Impending krisis tiroid pada struma multinodusa toksik dengan pneumonia komunitas
Bibliographic record
Abstract
Hipertiroidisme yang berlanjut menjadi krisis tiroid merupakan salah satu komplikasi yang jarang ditemui. Berbagai faktor dapat mencetuskan krisis tiroid pada tirotoksikosis seperti trauma, pembedahan, emboli paru, infark miokard, gangguan serebrovaskular, infeksi, ketoasidosis diabetikum, toksemia gravidarum, dan ketidakpatuhan mengkonsumsi obat anti tiroid. Angka mortalitas yang tinggi menyebabkan penanganan pada kasus ini harus cepat dan tepat, penyebab kematian tersering pada krisis tiroid ialah kegagalan sistem kardiopulmonal. Apabila mendapat penanganan lebih awal maka angka mortalitas dapat dikurangi, oleh karena itu akan dipresentasikan sebuah kasus seorang perempuan usia 58 tahun dengan struma multinodusa yang mengalami impending krisis tiroid dengan faktor pemicu infeksi pneumonia komunitas. Penilaian dengan skor Burch Wartofsky didapatkan nilai 40, yang menunjukkan kecurigaan akan terjadinya impending krisis tiroid, faktor pencetusnya kemudian ditangani dengan pemberian antibiotika, kemudian untuk kondisi tirotoksikosisnya ditangani dengan pemberian obat anti tiroid, antipiretik, beta bloker dan glukokortikoid, setelah menjalani perawatan, kondisi pasien membaik dan diperbolehkan pulang.
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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 | 0.003 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.002 | 0.006 |
| Insufficient payload (model declined to judge) | 0.006 | 0.010 |
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; both teacher heads agree on what is shown here.
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".