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<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Acute respiratory distress syndrome? [/INST] ARDS can be caused by any major swelling (inflammation) or injury to the lung. Some common causes include:
Breathing vomit into the lungs (aspiration) Inhaling chemicals Pneumonia Septic shock Trauma
ARDS leads to a buildup of fluid in the air sacs. This fluid prevents enough oxygen from passing into the bloodstream.
The fluid buildup also makes the lungs heavy and stiff, and decreases the lungs' ability to expand. The level of oxygen in the blood can stay dangerously low, even if the person receives oxygen from a breathing machine (mechanical ventilator) through a breathing tube (endotracheal tube). ARDS often occurs along with the failure of other organ systems, such as the liver or the kidneys. Cigarette smoking and heavy alcohol use may be risk factors. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Acute respiratory distress syndrome ? [/INST] Usually, ARDS occurs during another illness, for which the patient is already in the hospital. Occasionally, a healthy person may develop severe pneumonia that gets worse and becomes ARDS. If you have trouble breathing, call your local emergency number (such as 911) or go to the emergency room. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Acute respiratory distress syndrome (Outlook/Prognosis)? [/INST] About a third of people with ARDS die from the disease. Survivors usually get back normal lung function, but many people have permanent, usually mild, lung damage. Many people who survive ARDS have memory loss or other problems with thinking after they recover. This is due to brain damage that occurred when the lungs weren't working properly and the brain wasn't getting enough oxygen. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Asbestosis? [/INST] Chest pain Cough Shortness of breath with exertion (slowly gets worse over time) Tightness in the chest
Possible other symptoms include:
Clubbing of fingers Nail abnormalities </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Asbestosis? [/INST] Breathing in asbestos fibers can cause scar tissue (fibrosis) to form inside the lung. Scarred lung tissue does not expand and contract normally.
How severe the disease is depends on how long the person was exposed to asbestos and the amount he or she breathed in. Often, people do not notice symptoms for 20 years or more after the asbestos exposure.
Asbestos fibers were commonly used in construction before 1975. Asbestos exposure occured in asbestos mining and milling, construction, fireproofing, and other industries. Families of asbestos workers can also be exposed from particles brought home on the worker's clothing.
Other asbestos-related diseases include:
Pleural plaques (calcification) Malignant mesothelioma -- can develop 20-40 years after exposure Pleural effusion -- a collection that develops around the lung a few years after asbestos exposure
Workers today are less likely to get asbestos-related diseases because of government regulations.
Cigarette smoking increases the risk of getting asbestos-related diseases. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Asbestosis ? [/INST] Call for an appointment with your health care provider if you suspect that you've been exposed to asbestos or if you have unexplained symptoms. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Asbestosis (Outlook/Prognosis)? [/INST] The outcome depends on the amount of asbestos you were exposed to, and for how long. This condition tends to get worse more slowly than idiopathic pulmonary fibrosis if you stop being exposed to asbestos.
Patients who develop malignant mesothelioma tend to have a poor outcome. About 75% of those who are affected die within 1 year. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Aspiration pneumonia ? [/INST] Bluish discoloration of the skin caused by lack of oxygen Chest pain Cough with Foul-smelling phlegm (sputum) Pus Blood Greenish sputum
Fatigue Fever Shortness of breath Wheezing
Other symptoms that can occur with this disease:
Breath odor Excessive sweating Swallowing difficulty </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Aspiration pneumonia? [/INST] Risk factors for aspiration or breathing in of foreign material into the lungs are:
Being less alert due to medicines, illness, or other reasons Coma Disorders of the esophagus, the tube that moves food from the mouth to the stomach (esophageal stricture, gastroesophageal reflux) Drinking large amounts of alcohol Medicine to put you into a deep sleep for surgery (general anesthesia) Old age Poor gag reflex in people who are not alert (unconscious or semi-conscious) after a stroke or brain injury Problems with swallowing
Acidic material that is breathed into the lungs can cause severe lung injury. However, it may not necessarily lead to pneumonia. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Aspiration pneumonia ? [/INST] Patients with decreased immunity Bed-ridden patients </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Aspiration pneumonia ? [/INST] Call your health care provider, go to the emergency room, or call the local emergency number (such as 911) if you have:
Chest pain Chills Fever Shortness of breath Wheezing </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Aspiration pneumonia (Outlook/Prognosis)? [/INST] The outcome depends on:
The severity of the pneumonia The type of bacteria causing the pneumonia How much of the lungs are involved
If acute respiratory failure develops, the patient may have a long-term illness or die. Many people who have aspiration pneumonia have other serious health problems, which may affect the outlook for recovery. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Atelectasis? [/INST] Chest pain Cough Breathing difficulty </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Atelectasis? [/INST] Atelectasis is caused by a blockage of the air passages (bronchus or bronchioles) or by pressure on the outside of the lung. It is common after surgery, or in patients who were in the hospital.
Risk factors for developing atelectasis include:
Anesthesia Foreign object in the airway (most common in children) Lung diseases Mucus that plugs the airway Pressure on the lung caused by a buildup of fluid between the ribs and the lungs (called a pleural effusion) Prolonged bed rest with few changes in position Shallow breathing (may be caused by painful breathing) Tumors that block an airway </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Atelectasis ? [/INST] Call your health care provider if you develop symptoms of atelectasis. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Atelectasis (Outlook/Prognosis)? [/INST] In an adult, atelectasis in a small area of the lung is usually not life threatening. The rest of the lung can make up for the collapsed area, bringing in enough oxygen for the body to function. Large areas of atelectases may be life threatening, especially in a baby or small child, or someone who has another lung disease or illness. The collapsed lung usually reinflates slowly if the blockage of the airway has been removed. However, some scarring or damage may remain. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Atypical pneumonia? [/INST] Pneumonia due to mycoplasma and chlamydophila bacteria is usually mild.
Pneumonia due to Legionella pneumophila gets worse during the first 4 - 6 days, and then improves over 4 - 5 days. Even though symptoms will improve, it may take a while for them to go away completely.
The most common symptoms of pneumonia are:
Chills. Cough (with Legionella pneumonia, you may cough up bloody mucus). Fever, which may be mild or high. Shortness of breath (may only occur when you climb stairs).
Other symptoms include:
Chest pain that gets worse when you breathe deeply or cough. Confusion, especially in older people or those with Legionella pneumonia. Headache. Loss of appetite, low energy, and fatigue. Muscle aches and joint stiffness. Sweating and clammy skin.
Less common symptoms include:
Diarrhea (especially with Legionella pneumonia). Ear pain (with mycoplasma pneumonia). Eye pain or soreness (with mycoplasma pneumonia). Neck lump (with mycoplasma pneumonia). Rash (with mycoplasma pneumonia). Sore throat (with mycoplasma pneumonia). </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Atypical pneumonia? [/INST] Mycoplasma pneumonia is a type of atypical pneumonia. It is caused by the bacteria M. pneumoniae. It typically affects people younger than age 40. Pneumonia due to chlamydia-related bacteria occurs year round and accounts for 5 - 15% of all pneumonias. It is usually mild. Pneumonia due to Legionella is seen more often in middle-aged and older adults, smokers, and those with chronic illnesses or a weak immune system. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Atypical pneumonia ? [/INST] Contact your health care provider if you develop fever, cough, or shortness of breath. There are numerous causes for these symptoms. The doctor will need to rule out pneumonia. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Atypical pneumonia (Outlook/Prognosis)? [/INST] Most patients with pneumonia due to mycoplasma or chlamydophila do well with the right antibiotic therapy. P.Legionella can be severe, leading to problems such as kidney failure, diabetes, COPD, a weak immune system, and death. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Bronchiectasis? [/INST] Symptoms often develop gradually, and may occur months or years after the event that causes the bronchiectasis.
They may include:
Bluish skin color Breath odor Chronic cough with large amounts of foul-smelling sputum Clubbing of fingers Coughing up blood Cough that gets worse when lying on one side Fatigue Paleness Shortness of breath that gets worse with exercise Weight loss Wheezing </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Bronchiectasis? [/INST] Bronchiectasis is often caused by recurrent inflammation or infection of the airways. It most often begins in childhood as a complication from infection or inhaling a foreign object.
Cystic fibrosis causes about half of all bronchiectasis in the United States.
The condition can also be caused by routinely breathing in food particles while eating. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Bronchiectasis ? [/INST] Recurrent, severe lung infections (pneumonia, tuberculosis, fungal infections), abnormal lung defenses, and obstruction of the airways by a foreign body or tumor are some of the risk factors. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Bronchiectasis ? [/INST] Call your health care provider if:
Chest pain or shortness of breath gets worse There is a change in color or amount of the phlegm you cough up, or if it is bloody Other symptoms get worse or do not improve with treatment </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Bronchiectasis (Outlook/Prognosis)? [/INST] With treatment, most people can lead normal lives without major disability. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Bronchitis? [/INST] The symptoms of either type of bronchitis may include:
Chest discomfort Cough that produces mucus; if it's yellow-green, you are more likely to have a bacterial infection Fatigue Fever -- usually low Shortness of breath worsened by exertion or mild activity Wheezing
Even after acute bronchitis has cleared, you may have a dry, nagging cough that lingers for several weeks.
Additional symptoms of chronic bronchitis include:
Ankle, feet, and leg swelling Blue-colored lips from low levels of oxygen Frequent respiratory infections (such as colds or the flu) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Bronchitis? [/INST] Acute bronchitis generally follows a viral respiratory infection. At first, it affects your nose, sinuses, and throat and then spreads to the lungs. Sometimes, you may get another (secondary) bacterial infection in the airways. This means that bacteria infect the airways, in addition to the virus.
Chronic bronchitis is a long-term condition. People have a cough that produces excessive mucus. To be diagnosed with chronic bronchitis, you must have a cough with mucus most days of the month for at least 3 months.
Chronic bronchitis is one type of chronic obstructive pulmonary disease, or COPD for short. (Emphysema is another type of COPD.)
The following things can make bronchitis worse:
Air pollution Allergies Certain occupations (such as coal mining, textile manufacturing, or grain handling) Infections </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Bronchitis ? [/INST] People at risk for acute bronchitis include:
The elderly, infants, and young children Persons with heart or lung disease Smokers </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Bronchitis ? [/INST] Call your doctor if:
You have a cough most days or you have a cough that returns frequently You are coughing up blood You have a high fever or shaking chills You have a low-grade fever for 3 or more days You have thick, greenish mucus, especially if it has a bad smell You feel short of breath or have chest pain You have an underlying chronic illness, like heart or lung disease </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Bronchitis (Outlook/Prognosis)? [/INST] For acute bronchitis, symptoms usually go away within 7 to 10 days if you do not have an underlying lung disorder. However, a dry, hacking cough can linger for a number of months.
The chance for recovery is poor for persons with advanced chronic bronchitis. Early recognition and treatment, combined with smoking cessation, significantly improve the chance of a good outcome. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is the Chest tube insertion done? [/INST] Chest tubes are inserted to drain blood, fluid, or air and to allow the lungs to fully expand. The tube is placed between the ribs and into the space between the inner lining and the outer lining of the lung (pleural space).
The area where the tube will be inserted is numbed (local anesthesia). Sometimes you will be given medication to make you relaxed and sleepy (sedation) through a vein (intravenously).
The chest tube is inserted through a one-inch cut in the skin between the ribs into the chest. It is connected to a bottle or canister that contains sterile water. Suction is attached to the system for drainage. A stitch (suture) and adhesive tape keep the tube in place. After every chest tube insertion, a chest x-ray is done to make sure it is in the right place.
The chest tube usually stays in place until x-rays show that all the blood, fluid, or air has drained from the chest and the lung has fully re-expanded. When the chest tube is no longer needed, it can be easily removed. Most people don't need medications to sedate or numb them while the chest tube is removed. Antibiotics may be used to prevent or treat infection.
In certain people, the chest tube may be inserted using a minimally invasive technique guided by x-ray or ultrasound. Chest tubes are usually placed during major lung or heart surgery while the person is under general anesthesia. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who needs Chest tube insertion? [/INST] Chest tubes are used to treat conditions that can cause the lung to collapse, such as:
After surgery or trauma in the chest (pneumothorax or hemothorax). Air leaks from the lung into the chest (pneumothorax). Bleeding into the chest (hemothorax). Collection of fat in the chest (chylothorax). Lung abscesses or pus in the chest (empyema). </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find centers that perform Chest tube insertion? [/INST] Directions to Hospitals Performing Chest tube insertion </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Chest tube insertion (Outlook/Prognosis)? [/INST] You will stay in the hospital until the chest tube is removed. While the chest tube is in place, the nursing staff will carefully check for possible air leaks, breathing difficulties, and the need for oxygen. You'll need to breathe deeply and cough often to help re-expand the lung, help with drainage, and prevent fluids from collecting in the lungs. Chest x-rays are done often while a chest tube is in place to make sure that all of the air, blood, and other fluids are being removed. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of CMV pneumonitis? [/INST] Cough. Fatigue. Fever. General discomfort, uneasiness, or ill feeling (malaise). Loss of appetite. Muscle aches or joint pains. Shortness of breath. Shortness of breath on exertion. Sweating, excessive (night sweats).
Low oxygen levels in the blood (hypoxemia) with CMV pneumonia often predicts death, especially in patients who need mechanical ventilation. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes CMV pneumonitis? [/INST] CMV pneumonia is caused by a member of a group of herpes-type viruses. Infection with CMV is very common. Most humans are exposed to CMV in their lifetime, but typically only individuals with weakened immune systems become ill from CMV infection
Usually CMV produces no symptoms, but serious CMV infections can occur in people with weakened immune systems from conditions such as:
AIDS. Bone marrow transplant. Organ transplant. Chemotherapy or other treatments that suppress the immune system.
In people who have had organ and bone marrow transplants, the risk of infection is greatest 5 - 13 weeks after the transplant. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have CMV pneumonitis ? [/INST] Call your health care provider if you have symptoms of CMV pneumonia. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have CMV pneumonitis (Outlook/Prognosis)? [/INST] Antiviral medications stop the virus from copying itself, but do not destroy it. CMV itself suppresses the immune system, and may increase the risk of other infections due to the additional immunosuppression. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of cryptogenic organizing pneumonia? [/INST] Patients with cryptogenic organizing pneumonia may have a positive history of connective tissue diseases, drug intake, malignancy and other interstitial lung disease. Common symptoms are dry cough, shortness of breath, fever, fatigue and weight loss. Less common symptoms are hemoptysis, chest pain and night sweats. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes of cryptogenic organizing pneumonia? [/INST] Some of the causes of organizing pneumonia include infectious agents, drugs, inflammatory diseases, and toxic exposures. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Cryptogenic organizing pneumonia ? [/INST] Cryptogenic organizing pneumonia affects men and women equally, usually beginning between the ages of 40 and 60. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Cryptogenic organizing pneumonia ? [/INST] When there is worsening shortness of breath, dry cough changed to a productive cough. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Cryptogenic organizing pneumonia (Outlook/Prognosis)? [/INST] The overall prognosis for cryptogenic organizing pneumonia is significantly better than that of other interstitial lung diseases. Recovery occurs in approximately 2/3 of patients treated with steroids, with symptoms generally clearing over several months. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When does an inhaler need to be replaced? [/INST] A metered dose inhaler contains enough medication for a certain number of puffs which is printed on the canister. Even though the inhaler may continue to work beyond that number of uses, the amount of medication delivered may not be correct. It is important to keep track of the number of times an inhaler was used, so that it can be replaced after its recommended number of uses. The manufacturer of Ventolin has addressed this issue by adding in a counter to the mouthpiece, as has the manufacturer of Advair. Also, depending on the manufacturer, inhalers are sold as a complete unit or the individual canister as a refill prescription. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How Does Tobacco Deliver its Effects? [/INST] There are more than 4,000 chemicals found in the smoke of tobacco products. Of these, nicotine, first identified in the early 1800s, is the primary reinforcing component of tobacco that acts on the brain.
Cigarette smoking is the most popular method of using tobacco; however, there has also been a recent increase in the sale and consumption of smokeless tobacco products, such as snuff and chewing tobacco. These smokeless products also contain nicotine, as well as many toxic chemicals.
The cigarette is a very efficient and highly engineered drug delivery system. By inhaling tobacco smoke, the average smoker takes in 1 to 2 mg of nicotine per cigarette8. When tobacco is smoked, nicotine rapidly reaches peak levels in the bloodstream and enters the brain. A typical smoker will take 10 puffs on a cigarette over a period of 5 minutes that the cigarette is lit. Thus, a person who smokes about 1-1/2 packs (30 cigarettes) daily gets 300 “hits” of nicotine to the brain each day. In those who typically do not inhale the smoke—such as cigar and pipe smokers and smokeless tobacco users – nicotine is absorbed through the mucosal membranes and reaches peak blood levels and the brain more slowly.
Immediately after exposure to nicotine, there is a “kick” caused in part by the drug’s stimulation of the adrenal glands and resulting discharge of epinephrine (adrenaline). The rush of adrenaline stimulates the body and causes a sudden release of glucose, as well as an increase in blood pressure, respiration, and heart rate9. Nicotine also suppresses insulin output from the pancreas, which means that smokers are always slightly hyperglycemic (i.e., they have elevated blood sugar levels10). The calming effect of nicotine reported by many users is usually associated with a decline in withdrawal effects rather than direct effects of nicotine. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Is Nicotine Addictive? [/INST] Yes. Most smokers use tobacco regularly because they are addicted to nicotine. Addiction is characterized by compulsive drug seeking and use, even in the face of negative health consequences. It is well documented that most smokers identify tobacco use as harmful and express a desire to reduce or stop using it, and nearly 35 million of them want to quit each year7. Unfortunately, only about 6 percent of people who try to quit are successful for more than a month.
Research has shown how nicotine acts on the brain to produce a number of effects. Of primary importance to its addictive nature are findings that nicotine activates reward pathways—the brain circuitry that regulates feelings of pleasure. A key brain chemical involved in mediating the desire to consume drugs is the neurotransmitter dopamine, and research has shown that nicotine increases levels of dopamine in the reward circuits. This reaction is similar to that seen with other drugs of abuse, and is thought to underlie the pleasurable sensations experienced by many smokers9. Nicotine’s pharmacokinetic properties also enhance its abuse potential. Cigarette smoking produces a rapid distribution of nicotine to the brain, with drug levels peaking within 10 seconds of inhalation9. However, the acute effects of nicotine dissipate in a few minutes, as do the associated feelings of reward, which causes the smoker to continue dosing to maintain the drug’s pleasurable effects and prevent withdrawal.
Nicotine withdrawal symptoms include irritability, craving, cognitive and attentional deficits, sleep disturbances, and increased appetite. These symptoms may begin within a few hours after the last cigarette, quickly driving people back to tobacco use. Symptoms peak within the first few days of smoking cessation and may subside within a few weeks. For some people, however, symptoms may persist for months.
While withdrawal is related to the pharmacological effects of nicotine, many behavioral factors can also affect the severity of withdrawal symptoms. For some people, the feel, smell, and sight of a cigarette and the ritual of obtaining, handling, lighting, and smoking the cigarette are all associated with the pleasurable effects of smoking and can make withdrawal or craving worse. While nicotine gum and patches may alleviate the pharmacological aspects of withdrawal, cravings often persist. Other forms of nicotine replacement, such as inhalers, attempt to address some of these other issues, while behavioral therapies can help smokers identify environmental triggers of withdrawal and craving so they can employ strategies to prevent or circumvent these symptoms and urges. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Obesity hypoventilation syndrome? [/INST] The main symptoms of OHS are due to lack of sleep and include:
Excessive daytime sleepiness. Falling asleep during the day. Increased risk for accidents or mistakes at work. Depression.
Symptoms of low blood oxygen level (chronic hypoxia) can also occur, such as shortness of breath or feeling tired after very little effort. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Obesity hypoventilation syndrome? [/INST] The exact cause of OHS in unknown. Most (but not all) patients with the syndrome have a form of sleep apnea.
OHS is believed to result from both a defect in the brain's control over breathing, and excessive weight (due to obesity) against the chest wall, which makes it hard for a person to take a deep breath. As a result, the blood has too much carbon dioxide and not enough oxygen. People with OHS are often tired due to sleep loss, poor sleep quality, and chronic hypoxia.
Excess (morbid) obesity is the main risk factor. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Obesity hypoventilation syndrome ? [/INST] Call your health care provider if you are very tired during the day, or have any other symptoms that suggest OHS. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Obesity hypoventilation syndrome (Outlook/Prognosis)? [/INST] Untreated, it can lead to serious heart and blood vessel problems, severe disability, or death. Chronic sleeping problems may also increase the chance of having a motor vehicle accident. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Pleural empyema? [/INST] Chest pain, which worsens when you breathe in deeply (pleurisy). Dry cough. Excessive sweating, especially night sweats. Fever and chills. General discomfort, uneasiness, or ill feeling (malaise). Shortness of breath. Weight loss (unintentional). </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Pleural empyema? [/INST] Empyema is usually caused by an infection that spreads from the lung. It leads to a buildup of pus in the pleural space.
There can be a pint or more of infected fluid. This fluid puts pressure on the lungs.
Risk factors include:
Bacterial pneumonia. Chest surgery. Lung abscess. Trauma or injury to the chest.
In rare cases, empyema can occur after a needle is inserted through the chest wall to draw off fluid in the pleural space for medical diagnosis or treatment (thoracentesis). </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Pleural empyema ? [/INST] Call your health care provider if you develop symptoms of empyema. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Pleural empyema (Outlook/Prognosis)? [/INST] When empyema complicates pneumonia, the risk of permanent lung damage and death goes up. Patients will need long-term treatment with antibiotics and drainage. However, most people fully recover from empyema. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Pneumoconiosis? [/INST] Cough. Shortness of breath. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Pneumoconiosis? [/INST] Coal worker's pneumoconiosis occurs in two forms: simple and complicated (also called progressive massive fibrosis, or PMF).
Your risk of getting coal worker's pneumoconiosis depends on how long you have been around coal dust. Most people with this disease are older than 50. Smoking does not increase your risk of developing this disease, but it may have an additional harmful effect on the lungs.
If coal worker's pneumoconiosis occurs with rheumatoid arthritis, it is called Caplan syndrome. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Pneumoconiosis ? [/INST] Call for an appointment with your health care provider if you develop symptoms of coal worker's pneumoconiosis. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Pneumoconiosis (Outlook/Prognosis)? [/INST] The outcome for the simple form is usually good. It rarely causes disability or death. The complicated form may cause shortness of breath that gets progressively worse. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Psittacosis? [/INST] Blood-tinged sputum Dry cough Fatigue Fever and chills Headache Joint aches Muscle aches Shortness of breath </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Psittacosis? [/INST] Psittacosis is a rare disease: 100 - 200 cases are reported each year in the United States.
Bird owners, pet shop employees, persons who work in poultry processing plants, and veterinarians are at increased risk for this infection. Typical birds involved are parrots, parakeets, and budgerigars, although other birds have also caused the disease. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Psittacosis patient information? [/INST] Antibiotics are needed to treat this infection. If you develop symptoms of psittacosis, call your health care provider. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Psittacosis patient information (Outlook/Prognosis)? [/INST] Full recovery is expected. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Solitary Pulmonary Nodule? [/INST] There are usually no symptoms. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Solitary Pulmonary Nodule? [/INST] More than half of all solitary pulmonary are noncancerous (benign). Benign nodules have many causes, including old scars and infections. Infectious granulomas are the cause of most benign lesions. You have a greater risk for developing a solitary pulmonary nodule if you have:
Tuberculosis or been exposed to TB Infectious lung diseases caused by fungus, such as: Histoplasmosis Coccidioidomycosis Cryptococcosis Aspergillosis
However, the above conditions makes it more likely that the solitary pulmonary nodule is noncancerous. Young age, history of not smoking, calcium in the lesion, and small lesion size are factors associated with a noncancerous diagnosis. Lung cancer is the most common cause of cancerous (malignant) pulmonary nodules. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Pulmonary nodule ? [/INST] A solitary pulmonary nodule is usually found by your health care professional when a chest x-ray is performed for some other reason. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Pulmonary nodule (Outlook/Prognosis)? [/INST] The outlook is generally good if the nodule is benign. If the nodule does not grow larger over a 2-year period, under most circumstances nothing more need be done. On occasion, the appearance of the nodule on CT scan may warrant continued follow-up. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Sarcoidosis ? [/INST] There may be no symptoms. When symptoms occur, they can involve almost any body part or organ system in your body.
Almost all patients have lung or chest symptoms:
Chest pain (most often behind your breast bone) Dry cough Shortness of breath
Symptoms of general discomfort or uneasiness often occur:
Fatigue (one of the most common symptoms in children) Fever Joint achiness or pain (arthralgia) Overall feeling of discomfort, illness, or lack of well-being Weight loss (one of the most common symptoms in children)
Skin symptoms:
Hair loss Raised, red, firm skin sores (erythema nodosum), almost always on the front part of the lower legs Rash Scars that become raised or inflamed
Nervous system symptoms may include:
Headache Seizures Weakness on one side of the face
Eye symptoms include:
Burning Discharge from the eye Dry eyes Itching Pain Vision loss
Other symptoms of this disease:
Dry mouth Fainting spells if the heart is involved Nosebleed Swelling in the upper part of the abdomen </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the causes of Sarcoidosis ? [/INST] The cause of the disease is unknown. In sarcoidosis, tiny clumps of abnormal tissue (granulomas) form in certain organs of the body. Granulomas are clusters of immune cells.
The disease can affect almost any organ of the body, but it most commonly affects the lungs.
Possible causes of sarcoidosis include:
Extreme immune response to infection High sensitivity to environmental factors Genetic factors </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Sarcoidosis ? [/INST] The condition is more common in African Americans than Caucasians, especially in Caucasians of Scandinavian heritage. Females are usually affected more often than males. The disease typically begins between ages 20 and 40. Sarcoidosis is very rare in young children. A person with a close blood relative who has sarcoidosis is nearly five times as likely to develop the condition. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Sarcoidosis ? [/INST] Call your health care provider if you have:
Difficulty breathing Palpitations Vision changes Other symptoms of this disorder </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Sarcoidosis (Outlook/Prognosis)? [/INST] Many people with sarcoidosis are not seriously ill, and the disease may get better without treatment. About 30 - 50% of cases get better without treatment in 3 years. About 20% of people whose lungs are involved will develop lung damage.
The overall death rate from sarcoidosis is less than 5%. Causes of death include:
Bleeding from the lung tissue Heart damage, leading to heart failure and abnormal heart rhythms Lung scarring (pulmonary fibrosis) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When the diagnosis can be made without performing a tissue biopsy? [/INST] in some clinical scenarios, the presentation is so specific that the diagnosis can be made without a confirmatory tissue biopsy .
Lupus pernio Lofgren syndrome Heerfordt syndrome Bilateral hilar adenopathy on CXR without symptoms Positive panda and/or lambda sign on gallium scan </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> How is the Thoracentesis done? [/INST] A small area of skin on your back is cleaned. Numbing medicine (local anesthetic) is injected in this area.
A needle is placed through the skin and muscles of the chest wall into the space around the lungs, called the pleural space. Fluid is collected and may be sent to a laboratory for testing (pleural fluid analysis). You will sit on a bed or on the edge of a chair or bed. Your head and arms will rest on a table.
The skin around the procedure site is cleaned and the area is draped. A local numbing medicine (anesthetic) is injected into the skin. The thoracentesis needle is inserted above the rib into the pleural space.
You will feel a stinging sensation when the local anesthetic is injected. You may feel pain or pressure when the needle is inserted into the pleural space.
Tell your health care provider if you feel shortness of breath or chest pain. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who needs Thoracentesis? [/INST] Normally, very little fluid is in the pleural space. A buildup of too much fluid between the layers of the pleura is called a pleural effusion.
The test is performed to determine the cause of the extra fluid, or to relieve symptoms from the fluid buildup.
The test may be also performed for the following conditions:
Asbestos-related pleural effusion. Collagen vascular disease. Drug reactions. Hemothorax. Pancreatitis. Pneumonia. Pulmonary embolism. Pulmonary veno-occlusive disease. Thyroid disease. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Where to find centers that perform Thoracentesis? [/INST] Directions to Hospitals Performing Thoracentesis </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Thoracentesis (Outlook/Prognosis)? [/INST] Normal Results
Normally the pleural cavity contains only a very small amount of fluid.
What Abnormal Results Mean
Testing the fluid will help your health care provider determine the cause of pleural effusion. Possible causes include:
Cancer Cirrhosis Heart failure Infection Inflammation Malnutrition Kidney disease
If your health care provider suspects that you have an infection, a culture of the fluid may be done to test for bacteria. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Upper respiratory tract infection? [/INST] Itchy, watery eyes Nasal discharge Nasal congestion Sneezing Sore throat Cough Headache Fever Malaise Fatigue, weakness Muscle pain </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Upper respiratory tract infection? [/INST] You can catch a cold if:
A person with a cold sneezes, coughs, or blows their nose near you. You touch your nose, eyes, or mouth after you have touched something contaminated by the virus, such as a toy or doorknob.
People are most contagious for the first 2 to 3 days of a cold. A cold is usually not contagious after the first week. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Upper respiratory tract infection ? [/INST] Any one can have common cold but children, older population, people with decreased immunity are affected more commonly. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Upper respiratory tract infection ? [/INST] If you have the above symptoms contact a doctor. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Upper respiratory tract infection (Outlook/Prognosis)? [/INST] An upper respiratory tract infection usually gets better after a few days, and it normally has a good prognosis. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Viral pneumonia? [/INST] Symptoms of viral pneumonia often begin slowly and may not be severe at first. The most common symptoms of pneumonia are:
Cough (with some pneumonias you may cough up mucus, or even bloody mucus) Fever, which may be mild or high Shaking chills Shortness of breath (may only occur when you climb stairs)
Other symptoms include:
Confusion, especially in older people Excessive sweating and clammy skin Headache Loss of appetite, low energy, and fatigue Sharp or stabbing chest pain that gets worse when you breathe deeply or cough Fatigue </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Viral pneumonia? [/INST] Viral pneumonia is more likely to occur in young children and older adults, because their bodies have a harder time fighting off the virus. Viral pneumonia is most often caused by one of several viruses:
Adenovirus Influenza Parainfluenza Respiratory syncytial virus
People who are at risk for more serious viral pneumonia often have a weakened immune system, including:
Adult HIV / AIDS patients Babies who are born too early Children with heart and lung problems People receiving chemotherapy for cancer, or other medications that weaken the immune system. Organ transplant recipients </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Viral pneumonia (Outlook/Prognosis)? [/INST] Most cases of viral pneumonia are mild and get better without treatment within 1 - 3 weeks, but some cases are more serious and require hospitalization. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Viral pneumonia ? [/INST] Call your health care provider if symptoms of viral pneumonia develop. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Acute low back pain? [/INST] You may feel a variety of symptoms if you've hurt your back. You may have a tingling or burning sensation, a dull achy feeling, or sharp pain. Depending on the cause, you also may have weakness in your legs or feet.
Low back pain can vary widely. The pain may be mild, or it can be so severe that you are unable to move. Depending on the cause of your back pain, you may also have pain in your leg, hip, or bottom of your foot. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Acute low back pain? [/INST] If you are like most people, you will have at least one backache in your life. While such pain or discomfort can happen anywhere in your back, the most common area affected is your low back. This is because the low back supports most of your body's weight.
Low back pain is the number two reason that Americans see their doctor-- second only to colds and flus. Many back-related injuries happen at work. But you can change that. There are many things you can do to lower your chances of getting back pain.
You'll usually first feel back pain just after you lift a heavy object, move suddenly, sit in one position for a long time, or have an injury or accident. But before that injury or accident, the structures in your back were losing strength or changing.
Acute low back pain is most often caused by a sudden injury to the muscles, ligaments, bones, and nerves in the spine. The source of the pain may be:
Compression fractures to the spine from osteoporosis Muscle spasm (very tense muscles that remain contracted) Ruptured or herniated disk Spinal stenosis (narrowing of the spinal canal) Spine curvatures (like scoliosis or kyphosis), which may be inherited and seen in children or teens Strain or tears to the muscles or ligaments supporting the back
Back pain may also be due to:
An abnormal aortic aneurysm that is leaking Arthritis conditions, such as osteoarthritis, psoriatic arthritis, and rheumatoid arthritis Cancer that involves the spine Fibromyalgia Infection of the spine (osteomyelitis, diskitis, abscess) Kidney infection or kidney stones Problems related to pregnancy Medical conditions that affect the female reproductive organs, including endometriosis, ovarian cysts, ovarian cancer, or uterine fibroids </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Acute low back pain ? [/INST] You are at particular risk for low back pain if you:
Are over age 30 Are pregnant Feel stressed or depressed Have arthritis or osteoporosis Smoke Do not exercise Are overweight Have a job that requires heavy lifting, a lot of bending and twisting, or whole body vibration (such as truck driving or using a sandblaster) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Acute low back pain ? [/INST] Call your doctor right away if you have:
Back pain after a severe blow or fall Burning with urination or blood in your urine History of cancer Loss of control over urine or stool (incontinence) Pain traveling down your legs below the knee Pain that is worse when you lie down or that wakes you up at night Redness or swelling on the back or spine Severe pain that does not allow you to get comfortable Unexplained fever with back pain Weakness or numbness in your buttocks, thigh, leg, or pelvis
Also call if:
You have been losing weight unintentionally You use steroids or intravenous drugs. You have had back pain before, but this episode is different and feels worse. This episode of back pain has lasted longer than 4 weeks. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Acute low back pain (Outlook/Prognosis)? [/INST] Many people will feel better within 1 week after the start of back pain. After another 4-6 weeks, the back pain will likely be completely gone. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Arthralgia? [/INST] Joint pain can be caused by many types of injuries or conditions. No matter what causes it, joint pain can be very bothersome. Some things that can cause joint pain are:
A utoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Gout (especially found in the big toe) Infections caused by a virus, including Epstein-Barr viral syndrome Hepatitis Influenza (flu) Lyme disease Measles (rubeola) Mumps Parvovirus Rheumatic fever Rubella (German measles) Varicella (chickenpox) Injury, such as a fracture Osteoarthritis Osteomyelitis (bone infection) Septic arthritis (joint infection) Tendinitis Unusual exertion or overuse, including strains or sprain. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Arthralgia ? [/INST] Contact your health care provider if:
You have fever that is not associated with flu symptoms.
You have lost 10 pounds or more without trying (unintended weight loss).
Your joint pain lasts for more than 3 days.
You have severe, unexplained joint pain, particularly if you have other unexplained symptoms. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Chronic low back pain? [/INST] You may feel a variety of symptoms if you have hurt your back, including:
Tingling or burning sensation Dull aching Sharp pain Weakness in your legs or feet
Low back pain can vary widely. The pain may be mild, or it can be so severe that you are unable to move. Depending on the cause of your back pain, you may also have pain in your leg, hip, or bottom of your foot. See: Sciatica </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Chronic low back pain? [/INST] One single event may not cause your pain. You may have been doing many things improperly-- such as standing or lifting-- for a long time. Then suddenly, one simple movement (such as reaching for something or bending from your waist) leads to the feeling of pain.
The specific part of your back that is responsible for your pain is sometimes difficult to identify. There are several possible causes of low back pain:
Certain medical conditions such as fibromyalgia Herniated disc (part of a spinal disc pushes onto nearby nerves) Strain or tears to the muscles or ligaments supporting the back Degenerative disc disease Pelvic injury or fracture Piriformis syndrome (a pain disorder involving a narrow muscle in the buttocks) Spinal stenosis (narrowing of the spinal canal) Small fractures to the spine from osteoporosis Spine curvatures (such as scoliosis or kyphosis), which may be inherited and seen in children and teens </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Chronic low back pain ? [/INST] You are at particular risk for low back pain if you:
Are over age 30 Are pregnant Feel stressed or depressed Have arthritis or osteoporosis Smoke Do not exercise Are overweight Have a job that requires heavy lifting, a lot of bending and twisting, or whole body vibration (such as truck driving or using a sandblaster) </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> When to seek urgent medical care when I have Chronic low back pain ? [/INST] Call your health care provider if you have persistent, severe back pain, especially if you have also have numbness, loss of movement, weakness, or bowel or bladder changes. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What to expect if I have Chronic low back pain (Outlook/Prognosis)? [/INST] Most back problems will get better on their own. The key is to know when you need to seek medical help and when self-care measures will allow you to get better. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What are the symptoms of Dupuytren's contracture? [/INST] Difficulty extending the fingers -- the fourth and fifth fingers curl up and are unable to be easily straightened Painless nodule in the palm, developing into a cord-like band Thickening of the lines in the palms of the hands </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> What causes Dupuytren's contracture? [/INST] The cause is unknown, but minor injury and your genes may make you more likely to develop this condition.
One or both hands may be affected. The ring finger is affected most often, followed by the little, middle, and index fingers.
A small, painless nodule develops in the connective tissue on the palm side of the hand and eventually develops into a cord-like band. In severe cases, it's difficult or even impossible to extend the fingers. </s> |
<s> [INST] <<SYS>> You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information. <</SYS>> Who is at highest risk for Dupuytren%27s contracture ? [/INST] The condition becomes more common after the age of 40. Men are affected more often than women. Risk factors are alcoholism, epilepsy, pulmonary tuberculosis, diabetes, and liver disease. </s> |