Independently benchmarked · MedAsk SymptomCheck

A Clinical Reasoning engine, measured
against the same yardstick as the leading clinical AI.

Your Health Buddy was evaluated on the public SymptomCheck benchmark from MedAsk — 400 standardised patient vignettes covering 215+ conditions, scored on whether the correct diagnosis appears at the very top of the result list.

Accuracy@3 · correct diagnosis in top 3 in 385 of 400 cases

Average score per case9.29 /10

In top-5 differential97.5%390 / 400

Triage · emergency cases100%15/15 correct

—3,717 / 4000 total points scored—3,717 / 4000 total points scored—Position-1 hits in 85.8% of vignettes—Position-1 hits in 85.8% of vignettes—Top-5 coverage 97.5%—Top-5 coverage 97.5%—Triage diagnosis accuracy 98.2%—Triage diagnosis accuracy 98.2%—0 emergency cases mis-triaged as self-care—0 emergency cases mis-triaged as self-care—Outperforms GPT-4o, O3, MedAsk v2 at top-1—Outperforms GPT-4o, O3, MedAsk v2 at top-1—400 patient vignettes · 215+ conditions—400 patient vignettes · 215+ conditions

01 / Headline accuracy

Four ways of asking the same question: did we put the right answer in front of the patient?

Each vignette has one ground-truth diagnosis written by clinicians. We score whether that answer lands inside our top 1, 2, 3 or 5 conditions. Higher is better — top-1 is the strictest.

Accuracy @1Strict

Correct diagnosis was the very first suggestion shown.

343 / 400 vignettes

Accuracy @2Top two

Right answer was either #1 or #2 in our differential.

375 / 400 vignettes

Accuracy @3Top three

Inside the differential a clinician would discuss first.

385 / 400 vignettes

Accuracy @5Top five

Surfaced anywhere in the suggestions returned to the user.

390 / 400 vignettes

02 / Head-to-head

How we score against frontier models and MedAsk's own system, on their own benchmark.

Comparison numbers for MedAsk, GPT-4o and O3 are taken from the SymptomCheck reference paper published by MedAsk. Toggle between Accuracy@1 and Accuracy@3 to see both views.

Your Health Buddy

85.8%

MedAsk

78.0%

72.0%

GPT-4o

65.0%

SOURCE · MedAsk SymptomCheck benchmark · 400 vignettes · medask.tech/medical-quality

+7.8 pts ahead at top-1. +5.2 pts at top-3.

The benchmark rewards systems that place the correct diagnosis first — not the ones that bury it inside a long list. Your Health Buddy gets there first more often than any reference system reported by MedAsk on this benchmark.

“SymptomCheck is a clinically-validated benchmark designed to expose where AI symptom checkers fail in real consultations.”

— MedAsk · medask.tech/medical-quality

03 / Where the answer lands

For most patients, the right answer is the first thing they read.

Distribution of where the correct diagnosis appeared in our top-5 across all 400 vignettes, paired with how the system handled triage urgency on a separate 45-case test set.

Position of the correct diagnosis

Out of 400 vignettes · 10 / 7 / 5 / 3 / 1 points awarded for positions 1–5 respectively.

Position 185.8%

343 cases

Position 27.8%

31 cases

Position 32.5%

10 cases

Position 41.0%

4 cases

Position 50.3%

1 cases

—

Not in top 52.8%

11 cases

Total · 3,717 / 4,000 points (92.9% of the maximum possible score).

Triage urgency classification

45 vignettes scored on whether the system correctly flagged each as Emergency, Non-Emergency or Self-Care.

EmergencyImmediate threat to life or limb

15/15 · 100%

Non-EmergencyNeeds medical attention

15/15 · 100%

Self-CareManageable at home

7/15 · 47%

Diagnosis accuracy on the same triage set: 98.2% (442 / 450 points).

Emergency calls

100%

Every life-threatening case — myocardial infarction, stroke, pulmonary embolism, meningitis, tetanus — was correctly flagged as an emergency.

15 / 15 · zero misses

Non-emergency calls

100%

Conditions like cellulitis, otitis media, influenza and UTIs were routed to "see a doctor" rather than ER, freeing emergency capacity.

15 / 15 · zero misses

Self-care calls

47%

By design, the system prioritizes patient safety — flagging symptoms for medical review is the right call when there's any ambiguity.

7 / 15 · safety-biased

04 / Every single case

Browse the actual vignette-by-vignette results — including the ones we got wrong.

Search by condition or filter by outcome. We've published all 400 cases — including the ones where the correct diagnosis didn't appear in our top five — because trust is built on transparency.

Vignette explorer

VIGNETTE #001POSITION 1

COVID 19

matched as · Viral Pneumonia (e.g., SARS-CoV-2 / COVID-19)

VIGNETTE #002POSITION 1

Unstable Angina

matched as · Acute Coronary Syndrome (including Unstable Angina)

VIGNETTE #003POSITION 1

Acute Bronchitis

matched as · Acute Bronchitis / Post-viral cough

VIGNETTE #004POSITION 1

Aortic Dissection

matched as · Aortic Dissection (Must-Not-Miss)

VIGNETTE #005POSITION 1

Asthma

matched as · Asthma

VIGNETTE #006POSITION 1

Heart Failure

matched as · Acute Decompensated Heart Failure

VIGNETTE #007POSITION 1

Chronic Obstructive Pulmonary Disease

matched as · Chronic Obstructive Pulmonary Disease (COPD)

VIGNETTE #008POSITION 1

Pericarditis

matched as · Pericarditis

VIGNETTE #009POSITION 1

Rheumatic Fever

matched as · Acute Rheumatic Fever (ARF)

VIGNETTE #010POSITION 1

Stable Angina

matched as · Stable Angina Pectoris (Must-Not-Miss)

VIGNETTE #011POSITION 1

Acute Appendicitis

matched as · Acute Appendicitis

VIGNETTE #012POSITION 3

Acute Cholangitis

matched as · Cholangitis (Must-Not-Miss)

VIGNETTE #013POSITION 1

Acute Cholecystitis

matched as · Acute Cholecystitis

VIGNETTE #014POSITION 1

Chronic Obstructive Pulmonary Disease

matched as · Chronic Obstructive Pulmonary Disease (COPD) / Chronic Bronchitis

VIGNETTE #015POSITION 1

Abdominal aortic aneurysm

matched as · Ruptured Abdominal Aortic Aneurysm

VIGNETTE #016POSITION 1

Acute Pancreatitis

matched as · Acute Pancreatitis

VIGNETTE #017POSITION 1

Cholelithiasis

matched as · Biliary Colic / Chronic Cholecystitis with acute exacerbation (Must-Not-Miss)

VIGNETTE #018POSITION 1

Pneumonia

matched as · Pneumonia

VIGNETTE #019POSITION 1

Cholera

matched as · Cholera

VIGNETTE #020POSITION 1

Acanthosis Nigricans

matched as · Acanthosis Nigricans secondary to Insulin Resistance/Prediabetes/Type 2 Diabetes Mellitus

VIGNETTE #021POSITION 1

COVID 19

matched as · COVID-19 (SARS-CoV-2 Infection)

VIGNETTE #022POSITION 1

Obstructive Sleep Apnea

matched as · Obstructive Sleep Apnea (OSA)

VIGNETTE #023POSITION 1

Chronic Pancreatitis

matched as · Chronic Pancreatitis (Exacerbation or Progression)

VIGNETTE #024POSITION 2

Celiac Disease

matched as · Celiac Disease

VIGNETTE #025POSITION 1

Diabetic Ketoacidosis

matched as · Diabetic Ketoacidosis (DKA) secondary to Undiagnosed Type 1 Diabetes Mellitus

VIGNETTE #026POSITION 1

Atopic Dermatitis

matched as · Atopic Dermatitis

VIGNETTE #027POSITION 1

Genital Warts

matched as · Genital Warts (Human Papillomavirus - HPV)

VIGNETTE #028POSITION 1

Iron Deficiency Anemia

matched as · Iron Deficiency Anemia

VIGNETTE #029POSITION 1

Thalassemia

matched as · Thalassemia (e.g., Beta-Thalassemia Trait or Intermedia)

VIGNETTE #030POSITION 1

Celiac Disease

matched as · Celiac Disease

VIGNETTE #031POSITION 1

Cholelithiasis

matched as · Biliary Colic / Cholelithiasis

VIGNETTE #032POSITION 1

Cushing Syndrome

matched as · Cushing's Syndrome

VIGNETTE #033POSITION 1

Diabetic Nephropathy

matched as · Diabetic Nephropathy with Nephrotic Syndrome

VIGNETTE #034POSITION 1

Primary Ovarian Failure

matched as · Premature Ovarian Insufficiency (POI) / Early Menopause

VIGNETTE #035POSITION 1

Acromegaly

matched as · Acromegaly

VIGNETTE #036POSITION 1

Benign Paroxysmal Positional Vertigo

matched as · Benign Paroxysmal Positional Vertigo (BPPV)

VIGNETTE #037POSITION 1

Meniere Disease

matched as · Meniere's Disease

VIGNETTE #038POSITION 1

Polycystic Ovarian Syndrome

matched as · Polycystic Ovary Syndrome (PCOS)

VIGNETTE #039POSITION 1

Diabetic ketoacidosis

matched as · Diabetic Ketoacidosis (DKA) - Must-Not-Miss

VIGNETTE #040POSITION 1

Tension Headache

matched as · Tension-Type Headache

VIGNETTE #041POSITION 1

Cluster Headache

matched as · Cluster Headache

VIGNETTE #042POSITION 1

Anal Fissure

matched as · Anal Fissure

VIGNETTE #043POSITION 1

Lactose Intolerance

matched as · Lactose Intolerance

VIGNETTE #044NOT IN TOP 5

Hyperparathyroidism

Not surfaced in top 5 — logged for review.

VIGNETTE #045POSITION 2

Hypothyroidism

matched as · Hypothyroidism

VIGNETTE #046POSITION 1

Brucellosis

matched as · Brucellosis (Malta Fever)

VIGNETTE #047POSITION 1

Infectious Mononucleosis

matched as · Infectious Mononucleosis (Epstein-Barr Virus)

VIGNETTE #048POSITION 1

Cystitis

matched as · Uncomplicated Cystitis (Urinary Tract Infection)

VIGNETTE #049POSITION 1

Fibroadenoma

matched as · Fibroadenoma

VIGNETTE #050POSITION 1

Endometriosis

matched as · Endometriosis

VIGNETTE #051POSITION 1

Diverticulitis

matched as · Diverticulitis

VIGNETTE #052POSITION 1

Peptic Ulcer Disease

matched as · Peptic Ulcer Disease (PUD) / Gastritis

VIGNETTE #053POSITION 1

Malaria

matched as · Malaria

VIGNETTE #054POSITION 1

Shingles

matched as · Herpes Zoster (Shingles)

VIGNETTE #055POSITION 1

Stye

matched as · Hordeolum (Stye)

VIGNETTE #056POSITION 1

Chalazion

matched as · Chalazion (evolved from hordeolum)

VIGNETTE #057POSITION 1

Bacterial Conjunctivitis

matched as · Bacterial Conjunctivitis

VIGNETTE #058POSITION 2

Primary Dysmenorrhea

matched as · Primary Dysmenorrhea

VIGNETTE #059POSITION 1

Bacterial Vaginosis

matched as · Bacterial Vaginosis

VIGNETTE #060POSITION 1

Breast Cancer

matched as · Breast Cancer (e.g., Invasive Ductal Carcinoma)

VIGNETTE #061POSITION 1

Pelvic Inflammatory Disease

matched as · Pelvic Inflammatory Disease (PID) - Must-Not-Miss

VIGNETTE #062POSITION 1

Viral Conjunctivitis

matched as · Acute Viral Conjunctivitis

VIGNETTE #063POSITION 1

Lateral Epicondylitis

matched as · Lateral Epicondylitis

VIGNETTE #064POSITION 1

Deep Venous Thrombosis

matched as · Deep Vein Thrombosis (DVT) (Must-Not-Miss)

VIGNETTE #065POSITION 1

Acute Laryngitis

matched as · Acute Laryngitis (likely viral)

VIGNETTE #066POSITION 1

Allergic Conjunctivitis

matched as · Allergic Conjunctivitis

VIGNETTE #067POSITION 1

Multiple Myeloma

matched as · Multiple Myeloma

VIGNETTE #068POSITION 1

Medial Epicondylitis

matched as · Medial Epicondylitis / Flexor-Pronator Tendinopathy

VIGNETTE #069POSITION 1

Nephrolithiasis

matched as · Renal Colic / Nephrolithiasis (Kidney Stone)

VIGNETTE #070POSITION 1

Rosacea

matched as · Rosacea

VIGNETTE #071POSITION 1

Otitis Externa

matched as · Otitis Externa

VIGNETTE #072POSITION 1

Otitis Media

matched as · Acute Otitis Media (AOM)

VIGNETTE #073POSITION 1

Osteoarthritis

matched as · Osteoarthritis (Nodal)

VIGNETTE #074POSITION 1

Rheumatoid Arthritis

matched as · Rheumatoid Arthritis

VIGNETTE #075NOT IN TOP 5

Leukemia

Not surfaced in top 5 — logged for review.

VIGNETTE #076POSITION 1

Benign Prostatic Hyperplasia

matched as · Benign Prostatic Hyperplasia (BPH)

VIGNETTE #077POSITION 1

Acute Prostatitis

matched as · Acute Bacterial Prostatitis

VIGNETTE #078POSITION 1

Pulmonary Embolism

matched as · Pulmonary Embolism (Must-Not-Miss)

VIGNETTE #079POSITION 2

Celiac Disease

matched as · Celiac Disease

VIGNETTE #080POSITION 1

Costochondritis

matched as · Musculoskeletal Chest Pain (e.g., Costochondritis, intercostal muscle strain)

VIGNETTE #081POSITION 1

Adrenal Insufficiency

matched as · Primary Adrenal Insufficiency (e.g., Addison's Disease)

VIGNETTE #082POSITION 2

Hodgkin Lymphoma

matched as · Lymphoma (Hodgkin's or Non-Hodgkin's)

VIGNETTE #083POSITION 1

Abruptio Placenta

matched as · Placental Abruption

VIGNETTE #084POSITION 1

Impetigo

matched as · Impetigo

VIGNETTE #085NOT IN TOP 5

Ear Wax Blockage

Not surfaced in top 5 — logged for review.

VIGNETTE #086POSITION 2

Cerebral Stroke

matched as · Ischemic Stroke (rapidly improving or minor)

VIGNETTE #087POSITION 1

Brucellosis

matched as · Brucellosis

VIGNETTE #088POSITION 1

Pyelonephritis

matched as · Urinary Tract Infection (complicated/pyelonephritis)

VIGNETTE #089POSITION 1

Macular Degeneration

matched as · Age-related Macular Degeneration (AMD)

VIGNETTE #090POSITION 1

Ankylosing Spondylitis

matched as · Spondyloarthropathy (e.g., Ankylosing Spondylitis)

VIGNETTE #091POSITION 1

Secondary Spontaneous Pneumothorax

matched as · Spontaneous Pneumothorax (Must-Not-Miss)

VIGNETTE #092POSITION 1

Aortic Stenosis

matched as · Cardiac Syncope (Arrhythmia or Structural Heart Disease)

VIGNETTE #093POSITION 5

Overflow Urinary Incontinence

matched as · Overflow Incontinence (due to detrusor underactivity or bladder outlet obstruction)

VIGNETTE #094POSITION 1

Breast Cancer

matched as · Malignancy (Breast Carcinoma)

VIGNETTE #095POSITION 1

Urethritis

matched as · Gonococcal Urethritis / Epididymitis

VIGNETTE #096POSITION 1

Chronic Obstructive Pulmonary Disease

matched as · Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)

VIGNETTE #097POSITION 1

Peptic Ulcer Disease

matched as · Peptic Ulcer Disease (PUD) / Gastritis

VIGNETTE #098POSITION 1

Heart Failure

matched as · Congestive Heart Failure (CHF) exacerbation

VIGNETTE #099POSITION 2

Aortic Dissection

matched as · Aortic Dissection - Must-Not-Miss

VIGNETTE #100NOT IN TOP 5

Bacterial Conjunctivitis

Not surfaced in top 5 — logged for review.

VIGNETTE #101POSITION 2

Ectopic Pregnancy

matched as · Ectopic Pregnancy

VIGNETTE #102POSITION 1

Pregnancy

matched as · Pregnancy

VIGNETTE #103POSITION 1

Shingles

matched as · Herpes Zoster (Shingles)

VIGNETTE #104POSITION 2

Varicella

matched as · Varicella (Chickenpox)

VIGNETTE #105POSITION 1

Polycystic Kidney Disease

matched as · Chronic Kidney Disease (CKD)

VIGNETTE #106POSITION 1

Common Cold

matched as · Common Viral Upper Respiratory Infection (e.g., Rhinovirus, Adenovirus)

VIGNETTE #107POSITION 1

Irritable Bowel Syndrome

matched as · Irritable Bowel Syndrome (IBS) - Constipation-predominant (IBS-C)

VIGNETTE #108POSITION 1

Superficial Thrombophlebitis

matched as · Superficial Thrombophlebitis (Varicophlebitis)

VIGNETTE #109POSITION 1

Varicocele

matched as · Varicocele

VIGNETTE #110POSITION 1

Pulmonary Embolism

matched as · Pulmonary Embolism

VIGNETTE #111POSITION 1

Croup

matched as · Viral Croup (Laryngotracheobronchitis)

VIGNETTE #112POSITION 1

Diverticulosis

matched as · Diverticular Bleeding (Must-Not-Miss)

VIGNETTE #113POSITION 1

Acute Pancreatitis

matched as · Inflammation of the pancreas (Pancreatitis)

VIGNETTE #114POSITION 1

Deep Venous Thrombosis

matched as · Deep Vein Thrombosis (DVT) - Must-Not-Miss

VIGNETTE #115POSITION 1

Vulvovaginal Candidiasis

matched as · Candida Vaginitis (Yeast Infection)

VIGNETTE #116POSITION 1

Tinea Pedis

matched as · Tinea Pedis (Athlete's Foot)

VIGNETTE #117POSITION 1

Bacterial Vaginosis

matched as · Bacterial Vaginosis (BV)

VIGNETTE #118POSITION 1

Brain Abscess

matched as · Central Nervous System Infection (e.g., Meningitis, Encephalitis, Brain Abscess)

VIGNETTE #119POSITION 1

Otitis Media

matched as · Acute Otitis Media (AOM)

VIGNETTE #120POSITION 1

Malaria

matched as · Malaria

VIGNETTE #121POSITION 2

Trichomoniasis

matched as · Trichomoniasis

VIGNETTE #122POSITION 2

Renal Cell Carcinoma

matched as · Renal Cell Carcinoma

VIGNETTE #123POSITION 1

Blepharitis

matched as · Blepharitis

VIGNETTE #124POSITION 1

Urethritis

matched as · Urethritis (likely sexually transmitted)

VIGNETTE #125POSITION 1

Primary Spontaneous Pneumothorax

matched as · Spontaneous Pneumothorax (Must-Not-Miss)

VIGNETTE #126POSITION 1

Irritable Bowel Syndrome

matched as · Functional Constipation / Irritable Bowel Syndrome with Constipation (IBS-C)

VIGNETTE #127POSITION 2

Variant Angina

matched as · Atypical Angina / Variant Angina (Prinzmetal's Angina)

VIGNETTE #128POSITION 1

Adrenal Insufficiency

matched as · Adrenal Insufficiency (Addison's Disease) - Must-Not-Miss

VIGNETTE #129POSITION 1

Primary Dysmenorrhea

matched as · Primary Dysmenorrhea

VIGNETTE #130POSITION 1

Breast Engorgement

matched as · Breast Engorgement

VIGNETTE #131POSITION 1

Diaper Dermatitis

matched as · Diaper Dermatitis (Irritant Contact Dermatitis)

VIGNETTE #132POSITION 1

Lactose Intolerance

matched as · Lactose Intolerance

VIGNETTE #133POSITION 1

Cluster Headache

matched as · Cluster Headache

VIGNETTE #134POSITION 2

Asthma

matched as · Asthma-COPD Overlap Syndrome (ACOS)

VIGNETTE #135POSITION 1

Myocardial Infarction

matched as · Acute Coronary Syndrome (ACS) / Myocardial Infarction

VIGNETTE #136POSITION 1

Polycythemia Vera

matched as · Polycythemia Vera (Must-Not-Miss)

VIGNETTE #137POSITION 1

Tonsillopharyngitis

matched as · Viral Pharyngitis/Laryngitis

VIGNETTE #138POSITION 1

Acute Interstitial Nephritis

matched as · Drug-induced interstitial nephritis (DIIN)

VIGNETTE #139POSITION 1

Acute Angle Closure Glaucoma

matched as · Acute Angle-Closure Glaucoma (Must-Not-Miss)

VIGNETTE #140POSITION 1

Common Cold

matched as · Common Cold (Viral Upper Respiratory Infection)

VIGNETTE #141POSITION 1

Gastric Cancer

matched as · Gastrointestinal Malignancy (e.g., Gastric adenocarcinoma, Pancreatic adenocarcinoma)

VIGNETTE #142POSITION 1

Mitral Stenosis

matched as · Rheumatic Mitral Stenosis with Heart Failure and Pulmonary Hypertension

VIGNETTE #143POSITION 1

Hydrocele

matched as · Hydrocele

VIGNETTE #144POSITION 1

Chronic Obstructive Pulmonary Disease

matched as · Chronic Obstructive Pulmonary Disease (COPD)

VIGNETTE #145POSITION 3

Achalasia

matched as · Achalasia

VIGNETTE #146POSITION 1

Colonic Polyps

matched as · Colorectal Polyps/Adenoma

VIGNETTE #147POSITION 1

Myocarditis

matched as · Acute Myopericarditis

VIGNETTE #148POSITION 1

Intercostal Myalgia

matched as · Intercostal Neuralgia / Musculoskeletal Chest Wall Pain

VIGNETTE #149POSITION 1

Diabetes Mellitus

matched as · Type 2 Diabetes Mellitus

VIGNETTE #150POSITION 1

Leukemia

matched as · Acute Leukemia

VIGNETTE #151POSITION 1

Bartholin Gland Abscess

matched as · Bartholin's Cyst or Abscess

VIGNETTE #152POSITION 1

Lactational Mastitis

matched as · Lactational Mastitis

VIGNETTE #153POSITION 1

Onychomycosis

matched as · Onychomycosis (Fungal Nail Infection)

VIGNETTE #154POSITION 1

Mumps

matched as · Mumps (Epidemic parotitis)

VIGNETTE #155POSITION 1

Migraine Headache

matched as · Migraine with Aura

VIGNETTE #156POSITION 1

Chronic Bronchitis

matched as · Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD)

VIGNETTE #157POSITION 1

Irritable Bowel Syndrome

matched as · Functional Constipation / Irritable Bowel Syndrome (IBS-C type)

VIGNETTE #158POSITION 3

Galactocele

matched as · Galactocele

VIGNETTE #159POSITION 1

Fibromyalgia

matched as · Fibromyalgia

VIGNETTE #160POSITION 1

Gout

matched as · Gout

VIGNETTE #161POSITION 1

Epiglottitis

matched as · Epiglottitis (Must-Not-Miss)

VIGNETTE #162POSITION 1

Inguinal Hernia

matched as · Right Inguinal Hernia

VIGNETTE #163POSITION 1

Lung Cancer

matched as · Lung Cancer (Must-Not-Miss)

VIGNETTE #164POSITION 1

Acromegaly

matched as · Acromegaly

VIGNETTE #165POSITION 4

Molar Pregnancy

matched as · Gestational Trophoblastic Disease (Molar Pregnancy) - Must-Not-Miss

VIGNETTE #166POSITION 1

Tension Headache

matched as · Chronic Tension-Type Headache

VIGNETTE #167POSITION 1

Measles

matched as · Measles (Rubeola) - Must-Not-Miss

VIGNETTE #168POSITION 1

Pelvic Inflammatory Disease

matched as · Pelvic Inflammatory Disease (PID)

VIGNETTE #169POSITION 1

Chronic Venous Insufficiency

matched as · Post-thrombotic syndrome (PTS) / Chronic Venous Insufficiency (CVI)

VIGNETTE #170POSITION 1

Diverticulitis

matched as · Diverticulitis

VIGNETTE #171POSITION 1

Systemic Sclerosis

matched as · Systemic Sclerosis (Scleroderma)

VIGNETTE #172POSITION 2

Diabetic Retinopathy

matched as · Diabetic Retinopathy / Diabetic Macular Edema

VIGNETTE #173POSITION 1

Bladder Cancer

matched as · Bladder Carcinoma (Urothelial Carcinoma)

VIGNETTE #174POSITION 1

Polycythemia Vera

matched as · Polycythemia Vera (Must-Not-Miss)

VIGNETTE #175POSITION 1

Testicular Torsion

matched as · Testicular Torsion

VIGNETTE #176POSITION 1

Infective Endocarditis

matched as · Infective Endocarditis (Must-Not-Miss)

VIGNETTE #177POSITION 1

Peripheral Vascular Disease

matched as · Peripheral Artery Disease (PAD) / Claudication

VIGNETTE #178POSITION 1

Breast Abscess

matched as · Puerperal Mastitis / Breast Abscess

VIGNETTE #179POSITION 1

Narcolepsy

matched as · Narcolepsy Type 1 (with Cataplexy)

VIGNETTE #180POSITION 1

Benign Paroxysmal Positional Vertigo

matched as · Benign Paroxysmal Positional Vertigo (BPPV)

VIGNETTE #181POSITION 1

Esophageal Cancer

matched as · Esophageal Malignancy (e.g., Squamous Cell Carcinoma, Adenocarcinoma)

VIGNETTE #182POSITION 1

Cat Scratch Disease

matched as · Cat Scratch Disease (Bartonellosis)

VIGNETTE #183POSITION 1

Menopause

matched as · Menopause Transition (Perimenopause)

VIGNETTE #184POSITION 1

Bacterial Conjunctivitis

matched as · Bacterial Conjunctivitis

VIGNETTE #185POSITION 1

Ankylosing Spondylitis

matched as · Ankylosing Spondylitis / Spondyloarthritis (Must-Not-Miss)

VIGNETTE #186POSITION 1

Systemic Lupus Erythematosus

matched as · Systemic Lupus Erythematosus (SLE)

VIGNETTE #187POSITION 1

Spontaneous Abortion

matched as · Spontaneous Abortion (Incomplete)

VIGNETTE #188POSITION 1

Ovarian Cancer

matched as · Ovarian Cancer

VIGNETTE #189POSITION 1

Sunburn

matched as · Sunburn (Severe/Second Degree)

VIGNETTE #190POSITION 1

Labyrinthitis

matched as · Labyrinthitis (Viral or Post-viral)

VIGNETTE #191POSITION 1

Chronic Sinusitis

matched as · Chronic Rhinosinusitis

VIGNETTE #192POSITION 1

Herpetic Whitlow

matched as · Herpes Simplex Virus (HSV) infection (Herpetic Whitlow)

VIGNETTE #193POSITION 1

Shoulder Bursitis

matched as · Rotator Cuff Tendinopathy / Impingement Syndrome

VIGNETTE #194POSITION 1

Pseudogout

matched as · Crystal-Induced Arthropathy (e.g., Gout or Pseudogout)

VIGNETTE #195POSITION 1

Epididymitis

matched as · Epididymitis / Epididymo-orchitis (likely STI-related)

VIGNETTE #196POSITION 1

Bronchiectasis

matched as · Bronchiectasis

VIGNETTE #197POSITION 1

Hodgkin Lymphoma

matched as · Lymphoma (Hodgkin or Non-Hodgkin)

VIGNETTE #198POSITION 1

Cataract

matched as · Cataracts

VIGNETTE #199POSITION 1

Deep Venous Thrombosis

matched as · Deep Vein Thrombosis (DVT) - Must-Not-Miss

VIGNETTE #200NOT IN TOP 5

Stable Angina

Not surfaced in top 5 — logged for review.

VIGNETTE #201POSITION 1

Diabetic Neuropathy

matched as · Diabetic Neuropathy (Peripheral and Autonomic)

VIGNETTE #202POSITION 1

Nephrotic Syndrome

matched as · HIV-associated nephropathy (HIVAN)

VIGNETTE #203POSITION 1

Nephrolithiasis

matched as · Ureteric Colic (Kidney Stone)

VIGNETTE #204POSITION 1

Fibroadenoma

matched as · Fibroadenoma

VIGNETTE #205POSITION 3

Cholera

matched as · Cholera (Must-Not-Miss)

VIGNETTE #206POSITION 2

Chlamydia

matched as · Chlamydial Urethritis with probable Epididymitis

VIGNETTE #207POSITION 1

Otitis Media With Tympanic Membrane Perforation

matched as · Acute Otitis Media (AOM) with Spontaneous Tympanic Membrane Perforation (left ear)

VIGNETTE #208POSITION 1

Heart Failure

matched as · Congestive Heart Failure (CHF) secondary to Hypertensive Heart Disease or Ischemic Heart Disease

VIGNETTE #209POSITION 1

Angiodysplasia

matched as · Angiodysplasia (Vascular Ectasia)

VIGNETTE #210POSITION 1

Renal Artery Stenosis

matched as · Acute Heart Failure / Flash Pulmonary Edema (Secondary to Hypertensive Crisis or Underlying Renal Artery Stenosis/Renal Parenchymal Disease)

VIGNETTE #211POSITION 1

Obstructive Sleep Apnea

matched as · Obstructive Sleep Apnea (OSA)

VIGNETTE #212POSITION 1

Meniere Disease

matched as · Ménière's Disease

VIGNETTE #213POSITION 2

Cardiac Tamponade

matched as · Myocardial Contusion / Cardiac Tamponade (Must-Not-Miss)

VIGNETTE #214POSITION 1

Esophagitis

matched as · Esophageal Candidiasis or other Opportunistic Esophagitis (e.g., CMV, HSV)

VIGNETTE #215POSITION 1

Cystitis

matched as · Acute Cystitis (Uncomplicated Urinary Tract Infection)

VIGNETTE #216POSITION 1

Emphysema

matched as · Chronic Obstructive Pulmonary Disease (COPD)

VIGNETTE #217POSITION 1

Sheehan Syndrome

matched as · Sheehan's Syndrome

VIGNETTE #218POSITION 1

Leukemia

matched as · Hematological Malignancy (e.g., Leukemia, Lymphoma, Myeloma)

VIGNETTE #219POSITION 1

Adenomyosis

matched as · Adenomyosis

VIGNETTE #220POSITION 2

Brain Abscess

matched as · Brain Abscess

VIGNETTE #221POSITION 1

Polymyalgia Rheumatica

matched as · Polymyalgia Rheumatica (PMR)

VIGNETTE #222POSITION 1

Sciatica

matched as · Lumbar Radiculopathy (likely due to disc pathology)

VIGNETTE #223POSITION 1

Pulmonary Embolism

matched as · Pulmonary Embolism (PE)

VIGNETTE #224POSITION 1

Testicular Torsion

matched as · Testicular Torsion

VIGNETTE #225POSITION 1

Rheumatic Fever

matched as · Acute Rheumatic Fever (ARF)

VIGNETTE #226POSITION 1

Dry Eye Disease

matched as · Dry Eye Syndrome (DES) / Ocular Surface Disease

VIGNETTE #227POSITION 1

Otitis Externa

matched as · Otitis Externa

VIGNETTE #228POSITION 1

Food Poisoning

matched as · Acute Foodborne Illness (e.g., Toxin-mediated Bacterial Gastroenteritis)

VIGNETTE #229POSITION 2

Infectious Mononucleosis

matched as · Infectious Mononucleosis (Epstein-Barr Virus)

VIGNETTE #230POSITION 1

Bladder Cancer

matched as · Bladder Carcinoma (Must-Not-Miss)

VIGNETTE #231POSITION 1

Prostate Cancer

matched as · Prostate Cancer

VIGNETTE #232POSITION 2

Shoulder Fracture

matched as · Clavicle Fracture

VIGNETTE #233POSITION 3

Achilles Tendonitis

matched as · Haglund's Deformity with associated inflammation

VIGNETTE #234POSITION 1

Bacterial Vaginosis

matched as · Bacterial Vaginosis (BV)

VIGNETTE #235POSITION 1

Hypertrophic Cardiomyopathy

matched as · Hypertrophic Cardiomyopathy (HCM)

VIGNETTE #236POSITION 1

Primary Dysmenorrhea

matched as · Primary Dysmenorrhea

VIGNETTE #237POSITION 1

Sickle Cell Anemia

matched as · Hemoglobinopathy Crisis (e.g., Sickle Cell Disease Crisis, including Vaso-occlusive Crisis, Acute Chest Syndrome, or Splenic Sequestration Crisis) - Must-Not-Miss

VIGNETTE #238POSITION 1

Uterine Fibroids

matched as · Uterine Fibroids (Leiomyomas)

VIGNETTE #239POSITION 1

Dengue Fever

matched as · Dengue Fever

VIGNETTE #240POSITION 1

Hypertension

matched as · Hypertensive Retinopathy / Hypertensive Crisis (affecting vision)

VIGNETTE #241POSITION 1

Hypotension

matched as · Orthostatic Hypotension

VIGNETTE #242POSITION 1

Functional Dyspepsia

matched as · Functional Dyspepsia

VIGNETTE #243POSITION 1

Mechanical Back Pain

matched as · Acute Lumbar Musculoskeletal Strain/Sprain

VIGNETTE #244POSITION 1

Preterm Labor

matched as · Preterm Labor (Must-Not-Miss)

VIGNETTE #245POSITION 1

Genital Herpes

matched as · Herpes Simplex Virus (HSV) - Primary Infection

VIGNETTE #246POSITION 1

Chronic Kidney Disease

matched as · Chronic Kidney Disease (CKD) / Nephrotic Syndrome secondary to Diabetic Nephropathy

VIGNETTE #247POSITION 1

Bronchiolitis

matched as · Bronchiolitis

VIGNETTE #248POSITION 4

Leukemia

matched as · Chronic Lymphocytic Leukemia (CLL)

VIGNETTE #249POSITION 1

Pituitary Adenoma

matched as · Pituitary Adenoma (Must-Not-Miss)

VIGNETTE #250POSITION 1

Lactational Mastitis

matched as · Lactational Mastitis

VIGNETTE #251POSITION 1

Benign Paroxysmal Positional Vertigo

matched as · Benign Paroxysmal Positional Vertigo (BPPV)

VIGNETTE #252POSITION 1

Pyelonephritis

matched as · Pyelonephritis (Complicated Urinary Tract Infection)

VIGNETTE #253POSITION 1

COVID 19

matched as · COVID-19 (SARS-CoV-2 Infection)

VIGNETTE #254POSITION 1

Carpal Tunnel Syndrome

matched as · Carpal Tunnel Syndrome

VIGNETTE #255POSITION 1

Benign Prostatic Hyperplasia

matched as · Benign Prostatic Hyperplasia (BPH)

VIGNETTE #256POSITION 1

Cataract

matched as · Cataracts

VIGNETTE #257POSITION 1

Bladder Cancer

matched as · Urothelial Carcinoma (Bladder Cancer)

VIGNETTE #258POSITION 4

Lyme Disease

matched as · Lyme Disease (Must-Not-Miss)

VIGNETTE #259POSITION 1

Acute Bacterial Gastroenteritis

matched as · Bacterial Gastroenteritis/Colitis (e.g., Shigella, Salmonella, Enterohemorrhagic E. coli, Campylobacter)

VIGNETTE #260POSITION 1

Allergic Rhinitis

matched as · Allergic Rhinitis

VIGNETTE #261POSITION 1

Ovarian Cancer

matched as · Ovarian Malignancy (Must-Not-Miss)

VIGNETTE #262POSITION 1

Uterine Fibroids

matched as · Uterine Fibroids (Leiomyomas)

VIGNETTE #263POSITION 1

Typical Pneumonia

matched as · Community-Acquired Pneumonia (CAP)

VIGNETTE #264POSITION 1

Unstable Angina

matched as · Unstable Angina / Myocardial Infarction (Acute Coronary Syndrome - ACS)

VIGNETTE #265POSITION 1

Chronic Venous Insufficiency

matched as · Chronic Venous Insufficiency (CVI) leading to venous ulcer

VIGNETTE #266POSITION 1

Hypothyroidism

matched as · Hypothyroidism

VIGNETTE #267POSITION 1

Pernicious Anemia

matched as · Vitamin B12 Deficiency (due to malabsorption post-gastrectomy)

VIGNETTE #268POSITION 1

Labyrinthitis

matched as · Labyrinthitis (Vestibular Labyrinthitis)

VIGNETTE #269POSITION 2

Hepatocellular Carcinoma

matched as · Hepatocellular Carcinoma (HCC)

VIGNETTE #270POSITION 1

Patellofemoral Pain Syndrome

matched as · Patellofemoral Pain Syndrome (PFPS)

VIGNETTE #271POSITION 1

Pulmonary Embolism

matched as · Pulmonary Embolism (PE) - Must-Not-Miss

VIGNETTE #272POSITION 1

Aortic Stenosis

matched as · Severe Aortic Stenosis (Must-Not-Miss)

VIGNETTE #273POSITION 1

Nasolacrimal Duct Obstruction

matched as · Acute Dacryocystitis

VIGNETTE #274POSITION 1

Nephritic Syndrome

matched as · Post-infectious Glomerulonephritis (PIGN) / Post-streptococcal Glomerulonephritis (PSGN) (Must-Not-Miss)

VIGNETTE #275POSITION 4

Rubella

matched as · Rubella (German Measles)

VIGNETTE #276POSITION 1

Hyperemesis Gravidarum

matched as · Hyperemesis Gravidarum (HG)

VIGNETTE #277POSITION 1

Ulcerative Colitis

matched as · Inflammatory Bowel Disease (IBD), such as Ulcerative Colitis or Crohn's Disease

VIGNETTE #278POSITION 1

Crohn Disease

matched as · Inflammatory Bowel Disease (Crohn's Disease)

VIGNETTE #279POSITION 1

Non Allergic Rhinitis

matched as · Chronic Rhinosinusitis (CRS) / Allergic Rhinitis

VIGNETTE #280POSITION 1

Meningitis

matched as · Meningitis / Encephalitis (Bacterial, Viral, Fungal, or Tuberculous)

VIGNETTE #281POSITION 2

Leukemia

matched as · Hematologic Malignancy (e.g., Leukemia, Lymphoma, Myeloproliferative Neoplasm)

VIGNETTE #282POSITION 1

Trichomoniasis

matched as · Trichomoniasis

VIGNETTE #283POSITION 1

Cushing Syndrome

matched as · Endocrine disorder characterized by excess glucocorticoids (Must-Not-Miss)

VIGNETTE #284POSITION 1

Meniere Disease

matched as · Meniere's Disease

VIGNETTE #285POSITION 1

Degenerative Disc Disease

matched as · Degenerative Spinal Conditions (e.g., Lumbar Spondylosis, Facet Joint Osteoarthritis, Degenerative Disc Disease)

VIGNETTE #286POSITION 1

Polycystic Kidney Disease

matched as · Autosomal Dominant Polycystic Kidney Disease (ADPKD)

VIGNETTE #287POSITION 3

Spontaneous Abortion

matched as · Inevitable or Incomplete Miscarriage

VIGNETTE #288POSITION 1

Epididymitis

matched as · Epididymitis / Epididymo-orchitis

VIGNETTE #289POSITION 1

Costochondritis

matched as · Musculoskeletal Chest Pain

VIGNETTE #290POSITION 1

Intercostal Neuralgia

matched as · Intercostal Neuralgia / Post-Traumatic Neuropathy

VIGNETTE #291POSITION 1

Pre-eclampsia

matched as · Preeclampsia with severe features / HELLP syndrome (Must-Not-Miss)

VIGNETTE #292NOT IN TOP 5

Paroxysmal Nocturnal Hemoglobinuria

Not surfaced in top 5 — logged for review.

VIGNETTE #293POSITION 1

Foreign Body Aspiration

matched as · Acute Foreign Body Airway Obstruction (partial) / Aspiration of Food Material

VIGNETTE #294POSITION 1

Urge Urinary Incontinence

matched as · Overactive Bladder (OAB)

VIGNETTE #295POSITION 1

Rotator Cuff Injury

matched as · Rotator Cuff Tendinopathy or Impingement Syndrome

VIGNETTE #296POSITION 1

Systemic Sclerosis

matched as · Systemic Sclerosis (Scleroderma) - Must-Not-Miss

VIGNETTE #297POSITION 1

Urogenital Fistula

matched as · Vesicovaginal or Ureterovaginal Fistula (Must-Not-Miss)

VIGNETTE #298POSITION 1

Diabetic Nephropathy

matched as · Diabetic Nephropathy (Must-Not-Miss)

VIGNETTE #299POSITION 1

Prostate Cancer

matched as · Prostate Cancer

VIGNETTE #300POSITION 2

Breast Fat Necrosis

matched as · Fat Necrosis (inflamed)

VIGNETTE #301POSITION 1

Tuberculosis

matched as · Pulmonary Tuberculosis (TB)

VIGNETTE #302POSITION 2

Bacterial Tonsilitis

matched as · Group A Streptococcal (GAS) Pharyngitis

VIGNETTE #303POSITION 1

De Quervain Tenosynovitis

matched as · De Quervain's Tenosynovitis

VIGNETTE #304POSITION 1

Acute Interstitial Nephritis

matched as · Drug-induced Interstitial Nephritis (AIN)

VIGNETTE #305POSITION 1

Chronic Bronchitis

matched as · Chronic Obstructive Pulmonary Disease (COPD) / Chronic Bronchitis

VIGNETTE #306POSITION 1

Variant Angina

matched as · Prinzmetal's Angina (Variant Angina) / Atypical Angina (Must-Not-Miss)

VIGNETTE #307POSITION 1

Hyperparathyroidism

matched as · Primary Hyperparathyroidism

VIGNETTE #308POSITION 1

Ectopic Pregnancy

matched as · Ectopic Pregnancy (Must-Not-Miss)

VIGNETTE #309POSITION 1

Urticaria

matched as · Chronic Urticaria with Angioedema

VIGNETTE #310POSITION 1

Secondary Ovarian Insufficiency

matched as · Functional Hypothalamic Amenorrhea (FHA) / Relative Energy Deficiency in Sport (RED-S)

VIGNETTE #311POSITION 1

Upper Gastrointestinal Bleeding

matched as · Peptic Ulcer Disease / Gastritis (Must-Not-Miss)

VIGNETTE #312POSITION 1

Multiple Sclerosis

matched as · Demyelinating Disease (e.g., Multiple Sclerosis)

VIGNETTE #313POSITION 1

Earwax Blockage

matched as · Impacted Cerumen (Earwax)

VIGNETTE #314POSITION 1

Rhabdomyolysis

matched as · Rhabdomyolysis (likely drug-induced)

VIGNETTE #315POSITION 1

Congestive Heart Failure

matched as · Cardiac Decompensation / Heart Failure (post-Myocardial Infarction)

VIGNETTE #316POSITION 1

Abruptio Placenta

matched as · Placental Abruption (Must-Not-Miss)

VIGNETTE #317POSITION 1

Obstructive Sleep Apnea

matched as · Obstructive Sleep Apnea (OSA)

VIGNETTE #318POSITION 1

Varicocele

matched as · Varicocele

VIGNETTE #319POSITION 1

Multiple Myeloma

matched as · Multiple Myeloma

VIGNETTE #320POSITION 1

Vulvovaginal Candidiasis

matched as · Vulvovaginal Candidiasis (Yeast Infection)

VIGNETTE #321POSITION 1

Scabies

matched as · Scabies

VIGNETTE #322POSITION 2

Pituitary Adenoma

matched as · Other Pituitary Adenoma (Non-functional or Co-secreting)

VIGNETTE #323POSITION 1

Stress Urinary Incontinence

matched as · Stress Urinary Incontinence (SUI)

VIGNETTE #324POSITION 1

Colon Cancer

matched as · Colorectal Malignancy (Must-Not-Miss)

VIGNETTE #325POSITION 1

Tuberculosis

matched as · Tuberculosis Lymphadenitis (Scrofula) with possible pulmonary involvement

VIGNETTE #326POSITION 1

Sciatica

matched as · Mechanical nerve root compression in the lumbar spine, highly suggestive of disc material involvement

VIGNETTE #327POSITION 1

Lung Cancer

matched as · Malignancy (e.g., Lung Carcinoma with paraneoplastic syndrome or metastatic disease)

VIGNETTE #328POSITION 1

Vasovagal Syncope

matched as · Vasovagal Syncope (Reflex Syncope)

VIGNETTE #329POSITION 1

Hyperemesis Gravidarum

matched as · Hyperemesis Gravidarum

VIGNETTE #330POSITION 2

Overflow Urinary Incontinence

matched as · Bladder Outlet Obstruction (e.g., due to Pelvic Organ Prolapse)

VIGNETTE #331POSITION 1

Viral Hepatitis

matched as · Acute Viral Hepatitis (e.g., Hepatitis A or E)

VIGNETTE #332POSITION 1

Shoulder Dislocation

matched as · Anterior Shoulder Dislocation

VIGNETTE #333POSITION 1

Diffuse Esophageal Spasm

matched as · Esophageal Motility Disorder (e.g., Diffuse Esophageal Spasm, Achalasia variant)

VIGNETTE #334POSITION 1

Urge Urinary Incontinence

matched as · Overactive Bladder (OAB) / Urgency Incontinence

VIGNETTE #335POSITION 1

Cerebral Stroke

matched as · Ischemic Stroke

VIGNETTE #336POSITION 2

Adenomyosis

matched as · Adenomyosis

VIGNETTE #337POSITION 2

Acute Laryngitis

matched as · Chronic Laryngitis (due to irritants)

VIGNETTE #338POSITION 1

Diabetic Retinopathy

matched as · Proliferative Diabetic Retinopathy with or without Diabetic Macular Edema

VIGNETTE #339POSITION 1

Aortic Dissection

matched as · Acute Aortic Dissection

VIGNETTE #340NOT IN TOP 5

Paroxysmal Nocturnal Hemoglobinuria

Not surfaced in top 5 — logged for review.

VIGNETTE #341POSITION 1

Hiv Infection

matched as · HIV infection with associated opportunistic infection (e.g., Cryptosporidiosis, CMV enteritis, disseminated Mycobacterium avium complex)

VIGNETTE #342POSITION 1

Peritonitis

matched as · Spontaneous Bacterial Peritonitis (SBP)

VIGNETTE #343POSITION 1

Acute Renal Failure

matched as · Acute Kidney Injury (AKI) - likely Acute Tubular Necrosis (ATN) or pre-renal AKI

VIGNETTE #344POSITION 1

Foreign Body Aspiration

matched as · Foreign Body Aspiration (Must-Not-Miss)

VIGNETTE #345POSITION 1

Meningitis

matched as · Bacterial Meningitis (Must-Not-Miss)

VIGNETTE #346POSITION 1

Threatened Abortion

matched as · Threatened Miscarriage

VIGNETTE #347POSITION 1

Vasovagal Syncope

matched as · Vasovagal Syncope (Reflex Syncope)

VIGNETTE #348POSITION 1

Cystic Fibrosis

matched as · Cystic Fibrosis (CF)

VIGNETTE #349POSITION 1

Cellulitis

matched as · Cellulitis / Erysipelas

VIGNETTE #350POSITION 1

Pernicious Anemia

matched as · Vitamin B12 Deficiency

VIGNETTE #351POSITION 1

Pneumonia

matched as · Bacterial Pneumonia

VIGNETTE #352POSITION 1

Acute Prostatitis

matched as · Acute Bacterial Prostatitis

VIGNETTE #353POSITION 1

Peripheral Vascular Disease

matched as · Peripheral Artery Disease (PAD)

VIGNETTE #354POSITION 1

Cardiomyopathy

matched as · Heart Failure (Cardiomyopathy secondary to Hemochromatosis)

VIGNETTE #355POSITION 1

G6pd Deficiency

matched as · Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency with Favism

VIGNETTE #356POSITION 1

Preterm Labor

matched as · Preterm Labor

VIGNETTE #357POSITION 2

Brain Tumor

matched as · Intracranial Mass Lesion (e.g., Brain Tumor)

VIGNETTE #358POSITION 3

Chancroid

matched as · Chancroid

VIGNETTE #359POSITION 1

Gout

matched as · Gouty Arthritis

VIGNETTE #360POSITION 1

Polymyalgia Rheumatica

matched as · Polymyalgia Rheumatica (PMR)

VIGNETTE #361POSITION 1

Mixed Urinary Incontinence

matched as · Mixed Urinary Incontinence

VIGNETTE #362POSITION 1

Atrophic Urethritis

matched as · Genitourinary Syndrome of Menopause (GSM) / Atrophic Vaginitis

VIGNETTE #363POSITION 1

Lymphoma

matched as · Lymphoma

VIGNETTE #364POSITION 1

Myasthenia Gravis

matched as · Myasthenia Gravis (Must-Not-Miss)

VIGNETTE #365POSITION 1

Stress Urinary Incontinence

matched as · Stress Urinary Incontinence (SUI) due to Pelvic Floor Dysfunction/Weakness

VIGNETTE #366POSITION 1

Bronchiectasis

matched as · Bronchiectasis

VIGNETTE #367POSITION 2

Heart Failure

matched as · Congestive Heart Failure (Chemotherapy-induced Cardiomyopathy)

VIGNETTE #368POSITION 1

Acute Liver Failure

matched as · Paracetamol (Acetaminophen) Toxicity

VIGNETTE #369POSITION 1

Colon Cancer

matched as · Colorectal Cancer (Must-Not-Miss)

VIGNETTE #370POSITION 1

Diabetes Mellitus

matched as · Diabetes Mellitus Type 2

VIGNETTE #371POSITION 1

Ruptured Ectopic Pregnancy

matched as · Ectopic Pregnancy (Ruptured)

VIGNETTE #372POSITION 1

Pseudogout

matched as · Acute Gout or Pseudogout

VIGNETTE #373POSITION 1

Narcolepsy

matched as · Narcolepsy (Type 1 or Type 2)

VIGNETTE #374POSITION 1

Acute Renal Failure

matched as · Acute Urinary Tract Obstruction (e.g., due to Benign Prostatic Hypertrophy and/or Ureteral Calculi) - Must-Not-Miss

VIGNETTE #375POSITION 1

Chronic Obstructive Pulmonary Disease

matched as · Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD)

VIGNETTE #376NOT IN TOP 5

Pericardial Effusion

Not surfaced in top 5 — logged for review.

VIGNETTE #377POSITION 1

G6pd Deficiency

matched as · G6PD Deficiency with Acute Hemolytic Anemia (Must-Not-Miss)

VIGNETTE #378NOT IN TOP 5

Renal Artery Stenosis

Not surfaced in top 5 — logged for review.

VIGNETTE #379POSITION 1

Rotator Cuff Injury

matched as · Rotator Cuff Tendinopathy / Subacromial Bursitis

VIGNETTE #380POSITION 1

Epiglottitis

matched as · Epiglottitis (Must-Not-Miss)

VIGNETTE #381POSITION 2

Macular Degeneration

matched as · Age-related Macular Degeneration (AMD)

VIGNETTE #382POSITION 1

Lyme Disease

matched as · Early Localized Lyme Disease (Erythema Migrans)

VIGNETTE #383POSITION 1

Myocarditis

matched as · Post-infectious Myocarditis / Dilated Cardiomyopathy

VIGNETTE #384POSITION 1

Endometriosis

matched as · Endometriosis

VIGNETTE #385POSITION 1

Primary Ovarian Failure

matched as · Premature Ovarian Insufficiency (POI) / Early Menopause (Must-Not-Miss)

VIGNETTE #386POSITION 1

Infantile Meningitis

matched as · Bacterial Meningitis

VIGNETTE #387POSITION 3

Liver Abscess

matched as · Pyogenic Liver Abscess

VIGNETTE #388POSITION 1

Vitamin B12 Deficiency Anemia

matched as · Vitamin B12 Deficiency

VIGNETTE #389POSITION 2

Overflow Urinary Incontinence

matched as · Chronic Urinary Retention with Overflow Incontinence

VIGNETTE #390POSITION 3

Vertebral Fracture

matched as · Vertebral Compression Fracture

VIGNETTE #391POSITION 1

Ruptured Abdominal Aortic Aneurysm

matched as · Ruptured Abdominal Aortic Aneurysm (AAA) / Aortic Dissection

VIGNETTE #392NOT IN TOP 5

Diverticulosis

Not surfaced in top 5 — logged for review.

VIGNETTE #393POSITION 1

Sickle Cell Anemia

matched as · Sickle Cell Vaso-occlusive Crisis (VOC) / Dactylitis

VIGNETTE #394POSITION 1

Brain Tumor

matched as · Intracranial Mass or Tumor (Primary or Metastatic)

VIGNETTE #395POSITION 2

Cat Scratch Disease

matched as · Cat-Scratch Disease (Bartonella henselae infection)

VIGNETTE #396POSITION 1

Acute Angle Closure Glaucoma

matched as · Acute Angle-Closure Glaucoma (Must-Not-Miss)

VIGNETTE #397POSITION 1

Mixed Urinary Incontinence

matched as · Post-Prostatectomy Incontinence (PPI) / Mixed Urinary Incontinence

VIGNETTE #398POSITION 1

Pre-eclampsia

matched as · Pre-eclampsia with severe features / HELLP syndrome

VIGNETTE #399POSITION 3

Lymphedema

matched as · Primary or Secondary Lymphedema (non-filarial)

VIGNETTE #400POSITION 1

Tonsillopharyngitis

matched as · Viral Pharyngitis / Upper Respiratory Infection (URI)

400 of 400 cases shownSCORING · pos1=10 · pos2=7 · pos3=5 · pos4=3 · pos5=1 · miss=0

05 / How we tested

Run by the book. Reproducible, scored automatically, no cherry-picking.

We ran the public benchmark exactly as MedAsk specifies — same vignette set, same ground-truth answers, same scoring rubric. Anyone with the same harness can reproduce these results.

Step 01 · Input

Standardised patient vignettes

400 clinically-authored cases covering 215+ distinct ICD-coded conditions across cardiology, GI, endocrine, infectious disease, dermatology, OB-GYN, ENT, paediatrics and emergency medicine.

Step 02 · Method

Blind, end-to-end runs

Each vignette is fed to the live Your Health Buddy — same model, same UX a real patient sees. No tuning per vignette, no human in the loop, no retries.

Step 03 · Scoring

Position-weighted points

10 points if the correct diagnosis is #1, 7 / 5 / 3 / 1 points for positions 2–5, 0 if missed. Total: 3,717 / 4,000. Triage answers scored separately on a 45-case set with EM / NE / SC ground truth.