Case 6: Abdominal Pain in a Recently Immigrated 10-year-old Girl
Bibliographic record
Abstract
1. Alexandra Hudson, HBSc* 2. Kim Blake, MD* 1. *Dalhousie University, Halifax, Nova Scotia, Canada A 10-year-old previously healthy girl presents to the emergency department for evaluation of abdominal pain. Five days ago, she developed abdominal pain, which has been worsening. She has no history of fever, constipation, or diarrhea. She reports 4 episodes of nonbilious vomiting. There is no change in the color of her urine. She reports no other symptoms and denies any change in behavior. Her appetite and fluid intake are reported as increased, and she enjoys eating fast food every day. She has recently emigrated with her family from India to Canada. There is no significant family history of hemoglobinopathy or Wilson disease. Physical examination reveals a weight of 118.4 lb (53.7 kg) (90th–97th percentile), height of 60.6 in (154 cm) (90th percentile), and BMI of 22.6 (90th–95th percentile). There is no evidence of hepatomegaly or jaundice. Abdominal examination reveals a soft abdomen with diffuse right upper quadrant tenderness and a negative Murphy sign. Laboratory investigations reveal elevated aspartate aminotransferase (156 U/L [2.61 μ kat/L]) and alanine aminotransferase (81 U/L [1.35 μ kat/L]) enzyme levels, a normal amylase level (66 U/L [1.10 μ kat/L]), and an elevated urobilinogen level (19.4 mg/24 h [33 μ …
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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 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.002 |
| 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) | 0.002 | 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".