10 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) GALL STONE DISEASE, 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 10 pairs (70.0%) are explanatory questions and 3 restate a figure. 100.00% of rows pass the corpus quality gate.
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df = desidata.load("icmr-standard-treatment-workflow-for-gall-stone-disease-question-and-answer")
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Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 10 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What is Mirizzi’s syndrome caused by? | CBD obstruction caused by extrinsic compression from an impacted stone in cystic duct or Hartmann’s pouch | Other intra abdominal pathology like renal stones, ovarian pathology etc • LFT–Serum bilirubin, SGOT/PT, Alkaline Phosphatase • Amylase, lipase Haemogram,RFT, electrolytes, CXR, RBS, ECG (to distinguish from cardiac pain) MRCP EVALUATION OF COMORBIDITIES Indications- jaundice, high ALP, dilated CBD (on USG), suspected CBD stones or mirizzi’s syndrome (CBD obstruction caused by extrinsic compression from an impacted stone in cystic duct or Hartmann’s pouch) • DM – fasting & post prandial blood sugar, HbA1c, sugar charting • Cardiac evaluation – ECHO and other as required • COPD patient – PFT • Coagulation profile - PT/ INR • Thyroid function test Cholecystostomy followed by laparoscopic cholecystectomy by experienced laparoscopic surgeon after 6 weeks Conservative management Acute pancreatitis Early LC – within 24-72 hours (if expertise available) OR Delayed LC – after 6 weeks by experienced lap surgeon Laparoscopic Cholecystectomy | 354 | definition | 0.980 | Other intra abdominal pathology like renal stones, ovarian pathology etc • LFT–Serum bilirubin, SGOT/PT, Alkaline Phosphatase • Amylase, lipase Haemogram,RFT, electrolytes, CXR, RBS, ECG (to distinguish from cardiac pain) MRCP EVALUATION OF COMORBIDITIES Indications- jaundice, high ALP, dilated CBD (on USG), suspected CBD stones or mirizzi’s syndrome (CBD obstruction caused by extrinsic compression from an impacted stone in cystic duct or Hartmann’s pouch) • DM – fasting & post prandial blood sugar, HbA1c, sugar charting • Cardiac evaluation – ECHO and other as required • COPD patient – PFT • | 1 | page=1,block=5 | 0.700 | valid |
| What does mirizzi’s syndrome refer to? | CBD obstruction caused by extrinsic compression from an impacted stone in cystic duct or Hartmann’s pouch | Other intra abdominal pathology like renal stones, ovarian pathology etc • LFT–Serum bilirubin, SGOT/PT, Alkaline Phosphatase • Amylase, lipase Haemogram,RFT, electrolytes, CXR, RBS, ECG (to distinguish from cardiac pain) MRCP EVALUATION OF COMORBIDITIES Indications- jaundice, high ALP, dilated CBD (on USG), suspected CBD stones or mirizzi’s syndrome (CBD obstruction caused by extrinsic compression from an impacted stone in cystic duct or Hartmann’s pouch) • DM – fasting & post prandial blood sugar, HbA1c, sugar charting • Cardiac evaluation – ECHO and other as required • COPD patient – PFT • Coagulation profile - PT/ INR • Thyroid function test Cholecystostomy followed by laparoscopic cholecystectomy by experienced laparoscopic surgeon after 6 weeks Conservative management Acute pancreatitis Early LC – within 24-72 hours (if expertise available) OR Delayed LC – after 6 weeks by experienced lap surgeon Laparoscopic Cholecystectomy | 354 | definition | 0.980 | Other intra abdominal pathology like renal stones, ovarian pathology etc • LFT–Serum bilirubin, SGOT/PT, Alkaline Phosphatase • Amylase, lipase Haemogram,RFT, electrolytes, CXR, RBS, ECG (to distinguish from cardiac pain) MRCP EVALUATION OF COMORBIDITIES Indications- jaundice, high ALP, dilated CBD (on USG), suspected CBD stones or mirizzi’s syndrome (CBD obstruction caused by extrinsic compression from an impacted stone in cystic duct or Hartmann’s pouch) • DM – fasting & post prandial blood sugar, HbA1c, sugar charting • Cardiac evaluation – ECHO and other as required • COPD patient – PFT • | ||||
| What is the purpose of using USG abdomen in gall bladder investigations? | 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) | ASYPMTOMATIC COMPLICATED SYPMTOMATIC 1. Acute cholecystitis 2. Empyema 3. Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. Gangrene/ perforation 6. Biliary obstruction 7. Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 354 | summary | 0.970 | Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 1 | page=1,block=5 | 0.700 | valid |
| What condition is characterized by unexplained fever, lack of right upper quadrant tenderness, and leukocytosis in critically ill patients? | Acalculous cholecystitis | ASYPMTOMATIC COMPLICATED SYPMTOMATIC 1. Acute cholecystitis 2. Empyema 3. Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. Gangrene/ perforation 6. Biliary obstruction 7. Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 87 | definition | 0.940 | Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. | 1 | page=1,block=5 | 0.700 | valid |
| What does MRCP stand for? | Magnetic resonance cholangiopancreatography | Lap Cholecystecto- my (if required) Cholecystostomy Non resolving symptoms Unstable Conservative management Refer to CBD stones STW Stable Conservative management only Mild/ moderate pancreatitis Lap cholecystectomy within same hospital admission Severe pancreatitis MRCP: Magnetic resonance cholangiopancreatography CBD: Common biles ducts GSD: Gall stone disease HPE: Histopathological examination LC: Laparoscopic cholecystectomy Lap cholecystectomy after 4-6 weeks of resolution of pancreatitis Acalculous cholecystitis Concomitant GSD+ CBD stones Lap cholecystectomy if symptoms persists after resolution of acute phase | 273 | definition | 0.900 | Lap Cholecystecto- my (if required) Cholecystostomy Non resolving symptoms Unstable Conservative management Refer to CBD stones STW Stable Conservative management only Mild/ moderate pancreatitis Lap cholecystectomy within same hospital admission Severe pancreatitis MRCP: Magnetic resonance cholangiopancreatography CBD: Common biles ducts GSD: Gall stone disease HPE: Histopathological examination LC: Laparoscopic cholecystectomy Lap cholecystectomy after 4-6 weeks of resolution of pancreatitis Acalculous cholecystitis Concomitant GSD+ CBD stones Lap cholecystectomy if symptoms persists after | ||||
| What additional areas can be evaluated using USG abdomen besides the gall bladder? | Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) | ASYPMTOMATIC COMPLICATED SYPMTOMATIC 1. Acute cholecystitis 2. Empyema 3. Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. Gangrene/ perforation 6. Biliary obstruction 7. Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 437 | list | 0.820 | To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 1 | page=1,block=5 | 0.700 | valid |
| What is the purpose of using USG abdomen in the investigation of cholecystitis? | 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) | ASYPMTOMATIC COMPLICATED SYPMTOMATIC 1. Acute cholecystitis 2. Empyema 3. Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. Gangrene/ perforation 6. Biliary obstruction 7. Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 354 | list | 0.820 | Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 1 | page=1,block=5 | 0.700 | valid |
| What is the preferred method for assessing the condition of the gall bladder? | USG abdomen–investigation of choice (sensitivity–95%) | ASYPMTOMATIC COMPLICATED SYPMTOMATIC 1. Acute cholecystitis 2. Empyema 3. Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. Gangrene/ perforation 6. Biliary obstruction 7. Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 300 | factual | 0.570 | Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. | 1 | page=1,block=5 | 0.700 | valid |
| What is the investigation of choice for evaluating gall bladder status in cases of cholecystitis? | USG abdomen–investigation of choice (sensitivity–95%) | ASYPMTOMATIC COMPLICATED SYPMTOMATIC 1. Acute cholecystitis 2. Empyema 3. Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. Gangrene/ perforation 6. Biliary obstruction 7. Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 300 | factual | 0.570 | Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. | 1 | page=1,block=5 | 0.700 | valid |
| What is the investigation of choice for diagnosing gall bladder issues? | USG abdomen–investigation of choice (sensitivity–95%) | ASYPMTOMATIC COMPLICATED SYPMTOMATIC 1. Acute cholecystitis 2. Empyema 3. Mucocoele 4. Acalculous cholecystitis (critically ill patients – unexplained fever, lack of right upper quadrant tenderness, leukocytosis) 5. Gangrene/ perforation 6. Biliary obstruction 7. Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. To look for status of gall bladder and characteristic distal acoustic shadow 2. Status of liver/ CBD/ Intra hepatic biliary radicle dilatation (IHBRD) 3. | 300 | factual | 0.570 | Acute pancreatitis INVESTIGATIONS • USG abdomen–investigation of choice (sensitivity–95%) 1. | 1 | page=1,block=5 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=5 |
| 0.700 |
| valid |
| 1 |
| page=1,block=50 |
| 0.700 |
| valid |