11 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) SEPTIC (PYOGENIC) ARTHRITIS, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include septic arthritis, standard treatment workflow, icd-m00, symptoms, fever, pain, swelling, joint dysfunction. 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: 7 list, 2 factual, 1 definition, 1 summary. 9 of the 11 pairs (81.8%) ask explanatory questions; the remaining 2 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 11 extractive question-and-answer pairs derived from the ICMR Standard Treatment Workflow (STW) for septic arthritis. The source material, a one-page publication, outlines diagnostic criteria, symptoms, alternative diagnoses, and treatment protocols for septic arthritis. Questions range from definitions to lists and summaries, with answers directly quoted from the source. Topics include synovial fluid characteristics, symptoms in immunocompromised patients, imaging techniques, and management of complications.
Browse more economy datasets, including other records from the same source when available.
Explore Economy datasets1725952331_psychiatry_all - Question and Answer Dataset
Economy · 176 rows
ICMR Standard Treatment Workflow (STW) SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN - Question and Answer Dataset
Economy · 22 rows
1726569102_ophthalmology_all - Question and Answer Dataset
Health · 77 rows
1725952349_ent - Question and Answer Dataset
Health · 178 rows
Annual Report 2015-16 by agriwelfare.gov.in - Question and Answer Dataset
Economy · 1K+ rows
Higher Education in India - Question and Answer Dataset
Economy · 1.5K+ rows
Gender Policy of NABARD - Question and Answer Dataset
Economy · 14 rows
ICAR Annual Report 2025-26 - Question and Answer Dataset
Economy · 1.1K+ rows
Use the API URL with your free DD token in notebooks, scripts, and pipelines.
https://www.desidata.in/api/datasets/www-icmr-gov-in-6b71cffbaf2e09da84aa4b17b164a58e/downloadDataset downloads are free. For Python or API downloads, sign in once and create a free DD token; set it as DD_TOKEN or save it in your notebook's secrets. Requests are linked to your account so your download history and counts stay accurate.
# One-time install: pip install desidata
# Set DD_TOKEN in your environment first (create a free token in Profile & settings).
import desidata
df = desidata.load("www-icmr-gov-in-6b71cffbaf2e09da84aa4b17b164a58e")
df.head()First 10 of 11 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What synovial fluid characteristics are used to suspect septic arthritis? | Cloudy or purulent synovial fluid | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 143 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | Detailed medical history to look for primary focus of infection including history of antecedent mild trauma WHEN TO SUSPECT SEPTIC ARTHRITIS • Cloudy or purulent synovial fluid: • Synovial fluid white blood cell count >100,000 cells/ mL (neutrophils > 90%) and Gram’s staining • Synovial fluid glucose level 50 mg/ dL less than serum glucose levels | 1 | page=1,block=14 | 0.700 | valid |
| What symptoms might malnourished or immunocompromised patients with joint issues exhibit? | Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 234 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 1 | page=1,block=3 | 0.700 | valid |
| What are some alternative diagnoses to septic arthritis? | Inflammatory arthritis • Crystal arthritis • Haemarthrosis • Trauma • Bursitis or cellulitis • Transient synovitis | • Incorrect causative organism - stop antibiotics and re-culture • Modification of antibiotic treatment - seek microbiological advice • Alternative foci of infection or systemic sepsis • Further imaging (eg, MRI) - osteomyelitis might need surgical intervention Clinical impression of septic arthritis No definite alternative diagnosis Definite alternative diagnosis • Inflammatory arthritis • Crystal arthritis • Haemarthrosis • Trauma • Bursitis or cellulitis • Transient synovitis Primary Care Refer immediately to higher centre after: 1. Adequate analgesia 2. Immobilisation of the part Higher Centre • Same as above, plus • Aspirate and investigate joint fluid • Radiograph of affected joint Primary Care Refer immediately to higher centre after: 1. Adequate analgesia 2. Immobilisation of the part 3. | 369 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | • Incorrect causative organism - stop antibiotics and re-culture • Modification of antibiotic treatment - seek microbiological advice • Alternative foci of infection or systemic sepsis • Further imaging (eg, MRI) - osteomyelitis might need surgical intervention Clinical impression of septic arthritis No definite alternative diagnosis Definite alternative diagnosis • Inflammatory arthritis • Crystal arthritis • Haemarthrosis • Trauma • Bursitis or cellulitis • Transient synovitis Primary Care Refer immediately to higher centre after: 1. | ||||
| What are some signs of joint issues that may include erythema? | Swelling, erythema, tenderness, painful limitation of joint motion, painful limp | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 151 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 1 | page=1,block=3 | 0.700 | valid |
| What are the initial steps to take in primary care before referring a patient with suspected septic arthritis to a higher centre? | 1. Adequate analgesia 2. Immobilisation of the part | • Incorrect causative organism - stop antibiotics and re-culture • Modification of antibiotic treatment - seek microbiological advice • Alternative foci of infection or systemic sepsis • Further imaging (eg, MRI) - osteomyelitis might need surgical intervention Clinical impression of septic arthritis No definite alternative diagnosis Definite alternative diagnosis • Inflammatory arthritis • Crystal arthritis • Haemarthrosis • Trauma • Bursitis or cellulitis • Transient synovitis Primary Care Refer immediately to higher centre after: 1. Adequate analgesia 2. Immobilisation of the part Higher Centre • Same as above, plus • Aspirate and investigate joint fluid • Radiograph of affected joint Primary Care Refer immediately to higher centre after: 1. Adequate analgesia 2. Immobilisation of the part 3. | 539 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | • Incorrect causative organism - stop antibiotics and re-culture • Modification of antibiotic treatment - seek microbiological advice • Alternative foci of infection or systemic sepsis • Further imaging (eg, MRI) - osteomyelitis might need surgical intervention Clinical impression of septic arthritis No definite alternative diagnosis Definite alternative diagnosis • Inflammatory arthritis • Crystal arthritis • Haemarthrosis • Trauma • Bursitis or cellulitis • Transient synovitis Primary Care Refer immediately to higher centre after: 1. Adequate analgesia 2. Immobilisation of the part Higher | ||||
| What imaging techniques are desirable for examining an affected joint in septic arthritis? | ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT | OR NO RESOLUTION OF SYMPTOMS Essential ∙ Hemogram with ESR ∙ C-reactive protein (CRP) ∙ Blood culture ∙ Joint fluid aspirate for examination (Gram stain, aerobic and anaerobic culture and sensitivity (C&S) testing) Desirable ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT ∙ Renal and liver function ∙ ELISA serology for HIV, HBsAg, HCV ∙ Blood sugar (FBS, PPBS/RBS) ∙ Synovial fluid for fungal and mycobacterial staining with C&S for suspected cases ∙ Synovial fluid for polarising microscopy ∙ Synovial fluid examination for synovial sugar and protein levels | 225 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | OR NO RESOLUTION OF SYMPTOMS Essential ∙ Hemogram with ESR ∙ C-reactive protein (CRP) ∙ Blood culture ∙ Joint fluid aspirate for examination (Gram stain, aerobic and anaerobic culture and sensitivity (C&S) testing) Desirable ∙ Plain radiographs of affected joint ∙ Ultrasound of affected joint ∙ Doppler to rule out DVT ∙ Renal and liver function ∙ ELISA serology for HIV, HBsAg, HCV ∙ Blood sugar (FBS, PPBS/RBS) ∙ Synovial fluid for fungal and mycobacterial staining with C&S for suspected cases ∙ Synovial fluid for polarising microscopy ∙ Synovial fluid examination for synovial sugar and | ||||
| What imaging techniques are recommended at a higher centre for a patient with septic arthritis? | Radiograph and ultrasound of affected joint | First dose IV broad spectrum antibiotic (only if access to higher centre will take more than 2-3 hours) Higher Centre • Same as above, plus • Joint aspiration for Gram stain + C&S • Radiograph and ultrasound of affected joint • IV antibiotic to be continued, change according to C&S report • Surgical treatment as mentioned below • If requiring repeated surgery or atypical organism obtain specialist’s consultation • IV antibiotic to be continued for two weeks, followed by oral antibiotics for four weeks • Conversion to oral antibiotics based on 1. Clinical improvement 2. Fall in inflammatory markers (CRP, ESR levels to be monitored every 2 days during hospital stay) 3. And resolution of systemic symptoms • Consult with microbiologist whenever available • Manage complications like DVT, osteomyelitis, pathological fracture Septic arthritis Treatment as per septic arthritis protocol | 182 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | First dose IV broad spectrum antibiotic (only if access to higher centre will take more than 2-3 hours) Higher Centre • Same as above, plus • Joint aspiration for Gram stain + C&S • Radiograph and ultrasound of affected joint • IV antibiotic to be continued, change according to C&S report • Surgical treatment as mentioned below • If requiring repeated surgery or atypical organism obtain specialist’s consultation • IV antibiotic to be continued for two weeks, followed by oral antibiotics for four weeks • Conversion to oral antibiotics based on 1. | ||||
| What symptoms might indicate joint dysfunction in a patient? | Fever with pain, swelling and inability to move the joint | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 0 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | Fever with pain, swelling and inability to move the joint Malaise and/ or listlessness, irritability, poor feeding, immobility and joint dysfunction ∙ Swelling, erythema, tenderness, painful limitation of joint motion, painful limp ∙ Patients may or may not appear acutely ill or toxic (especially malnourished/ immunocompromised patients) | 1 | page=1,block=3 | 0.700 | valid |
| What complications should be managed during septic arthritis treatment? | DVT, osteomyelitis, pathological fracture | First dose IV broad spectrum antibiotic (only if access to higher centre will take more than 2-3 hours) Higher Centre • Same as above, plus • Joint aspiration for Gram stain + C&S • Radiograph and ultrasound of affected joint • IV antibiotic to be continued, change according to C&S report • Surgical treatment as mentioned below • If requiring repeated surgery or atypical organism obtain specialist’s consultation • IV antibiotic to be continued for two weeks, followed by oral antibiotics for four weeks • Conversion to oral antibiotics based on 1. Clinical improvement 2. Fall in inflammatory markers (CRP, ESR levels to be monitored every 2 days during hospital stay) 3. And resolution of systemic symptoms • Consult with microbiologist whenever available • Manage complications like DVT, osteomyelitis, pathological fracture Septic arthritis Treatment as per septic arthritis protocol | 789 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | And resolution of systemic symptoms • Consult with microbiologist whenever available • Manage complications like DVT, osteomyelitis, pathological fracture Septic arthritis Treatment as per septic arthritis protocol | ||||
| What does surgical decompression for septic arthritis involve? | Arthrotomy + thorough saline lavage +/- suction drainage | Treat as appropriate If surgery is contraindicated: Serial aspiration and lavage preferably under ultrasound guidance Surgical decompression: Arthrotomy + thorough saline lavage +/- suction drainage 1. Mathews CJ, Coakley G. Septic arthritis: current diagnostic and therapeutic algorithm. Curr Opin Rheumatol. 2008 Jul;20(4):457-62 2. Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M, Walker D, Coakley G. Management of septic arthritis: a systematic review. Ann Rheum Dis. 2007 Apr;66(4):440-5 3. Hassan AS, Rao A, Manadan AM, Block JA. Peripheral Bacterial Septic Arthritis: Review of Diagnosis and Management. J Clin Rheumatol. 2017 Dec;23(8):435-442 4. Mathews CJ, Weston VC, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. Lancet. 2010 Mar 6;375(9717):846-55 | 142 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474671_septic.pdf | Treat as appropriate If surgery is contraindicated: Serial aspiration and lavage preferably under ultrasound guidance Surgical decompression: Arthrotomy + thorough saline lavage +/- suction drainage 1. | 1 | page=1,block=35 |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=23 |
| 0.700 |
| valid |
| 1 |
| page=1,block=23 |
| 0.700 |
| valid |
| 1 |
| page=1,block=44 |
| 0.700 |
| valid |
| 1 |
| page=1,block=23 |
| 0.700 |
| valid |
| 1 |
| page=1,block=23 |
| 0.700 |
| valid |
| 0.700 |
| valid |