disease_steps.py

disease_next_steps = {
    "tumor": [
        "Schedule oncologist consultation for diagnosis.",
        "Obtain biopsy and imaging for tumor characterization.",
        "Discuss treatment options including surgery or chemotherapy.",
        "Plan supportive care and monitoring for complications."
    ],
    "heart": [
        "Schedule ECG and echocardiogram.",
        "Check cholesterol and lipid profile.",
        "Adopt a heart-healthy diet with reduced sodium.",
        "Discuss stress testing with your cardiologist."
    ],
    "diabetes": [
        "Monitor daily blood glucose levels.",
        "Schedule HbA1c blood test every 3-6 months.",
        "Consult a dietitian for meal planning.",
        "Start regular physical activity tailored to needs."
    ],
    "cancer": [
        "Schedule oncologist consultation for staging.",
        "Obtain biopsy and necessary imaging.",
        "Discuss chemotherapy, radiation, or surgery options.",
        "Plan supportive care, including nutrition and counseling."
    ],
    "hypertension": [
        "Measure blood pressure at home daily.",
        "Reduce salt and processed food intake.",
        "Discuss antihypertensive medications with your doctor.",
        "Schedule regular follow-up appointments."
    ],
    "stroke": [
        "Seek emergency medical care immediately.",
        "Undergo brain imaging (CT/MRI).",
        "Enroll in a stroke rehabilitation program.",
        "Review and manage risk factors to prevent recurrence."
    ],
    "asthma": [
        "Schedule lung function testing.",
        "Review and practice correct inhaler technique.",
        "Identify and avoid environmental triggers.",
        "Develop a written asthma action plan."
    ],
    "arthritis": [
        "Schedule rheumatology consultation for management plan.",
        "Begin physical therapy to maintain joint mobility.",
        "Consider anti-inflammatory or disease-modifying medications.",
        "Monitor joint swelling and pain progression."
    ],
    "migraine": [
        "Keep a detailed headache diary to identify triggers.",
        "Consider prophylactic migraine medication if frequent.",
        "Use prescribed acute pain relief as needed.",
        "Practice stress reduction techniques like mindfulness."
    ],
    "depression": [
        "Schedule mental health evaluation.",
        "Discuss therapy options such as CBT or counseling.",
        "Consider antidepressant medication if indicated.",
        "Monitor mood and symptoms regularly."
    ],
    "anemia": [
        "Get blood tests for iron, B12, and folate levels.",
        "Begin iron or vitamin supplementation if indicated.",
        "Investigate underlying causes with your doctor.",
        "Schedule follow-up blood tests to monitor improvement."
    ],
    "allergy": [
        "Schedule allergy testing to identify specific triggers.",
        "Start daily antihistamine therapy as needed.",
        "Develop an avoidance plan for known allergens.",
        "Discuss immunotherapy (allergy shots) for long-term relief."
    ],
    "obesity": [
        "Calculate BMI and set personalized weight goals.",
        "Consult with a nutritionist for meal planning.",
        "Begin a regular exercise routine.",
        "Consider behavioral counseling or medical therapy if indicated."
    ],
    "epilepsy": [
        "Schedule EEG testing for seizure characterization.",
        "Start or adjust anti-seizure medication regimen.",
        "Educate family about seizure first aid.",
        "Schedule neurology follow-up for medication monitoring."
    ],
    "dementia": [
        "Conduct formal cognitive testing.",
        "Rule out reversible causes (e.g., B12 deficiency).",
        "Establish safety measures in the home.",
        "Schedule neurology or geriatrics follow-up."
    ],
    "autism": [
        "Schedule a comprehensive developmental assessment.",
        "Begin behavioral and speech therapy if recommended.",
        "Coordinate school-based support services.",
        "Educate caregivers about autism spectrum strategies."
    ],
    "parkinson": [
        "Conduct neurological evaluation for symptom assessment.",
        "Discuss initiation of dopaminergic therapy.",
        "Begin physical and occupational therapy.",
        "Plan regular follow-up visits with a neurologist."
    ],
    "leukemia": [
        "Schedule hematology-oncology consultation.",
        "Get complete blood count (CBC) and bone marrow biopsy.",
        "Discuss chemotherapy treatment options.",
        "Plan supportive care, including infection prevention."
    ],
    "glaucoma": [
        "Schedule comprehensive ophthalmology evaluation.",
        "Begin eye drop therapy to reduce intraocular pressure.",
        "Monitor intraocular pressure at regular intervals.",
        "Consider laser or surgical options if indicated."
    ],
    "sclerosis": [
        "Schedule neurology evaluation for symptom assessment.",
        "Consider disease-modifying therapy if indicated.",
        "Begin physical and occupational therapy.",
        "Monitor disease progression with regular follow-up."
    ],
    "hepatitis": [
        "Get liver function tests and hepatitis panel.",
        "Determine hepatitis type (A, B, C).",
        "Discuss antiviral therapy options if needed.",
        "Schedule regular monitoring for liver damage."
    ],
    "kidney": [
        "Schedule nephrology consultation for staging.",
        "Check blood creatinine and GFR levels.",
        "Implement dietary changes to reduce sodium and protein.",
        "Monitor blood pressure closely."
    ],
    "thyroid": [
        "Get TSH, T3, and T4 blood tests.",
        "Begin thyroid hormone replacement if indicated.",
        "Monitor symptoms and medication side effects.",
        "Schedule endocrinology follow-up for dose adjustments."
    ],
    "HIV": [
        "Get confirmatory HIV testing with viral load.",
        "Start antiretroviral therapy immediately.",
        "Monitor CD4 count and viral load regularly.",
        "Counsel on safe sexual practices and transmission prevention."
    ],
    "AIDS": [
        "Get confirmatory HIV testing with viral load.",
        "Start antiretroviral therapy immediately.",
        "Monitor CD4 count and viral load regularly.",
        "Counsel on safe sexual practices and transmission prevention."
    ],
    "malaria": [
        "Get diagnostic blood smear or rapid test.",
        "Start antimalarial medication promptly.",
        "Monitor for complications like anemia or cerebral malaria.",
        "Educate on prevention with bed nets and repellents."
    ],
    "tuberculosis": [
        "Get diagnostic tests: sputum test and chest X-ray.",
        "Start multi-drug antibiotic therapy as prescribed.",
        "Adhere strictly to the full treatment duration.",
        "Schedule monthly follow-up visits for monitoring."
    ],
    "chickenpox": [
        "Confirm diagnosis and isolate to prevent spread.",
        "Take antiviral medication if prescribed.",
        "Relieve itching with calamine lotion or oatmeal baths.",
        "Monitor for complications such as bacterial skin infection."
    ],
    "covid19": [
        "Get confirmatory PCR or antigen testing.",
        "Isolate to prevent spread to others.",
        "Monitor symptoms and oxygen saturation at home.",
        "Seek emergency care if breathing difficulty or chest pain occurs."
    ],
    "influenza": [
        "Get rapid influenza testing if needed.",
        "Start antiviral medication if within treatment window.",
        "Rest, hydrate, and manage fever with acetaminophen.",
        "Monitor for respiratory complications or worsening symptoms."
    ],
    "smallpox": [
        "Seek emergency medical care immediately.",
        "Implement strict isolation precautions.",
        "Report to public health authorities.",
        "Supportive care for symptoms and potential antiviral therapy."
    ],
    "measles": [
        "Confirm diagnosis with serology or PCR testing.",
        "Isolate to prevent transmission.",
        "Manage symptoms with supportive care (fluids, fever control).",
        "Monitor for complications like pneumonia or encephalitis."
    ],
    "polio": [
        "Confirm diagnosis via stool or throat sample testing.",
        "Supportive care for symptom management.",
        "Implement physical therapy if paralysis occurs.",
        "Monitor respiratory function and prevent complications."
    ],
    "cholera": [
        "Immediate oral or IV rehydration therapy.",
        "Start antibiotics if indicated.",
        "Maintain strict hygiene to prevent spread.",
        "Monitor electrolytes and kidney function closely."
    ],
    "botulism": [
        "Seek emergency medical care immediately.",
        "Administer botulinum antitoxin if indicated.",
        "Provide supportive care for breathing and swallowing.",
        "Monitor for complications in ICU if needed."
    ],
    "lyme disease": [
        "Confirm diagnosis with serology or clinical evaluation.",
        "Start appropriate antibiotic therapy.",
        "Monitor for progression or neurological involvement.",
        "Educate on tick avoidance and preventive measures."
    ],
    "dengue fever": [
        "Confirm diagnosis with blood tests.",
        "Monitor platelet counts daily if hospitalized.",
        "Maintain strict hydration.",
        "Seek immediate care if bleeding, severe abdominal pain, or persistent vomiting develops."
    ],
    "typhoid": [
        "Confirm diagnosis with blood or stool culture.",
        "Start appropriate antibiotic therapy.",
        "Maintain hydration and proper nutrition.",
        "Monitor for complications like intestinal perforation."
    ],
    "herpes simplex": [
        "Confirm diagnosis with PCR or culture if needed.",
        "Start antiviral therapy if indicated.",
        "Educate on preventing transmission to others.",
        "Monitor for recurrent outbreaks and manage symptoms."
    ],
    "herpes zoster": [
        "Confirm diagnosis clinically or with PCR.",
        "Start antiviral therapy within 72 hours of rash onset.",
        "Relieve pain with analgesics or topical treatments.",
        "Monitor for complications like postherpetic neuralgia."
    ],
    "chronic fatigue syndrome": [
        "Conduct comprehensive evaluation to rule out other causes.",
        "Develop pacing strategies for daily activities.",
        "Consider cognitive behavioral therapy and graded exercise therapy.",
        "Monitor symptom progression and adjust management plan accordingly."
    ],
    "fibromyalgia": [
        "Confirm diagnosis based on clinical criteria.",
        "Start pharmacologic management for pain and sleep disturbances.",
        "Encourage low-impact exercise and physical therapy.",
        "Implement stress reduction techniques and support counseling."
    ],
    "sleep apnea": [
        "Schedule overnight sleep study (polysomnography).",
        "Consider CPAP therapy or dental appliance for airway support.",
        "Evaluate for weight loss or lifestyle modification needs.",
        "Monitor symptoms and adherence to treatment regularly."
    ],
    "narcolepsy": [
        "Schedule sleep study with multiple sleep latency testing.",
        "Start stimulant or wakefulness-promoting medications as indicated.",
        "Educate about safety measures and scheduled naps.",
        "Monitor symptoms and adjust treatment as needed."
    ],
    "insomnia": [
        "Identify underlying causes and contributing factors.",
        "Implement sleep hygiene strategies.",
        "Consider cognitive behavioral therapy for insomnia.",
        "Start pharmacologic treatment if indicated and monitor effects."
    ],
    "meningitis": [
        "Seek urgent medical evaluation and lumbar puncture for diagnosis.",
        "Start empiric antibiotics if bacterial meningitis suspected.",
        "Provide supportive care for hydration and symptom management.",
        "Monitor for complications and follow-up after treatment."
    ],
    "encephalitis": [
        "Confirm diagnosis with MRI and CSF analysis.",
        "Start antiviral or supportive therapy as indicated.",
        "Monitor neurological status closely in hospital setting.",
        "Provide rehabilitation for residual neurological deficits."
    ],
    "brain abscess": [
        "Confirm diagnosis with imaging (CT or MRI).",
        "Start intravenous antibiotics promptly.",
        "Consider surgical drainage if indicated.",
        "Monitor for neurological deterioration and follow-up imaging."
    ],
    "spinal cord infection": [
        "Obtain MRI and laboratory testing for confirmation.",
        "Start targeted antimicrobial therapy.",
        "Monitor neurological function closely.",
        "Consider surgical intervention if abscess or compression occurs."
    ],
    "Guillain-Barré syndrome": [
        "Hospitalize for monitoring of respiratory function.",
        "Start intravenous immunoglobulin (IVIG) or plasma exchange therapy.",
        "Monitor motor strength and autonomic function closely.",
        "Provide rehabilitation for recovery of mobility and function."
    ],
    "toxoplasmosis": [
        "Confirm diagnosis via serology or PCR testing.",
        "Start antiparasitic therapy if indicated.",
        "Monitor for neurological or ocular complications.",
        "Educate immunocompromised patients about prevention measures."
    ],
    "pericarditis": [
        "Obtain ECG, echocardiogram, and inflammatory markers.",
        "Start anti-inflammatory therapy (NSAIDs or colchicine).",
        "Monitor for complications like pericardial effusion.",
        "Schedule follow-up evaluation with cardiologist."
    ],
    "sjogren’s syndrome": [
        "Confirm diagnosis with blood tests and salivary/lacrimal gland evaluation.",
        "Start symptomatic treatment for dry eyes and mouth.",
        "Consider immunomodulatory therapy if systemic involvement exists.",
        "Schedule regular follow-up with rheumatologist."
    ],
    "trigeminal neuralgia": [
        "Confirm diagnosis clinically and rule out secondary causes with imaging.",
        "Start anticonvulsant therapy for pain relief.",
        "Consider surgical intervention if medical therapy fails.",
        "Monitor pain frequency and medication side effects."
    ],
    "rectal cancer": [
        "Schedule colonoscopy and imaging for staging.",
        "Discuss surgery, chemotherapy, and/or radiation options.",
        "Implement supportive care including nutrition and counseling.",
        "Schedule regular follow-up for surveillance and recurrence prevention."
    ],
    "cardiac": [
        "Schedule ECG and echocardiogram.",
        "Check cholesterol and lipid profile.",
        "Monitor blood pressure regularly.",
        "Adopt a heart-healthy diet with reduced sodium and saturated fats.",
        "Discuss stress testing with your cardiologist."
    ],
    "inflammation": [
        "Order CRP and ESR blood tests.",
        "Evaluate for autoimmune markers (ANA, RF).",
        "Rule out chronic infections or inflammatory diseases.",
        "Adopt an anti-inflammatory diet rich in omega-3 fatty acids."
    ],
    "vitamin": [
        "Check vitamin D, B12, folate, and iron levels.",
        "Review dietary intake and consider supplementation.",
        "Encourage sun exposure (for vitamin D).",
        "Monitor for symptoms of deficiency (fatigue, neuropathy, anemia)."
    ],
    "electrolyte": [
        "Check sodium, potassium, calcium, magnesium, and chloride levels.",
        "Assess hydration status.",
        "Review medications that affect electrolyte balance (diuretics, ACE inhibitors).",
        "Provide supplementation or restriction based on results."
    ],
    "blood-pressure": [
        "Monitor blood pressure at home daily.",
        "Limit sodium intake and processed foods.",
        "Increase physical activity with regular aerobic exercise.",
        "Discuss antihypertensive medications if readings remain high."
    ],
    "cbc": [
        "Review hemoglobin, WBC, and platelet counts.",
        "Screen for anemia if hemoglobin is low.",
        "Investigate infection or inflammation if WBC is elevated.",
        "Consider hematology referral for abnormal platelet counts."
    ],
    "iron": [
        "Check serum ferritin and iron studies.",
        "Screen for anemia and fatigue symptoms.",
        "Assess diet for iron intake (red meat, leafy greens).",
        "Consider iron supplementation if levels are low."
    ],
    "liver": [
        "Order liver function tests (ALT, AST, bilirubin).",
        "Screen for viral hepatitis.",
        "Assess alcohol intake and metabolic syndrome.",
        "Consider liver ultrasound for persistent abnormalities."
    ],
    "respiratory": [
        "Check oxygen saturation and respiratory rate.",
        "Evaluate for asthma, COPD, or pneumonia symptoms.",
        "Order chest X-ray or pulmonary function tests if indicated.",
        "Encourage smoking cessation and vaccination (flu, pneumonia)."
    ],
    "coagulation": [
        "Order PT/INR and aPTT tests.",
        "Screen for bleeding or clotting disorders.",
        "Review medication history (warfarin, heparin, DOACs).",
        "Consult hematology if abnormal results persist."
    ],
    "hormone": [
        "Check thyroid function tests (TSH, T3, T4).",
        "Screen for cortisol, testosterone, and estrogen imbalances.",
        "Evaluate symptoms of hormonal deficiency or excess.",
        "Refer to endocrinology for persistent abnormalities."
    ],
    "infection": [
        "Order CBC with differential for infection signs.",
        "Screen for specific infections (HIV, TB, hepatitis, COVID-19).",
        "Monitor temperature and vital signs.",
        "Start empiric antibiotics if clinically indicated."
    ],
    "blood-gas": [
        "Order arterial blood gas (ABG) test.",
        "Check pH, PaCO₂, and bicarbonate levels.",
        "Differentiate between respiratory and metabolic causes.",
        "Provide oxygen or ventilation support as needed."
    ],
    "vitals": [
        "Record temperature, blood pressure, heart rate, respiratory rate, and oxygen saturation.",
        "Establish baseline and monitor trends.",
        "Identify abnormal values early for intervention.",
        "Reassess regularly in acute and chronic conditions."
    ]    
}