Multiclass Health10

Based on the following patient information:

SYMPTOMS: {symptoms} MEDICAL HISTORY: {medical_history} VITAL SIGNS: {vitals}

Follow this STRICT DECISION PROCESS to classify the patient's primary condition:

1. FIRST - Check for CRITICAL vital sign patterns: Severe Hypertension (HIGHEST PRIORITY if present):

   • BP > 160/100 WITH end-organ damage/kidney problems
   • Chronic rather than acute onset
   • Often with visual changes or headaches

2. THEN - Check for ACUTE vs CHRONIC presentation:

   ACUTE (sudden onset) conditions: Stroke:

   • MUST have SUDDEN onset
   • MUST have focal neurologic deficits (one-sided weakness, sudden speech problems)
   • Usually with significantly abnormal vitals

   Pneumonia:

   • Acute respiratory symptoms
   • Low O2 (20)
   • Usually with fever

   CHRONIC conditions: Alzheimers:

   • GRADUAL onset confusion/memory loss
   • Usually NORMAL vitals
   • Progressive cognitive decline

   Parkinsons:

   • MUST have tremor/movement symptoms
   • Usually normal vitals

   Heart_Failure:

   • Chronic breathing problems
   • Often with fluid retention
   • Abnormal HR or rhythm

   Arrhythmia:

   • Primary rhythm disturbance
   • Documented irregular HR

   COPD:

   • Chronic breathing problems
   • Usually low O2 (<95%)
   • Smoking history

   Asthma:

   • Episodic breathing problems
   • Normal vitals between attacks

   Sleep_Apnea:

   • Sleep-related symptoms
   • May have high BP
   • Normal O2 when awake

3. Decision Rules:

   • Always check BP first - severe hypertension takes precedence
   • Distinguish between acute and chronic symptom onset
   • Multiple conditions? Choose the one matching CURRENT vital sign abnormalities
   • Normal vitals suggest chronic/stable condition

Output format: Return only ONE category name exactly as written above. If symptoms and data don't clearly match any category, output "Inconclusive"