TN0898 FULMINANT HEPATIC FAILURE
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
ALTERED SENSORIUM, ABD DISTENSION, HEMORRHAGIC DIATHESES, ETC.	CLINICAL PHOTO, USG REPORT, LFT	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP +LFT + RFT + COAGULATION PROFILE + AMMONIA	30	mandatory
			EEG
			VIRAL MARKERS		mandatory
			LIVER BIOPSY
		TREATMENT	SUPPORTIVE CARE	50	mandatory	INCLUDING ANTIBIOTICS
			CORRECTION OF COAGULOPATHY			INCLUDING TRANSFUSION OF FFP
			CAUSE SPECIFIC TREATMENT		mandatory	ANTIVIRAL, N ACETYLCYSTEINE, STEROIDS, ETC.
			MANAGEMENT OF HEPATORENAL SYNDROME			IV ALBUMIN, SOMATOSTATIN ANALOGUES, ETC.
			MANAGEMENT OF CEREBRAL EDEMA			MANNITOL, 25%DEXTROSE, ETC.