Transient nephrogenic syndrome of inappropriate antidiuresis: Table 1.
Bibliographic record
Abstract
The patient is a 56-year-old man who entered the hospital because of hyponatraemia. He observed problems with short-term memory, gait disturbances, and had fallen while going downstairs. He also claimed attention deficits and visual disturbances. He had been presented to his primary care physician who observed a low serum Na (102 mmol/L) and referred him for further diagnostic studies. The patient otherwise enjoyed stable health. He had undergone stent placement for coronary disease but had normal cardiac function. He ingested simvastatin and aspirin. Aside from some ibuprofen after a tooth extraction some weeks earlier, he had ingested no other tablets. He denied weight loss, any gastrointestinal symptoms and had not observed cough or shortness of breath. His blood pressure was 140/85 mmHg, heart rate 68/min. He was oriented in all spheres; his tandem walking and Romberg testing were slightly unstable, he had no oedema, and no other pertinent findings. The chest roentgenogram was normal. Computerized tomography suggested the presence of a gastric mass, which after an extensive workup, was resected. The lesion turned out to be a gastrointestinal stromal tumour (GIST). Laboratory findings are given in Table 1. We reasoned that this euvolemic patient had syndrome of inappropriate antidiuretic hormone (SIADH) related to the GIST. However, post-operatively the serum Na decreased to 117 mmol/L and the preoperative anti-diuretic hormone (ADH) measurement from admission was returned at 1.3 ng/L, a low value. The patient was discharged with tolvaptan 7.5 mg/day. We had occasion to test him briefly during tolvaptan treatment. With a serum Na of 142 mmol/L he ingested 1.5 L water over 20 min. His serum Na stayed stable at 140 mmol/L, while his urinary osmolarity fell to 101 mOsm/L with Na 14 and K 5 mmol/L.
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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 | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 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 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 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".