6 extractive question-and-answer pairs built from 1725964689 4 pericardial tb 15032022, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include standard treatment workflow (stw), adult pericardial tuberculosis, icd-10-a18.84, constrictive pericarditis, kussmaul's sign, jugular venous pressure, pericardial knock, tachycardia. 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. Question types in the export: 2 definition, 2 list, 2 relationship. 6 of the 6 pairs (100.0%) ask explanatory questions; the remaining 0 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains six extractive question-and-answer pairs focused on clinical signs and diagnostic criteria for pericardial conditions, including constrictive pericarditis and cardiac tamponade. The data is sourced from a one-page publication by icmr.gov.in, with each answer directly quoted from the source document. Questions address definitions, relationships, and lists of symptoms or diagnostic indicators, providing insights into conditions such as Kussmaul's sign, pulsus paradoxus, and effusive constrictive pericarditis.
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# One-time install: pip install desidata
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import desidata
df = desidata.load("www-icmr-gov-in-4aba479c7110e8c5685ca56205a50a10")
df.head()First 6 of 6 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What is Kussmaul's sign in the context of constrictive pericarditis? | lack of an inspiratory decline in jugular venous pressure | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 85 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964689_4_pericardial_tb_15032022.pdf | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 1 | page=1,block=3 | 0.700 | valid |
| What is pulsus paradoxus in the context of cardiac tamponade? | a decrease in systolic blood pressure by >10 mmHg on inspiration | March/2022 Cardiac tamponade: Clinical signs include • Sinus tachycardia • Hypotension with a narrow pulse pressure • Elevated JVP jugular venous pressure • Muffled heart sounds • Pulsus paradoxus (a decrease in systolic blood pressure by >10 mmHg on inspiration) • Ascites Other complications: • Myopericarditis: Abnormal ejection fraction with evidence of myocarditis and pericarditis (elevated cardiac enzymes & ST elevation on ECG) • Effusive constrictive pericarditis: Mixed clinical picture. Main clue is elevated JVP clinically & right atrial pressure on ECHO in spite of removal of pericardial fluid Essential tests: • Chest X-ray • ECG • Echocardiogram Desirable: • Cardiac enzymes • CT/MRI of Thorax • Pericardiocentesis • Pericardial biopsy | 198 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964689_4_pericardial_tb_15032022.pdf | March/2022 Cardiac tamponade: Clinical signs include • Sinus tachycardia • Hypotension with a narrow pulse pressure • Elevated JVP jugular venous pressure • Muffled heart sounds • Pulsus paradoxus (a decrease in systolic blood pressure by >10 mmHg on inspiration) • Ascites Other complications: • Myopericarditis: Abnormal ejection fraction with evidence of myocarditis and pericarditis (elevated cardiac enzymes & ST elevation on ECG) • Effusive constrictive pericarditis: Mixed clinical picture. | ||||
| What does the prominent Y descent in elevated and distended jugular veins indicate in constrictive pericarditis? | diastolic inflow of blood into the right ventricle | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 267 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964689_4_pericardial_tb_15032022.pdf | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 1 | page=1,block=3 | 0.700 | valid |
| What is the main clinical clue for diagnosing effusive constrictive pericarditis? | elevated JVP clinically & right atrial pressure on ECHO in spite of removal of pericardial fluid | March/2022 Cardiac tamponade: Clinical signs include • Sinus tachycardia • Hypotension with a narrow pulse pressure • Elevated JVP jugular venous pressure • Muffled heart sounds • Pulsus paradoxus (a decrease in systolic blood pressure by >10 mmHg on inspiration) • Ascites Other complications: • Myopericarditis: Abnormal ejection fraction with evidence of myocarditis and pericarditis (elevated cardiac enzymes & ST elevation on ECG) • Effusive constrictive pericarditis: Mixed clinical picture. Main clue is elevated JVP clinically & right atrial pressure on ECHO in spite of removal of pericardial fluid Essential tests: • Chest X-ray • ECG • Echocardiogram Desirable: • Cardiac enzymes • CT/MRI of Thorax • Pericardiocentesis • Pericardial biopsy | 511 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964689_4_pericardial_tb_15032022.pdf | Main clue is elevated JVP clinically & right atrial pressure on ECHO in spite of removal of pericardial fluid Essential tests: • Chest X-ray • ECG • Echocardiogram Desirable: • Cardiac enzymes • CT/MRI of Thorax • Pericardiocentesis • Pericardial biopsy | ||||
| What cardiovascular examination findings are associated with pericarditis? | A pericardial friction rub and distant heart sounds | • Cough, fever, breathlessness or pleuritic chest pain • May be associated with weight loss, night sweats or difficulty lying down • Past history or a history of contact with a patient with a diagnosis of tuberculosis • Examination reveals tachycardia, increased jugular venous pressure, hepatomegaly, ascites, & peripheral edema • A pericardial friction rub and distant heart sounds present on cardiovascular examination • If clinical picture +/- heart US suggest pericarditis or pericardial effusion refer for echo-cardiogram | 332 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964689_4_pericardial_tb_15032022.pdf | • Cough, fever, breathlessness or pleuritic chest pain • May be associated with weight loss, night sweats or difficulty lying down • Past history or a history of contact with a patient with a diagnosis of tuberculosis • Examination reveals tachycardia, increased jugular venous pressure, hepatomegaly, ascites, & peripheral edema • A pericardial friction rub and distant heart sounds present on cardiovascular examination • If clinical picture +/- heart US suggest pericarditis or pericardial effusion refer for echo-cardiogram | ||||
| What clinical findings on examination suggest pericarditis or pericardial effusion? | tachycardia, increased jugular venous pressure, hepatomegaly, ascites, & peripheral edema | • Cough, fever, breathlessness or pleuritic chest pain • May be associated with weight loss, night sweats or difficulty lying down • Past history or a history of contact with a patient with a diagnosis of tuberculosis • Examination reveals tachycardia, increased jugular venous pressure, hepatomegaly, ascites, & peripheral edema • A pericardial friction rub and distant heart sounds present on cardiovascular examination • If clinical picture +/- heart US suggest pericarditis or pericardial effusion refer for echo-cardiogram | 240 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964689_4_pericardial_tb_15032022.pdf | • Cough, fever, breathlessness or pleuritic chest pain • May be associated with weight loss, night sweats or difficulty lying down • Past history or a history of contact with a patient with a diagnosis of tuberculosis • Examination reveals tachycardia, increased jugular venous pressure, hepatomegaly, ascites, & peripheral edema • A pericardial friction rub and distant heart sounds present on cardiovascular examination • If clinical picture +/- heart US suggest pericarditis or pericardial effusion refer for echo-cardiogram |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=14 |
| 0.700 |
| valid |
| 1 |
| page=1,block=14 |
| 0.700 |
| valid |
| 1 |
| page=1,block=6 |
| 0.700 |
| valid |
| 1 |
| page=1,block=6 |
| 0.700 |
| valid |