;fasting_hypoglycemia;relief_with_glucose;whipple_triad,HbA1c_elevated;dilute_urine;fatigue;ketoacidosis;low_TSH;polyuria,5,6,5,5,original,False
281,Rheumatoid_Arthritis,Immuno,False,0.01,medium,MCP_PIP_involvement;elevated_ESR;fatigue;joint_pain;morning_stiffness_over_1hr;positive_RF;pruritus;rheumatoid_nodules;symmetric_swelling,DIP_involvement;back_pain;dactylitis;tophi,9,4,4,4,original,False
210,Cushing_Syndrome,Metabolic,True,0.001,medium,elevated_cortisol;hyperglycemia;hypertension;moon_face;purple_striae;tremor,heat_intolerance;hyperpigmentation;polydipsia;tachycardia,6,4,3,4,original,False
690,Lung_Cancer,Pulmo,False,0.005,medium,clubbing;mass_on_imaging;persistent_cough;weight_loss_rapid,crackles;infiltrate_on_CXR;productive_cough;velcro_crackles,4,4,3,4,original,False
644,Community_Pneumonia,Pulmo,False,0.01,medium,bilateral_symptoms;crackles;elevated_WBC;fever;infiltrate_on_CXR;pleuritic_chest_pain;productive_cough,bilateral_hilar_lymphadenopathy;chronic_cough;hemoptysis;mass_on_imaging;velcro_crackles;weight_loss_rapid,7,6,4,4,original,False
442,Thalassemia_Trait,Hemato,False,0.01,hard,dry_skin;family_history;low_MCV;normal_RDW;normal_ferritin;splenomegaly;target_cells,HbS_on_electrophoresis;microangiopathic_hemolytic_anemia;peripheral_neuropathy;schistocytes;thrombocytopenia,7,5,4,5,original,False
35,Bacterial_Meningitis,Neuro,False,0.002,hard,altered_mental_status;chronic_cough;fever;petechial_rash;photophobia;positive_brudzinski;urethritis,bilateral_pain;elevated_opening_pressure;headache;pressing_quality;speech_difficulty,7,5,2,4,original,False
209,Cushing_Syndrome,Metabolic,True,0.001,medium,central_obesity;easy_bruising;elevated_cortisol;hyperglycemia;hypertension;moon_face;proximal_muscle_weakness;purple_striae,hyperpigmentation;low_cortisol;low_urine_osmolality;weight_loss_rapid,8,4,4,4,original,False
333,Psoriatic_Arthritis,Immuno,True,0.002,hard,DIP_involvement;bleeding;dactylitis;enthesitis;positive_AFB;psoriasis,malar_rash;morning_stiffness_over_1hr;positive_RF,6,3,2,3,original,False
94,Parkinsons_Disease,Neuro,False,0.01,hard,ST_elevation_focal;asymmetric_onset;masked_facies;micrographia;postural_instability;rigidity;shuffling_gait,elevated_opening_pressure;headache;sudden_onset;young_age,7,4,2,4,original,False
582,Pulmonary_Embolism,Cardio,False,0.002,medium,hemoptysis;hypersegmented_neutrophils;pleuritic_chest_pain;sudden_dyspnea;tachycardia;unilateral_leg_swelling,hypotension;pain_worse_supine;radiation_to_arm;tearing_chest_pain,6,4,3,4,original,False
303,Gout,Immuno,False,0.04,easy,MSU_crystals;acute_joint_pain;asymmetric_joint;high_uric_acid;male;rapid_onset_hours,DIP_involvement;positive_ANA;positive_RF;symmetric_swelling,6,4,4,4,original,False
375,Allergic_Rhinitis,Immuno,False,0.2,easy,itching;nasal_congestion;seasonal_pattern;sneezing;watery_eyes,crepitus;morning_stiffness_over_1hr;rash,5,3,4,4,original,False
567,Acute_MI,Cardio,False,0.005,easy,ST_elevation;chest_pain;diaphoresis;dyspnea;nausea;radiation_to_arm;risk_factors;troponin_elevated,hypotension;orthopnea;pain_worse_supine;peripheral_edema;pleuritic_chest_pain;pulsus_paradoxus,8,6,4,4,original,False
380,Allergic_Rhinitis,Immuno,False,0.2,medium,bony_enlargement;clear_rhinorrhea;itching;nasal_congestion;pale_nasal_mucosa;seasonal_pattern;sneezing;watery_eyes,asymmetric_joint;dactylitis;fatigue;fever;joint_pain;rash,8,6,4,4,original,False
520,Hemophilia_A,Hemato,True,0.0001,easy,easy_bruising;family_history;hemarthrosis;low_factor_VIII;male;muscle_hematomas;prolonged_aPTT;prolonged_bleeding,fatigue;mild_anemia;sickle_cells,8,3,4,4,original,False
601,Pericarditis,Cardio,False,0.003,easy,diffuse_ST_elevation;pain_worse_supine;pericardial_effusion;pericardial_friction_rub;pleuritic_chest_pain;viral_prodrome,elevated_BNP;tearing_chest_pain,6,2,4,4,original,False
271,Primary_Hyperaldosteronism,Metabolic,True,0.001,medium,adrenal_mass;hypertension;hypokalemia;low_renin;metabolic_alkalosis;muscle_weakness;postural_instability,dilute_urine;elevated_cortisol;hyperpigmentation;moon_face;polydipsia;tachycardia,7,6,3,4,original,False
195,Hyperthyroidism,Metabolic,False,0.02,easy,anxiety;exophthalmos;heat_intolerance;hyperreflexia;low_TSH;tachycardia;weight_loss_rapid,HbA1c_elevated;bradycardia;constipation;elevated_TSH;ketoacidosis;polyuria,7,6,4,4,original,False
351,Sjogren_Syndrome,Immuno,True,0.004,easy,dental_caries;dry_eyes;dry_mouth;fatigue;parotid_enlargement;positive_anti_SSA;positive_anti_SSB,HLA_B27;dactylitis;morning_stiffness_over_1hr;tophi,7,4,4,4,original,False
530,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,easy,age_over_50;fatigue;immunodeficiency;lymphocytosis;mature_small_lymphocytes;painless_lymphadenopathy;smudge_cells,low_B12;low_ferritin;no_splenomegaly;normal_ferritin;petechiae,7,5,4,4,original,False
534,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,medium,age_over_50;fatigue;lymphocytosis;mature_small_lymphocytes;neck_stiffness,HbS_on_electrophoresis;high_MCV;low_MCV;schistocytes;sickle_cells,5,5,3,4,original,False
561,Heart_Failure,Cardio,False,0.02,hard,PND;crackles;dyspnea;fatigue;neurologic_symptoms,diffuse_ST_elevation;tearing_chest_pain;unilateral_leg_swelling,5,3,2,4,original,False
6,Migraine,Neuro,False,0.12,medium,aura;diplopia;duration_4_72hrs;headache;photophobia;unilateral_pain,bilateral_pain;fatigue;fever;neck_stiffness;pressing_quality,6,5,2,3,original,False
422,B12_Deficiency,Hemato,False,0.03,easy,fatigue;glossitis;high_MCV;hypersegmented_neutrophils;low_B12;peripheral_neuropathy;subacute_combined_degeneration,low_MCV;low_ferritin;normal_RDW;normal_ferritin;pallor;target_cells,7,6,4,4,original,False
105,Guillain_Barre,Neuro,True,0.0001,hard,areflexia;ascending_weakness;hypotension;progressive_course;upper_lobe_cavitation,numbness;photophobia;pressing_quality;unilateral_pain;upper_motor_neuron_signs,5,5,3,4,original,False
549,Aplastic_Anemia,Hemato,True,2e-05,hard,bleeding;fatigue;lhermitte_sign;pallor;pancytopenia;rapid_onset_hours;recurrent_infections;reticulocytopenia,Reed_Sternberg_cells;high_MCV;no_splenomegaly;target_cells,8,4,4,5,original,False
349,Sjogren_Syndrome,Immuno,True,0.004,easy,dry_eyes;dry_mouth;positive_anti_SSA;positive_anti_SSB,acute_joint_pain;joint_pain;malar_rash;positive_RF;tophi,4,5,4,4,original,False
138,Subarachnoid_Hemorrhage,Neuro,True,0.001,medium,hyperuricemia;nausea;neck_stiffness;sudden_onset;thunderclap_headache;worst_headache_of_life,bilateral_pain;headache;lacrimation;periorbital_pain;photophobia;relapsing_remitting_course,6,6,4,4,original,False
173,Diabetes_Insipidus,Metabolic,True,0.0003,medium,dilute_urine;low_urine_osmolality;nocturia;polydipsia;polyuria,HbA1c_elevated;fatigue;high_fasting_glucose;hyponatremia,5,4,4,4,original,False
595,Aortic_Dissection,Cardio,True,0.0003,medium,Marfan_history;aortic_regurgitation_murmur;blood_pressure_differential;sudden_onset;widened_mediastinum,ST_elevation;muffled_heart_sounds;peripheral_edema;sudden_dyspnea,5,4,3,4,original,False
152,T2_Diabetes,Metabolic,False,0.1,medium,DIP_involvement;acanthosis_nigricans;high_fasting_glucose;polydipsia;polyuria,autoantibodies_positive;hyponatremia;low_cortisol;young_age,5,4,3,4,original,False
108,Guillain_Barre,Neuro,True,0.0001,hard,areflexia;elevated_CSF_protein;progressive_course;respiratory_difficulty;symmetric_weakness;tachycardia,altered_mental_status;asymmetric_onset;upper_motor_neuron_signs;vision_changes,6,4,3,4,original,False
296,Osteoarthritis,Immuno,False,0.15,medium,DIP_involvement;Heberden_nodes;bradycardia;crepitus;joint_pain;reduced_ROM;stiffness_under_30min,HLA_B27;asymmetric_joint;dry_eyes;malar_rash,7,4,3,4,original,False
606,Pericarditis,Cardio,False,0.003,medium,diffuse_ST_elevation;pain_worse_supine;pericardial_effusion;pericardial_friction_rub;pleuritic_chest_pain,chest_pain;dyspnea;radiation_to_arm;sudden_dyspnea;troponin_markedly_elevated,5,5,4,4,original,False
436,Thalassemia_Trait,Hemato,False,0.01,easy,Mediterranean_descent;family_history;low_MCV;mild_anemia;normal_RDW;normal_ferritin;splenomegaly;target_cells,chronic_hemolytic_anemia;high_MCV;isolated_thrombocytopenia;low_ferritin;petechiae,8,5,5,5,original,False
653,Pulmonary_Fibrosis,Pulmo,True,0.002,medium,age_over_50;dry_cough;honeycombing_on_CT;progressive_dyspnea;reduced_DLCO;restrictive_pattern;sudden_onset;velcro_crackles,chronic_cough;persistent_cough;reversible_airflow_obstruction;smoking_history;sputum_production,8,5,4,4,original,False
78,Stroke_Ischemic,Neuro,False,0.03,medium,arm_weakness;atrial_fibrillation;focal_neuro_deficit;hypertension;petechiae;speech_difficulty;sudden_onset,altered_mental_status;fever;headache;unilateral_pain,7,4,3,3,original,False
234,Pheochromocytoma,Metabolic,True,0.0002,medium,adrenal_mass;anxiety;diaphoresis;elevated_catecholamines;episodic_hypertension;headache;pallor;tachycardia,dilute_urine;high_fasting_glucose;moon_face;polyuria;young_age,8,5,5,5,original,False
290,Osteoarthritis,Immuno,False,0.15,easy,DIP_involvement;age_over_50;bony_enlargement;crepitus;joint_pain;stiffness_under_30min,HLA_B27;MSU_crystals;malar_rash;morning_stiffness_over_1hr;positive_anti_SSA;symmetric_swelling,6,6,4,4,original,False
661,Tuberculosis,Pulmo,False,0.003,easy,chronic_cough;hemoptysis;night_sweats;positive_AFB;weight_loss_rapid,barrel_chest;honeycombing_on_CT;noncaseating_granulomas;persistent_cough;velcro_crackles,5,5,4,4,original,False
77,Stroke_Ischemic,Neuro,False,0.03,medium,arm_weakness;atrial_fibrillation;focal_neuro_deficit;speech_difficulty;sudden_onset,bilateral_symptoms;elevated_opening_pressure;headache;neck_stiffness;pressing_quality;vision_changes,5,6,3,3,original,False
584,Pulmonary_Embolism,Cardio,False,0.002,medium,Wells_score_high;elevated_D_dimer;hemoptysis;photosensitivity;sudden_dyspnea;tachycardia,ST_elevation;chest_pain;pericardial_friction_rub;peripheral_edema;widened_mediastinum,6,5,3,4,original,False
599,Aortic_Dissection,Cardio,True,0.0003,hard,Marfan_history;blood_pressure_differential;episodic_symptoms;high_fasting_glucose;sudden_onset;widened_mediastinum,fatigue;hypotension;peripheral_edema,6,3,3,4,original,False
215,Cushing_Syndrome,Metabolic,True,0.001,hard,central_obesity;elevated_cortisol;muscle_weakness;pica;proximal_muscle_weakness;purple_striae,HbA1c_elevated;weight_gain;weight_loss_rapid;young_age,6,4,3,4,original,False
614,Cardiac_Tamponade,Cardio,True,0.0005,easy,hypotension;jugular_venous_distension;muffled_heart_sounds;pericardial_effusion;pulsus_paradoxus,ST_elevation;elevated_D_dimer;tearing_chest_pain,5,3,4,4,original,False
381,Allergic_Rhinitis,Immuno,False,0.2,hard,aortic_regurgitation_murmur;clear_rhinorrhea;nasal_congestion;pale_nasal_mucosa;sneezing,asymmetric_joint;crepitus;fatigue;inflammatory_back_pain;joint_pain,5,5,2,4,original,False
636,COPD,Pulmo,False,0.06,hard,aura;barrel_chest;chronic_dyspnea;prolonged_expiration;restrictive_pattern;sputum_production,bilateral_hilar_lymphadenopathy;infiltrate_on_CXR;night_sweats,6,3,2,4,original,False
441,Thalassemia_Trait,Hemato,False,0.01,hard,Mediterranean_descent;family_history;mild_anemia;normal_ferritin;smudge_cells;target_cells,low_B12;low_ferritin;pain_crisis;petechiae;schistocytes,6,5,3,5,original,False
186,Hypothyroidism,Metabolic,False,0.05,medium,anemia;cold_intolerance;delayed_reflexes;dry_skin;elevated_TSH;fatigue;weight_gain,dilute_urine;high_fasting_glucose;low_cortisol;tachycardia,7,4,4,4,original,False
231,Pheochromocytoma,Metabolic,True,0.0002,easy,adrenal_mass;diaphoresis;elevated_catecholamines;episodic_hypertension;headache;pallor;palpitations;tachycardia,elevated_TSH;heat_intolerance;low_TSH;polyuria;weight_loss_rapid,8,5,5,5,original,False
158,T1_Diabetes,Metabolic,False,0.005,easy,autoantibodies_positive;high_fasting_glucose;ketoacidosis;polydipsia;polyuria;thin_body_habitus;young_age,age_over_50;central_obesity;fatigue;gradual_onset;hyponatremia;low_urine_osmolality;weight_gain,7,7,5,5,original,False
201,Hyperthyroidism,Metabolic,False,0.02,hard,diarrhea;exophthalmos;heat_intolerance;hoarseness;hyperreflexia;low_TSH;postictal_confusion;tachycardia,bradycardia;central_obesity;high_fasting_glucose,8,3,3,4,original,False
243,Insulinoma,Metabolic,True,4e-05,easy,confusion;diaphoresis;fasting_hypoglycemia;relief_with_glucose;weight_gain;whipple_triad,HbA1c_elevated;elevated_cortisol;high_fasting_glucose;ketoacidosis;purple_striae,6,5,5,5,original,False
295,Osteoarthritis,Immuno,False,0.15,medium,DIP_involvement;age_over_50;bony_enlargement;joint_pain;stiffness_under_30min,dry_eyes;dry_mouth;positive_RF;symmetric_swelling,5,4,3,4,original,False
430,B12_Deficiency,Hemato,False,0.03,hard,fatigue;glossitis;high_MCV;hypersegmented_neutrophils;pallor;peripheral_neuropathy;young_age,low_ferritin;normal_B12;normal_ferritin;target_cells;thrombocytopenia,7,5,3,4,original,False
429,B12_Deficiency,Hemato,False,0.03,hard,ST_elevation;fatigue;glossitis;high_MCV;low_B12;pallor;seasonal_pattern,diarrhea;low_ferritin;normal_B12;schistocytes,7,4,3,4,original,False
56,Idiopathic_Intracranial_HTN,Neuro,True,0.001,medium,clear_rhinorrhea;elevated_opening_pressure;headache;obesity;papilledema;transient_visual_obscurations;vision_changes,fever;neck_stiffness;pressing_quality;sudden_onset,7,4,4,4,original,False
54,Idiopathic_Intracranial_HTN,Neuro,True,0.001,medium,headache;obesity;papilledema;target_cells;transient_visual_obscurations;vision_changes,altered_mental_status;fever;neck_stiffness;numbness;speech_difficulty,6,5,3,4,original,False
61,Multiple_Sclerosis,Neuro,True,0.003,easy,fatigue;lhermitte_sign;numbness;optic_neuritis;relapsing_remitting_course;vision_changes;white_matter_lesions,elevated_opening_pressure;headache;periorbital_pain;sudden_onset;unilateral_pain,7,5,4,4,original,False
212,Cushing_Syndrome,Metabolic,True,0.001,medium,central_obesity;easy_bruising;elevated_cortisol;hypertension;moon_face;proximal_muscle_weakness;purple_striae,hyperpigmentation;ketoacidosis;low_cortisol;weight_loss_rapid;young_age,7,5,4,4,original,False
519,Hemophilia_A,Hemato,True,0.0001,easy,hemarthrosis;low_factor_VIII;male;muscle_hematomas;prolonged_aPTT;prolonged_bleeding,low_ferritin;no_splenomegaly;schistocytes;thrombocytopenia,6,4,4,4,original,False
604,Pericarditis,Cardio,False,0.003,easy,diffuse_ST_elevation;fever;pain_worse_supine;pericardial_friction_rub;pleuritic_chest_pain,ST_elevation_focal;dyspnea;radiation_to_arm;troponin_markedly_elevated,5,4,4,4,original,False
154,T2_Diabetes,Metabolic,False,0.1,hard,acanthosis_nigricans;adrenal_mass;brittle_nails;fatigue;high_fasting_glucose;obesity;polydipsia;polyuria,cold_intolerance;moon_face;tachycardia;young_age,8,4,3,4,original,False
368,Reactive_Arthritis,Immuno,True,0.003,medium,asymmetric_joint;conjunctivitis;dactylitis;enthesitis;urethritis;young_male,malar_rash;morning_stiffness_over_1hr,6,2,3,4,original,False
297,Osteoarthritis,Immuno,False,0.15,hard,age_over_50;bony_enlargement;crepitus;family_history;reduced_ROM,HLA_B27;dry_mouth;malar_rash;positive_ANA;positive_RF,5,5,2,4,original,False
578,Pulmonary_Embolism,Cardio,False,0.002,easy,Wells_score_high;elevated_D_dimer;hypoxemia;pleuritic_chest_pain;sudden_dyspnea;tachycardia,crackles;peripheral_edema;sudden_onset;tearing_chest_pain,6,4,4,4,original,False
185,Hypothyroidism,Metabolic,False,0.05,medium,cold_intolerance;delayed_reflexes;dry_skin;elevated_TSH;fatigue;weight_gain,elevated_cortisol;hyperpigmentation;polydipsia;purple_striae;weight_loss_rapid,6,5,4,4,original,False
299,Osteoarthritis,Immuno,False,0.15,hard,DIP_involvement;Heberden_nodes;age_over_50;bony_enlargement;crepitus;low_TSH;reduced_ROM;renal_failure;stiffness_under_30min,joint_pain;malar_rash;positive_RF;positive_anti_SSB;symmetric_swelling,9,5,3,4,original,False
456,Sickle_Cell_Disease,Hemato,False,0.003,hard,HbS_on_electrophoresis;chronic_hemolytic_anemia;jaundice;numbness,diarrhea;fatigue;high_MCV;low_MCV;thrombocytopenia,4,5,2,4,original,False
664,Tuberculosis,Pulmo,False,0.003,easy,chronic_cough;fever;night_sweats;positive_AFB;positive_PPD;upper_lobe_cavitation;weight_loss_rapid,crackles;noncaseating_granulomas;productive_cough;progressive_dyspnea;reversible_airflow_obstruction;sputum_production;velcro_crackles,7,7,4,4,original,False
490,HUS,Hemato,True,2e-05,hard,E_coli_O157;anxiety;bloody_diarrhea;crackles;microangiopathic_hemolytic_anemia;pediatric_age;renal_failure;schistocytes;thrombocytopenia,neurologic_symptoms;no_diarrhea;no_splenomegaly;normal_RDW;normal_coagulation_studies,9,5,4,5,original,False
596,Aortic_Dissection,Cardio,True,0.0003,medium,Marfan_history;aortic_regurgitation_murmur;blood_pressure_differential;hypertension_history;sudden_onset;tearing_chest_pain;widened_mediastinum,muffled_heart_sounds;peripheral_edema;tachycardia;troponin_elevated,7,4,4,4,original,False
248,Insulinoma,Metabolic,True,4e-05,medium,confusion;diaphoresis;elevated_insulin_during_hypoglycemia;fasting_hypoglycemia;relief_with_glucose;troponin_markedly_elevated;whipple_triad,HbA1c_elevated;high_fasting_glucose;polydipsia;polyuria;tachycardia,7,5,5,5,original,False
542,Aplastic_Anemia,Hemato,True,2e-05,easy,bleeding;fatigue;hypocellular_bone_marrow;pallor;pancytopenia;recurrent_infections,JAK2_mutation;chronic_hemolytic_anemia;lymphocytosis;mild_anemia;pain_crisis;peripheral_neuropathy;schistocytes,6,7,5,5,original,False
149,T2_Diabetes,Metabolic,False,0.1,medium,acanthosis_nigricans;high_fasting_glucose;polydipsia;polyuria,autoantibodies_positive;ketoacidosis;low_urine_osmolality;weight_loss_rapid;young_age,4,5,3,4,original,False
433,Thalassemia_Trait,Hemato,False,0.01,easy,family_history;low_MCV;mild_anemia;normal_RDW;normal_ferritin;target_cells,chronic_hemolytic_anemia;fatigue;low_ferritin;peripheral_neuropathy;renal_failure,6,5,5,5,original,False
458,ITP,Hemato,True,0.0001,easy,bruising;isolated_thrombocytopenia;no_splenomegaly;normal_coagulation_studies;petechiae,chronic_hemolytic_anemia;fever;normal_RDW;splenomegaly;target_cells,5,5,4,4,original,False
590,Aortic_Dissection,Cardio,True,0.0003,easy,blood_pressure_differential;sudden_onset;tearing_chest_pain;widened_mediastinum,elevated_BNP;hypotension;muffled_heart_sounds;orthopnea;sudden_dyspnea;tachycardia;troponin_elevated,4,7,4,4,original,False
504,Hodgkin_Lymphoma,Hemato,False,0.003,hard,Reed_Sternberg_cells;mediastinal_mass;night_sweats;painless_lymphadenopathy;positive_PPD;weight_loss_rapid,low_B12;microangiopathic_hemolytic_anemia;sickle_cells,6,3,2,3,original,False
177,Diabetes_Insipidus,Metabolic,True,0.0003,hard,dilute_urine;hypernatremia;isolated_thrombocytopenia;polydipsia;sickle_cells,HbA1c_elevated;glycosuria;young_age,5,3,2,4,original,False
48,Cluster_Headache,Neuro,True,0.001,hard,autonomic_features;bradykinesia;duration_15min_3hrs;headache;lacrimation;unilateral_leg_swelling,bilateral_pain;nausea;vision_changes,6,3,3,5,original,False
453,Sickle_Cell_Disease,Hemato,False,0.003,hard,African_descent;HbS_on_electrophoresis;chronic_hemolytic_anemia;hoarseness;jaundice;splenomegaly_childhood;throbbing_quality,high_MCV;low_ferritin;no_splenomegaly;normal_coagulation_studies,7,4,2,4,original,False
457,ITP,Hemato,True,0.0001,easy,isolated_thrombocytopenia;megakaryocyte_hyperplasia;no_splenomegaly;normal_coagulation_studies;petechiae,abnormal_coagulation;fatigue;low_MCV;renal_failure;splenomegaly,5,5,4,4,original,False
484,HUS,Hemato,True,2e-05,easy,bloody_diarrhea;diarrhea;microangiopathic_hemolytic_anemia;renal_failure;schistocytes;thrombocytopenia,fatigue;fever;no_splenomegaly;normal_coagulation_studies;pallor;target_cells,6,6,5,5,original,False
656,Pulmonary_Fibrosis,Pulmo,True,0.002,medium,age_over_50;clubbing;dry_cough;honeycombing_on_CT;velcro_crackles,fever;night_sweats;smoking_history;sputum_production;weight_loss_rapid,5,5,3,4,original,False
689,Lung_Cancer,Pulmo,False,0.005,medium,hemoptysis;hoarseness;parotid_enlargement;persistent_cough;smoking_history;superior_vena_cava_syndrome;weight_loss_rapid,crackles;honeycombing_on_CT;reversible_airflow_obstruction;velcro_crackles,7,4,3,4,original,False
466,ITP,Hemato,True,0.0001,hard,megakaryocyte_hyperplasia;mucosal_bleeding;no_splenomegaly;petechiae;weight_gain,low_B12;low_ferritin;neurologic_symptoms;renal_failure;thrombocytopenia,5,5,2,4,original,False
225,Addison_Disease,Metabolic,True,0.0001,hard,fatigue;female;hypotension;low_cortisol;relapsing_remitting_course;salt_craving,cold_intolerance;elevated_cortisol;moon_face;polyuria;purple_striae,6,5,3,5,original,False
359,Sjogren_Syndrome,Immuno,True,0.004,hard,dry_eyes;focal_neuro_deficit;positive_anti_SSB,DIP_involvement;dactylitis;malar_rash;tophi,3,4,2,4,original,False
156,T2_Diabetes,Metabolic,False,0.1,hard,Heberden_nodes;acanthosis_nigricans;bilateral_symptoms;blurred_vision;high_fasting_glucose;polyuria,heat_intolerance;hypotension;tachycardia,6,3,2,4,original,False
493,Hodgkin_Lymphoma,Hemato,False,0.003,easy,B_symptoms;Reed_Sternberg_cells;painless_lymphadenopathy;pruritus,fever;isolated_thrombocytopenia;low_B12;low_MCV;normal_RDW;petechiae,4,6,3,3,original,False
550,Aplastic_Anemia,Hemato,True,2e-05,hard,bleeding;fatigue;hypocellular_bone_marrow;itching;nasal_congestion;pallor;petechiae,fever;isolated_thrombocytopenia;low_ferritin;no_splenomegaly,7,4,3,5,original,False
507,Polycythemia_Vera,Hemato,True,0.0005,easy,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;erythromelalgia;headache;plethora;pruritus_after_bathing;splenomegaly,HbS_on_electrophoresis;anemia;fatigue;low_B12;normal_coagulation_studies,8,5,4,4,original,False
274,Primary_Hyperaldosteronism,Metabolic,True,0.001,hard,adrenal_mass;elevated_aldosterone;hypertension;low_renin;metabolic_alkalosis;muscle_weakness;photosensitivity;postictal_confusion,dilute_urine;fatigue;hyperpigmentation;low_urine_osmolality;polyuria,8,5,3,4,original,False
503,Hodgkin_Lymphoma,Hemato,False,0.003,hard,B_symptoms;mediastinal_mass;painless_lymphadenopathy;podagra;pruritus;weight_loss_rapid,chronic_hemolytic_anemia;isolated_thrombocytopenia;low_MCV;peripheral_neuropathy;sickle_cells,6,5,2,3,original,False
278,Rheumatoid_Arthritis,Immuno,False,0.01,easy,fatigue;joint_pain;morning_stiffness_over_1hr;positive_RF;symmetric_swelling,DIP_involvement;asymmetric_joint;malar_rash;positive_ANA;positive_anti_SSB,5,5,4,4,original,False
622,Cardiac_Tamponade,Cardio,True,0.0005,hard,electrical_alternans;jugular_venous_distension;pulsus_paradoxus;tachycardia;velcro_crackles,ST_elevation;chest_pain;peripheral_edema;pleuritic_chest_pain;radiation_to_arm,5,5,2,4,original,False
1,Migraine,Neuro,False,0.12,easy,aura;duration_4_72hrs;headache;nausea;photophobia;throbbing_quality,bilateral_pain;fever;focal_neuro_deficit;vision_changes,6,4,3,3,original,False
671,Tuberculosis,Pulmo,False,0.003,hard,chronic_cough;fatigue;hemoptysis;night_sweats;weight_loss_rapid,barrel_chest;crackles;honeycombing_on_CT,5,3,3,4,original,False
60,Idiopathic_Intracranial_HTN,Neuro,True,0.001,hard,chronic_hemolytic_anemia;elevated_opening_pressure;headache;transient_visual_obscurations,focal_neuro_deficit;numbness;vision_changes,4,3,2,4,original,False
175,Diabetes_Insipidus,Metabolic,True,0.0003,medium,dilute_urine;low_urine_osmolality;nocturia;polyuria,elevated_cortisol;ketoacidosis;low_cortisol;polydipsia,4,4,3,4,original,False
445,Sickle_Cell_Disease,Hemato,False,0.003,easy,African_descent;HbS_on_electrophoresis;chronic_hemolytic_anemia;dactylitis;pain_crisis;sickle_cells,high_MCV;low_MCV;normal_ferritin;schistocytes;thrombocytopenia,6,5,4,4,original,False
473,TTP,Hemato,True,3e-05,medium,elevated_LDH;fever;microangiopathic_hemolytic_anemia;neurologic_symptoms;schistocytes;thrombocytopenia,diarrhea;fatigue;low_B12;no_splenomegaly;pallor;target_cells,6,6,5,5,original,False
518,Hemophilia_A,Hemato,True,0.0001,easy,family_history;hemarthrosis;low_factor_VIII;muscle_hematomas;prolonged_aPTT;prolonged_bleeding,chronic_hemolytic_anemia;fever;microangiopathic_hemolytic_anemia;normal_coagulation_studies;peripheral_neuropathy;schistocytes,6,6,4,4,original,False
256,Metabolic_Syndrome,Metabolic,False,0.12,easy,acanthosis_nigricans;central_obesity;fatty_liver;high_fasting_glucose;high_triglycerides;hypertension;low_HDL,hypotension;low_cortisol;young_age,7,3,5,5,original,False
568,Acute_MI,Cardio,False,0.005,easy,ST_elevation;chest_pain;nausea;radiation_to_arm;risk_factors;troponin_elevated,dyspnea;jugular_venous_distension;pleuritic_chest_pain,6,3,4,4,original,False
171,Diabetes_Insipidus,Metabolic,True,0.0003,easy,dehydration;dilute_urine;hypernatremia;low_urine_osmolality;polydipsia;polyuria,HbA1c_elevated;elevated_TSH;elevated_cortisol;fatigue;high_fasting_glucose;tachycardia,6,6,4,4,original,False
667,Tuberculosis,Pulmo,False,0.003,medium,chronic_cough;night_sweats;palpitations;positive_AFB;upper_lobe_cavitation;weight_loss_rapid,bilateral_hilar_lymphadenopathy;honeycombing_on_CT;mass_on_imaging;reversible_airflow_obstruction,6,4,4,4,original,False
372,Reactive_Arthritis,Immuno,True,0.003,hard,asymmetric_joint;bleeding;conjunctivitis;preceding_infection;young_male,DIP_involvement;joint_pain;malar_rash;morning_stiffness_over_1hr;positive_RF,5,5,3,4,original,False
370,Reactive_Arthritis,Immuno,True,0.003,hard,HLA_B27;conjunctivitis;constipation;dactylitis;enthesitis;preceding_infection;young_male,DIP_involvement;MSU_crystals;high_uric_acid;joint_pain;psoriasis,7,5,2,4,original,False
425,B12_Deficiency,Hemato,False,0.03,medium,fatigue;glossitis;high_MCV;low_B12;peripheral_neuropathy;subacute_combined_degeneration,diarrhea;fever;isolated_thrombocytopenia;normal_B12;normal_ferritin;schistocytes,6,6,4,4,original,False
384,Allergic_Rhinitis,Immuno,False,0.2,hard,ST_elevation_focal;mediastinal_mass;nasal_congestion;pale_nasal_mucosa;watery_eyes,asymmetric_joint;fever;psoriasis;rash,5,4,2,4,original,False
216,Cushing_Syndrome,Metabolic,True,0.001,hard,central_obesity;cold_intolerance;hypertension;moon_face;painless_lymphadenopathy;proximal_muscle_weakness,fatigue;heat_intolerance;hyperpigmentation;low_cortisol,6,4,2,4,original,False
406,Sarcoidosis,Immuno,True,0.001,hard,bilateral_hilar_lymphadenopathy;elevated_ACE;fatigue;hypercalcemia;salt_craving;vomiting,DIP_involvement;MSU_crystals;age_over_50;positive_RF,6,4,2,3,original,False
298,Osteoarthritis,Immuno,False,0.15,hard,DIP_involvement;bony_enlargement;joint_pain;microangiopathic_hemolytic_anemia;reduced_ROM,malar_rash;photosensitivity;symmetric_swelling,5,3,2,4,original,False
136,Subarachnoid_Hemorrhage,Neuro,True,0.001,easy,loss_of_consciousness;nausea;neck_stiffness;sudden_onset;thunderclap_headache;worst_headache_of_life;xanthochromia_CSF,aura;bilateral_pain;periorbital_pain;photophobia,7,4,4,4,original,False
585,Pulmonary_Embolism,Cardio,False,0.002,hard,Wells_score_high;chronic_cough;elevated_D_dimer;hypoxemia;pleuritic_chest_pain;tachycardia;unilateral_leg_swelling,crackles;orthopnea;pain_worse_supine,7,3,3,4,original,False
600,Aortic_Dissection,Cardio,True,0.0003,hard,aortic_regurgitation_murmur;blood_pressure_differential;hypertension_history;sudden_onset;upper_motor_neuron_signs;widened_mediastinum,ST_elevation;elevated_D_dimer;orthopnea,6,3,3,4,original,False
117,Myasthenia_Gravis,Neuro,True,0.0002,hard,abnormal_coagulation;diplopia;dysphagia;elevated_aldosterone;fatigable_weakness;ptosis,areflexia;autonomic_features;papilledema;resting_tremor,6,4,3,4,original,False
23,Tension_Headache,Neuro,False,0.2,hard,bilateral_pain;dyspnea;mild_photophobia;pressing_quality;restrictive_pattern;stress,focal_neuro_deficit;nausea;sudden_onset;vomiting,6,4,2,3,original,False
122,Epilepsy,Neuro,False,0.01,easy,EEG_abnormality;loss_of_consciousness;recurrent_episodes;seizures,elevated_opening_pressure;headache;lacrimation;neck_stiffness;unilateral_pain,4,5,3,3,original,False
390,Asthma,Immuno,False,0.08,medium,chest_tightness;dyspnea;episodic_symptoms;reversible_airflow_obstruction;wheezing,acute_joint_pain;fever;high_uric_acid;inflammatory_back_pain;joint_pain;symmetric_swelling,5,6,4,4,original,False
242,Insulinoma,Metabolic,True,4e-05,easy,confusion;diaphoresis;elevated_insulin_during_hypoglycemia;fasting_hypoglycemia;pancreatic_mass;relief_with_glucose;weight_gain;whipple_triad,HbA1c_elevated;cold_intolerance;elevated_TSH;high_fasting_glucose;ketoacidosis;low_urine_osmolality;polyuria,8,7,5,5,original,False
391,Asthma,Immuno,False,0.08,medium,cough;dyspnea;episodic_symptoms;nocturnal_symptoms;reversible_airflow_obstruction;wheezing,DIP_involvement;age_over_50;crackles;dactylitis;joint_pain;malar_rash,6,6,4,4,original,False
328,Psoriatic_Arthritis,Immuno,True,0.002,easy,dactylitis;enthesitis;joint_pain;psoriasis,HLA_B27;MSU_crystals;crepitus;dry_mouth;malar_rash;morning_stiffness_over_1hr;symmetric_swelling,4,7,3,3,original,False
41,Cluster_Headache,Neuro,True,0.001,medium,autonomic_features;conjunctival_injection;headache;lacrimation;muscle_weakness;periorbital_pain;ptosis,altered_mental_status;elevated_opening_pressure;fever;focal_neuro_deficit;neck_stiffness;speech_difficulty,7,6,4,5,original,False
486,HUS,Hemato,True,2e-05,medium,E_coli_O157;diarrhea;microangiopathic_hemolytic_anemia;pediatric_age;renal_failure;schistocytes;thrombocytopenia,HbS_on_electrophoresis;fatigue;neurologic_symptoms;peripheral_neuropathy,7,4,5,5,original,False
120,Myasthenia_Gravis,Neuro,True,0.0002,hard,anti_AChR_antibodies;diplopia;fatigable_weakness;micrographia;stress;thymoma,fever;relapsing_remitting_course;resting_tremor;sensory_loss,6,4,2,4,original,False
496,Hodgkin_Lymphoma,Hemato,False,0.003,easy,B_symptoms;Reed_Sternberg_cells;night_sweats;painless_lymphadenopathy;pruritus;weight_loss_rapid,fatigue;no_splenomegaly;petechiae;sickle_cells,6,4,3,3,original,False
343,Ankylosing_Spondylitis,Immuno,True,0.002,medium,HLA_B27;inflammatory_back_pain;low_urine_osmolality;morning_stiffness_over_1hr;sacroiliac_tenderness;uveitis;young_male,DIP_involvement;acute_joint_pain;asymmetric_joint;malar_rash;positive_RF,7,5,4,4,original,False
326,Psoriatic_Arthritis,Immuno,True,0.002,easy,DIP_involvement;asymmetric_joint;dactylitis;enthesitis;joint_pain;nail_pitting;psoriasis,HLA_B27;age_over_50;positive_anti_SSB;sacroiliac_tenderness;symmetric_swelling,7,5,3,3,original,False
570,Acute_MI,Cardio,False,0.005,medium,ST_elevation;chest_pain;diaphoresis;positive_AFB;radiation_to_arm;risk_factors;troponin_elevated,jugular_venous_distension;pain_worse_supine;pleuritic_chest_pain;sudden_onset,7,4,4,4,original,False
233,Pheochromocytoma,Metabolic,True,0.0002,medium,diaphoresis;episodic_hypertension;headache;palpitations;tachycardia;tremor,cold_intolerance;high_fasting_glucose;hypotension;moon_face;young_age,6,5,4,5,original,False
367,Reactive_Arthritis,Immuno,True,0.003,medium,HLA_B27;asymmetric_joint;conjunctivitis;preceding_infection,DIP_involvement;MSU_crystals;joint_pain;morning_stiffness_over_1hr;photosensitivity,4,5,3,4,original,False
410,Iron_Deficiency_Anemia,Hemato,False,0.08,easy,fatigue;koilonychia;low_MCV;low_ferritin;pallor;pica,fever;high_MCV;jaundice;splenomegaly;thrombocytopenia,6,5,4,4,original,False
301,Gout,Immuno,False,0.04,easy,MSU_crystals;acute_joint_pain;asymmetric_joint;high_uric_acid;male;rapid_onset_hours;redness,DIP_involvement;age_over_50;crepitus;dry_eyes;inflammatory_back_pain;symmetric_swelling,7,6,4,4,original,False
477,TTP,Hemato,True,3e-05,hard,fever;low_ADAMTS13;microangiopathic_hemolytic_anemia;schistocytes;sudden_onset;thrombocytopenia,fatigue;isolated_thrombocytopenia;pain_crisis;peripheral_neuropathy;renal_failure,6,5,4,5,original,False
366,Reactive_Arthritis,Immuno,True,0.003,medium,HLA_B27;asymmetric_joint;conjunctivitis;preceding_infection;young_male,dactylitis;inflammatory_back_pain;malar_rash;psoriasis,5,4,3,4,original,False
693,Lung_Cancer,Pulmo,False,0.005,hard,clubbing;hoarseness;mass_on_imaging;positive_anti_SSB;weight_loss_rapid,chronic_cough;positive_AFB;reversible_airflow_obstruction,5,3,2,4,original,False
336,Psoriatic_Arthritis,Immuno,True,0.002,hard,asymmetric_joint;enthesitis;joint_pain;psoriasis;trigger_exposure,crepitus;inflammatory_back_pain;positive_ANA;sacroiliac_tenderness;tophi,5,5,2,3,original,False
489,HUS,Hemato,True,2e-05,hard,E_coli_O157;bloody_diarrhea;loss_of_consciousness;microangiopathic_hemolytic_anemia;renal_failure;schistocytes;thrombocytopenia,chronic_hemolytic_anemia;fever;no_diarrhea,7,3,4,5,original,False
483,HUS,Hemato,True,2e-05,easy,E_coli_O157;diarrhea;microangiopathic_hemolytic_anemia;renal_failure;schistocytes;thrombocytopenia,chronic_hemolytic_anemia;fever;no_splenomegaly,6,3,5,5,original,False
563,Heart_Failure,Cardio,False,0.02,hard,PND;S3_gallop;ST_elevation;fatigue;peripheral_edema;throbbing_quality,fever;hypotension;pleuritic_chest_pain;sudden_onset;tearing_chest_pain,6,5,2,4,original,False
159,T1_Diabetes,Metabolic,False,0.005,easy,high_fasting_glucose;ketoacidosis;polydipsia;polyuria;weight_loss_rapid;young_age,HbA1c_elevated;acanthosis_nigricans;gradual_onset;hyperpigmentation;low_cortisol;obesity,6,6,5,5,original,False
115,Myasthenia_Gravis,Neuro,True,0.0002,medium,anti_AChR_antibodies;fatigable_weakness;fluctuating_symptoms;hair_loss;positive_edrophonium_test;ptosis,lacrimation;neck_stiffness;papilledema;sensory_loss;unilateral_pain,6,5,3,4,original,False
602,Pericarditis,Cardio,False,0.003,easy,diffuse_ST_elevation;pain_worse_supine;pericardial_friction_rub;pleuritic_chest_pain,ST_elevation;ST_elevation_focal;jugular_venous_distension;radiation_to_arm;troponin_markedly_elevated;widened_mediastinum,4,6,4,4,original,False
199,Hyperthyroidism,Metabolic,False,0.02,medium,anxiety;diarrhea;heat_intolerance;low_TSH;tachycardia,cold_intolerance;low_cortisol;polydipsia;polyuria;weight_gain,5,5,3,4,original,False
591,Aortic_Dissection,Cardio,True,0.0003,easy,aortic_regurgitation_murmur;blood_pressure_differential;hypertension_history;sudden_onset;tearing_chest_pain;widened_mediastinum,diffuse_ST_elevation;elevated_D_dimer;orthopnea;pleuritic_chest_pain;troponin_elevated,6,5,4,4,original,False
32,Bacterial_Meningitis,Neuro,False,0.002,medium,altered_mental_status;fever;headache;neck_stiffness;positive_brudzinski,autonomic_features;elevated_opening_pressure;lacrimation;pressing_quality;vision_changes,5,5,4,4,original,False
659,Pulmonary_Fibrosis,Pulmo,True,0.002,hard,clubbing;erythromelalgia;honeycombing_on_CT;progressive_dyspnea;reduced_DLCO;young_age,chronic_dyspnea;fever;reversible_airflow_obstruction;sputum_production,6,4,2,4,original,False
224,Addison_Disease,Metabolic,True,0.0001,medium,ascending_weakness;hyperpigmentation;hyponatremia;hypotension;low_cortisol;nausea;weight_loss_rapid,HbA1c_elevated;central_obesity;elevated_cortisol;low_TSH;low_urine_osmolality;polydipsia,7,6,4,5,original,False
342,Ankylosing_Spondylitis,Immuno,True,0.002,medium,HLA_B27;limited_spinal_mobility;male;morning_stiffness_over_1hr;sacroiliac_tenderness;young_male,age_over_50;crepitus;high_uric_acid;malar_rash;positive_RF,6,5,3,4,original,False
444,Thalassemia_Trait,Hemato,False,0.01,hard,family_history;low_MCV;mild_anemia;pain_crisis;splenomegaly;target_cells;vomiting,diarrhea;high_MCV;low_ferritin;microangiopathic_hemolytic_anemia;no_splenomegaly,7,5,3,5,original,False
522,Hemophilia_A,Hemato,True,0.0001,medium,easy_bruising;family_history;hemarthrosis;muscle_hematomas;prolonged_aPTT;prolonged_bleeding,high_MCV;isolated_thrombocytopenia;pallor;petechiae;schistocytes,6,5,3,4,original,False
469,TTP,Hemato,True,3e-05,easy,elevated_LDH;fever;low_ADAMTS13;microangiopathic_hemolytic_anemia;neurologic_symptoms;renal_failure;schistocytes;thrombocytopenia,low_ferritin,8,1,5,5,original,False
414,Iron_Deficiency_Anemia,Hemato,False,0.08,medium,DIP_involvement;brittle_nails;fatigue;low_MCV;low_ferritin;pallor;pica,HbS_on_electrophoresis;high_MCV;jaundice;microangiopathic_hemolytic_anemia;petechiae;splenomegaly,7,6,4,4,original,False
546,Aplastic_Anemia,Hemato,True,2e-05,medium,fatigue;hypocellular_bone_marrow;pallor;pancytopenia;petechiae;recurrent_infections;reticulocytopenia,JAK2_mutation;chronic_hemolytic_anemia;normal_RDW;pain_crisis,7,4,4,5,original,False
119,Myasthenia_Gravis,Neuro,True,0.0002,hard,anti_AChR_antibodies;diplopia;dry_skin;dysphagia;fatigable_weakness;fluctuating_symptoms;positive_edrophonium_test;positive_kernig,areflexia;autonomic_features;lacrimation;sensory_loss,8,4,3,4,original,False
266,Primary_Hyperaldosteronism,Metabolic,True,0.001,easy,adrenal_mass;elevated_aldosterone;hypertension;hypokalemia;low_renin,elevated_TSH;elevated_cortisol;hyperkalemia;hypotension;polydipsia;polyuria;tachycardia,5,7,4,4,original,False
395,Asthma,Immuno,False,0.08,hard,cough;dyspnea;episodic_symptoms;pancytopenia;reversible_airflow_obstruction,joint_pain;symmetric_swelling,5,2,3,4,original,False
459,ITP,Hemato,True,0.0001,easy,bruising;isolated_thrombocytopenia;megakaryocyte_hyperplasia;mucosal_bleeding;no_splenomegaly;normal_coagulation_studies;petechiae,chronic_hemolytic_anemia;fatigue;low_ferritin;renal_failure;schistocytes,7,5,4,4,original,False
245,Insulinoma,Metabolic,True,4e-05,medium,confusion;fasting_hypoglycemia;relief_with_glucose;weight_gain;whipple_triad,cold_intolerance;low_TSH;low_urine_osmolality;polyuria;purple_striae,5,5,4,5,original,False
214,Cushing_Syndrome,Metabolic,True,0.001,hard,Mediterranean_descent;elevated_cortisol;hyperglycemia;moon_face;proximal_muscle_weakness;rheumatoid_nodules,cold_intolerance;dilute_urine;high_fasting_glucose,6,3,2,4,original,False
329,Psoriatic_Arthritis,Immuno,True,0.002,medium,DIP_involvement;dactylitis;enthesitis;joint_pain;positive_anti_SSA;psoriasis,MSU_crystals;asymmetric_joint;dry_mouth;positive_RF;tophi,6,5,3,3,original,False
626,COPD,Pulmo,False,0.06,easy,FEV1_reduced;barrel_chest;chronic_cough;chronic_dyspnea;decreased_breath_sounds;prolonged_expiration;smoking_history;sputum_production,crackles;dry_cough;no_smoking_history;reversible_airflow_obstruction,8,4,4,4,original,False
679,Sarcoidosis_Pulmo,Pulmo,True,0.001,medium,bilateral_hilar_lymphadenopathy;chronic_cough;erythema_nodosum;glycosuria;noncaseating_granulomas;uveitis,honeycombing_on_CT;positive_AFB;upper_lobe_cavitation,6,3,3,3,original,False
402,Sarcoidosis,Immuno,True,0.001,medium,bilateral_hilar_lymphadenopathy;cough;fatigue;noncaseating_granulomas;white_matter_lesions,DIP_involvement;HLA_B27;MSU_crystals;positive_ANA,5,4,3,3,original,False
96,Parkinsons_Disease,Neuro,False,0.01,hard,bradykinesia;masked_facies;micrographia;normal_B12;postural_instability;resting_tremor;shuffling_gait,fatigue;headache;lacrimation;pressing_quality;vision_changes,7,5,2,4,original,False
338,Ankylosing_Spondylitis,Immuno,True,0.002,easy,HLA_B27;enthesitis;inflammatory_back_pain;morning_stiffness_over_1hr;sacroiliac_tenderness;uveitis;young_male,DIP_involvement;age_over_50;high_uric_acid;joint_pain;positive_RF,7,5,4,4,original,False
642,Community_Pneumonia,Pulmo,False,0.01,medium,crackles;elevated_WBC;infiltrate_on_CXR;productive_cough;pulsus_paradoxus,barrel_chest;bilateral_hilar_lymphadenopathy;chronic_cough;persistent_cough;reversible_airflow_obstruction;smoking_history,5,6,3,4,original,False
392,Asthma,Immuno,False,0.08,medium,chest_tightness;dyspnea;pallor;reversible_airflow_obstruction;trigger_exposure;wheezing,joint_pain;morning_stiffness_over_1hr;positive_RF,6,3,3,4,original,False
569,Acute_MI,Cardio,False,0.005,medium,ST_elevation;chest_pain;petechiae;radiation_to_arm;risk_factors;troponin_elevated,pain_worse_supine;pericardial_friction_rub;peripheral_edema;sudden_onset;tachycardia,6,5,4,4,original,False
133,Subarachnoid_Hemorrhage,Neuro,True,0.001,easy,nausea;neck_stiffness;sudden_onset;thunderclap_headache;worst_headache_of_life;xanthochromia_CSF,altered_mental_status;bilateral_pain;gradual_onset;lacrimation;pressing_quality,6,5,4,4,original,False
76,Stroke_Ischemic,Neuro,False,0.03,easy,arm_weakness;focal_neuro_deficit;speech_difficulty;sudden_onset,autonomic_features;elevated_opening_pressure;fever;gradual_onset;vision_changes,4,5,3,3,original,False
311,Gout,Immuno,False,0.04,hard,MSU_crystals;asymmetric_joint;high_uric_acid;hyperpigmentation;male;nausea;warmth,DIP_involvement;morning_stiffness_over_1hr;positive_ANA,7,3,3,4,original,False
59,Idiopathic_Intracranial_HTN,Neuro,True,0.001,hard,asymmetric_onset;elevated_opening_pressure;female;headache;obesity;papilledema;plethora;transient_visual_obscurations,altered_mental_status;autonomic_features;neck_stiffness;vision_changes,8,4,3,4,original,False
463,ITP,Hemato,True,0.0001,medium,isolated_thrombocytopenia;megakaryocyte_hyperplasia;mucosal_bleeding;no_splenomegaly;normal_coagulation_studies,fever;mild_anemia;pallor;renal_failure;splenomegaly,5,5,3,4,original,False
513,Polycythemia_Vera,Hemato,True,0.0005,hard,JAK2_mutation;elevated_hemoglobin;hypersegmented_neutrophils;prolonged_bleeding,normal_ferritin;pain_crisis;pallor;sickle_cells,4,4,2,4,original,False
421,B12_Deficiency,Hemato,False,0.03,easy,fatigue;high_MCV;low_B12;pallor;peripheral_neuropathy,HbS_on_electrophoresis;isolated_thrombocytopenia;low_MCV;normal_coagulation_studies;pain_crisis;schistocytes,5,6,4,4,original,False
660,Pulmonary_Fibrosis,Pulmo,True,0.002,hard,age_over_50;bony_enlargement;clubbing;progressive_dyspnea;reduced_DLCO;restrictive_pattern;velcro_crackles,bilateral_hilar_lymphadenopathy;chronic_cough;night_sweats;reversible_airflow_obstruction;weight_loss_rapid,7,5,2,4,original,False
643,Community_Pneumonia,Pulmo,False,0.01,medium,crackles;fever;infiltrate_on_CXR;pleuritic_chest_pain;productive_cough;rigors;shuffling_gait,bilateral_hilar_lymphadenopathy;chronic_cough;chronic_dyspnea;honeycombing_on_CT;positive_AFB,7,5,4,4,original,False
581,Pulmonary_Embolism,Cardio,False,0.002,medium,Wells_score_high;elevated_D_dimer;pleuritic_chest_pain;sudden_dyspnea;tachycardia,chest_pain;elevated_BNP;fatigue;orthopnea;radiation_to_arm,5,5,4,4,original,False
28,Bacterial_Meningitis,Neuro,False,0.002,easy,altered_mental_status;fever;headache;neck_stiffness;petechial_rash;positive_brudzinski;positive_kernig,gradual_onset;periorbital_pain;pressing_quality,7,3,4,4,original,False
498,Hodgkin_Lymphoma,Hemato,False,0.003,medium,B_symptoms;Reed_Sternberg_cells;night_sweats;pale_nasal_mucosa;pruritus,isolated_thrombocytopenia;mild_anemia;petechiae;sickle_cells,5,4,2,3,original,False
562,Heart_Failure,Cardio,False,0.02,hard,PND;crackles;dyspnea;fatigue;purple_striae;recurrent_infections,diffuse_ST_elevation;unilateral_leg_swelling,6,2,2,4,original,False
544,Aplastic_Anemia,Hemato,True,2e-05,easy,bleeding;fatigue;hypocellular_bone_marrow;pancytopenia;recurrent_infections;reticulocytopenia,high_MCV;low_ferritin;lymphocytosis;neurologic_symptoms;peripheral_neuropathy;sickle_cells;thrombocytopenia,6,7,5,5,original,False
505,Polycythemia_Vera,Hemato,True,0.0005,easy,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;erythromelalgia;headache;splenomegaly,anemia;fever;neurologic_symptoms;normal_RDW;peripheral_neuropathy;thrombocytopenia,6,6,4,4,original,False
625,COPD,Pulmo,False,0.06,easy,chronic_cough;chronic_dyspnea;smoking_history;sputum_production,dry_cough;mass_on_imaging;reversible_airflow_obstruction;weight_loss_rapid,4,4,4,4,original,False
465,ITP,Hemato,True,0.0001,hard,diplopia;isolated_thrombocytopenia;mucosal_bleeding;no_splenomegaly,chronic_hemolytic_anemia;fatigue;pallor;splenomegaly,4,4,2,4,original,False
348,Ankylosing_Spondylitis,Immuno,True,0.002,hard,enthesitis;inflammatory_back_pain;morning_stiffness_over_1hr;resting_tremor;sacroiliac_tenderness,high_uric_acid;joint_pain;positive_RF,5,3,3,4,original,False
226,Addison_Disease,Metabolic,True,0.0001,hard,fatigue;hyperkalemia;hyponatremia;hypotension;low_cortisol;nocturnal_symptoms;salt_craving,hypertension;low_TSH;young_age,7,3,4,5,original,False
13,Tension_Headache,Neuro,False,0.2,easy,bilateral_pain;headache;mild_photophobia;pressing_quality;stress,aura;autonomic_features;fatigue;throbbing_quality;unilateral_pain;vision_changes,5,6,3,3,original,False
494,Hodgkin_Lymphoma,Hemato,False,0.003,easy,B_symptoms;Reed_Sternberg_cells;mediastinal_mass;painless_lymphadenopathy;pruritus,chronic_hemolytic_anemia;fever;isolated_thrombocytopenia;microangiopathic_hemolytic_anemia;petechiae;sickle_cells,5,6,3,3,original,False
526,Hemophilia_A,Hemato,True,0.0001,hard,asymmetric_onset;easy_bruising;hemarthrosis;prolonged_bleeding;radiation_to_arm,low_B12;neurologic_symptoms;petechiae;schistocytes;thrombocytopenia,5,5,2,4,original,False
598,Aortic_Dissection,Cardio,True,0.0003,hard,blood_pressure_differential;morning_stiffness_over_1hr;sudden_onset;tearing_chest_pain,elevated_D_dimer;muffled_heart_sounds;pleuritic_chest_pain;tachycardia,4,4,3,4,original,False
339,Ankylosing_Spondylitis,Immuno,True,0.002,easy,HLA_B27;enthesitis;inflammatory_back_pain;limited_spinal_mobility;morning_stiffness_over_1hr;sacroiliac_tenderness;uveitis;young_male,MSU_crystals;age_over_50;crepitus;high_uric_acid;joint_pain;malar_rash;symmetric_swelling,8,7,4,4,original,False
89,Parkinsons_Disease,Neuro,False,0.01,medium,asymmetric_onset;bradykinesia;glossitis;masked_facies;micrographia;postural_instability;resting_tremor;rigidity;shuffling_gait,bilateral_pain;fever;lacrimation;relapsing_remitting_course;symmetric_onset,9,5,4,4,original,False
194,Hyperthyroidism,Metabolic,False,0.02,easy,anxiety;diarrhea;exophthalmos;heat_intolerance;low_TSH;tachycardia;weight_loss_rapid,bradycardia;central_obesity;cold_intolerance;constipation;elevated_TSH;high_fasting_glucose;polydipsia,7,7,4,4,original,False
251,Insulinoma,Metabolic,True,4e-05,hard,diaphoresis;elevated_insulin_during_hypoglycemia;fasting_hypoglycemia;pancreatic_mass;papilledema;relief_with_glucose;whipple_triad,HbA1c_elevated;elevated_TSH;heat_intolerance;high_fasting_glucose,7,4,4,5,original,False
557,Heart_Failure,Cardio,False,0.02,medium,S3_gallop;blurred_vision;dyspnea;elevated_BNP;fatigue;orthopnea;peripheral_edema,chest_pain;hypotension;sudden_onset;widened_mediastinum,7,4,4,4,original,False
155,T2_Diabetes,Metabolic,False,0.1,hard,HbA1c_elevated;fatigue;high_fasting_glucose;obesity;polyuria;positive_anti_SSA;radiation_to_arm,autoantibodies_positive;hyponatremia;low_TSH;purple_striae,7,4,3,4,original,False
91,Parkinsons_Disease,Neuro,False,0.01,medium,asymmetric_onset;bradykinesia;micrographia;resting_tremor;rigidity,autonomic_features;fever;headache;vision_changes;young_age,5,5,4,4,original,False
49,Idiopathic_Intracranial_HTN,Neuro,True,0.001,easy,elevated_opening_pressure;female;headache;obesity;papilledema;tinnitus;vision_changes,altered_mental_status;bilateral_pain;fever;neck_stiffness;speech_difficulty;unilateral_pain,7,6,4,4,original,False
312,Gout,Immuno,False,0.04,hard,MSU_crystals;asymmetric_joint;elevated_catecholamines;high_uric_acid;jugular_venous_distension;male;podagra;redness;warmth,HLA_B27;dry_eyes;inflammatory_back_pain;positive_anti_SSB;symmetric_swelling,9,5,3,4,original,False
84,Stroke_Ischemic,Neuro,False,0.03,hard,arm_weakness;elevated_cortisol;facial_droop;focal_neuro_deficit;hypertension;low_TSH;sudden_onset,bilateral_pain;gradual_onset;headache,7,3,2,3,original,False
167,T1_Diabetes,Metabolic,False,0.005,hard,easy_bruising;high_fasting_glucose;ketoacidosis;mature_small_lymphocytes;polyuria;thin_body_habitus;weight_loss_rapid;young_age,elevated_TSH;low_TSH;obesity;polydipsia;purple_striae,8,5,4,5,original,False
27,Bacterial_Meningitis,Neuro,False,0.002,easy,altered_mental_status;fever;headache;neck_stiffness;positive_kernig,aura;fatigue;gradual_onset;papilledema;relapsing_remitting_course;unilateral_pain,5,6,4,4,original,False
126,Epilepsy,Neuro,False,0.01,medium,EEG_abnormality;loss_of_consciousness;postictal_confusion;seizures;tongue_biting,neck_stiffness;papilledema;vision_changes,5,3,2,3,original,False
354,Sjogren_Syndrome,Immuno,True,0.004,medium,dry_mouth;fatigue;moon_face;positive_anti_SSA;positive_anti_SSB,DIP_involvement;asymmetric_joint;crepitus;morning_stiffness_over_1hr,5,4,3,4,original,False
223,Addison_Disease,Metabolic,True,0.0001,medium,PND;fatigue;hyperpigmentation;hyponatremia;low_cortisol;nausea;salt_craving,elevated_TSH;elevated_cortisol;hypertension;moon_face;polyuria,7,5,4,5,original,False
387,Asthma,Immuno,False,0.08,easy,chest_tightness;dyspnea;episodic_symptoms;nocturnal_symptoms;reversible_airflow_obstruction;wheezing,DIP_involvement;MSU_crystals;asymmetric_joint;morning_stiffness_over_1hr;positive_ANA;psoriasis,6,6,4,4,original,False
260,Metabolic_Syndrome,Metabolic,False,0.12,medium,central_obesity;elevated_ACE;high_fasting_glucose;high_triglycerides;hypertension;hyperuricemia;low_HDL,polydipsia;polyuria;weight_gain;weight_loss_rapid,7,4,5,5,original,False
347,Ankylosing_Spondylitis,Immuno,True,0.002,hard,inflammatory_back_pain;limited_spinal_mobility;morning_stiffness_over_1hr;sacroiliac_tenderness;sickle_cells;watery_eyes;young_male,asymmetric_joint;dry_mouth;joint_pain;malar_rash;positive_RF,7,5,3,4,original,False
319,Systemic_Lupus,Immuno,True,0.005,medium,cytopenias;fatigue;joint_pain;malar_rash;oral_ulcers;photosensitivity;positive_ANA;renal_involvement;rhinorrhea,age_over_50;crepitus;high_uric_acid;inflammatory_back_pain;morning_stiffness_over_1hr;positive_anti_SSB,9,6,4,4,original,False
492,HUS,Hemato,True,2e-05,hard,E_coli_O157;aura;diarrhea;microangiopathic_hemolytic_anemia;pediatric_age;renal_failure;thunderclap_headache,chronic_hemolytic_anemia;low_ferritin;neurologic_symptoms,7,3,3,5,original,False
87,Parkinsons_Disease,Neuro,False,0.01,easy,asymmetric_onset;bradykinesia;micrographia;resting_tremor;rigidity,bilateral_pain;fatigue;fever;headache;papilledema;young_age,5,6,4,4,original,False
335,Psoriatic_Arthritis,Immuno,True,0.002,hard,DIP_involvement;asymmetric_joint;clear_rhinorrhea;dactylitis;enthesitis;joint_pain;uveitis,MSU_crystals;age_over_50;malar_rash;sacroiliac_tenderness;tophi,7,5,2,3,original,False
246,Insulinoma,Metabolic,True,4e-05,medium,confusion;diaphoresis;elevated_insulin_during_hypoglycemia;pancreatic_mass;relief_with_glucose;weight_gain;whipple_triad,HbA1c_elevated;central_obesity;high_fasting_glucose;polyuria;tachycardia,7,5,4,5,original,False
460,ITP,Hemato,True,0.0001,easy,bruising;isolated_thrombocytopenia;megakaryocyte_hyperplasia;no_splenomegaly;normal_coagulation_studies;petechiae,low_ferritin;mild_anemia;neurologic_symptoms;pallor;schistocytes;sickle_cells,6,6,4,4,original,False
371,Reactive_Arthritis,Immuno,True,0.003,hard,HLA_B27;asymmetric_joint;dactylitis;hypoxemia;neurologic_symptoms;preceding_infection;urethritis;young_male,crepitus;inflammatory_back_pain;joint_pain;symmetric_swelling,8,4,3,4,original,False
419,Iron_Deficiency_Anemia,Hemato,False,0.08,hard,brittle_nails;fatigue;koilonychia;low_MCV;muffled_heart_sounds;no_diarrhea;pallor;pica,HbS_on_electrophoresis;isolated_thrombocytopenia;renal_failure;schistocytes;splenomegaly,8,5,3,4,original,False
5,Migraine,Neuro,False,0.12,medium,atrial_fibrillation;headache;nausea;photophobia,elevated_opening_pressure;fever;neck_stiffness;relapsing_remitting_course,4,4,3,3,original,False
85,Parkinsons_Disease,Neuro,False,0.01,easy,asymmetric_onset;bradykinesia;micrographia;resting_tremor;rigidity;shuffling_gait,papilledema;pressing_quality;symmetric_onset;unilateral_pain;young_age,6,5,4,4,original,False
197,Hyperthyroidism,Metabolic,False,0.02,medium,diarrhea;exophthalmos;heat_intolerance;hyperreflexia;low_TSH;tachycardia;tremor;weight_loss_rapid,bradycardia;dilute_urine;high_fasting_glucose;ketoacidosis;polyuria,8,5,4,4,original,False
638,Community_Pneumonia,Pulmo,False,0.01,easy,crackles;dyspnea;fever;infiltrate_on_CXR;pleuritic_chest_pain;productive_cough;rigors,bilateral_hilar_lymphadenopathy;hemoptysis;honeycombing_on_CT;positive_AFB;sputum_production,7,5,4,4,original,False
516,Polycythemia_Vera,Hemato,True,0.0005,hard,JAK2_mutation;crepitus;elevated_hemoglobin;erythromelalgia;plethora;pruritus_after_bathing,HbS_on_electrophoresis;fatigue;thrombocytopenia,6,3,2,4,original,False
649,Pulmonary_Fibrosis,Pulmo,True,0.002,easy,age_over_50;clubbing;dry_cough;honeycombing_on_CT;progressive_dyspnea;reduced_DLCO;velcro_crackles,crackles;persistent_cough;sputum_production,7,3,4,4,original,False
681,Sarcoidosis_Pulmo,Pulmo,True,0.001,hard,bilateral_hilar_lymphadenopathy;chronic_cough;elevated_ACE;erythema_nodosum;hypercalcemia;masked_facies,positive_AFB;upper_lobe_cavitation,6,2,2,3,original,False
377,Allergic_Rhinitis,Immuno,False,0.2,medium,itching;nasal_congestion;pale_nasal_mucosa;sneezing;splenomegaly_childhood;watery_eyes,acute_joint_pain;crepitus;fatigue;fever;joint_pain;positive_RF,6,6,4,4,original,False
204,Hyperthyroidism,Metabolic,False,0.02,hard,ST_elevation_focal;anxiety;hyperreflexia;hypotension;low_TSH;tachycardia;weight_loss_rapid,elevated_cortisol;fatigue;young_age,7,3,3,4,original,False
238,Pheochromocytoma,Metabolic,True,0.0002,hard,adrenal_mass;decreased_breath_sounds;diaphoresis;elevated_catecholamines;episodic_hypertension;headache;obesity;pallor;palpitations,cold_intolerance;fatigue;high_fasting_glucose;low_urine_osmolality;tachycardia,9,5,4,5,original,False
145,T2_Diabetes,Metabolic,False,0.1,easy,HbA1c_elevated;high_fasting_glucose;obesity;polydipsia;polyuria,cold_intolerance;fatigue;ketoacidosis;low_urine_osmolality;weight_loss_rapid;young_age,5,6,4,4,original,False
11,Migraine,Neuro,False,0.12,hard,aura;itching;nausea;photophobia,fatigue;focal_neuro_deficit;papilledema,4,3,2,3,original,False
527,Hemophilia_A,Hemato,True,0.0001,hard,family_history;low_factor_VIII;prolonged_bleeding;ptosis,fatigue;low_MCV;microangiopathic_hemolytic_anemia,4,3,2,4,original,False
283,Rheumatoid_Arthritis,Immuno,False,0.01,medium,MCP_PIP_involvement;joint_pain;morning_stiffness_over_1hr;positive_RF;rheumatoid_nodules;symmetric_swelling,asymmetric_joint;dactylitis;sacroiliac_tenderness;tophi,6,4,4,4,original,False
376,Allergic_Rhinitis,Immuno,False,0.2,easy,clear_rhinorrhea;itching;nasal_congestion;pale_nasal_mucosa;seasonal_pattern;sneezing;watery_eyes,joint_pain;psoriasis,7,2,4,4,original,False
467,ITP,Hemato,True,0.0001,hard,normal_coagulation_studies;petechiae;subacute_combined_degeneration,microangiopathic_hemolytic_anemia;renal_failure;splenomegaly,3,3,2,4,original,False
523,Hemophilia_A,Hemato,True,0.0001,medium,easy_bruising;family_history;low_factor_VIII;male;prolonged_aPTT;prolonged_bleeding,high_MCV;low_MCV;no_splenomegaly;schistocytes;target_cells,6,5,3,4,original,False
564,Heart_Failure,Cardio,False,0.02,hard,S3_gallop;crackles;elevated_BNP;fatigue;watery_eyes,diffuse_ST_elevation;fever;muffled_heart_sounds;sudden_onset,5,4,2,4,original,False
26,Bacterial_Meningitis,Neuro,False,0.002,easy,altered_mental_status;fever;headache;neck_stiffness;petechial_rash;photophobia;positive_kernig,autonomic_features;elevated_opening_pressure;fatigue;lacrimation;vision_changes,7,5,4,4,original,False
586,Pulmonary_Embolism,Cardio,False,0.002,hard,hemoptysis;hypoxemia;pleuritic_chest_pain;sudden_dyspnea;tachycardia;tongue_biting;unilateral_leg_swelling,blood_pressure_differential;chest_pain;diffuse_ST_elevation,7,3,3,4,original,False
434,Thalassemia_Trait,Hemato,False,0.01,easy,low_MCV;mild_anemia;normal_RDW;normal_ferritin;target_cells,fatigue;high_MCV;low_ferritin;microangiopathic_hemolytic_anemia;peripheral_neuropathy;petechiae;renal_failure,5,7,5,5,original,False
116,Myasthenia_Gravis,Neuro,True,0.0002,medium,diplopia;fatigable_weakness;fluctuating_symptoms;positive_edrophonium_test;ptosis,areflexia;bilateral_pain;sensory_loss;vision_changes,5,4,4,4,original,False
179,Diabetes_Insipidus,Metabolic,True,0.0003,hard,bloody_diarrhea;dilute_urine;hypernatremia;polydipsia,central_obesity;high_fasting_glucose;young_age,4,3,2,4,original,False
144,Subarachnoid_Hemorrhage,Neuro,True,0.001,hard,dactylitis;loss_of_consciousness;nausea;neck_stiffness;trigger_exposure;worst_headache_of_life;xanthochromia_CSF,aura;bilateral_pain;elevated_opening_pressure;headache;unilateral_pain,7,5,2,4,original,False
4,Migraine,Neuro,False,0.12,easy,duration_4_72hrs;headache;nausea;photophobia;throbbing_quality,focal_neuro_deficit;numbness;speech_difficulty;unilateral_pain;vision_changes,5,5,3,3,original,False
412,Iron_Deficiency_Anemia,Hemato,False,0.08,easy,brittle_nails;fatigue;glossitis;low_MCV;low_ferritin;pallor;pica,high_MCV;low_B12;normal_ferritin;petechiae;schistocytes;sickle_cells,7,6,4,4,original,False
176,Diabetes_Insipidus,Metabolic,True,0.0003,medium,dilute_urine;low_urine_osmolality;nocturia;polydipsia;subacute_combined_degeneration,central_obesity;fatigue;high_fasting_glucose;hyponatremia;ketoacidosis;polyuria,5,6,3,4,original,False
350,Sjogren_Syndrome,Immuno,True,0.004,easy,dental_caries;dry_eyes;dry_mouth;parotid_enlargement;positive_anti_SSA;positive_anti_SSB,DIP_involvement;dactylitis;malar_rash;morning_stiffness_over_1hr;positive_ANA;symmetric_swelling;tophi,6,7,4,4,original,False
142,Subarachnoid_Hemorrhage,Neuro,True,0.001,hard,ST_elevation_focal;hyperreflexia;sudden_onset;thunderclap_headache;vomiting;worst_headache_of_life,aura;bilateral_pain;nausea;neck_stiffness;vision_changes,6,5,3,4,original,False
408,Sarcoidosis,Immuno,True,0.001,hard,Reed_Sternberg_cells;bilateral_hilar_lymphadenopathy;noncaseating_granulomas,HLA_B27;MSU_crystals;joint_pain;malar_rash;positive_RF,3,5,2,3,original,False
255,Metabolic_Syndrome,Metabolic,False,0.12,easy,acanthosis_nigricans;central_obesity;high_fasting_glucose;high_triglycerides;hypertension;hyperuricemia;low_HDL,HbA1c_elevated;fatigue;low_urine_osmolality;polyuria;purple_striae;weight_gain,7,6,5,5,original,False
69,Multiple_Sclerosis,Neuro,True,0.003,hard,lhermitte_sign;numbness;preceding_infection;vision_changes;white_matter_lesions,fever;headache;sudden_onset;unilateral_pain,5,4,2,4,original,False
253,Metabolic_Syndrome,Metabolic,False,0.12,easy,acanthosis_nigricans;central_obesity;fatty_liver;high_fasting_glucose;high_triglycerides;hypertension;low_HDL,ketoacidosis;low_TSH;low_cortisol;polyuria;weight_loss_rapid,7,5,5,5,original,False
341,Ankylosing_Spondylitis,Immuno,True,0.002,medium,HLA_B27;enthesitis;inflammatory_back_pain;limited_spinal_mobility;normal_coagulation_studies;sacroiliac_tenderness;uveitis;young_male,DIP_involvement;crepitus;joint_pain;malar_rash,8,4,3,4,original,False
121,Epilepsy,Neuro,False,0.01,easy,incontinence;loss_of_consciousness;postictal_confusion;recurrent_episodes;seizures;tongue_biting,altered_mental_status;fever;lacrimation;nausea;photophobia;unilateral_pain;vision_changes,6,7,3,3,original,False
180,Diabetes_Insipidus,Metabolic,True,0.0003,hard,age_over_50;dehydration;low_urine_osmolality;polydipsia;polyuria,glycosuria;hyperpigmentation;hyponatremia;ketoacidosis;low_cortisol,5,5,3,4,original,False
284,Rheumatoid_Arthritis,Immuno,False,0.01,medium,clear_rhinorrhea;elevated_ESR;fatigue;joint_pain;positive_RF;rheumatoid_nodules;symmetric_swelling,DIP_involvement;asymmetric_joint;dactylitis;positive_anti_SSB;tophi,7,5,3,4,original,False
474,TTP,Hemato,True,3e-05,medium,fever;loss_of_consciousness;low_ADAMTS13;microangiopathic_hemolytic_anemia;neurologic_symptoms;renal_failure;schistocytes;thrombocytopenia,fatigue;isolated_thrombocytopenia;low_MCV;normal_ferritin,8,4,5,5,original,False
12,Migraine,Neuro,False,0.12,hard,atrial_fibrillation;duration_4_72hrs;headache;photophobia;unilateral_pain,lacrimation;pressing_quality;vision_changes,5,3,2,3,original,False
476,TTP,Hemato,True,3e-05,medium,MCP_PIP_involvement;fever;microangiopathic_hemolytic_anemia;neurologic_symptoms;schistocytes;thrombocytopenia,low_MCV;normal_coagulation_studies;renal_failure;target_cells,6,4,5,5,original,False
401,Sarcoidosis,Immuno,True,0.001,medium,bilateral_hilar_lymphadenopathy;cough;fatigue;uveitis,DIP_involvement;acute_joint_pain;malar_rash;photosensitivity,4,4,2,3,original,False
594,Aortic_Dissection,Cardio,True,0.0003,medium,Marfan_history;abnormal_coagulation;blood_pressure_differential;sudden_onset;tearing_chest_pain;widened_mediastinum,elevated_BNP;jugular_venous_distension;orthopnea;pericardial_friction_rub,6,4,4,4,original,False
146,T2_Diabetes,Metabolic,False,0.1,easy,HbA1c_elevated;acanthosis_nigricans;high_fasting_glucose;polydipsia;polyuria,moon_face;weight_loss_rapid;young_age,5,3,4,4,original,False
558,Heart_Failure,Cardio,False,0.02,medium,S3_gallop;crackles;dyspnea;elevated_BNP;fatigue;jugular_venous_distension;peripheral_edema;watery_eyes,chest_pain;pulsus_paradoxus;radiation_to_arm;sudden_onset;troponin_elevated,8,5,4,4,original,False
407,Sarcoidosis,Immuno,True,0.001,hard,bilateral_hilar_lymphadenopathy;cough;elevated_ACE;hypertension_history;noncaseating_granulomas;restrictive_pattern,MSU_crystals;age_over_50;joint_pain,6,3,2,3,original,False
193,Hyperthyroidism,Metabolic,False,0.02,easy,anxiety;exophthalmos;heat_intolerance;low_TSH;tachycardia;tremor;weight_loss_rapid,bradycardia;elevated_TSH;fatigue;low_urine_osmolality;polydipsia,7,5,4,4,original,False
103,Guillain_Barre,Neuro,True,0.0001,medium,areflexia;preceding_infection;progressive_course;symmetric_weakness;tingling,asymmetric_onset;elevated_opening_pressure;resting_tremor,5,3,3,4,original,False
588,Pulmonary_Embolism,Cardio,False,0.002,hard,elevated_D_dimer;fever;hemoptysis;pallor;sudden_dyspnea;unilateral_leg_swelling,ST_elevation;muffled_heart_sounds;orthopnea;troponin_elevated,6,4,2,4,original,False
573,Acute_MI,Cardio,False,0.005,hard,diaphoresis;dyspnea;nausea;radiation_to_arm;risk_factors;tongue_biting;troponin_elevated,hypotension;jugular_venous_distension;pain_worse_supine;pleuritic_chest_pain;tearing_chest_pain,7,5,2,4,original,False
696,Lung_Cancer,Pulmo,False,0.005,hard,diaphoresis;hemoptysis;hoarseness;superior_vena_cava_syndrome;weight_loss_rapid,bilateral_hilar_lymphadenopathy;chronic_cough;chronic_dyspnea;smoking_history,5,4,2,4,original,False
71,Multiple_Sclerosis,Neuro,True,0.003,hard,balance_problems;numbness;optic_neuritis;urethritis;velcro_crackles;vision_changes;white_matter_lesions,altered_mental_status;fever;headache;papilledema;sudden_onset,7,5,2,4,original,False
566,Acute_MI,Cardio,False,0.005,easy,ST_elevation;chest_pain;diaphoresis;dyspnea;nausea;radiation_to_arm;risk_factors;troponin_elevated,diffuse_ST_elevation;fever;pleuritic_chest_pain;tearing_chest_pain,8,4,4,4,original,False
127,Epilepsy,Neuro,False,0.01,medium,EEG_abnormality;erythromelalgia;incontinence;loss_of_consciousness;recurrent_episodes;seizures;tongue_biting,headache;lacrimation;papilledema;progressive_course;relapsing_remitting_course;vision_changes,7,6,3,3,original,False
55,Idiopathic_Intracranial_HTN,Neuro,True,0.001,medium,elevated_opening_pressure;papilledema;tinnitus;vision_changes,fever;periorbital_pain;photophobia;unilateral_pain,4,4,3,4,original,False
462,ITP,Hemato,True,0.0001,medium,bruising;megakaryocyte_hyperplasia;mucosal_bleeding;no_splenomegaly;normal_coagulation_studies;petechiae,abnormal_coagulation;diarrhea;fatigue;low_MCV;low_ferritin;mild_anemia,6,6,3,4,original,False
611,Pericarditis,Cardio,False,0.003,hard,ST_elevation;diffuse_ST_elevation;malar_rash;pericardial_effusion;pericardial_friction_rub;viral_prodrome,dyspnea;fatigue;pleuritic_chest_pain;radiation_to_arm;sudden_dyspnea,6,5,2,4,original,False
118,Myasthenia_Gravis,Neuro,True,0.0002,hard,dysphagia;fatigable_weakness;fluctuating_symptoms;pain_worse_supine;positive_kernig;ptosis,altered_mental_status;headache;numbness;sensory_loss,6,4,3,4,original,False
345,Ankylosing_Spondylitis,Immuno,True,0.002,hard,HLA_B27;elevated_CSF_protein;limited_spinal_mobility;morning_stiffness_over_1hr;resting_tremor;sacroiliac_tenderness;uveitis,DIP_involvement;acute_joint_pain;age_over_50;crepitus;joint_pain,7,5,3,4,original,False
134,Subarachnoid_Hemorrhage,Neuro,True,0.001,easy,nausea;neck_stiffness;sudden_onset;thunderclap_headache;worst_headache_of_life;xanthochromia_CSF,bilateral_pain;elevated_opening_pressure;relapsing_remitting_course;unilateral_pain,6,4,4,4,original,False
657,Pulmonary_Fibrosis,Pulmo,True,0.002,hard,age_over_50;clubbing;dry_cough;focal_neuro_deficit;honeycombing_on_CT;low_ADAMTS13;progressive_dyspnea;reduced_DLCO,chronic_cough;fever;night_sweats;productive_cough;smoking_history,8,5,3,4,original,False
235,Pheochromocytoma,Metabolic,True,0.0002,medium,anxiety;diaphoresis;elevated_catecholamines;episodic_hypertension;headache;pallor;tachycardia,heat_intolerance;ketoacidosis;low_cortisol;polyuria,7,4,5,5,original,False
16,Tension_Headache,Neuro,False,0.2,easy,bilateral_pain;headache;mild_photophobia;muscle_tension;pressing_quality;stress,autonomic_features;elevated_opening_pressure;fatigue;numbness;sudden_onset;throbbing_quality,6,6,3,3,original,False
499,Hodgkin_Lymphoma,Hemato,False,0.003,medium,B_symptoms;painless_lymphadenopathy;pruritus;sudden_dyspnea;weight_loss_rapid,HbS_on_electrophoresis;low_MCV;mild_anemia;petechiae,5,4,2,3,original,False
579,Pulmonary_Embolism,Cardio,False,0.002,easy,Wells_score_high;elevated_D_dimer;hypoxemia;pleuritic_chest_pain;sudden_dyspnea;tachycardia,ST_elevation;dyspnea;jugular_venous_distension;pain_worse_supine;sudden_onset,6,5,4,4,original,False
34,Bacterial_Meningitis,Neuro,False,0.002,hard,HbA1c_elevated;fever;headache;neck_stiffness;petechial_rash;positive_kernig,autonomic_features;papilledema;vision_changes,6,3,3,4,original,False
583,Pulmonary_Embolism,Cardio,False,0.002,medium,Wells_score_high;atrial_fibrillation;elevated_D_dimer;hypoxemia;pleuritic_chest_pain;sudden_dyspnea;unilateral_leg_swelling,crackles;muffled_heart_sounds;radiation_to_arm;tearing_chest_pain;troponin_elevated,7,5,3,4,original,False
257,Metabolic_Syndrome,Metabolic,False,0.12,medium,acanthosis_nigricans;high_fasting_glucose;high_triglycerides;hypertension;hyperuricemia;low_HDL,cold_intolerance;hypotension;polyuria;weight_gain;weight_loss_rapid,6,5,4,5,original,False
665,Tuberculosis,Pulmo,False,0.003,medium,chronic_cough;dactylitis;fever;hemoptysis;night_sweats;positive_AFB;positive_PPD;upper_lobe_cavitation,barrel_chest;honeycombing_on_CT;reversible_airflow_obstruction,8,3,3,4,original,False
21,Tension_Headache,Neuro,False,0.2,hard,bilateral_pain;focal_neuro_deficit;mild_photophobia;muscle_tension;pressing_quality,headache;throbbing_quality;vomiting,5,3,2,3,original,False
624,Cardiac_Tamponade,Cardio,True,0.0005,hard,hypotension;jugular_venous_distension;pericardial_effusion;pulsus_paradoxus;seasonal_pattern;tachycardia,ST_elevation;diffuse_ST_elevation;peripheral_edema;sudden_dyspnea,6,4,3,4,original,False
237,Pheochromocytoma,Metabolic,True,0.0002,hard,elevated_catecholamines;episodic_hypertension;headache;high_fasting_glucose;palpitations;stiffness_under_30min,HbA1c_elevated;elevated_TSH;hypotension,6,3,3,5,original,False
331,Psoriatic_Arthritis,Immuno,True,0.002,medium,DIP_involvement;JAK2_mutation;joint_pain;nail_pitting;psoriasis,age_over_50;malar_rash;positive_RF;symmetric_swelling;tophi,5,5,2,3,original,False
38,Cluster_Headache,Neuro,True,0.001,easy,autonomic_features;conjunctival_injection;duration_15min_3hrs;headache;lacrimation;periorbital_pain;ptosis;rhinorrhea;unilateral_pain,aura;duration_4_72hrs;focal_neuro_deficit;photophobia;speech_difficulty;sudden_onset,9,6,5,5,original,False
662,Tuberculosis,Pulmo,False,0.003,easy,chronic_cough;fever;hemoptysis;night_sweats;positive_AFB;positive_PPD;upper_lobe_cavitation;weight_loss_rapid,sputum_production,8,1,4,4,original,False
86,Parkinsons_Disease,Neuro,False,0.01,easy,asymmetric_onset;bradykinesia;micrographia;postural_instability;resting_tremor;rigidity,fever;nausea;sudden_onset;young_age,6,4,4,4,original,False
628,COPD,Pulmo,False,0.06,easy,chronic_cough;chronic_dyspnea;prolonged_expiration;smoking_history;sputum_production,eosinophilia;no_smoking_history;positive_AFB;productive_cough,5,4,4,4,original,False
603,Pericarditis,Cardio,False,0.003,easy,diffuse_ST_elevation;fever;pain_worse_supine;pericardial_effusion;pericardial_friction_rub;pleuritic_chest_pain,ST_elevation;ST_elevation_focal;blood_pressure_differential;radiation_to_arm;tearing_chest_pain,6,5,4,4,original,False
112,Myasthenia_Gravis,Neuro,True,0.0002,easy,anti_AChR_antibodies;diplopia;fatigable_weakness;fluctuating_symptoms;positive_edrophonium_test;ptosis,ascending_weakness;headache;numbness;periorbital_pain;pressing_quality;resting_tremor,6,6,4,4,original,False
306,Gout,Immuno,False,0.04,medium,MSU_crystals;acute_joint_pain;asymmetric_joint;high_uric_acid;podagra;rapid_onset_hours;redness;relief_with_glucose,DIP_involvement;crepitus;inflammatory_back_pain;malar_rash;morning_stiffness_over_1hr;positive_RF,8,6,4,4,original,False
479,TTP,Hemato,True,3e-05,hard,fever;hypokalemia;low_ADAMTS13;microangiopathic_hemolytic_anemia;renal_failure;schistocytes;thrombocytopenia,isolated_thrombocytopenia;no_splenomegaly;normal_coagulation_studies;peripheral_neuropathy;petechiae,7,5,4,5,original,False
440,Thalassemia_Trait,Hemato,False,0.01,medium,Mediterranean_descent;family_history;low_MCV;mild_anemia;normal_RDW;normal_ferritin;target_cells,HbS_on_electrophoresis;low_B12;low_ferritin;peripheral_neuropathy,7,4,5,5,original,False
630,COPD,Pulmo,False,0.06,medium,FEV1_reduced;chronic_cough;chronic_dyspnea;smoking_history;sputum_production,eosinophilia;hemoptysis;positive_AFB;reversible_airflow_obstruction,5,4,4,4,original,False
263,Metabolic_Syndrome,Metabolic,False,0.12,hard,central_obesity;fatty_liver;high_triglycerides;hypertension;low_HDL;trigger_exposure,elevated_TSH;ketoacidosis;weight_gain;weight_loss_rapid,6,4,4,5,original,False
411,Iron_Deficiency_Anemia,Hemato,False,0.08,easy,fatigue;koilonychia;low_MCV;low_ferritin;pallor;pica,diarrhea;fever;isolated_thrombocytopenia;jaundice;microangiopathic_hemolytic_anemia,6,5,4,4,original,False
337,Ankylosing_Spondylitis,Immuno,True,0.002,easy,HLA_B27;enthesitis;inflammatory_back_pain;morning_stiffness_over_1hr;sacroiliac_tenderness;uveitis,DIP_involvement;high_uric_acid;joint_pain;malar_rash;symmetric_swelling,6,5,4,4,original,False
305,Gout,Immuno,False,0.04,medium,acute_joint_pain;asymmetric_joint;high_uric_acid;podagra;redness;warmth,morning_stiffness_over_1hr;positive_RF;positive_anti_SSA;psoriasis;symmetric_swelling,6,5,3,4,original,False
397,Sarcoidosis,Immuno,True,0.001,easy,bilateral_hilar_lymphadenopathy;elevated_ACE;erythema_nodosum;fatigue;hypercalcemia;noncaseating_granulomas,DIP_involvement;MSU_crystals;joint_pain;morning_stiffness_over_1hr;positive_RF;psoriasis,6,6,3,3,original,False
166,T1_Diabetes,Metabolic,False,0.005,hard,high_fasting_glucose;ketoacidosis;polydipsia;thin_body_habitus;uveitis;weight_loss_rapid,hyponatremia;obesity;weight_gain,6,3,3,5,original,False
232,Pheochromocytoma,Metabolic,True,0.0002,easy,anxiety;diaphoresis;elevated_catecholamines;episodic_hypertension;headache;palpitations;tachycardia,hypotension;low_TSH;polyuria;weight_gain;weight_loss_rapid,7,5,5,5,original,False
46,Cluster_Headache,Neuro,True,0.001,hard,erythema_nodosum;fatty_liver;lacrimation;periorbital_pain;ptosis;unilateral_pain,duration_4_72hrs;fever;nausea;neck_stiffness,6,4,3,5,original,False
228,Addison_Disease,Metabolic,True,0.0001,hard,EEG_abnormality;fatigue;hyperkalemia;hyperpigmentation;hypotension;low_cortisol;reduced_DLCO,dilute_urine;elevated_cortisol;low_urine_osmolality;weight_gain;young_age,7,5,4,5,original,False
589,Aortic_Dissection,Cardio,True,0.0003,easy,Marfan_history;blood_pressure_differential;sudden_onset;tearing_chest_pain;widened_mediastinum,peripheral_edema;pulsus_paradoxus;troponin_elevated,5,3,4,4,original,False
400,Sarcoidosis,Immuno,True,0.001,easy,bilateral_hilar_lymphadenopathy;cough;elevated_ACE;fatigue;noncaseating_granulomas;uveitis,DIP_involvement;MSU_crystals;acute_joint_pain;crepitus;joint_pain,6,5,3,3,original,False
514,Polycythemia_Vera,Hemato,True,0.0005,hard,JAK2_mutation;diplopia;elevated_hematocrit;headache;pruritus_after_bathing;splenomegaly,fatigue;low_ferritin;no_splenomegaly;normal_ferritin;thrombocytopenia,6,5,3,4,original,False
106,Guillain_Barre,Neuro,True,0.0001,hard,anxiety;areflexia;metabolic_alkalosis;preceding_infection;progressive_course;respiratory_difficulty;symmetric_weakness,elevated_opening_pressure;numbness;vision_changes,7,3,3,4,original,False
307,Gout,Immuno,False,0.04,medium,MSU_crystals;ST_elevation_focal;acute_joint_pain;high_uric_acid;male;redness,age_over_50;inflammatory_back_pain;morning_stiffness_over_1hr;positive_ANA;positive_RF;psoriasis,6,6,3,4,original,False
673,Sarcoidosis_Pulmo,Pulmo,True,0.001,easy,bilateral_hilar_lymphadenopathy;chronic_cough;elevated_ACE;fatigue;hypercalcemia;noncaseating_granulomas,fever;infiltrate_on_CXR;persistent_cough;productive_cough;smoking_history,6,5,3,3,original,False
51,Idiopathic_Intracranial_HTN,Neuro,True,0.001,easy,elevated_opening_pressure;female;headache;papilledema;transient_visual_obscurations;vision_changes,altered_mental_status;fever;focal_neuro_deficit;neck_stiffness;photophobia,6,5,4,4,original,False
575,Acute_MI,Cardio,False,0.005,hard,diaphoresis;dyspnea;nausea;radiation_to_arm;risk_factors;superior_vena_cava_syndrome;tremor;troponin_elevated,fatigue;jugular_venous_distension;pleuritic_chest_pain;pulsus_paradoxus;tachycardia,8,5,2,4,original,False
405,Sarcoidosis,Immuno,True,0.001,hard,cough;elevated_ACE;fatigue;hypercalcemia;noncaseating_granulomas;trigger_exposure;uveitis,MSU_crystals;positive_RF;psoriasis,7,3,2,3,original,False
529,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,easy,age_over_50;lymphocytosis;mature_small_lymphocytes;painless_lymphadenopathy,Reed_Sternberg_cells;fatigue;isolated_thrombocytopenia;schistocytes;sickle_cells;target_cells;young_age,4,7,4,4,original,False
537,Chronic_Lymphocytic_Leukemia,Hemato,False,0.005,hard,fatigue;mature_small_lymphocytes;painless_lymphadenopathy;ptosis;smudge_cells;troponin_markedly_elevated,low_MCV;peripheral_neuropathy;schistocytes;thrombocytopenia;young_age,6,5,2,4,original,False
559,Heart_Failure,Cardio,False,0.02,medium,PND;S3_gallop;dyspnea;elevated_BNP;fatigue;jugular_venous_distension;orthopnea,fever;hypotension;pericardial_friction_rub;pulsus_paradoxus;widened_mediastinum,7,5,3,4,original,False
289,Osteoarthritis,Immuno,False,0.15,easy,DIP_involvement;Heberden_nodes;age_over_50;crepitus;joint_pain;reduced_ROM,dactylitis;dry_mouth;malar_rash;morning_stiffness_over_1hr;positive_RF;symmetric_swelling,6,6,4,4,original,False
43,Cluster_Headache,Neuro,True,0.001,medium,autonomic_features;duration_15min_3hrs;headache;lacrimation;periorbital_pain;ptosis;rhinorrhea;seasonal_pattern;unilateral_pain,aura;bilateral_pain;papilledema;sudden_onset,9,4,5,5,original,False
151,T2_Diabetes,Metabolic,False,0.1,medium,HbA1c_elevated;blurred_vision;fatigue;high_fasting_glucose;polydipsia;polyuria,autoantibodies_positive;central_obesity;weight_loss_rapid;young_age,6,4,4,4,original,False
511,Polycythemia_Vera,Hemato,True,0.0005,medium,JAK2_mutation;elevated_hematocrit;elevated_hemoglobin;erythromelalgia;headache;plethora;pruritus_after_bathing;splenomegaly,high_MCV;low_MCV;pallor;peripheral_neuropathy,8,4,4,4,original,False
97,Guillain_Barre,Neuro,True,0.0001,easy,areflexia;ascending_weakness;progressive_course;respiratory_difficulty;symmetric_weakness,autonomic_features;fatigue;fever;headache;resting_tremor;unilateral_pain,5,6,4,4,original,False
190,Hypothyroidism,Metabolic,False,0.05,hard,Marfan_history;delayed_reflexes;fatigue;glossitis;weight_gain,heat_intolerance;low_TSH;low_urine_osmolality;tachycardia;weight_loss_rapid,5,5,2,4,original,False
427,B12_Deficiency,Hemato,False,0.03,medium,high_MCV;low_B12;peripheral_neuropathy,chronic_hemolytic_anemia;diarrhea;microangiopathic_hemolytic_anemia;normal_coagulation_studies,3,4,3,4,original,False
652,Pulmonary_Fibrosis,Pulmo,True,0.002,easy,clubbing;dry_cough;honeycombing_on_CT;progressive_dyspnea;restrictive_pattern;velcro_crackles,fever;mass_on_imaging;noncaseating_granulomas;persistent_cough;smoking_history;sputum_production,6,6,4,4,original,False
68,Multiple_Sclerosis,Neuro,True,0.003,medium,balance_problems;lhermitte_sign;numbness;optic_neuritis;relapsing_remitting_course;vision_changes;white_matter_lesions,fever;neck_stiffness;speech_difficulty;sudden_onset,7,4,3,4,original,False
694,Lung_Cancer,Pulmo,False,0.005,hard,hemoptysis;mass_on_imaging;renal_failure;sputum_production;weight_loss_rapid,chronic_cough;chronic_dyspnea;dry_cough;productive_cough;smoking_history,5,5,3,4,original,False
670,Tuberculosis,Pulmo,False,0.003,hard,chronic_cough;hemoptysis;positive_AFB;watery_eyes,honeycombing_on_CT;infiltrate_on_CXR;smoking_history,4,3,2,4,original,False
432,B12_Deficiency,Hemato,False,0.03,hard,fatigue;high_MCV;peripheral_neuropathy;positive_AFB,microangiopathic_hemolytic_anemia;petechiae;schistocytes;thrombocytopenia,4,4,3,4,original,False
495,Hodgkin_Lymphoma,Hemato,False,0.003,easy,B_symptoms;Reed_Sternberg_cells;mediastinal_mass;painless_lymphadenopathy;pruritus,high_MCV;low_B12;schistocytes,5,3,3,3,original,False
3,Migraine,Neuro,False,0.12,easy,headache;nausea;photophobia;throbbing_quality;unilateral_pain,altered_mental_status;focal_neuro_deficit;numbness;papilledema;vision_changes,5,5,3,3,original,False
383,Allergic_Rhinitis,Immuno,False,0.2,hard,clear_rhinorrhea;female;nasal_congestion;pale_nasal_mucosa;photosensitivity;sneezing,fatigue;joint_pain;positive_ANA,6,3,2,4,original,False
1001,Infective_Endocarditis,Cardio,True,0.0007,easy,new_heart_murmur;splinter_hemorrhages;Janeway_lesions;positive_blood_cultures;fever_persistent,no_murmur;negative_blood_cultures,5,2,3,3,expanded_indist,False
1002,Infective_Endocarditis,Cardio,True,0.0007,medium,splinter_hemorrhages;positive_blood_cultures;Janeway_lesions;S3_gallop;new_heart_murmur,no_murmur,5,1,2,3,expanded_indist,True
1003,Infective_Endocarditis,Cardio,True,0.0007,hard,new_heart_murmur;Osler_nodes;S3_gallop;fever_persistent,negative_blood_cultures,4,1,2,3,expanded_indist,True
1004,Infective_Endocarditis,Cardio,True,0.0007,easy,positive_blood_cultures;Osler_nodes;splinter_hemorrhages;Janeway_lesions;fever_persistent;new_heart_murmur,no_murmur;negative_blood_cultures,6,2,3,3,expanded_indist,False
1005,Infective_Endocarditis,Cardio,True,0.0007,medium,new_heart_murmur;S3_gallop;positive_blood_cultures;splinter_hemorrhages;Janeway_lesions,negative_blood_cultures,5,1,2,3,expanded_indist,True
1006,Infective_Endocarditis,Cardio,True,0.0007,hard,S3_gallop;fever_persistent;positive_blood_cultures,no_murmur,3,1,2,3,expanded_indist,True
1007,Infective_Endocarditis,Cardio,True,0.0007,easy,splinter_hemorrhages;fever_persistent;positive_blood_cultures;new_heart_murmur;Janeway_lesions;Osler_nodes,no_murmur;negative_blood_cultures,6,2,3,3,expanded_indist,False
1008,Infective_Endocarditis,Cardio,True,0.0007,medium,splinter_hemorrhages;new_heart_murmur;Osler_nodes;fever_persistent,no_murmur,4,1,2,3,expanded_indist,False
1009,Infective_Endocarditis,Cardio,True,0.0007,hard,new_heart_murmur;S3_gallop;positive_blood_cultures,,3,0,2,3,expanded_indist,True
1010,Infective_Endocarditis,Cardio,True,0.0007,easy,Janeway_lesions;Osler_nodes;fever_persistent;positive_blood_cultures;new_heart_murmur;splinter_hemorrhages,no_murmur;negative_blood_cultures,6,2,3,3,expanded_indist,False
1011,Infective_Endocarditis,Cardio,True,0.0007,medium,fever_persistent;new_heart_murmur;Osler_nodes;S3_gallop,negative_blood_cultures,4,1,2,3,expanded_indist,True
1012,Infective_Endocarditis,Cardio,True,0.0007,hard,S3_gallop;positive_blood_cultures;fever_persistent,no_murmur,3,1,2,3,expanded_indist,True
1013,Pneumothorax,Pulmo,True,0.001,easy,decreased_breath_sounds_unilateral;tracheal_deviation;hyperresonance_to_percussion;sudden_pleuritic_chest_pain;dyspnea_sudden_onset,gradual_onset_weeks;bilateral_breath_sounds_equal,5,2,3,3,expanded_indist,False
1014,Pneumothorax,Pulmo,True,0.001,medium,hyperresonance_to_percussion;dyspnea_sudden_onset;tracheal_deviation;sudden_pleuritic_chest_pain;barrel_chest,bilateral_breath_sounds_equal,5,1,2,3,expanded_indist,True
1015,Pneumothorax,Pulmo,True,0.001,hard,barrel_chest;tracheal_deviation;dyspnea_sudden_onset;decreased_breath_sounds_unilateral,,4,0,2,3,expanded_indist,True
1016,Pneumothorax,Pulmo,True,0.001,easy,dyspnea_sudden_onset;sudden_pleuritic_chest_pain;tracheal_deviation;hyperresonance_to_percussion;decreased_breath_sounds_unilateral,bilateral_breath_sounds_equal;gradual_onset_weeks,5,2,3,3,expanded_indist,False
1017,Pneumothorax,Pulmo,True,0.001,medium,decreased_breath_sounds_unilateral;dyspnea_sudden_onset;tracheal_deviation;barrel_chest,bilateral_breath_sounds_equal,4,1,2,3,expanded_indist,True
1018,Pneumothorax,Pulmo,True,0.001,hard,barrel_chest;dyspnea_sudden_onset;decreased_breath_sounds_unilateral,gradual_onset_weeks,3,1,2,3,expanded_indist,True
1019,Pneumothorax,Pulmo,True,0.001,easy,hyperresonance_to_percussion;tall_thin_body_habitus;decreased_breath_sounds_unilateral;sudden_pleuritic_chest_pain;dyspnea_sudden_onset;tracheal_deviation,bilateral_breath_sounds_equal;gradual_onset_weeks,6,2,3,3,expanded_indist,False
1020,Pneumothorax,Pulmo,True,0.001,medium,barrel_chest;hyperresonance_to_percussion;sudden_pleuritic_chest_pain;decreased_breath_sounds_unilateral,bilateral_breath_sounds_equal,4,1,2,3,expanded_indist,True
1021,Pneumothorax,Pulmo,True,0.001,hard,barrel_chest;sudden_pleuritic_chest_pain;dyspnea_sudden_onset,,3,0,2,3,expanded_indist,True
1022,Pneumothorax,Pulmo,True,0.001,easy,dyspnea_sudden_onset;sudden_pleuritic_chest_pain;decreased_breath_sounds_unilateral;tall_thin_body_habitus;hyperresonance_to_percussion;tracheal_deviation,gradual_onset_weeks;bilateral_breath_sounds_equal,6,2,3,3,expanded_indist,False
1023,Pneumothorax,Pulmo,True,0.001,medium,tracheal_deviation;decreased_breath_sounds_unilateral;sudden_pleuritic_chest_pain;hyperresonance_to_percussion,bilateral_breath_sounds_equal,4,1,2,3,expanded_indist,False
1024,Pneumothorax,Pulmo,True,0.001,hard,barrel_chest;decreased_breath_sounds_unilateral;dyspnea_sudden_onset,,3,0,2,3,expanded_indist,True
1025,Trigeminal_Neuralgia,Neuro,True,0.0002,easy,triggered_by_light_touch;brief_episodes_seconds;unilateral_facial_distribution;trigger_zone_present;paroxysmal_facial_pain,continuous_constant_pain;bilateral_symmetric_pain,5,2,3,3,expanded_indist,False
1026,Trigeminal_Neuralgia,Neuro,True,0.0002,medium,unilateral_facial_distribution;trigger_zone_present;brief_episodes_seconds;stress,continuous_constant_pain,4,1,2,3,expanded_indist,True
1027,Trigeminal_Neuralgia,Neuro,True,0.0002,hard,triggered_by_light_touch;trigger_zone_present;paroxysmal_facial_pain;stress,continuous_constant_pain,4,1,2,3,expanded_indist,True
1028,Trigeminal_Neuralgia,Neuro,True,0.0002,easy,unilateral_facial_distribution;brief_episodes_seconds;paroxysmal_facial_pain;trigger_zone_present;triggered_by_light_touch;normal_neuro_exam_between_episodes,bilateral_symmetric_pain;continuous_constant_pain,6,2,3,3,expanded_indist,False
1029,Trigeminal_Neuralgia,Neuro,True,0.0002,medium,paroxysmal_facial_pain;unilateral_facial_distribution;triggered_by_light_touch,continuous_constant_pain,3,1,2,3,expanded_indist,False
1030,Trigeminal_Neuralgia,Neuro,True,0.0002,hard,unilateral_facial_distribution;trigger_zone_present;stress;triggered_by_light_touch,,4,0,2,3,expanded_indist,True
1031,Trigeminal_Neuralgia,Neuro,True,0.0002,easy,trigger_zone_present;unilateral_facial_distribution;triggered_by_light_touch;normal_neuro_exam_between_episodes;paroxysmal_facial_pain,bilateral_symmetric_pain;continuous_constant_pain,5,2,3,3,expanded_indist,False
1032,Trigeminal_Neuralgia,Neuro,True,0.0002,medium,stress;normal_neuro_exam_between_episodes;trigger_zone_present;paroxysmal_facial_pain,continuous_constant_pain,4,1,2,3,expanded_indist,True
1033,Trigeminal_Neuralgia,Neuro,True,0.0002,hard,unilateral_facial_distribution;paroxysmal_facial_pain;stress;triggered_by_light_touch,,4,0,2,3,expanded_indist,True
1034,Trigeminal_Neuralgia,Neuro,True,0.0002,easy,triggered_by_light_touch;normal_neuro_exam_between_episodes;paroxysmal_facial_pain;unilateral_facial_distribution;trigger_zone_present;brief_episodes_seconds,continuous_constant_pain;bilateral_symmetric_pain,6,2,3,3,expanded_indist,False
1035,Trigeminal_Neuralgia,Neuro,True,0.0002,medium,unilateral_facial_distribution;brief_episodes_seconds;paroxysmal_facial_pain,continuous_constant_pain,3,1,2,3,expanded_indist,False
1036,Trigeminal_Neuralgia,Neuro,True,0.0002,hard,normal_neuro_exam_between_episodes;unilateral_facial_distribution;trigger_zone_present;stress,,4,0,2,3,expanded_indist,True
1037,Diabetic_Ketoacidosis,Metabolic,False,0.008,easy,polyuria_polydipsia_acute;ketonemia;hyperglycemia_severe;metabolic_acidosis;fruity_breath_odor;kussmaul_breathing,absent_ketones;normal_blood_glucose,6,2,3,3,expanded_indist,False
1038,Diabetic_Ketoacidosis,Metabolic,False,0.008,medium,hyperglycemia_severe;metabolic_acidosis;polyuria_polydipsia_acute;kussmaul_breathing,absent_ketones,4,1,2,3,expanded_indist,False
1039,Diabetic_Ketoacidosis,Metabolic,False,0.008,hard,ketonemia;metabolic_acidosis;acanthosis_nigricans,normal_blood_glucose,3,1,2,3,expanded_indist,True
1040,Diabetic_Ketoacidosis,Metabolic,False,0.008,easy,ketonemia;hyperglycemia_severe;kussmaul_breathing;metabolic_acidosis;fruity_breath_odor,absent_ketones;normal_blood_glucose,5,2,3,3,expanded_indist,False
1041,Diabetic_Ketoacidosis,Metabolic,False,0.008,medium,acanthosis_nigricans;hyperglycemia_severe;ketonemia;fruity_breath_odor,normal_blood_glucose,4,1,2,3,expanded_indist,True
1042,Diabetic_Ketoacidosis,Metabolic,False,0.008,hard,hyperglycemia_severe;acanthosis_nigricans;metabolic_acidosis;kussmaul_breathing,,4,0,2,3,expanded_indist,True
1043,Diabetic_Ketoacidosis,Metabolic,False,0.008,easy,fruity_breath_odor;hyperglycemia_severe;metabolic_acidosis;ketonemia;kussmaul_breathing,absent_ketones;normal_blood_glucose,5,2,3,3,expanded_indist,False
1044,Diabetic_Ketoacidosis,Metabolic,False,0.008,medium,ketonemia;metabolic_acidosis;kussmaul_breathing,absent_ketones,3,1,2,3,expanded_indist,False
1045,Diabetic_Ketoacidosis,Metabolic,False,0.008,hard,ketonemia;polyuria_polydipsia_acute;acanthosis_nigricans;metabolic_acidosis,absent_ketones,4,1,2,3,expanded_indist,True
1046,Diabetic_Ketoacidosis,Metabolic,False,0.008,easy,kussmaul_breathing;ketonemia;fruity_breath_odor;metabolic_acidosis;hyperglycemia_severe;polyuria_polydipsia_acute,normal_blood_glucose;absent_ketones,6,2,3,3,expanded_indist,False
1047,Diabetic_Ketoacidosis,Metabolic,False,0.008,medium,metabolic_acidosis;acanthosis_nigricans;kussmaul_breathing;hyperglycemia_severe,normal_blood_glucose,4,1,2,3,expanded_indist,True
1048,Diabetic_Ketoacidosis,Metabolic,False,0.008,hard,acanthosis_nigricans;hyperglycemia_severe;kussmaul_breathing;ketonemia,,4,0,2,3,expanded_indist,True
1049,Anaphylaxis,Immuno,False,0.003,easy,recent_allergen_exposure;airway_compromise_or_hypotension;acute_onset_after_exposure;angioedema;urticaria_acute;wheezing_acute,gradual_onset_over_days;no_exposure_history,6,2,3,3,expanded_indist,False
1050,Anaphylaxis,Immuno,False,0.003,medium,airway_compromise_or_hypotension;wheezing_acute;acute_onset_after_exposure;recent_allergen_exposure,no_exposure_history,4,1,2,3,expanded_indist,False
1051,Anaphylaxis,Immuno,False,0.003,hard,urticaria_acute;seasonal_pattern;acute_onset_after_exposure;angioedema,,4,0,2,3,expanded_indist,True
1052,Anaphylaxis,Immuno,False,0.003,easy,angioedema;recent_allergen_exposure;airway_compromise_or_hypotension;acute_onset_after_exposure;wheezing_acute;urticaria_acute,no_exposure_history;gradual_onset_over_days,6,2,3,3,expanded_indist,False
1053,Anaphylaxis,Immuno,False,0.003,medium,urticaria_acute;acute_onset_after_exposure;angioedema;seasonal_pattern,no_exposure_history,4,1,2,3,expanded_indist,True
1054,Anaphylaxis,Immuno,False,0.003,hard,seasonal_pattern;wheezing_acute;airway_compromise_or_hypotension;urticaria_acute,no_exposure_history,4,1,2,3,expanded_indist,True
1055,Anaphylaxis,Immuno,False,0.003,easy,wheezing_acute;recent_allergen_exposure;urticaria_acute;airway_compromise_or_hypotension;acute_onset_after_exposure,no_exposure_history;gradual_onset_over_days,5,2,3,3,expanded_indist,False
1056,Anaphylaxis,Immuno,False,0.003,medium,urticaria_acute;seasonal_pattern;airway_compromise_or_hypotension;wheezing_acute;recent_allergen_exposure,no_exposure_history,5,1,2,3,expanded_indist,True
1057,Anaphylaxis,Immuno,False,0.003,hard,urticaria_acute;airway_compromise_or_hypotension;seasonal_pattern;wheezing_acute,no_exposure_history,4,1,2,3,expanded_indist,True
1058,Anaphylaxis,Immuno,False,0.003,easy,urticaria_acute;acute_onset_after_exposure;angioedema;airway_compromise_or_hypotension;wheezing_acute,no_exposure_history;gradual_onset_over_days,5,2,3,3,expanded_indist,False
1059,Anaphylaxis,Immuno,False,0.003,medium,wheezing_acute;recent_allergen_exposure;acute_onset_after_exposure;airway_compromise_or_hypotension,no_exposure_history,4,1,2,3,expanded_indist,False
1060,Anaphylaxis,Immuno,False,0.003,hard,seasonal_pattern;airway_compromise_or_hypotension;acute_onset_after_exposure;recent_allergen_exposure,no_exposure_history,4,1,2,3,expanded_indist,True
1061,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,easy,low_fibrinogen;thrombocytopenia_acute;schistocytes_on_smear;concurrent_bleeding_and_clotting;elevated_D_dimer;underlying_sepsis_or_trauma,normal_coagulation_panel;isolated_bleeding_only,6,2,3,3,expanded_indist,False
1062,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,medium,koilonychia;concurrent_bleeding_and_clotting;thrombocytopenia_acute;low_fibrinogen,normal_coagulation_panel,4,1,2,3,expanded_indist,True
1063,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,hard,low_fibrinogen;koilonychia;concurrent_bleeding_and_clotting,isolated_bleeding_only,3,1,2,3,expanded_indist,True
1064,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,easy,low_fibrinogen;underlying_sepsis_or_trauma;schistocytes_on_smear;concurrent_bleeding_and_clotting;elevated_D_dimer,normal_coagulation_panel;isolated_bleeding_only,5,2,3,3,expanded_indist,False
1065,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,medium,elevated_D_dimer;schistocytes_on_smear;underlying_sepsis_or_trauma;concurrent_bleeding_and_clotting,isolated_bleeding_only,4,1,2,3,expanded_indist,False
1066,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,hard,elevated_D_dimer;koilonychia;concurrent_bleeding_and_clotting,normal_coagulation_panel,3,1,2,3,expanded_indist,True
1067,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,easy,low_fibrinogen;thrombocytopenia_acute;schistocytes_on_smear;underlying_sepsis_or_trauma;elevated_D_dimer;concurrent_bleeding_and_clotting,isolated_bleeding_only;normal_coagulation_panel,6,2,3,3,expanded_indist,False
1068,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,medium,elevated_D_dimer;schistocytes_on_smear;concurrent_bleeding_and_clotting,normal_coagulation_panel,3,1,2,3,expanded_indist,False
1069,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,hard,elevated_D_dimer;low_fibrinogen;koilonychia,isolated_bleeding_only,3,1,2,3,expanded_indist,True
1070,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,easy,thrombocytopenia_acute;concurrent_bleeding_and_clotting;underlying_sepsis_or_trauma;schistocytes_on_smear;elevated_D_dimer;low_fibrinogen,normal_coagulation_panel;isolated_bleeding_only,6,2,3,3,expanded_indist,False
1071,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,medium,elevated_D_dimer;schistocytes_on_smear;underlying_sepsis_or_trauma;concurrent_bleeding_and_clotting,isolated_bleeding_only,4,1,2,3,expanded_indist,False
1072,Disseminated_Intravascular_Coagulation,Hemato,True,0.0004,hard,koilonychia;concurrent_bleeding_and_clotting;low_fibrinogen,,3,0,2,3,expanded_indist,True
1073,Acute_Kidney_Injury,Renal,False,0.02,easy,fluid_overload;rising_creatinine;oliguria;hyperkalemia;metabolic_acidosis_renal;uremic_symptoms,normal_creatinine;preserved_urine_output,6,2,3,3,expanded_heldout,False
1074,Acute_Kidney_Injury,Renal,False,0.02,medium,stone_visible_on_imaging;uremic_symptoms;rising_creatinine;oliguria;metabolic_acidosis_renal,normal_creatinine,5,1,2,3,expanded_heldout,True
1075,Acute_Kidney_Injury,Renal,False,0.02,hard,fluid_overload;stone_visible_on_imaging;uremic_symptoms;rising_creatinine,preserved_urine_output,4,1,2,3,expanded_heldout,True
1076,Acute_Kidney_Injury,Renal,False,0.02,easy,fluid_overload;metabolic_acidosis_renal;uremic_symptoms;oliguria;rising_creatinine;hyperkalemia,preserved_urine_output;normal_creatinine,6,2,3,3,expanded_heldout,False
1077,Acute_Kidney_Injury,Renal,False,0.02,medium,stone_visible_on_imaging;rising_creatinine;fluid_overload;hyperkalemia;metabolic_acidosis_renal,normal_creatinine,5,1,2,3,expanded_heldout,True
1078,Acute_Kidney_Injury,Renal,False,0.02,hard,rising_creatinine;fluid_overload;stone_visible_on_imaging,preserved_urine_output,3,1,2,3,expanded_heldout,True
1079,Acute_Kidney_Injury,Renal,False,0.02,easy,oliguria;hyperkalemia;uremic_symptoms;rising_creatinine;metabolic_acidosis_renal;fluid_overload,normal_creatinine;preserved_urine_output,6,2,3,3,expanded_heldout,False
1080,Acute_Kidney_Injury,Renal,False,0.02,medium,oliguria;metabolic_acidosis_renal;rising_creatinine;hyperkalemia;stone_visible_on_imaging,preserved_urine_output,5,1,2,3,expanded_heldout,True
1081,Acute_Kidney_Injury,Renal,False,0.02,hard,metabolic_acidosis_renal;stone_visible_on_imaging;oliguria;rising_creatinine,,4,0,2,3,expanded_heldout,True
1082,Acute_Kidney_Injury,Renal,False,0.02,easy,hyperkalemia;rising_creatinine;fluid_overload;metabolic_acidosis_renal;oliguria,normal_creatinine;preserved_urine_output,5,2,3,3,expanded_heldout,False
1083,Acute_Kidney_Injury,Renal,False,0.02,medium,rising_creatinine;fluid_overload;uremic_symptoms;stone_visible_on_imaging,normal_creatinine,4,1,2,3,expanded_heldout,True
1084,Acute_Kidney_Injury,Renal,False,0.02,hard,oliguria;rising_creatinine;stone_visible_on_imaging,normal_creatinine,3,1,2,3,expanded_heldout,True
1085,Nephrotic_Syndrome,Renal,False,0.004,easy,peripheral_edema_generalized;hypoalbuminemia;proteinuria_heavy;rapid_weight_gain;frothy_urine;hyperlipidemia,normal_serum_albumin;gross_hematuria,6,2,3,3,expanded_heldout,False
1086,Nephrotic_Syndrome,Renal,False,0.004,medium,stone_visible_on_imaging;hypoalbuminemia;frothy_urine;peripheral_edema_generalized;rapid_weight_gain,gross_hematuria,5,1,2,3,expanded_heldout,True
1087,Nephrotic_Syndrome,Renal,False,0.004,hard,proteinuria_heavy;stone_visible_on_imaging;peripheral_edema_generalized,normal_serum_albumin,3,1,2,3,expanded_heldout,True
1088,Nephrotic_Syndrome,Renal,False,0.004,easy,rapid_weight_gain;proteinuria_heavy;peripheral_edema_generalized;hyperlipidemia;hypoalbuminemia,gross_hematuria;normal_serum_albumin,5,2,3,3,expanded_heldout,False
1089,Nephrotic_Syndrome,Renal,False,0.004,medium,peripheral_edema_generalized;rapid_weight_gain;proteinuria_heavy,gross_hematuria,3,1,2,3,expanded_heldout,False
1090,Nephrotic_Syndrome,Renal,False,0.004,hard,proteinuria_heavy;peripheral_edema_generalized;stone_visible_on_imaging;hyperlipidemia,normal_serum_albumin,4,1,2,3,expanded_heldout,True
1091,Nephrotic_Syndrome,Renal,False,0.004,easy,peripheral_edema_generalized;hypoalbuminemia;frothy_urine;rapid_weight_gain;hyperlipidemia;proteinuria_heavy,normal_serum_albumin;gross_hematuria,6,2,3,3,expanded_heldout,False
1092,Nephrotic_Syndrome,Renal,False,0.004,medium,frothy_urine;hypoalbuminemia;rapid_weight_gain;peripheral_edema_generalized,gross_hematuria,4,1,2,3,expanded_heldout,False
1093,Nephrotic_Syndrome,Renal,False,0.004,hard,peripheral_edema_generalized;frothy_urine;stone_visible_on_imaging;proteinuria_heavy,,4,0,2,3,expanded_heldout,True
1094,Nephrotic_Syndrome,Renal,False,0.004,easy,rapid_weight_gain;peripheral_edema_generalized;proteinuria_heavy;hyperlipidemia;hypoalbuminemia,gross_hematuria;normal_serum_albumin,5,2,3,3,expanded_heldout,False
1095,Nephrotic_Syndrome,Renal,False,0.004,medium,proteinuria_heavy;rapid_weight_gain;hypoalbuminemia,gross_hematuria,3,1,2,3,expanded_heldout,False
1096,Nephrotic_Syndrome,Renal,False,0.004,hard,stone_visible_on_imaging;proteinuria_heavy;hyperlipidemia;peripheral_edema_generalized,,4,0,2,3,expanded_heldout,True
1097,Polycystic_Kidney_Disease,Renal,True,0.0008,easy,renal_cysts_on_imaging;bilateral_flank_pain;family_history_renal_disease;microscopic_hematuria;palpable_bilateral_kidneys;hypertension_early_onset,no_family_history_renal;normal_renal_imaging,6,2,3,3,expanded_heldout,False
1098,Polycystic_Kidney_Disease,Renal,True,0.0008,medium,bilateral_flank_pain;renal_cysts_on_imaging;microscopic_hematuria;palpable_bilateral_kidneys,normal_renal_imaging,4,1,2,3,expanded_heldout,False
1099,Polycystic_Kidney_Disease,Renal,True,0.0008,hard,dysuria;hypertension_early_onset;family_history_renal_disease;palpable_bilateral_kidneys,,4,0,2,3,expanded_heldout,True
1100,Polycystic_Kidney_Disease,Renal,True,0.0008,easy,bilateral_flank_pain;palpable_bilateral_kidneys;renal_cysts_on_imaging;family_history_renal_disease;microscopic_hematuria,normal_renal_imaging;no_family_history_renal,5,2,3,3,expanded_heldout,False
1101,Polycystic_Kidney_Disease,Renal,True,0.0008,medium,dysuria;family_history_renal_disease;bilateral_flank_pain;hypertension_early_onset,no_family_history_renal,4,1,2,3,expanded_heldout,True
1102,Polycystic_Kidney_Disease,Renal,True,0.0008,hard,palpable_bilateral_kidneys;dysuria;hypertension_early_onset;family_history_renal_disease,,4,0,2,3,expanded_heldout,True
1103,Polycystic_Kidney_Disease,Renal,True,0.0008,easy,microscopic_hematuria;palpable_bilateral_kidneys;hypertension_early_onset;renal_cysts_on_imaging;bilateral_flank_pain;family_history_renal_disease,no_family_history_renal;normal_renal_imaging,6,2,3,3,expanded_heldout,False
1104,Polycystic_Kidney_Disease,Renal,True,0.0008,medium,bilateral_flank_pain;family_history_renal_disease;hypertension_early_onset;dysuria,normal_renal_imaging,4,1,2,3,expanded_heldout,True
1105,Polycystic_Kidney_Disease,Renal,True,0.0008,hard,palpable_bilateral_kidneys;dysuria;bilateral_flank_pain,,3,0,2,3,expanded_heldout,True
1106,Polycystic_Kidney_Disease,Renal,True,0.0008,easy,hypertension_early_onset;microscopic_hematuria;family_history_renal_disease;palpable_bilateral_kidneys;bilateral_flank_pain;renal_cysts_on_imaging,no_family_history_renal;normal_renal_imaging,6,2,3,3,expanded_heldout,False
1107,Polycystic_Kidney_Disease,Renal,True,0.0008,medium,dysuria;family_history_renal_disease;microscopic_hematuria;renal_cysts_on_imaging;palpable_bilateral_kidneys,no_family_history_renal,5,1,2,3,expanded_heldout,True
1108,Polycystic_Kidney_Disease,Renal,True,0.0008,hard,dysuria;microscopic_hematuria;palpable_bilateral_kidneys;family_history_renal_disease,no_family_history_renal,4,1,2,3,expanded_heldout,True
1109,Renal_Cell_Carcinoma,Renal,True,0.0003,easy,paraneoplastic_polycythemia;low_grade_fever;unintentional_weight_loss;flank_mass_palpable;gross_hematuria,no_renal_mass_on_imaging;normal_renal_imaging,5,2,3,3,expanded_heldout,False
1110,Renal_Cell_Carcinoma,Renal,True,0.0003,medium,paraneoplastic_polycythemia;flank_mass_palpable;low_grade_fever;gross_hematuria,no_renal_mass_on_imaging,4,1,2,3,expanded_heldout,False
1111,Renal_Cell_Carcinoma,Renal,True,0.0003,hard,unintentional_weight_loss;stone_visible_on_imaging;low_grade_fever;flank_mass_palpable,normal_renal_imaging,4,1,2,3,expanded_heldout,True
1112,Renal_Cell_Carcinoma,Renal,True,0.0003,easy,paraneoplastic_polycythemia;gross_hematuria;unintentional_weight_loss;flank_pain_dull;flank_mass_palpable;low_grade_fever,normal_renal_imaging;no_renal_mass_on_imaging,6,2,3,3,expanded_heldout,False
1113,Renal_Cell_Carcinoma,Renal,True,0.0003,medium,unintentional_weight_loss;flank_mass_palpable;paraneoplastic_polycythemia;flank_pain_dull,no_renal_mass_on_imaging,4,1,2,3,expanded_heldout,False
1114,Renal_Cell_Carcinoma,Renal,True,0.0003,hard,stone_visible_on_imaging;unintentional_weight_loss;flank_pain_dull;gross_hematuria,no_renal_mass_on_imaging,4,1,2,3,expanded_heldout,True
1115,Renal_Cell_Carcinoma,Renal,True,0.0003,easy,flank_pain_dull;gross_hematuria;flank_mass_palpable;low_grade_fever;unintentional_weight_loss;paraneoplastic_polycythemia,normal_renal_imaging;no_renal_mass_on_imaging,6,2,3,3,expanded_heldout,False
1116,Renal_Cell_Carcinoma,Renal,True,0.0003,medium,unintentional_weight_loss;gross_hematuria;paraneoplastic_polycythemia;stone_visible_on_imaging,no_renal_mass_on_imaging,4,1,2,3,expanded_heldout,True
1117,Renal_Cell_Carcinoma,Renal,True,0.0003,hard,unintentional_weight_loss;gross_hematuria;low_grade_fever;stone_visible_on_imaging,,4,0,2,3,expanded_heldout,True
1118,Renal_Cell_Carcinoma,Renal,True,0.0003,easy,flank_mass_palpable;unintentional_weight_loss;flank_pain_dull;low_grade_fever;gross_hematuria;paraneoplastic_polycythemia,normal_renal_imaging;no_renal_mass_on_imaging,6,2,3,3,expanded_heldout,False
1119,Renal_Cell_Carcinoma,Renal,True,0.0003,medium,paraneoplastic_polycythemia;unintentional_weight_loss;flank_mass_palpable,normal_renal_imaging,3,1,2,3,expanded_heldout,False
1120,Renal_Cell_Carcinoma,Renal,True,0.0003,hard,gross_hematuria;stone_visible_on_imaging;low_grade_fever;unintentional_weight_loss,no_renal_mass_on_imaging,4,1,2,3,expanded_heldout,True
1121,Glomerulonephritis,Renal,False,0.002,easy,hypertension_new_onset;proteinuria_mild;low_serum_complement;hematuria_with_red_cell_casts;periorbital_edema,normal_urinalysis;no_red_cell_casts,5,2,3,3,expanded_heldout,False
1122,Glomerulonephritis,Renal,False,0.002,medium,low_serum_complement;periorbital_edema;hypertension_new_onset,normal_urinalysis,3,1,2,3,expanded_heldout,False
1123,Glomerulonephritis,Renal,False,0.002,hard,periorbital_edema;hypertension_new_onset;dysuria;low_serum_complement,normal_urinalysis,4,1,2,3,expanded_heldout,True
1124,Glomerulonephritis,Renal,False,0.002,easy,proteinuria_mild;recent_streptococcal_infection;hypertension_new_onset;periorbital_edema;hematuria_with_red_cell_casts;low_serum_complement,normal_urinalysis;no_red_cell_casts,6,2,3,3,expanded_heldout,False
1125,Glomerulonephritis,Renal,False,0.002,medium,periorbital_edema;low_serum_complement;hematuria_with_red_cell_casts,no_red_cell_casts,3,1,2,3,expanded_heldout,False
1126,Glomerulonephritis,Renal,False,0.002,hard,hematuria_with_red_cell_casts;dysuria;periorbital_edema,,3,0,2,3,expanded_heldout,True
1127,Glomerulonephritis,Renal,False,0.002,easy,recent_streptococcal_infection;hematuria_with_red_cell_casts;periorbital_edema;hypertension_new_onset;low_serum_complement,no_red_cell_casts;normal_urinalysis,5,2,3,3,expanded_heldout,False
1128,Glomerulonephritis,Renal,False,0.002,medium,low_serum_complement;proteinuria_mild;periorbital_edema;hypertension_new_onset,no_red_cell_casts,4,1,2,3,expanded_heldout,False
1129,Glomerulonephritis,Renal,False,0.002,hard,periorbital_edema;dysuria;hematuria_with_red_cell_casts;recent_streptococcal_infection,,4,0,2,3,expanded_heldout,True
1130,Glomerulonephritis,Renal,False,0.002,easy,proteinuria_mild;low_serum_complement;hematuria_with_red_cell_casts;hypertension_new_onset;periorbital_edema,no_red_cell_casts;normal_urinalysis,5,2,3,3,expanded_heldout,False
1131,Glomerulonephritis,Renal,False,0.002,medium,periorbital_edema;low_serum_complement;recent_streptococcal_infection;hypertension_new_onset,no_red_cell_casts,4,1,2,3,expanded_heldout,False
1132,Glomerulonephritis,Renal,False,0.002,hard,hematuria_with_red_cell_casts;dysuria;periorbital_edema,,3,0,2,3,expanded_heldout,True
1133,Nephrolithiasis,Renal,False,0.05,easy,microscopic_or_gross_hematuria;dysuria;pain_radiating_to_groin;stone_visible_on_imaging;colicky_flank_pain;nausea_with_pain,high_fever_with_sepsis;peritoneal_signs,6,2,3,3,expanded_heldout,False
1134,Nephrolithiasis,Renal,False,0.05,medium,hyperkalemia;nausea_with_pain;stone_visible_on_imaging;pain_radiating_to_groin;microscopic_or_gross_hematuria,high_fever_with_sepsis,5,1,2,3,expanded_heldout,True
1135,Nephrolithiasis,Renal,False,0.05,hard,pain_radiating_to_groin;colicky_flank_pain;hyperkalemia,,3,0,2,3,expanded_heldout,True
1136,Nephrolithiasis,Renal,False,0.05,easy,microscopic_or_gross_hematuria;colicky_flank_pain;nausea_with_pain;stone_visible_on_imaging;dysuria;pain_radiating_to_groin,peritoneal_signs;high_fever_with_sepsis,6,2,3,3,expanded_heldout,False
1137,Nephrolithiasis,Renal,False,0.05,medium,pain_radiating_to_groin;microscopic_or_gross_hematuria;dysuria,peritoneal_signs,3,1,2,3,expanded_heldout,False
1138,Nephrolithiasis,Renal,False,0.05,hard,colicky_flank_pain;pain_radiating_to_groin;hyperkalemia,,3,0,2,3,expanded_heldout,True
1139,Nephrolithiasis,Renal,False,0.05,easy,colicky_flank_pain;dysuria;stone_visible_on_imaging;microscopic_or_gross_hematuria;pain_radiating_to_groin,high_fever_with_sepsis;peritoneal_signs,5,2,3,3,expanded_heldout,False
1140,Nephrolithiasis,Renal,False,0.05,medium,microscopic_or_gross_hematuria;stone_visible_on_imaging;pain_radiating_to_groin,high_fever_with_sepsis,3,1,2,3,expanded_heldout,False
1141,Nephrolithiasis,Renal,False,0.05,hard,hyperkalemia;colicky_flank_pain;pain_radiating_to_groin,high_fever_with_sepsis,3,1,2,3,expanded_heldout,True
1142,Nephrolithiasis,Renal,False,0.05,easy,pain_radiating_to_groin;colicky_flank_pain;dysuria;stone_visible_on_imaging;nausea_with_pain;microscopic_or_gross_hematuria,peritoneal_signs;high_fever_with_sepsis,6,2,3,3,expanded_heldout,False
1143,Nephrolithiasis,Renal,False,0.05,medium,pain_radiating_to_groin;stone_visible_on_imaging;microscopic_or_gross_hematuria;hyperkalemia,high_fever_with_sepsis,4,1,2,3,expanded_heldout,True
1144,Nephrolithiasis,Renal,False,0.05,hard,stone_visible_on_imaging;pain_radiating_to_groin;colicky_flank_pain;hyperkalemia,,4,0,2,3,expanded_heldout,True
1145,Acute_Appendicitis,GI,False,0.07,easy,low_grade_fever;RLQ_abdominal_pain;anorexia;nausea_with_pain;rebound_tenderness,LLQ_abdominal_pain;chronic_symptoms_over_years,5,2,3,3,expanded_heldout,False
1146,Acute_Appendicitis,GI,False,0.07,medium,anorexia;rebound_tenderness;low_grade_fever,LLQ_abdominal_pain,3,1,2,3,expanded_heldout,False
1147,Acute_Appendicitis,GI,False,0.07,hard,bloating;low_grade_fever;RLQ_abdominal_pain,,3,0,2,3,expanded_heldout,True
1148,Acute_Appendicitis,GI,False,0.07,easy,nausea_with_pain;anorexia;RLQ_abdominal_pain;rebound_tenderness;migratory_periumbilical_to_RLQ_pain;low_grade_fever,chronic_symptoms_over_years;LLQ_abdominal_pain,6,2,3,3,expanded_heldout,False
1149,Acute_Appendicitis,GI,False,0.07,medium,low_grade_fever;rebound_tenderness;migratory_periumbilical_to_RLQ_pain;nausea_with_pain,LLQ_abdominal_pain,4,1,2,3,expanded_heldout,False
1150,Acute_Appendicitis,GI,False,0.07,hard,low_grade_fever;bloating;rebound_tenderness,,3,0,2,3,expanded_heldout,True
1151,Acute_Appendicitis,GI,False,0.07,easy,low_grade_fever;RLQ_abdominal_pain;anorexia;migratory_periumbilical_to_RLQ_pain;rebound_tenderness,LLQ_abdominal_pain;chronic_symptoms_over_years,5,2,3,3,expanded_heldout,False
1152,Acute_Appendicitis,GI,False,0.07,medium,nausea_with_pain;migratory_periumbilical_to_RLQ_pain;RLQ_abdominal_pain;low_grade_fever;bloating,chronic_symptoms_over_years,5,1,2,3,expanded_heldout,True
1153,Acute_Appendicitis,GI,False,0.07,hard,RLQ_abdominal_pain;low_grade_fever;bloating,,3,0,2,3,expanded_heldout,True
1154,Acute_Appendicitis,GI,False,0.07,easy,RLQ_abdominal_pain;rebound_tenderness;nausea_with_pain;low_grade_fever;anorexia,chronic_symptoms_over_years;LLQ_abdominal_pain,5,2,3,3,expanded_heldout,False
1155,Acute_Appendicitis,GI,False,0.07,medium,rebound_tenderness;anorexia;RLQ_abdominal_pain,LLQ_abdominal_pain,3,1,2,3,expanded_heldout,False
1156,Acute_Appendicitis,GI,False,0.07,hard,rebound_tenderness;migratory_periumbilical_to_RLQ_pain;bloating;RLQ_abdominal_pain,chronic_symptoms_over_years,4,1,2,3,expanded_heldout,True
1157,Peptic_Ulcer_Disease,GI,False,0.1,easy,bloating;nocturnal_epigastric_pain;melena_intermittent;epigastric_pain;NSAID_use_or_H_pylori_infection;early_satiety,jaundice;RLQ_abdominal_pain,6,2,3,3,expanded_heldout,False
1158,Peptic_Ulcer_Disease,GI,False,0.1,medium,nocturnal_epigastric_pain;bloating;NSAID_use_or_H_pylori_infection;anorexia,jaundice,4,1,2,3,expanded_heldout,True
1159,Peptic_Ulcer_Disease,GI,False,0.1,hard,NSAID_use_or_H_pylori_infection;epigastric_pain;anorexia,RLQ_abdominal_pain,3,1,2,3,expanded_heldout,True
1160,Peptic_Ulcer_Disease,GI,False,0.1,easy,epigastric_pain;nocturnal_epigastric_pain;early_satiety;melena_intermittent;NSAID_use_or_H_pylori_infection,jaundice;RLQ_abdominal_pain,5,2,3,3,expanded_heldout,False
1161,Peptic_Ulcer_Disease,GI,False,0.1,medium,melena_intermittent;early_satiety;epigastric_pain;nocturnal_epigastric_pain,RLQ_abdominal_pain,4,1,2,3,expanded_heldout,False
1162,Peptic_Ulcer_Disease,GI,False,0.1,hard,melena_intermittent;NSAID_use_or_H_pylori_infection;anorexia;epigastric_pain,RLQ_abdominal_pain,4,1,2,3,expanded_heldout,True
1163,Peptic_Ulcer_Disease,GI,False,0.1,easy,epigastric_pain;NSAID_use_or_H_pylori_infection;bloating;nocturnal_epigastric_pain;melena_intermittent,RLQ_abdominal_pain;jaundice,5,2,3,3,expanded_heldout,False
1164,Peptic_Ulcer_Disease,GI,False,0.1,medium,NSAID_use_or_H_pylori_infection;bloating;anorexia;nocturnal_epigastric_pain,jaundice,4,1,2,3,expanded_heldout,True
1165,Peptic_Ulcer_Disease,GI,False,0.1,hard,NSAID_use_or_H_pylori_infection;melena_intermittent;epigastric_pain;anorexia,jaundice,4,1,2,3,expanded_heldout,True
1166,Peptic_Ulcer_Disease,GI,False,0.1,easy,NSAID_use_or_H_pylori_infection;bloating;melena_intermittent;epigastric_pain;early_satiety;nocturnal_epigastric_pain,jaundice;RLQ_abdominal_pain,6,2,3,3,expanded_heldout,False
1167,Peptic_Ulcer_Disease,GI,False,0.1,medium,nocturnal_epigastric_pain;NSAID_use_or_H_pylori_infection;melena_intermittent;anorexia,jaundice,4,1,2,3,expanded_heldout,True
1168,Peptic_Ulcer_Disease,GI,False,0.1,hard,NSAID_use_or_H_pylori_infection;epigastric_pain;early_satiety;anorexia,,4,0,2,3,expanded_heldout,True
1169,Ulcerative_Colitis,GI,True,0.002,easy,gradual_weight_loss;tenesmus;bloody_diarrhea_chronic;continuous_colonic_involvement;extraintestinal_arthritis,skip_lesions_on_colonoscopy;perianal_fistula,5,2,3,3,expanded_heldout,False
1170,Ulcerative_Colitis,GI,True,0.002,medium,continuous_colonic_involvement;bloody_diarrhea_chronic;melena_intermittent;gradual_weight_loss,perianal_fistula,4,1,2,3,expanded_heldout,True
1171,Ulcerative_Colitis,GI,True,0.002,hard,tenesmus;bloody_diarrhea_chronic;melena_intermittent,skip_lesions_on_colonoscopy,3,1,2,3,expanded_heldout,True
1172,Ulcerative_Colitis,GI,True,0.002,easy,abdominal_cramping;bloody_diarrhea_chronic;continuous_colonic_involvement;tenesmus;extraintestinal_arthritis,skip_lesions_on_colonoscopy;perianal_fistula,5,2,3,3,expanded_heldout,False
1173,Ulcerative_Colitis,GI,True,0.002,medium,abdominal_cramping;continuous_colonic_involvement;bloody_diarrhea_chronic,skip_lesions_on_colonoscopy,3,1,2,3,expanded_heldout,False
1174,Ulcerative_Colitis,GI,True,0.002,hard,tenesmus;gradual_weight_loss;melena_intermittent;bloody_diarrhea_chronic,,4,0,2,3,expanded_heldout,True
1175,Ulcerative_Colitis,GI,True,0.002,easy,continuous_colonic_involvement;gradual_weight_loss;tenesmus;bloody_diarrhea_chronic;extraintestinal_arthritis,perianal_fistula;skip_lesions_on_colonoscopy,5,2,3,3,expanded_heldout,False
1176,Ulcerative_Colitis,GI,True,0.002,medium,tenesmus;gradual_weight_loss;bloody_diarrhea_chronic,skip_lesions_on_colonoscopy,3,1,2,3,expanded_heldout,False
1177,Ulcerative_Colitis,GI,True,0.002,hard,continuous_colonic_involvement;tenesmus;melena_intermittent,,3,0,2,3,expanded_heldout,True
1178,Ulcerative_Colitis,GI,True,0.002,easy,tenesmus;bloody_diarrhea_chronic;continuous_colonic_involvement;extraintestinal_arthritis;gradual_weight_loss;abdominal_cramping,perianal_fistula;skip_lesions_on_colonoscopy,6,2,3,3,expanded_heldout,False
1179,Ulcerative_Colitis,GI,True,0.002,medium,extraintestinal_arthritis;tenesmus;melena_intermittent;gradual_weight_loss;bloody_diarrhea_chronic,perianal_fistula,5,1,2,3,expanded_heldout,True
1180,Ulcerative_Colitis,GI,True,0.002,hard,melena_intermittent;tenesmus;bloody_diarrhea_chronic;gradual_weight_loss,,4,0,2,3,expanded_heldout,True
1181,Crohn_Disease,GI,True,0.0015,easy,transmural_inflammation;abdominal_pain_chronic;skip_lesions_on_colonoscopy;perianal_fistula;gradual_weight_loss,continuous_colonic_involvement;bloody_diarrhea_massive,5,2,3,3,expanded_heldout,False
1182,Crohn_Disease,GI,True,0.0015,medium,nonbloody_diarrhea;skip_lesions_on_colonoscopy;perianal_fistula,bloody_diarrhea_massive,3,1,2,3,expanded_heldout,False
1183,Crohn_Disease,GI,True,0.0015,hard,perianal_fistula;nonbloody_diarrhea;skip_lesions_on_colonoscopy;early_satiety,,4,0,2,3,expanded_heldout,True
1184,Crohn_Disease,GI,True,0.0015,easy,skip_lesions_on_colonoscopy;transmural_inflammation;abdominal_pain_chronic;perianal_fistula;gradual_weight_loss,bloody_diarrhea_massive;continuous_colonic_involvement,5,2,3,3,expanded_heldout,False
1185,Crohn_Disease,GI,True,0.0015,medium,nonbloody_diarrhea;early_satiety;skip_lesions_on_colonoscopy;perianal_fistula,bloody_diarrhea_massive,4,1,2,3,expanded_heldout,True
1186,Crohn_Disease,GI,True,0.0015,hard,transmural_inflammation;skip_lesions_on_colonoscopy;gradual_weight_loss;early_satiety,continuous_colonic_involvement,4,1,2,3,expanded_heldout,True
1187,Crohn_Disease,GI,True,0.0015,easy,skip_lesions_on_colonoscopy;transmural_inflammation;abdominal_pain_chronic;nonbloody_diarrhea;perianal_fistula,continuous_colonic_involvement;bloody_diarrhea_massive,5,2,3,3,expanded_heldout,False
1188,Crohn_Disease,GI,True,0.0015,medium,early_satiety;transmural_inflammation;abdominal_pain_chronic;skip_lesions_on_colonoscopy,continuous_colonic_involvement,4,1,2,3,expanded_heldout,True
1189,Crohn_Disease,GI,True,0.0015,hard,perianal_fistula;skip_lesions_on_colonoscopy;nonbloody_diarrhea;early_satiety,continuous_colonic_involvement,4,1,2,3,expanded_heldout,True
1190,Crohn_Disease,GI,True,0.0015,easy,gradual_weight_loss;transmural_inflammation;abdominal_pain_chronic;skip_lesions_on_colonoscopy;perianal_fistula,bloody_diarrhea_massive;continuous_colonic_involvement,5,2,3,3,expanded_heldout,False
1191,Crohn_Disease,GI,True,0.0015,medium,skip_lesions_on_colonoscopy;transmural_inflammation;nonbloody_diarrhea;abdominal_pain_chronic,bloody_diarrhea_massive,4,1,2,3,expanded_heldout,False
1192,Crohn_Disease,GI,True,0.0015,hard,early_satiety;abdominal_pain_chronic;perianal_fistula;skip_lesions_on_colonoscopy,,4,0,2,3,expanded_heldout,True
1193,Acute_Pancreatitis,GI,False,0.004,easy,alcohol_or_gallstone_history;nausea_with_pain;epigastric_pain_radiating_to_back;elevated_lipase;vomiting_persistent,RLQ_abdominal_pain;normal_lipase,5,2,3,3,expanded_heldout,False
1194,Acute_Pancreatitis,GI,False,0.004,medium,nausea_with_pain;alcohol_or_gallstone_history;elevated_lipase,RLQ_abdominal_pain,3,1,2,3,expanded_heldout,False
1195,Acute_Pancreatitis,GI,False,0.004,hard,bloating;alcohol_or_gallstone_history;epigastric_pain_radiating_to_back,,3,0,2,3,expanded_heldout,True
1196,Acute_Pancreatitis,GI,False,0.004,easy,Grey_Turner_sign;vomiting_persistent;nausea_with_pain;epigastric_pain_radiating_to_back;elevated_lipase;alcohol_or_gallstone_history,normal_lipase;RLQ_abdominal_pain,6,2,3,3,expanded_heldout,False
1197,Acute_Pancreatitis,GI,False,0.004,medium,nausea_with_pain;epigastric_pain_radiating_to_back;elevated_lipase;Grey_Turner_sign,RLQ_abdominal_pain,4,1,2,3,expanded_heldout,False
1198,Acute_Pancreatitis,GI,False,0.004,hard,bloating;epigastric_pain_radiating_to_back;alcohol_or_gallstone_history,normal_lipase,3,1,2,3,expanded_heldout,True
1199,Acute_Pancreatitis,GI,False,0.004,easy,alcohol_or_gallstone_history;elevated_lipase;nausea_with_pain;epigastric_pain_radiating_to_back;vomiting_persistent,normal_lipase;RLQ_abdominal_pain,5,2,3,3,expanded_heldout,False
1200,Acute_Pancreatitis,GI,False,0.004,medium,bloating;epigastric_pain_radiating_to_back;elevated_lipase;vomiting_persistent,RLQ_abdominal_pain,4,1,2,3,expanded_heldout,True
1201,Acute_Pancreatitis,GI,False,0.004,hard,epigastric_pain_radiating_to_back;nausea_with_pain;bloating;elevated_lipase,RLQ_abdominal_pain,4,1,2,3,expanded_heldout,True
1202,Acute_Pancreatitis,GI,False,0.004,easy,alcohol_or_gallstone_history;nausea_with_pain;elevated_lipase;Grey_Turner_sign;epigastric_pain_radiating_to_back,normal_lipase;RLQ_abdominal_pain,5,2,3,3,expanded_heldout,False
1203,Acute_Pancreatitis,GI,False,0.004,medium,epigastric_pain_radiating_to_back;Grey_Turner_sign;vomiting_persistent;elevated_lipase,normal_lipase,4,1,2,3,expanded_heldout,False
1204,Acute_Pancreatitis,GI,False,0.004,hard,elevated_lipase;Grey_Turner_sign;alcohol_or_gallstone_history;bloating,,4,0,2,3,expanded_heldout,True
1205,Acute_Cholecystitis,GI,False,0.003,easy,gallstones_on_imaging;low_grade_fever;nausea_with_pain;RUQ_abdominal_pain;positive_Murphy_sign,LUQ_abdominal_pain;normal_abdominal_imaging,5,2,3,3,expanded_heldout,False
1206,Acute_Cholecystitis,GI,False,0.003,medium,RUQ_abdominal_pain;positive_Murphy_sign;nausea_with_pain,LUQ_abdominal_pain,3,1,2,3,expanded_heldout,False
1207,Acute_Cholecystitis,GI,False,0.003,hard,RUQ_abdominal_pain;melena_intermittent;low_grade_fever,LUQ_abdominal_pain,3,1,2,3,expanded_heldout,True
1208,Acute_Cholecystitis,GI,False,0.003,easy,gallstones_on_imaging;nausea_with_pain;low_grade_fever;RUQ_abdominal_pain;positive_Murphy_sign,normal_abdominal_imaging;LUQ_abdominal_pain,5,2,3,3,expanded_heldout,False
1209,Acute_Cholecystitis,GI,False,0.003,medium,positive_Murphy_sign;RUQ_abdominal_pain;fatty_food_intolerance,LUQ_abdominal_pain,3,1,2,3,expanded_heldout,False
1210,Acute_Cholecystitis,GI,False,0.003,hard,melena_intermittent;positive_Murphy_sign;low_grade_fever,LUQ_abdominal_pain,3,1,2,3,expanded_heldout,True
1211,Acute_Cholecystitis,GI,False,0.003,easy,RUQ_abdominal_pain;fatty_food_intolerance;low_grade_fever;positive_Murphy_sign;nausea_with_pain,normal_abdominal_imaging;LUQ_abdominal_pain,5,2,3,3,expanded_heldout,False
1212,Acute_Cholecystitis,GI,False,0.003,medium,low_grade_fever;fatty_food_intolerance;melena_intermittent;gallstones_on_imaging;positive_Murphy_sign,normal_abdominal_imaging,5,1,2,3,expanded_heldout,True
1213,Acute_Cholecystitis,GI,False,0.003,hard,gallstones_on_imaging;positive_Murphy_sign;low_grade_fever;melena_intermittent,LUQ_abdominal_pain,4,1,2,3,expanded_heldout,True
1214,Acute_Cholecystitis,GI,False,0.003,easy,low_grade_fever;RUQ_abdominal_pain;fatty_food_intolerance;gallstones_on_imaging;positive_Murphy_sign,LUQ_abdominal_pain;normal_abdominal_imaging,5,2,3,3,expanded_heldout,False
1215,Acute_Cholecystitis,GI,False,0.003,medium,positive_Murphy_sign;low_grade_fever;nausea_with_pain,normal_abdominal_imaging,3,1,2,3,expanded_heldout,False
1216,Acute_Cholecystitis,GI,False,0.003,hard,RUQ_abdominal_pain;low_grade_fever;melena_intermittent,LUQ_abdominal_pain,3,1,2,3,expanded_heldout,True
1217,Psoriasis,Dermato,False,0.03,easy,koebner_phenomenon;extensor_surface_distribution;silvery_scaling_plaques;nail_pitting;psoriatic_joint_pain,pruritus_without_scaling;vesicular_rash,5,2,3,3,expanded_heldout,False
1218,Psoriasis,Dermato,False,0.03,medium,family_history_skin_disease;extensor_surface_distribution;silvery_scaling_plaques;koebner_phenomenon,vesicular_rash,4,1,2,3,expanded_heldout,False
1219,Psoriasis,Dermato,False,0.03,hard,localized_tenderness;nail_pitting;silvery_scaling_plaques,vesicular_rash,3,1,2,3,expanded_heldout,True
1220,Psoriasis,Dermato,False,0.03,easy,koebner_phenomenon;nail_pitting;extensor_surface_distribution;silvery_scaling_plaques;family_history_skin_disease,vesicular_rash;pruritus_without_scaling,5,2,3,3,expanded_heldout,False
1221,Psoriasis,Dermato,False,0.03,medium,family_history_skin_disease;nail_pitting;silvery_scaling_plaques;localized_tenderness;koebner_phenomenon,pruritus_without_scaling,5,1,2,3,expanded_heldout,True
1222,Psoriasis,Dermato,False,0.03,hard,localized_tenderness;extensor_surface_distribution;nail_pitting,,3,0,2,3,expanded_heldout,True
1223,Psoriasis,Dermato,False,0.03,easy,family_history_skin_disease;nail_pitting;silvery_scaling_plaques;extensor_surface_distribution;psoriatic_joint_pain;koebner_phenomenon,pruritus_without_scaling;vesicular_rash,6,2,3,3,expanded_heldout,False
1224,Psoriasis,Dermato,False,0.03,medium,silvery_scaling_plaques;localized_tenderness;extensor_surface_distribution;koebner_phenomenon,vesicular_rash,4,1,2,3,expanded_heldout,True
1225,Psoriasis,Dermato,False,0.03,hard,silvery_scaling_plaques;family_history_skin_disease;nail_pitting;localized_tenderness,,4,0,2,3,expanded_heldout,True
1226,Psoriasis,Dermato,False,0.03,easy,nail_pitting;extensor_surface_distribution;silvery_scaling_plaques;psoriatic_joint_pain;family_history_skin_disease;koebner_phenomenon,vesicular_rash;pruritus_without_scaling,6,2,3,3,expanded_heldout,False
1227,Psoriasis,Dermato,False,0.03,medium,nail_pitting;koebner_phenomenon;extensor_surface_distribution;family_history_skin_disease,vesicular_rash,4,1,2,3,expanded_heldout,False
1228,Psoriasis,Dermato,False,0.03,hard,nail_pitting;localized_tenderness;silvery_scaling_plaques,,3,0,2,3,expanded_heldout,True
1229,Cellulitis,Dermato,False,0.02,easy,warmth_and_swelling;leukocytosis;unilateral_erythema;low_grade_fever;localized_tenderness,bilateral_symmetric_rash;no_warmth_on_exam,5,2,3,3,expanded_heldout,False
1230,Cellulitis,Dermato,False,0.02,medium,unilateral_erythema;localized_tenderness;psoriatic_joint_pain;recent_skin_trauma;low_grade_fever,no_warmth_on_exam,5,1,2,3,expanded_heldout,True
1231,Cellulitis,Dermato,False,0.02,hard,leukocytosis;warmth_and_swelling;psoriatic_joint_pain;low_grade_fever,bilateral_symmetric_rash,4,1,2,3,expanded_heldout,True
1232,Cellulitis,Dermato,False,0.02,easy,low_grade_fever;unilateral_erythema;leukocytosis;recent_skin_trauma;warmth_and_swelling,bilateral_symmetric_rash;no_warmth_on_exam,5,2,3,3,expanded_heldout,False
1233,Cellulitis,Dermato,False,0.02,medium,recent_skin_trauma;leukocytosis;low_grade_fever;unilateral_erythema;psoriatic_joint_pain,bilateral_symmetric_rash,5,1,2,3,expanded_heldout,True
1234,Cellulitis,Dermato,False,0.02,hard,recent_skin_trauma;low_grade_fever;unilateral_erythema;psoriatic_joint_pain,no_warmth_on_exam,4,1,2,3,expanded_heldout,True
1235,Cellulitis,Dermato,False,0.02,easy,low_grade_fever;unilateral_erythema;warmth_and_swelling;localized_tenderness;leukocytosis;recent_skin_trauma,bilateral_symmetric_rash;no_warmth_on_exam,6,2,3,3,expanded_heldout,False
1236,Cellulitis,Dermato,False,0.02,medium,unilateral_erythema;warmth_and_swelling;leukocytosis;recent_skin_trauma;psoriatic_joint_pain,no_warmth_on_exam,5,1,2,3,expanded_heldout,True
1237,Cellulitis,Dermato,False,0.02,hard,warmth_and_swelling;psoriatic_joint_pain;low_grade_fever,,3,0,2,3,expanded_heldout,True
1238,Cellulitis,Dermato,False,0.02,easy,leukocytosis;warmth_and_swelling;recent_skin_trauma;localized_tenderness;unilateral_erythema;low_grade_fever,no_warmth_on_exam;bilateral_symmetric_rash,6,2,3,3,expanded_heldout,False
1239,Cellulitis,Dermato,False,0.02,medium,warmth_and_swelling;unilateral_erythema;recent_skin_trauma,bilateral_symmetric_rash,3,1,2,3,expanded_heldout,False
1240,Cellulitis,Dermato,False,0.02,hard,warmth_and_swelling;low_grade_fever;psoriatic_joint_pain,,3,0,2,3,expanded_heldout,True
1241,Allergic_Contact_Dermatitis,Dermato,False,0.015,easy,recent_allergen_exposure;vesicles_present;linear_rash_pattern;well_demarcated_rash_borders;pruritic_rash,systemic_symptoms_present;high_fever,5,2,3,3,expanded_heldout,False
1242,Allergic_Contact_Dermatitis,Dermato,False,0.015,medium,psoriatic_joint_pain;resolves_after_allergen_removal;pruritic_rash;vesicles_present;recent_allergen_exposure,systemic_symptoms_present,5,1,2,3,expanded_heldout,True
1243,Allergic_Contact_Dermatitis,Dermato,False,0.015,hard,recent_allergen_exposure;well_demarcated_rash_borders;psoriatic_joint_pain,,3,0,2,3,expanded_heldout,True
1244,Allergic_Contact_Dermatitis,Dermato,False,0.015,easy,recent_allergen_exposure;resolves_after_allergen_removal;vesicles_present;pruritic_rash;well_demarcated_rash_borders,high_fever;systemic_symptoms_present,5,2,3,3,expanded_heldout,False
1245,Allergic_Contact_Dermatitis,Dermato,False,0.015,medium,pruritic_rash;linear_rash_pattern;well_demarcated_rash_borders;resolves_after_allergen_removal;psoriatic_joint_pain,high_fever,5,1,2,3,expanded_heldout,True
1246,Allergic_Contact_Dermatitis,Dermato,False,0.015,hard,vesicles_present;psoriatic_joint_pain;recent_allergen_exposure;well_demarcated_rash_borders,systemic_symptoms_present,4,1,2,3,expanded_heldout,True
1247,Allergic_Contact_Dermatitis,Dermato,False,0.015,easy,recent_allergen_exposure;well_demarcated_rash_borders;linear_rash_pattern;pruritic_rash;vesicles_present;resolves_after_allergen_removal,high_fever;systemic_symptoms_present,6,2,3,3,expanded_heldout,False
1248,Allergic_Contact_Dermatitis,Dermato,False,0.015,medium,resolves_after_allergen_removal;recent_allergen_exposure;well_demarcated_rash_borders,high_fever,3,1,2,3,expanded_heldout,False
1249,Allergic_Contact_Dermatitis,Dermato,False,0.015,hard,well_demarcated_rash_borders;psoriatic_joint_pain;recent_allergen_exposure;vesicles_present,high_fever,4,1,2,3,expanded_heldout,True
1250,Allergic_Contact_Dermatitis,Dermato,False,0.015,easy,well_demarcated_rash_borders;vesicles_present;resolves_after_allergen_removal;linear_rash_pattern;recent_allergen_exposure;pruritic_rash,systemic_symptoms_present;high_fever,6,2,3,3,expanded_heldout,False
1251,Allergic_Contact_Dermatitis,Dermato,False,0.015,medium,vesicles_present;psoriatic_joint_pain;linear_rash_pattern;well_demarcated_rash_borders;recent_allergen_exposure,systemic_symptoms_present,5,1,2,3,expanded_heldout,True
1252,Allergic_Contact_Dermatitis,Dermato,False,0.015,hard,vesicles_present;psoriatic_joint_pain;well_demarcated_rash_borders;pruritic_rash,,4,0,2,3,expanded_heldout,True
1253,Herpes_Zoster,Dermato,False,0.003,easy,pain_preceding_rash;dermatomal_vesicular_rash;unilateral_distribution;risk_of_postherpetic_neuralgia;prior_varicella_history;grouped_vesicles,bilateral_symmetric_rash;painless_rash,6,2,3,3,expanded_heldout,False
1254,Herpes_Zoster,Dermato,False,0.003,medium,grouped_vesicles;pain_preceding_rash;dermatomal_vesicular_rash,painless_rash,3,1,2,3,expanded_heldout,False
1255,Herpes_Zoster,Dermato,False,0.003,hard,pain_preceding_rash;dermatomal_vesicular_rash;family_history_skin_disease,painless_rash,3,1,2,3,expanded_heldout,True
1256,Herpes_Zoster,Dermato,False,0.003,easy,prior_varicella_history;unilateral_distribution;grouped_vesicles;dermatomal_vesicular_rash;pain_preceding_rash;risk_of_postherpetic_neuralgia,painless_rash;bilateral_symmetric_rash,6,2,3,3,expanded_heldout,False
1257,Herpes_Zoster,Dermato,False,0.003,medium,prior_varicella_history;unilateral_distribution;dermatomal_vesicular_rash;family_history_skin_disease,painless_rash,4,1,2,3,expanded_heldout,True
1258,Herpes_Zoster,Dermato,False,0.003,hard,family_history_skin_disease;risk_of_postherpetic_neuralgia;dermatomal_vesicular_rash;pain_preceding_rash,,4,0,2,3,expanded_heldout,True
1259,Herpes_Zoster,Dermato,False,0.003,easy,grouped_vesicles;pain_preceding_rash;dermatomal_vesicular_rash;prior_varicella_history;unilateral_distribution,bilateral_symmetric_rash;painless_rash,5,2,3,3,expanded_heldout,False
1260,Herpes_Zoster,Dermato,False,0.003,medium,dermatomal_vesicular_rash;pain_preceding_rash;risk_of_postherpetic_neuralgia;prior_varicella_history;family_history_skin_disease,painless_rash,5,1,2,3,expanded_heldout,True
1261,Herpes_Zoster,Dermato,False,0.003,hard,family_history_skin_disease;dermatomal_vesicular_rash;grouped_vesicles;pain_preceding_rash,,4,0,2,3,expanded_heldout,True
1262,Herpes_Zoster,Dermato,False,0.003,easy,unilateral_distribution;prior_varicella_history;risk_of_postherpetic_neuralgia;pain_preceding_rash;dermatomal_vesicular_rash,bilateral_symmetric_rash;painless_rash,5,2,3,3,expanded_heldout,False
1263,Herpes_Zoster,Dermato,False,0.003,medium,prior_varicella_history;pain_preceding_rash;dermatomal_vesicular_rash;family_history_skin_disease;risk_of_postherpetic_neuralgia,bilateral_symmetric_rash,5,1,2,3,expanded_heldout,True
1264,Herpes_Zoster,Dermato,False,0.003,hard,family_history_skin_disease;grouped_vesicles;dermatomal_vesicular_rash;pain_preceding_rash,painless_rash,4,1,2,3,expanded_heldout,True
1265,Stevens_Johnson_Syndrome,Dermato,True,5e-05,easy,mucosal_involvement;high_fever;recent_new_medication_exposure;target_lesions_atypical;positive_Nikolsky_sign;skin_detachment,localized_rash_only;no_recent_medication_change,6,2,3,3,expanded_heldout,False
1266,Stevens_Johnson_Syndrome,Dermato,True,5e-05,medium,skin_detachment;psoriatic_joint_pain;positive_Nikolsky_sign;high_fever;mucosal_involvement,no_recent_medication_change,5,1,2,3,expanded_heldout,True
1267,Stevens_Johnson_Syndrome,Dermato,True,5e-05,hard,psoriatic_joint_pain;recent_new_medication_exposure;skin_detachment;high_fever,,4,0,2,3,expanded_heldout,True
1268,Stevens_Johnson_Syndrome,Dermato,True,5e-05,easy,mucosal_involvement;target_lesions_atypical;positive_Nikolsky_sign;skin_detachment;recent_new_medication_exposure,localized_rash_only;no_recent_medication_change,5,2,3,3,expanded_heldout,False
1269,Stevens_Johnson_Syndrome,Dermato,True,5e-05,medium,target_lesions_atypical;recent_new_medication_exposure;positive_Nikolsky_sign;mucosal_involvement;psoriatic_joint_pain,no_recent_medication_change,5,1,2,3,expanded_heldout,True
1270,Stevens_Johnson_Syndrome,Dermato,True,5e-05,hard,skin_detachment;mucosal_involvement;psoriatic_joint_pain;high_fever,,4,0,2,3,expanded_heldout,True
1271,Stevens_Johnson_Syndrome,Dermato,True,5e-05,easy,target_lesions_atypical;skin_detachment;mucosal_involvement;recent_new_medication_exposure;high_fever,localized_rash_only;no_recent_medication_change,5,2,3,3,expanded_heldout,False
1272,Stevens_Johnson_Syndrome,Dermato,True,5e-05,medium,recent_new_medication_exposure;skin_detachment;target_lesions_atypical;positive_Nikolsky_sign;psoriatic_joint_pain,localized_rash_only,5,1,2,3,expanded_heldout,True
1273,Stevens_Johnson_Syndrome,Dermato,True,5e-05,hard,mucosal_involvement;target_lesions_atypical;psoriatic_joint_pain;recent_new_medication_exposure,no_recent_medication_change,4,1,2,3,expanded_heldout,True
1274,Stevens_Johnson_Syndrome,Dermato,True,5e-05,easy,target_lesions_atypical;recent_new_medication_exposure;mucosal_involvement;skin_detachment;positive_Nikolsky_sign,localized_rash_only;no_recent_medication_change,5,2,3,3,expanded_heldout,False
1275,Stevens_Johnson_Syndrome,Dermato,True,5e-05,medium,target_lesions_atypical;skin_detachment;mucosal_involvement;positive_Nikolsky_sign;psoriatic_joint_pain,localized_rash_only,5,1,2,3,expanded_heldout,True
1276,Stevens_Johnson_Syndrome,Dermato,True,5e-05,hard,recent_new_medication_exposure;psoriatic_joint_pain;mucosal_involvement;high_fever,,4,0,2,3,expanded_heldout,True
1277,Erythema_Multiforme,Dermato,True,0.001,easy,acral_distribution;mild_mucosal_involvement;recent_HSV_infection;self_limited_course;target_lesions_typical;symmetric_distribution,recent_new_medication_exposure;extensive_skin_detachment,6,2,3,3,expanded_heldout,False
1278,Erythema_Multiforme,Dermato,True,0.001,medium,symmetric_distribution;acral_distribution;target_lesions_typical;family_history_skin_disease;mild_mucosal_involvement,recent_new_medication_exposure,5,1,2,3,expanded_heldout,True
1279,Erythema_Multiforme,Dermato,True,0.001,hard,target_lesions_typical;recent_HSV_infection;family_history_skin_disease,extensive_skin_detachment,3,1,2,3,expanded_heldout,True
1280,Erythema_Multiforme,Dermato,True,0.001,easy,target_lesions_typical;symmetric_distribution;mild_mucosal_involvement;acral_distribution;recent_HSV_infection,extensive_skin_detachment;recent_new_medication_exposure,5,2,3,3,expanded_heldout,False
1281,Erythema_Multiforme,Dermato,True,0.001,medium,symmetric_distribution;family_history_skin_disease;acral_distribution;mild_mucosal_involvement;recent_HSV_infection,extensive_skin_detachment,5,1,2,3,expanded_heldout,True
1282,Erythema_Multiforme,Dermato,True,0.001,hard,family_history_skin_disease;target_lesions_typical;self_limited_course;acral_distribution,,4,0,2,3,expanded_heldout,True
1283,Erythema_Multiforme,Dermato,True,0.001,easy,target_lesions_typical;self_limited_course;symmetric_distribution;mild_mucosal_involvement;recent_HSV_infection;acral_distribution,extensive_skin_detachment;recent_new_medication_exposure,6,2,3,3,expanded_heldout,False
1284,Erythema_Multiforme,Dermato,True,0.001,medium,acral_distribution;recent_HSV_infection;symmetric_distribution,extensive_skin_detachment,3,1,2,3,expanded_heldout,False
1285,Erythema_Multiforme,Dermato,True,0.001,hard,family_history_skin_disease;recent_HSV_infection;target_lesions_typical;symmetric_distribution,,4,0,2,3,expanded_heldout,True
1286,Erythema_Multiforme,Dermato,True,0.001,easy,recent_HSV_infection;mild_mucosal_involvement;symmetric_distribution;self_limited_course;acral_distribution;target_lesions_typical,extensive_skin_detachment;recent_new_medication_exposure,6,2,3,3,expanded_heldout,False
1287,Erythema_Multiforme,Dermato,True,0.001,medium,family_history_skin_disease;mild_mucosal_involvement;recent_HSV_infection;acral_distribution,recent_new_medication_exposure,4,1,2,3,expanded_heldout,True
1288,Erythema_Multiforme,Dermato,True,0.001,hard,target_lesions_typical;family_history_skin_disease;acral_distribution,,3,0,2,3,expanded_heldout,True