TN0721 STEVEN JOHNSON'S SYNDROME
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
SKIN/MUCOUS LESIONS , WITH OR WITHOUT OCULAR SYMPTOMS, HISTORY OF DRUG INTAKE	CLINICAL PHOTO	TOTAL BED DAYS		20
		BEDS IN ICU
		INVESTIGATIONS	GENERAL WORK UP	30	mandatory	CBC, ELECTROLYTES, CXR
			USG ABD
			SKIN BIOPSY + HPE
		TREATMENT	FLUID AND ELECTROLYTE MGMT	50	mandatory
			ANTIBIOTICS + IMMUNOSUPPRESANTS
			OTHER SUPPORTIVE CARE			ANTICOAGULANTS, TREATMENT FOR OCULAR MANIFESTATIONS, TETANUS PROPHYLAXIX, TOPICAL ANESTHETICS