Nocturnal Hypoxemia, an Unusual Presentation of Pulmonary Endometriosis: A Case Report
Bibliographic record
Abstract
Thoracic endometriosis syndrome is a rare condition with four main presentations: pneumothorax, hemothorax, hemoptysis, and lung nodules. We describe an incidental diagnosis of pulmonary endometriosis in a patient admitted with acute pyelonephritis, and developed acute hypoxemia and a productive cough of blood tinted sputum , on the third day of hospitalization. Her thoracic x-ray showed diffuse pulmonary infiltrates , and a small pleural effusion. C hest computerized tomography scan had extensive areas of ground glass opacifications scattered predominantly in the medulla of both lungs . B ronchoalveolar lavage c ytology showed small groups of cells in arrays compatible with endometrial cells, which confirmed the diagnosis of pulmonary endometriosis. On the seventh day of hospitalization, after the end of her menstrual bleeding, oxygen supplementation was discontinued, and hypoxemia did not recur. A chest x-ray at the ninth day of hospitalization was normal. Pulmonary endometriosis should be considered in a patient who has unexplained episodes of nocturnal hypoxemia associated with hemoptysis, especially if there is periodicity. doi: http://dx.doi.org/10.4021/jmc778w
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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 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 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".