Case 1: An unusual cause of headaches and priapism in a teenager
Notice bibliographique
Résumé
A previously healthy 15-year-old boy presented to the paediatric emergency department after suffering from three weeks of headache, two weeks of neck pain and one week of intermittent blurry vision. The headache was described as a throbbing, diffuse pain, which was worse in the mornings, but did not wake the patient from his sleep. The headache was not associated with nausea or vomiting, and there was no fever. In the three months leading up to his presentation, the patient had two episodes of priapism that resolved, and he was treated three times with metronidazole for presumed balanitis. He also had lower back and neck pain that was thought to be muscle-related. There was no known family history of headaches or migraines. On examination, his initial vital signs showed a normal blood pressure of 106/61 mmHg, a heart rate of 57 beats/min, and a temperature of 34.8°C. He was pale, alert and in no acute distress, with a Glasgow Coma Scale rating of 15. The patient had normal respiratory, cardiovascular, musculoskeletal and abdominal examinations (although the spleen was subsequently found to be mildly enlarged on abdominal ultrasound), and had no bruises or petechiae. His neurological examination showed that his sensations, motor functions, cranial nerves, cerebellar function and reflexes were normal. A fundoscopy revealed papilledema bilaterally; his visual acuity was 20/30 bilaterally. Initial investigations included an unenhanced computed tomography scan of the head, which was within normal limits. A lumbar puncture was performed and there was an elevated opening pressure of 48 cm of water. A diagnosis of idiopathic intracranial hypertension was made, and he was discharged on acetazolamide. The patient returned to the emergency department five days following his initial visit, with a complaint of early morning headache with associated blurry vision. His physical examination was unchanged. His magnetic resonance imaging and magnetic resonance venography scans were normal. The patient’s complete blood count revealed an elevated white blood cell count of 480×109/L, with a differential showing: lymphocytes 8×109/L, monocytes 0×109/L, eosinophils 1.6×109/L, polymorphs 27.2×109/L, bands 129.60×109/L, metamyelocytes 68.8×109/L, myelo-cytes 193.6×109/L, promyelocytes 44.6×109/L and immature cells 9.6×109/L, as well as a decreased hemoglobin level (94 g/L) and platelet count (130×109/L).
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 | 0,000 |
| 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 ».