Abdominal Pain in Diabetic Ketoacidosis: Beyond the Obvious
Bibliographic record
Abstract
Diabetic ketoacidosis (DKA) is a medical emergency characterized by hyperglycemia, high anion gap metabolic acidosis and elevated circulating ketone bodies resulting from severe impairment of insulin secretion and/or action. Besides dehydration, nausea and vomiting, abdominal pain is also considered to be a cardinal clinical feature of DKA. Diagnosis relies on biochemical criteria, and disease severity on clinical and laboratory findings. Radiological investigation is not standard of care of DKA despite being required in specific situations. The authors report on a case of a patient with DKA and abdominal pain, whose investigation revealed chronic pancreatitis and a massive splenic artery pseudoaneurysm. The case is remarkable for the rarity of the clinical entity and reminds the clinician to the importance of imaging in newly diagnosed diabetes. J Endocrinol Metab. 2018;8(2-3):43-46 doi: https://doi.org/10.14740/jem494w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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 source (direct Gemma or distilled Codex), 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".