Assignment task:
Patient: M.T., 44-year-old warehouse supervisor
Chief concern (Day 1): "Bad low-back pain after lifting a box."
Home AI tool: Patient uses the health system's portal symptom-checker chatbot. After entering "low back pain," "both legs tingling," "can't feel when wiping," and "peeing less than usual," the bot outputs "likely muscular strain home care; clinic visit in 3-5 days." No red-flag alert is displayed. Need Assignment Help?
Course:
- Day 2-3: Pain worsens; bilateral sciatica, saddle numbness, and urinary retention ("I haven't peed since last night unless I strain"). The bot again recommends home care.
- Day 4 (ED): Patient febrile, hypotensive, confused. Bladder scan >1200 mL; purulent urine after catheterization. MRI lumbar: massive central L4-L5 disc herniation compressing cauda equina.
- Labs: Leukocytosis, lactate 5.2 mmol/L, creatinine bump.
- Outcome: Despite urgent decompression and broad-spectrum antibiotics/ICU care, the patient develops uroseptic shock with multi-organ failure and dies on Day 6.
Studies show online/AI symptom-checkers vary widely in diagnostic/triage accuracy and may miss emergencies; WHO and AHRQ urge caution and human oversight for clinical AI.