TN0897 CIRRHOSIS WITH SPONTANEOUS BACTERIAL PERITONITIS
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
FEVER, JAUNDICE, ABD PAIN AND DISTENSION	CLINICAL PHOTO, USG REPORT, LFT	TOTAL BED DAYS		20	5
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT				discretion of treating doctor
		INVESTIGATIONS	GENERAL WORK UP +LFT + RFT + COAGULATION PROFILE	30
			CT ABDOMEN
			USG ABDOMEN			mandatory
			ASCITIC FLUID ANALYSIS + CULTURE			mandatory
			LFT			mandatory
		TREATMENT	SUPPORTIVE CARE	50		mandatory
			IV ANTIBIOTICS			mandatory
			ASCITIC FLUID TAPPING
			CAUSE SPECIFIC TREATMENT