Scribd
Upload
403 views32 pages

General Medicine Presentation

The document provides information on various general medicine packages including accelerated hypertension, diabetes, stroke, plasmapheresis, interstitial lung disease, respiratory failure, acute febrile illness, malaria, dengue, hepatitis, acute gastroenteritis with dehydration, and urinary tract infection. For each condition, it describes the definition, diagnosis, treatment, and in some cases, payment criteria. It also includes sections on burns, including definitions, types, severity, documentation required, treatment modalities, packages, and post-burns contracture.

Uploaded by

KASATSA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
403 views32 pages

General Medicine Presentation

The document provides information on various general medicine packages including accelerated hypertension, diabetes, stroke, plasmapheresis, interstitial lung disease, respiratory failure, acute febrile illness, malaria, dengue, hepatitis, acute gastroenteritis with dehydration, and urinary tract infection. For each condition, it describes the definition, diagnosis, treatment, and in some cases, payment criteria. It also includes sections on burns, including definitions, types, severity, documentation required, treatment modalities, packages, and post-burns contracture.

Uploaded by

KASATSA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 32

General Medicine

Packages
Accelerated Hypertension
Diabetes
Stroke
Plasmapheresis
Interstitial lung disease
Respiratory failure
Acute febrile illness
Malaria
Dengue
Hepatitis
Acute gastro-entritis with dehydration
Urinary track infection
1. Accelerated hypertension
Definition:-
It is a disease characterised by a rapid and sudden raised
in blood pressure above the base line level that is threat
for organ damage
Diagnosis
BP record and charting
ECG
Fundus examination
Treatment
Admission in Hospital
Selection of ward will be according to the condition of
patient
Daily BP monitoring and charting
Anti hypertensive drugs
2. Diabetes
Diagnosis –
Blood sugar level
 RBS
 FBS – (<100)
 PP2BS- (<180)

Urine sugar and ketone bodies


HBA1c (Glycosylated Hb) ( < 6-7 )
complication
Cardio vascular diseases
Neuropathy
Nephropathy
Retinopathy
Ketoacidosis
Ketone bodies found in urine

Treat with
 Fluids
 Electrolyte replacement
 Insulin therapy
3. Cerebral Ischemic Stroke
Definition
A condition develop due to decrease in blood supply to
the brain leads to temporary or permanent brain tissue
damage.
Diagnosis
MRI
CT
MRI angio
Post MRI is mandatory
Payment criteria
Payment is done according to the weeks
1st week - 40 %
2nd week - 25%
3rd week - 15%
4th week - 10 %
5th week - 10%
4. Plasmapheresis
Definition
It is an kind of blood transfusion in which only plasma is
transfuse.

Indication :-
Gullien barre syndrome
Mysthenia crisis
Kidney transplant
Diagnosis
Clinical note by Neurophysician including CNS
examination
Payment criteria
Payment is done according to the weeks
1st week - 40 %
2nd week - 25%
3rd week - 15%
4th week - 10 %
5th week - 10%
5. lung diseases and respiratory failure
COPD
Bronchitis
Pneumonia
Lung abscess
Pleural effusion
Etc.
Diagnosis
Xray report and plate
CT chest
Routine blood investigation
6. Urinary tract infection
Diagnosis
Urine routine and micro
Urine culture
Usg KUB
7. Malaria and Dengue
Diagnosis
PSMP
Blood investigation
Clinical history
IgG
IgM
Ns Antigen
8. Acute febrile illness
Diagnosis
USG
Xray chest
Clinical note
Fever profile
9. Acute Gastroentritis
Diagnosis
Clinical notes
History
10. Hepatitis
Diagnosis
LFT
CBC
Clinical notes
USG
Viral marker
Claim requirements
First Clinical note by treating doctor
Day to day treatment notes (with date) from
admission to discharge.
Drugs and therapy given
Daily vitals
Doctors visit notes
All blood and other investigation reports pre and
during treatment
While taking enhancement clinical note is mandatory.
Hospital discharge summary
 dates of discharge summary and indoor treatment notes
should be matched
 All treatment notes, clinical notes, investigation
reports and discharge summary should be sign and
stamped by the authorised doctor
If package for ICU is taken then ICU chart, Fluid
chart, vital chart is mandatory
Burns
Definition
Burns is an type of injury to skin and other tissue caused
by Heat, cold, electric, chemical, friction or radiation
Type
Thermal
Electrical
Chemical
Flame
radiological
Severity
Superficial
Deep
By percentage
Rule of nine
Document required
Clinical examination and history
Clinical photograph of affected body part
Rule of nine chart
MLC
Treatment modality

Conservative conservative with surgical

Day to day treatment note OT note


Packages
In Burns speciality packages are defined by percentage
If surgical package is taken and surgery not done then
payment will be done according to the conservative
package.
Only fresh BURNS cases will be eligible
Post burns Contracture
Grade
Mild
 Upto 30 % Functional defect
Moderate
 30 to 50 % Functional defect
Severe
 More than 50 % Functional defect
Document required
Clinical examination and history
Clinical photograph of affected body part
OT note
Post surgical photo
Thank you

You might also like