Retropharyngeal Tendonitis: A Cause of Severe Neck Pain
Bibliographic record
Abstract
The clinical presentation of calcific retropharyngeal tendonitis, a rare entity, can mimic more serious disorders. The main stay of diagnosis is CT scan that shows calcification of C1-C2 which is pathognomonic. Here we present a case of a 26-year-old man presenting to the emergency department (ED) with a chief complaint of neck pain that increased in severity. The patient was first diagnosed with torticollis and sent home on painkillers. Further tests were ordered upon his return to the ED complaining of increased neck pain severity and dysphagia. Diagnosis was ultimately made by CT scan and the patient was treated accordingly. When misdiagnosed, patients with retropharyngeal tendonitis can often undergo unnecessary and invasive surgical procedures to drain nonexistent abscesses. With proper imaging, and an informed physician, correct diagnosis can be made based on prevertebral swelling and calcification. J Med Cases. 2016;7(5):155-157 doi: http://dx.doi.org/10.14740/jmc2286w
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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) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 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".