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 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) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.002 |
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".