Acute Pancreatitis as the First Manifestation of Parathyroid Adenoma
Bibliographic record
Abstract
Acute pancreatitis as a first manifestation of primary hyperparathyroidism (PHPT) caused by parathyroid adenoma is exceptionally rare. A 21 year old man presented with severe abdominal pain, nausea and vomiting. Laboratory studies revealed leukocytosis of 15.3 thousand/ ? L, hemoglobin 14.4 g/dL, creatinine 1.31 mg/dL, amylase 1,148 IU/L, lipase 862 IU/L. Serum calcium level was 14.6 mg/dL, intact parathyroid hormone (iPTH) level was 629.6 pg/mL. Neck ultrasound showed a 1.5 × 1 × 1.1 cm solid mass at the posterior inferior aspect of the right thyroid lobe. Parathyroid scan showed a focal area of activity in the right lower lobe suggesting a parathyroid adenoma. The patient underwent parathyroidectomy and pathological examination of the parathyroid gland confirmed a parathyroid adenoma. Although the actual causal relationship between hypercalcemia and pancreatitis has been a persistent topic of debate, detection of hypercalcemia may be a clue to diagnose PHPT due to parathyroid adenoma. After aggressive medical management of acute pancreatitis, parathyroidectomy may improve clinical outcome and prevent further recurrences of pancreatitis. doi: http://dx.doi.org/10.4021/jem114w
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
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 teacher head, 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".