Description
This pretrained pipeline is built on the top of jsl_meds_8b_q8_v4 model.
How to use
from sparknlp.pretrained import PretrainedPipeline
pipeline = PretrainedPipeline("jsl_meds_8b_q8_v4_pipeline", "en", "clinical/models")
text = """<no_think></no_think>
A 23-year-old pregnant woman at 22 weeks gestation presents with burning upon urination. She states it started 1 day ago and has been worsening despite drinking more water and taking cranberry extract. She otherwise feels well and is followed by a doctor for her pregnancy. Her temperature is 97.7°F (36.5°C), blood pressure is 122/77 mmHg, pulse is 80/min, respirations are 19/min, and oxygen saturation is 98% on room air. Physical exam is notable for an absence of costovertebral angle tenderness and a gravid uterus.
Which of the following is the best treatment for this patient?
A: Ampicillin
B: Ceftriaxone
C: Ciprofloxacin
D: Doxycycline
E: Nitrofurantoin
"""
result = pipeline.fullAnnotate(text)
from johnsnowlabs import nlp, medical
pipeline = nlp.PretrainedPipeline("jsl_meds_8b_q8_v4_pipeline", "en", "clinical/models")
text = """<no_think></no_think>
A 23-year-old pregnant woman at 22 weeks gestation presents with burning upon urination. She states it started 1 day ago and has been worsening despite drinking more water and taking cranberry extract. She otherwise feels well and is followed by a doctor for her pregnancy. Her temperature is 97.7°F (36.5°C), blood pressure is 122/77 mmHg, pulse is 80/min, respirations are 19/min, and oxygen saturation is 98% on room air. Physical exam is notable for an absence of costovertebral angle tenderness and a gravid uterus.
Which of the following is the best treatment for this patient?
A: Ampicillin
B: Ceftriaxone
C: Ciprofloxacin
D: Doxycycline
E: Nitrofurantoin
"""
result = pipeline.fullAnnotate(text)
import com.johnsnowlabs.nlp.pretrained.PretrainedPipeline
val pipeline = new PretrainedPipeline("jsl_meds_8b_q8_v4_pipeline", "en", "clinical/models")
val text = """<no_think></no_think>
A 23-year-old pregnant woman at 22 weeks gestation presents with burning upon urination. She states it started 1 day ago and has been worsening despite drinking more water and taking cranberry extract. She otherwise feels well and is followed by a doctor for her pregnancy. Her temperature is 97.7°F (36.5°C), blood pressure is 122/77 mmHg, pulse is 80/min, respirations are 19/min, and oxygen saturation is 98% on room air. Physical exam is notable for an absence of costovertebral angle tenderness and a gravid uterus.
Which of the following is the best treatment for this patient?
A: Ampicillin
B: Ceftriaxone
C: Ciprofloxacin
D: Doxycycline
E: Nitrofurantoin
"""
val result = pipeline.fullAnnotate(text)
Results
<think>
</think>
The best treatment for this 23-year-old pregnant woman at 22 weeks gestation with **burning upon urination** (likely **urinary tract infection**, or UTI) is:
**E: Nitrofurantoin**
---
### Rationale:
- **Clinical presentation**: Burning upon urination, worsening despite increased fluid intake and cranberry extract, suggests a **urinary tract infection (UTI)**.
- **Pregnancy**: At 22 weeks gestation, the patient is in the second trimester.
- **UTI in pregnancy** is a common condition that requires prompt treatment to prevent complications such as pyelonephritis, preterm labor, or low birth weight.
### Why Nitrofurantoin is the best choice:
- **Nitrofurantoin** is **safe and effective** for treating uncomplicated UTIs in pregnancy, particularly in the **second and third trimesters**.
- It is **well-tolerated** and has **good urinary concentration**.
- It is **not associated with fetal malformations** when used appropriately.
### Why other options are less ideal:
- **Ampicillin (A)**: May be used in early pregnancy, but is **less effective** than nitrofurantoin for UTIs and may be **less preferred** due to potential resistance.
- **Ceftriaxone (B)**: A third-generation cephalosporin. While effective, it is **not typically first-line** for uncomplicated UTIs in pregnancy and may be **overused**.
- **Ciprofloxacin (C)**: **Contraindicated** in pregnancy due to potential risk of cartilage damage in the developing fetus.
- **Doxycycline (D)**: **Contraindicated** in pregnancy due to risk of **fetal tooth discoloration** and **bone development issues**.
---
### Conclusion:
**Nitrofurantoin (E)** is the best treatment option for this patient with a UTI at 22 weeks gestation.
Model Information
| Model Name: | jsl_meds_8b_q8_v4_pipeline |
| Type: | pipeline |
| Compatibility: | Healthcare NLP 6.1.0+ |
| License: | Licensed |
| Edition: | Official |
| Language: | en |
| Size: | 8.4 GB |
Included Models
- DocumentAssembler
- MedicalLLM