1 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) HYPOTHYROIDISM, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include hypothyroidism, standard treatment workflow (stw), icd-10-e03.9, levothyroxine, billewicz scoring, tpo antibodies, adrenal insufficiency, autoimmune disease. 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: 1 list. 1 of the 1 pairs (100.0%) ask explanatory questions; the remaining 0 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
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import desidata
df = desidata.load("www-icmr-gov-in-7226431b5d9620c274f610bfe5523d69")
df.head()First 1 of 1 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What imaging tests are mentioned as optional for hypothyroidism diagnosis? | USG neck, nuclear imaging | Haorseness 1 Cold skin 1 Weight increase 1 Add 1 point for women younger than 55 years Dry skin 1 Total score:12 Hypothyroid ≥6 points Intermediate 3-5 points Euthyroid ≤2 points Tests to be ordered after 72 hours TSH FT4 or T4 USG neck, nuclear imaging (Not a must, Do not delay treatment) Interpretation Screening - TSH > 30 mU/ L; T4 < 10th centile Confirmatory - TSH > 9 mU/L; FT4 < 0.6 ng/ml Tests to be ordered FT4 or T4 TSH Other pituitary profile Imaging of sella Interpretation TSH levels normal or low with low FT4 or T4 levels Titrate based on TSH levels • Target TSH ▶ Young patient’s 1–2.5 mU/L ▶ Middle-aged patients 1.5–3 ▶ Elderly patients ° < 60 y: > 4.5 mU/L ° 60–70 y: > 6.0 mU/L ° 70–80 y: > 7.0 to 8.0 mU/L • Once in 3 to 6 months initially, once stable dose is achieved, annual follow up Titrate based on FT4 or T4 levels and TSH • Titrate based on FT4 or T4 levels and TSH • Target T4: 10 to 16 mcg/dl • Target FT4: 1.4 to 2.3 ng/dl • Target TSH: 0.5 to 2 mU/L • Initial follow up at 2 and 4 weeks • Every 1 to 2 months in first 6 months • Every 3 to 4 months from 6 months to 3 years of age • Every 6 to 12 months till growth is complete Titrate based on FT4 or T4 levels • Target T4 or FT4 Young people - upper half of normal range • Elderly - mid normal range • Once in 3 to 6 months initially, once stable dose is achieved, annual follow up | 228 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726567243_hypothyroidism.pdf | Haorseness 1 Cold skin 1 Weight increase 1 Add 1 point for women younger than 55 years Dry skin 1 Total score:12 Hypothyroid ≥6 points Intermediate 3-5 points Euthyroid ≤2 points Tests to be ordered after 72 hours TSH FT4 or T4 USG neck, nuclear imaging (Not a must, Do not delay treatment) Interpretation Screening - TSH > 30 mU/ L; T4 < 10th centile Confirmatory - TSH > 9 mU/L; FT4 < 0.6 ng/ml Tests to be ordered FT4 or T4 TSH Other pituitary profile Imaging of sella Interpretation TSH levels normal or low with low FT4 or T4 levels Titrate based on TSH levels • Target TSH ▶ Young patient’s | 1 | page=1,block=48 | 0.700 | valid |
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