Case 1: Fever and a genital ulcer in a recent immigrant
Bibliographic record
Abstract
A 16-year-old girl presented to the emergency department of a community hospital with an eight-day history of fever. On the first day of illness, she noted mild upper respiratory tract symptoms that resolved within 24 h. During the following five days, she felt generally well with the exception of nocturnal fevers. Three days before presentation, she developed a painful ulcer on her left labium majus. She had normal bowel movements until the day of presentation when she had one loose, nonbloody bowel movement. She had been taking acetaminophen for two to three days as well as a first-generation cephalosporin for seven days, which the family had purchased in India. The patient denied any recent or remote sexual activity. The family had immigrated from India three weeks before the onset of her illness. Her medical and family history were unremarkable. She denied any sexual activity. Physical examination revealed a well-appearing adolescent with a temperature of 39.5°C as well as a single circular 2 cm × 2 cm white-topped ulcer on her left labium majus. The external genitalia were otherwise normal. The rest of a complete examination was unremarkable. Investigations in the emergency department included a normal complete blood count, negative malarial smear and mild trans-aminitis with an aspartate aminotransferase level of 105 U/L and an alanine aminotransferase level of 117 U/L. Herpes simplex virus and bacterial studies were performed on a swab of the lesion. A rapid plasma reagin test was performed to screen for syphilis, and blood cultures were drawn. She was discharged home with a plan for outpatient follow-up. Further investigation revealed the diagnosis.
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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 | 0.000 | 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".