The SHARP Exam: A Standardized POCUS Approach to Undifferentiated Acute Right Lower Quadrant Abdominal Pain in Young Women
Bibliographic record
Abstract
Acute right lower quadrant (RLQ) pain is a common presenting complaint in emergency departments among young women. The SHARP Exam is a novel point of care ultrasound (POCUS) protocol designed to aid in the evaluation of undifferentiated, acute, right-sided, lower abdominal pain in women of child-bearing age. The SHARP Exam is both an acronym ([S]ono [H]er [A]bdomen for [R]ight-sided [P]ain) and a diagnostic tool for emergency physicians to focus on specific pathology ([S]ize of ovary, [H]ydronephrosis, [A]ppendicitis, [R]ight upper quadrant free fluid, [P]regnancy). It is an easily reproducible, cost-effective, and non-invasive study that may expedite risk stratification, diagnosis, and treatment of several emergent conditions.
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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 | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.004 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
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".