13 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) ACUTE GASTROINTESTINAL BLEED IN ADULTS- PART A, published by icmr.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 7 of the 13 pairs (53.8%) are explanatory questions and 6 restate a figure. 100.00% of rows pass the corpus quality gate.
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import desidata
df = desidata.load("acute-gastrointestinal-bleed-in-adults-part-a-question-and-answer-dataset")
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Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 13 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What is the full form of the abbreviation NSAID? | Nonsteroidal anti-inflammatory drugs | Blood transfusion Give packed RBC/ whole blood if Hb <7 g/dL (or Hb <9 g/dL in case pre-existing heart disease) Patient may need ICU care depending on the overall general condition. If patient is in altered sensorium and bleeding actively secure airway Continue resuscitation (As detailed above) All cases of acute GI Bleed must undergo endoscopy within 24 hours of initial stabilisation. Patients with active ongoing bleed may require an earlier endoscopy. Appropriate informed consent to be taken prior to endoscopy. HCV: Hepatitis C virus INR: International normalized ratio NG: Nasogastric NSAID: Nonsteroidal anti-inflammatory drugs PPIs: Proton pump inhibitors PTL: Platelet count RBC: Red blood cell TLC: Total leukocyte count | 601 | definition | 0.940 | HCV: Hepatitis C virus INR: International normalized ratio NG: Nasogastric NSAID: Nonsteroidal anti-inflammatory drugs PPIs: Proton pump inhibitors PTL: Platelet count RBC: Red blood cell TLC: Total leukocyte count | 1 | page=1,block=96 | 0.700 | valid |
| What does HCV stand for? | Hepatitis C virus | Blood transfusion Give packed RBC/ whole blood if Hb <7 g/dL (or Hb <9 g/dL in case pre-existing heart disease) Patient may need ICU care depending on the overall general condition. If patient is in altered sensorium and bleeding actively secure airway Continue resuscitation (As detailed above) All cases of acute GI Bleed must undergo endoscopy within 24 hours of initial stabilisation. Patients with active ongoing bleed may require an earlier endoscopy. Appropriate informed consent to be taken prior to endoscopy. HCV: Hepatitis C virus INR: International normalized ratio NG: Nasogastric NSAID: Nonsteroidal anti-inflammatory drugs PPIs: Proton pump inhibitors PTL: Platelet count RBC: Red blood cell TLC: Total leukocyte count | 524 | definition | 0.900 | HCV: Hepatitis C virus INR: International normalized ratio NG: Nasogastric NSAID: Nonsteroidal anti-inflammatory drugs PPIs: Proton pump inhibitors PTL: Platelet count RBC: Red blood cell TLC: Total leukocyte count | 1 | page=1,block=96 | 0.700 | valid |
| What does RBC stand for? | Red blood cell | Blood transfusion Give packed RBC/ whole blood if Hb <7 g/dL (or Hb <9 g/dL in case pre-existing heart disease) Patient may need ICU care depending on the overall general condition. If patient is in altered sensorium and bleeding actively secure airway Continue resuscitation (As detailed above) All cases of acute GI Bleed must undergo endoscopy within 24 hours of initial stabilisation. Patients with active ongoing bleed may require an earlier endoscopy. Appropriate informed consent to be taken prior to endoscopy. HCV: Hepatitis C virus INR: International normalized ratio NG: Nasogastric NSAID: Nonsteroidal anti-inflammatory drugs PPIs: Proton pump inhibitors PTL: Platelet count RBC: Red blood cell TLC: Total leukocyte count | 692 | definition | 0.900 | HCV: Hepatitis C virus INR: International normalized ratio NG: Nasogastric NSAID: Nonsteroidal anti-inflammatory drugs PPIs: Proton pump inhibitors PTL: Platelet count RBC: Red blood cell TLC: Total leukocyte count | 1 | page=1,block=96 | 0.700 | valid |
| What antibiotics can be used for a lower GI bleed with fever? | Inj Ceftriaxone 2g I.V. 12 hourly AND Inj Metronidazole 500 mg I.V. 8 hourly | Octreotide 50 μg stat I.V. followed by 50 μg/ hr infusion X 3-5 days PPIs Vasoconstrictors Suspected variceal bleed Antibiotics Antibiotics All patients Lower GI bleed with fever * Avoid Terlipressin in patients with suspected heart disease or peripheral vascular disease. if patient is on Terlipressin examine for signs of peripheral/ cardiac ischemia regularly Inj Ceftriaxone I.V. 1 g 12 hourly x 3-5 days OR Inj Cefotaxime I.V. 1 g 8 hourly X 3-5 days Inj Ceftriaxone 2g I.V. 12 hourly AND Inj Metronidazole 500 mg I.V. 8 hourly Bleeding per rectum (Hematochezia) Black tarry stools (Melena) Blood in nasogastric tube (NG) (Active GI bleed) Hemoglobin, platelets, TLC, PTL, INR Blood grouping and cross matching to arrange blood | 456 | list | 0.820 | 1 g 8 hourly X 3-5 days Inj Ceftriaxone 2g I.V. 12 hourly AND Inj Metronidazole 500 mg I.V. 8 hourly Bleeding per rectum (Hematochezia) Black tarry stools (Melena) Blood in nasogastric tube (NG) (Active GI bleed) Hemoglobin, platelets, TLC, PTL, INR Blood grouping and cross matching to arrange blood | 1 | page=1,block=6 | 0.700 | |
| What tests are necessary to prepare blood for a patient with a gastrointestinal bleed? | Hemoglobin, platelets, TLC, PTL, INR Blood grouping and cross matching | Octreotide 50 μg stat I.V. followed by 50 μg/ hr infusion X 3-5 days PPIs Vasoconstrictors Suspected variceal bleed Antibiotics Antibiotics All patients Lower GI bleed with fever * Avoid Terlipressin in patients with suspected heart disease or peripheral vascular disease. if patient is on Terlipressin examine for signs of peripheral/ cardiac ischemia regularly Inj Ceftriaxone I.V. 1 g 12 hourly x 3-5 days OR Inj Cefotaxime I.V. 1 g 8 hourly X 3-5 days Inj Ceftriaxone 2g I.V. 12 hourly AND Inj Metronidazole 500 mg I.V. 8 hourly Bleeding per rectum (Hematochezia) Black tarry stools (Melena) Blood in nasogastric tube (NG) (Active GI bleed) Hemoglobin, platelets, TLC, PTL, INR Blood grouping and cross matching to arrange blood | 645 | list | 0.820 | 8 hourly Bleeding per rectum (Hematochezia) Black tarry stools (Melena) Blood in nasogastric tube (NG) (Active GI bleed) Hemoglobin, platelets, TLC, PTL, INR Blood grouping and cross matching to arrange blood | 1 | page=1,block=6 | 0.700 | valid |
| What crystalloids can be started through an IV cannula? | Ringer’s lactate or normal saline | Place atleast one IV cannula (minimum 18 G) and start crystalloids (Ringer’s lactate or normal saline) Systolic BP >90 mmHg Pulse rate <100/ min Oxygen saturation >90% Hemoglobin >7 g/dL (in case of heart disease >9g/dL) | 68 | list | 0.820 | Place atleast one IV cannula (minimum 18 G) and start crystalloids (Ringer’s lactate or normal saline) Systolic BP >90 mmHg Pulse rate <100/ min Oxygen saturation >90% Hemoglobin >7 g/dL (in case of heart disease >9g/dL) | 1 | page=1,block=67 | 0.700 | valid |
| What is an example of an infective cause of lower GI bleed? | Typhoid | H/o - alcohol intake/ jaundice/ blood transfusion O/E - jaundice/ ascites/ splenomegaly H/o epigastric pain/ NSAID intake/ antiplatelets If lower GI Bleed: H/o fever/ diarrhea Variceal bleed Ulcer bleed Infective causes (eg: Typhoid) Etiology H/o bleeding per rectum with concomitant yellow stools Hemorrhoids/ rectal lesion | 225 | list | 0.740 | H/o - alcohol intake/ jaundice/ blood transfusion O/E - jaundice/ ascites/ splenomegaly H/o epigastric pain/ NSAID intake/ antiplatelets If lower GI Bleed: H/o fever/ diarrhea Variceal bleed Ulcer bleed Infective causes (eg: Typhoid) Etiology H/o bleeding per rectum with concomitant yellow stools Hemorrhoids/ rectal lesion | 1 | page=1,block=81 | 0.700 | valid |
| What should be monitored in patients receiving Terlipressin? | signs of peripheral/ cardiac ischemia | Octreotide 50 μg stat I.V. followed by 50 μg/ hr infusion X 3-5 days PPIs Vasoconstrictors Suspected variceal bleed Antibiotics Antibiotics All patients Lower GI bleed with fever * Avoid Terlipressin in patients with suspected heart disease or peripheral vascular disease. if patient is on Terlipressin examine for signs of peripheral/ cardiac ischemia regularly Inj Ceftriaxone I.V. 1 g 12 hourly x 3-5 days OR Inj Cefotaxime I.V. 1 g 8 hourly X 3-5 days Inj Ceftriaxone 2g I.V. 12 hourly AND Inj Metronidazole 500 mg I.V. 8 hourly Bleeding per rectum (Hematochezia) Black tarry stools (Melena) Blood in nasogastric tube (NG) (Active GI bleed) Hemoglobin, platelets, TLC, PTL, INR Blood grouping and cross matching to arrange blood | 315 | factual | 0.570 | if patient is on Terlipressin examine for signs of peripheral/ cardiac ischemia regularly Inj Ceftriaxone I.V. | 1 | page=1,block=6 | 0.700 | valid |
| What should be started in high-risk cases and those in shock? | supplemental oxygen at 2 L/min | Desirable Tests: Prothrombin time/ INR, liver function tests, blood urea and creatinine, HBsAg, Anti HCV ultrasound abdomen X 5 days Systolic BP <90 mmHg H/O Syncope Altered sensorium Oxygen saturation <90% Age >60 years and/ or significant co-morbid conditions ASSESS FOR HIGH RISK (Classify as high risk if any of these are present) Pulse rate >100/min Refer all high risk cases after initial resuscitation Start supplemental oxygen at 2 L/min in high risk cases and those in shock Place a NG tube and perform lavage Stop antiplatelets and anticoagulants. If H/o recent myocardial infarction or stent placed, consult a cardiologist | 415 | factual | 0.570 | Desirable Tests: Prothrombin time/ INR, liver function tests, blood urea and creatinine, HBsAg, Anti HCV ultrasound abdomen X 5 days Systolic BP <90 mmHg H/O Syncope Altered sensorium Oxygen saturation <90% Age >60 years and/ or significant co-morbid conditions ASSESS FOR HIGH RISK (Classify as high risk if any of these are present) Pulse rate >100/min Refer all high risk cases after initial resuscitation Start supplemental oxygen at 2 L/min in high risk cases and those in shock Place a NG tube and perform lavage Stop antiplatelets and anticoagulants. | ||||
| What medication should be avoided in patients with suspected heart disease or peripheral vascular disease? | Terlipressin | Octreotide 50 μg stat I.V. followed by 50 μg/ hr infusion X 3-5 days PPIs Vasoconstrictors Suspected variceal bleed Antibiotics Antibiotics All patients Lower GI bleed with fever * Avoid Terlipressin in patients with suspected heart disease or peripheral vascular disease. if patient is on Terlipressin examine for signs of peripheral/ cardiac ischemia regularly Inj Ceftriaxone I.V. 1 g 12 hourly x 3-5 days OR Inj Cefotaxime I.V. 1 g 8 hourly X 3-5 days Inj Ceftriaxone 2g I.V. 12 hourly AND Inj Metronidazole 500 mg I.V. 8 hourly Bleeding per rectum (Hematochezia) Black tarry stools (Melena) Blood in nasogastric tube (NG) (Active GI bleed) Hemoglobin, platelets, TLC, PTL, INR Blood grouping and cross matching to arrange blood | 187 | factual | 0.490 | followed by 50 μg/ hr infusion X 3-5 days PPIs Vasoconstrictors Suspected variceal bleed Antibiotics Antibiotics All patients Lower GI bleed with fever * Avoid Terlipressin in patients with suspected heart disease or peripheral vascular disease. | 1 | page=1,block=6 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| valid |
| 1 |
| page=1,block=45 |
| 0.700 |
| valid |