Hiccups, Hemolysis, Elevated Liver Enzymes and Low Platelets Syndrome and Hepatic Hematoma
Bibliographic record
Abstract
Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, which affects 0.2-0.9% of pregnancies, is one of the most difficult obstetric complications to manage. Affected patients can decompensate acutely, and there are a myriad of possible etiologies to evaluate and treat. Serious complications of HELLP syndrome are disseminated intravascular coagulopathy, abruptio placentae and acute renal failure, which are often interdependent. We describe a rare complication of HELLP that manifested itself in an unusual presentation: right shoulder pain, right upper quadrant pain and hiccups which progressed to fetal intolerance of labor due to an acute expansion of a large liver hematoma. This case represents a unique manifestation of the syndrome that provokes further questions in the evaluation and management of patients affected by HELLP syndrome. J Med Cases. 2014;5(4):234-237 doi: http://dx.doi.org/10.14740/jmc1285w
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".