Page 106 - AIH-1-4

Artificial Intelligence in Health ChatGPT in visceral leishmaniasis diagnosis

Table 1. Clinical description of the eight viral leishmaniasis vignettes
Case Description
01 ID: Female, 52 years old, Caucasian, single, lives in Petrolina, Pernambuco (urban area), homemaker.
HPI: The patient presents with a 60-day history of daily fever, associated with asthenia, weight loss, diarrhea, abdominal discomfort, anorexia,
and chills.
PMH: HIV-positive since 2007, diagnosed with systemic lupus erythematosus in 2019, treated for visceral leishmaniasis 6 times; current
medications: dolutegravir, darunavir, and ritonavir.
SH: Denies alcohol use and smoking.
PE: Weight: 56 kg; height: 1.56 mm; BP: 110/70 mmHg; abdomen: hepatomegaly 4 cm below the costal margin, splenomegaly 5 cm below the
costal margin, no ascites, abdominal tenderness on palpation; cardiovascular: regular cardiac rhythm, heart rate 72 bpm; respiratory: clear
breath sounds, no wheezes or crackles; skin/mucous membranes: no jaundice, pale, no mucosal lesions.
02 ID: Male, 67 years old, African American, married, lives in Petrolina, Pernambuco (rural area), farmer.
HPI: The patient presents with a 30-day history of daily fever, associated with asthenia, weight loss, diarrhea, and nausea.
PMH: Hypertension, hypercholesterolemia, glaucoma, nephrectomy 9 years ago; current medications: losartan, simvastatin.
SH: Denies alcohol use and smoking.
PE: Weight: 60 kg; height: 1.53 m; BP: 130/80 mmHg; abdomen: normal liver span, splenomegaly 5 cm below the costal margin, no ascites, no
abdominal tenderness on palpation; cardiovascular: regular cardiac rhythm, heart rate 78 bpm; respiratory: clear breath sounds, no wheezes or
crackles; skin/mucous membranes: no jaundice, well-perfused, no mucosal lesions.
03 ID: Male, 36 years old, Caucasian, single, lives in Petrolina, Pernambuco (rural area), painter.
HPI: The patient presents with a 60-day history of daily fever, associated with asthenia, weight loss, and diarrhea.
PMH: HIV-positive; current medications: dolutegravir, tenofovir, lamivudine.
SH: Moderate alcohol use, smokes cigarettes, and marijuana user.
PE: Weight: 51 kg; height: 1.65 m; BP: 110/70 mmHg; abdomen: hepatomegaly 10 cm below the costal margin, splenomegaly 15 cm below the
costal margin, no ascites, no abdominal tenderness on palpation; cardiovascular: regular cardiac rhythm, heart rate 98 bpm; respiratory: clear
breath sounds, no wheezes or crackles; skin/mucous membranes: no jaundice, pale, and no mucosal lesions.
04 ID: Female, 51 years old, African American, single, lives in Juazeiro, Bahia (urban area), homemaker.
HPI: The patient presents with a 60-day history of daily fever, associated with asthenia, weight loss, diarrhea, abdominal discomfort, anorexia,
chills, and bleeding.
PMH: Liver cirrhosis, hypertension, diabetes, chronic kidney disease; current medications: unable to specify.
SH: Denies alcohol use and smoking.
PE: Weight: 81 kg; height: 1.57 m; BP: 100/80 mmHg; abdomen: normal liver span, splenomegaly 5 cm below the costal margin, ascites,
abdominal tenderness on palpation; cardiovascular: regular cardiac rhythm, heart rate 78 bpm; respiratory: clear breath sounds, no wheezes or
crackles; skin/mucous membranes: mild jaundice, pale, and no mucosal lesions.
05 ID: Female, 39 years old, mixed race, single, lives in Sento Sé, Bahia (urban area), homemaker.
HPI: The patient presents with a 65-day history of daily fever, associated with asthenia, weight loss, chills, and bleeding.
PMH: Denies any previous diseases; current medications: none.
SH: denies alcohol use and smoking.
PE: Weight: 63 kg; height: 1.65 m; BP: 120/70 mmHg; abdomen: Normal liver span, splenomegaly 4 cm below the costal margin, no ascites, no
abdominal tenderness on palpation; cardiovascular: regular cardiac rhythm, heart rate 80 bpm; respiratory: clear breath sounds, no wheezes or
crackles; skin/mucous membranes: no jaundice, pale, no mucosal lesions.
06 ID: Male, 50 years old, Caucasian, married, lives in Cabrobó, Pernambuco (urban area), farmer.
HPI: The patient presents with a 90-day history of daily fever, associated with asthenia, weight loss, abdominal discomfort, and bleeding.
PMH: Denies any previous diseases; current medications: None.
SH: Light alcohol use, smoker for 15 years, 10 cigarettes per day.
PE: Weight: 60 kg; height: 1.66 m; BP: 130/80 mmHg; abdomen: hepatomegaly 12 cm below the costal margin, splenomegaly 8 cm below the
costal margin, no ascites, no abdominal tenderness on palpation; cardiovascular: regular cardiac rhythm, heart rate 82 bpm; respiratory: clear
breath sounds, no wheezes or crackles; skin/mucous membranes: no jaundice, pale, no mucosal lesions.
07 ID: Male, 49 years old, Caucasian, married, lives in Petrolina, Pernambuco (rural area), farmer.
HPI: The patient presents with a 35-day history of daily fever, associated with weight loss, cough, and sweating.
PMH: Denies any previous diseases; current medications: None.
SH: Moderate alcohol use, smoker.
PE: Weight: 67 kg; height: 1.75 m; BP: 100/70 mmHg; abdomen: hepatomegaly 6 cm below the costal margin, splenomegaly 7 cm below the
costal margin, no ascites, abdominal tenderness on palpation; cardiovascular: regular cardiac rhythm, heart rate 100 bpm; respiratory: clear
breath sounds, no wheezes, presence of crackles; skin/mucous membranes: no jaundice, pale, and no mucosal lesions.
08 ID: Male, 42 years old, mixed race, single, lives in Petrolina, Pernambuco (rural area); occupation not reported.
HPI: The patient presents with asthenia, weight loss, and abdominal discomfort.
PMH: Previous visceral leishmaniasis; current medications: None.
SH: Light alcohol use, denies smoking.
(Cont'd...)

Volume 1 Issue 4 (2024) 100 doi: 10.36922/aih.3930