A Child with Lumps and Bumps Down on the Farm
Bibliographic record
Abstract
A 21-month-old Caucasian female with a history of eczema was referred to the pediatric surgery clinic for evaluation of bilateral axillary and right inguinal lesions of four months' duration.The lesions varied from 0.5 cm to 1 cm in diameter and were red in colour, fluctuant and nontender (Figures 1 and 2).There had been no response to oral antibiotics, and the left axillary lesion had been spontaneously draining pus (Figure 2).The child remained well and active, with no history of fever, night sweats, weight loss or cough.She had sustained a hamster bite to one of her fingers a few weeks before the appearance of these lesions.Her family operated a potato farm that had dogs and cats but no large farm animals.There was no history of travel or exposure to tuberculosis.The remainder of the physical examination was unremarkable, and her complete blood cell count and serum immunoglobulin levels were normal.What is the diagnosis?
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".