Clinical Documentation Tip Sheets

SPONTANEOUS BACTERIAL PERITONITIS

Inpatient admission is indicated for 1 or more of the following: Elevated polymorphonuclear neutrophils (PMN) in ascitic fluid (greater than or equal to 250 cells/mm3 (0.25 x109/L)) Fever (eg, when not masked by antipyretic medication such as acetaminophen or ibuprofen) Abdominal pain Altered mental status

ACUTE PANCREATITIS

Inpatient admission is indicated for ALL of the following: Alcohol as most likely etiology of liver disease (eg, history of heavy alcohol use) Manifestations of liver disease, as indicated by 1 or more of the following: –Maddrey Discriminant Function score greater than or equal to 32 –MELD score of 20 or more