TN 0413 NEPHROTIC SYNDROME/ACUTE GLOMERULONEPHRITIS
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
EDEMA, HYPERTENSION, VOMITTING	CLINICAL PHOTO, CBC, CXR, RFT, URINANALYSIS	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP + ELECTROLYTES + BLOOD SUGAR + LIPID PROFILE	30	MANDATORY
			24 hrs URINE ANALYSIS		MANDATORY
			USG ABDOMEN		MANDATORY
			investigations to findout cause
			Serum albumin, Cholesterol, RFT		MANDATORY
		TREATMENT	SUPPORTIVE CARE	50	MANDATORY
			ANTIHYPERTENSIVES, OTHER MEDICINES
			STEROIDS IF NECESSARY
			Antibiotics