Case 1: A two-year-old boy with fever and widespread vesicular lesions
Bibliographic record
Abstract
A previously healthy two-year-old boy presented to the emergency department at the authors’ hospital following a two-day history of fever, oral sores and widespread vesicular lesions with increased irritability, decreased oral intake and persistent fever over the course of the day. His medical history was significant for eczema. Otherwise, he was a healthy child delivered at term after an unremarkable pregnancy. He had no recent travel and no exposure to visitors from foreign countries. Growth parameters and developmental milestones were normal, and his immunizations were up to date. On examination, he appeared mildly distressed, but systemically well. White, well-demarcated lesions were observed on the anterior two-thirds of the lingual and buccal mucosa. Perioral blistering with several monomorphic lesions were noted superior to the vermillion border. Similar vesicles were present bilaterally on the hands, forearms (Figure 1), inguinal regions, distal-medial aspects of the lower limbs and buttocks. Minimal clear-yellow fluid weeped from several lesions and crusting was evident. The remainder of the physical examination was unremarkable. Figure 1) Vesicular exanthem in a two-year-old patient distributed along the upper extremity The patient was given a working diagnosis of eczema herpeticum and swabs were sent for bacterial and viral culture, and viral polymerase chain reaction (PCR) testing of deroofed lesions. He was admitted to hospital for rehydration and intravenous acyclovir.
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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 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 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".