Ketoalkalosis: Masked Presentation of Diabetic Ketoacidosis With Literature Review
Bibliographic record
Abstract
Most dreaded complication in type 1 diabetes mellitus remains diabetic ketoacidosis (DKA): plasma blood glucose > 250 mg/dL, serum bicarbonate < 18 mEq/L, anion gap metabolic acidosis and ketosis. Insulin deficiency with high levels of glucagon and stress hormones causing ketogenesis in liver, elevated lipolysis in peripheral tissues, and increased free fatty acids contribute the formation of ketones leading to metabolic acidosis. And hence DKA is also termed as ketoacidosis. Unusually, patients with diuretic use, alkali ingestion, intractable vomiting, or hypercortisolism may present with alkalemia in DKA. Contraction (Metabolic) Alkalosis masquerades metabolic acidosis with anion gap and low to normal bicarbonate that uncovers on provision of intravenous fluids. We present a case of a 25-year-old female with DKA presenting with intractable vomiting, alkalotic pH and high anion gap. J Endocrinol Metab. 2017;7(6):194-196 doi: https://doi.org/10.14740/jem472w
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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 | 0.000 |
| 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".