9 extractive question-and-answer pairs built from Acute Encephalitis Syndrome, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include acute encephalitis syndrome, standard treatment workflow, children, icd-10-g04, glasgow coma scale, raised intracranial pressure, iv lorazepam, midazolam. 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: 6 list, 2 summary, 1 factual. 8 of the 9 pairs (88.9%) ask explanatory questions; the remaining 1 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains nine extractive question-and-answer pairs focused on Acute Encephalitis Syndrome (AES), sourced from a single-page publication by icmr.gov.in. The questions address topics such as treatment protocols, diagnostic criteria, and environmental factors relevant to AES. Answers are verbatim excerpts from the source document, ensuring traceability. The dataset includes explanatory, factual, and list-based question types, with a strong emphasis on clinical decision-making and management strategies for children with AES symptoms.
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https://www.desidata.in/api/datasets/www-icmr-gov-in-7417550c8733bd926edc8f32441952cf/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-7417550c8733bd926edc8f32441952cf")
df.head()First 9 of 9 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What should be done if a child exhibits decerebrate or decorticate posturing? | the child should be referred to tertiary care facility with PICU and facilities for mechanical ventilation | If any of the following signs are present, the child should be referred to tertiary care facility with PICU and facilities for mechanical ventilation: • Glasgow Coma Scale < 8 • Abnormal breathing pattern • Shock not responding to fluid bolus • Decerebrate or decorticate posturing • Seizures persisting despite benzodiazepine and phenytoin **If therapy was started empirically stop acyclovir, in case an alternative diagnosis is confirmed, or HSV PCR of CSF is negative on two occasions (24-48 h apart) and MRI imaging not suggestive of Herpes Simplex Encephalitis | 43 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | If any of the following signs are present, the child should be referred to tertiary care facility with PICU and facilities for mechanical ventilation: • Glasgow Coma Scale < 8 • Abnormal breathing pattern • Shock not responding to fluid bolus • Decerebrate or decorticate posturing • Seizures persisting despite benzodiazepine and phenytoin **If therapy was started empirically stop acyclovir, in case an alternative diagnosis is confirmed, or HSV PCR of CSF is negative on two occasions (24-48 h apart) and MRI imaging not suggestive of Herpes Simplex Encephalitis | 1 | page=1,block=41 | 0.700 | valid |
| What should be done if seizures persist despite benzodiazepine and phenytoin? | the child should be referred to tertiary care facility with PICU and facilities for mechanical ventilation | If any of the following signs are present, the child should be referred to tertiary care facility with PICU and facilities for mechanical ventilation: • Glasgow Coma Scale < 8 • Abnormal breathing pattern • Shock not responding to fluid bolus • Decerebrate or decorticate posturing • Seizures persisting despite benzodiazepine and phenytoin **If therapy was started empirically stop acyclovir, in case an alternative diagnosis is confirmed, or HSV PCR of CSF is negative on two occasions (24-48 h apart) and MRI imaging not suggestive of Herpes Simplex Encephalitis | 43 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | If any of the following signs are present, the child should be referred to tertiary care facility with PICU and facilities for mechanical ventilation: • Glasgow Coma Scale < 8 • Abnormal breathing pattern • Shock not responding to fluid bolus • Decerebrate or decorticate posturing • Seizures persisting despite benzodiazepine and phenytoin **If therapy was started empirically stop acyclovir, in case an alternative diagnosis is confirmed, or HSV PCR of CSF is negative on two occasions (24-48 h apart) and MRI imaging not suggestive of Herpes Simplex Encephalitis | ||||
| What are the contraindications for lumbar puncture or conditions requiring neuroimaging before it? | Fundus: papilledema 2. Platelet count < 50,000 3. Focal neurological deficits 4. Asymmetric/unreactive pupils 5.Decerebrate/decorticate posturing | *Lumbar puncture is contra-indicated or neuroimaging must be obtained before lumbar puncture 1.Fundus: papilledema 2. Platelet count < 50,000 3. Focal neurological deficits 4. Asymmetric/unreactive pupils 5.Decerebrate/decorticate posturing ##Treatment of seizures 1st Line: IV Lorazepam 0.1mg/kg or Midazolam 0.2 mg/kg orDiazepam 0.3 mg/kg). If no IV access: IM Midazolam 0.2 mg/kg 2nd Line: Inj. | 95 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | *Lumbar puncture is contra-indicated or neuroimaging must be obtained before lumbar puncture 1.Fundus: papilledema 2. Platelet count < 50,000 3. Focal neurological deficits 4. Asymmetric/unreactive pupils 5.Decerebrate/decorticate posturing ##Treatment of seizures 1st Line: IV Lorazepam 0.1mg/kg or Midazolam 0.2 mg/kg orDiazepam 0.3 mg/kg). | 1 | page=1,block=22 | 0.700 | valid |
| What environmental factors are taken into account for a child with neurological symptoms? | Residence of child: rural/urban, endemic for cerebral malaria, any epidemic of AES in neighborhood | • Rash, vesicles, past history of chicken pox • Residence of child: rural/urban, endemic for cerebral malaria, any epidemic of AES in neighborhood • Animal contact, insect bite, dog bite • Drug or toxin exposure- enquire for presence of any drugs at home • Recent travel • Trauma • Seizures • Recent immunizations • Recurrent episodes of encephalopathy • Past or concurrent systemic illness • Pre-morbid developmental/ neurological status of the child | 48 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | • Rash, vesicles, past history of chicken pox • Residence of child: rural/urban, endemic for cerebral malaria, any epidemic of AES in neighborhood • Animal contact, insect bite, dog bite • Drug or toxin exposure- enquire for presence of any drugs at home • Recent travel • Trauma • Seizures • Recent immunizations • Recurrent episodes of encephalopathy • Past or concurrent systemic illness • Pre-morbid developmental/ neurological status of the child | 1 | page=1,block=32 | ||
| What is the recommended management for refractory seizures in the absence of ICU facilities? | sodium valproate (20 mg/kg) or levetiracetam (20-40 mg/kg) or phenobarbitone (20mg/kg) | Phenytoin 20 mg/kg (in Normal saline 1mg/kg/min) If seizures still persist: Refractory status: Transfer to PICU -> midazolam infusion (1-18 microgram/kg/min) If ICU facilities not available: sodium valproate (20 mg/kg) or levetiracetam (20-40 mg/kg) or phenobarbitone (20mg/kg) #Management of raised intracranial pressure • Intubate if: GCS <8 / evidence of herniation / irregular respirations and inability to maintain airway • Signs of impending herniation: patient to be hyperventilated to a target PaCO2 of 30-35 mmHg • Initial bolus of Mannitol(0.25 g/kg), then 0.25 g/kg q 6 h as per requirement, up to 48 hours. • In the presence of hypotension, hypovolemia, and renal failure: hypertonic (3%) saline (preferable to mannitol) 0.1–1 mL/kg/hr by infusion; serum sodium to be targeted to 145-155 meq/L • Adequate sedation and analgesia • Avoid noxious stimuli • Administer nebulized lignocaine prior to endotracheal tube suctioning | 191 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | Phenytoin 20 mg/kg (in Normal saline 1mg/kg/min) If seizures still persist: Refractory status: Transfer to PICU -> midazolam infusion (1-18 microgram/kg/min) If ICU facilities not available: sodium valproate (20 mg/kg) or levetiracetam (20-40 mg/kg) or phenobarbitone (20mg/kg) #Management of raised intracranial pressure • Intubate if: GCS <8 / evidence of herniation / irregular respirations and inability to maintain airway • Signs of impending herniation: patient to be hyperventilated to a target PaCO2 of 30-35 mmHg • Initial bolus of Mannitol(0.25 g/kg), then 0.25 g/kg q 6 h as per | ||||
| What tests are considered essential in the evaluation of neurological conditions? | CBC, LFT, KFT, blood sugar, CECT Brain, CSF examination* (cytology, biochemistry, culture, AFB staining, Gene Xpert), peripheral smear for malarial parasite, Rapid Malarial Antigen Test | • Pallor • Petechieae • Rash • Icterus NEUROLOGICAL EXAMINATION • Level of consciousness by Glasgow Coma Scale (GCS) • Abnormal posturing- decerebrate, decorticate • Active seizures • Cranial nerves: pupil size and reaction, doll’s eye movements, squint, facial deviation • Focal neurological deficits • Meningeal signs DESIRABLE ESSENTIAL OPTIONAL CBC, LFT, KFT, blood sugar, CECT Brain, CSF examination* (cytology, biochemistry, culture, AFB staining, Gene Xpert), peripheral smear for malarial parasite, Rapid Malarial Antigen Test MRI Brain, CSF PCR for Herpes simplex encephalitis, JE serology, EEG, Dengue serology and NS1 testing, HIV testing CSF Neurovirology panel, anti-NMDA receptor antibody testing, PCR viral testing of other samples (throat swab, nasopharyngeal aspirates, stool etc), Blood Tandem Mass Spectrometry and urine gas chromatography, antinuclear antibodies | 349 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | • Pallor • Petechieae • Rash • Icterus NEUROLOGICAL EXAMINATION • Level of consciousness by Glasgow Coma Scale (GCS) • Abnormal posturing- decerebrate, decorticate • Active seizures • Cranial nerves: pupil size and reaction, doll’s eye movements, squint, facial deviation • Focal neurological deficits • Meningeal signs DESIRABLE ESSENTIAL OPTIONAL CBC, LFT, KFT, blood sugar, CECT Brain, CSF examination* (cytology, biochemistry, culture, AFB staining, Gene Xpert), peripheral smear for malarial parasite, Rapid Malarial Antigen Test MRI Brain, CSF PCR for Herpes simplex encephalitis, JE serology, | ||||
| What are some abnormal posturing types checked during a neurological examination? | decerebrate, decorticate | • Pallor • Petechieae • Rash • Icterus NEUROLOGICAL EXAMINATION • Level of consciousness by Glasgow Coma Scale (GCS) • Abnormal posturing- decerebrate, decorticate • Active seizures • Cranial nerves: pupil size and reaction, doll’s eye movements, squint, facial deviation • Focal neurological deficits • Meningeal signs DESIRABLE ESSENTIAL OPTIONAL CBC, LFT, KFT, blood sugar, CECT Brain, CSF examination* (cytology, biochemistry, culture, AFB staining, Gene Xpert), peripheral smear for malarial parasite, Rapid Malarial Antigen Test MRI Brain, CSF PCR for Herpes simplex encephalitis, JE serology, EEG, Dengue serology and NS1 testing, HIV testing CSF Neurovirology panel, anti-NMDA receptor antibody testing, PCR viral testing of other samples (throat swab, nasopharyngeal aspirates, stool etc), Blood Tandem Mass Spectrometry and urine gas chromatography, antinuclear antibodies | 139 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | • Pallor • Petechieae • Rash • Icterus NEUROLOGICAL EXAMINATION • Level of consciousness by Glasgow Coma Scale (GCS) • Abnormal posturing- decerebrate, decorticate • Active seizures • Cranial nerves: pupil size and reaction, doll’s eye movements, squint, facial deviation • Focal neurological deficits • Meningeal signs DESIRABLE ESSENTIAL OPTIONAL CBC, LFT, KFT, blood sugar, CECT Brain, CSF examination* (cytology, biochemistry, culture, AFB staining, Gene Xpert), peripheral smear for malarial parasite, Rapid Malarial Antigen Test MRI Brain, CSF PCR for Herpes simplex encephalitis, JE serology, | ||||
| What types of bites are considered in the assessment of a child with neurological symptoms? | insect bite, dog bite | • Rash, vesicles, past history of chicken pox • Residence of child: rural/urban, endemic for cerebral malaria, any epidemic of AES in neighborhood • Animal contact, insect bite, dog bite • Drug or toxin exposure- enquire for presence of any drugs at home • Recent travel • Trauma • Seizures • Recent immunizations • Recurrent episodes of encephalopathy • Past or concurrent systemic illness • Pre-morbid developmental/ neurological status of the child | 165 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | • Rash, vesicles, past history of chicken pox • Residence of child: rural/urban, endemic for cerebral malaria, any epidemic of AES in neighborhood • Animal contact, insect bite, dog bite • Drug or toxin exposure- enquire for presence of any drugs at home • Recent travel • Trauma • Seizures • Recent immunizations • Recurrent episodes of encephalopathy • Past or concurrent systemic illness • Pre-morbid developmental/ neurological status of the child | 1 | page=1,block=32 | 0.700 | |
| What is the first-line treatment for seizures? | IV Lorazepam 0.1mg/kg or Midazolam 0.2 mg/kg orDiazepam 0.3 mg/kg | *Lumbar puncture is contra-indicated or neuroimaging must be obtained before lumbar puncture 1.Fundus: papilledema 2. Platelet count < 50,000 3. Focal neurological deficits 4. Asymmetric/unreactive pupils 5.Decerebrate/decorticate posturing ##Treatment of seizures 1st Line: IV Lorazepam 0.1mg/kg or Midazolam 0.2 mg/kg orDiazepam 0.3 mg/kg). If no IV access: IM Midazolam 0.2 mg/kg 2nd Line: Inj. | 275 | factual | 0.530 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725959608_paediatrics_acute_encephalitis_syndrome.pdf | Asymmetric/unreactive pupils 5.Decerebrate/decorticate posturing ##Treatment of seizures 1st Line: IV Lorazepam 0.1mg/kg or Midazolam 0.2 mg/kg orDiazepam 0.3 mg/kg). | 1 | page=1,block=22 | 0.700 | valid |
Read straight from the file — download or use the API URL for the full dataset.
| 1 |
| page=1,block=41 |
| 0.700 |
| valid |
| 0.700 |
| valid |
| 1 |
| page=1,block=22 |
| 0.700 |
| valid |
| 1 |
| page=1,block=12 |
| 0.700 |
| valid |
| 1 |
| page=1,block=12 |
| 0.700 |
| valid |
| valid |