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Record W2604461704 · doi:10.1093/pch/18.10.515

Case 1: Foot drop and numbness in a 16-year-old girl

2013· article· en· W2604461704 on OpenAlexaff
Jeanette W. Evans, Erick Sell, Evan Lewis

Bibliographic record

VenuePaediatrics & Child Health · 2013
Typearticle
Languageen
FieldMedicine
TopicMuscle and Compartmental Disorders
Canadian institutionsChildren's Hospital of Eastern OntarioUniversity of Ottawa
Fundersnot available
KeywordsMedicineFoot dropFoot (prosody)Neurological examinationGirlPhysical examinationSurgeryBody mass indexWeaknessPsychology

Abstract

fetched live from OpenAlex

A 16-year-old girl presented with a two-week history of right foot drop and numbness along the dorsum of her right foot and anterolateral aspect of the lower limb. She also described a pinching pain behind the medial aspect of the right knee. There were no complaints of bowel or bladder incontinence, radiating back pain or saddle paresthesia. Review of systems revealed a three-month history of constipation, believed to be related to a two-year self-imposed dietary restriction. Her medical history included appendectomy as a child and a right patellar subluxation one year previously. The patient reported no recent trauma or previous neurological problems. Pertinent neurological findings included: weakness in right dorsiflexion (2 of 5), ankle eversion (4+ of 5) and toe extension (4+ of 5); decreased pin-prick sensation in the right anterolateral calf, dorsolateral aspect of the foot and webspace between the first and second toes; and dragging of the right foot during gait analysis, with impaired dorsiflexion on heel strike. All other neurological findings were normal. Her head circumference was 54 cm, height was 165 cm and weight was 47.5 kg. The patient’s body mass index was 17.4 kg/m2 (eighth percentile for age). Before food restriction, the patient had weighed 59 kg (body mass index 21.7 kg/m2, 70th percentile). At the time of presentation, she was awaiting hospital admission for treatment of a newly diagnosed eating disorder. Her general physical examination revealed no other pertinent findings. Further investigations confirmed the diagnosis and underlying cause.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.064
Threshold uncertainty score0.728

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.016
GPT teacher head0.272
Teacher spread0.256 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2013
Admission routes1
Has abstractyes

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