Hi Luca,
Thanks for your very good question again.
As you can see, they are all marked as "Somewhat relevant" (1), not as "Highly relevant" (2).
We admitted a flexible interpretation on the meaning of somewhat relevant, i.e., we left the subjective decision on what is somewhat relevant to the assessors.
A document can be marked as somewhat relevant if, for example, is it on the specific disease, but not very complete, or on some related disease that could be a potential diagnosis.
For this specific case that you mentioned, we collected the following comment from the assessor:
< As the correct diagnosis is not a very common one I couldn't find any relevant documents....some documents mentioned petechia and potential differential diagnoses which I marked as "somewhat relevant". >
Note though, that the criteria of somewhat relevant might be different for another query assessed by another medical student.
Best,