Age no barrier to diagnosis
Notice bibliographique
Résumé
John was 14 years old when he was referred by his general practitioner (GP) with generalised stiffness in his legs and wrists for the past 4 days. His GP noted that his temperature was 39.5°C and had been raised for 2 days. John also complained of having had a frontal headache the previous day which had now resolved. There was minimal past medical history though John had been diagnosed with ocular hypertension 2 years prior to current presentation which was currently being monitored; however, he was not on any ongoing treatment for this. John had no known contact history and his immunisations were up to date. His mother was Japanese and his father was Caucasian. On examination John was alert and orientated. His conjunctivae were both injected but they were not itchy or painful and there was no exudate. John had a cold sore on the right side of his mouth, which appeared to have almost resolved. His lips were not red but were peeling (fig 1). There were no intra-oral ulcers. He was noted to have minimal cervical lymphadenopathy on the right. Figure 1 Picture of mouth demonstrating the oral changes. John’s throat was noted to be “pink” with no tonsillar enlargement or exudate. John’s blood pressure was 121/74 mmHg and his temperature was 39.2°C. His chest was clear and heart sounds normal. His neurological examination was normal with no neck stiffness. John’s wrists and lower legs were both stiff. His right knee appeared swollen and had limited flexion and extension. His right ankle had limited range of movements but no swelling. On his left leg there was a 3 cm × 4 cm erythematous region which was not tender or itchy. Within this area there was a smaller raised area which blanched. There were three smaller similar lesions on his …
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».