33 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) APPENDICITIS, 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. 23 of the 33 pairs (69.7%) are explanatory questions and 10 restate a figure. 100.00% of rows pass the corpus quality gate.
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import desidata
df = desidata.load("icmr-standard-treatment-workflow-for-appendicitis-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 33 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What does the pointing sign indicate in cases of acute appendicitis? | The patient points with the index finger the site of maximum pain at region of Mc Burney’s point | PRESENTATION OF APPENDICITIS MAY BE AS 1) Acute appendicitis - early / delayed 2) Appendicular mass 3) Recurrent appendicitis SYMPTOMS OF ACUTE APPENDICITIS 1) Pain a) Periumbilical or epigastric colic (in nonobstructive type the pain may start at RIF) b) Shifting of pain from periumbilical region or begins from this site 2) Nausea/ vomiting 3) Pyrexia (usually absent in first 6 hours) 4) Loss of appetite NB: a) Pain always precedes vomiting (Murphy). Onset of symptom is more acute and abrupt in acute obstructive appendicitis b) If the patient has rigor and high fever within 24hrs of the onset of pain, appendicitis is most unlikely SIGNS OF ACUTE APPENDICITIS 1. Pointing sign – The patient points with the index finger the site of maximum pain at region of Mc Burney’s point 2. Cough test – C/O pain at right iliac fossa on coughing 3. Tenderness at Mc Burney’s point 4. | 687 | definition | 1.000 | Pointing sign – The patient points with the index finger the site of maximum pain at region of Mc Burney’s point 2. | 1 | page=1,block=3 | 0.700 | valid |
| What does the cough test involve when diagnosing acute appendicitis? | C/O pain at right iliac fossa on coughing | PRESENTATION OF APPENDICITIS MAY BE AS 1) Acute appendicitis - early / delayed 2) Appendicular mass 3) Recurrent appendicitis SYMPTOMS OF ACUTE APPENDICITIS 1) Pain a) Periumbilical or epigastric colic (in nonobstructive type the pain may start at RIF) b) Shifting of pain from periumbilical region or begins from this site 2) Nausea/ vomiting 3) Pyrexia (usually absent in first 6 hours) 4) Loss of appetite NB: a) Pain always precedes vomiting (Murphy). Onset of symptom is more acute and abrupt in acute obstructive appendicitis b) If the patient has rigor and high fever within 24hrs of the onset of pain, appendicitis is most unlikely SIGNS OF ACUTE APPENDICITIS 1. Pointing sign – The patient points with the index finger the site of maximum pain at region of Mc Burney’s point 2. Cough test – C/O pain at right iliac fossa on coughing 3. Tenderness at Mc Burney’s point 4. | 800 | definition | 1.000 | Cough test – C/O pain at right iliac fossa on coughing 3. | 1 | page=1,block=3 | 0.700 | valid |
| What does Rovsing’s sign indicate in relation to acute appendicitis? | pain at RIF with sudden thurst of palpation at left flank of abdomen | Muscle guard at right iliac fossa (RIF) 5. Rovsing’s sign – pain at RIF with sudden thurst of palpation at left flank of abdomen 6. Rebound tenderness – pain at RIF with sudden withdrawal of the maintained pressure with hand 7. | 60 | definition | 1.000 | Rovsing’s sign – pain at RIF with sudden thurst of palpation at left flank of abdomen 6. | 1 | page=1,block=3 | 0.700 | valid |
| What does rebound tenderness signify in the diagnosis of acute appendicitis? | pain at RIF with sudden withdrawal of the maintained pressure with hand | Muscle guard at right iliac fossa (RIF) 5. Rovsing’s sign – pain at RIF with sudden thurst of palpation at left flank of abdomen 6. Rebound tenderness – pain at RIF with sudden withdrawal of the maintained pressure with hand 7. | 153 | definition | 1.000 | Rebound tenderness – pain at RIF with sudden withdrawal of the maintained pressure with hand 7. | 1 | page=1,block=3 | 0.700 | valid |
| What is rebound tenderness in the context of acute appendicitis? | pain at RIF with sudden withdrawal of the maintained pressure with hand | Muscle guard at right iliac fossa (RIF) 5. Rovsing’s sign – pain at RIF with sudden thurst of palpation at left flank of abdomen 6. Rebound tenderness – pain at RIF with sudden withdrawal of the maintained pressure with hand 7. | 153 | definition | 1.000 | Rebound tenderness – pain at RIF with sudden withdrawal of the maintained pressure with hand 7. | 1 | page=1,block=3 | 0.700 | valid |
| What is the relationship between pain and vomiting in acute appendicitis? | Pain always precedes vomiting (Murphy). | PRESENTATION OF APPENDICITIS MAY BE AS 1) Acute appendicitis - early / delayed 2) Appendicular mass 3) Recurrent appendicitis SYMPTOMS OF ACUTE APPENDICITIS 1) Pain a) Periumbilical or epigastric colic (in nonobstructive type the pain may start at RIF) b) Shifting of pain from periumbilical region or begins from this site 2) Nausea/ vomiting 3) Pyrexia (usually absent in first 6 hours) 4) Loss of appetite NB: a) Pain always precedes vomiting (Murphy). Onset of symptom is more acute and abrupt in acute obstructive appendicitis b) If the patient has rigor and high fever within 24hrs of the onset of pain, appendicitis is most unlikely SIGNS OF ACUTE APPENDICITIS 1. Pointing sign – The patient points with the index finger the site of maximum pain at region of Mc Burney’s point 2. Cough test – C/O pain at right iliac fossa on coughing 3. Tenderness at Mc Burney’s point 4. | 416 | relationship | 0.970 | PRESENTATION OF APPENDICITIS MAY BE AS 1) Acute appendicitis - early / delayed 2) Appendicular mass 3) Recurrent appendicitis SYMPTOMS OF ACUTE APPENDICITIS 1) Pain a) Periumbilical or epigastric colic (in nonobstructive type the pain may start at RIF) b) Shifting of pain from periumbilical region or begins from this site 2) Nausea/ vomiting 3) Pyrexia (usually absent in first 6 hours) 4) Loss of appetite NB: a) Pain always precedes vomiting (Murphy). Onset of symptom is more acute and abrupt in acute obstructive appendicitis b) If the patient has rigor and high fever within 24hrs of the | ||||
| What should determine whether to perform surgery on a patient with acute appendicitis? | Clinical state and experience of the clinician | The essential preoperative investigations including routine blood sugar, urea, creatinine, Hb%, chest X-ray and ECG in all elderly patients. Intravenous fluid and broad-spectrum antibiotics to be started on admission 2) Acute appendicitis should be recognized early before it is allowed to reach the stage of peritonitis or an abscess formation. Clinical state and experience of the clinician should guide when to operate and when not to operate CHECKLIST FOR AN UNWELL PATIENT (HAVING FEVER, ANOREXIA ETC) FOLLOWING APPENDICECTOMY 1) Examine the operation wound for induration, collection or purulent discharge 2) Consider residual abscess (pelvis, RIF or Hepatorenal pouch of Morrison 3) Examine iungs for pneumonia or collapse 4) Thrombophlebitis 5) Any jaundice or enlarged liver 6) Urinary tract infection if any | 346 | relationship | 0.970 | Intravenous fluid and broad-spectrum antibiotics to be started on admission 2) Acute appendicitis should be recognized early before it is allowed to reach the stage of peritonitis or an abscess formation. Clinical state and experience of the clinician should guide when to operate and when not to operate CHECKLIST FOR AN UNWELL PATIENT (HAVING FEVER, ANOREXIA ETC) FOLLOWING APPENDICECTOMY 1) Examine the operation wound for induration, collection or purulent discharge 2) Consider residual abscess (pelvis, RIF or Hepatorenal pouch of Morrison 3) Examine iungs for pneumonia or collapse 4) | ||||
| What can mask the signs of appendicitis when the appendix is retrocaecal? | the signs of appendicitis may be masked | Generalised rigidity is a sign of generalized peritonitis; it is less marked if obese, emaciated, extremes of age NB: a) When appendix is retrocaecal the signs of appendicitis may be masked b) Inflamed pelvic type of appendix in contact with urinary bladder or rectum may produce features of cystitis or tenesmus c) Post ileal appendix may cause diarrhoea and marked retching. d) With progress of pregnancy, appendicular pain may be up at right flank of abdomen as the caecum and appendix are pushed up e) Females with inflammatory pelvic organ disease e,g, salpingitis may have history of dysmenorrhoea and purulent vaginal discharge ACUTE APPENDICITIS (Early presentation within 72 hours) | 150 | relationship | 0.970 | Generalised rigidity is a sign of generalized peritonitis; it is less marked if obese, emaciated, extremes of age NB: a) When appendix is retrocaecal the signs of appendicitis may be masked b) Inflamed pelvic type of appendix in contact with urinary bladder or rectum may produce features of cystitis or tenesmus c) Post ileal appendix may cause diarrhoea and marked retching. | 1 | page=1,block=3 | ||
| How does pregnancy affect the location of appendicular pain? | appendicular pain may be up at right flank of abdomen as the caecum and appendix are pushed up | Generalised rigidity is a sign of generalized peritonitis; it is less marked if obese, emaciated, extremes of age NB: a) When appendix is retrocaecal the signs of appendicitis may be masked b) Inflamed pelvic type of appendix in contact with urinary bladder or rectum may produce features of cystitis or tenesmus c) Post ileal appendix may cause diarrhoea and marked retching. d) With progress of pregnancy, appendicular pain may be up at right flank of abdomen as the caecum and appendix are pushed up e) Females with inflammatory pelvic organ disease e,g, salpingitis may have history of dysmenorrhoea and purulent vaginal discharge ACUTE APPENDICITIS (Early presentation within 72 hours) | 408 | relationship | 0.970 | d) With progress of pregnancy, appendicular pain may be up at right flank of abdomen as the caecum and appendix are pushed up e) Females with inflammatory pelvic organ disease e,g, salpingitis may have history of dysmenorrhoea and purulent vaginal discharge ACUTE APPENDICITIS (Early presentation within 72 hours) | 1 | page=1,block=3 | 0.700 | |
| What guides the decision to operate or not on a patient with acute appendicitis? | Clinical state and experience of the clinician | The essential preoperative investigations including routine blood sugar, urea, creatinine, Hb%, chest X-ray and ECG in all elderly patients. Intravenous fluid and broad-spectrum antibiotics to be started on admission 2) Acute appendicitis should be recognized early before it is allowed to reach the stage of peritonitis or an abscess formation. Clinical state and experience of the clinician should guide when to operate and when not to operate CHECKLIST FOR AN UNWELL PATIENT (HAVING FEVER, ANOREXIA ETC) FOLLOWING APPENDICECTOMY 1) Examine the operation wound for induration, collection or purulent discharge 2) Consider residual abscess (pelvis, RIF or Hepatorenal pouch of Morrison 3) Examine iungs for pneumonia or collapse 4) Thrombophlebitis 5) Any jaundice or enlarged liver 6) Urinary tract infection if any | 346 | relationship | 0.970 | Intravenous fluid and broad-spectrum antibiotics to be started on admission 2) Acute appendicitis should be recognized early before it is allowed to reach the stage of peritonitis or an abscess formation. Clinical state and experience of the clinician should guide when to operate and when not to operate CHECKLIST FOR AN UNWELL PATIENT (HAVING FEVER, ANOREXIA ETC) FOLLOWING APPENDICECTOMY 1) Examine the operation wound for induration, collection or purulent discharge 2) Consider residual abscess (pelvis, RIF or Hepatorenal pouch of Morrison 3) Examine iungs for pneumonia or collapse 4) |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=3 |
| 0.700 |
| valid |
| 1 |
| page=1,block=18 |
| 0.700 |
| valid |
| 0.700 |
| valid |
| valid |
| 1 |
| page=1,block=18 |
| 0.700 |
| valid |