Kim Hee-Young
Center for Executive and Continuing Professional Education, Harvard T.H. Chan School of Public Health, Boston, USA.
Department of Otolaryngology - Head and Neck Surgery, Samsung Seoul Hospital, Seoul, KOR.
Cureus. 2023 Mar 28;15(3):e36830. doi: 10.7759/cureus.36830. eCollection 2023 Mar.
Alternatenobaric vertigo (ABV) develops when the middle ear pressure (MEP) is not equal at the same height in the sea or the air. This is possible when the altitude changes. Eustachian tube dysfunction (ETD) is a common cause of ABV. In this case report, we discuss a patient who experienced repeated bouts of ground-level alternobaric vertigo (GLABV) due to ETD. We also discuss how Conversational Generative Pre-trained Transformer (ChatGPT) might be used in the creation of this case report. A 41-year-old male patient complained of vertigo at ground level on several occasions. His medical history included chronic sinusitis, nasal congestion, and laryngopharyngeal reflux (LPR). During the physical exam, his tympanic membranes were dull and moved less. Tympanometry showed that he had an asymmetric type A and that both of his middle ears had negative pressure. The results of the audiometry test were normal, and the laryngoscopy revealed LPR. The patient was found to have GLABV because of ETD, and different treatment options, such as Eustachian tube catheterization (ETC), were thought about. This case study demonstrates how ChatGPT can be used to assist with medical documentation and the treatment of GLABV caused by ETD. Even though ChatGPT did not provide specific diagnostic or treatment recommendations for the patient's condition, it did assist the doctor in determining what was wrong and how to treat it while writing the case report. It also aided the doctor in writing the case report by allowing them to discuss it. The use of artificial intelligence (AI) tools such as ChatGPT has the potential to improve the accuracy and speed of medical documentation, thereby streamlining clinical workflows and improving patient care. Nonetheless, it is critical to consider the ethical implications of using AI in clinical practice This case study emphasizes the importance of understanding that ETD is a common cause of GLABV and how ChatGPT can aid in the diagnosis and treatment of this condition. More research is needed to fully understand how long-term AI interventions in medicine work and how reliable they are.
当在海平面或空气中相同高度处中耳压力(MEP)不相等时,就会发生交替性气压性眩晕(ABV)。当海拔高度变化时,就可能出现这种情况。咽鼓管功能障碍(ETD)是ABV的常见原因。在本病例报告中,我们讨论了一名因ETD而反复出现地面水平交替性气压性眩晕(GLABV)的患者。我们还讨论了对话生成预训练变换器(ChatGPT)在撰写本病例报告时可能如何被使用。一名41岁男性患者多次抱怨在地面水平时出现眩晕。他的病史包括慢性鼻窦炎、鼻塞和喉咽反流(LPR)。体格检查时,他的鼓膜灰暗,活动度较小。鼓室图显示他为不对称A型,且双耳中耳均有负压。听力测试结果正常,喉镜检查显示有LPR。该患者因ETD被诊断为GLABV,并考虑了不同的治疗方案,如咽鼓管导管插入术(ETC)。本病例研究展示了ChatGPT如何用于协助医疗记录以及治疗由ETD引起的GLABV。尽管ChatGPT没有为患者的病情提供具体的诊断或治疗建议,但它在撰写病例报告时确实帮助医生确定了问题所在以及如何进行治疗。它还通过让医生进行讨论来辅助撰写病例报告。使用ChatGPT等人工智能(AI)工具有可能提高医疗记录的准确性和速度,从而简化临床工作流程并改善患者护理。尽管如此,在临床实践中考虑使用AI的伦理影响至关重要。本病例研究强调了理解ETD是GLABV的常见原因以及ChatGPT如何有助于诊断和治疗这种疾病的重要性。需要更多研究来全面了解医学中的长期AI干预如何起作用以及它们的可靠性如何。