Bibliographic record
Abstract
Spontaneous adrenal hemorrhage (SAH) is a rare condition that may lead to life-threatening adrenal insufficiency or adrenal crisis if not addressed appropriately. Abdominal pain during pregnancy has a broad differential diagnosis, which includes SAH. There are very few studies on the precipitating factors, management, and optimal mode of delivery. We present a 32-year-old multiparous woman who presented at 33 weeks of gestation with right-sided flank pain. The initial ultrasound of the abdomen was unremarkable. The diagnosis of SAH was made by magnetic resonance imaging (MRI) of the abdomen, and the patient management included analgesia, serial hemoglobin assessments, and clinical examination which resulted in uncomplicated vaginal delivery. She was followed up with endocrinology at 3 months with plan for repeat MRI of the abdomen. SAH, although rare, is an important consideration when evaluating abdominal and flank pain during pregnancy. It is a challenging diagnostic and therapeutic condition. The management options vary from conservative management to surgical intervention depending on the stability of the patient. A multidisciplinary team (MDT) approach is a very crucial aspect of diagnosis and management of this rare condition.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
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 | 0.017 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 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 | 0.001 |
| 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".