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Record W1974192773

Musculoskeletal case 28. Presentation

2003· article· en· W1974192773 on OpenAlexvenueno aff
Richard Gee, Peter L. Munk

Bibliographic record

VenueCanadian Journal of Surgery · 2003
Typearticle
Languageen
FieldMedicine
TopicMusculoskeletal synovial abnormalities and treatments
Canadian institutionsnot available
Fundersnot available
KeywordsMedicinePhysical examinationMagnetic resonance imagingPresentation (obstetrics)Emergency departmentMedical historySurgeryKnee JointMedical diagnosisRadiology
DOInot available

Abstract

fetched live from OpenAlex

A 48-year-old man was seen in the emergency department with a massively swollen knee and no history of trauma. On physical examination, the knee appeared greatly distended and tense. The patient could not fully flex it and found weight-bearing difficult. The knee was only minimally warm to the touch and the patient had no fever. On examination of other joints, there were no abnormalities. The patient had no comorbid conditions, but he did mention previous episodes of less-severe swelling of the same knee over the previous 5 years, occurring 5–12 months apart and resolving spontaneously over several weeks. Needle aspiration yielded a large amount of frank blood, with immediate relief of symptoms. The residual swelling resolved over the following few weeks. Subsequently, the patient underwent magnetic resonance imaging of the knee (Fig. 1) and arthrography (Fig. 2) for further evaluation. FIG. 1. Figure 1. Continued. Figure 1. Continued. FIG. 2. Figure 2. Continued. In view of the clinical history and imaging findings, what diagnoses would you consider? For the diagnosis and a discussion of the findings see page 226.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.504
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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.

Opus teacher head0.034
GPT teacher head0.278
Teacher spread0.244 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations1
Published2003
Admission routes1
Has abstractyes

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