Visual Diagnosis: Abnormal Nails in an Infant
Notice bibliographique
Résumé
1. Natalie P. Cunningham* 2. Peter J. Green, FRCP† 1. *Dalhousie University, Halifax, NS, Canada. 2. †Department of Medicine (Dermatology), Capital District Health Authority and Dalhousie University, Halifax, NS, Canada. * Abbreviations: ACE: : angiotensin-converting enzyme NPS: : nail patella syndrome A dermatologist has been following a 3-year-old girl for unusually shaped fingernails noted at birth. Her history is as follows. At age 6 months, the patient’s primary care physician referred her to the dermatology service after the child’s adoptive mother expressed concern about her daughter’s small, misshapen fingernails. The infant was born after a pregnancy complicated by maternal smoking. She was induced at term due to failure to progress and eventually required vacuum extraction, weighing 2.405 kg at birth with Apgar scores of 9 and 9 at 1 and 5 minutes, respectively. There had been no concerns with her growth or development, and she was an active and happy child. She took no medications and had no known allergies. Her family history included a biological mother with attention-deficit/hyperactivity disorder and substance abuse and a healthy maternal half-brother. Little was known about the biological father, but the biological mother indicated that the father had abnormal nails. Physical examination at 6 months revealed an alert, well-appearing infant in no acute distress. Vital signs were within normal limits for her age, and she was growing between the 50th and 75th percentiles for height, weight, and head circumference. She was normal in appearance. There were no dysmorphic features on her head, face, or torso. Her fingers were slightly tapered with normal creases. The nails of her fingers on both hands were small and unusually shaped with longitudinal grooving, most pronounced on her thumbnails and less so on the nails of the fifth digits. Her toenails were unaffected. Given the nonspecific nail features, the dermatologist recommended seeing the infant 1 year later. At age …
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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 | 0,001 | 0,000 |
| 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 ».