Peritonitis, infectious: Difference between revisions
Ttenbergen (talk | contribs) m Text replacement - "{{ICD10 infection}}" to "{{ICD10 Guideline Infection}}" |
Ttenbergen (talk | contribs) mNo edit summary |
||
| Line 13: | Line 13: | ||
== Additional Info == | == Additional Info == | ||
*[https://en.wikipedia.org/wiki/Peritonitis Peritonitis] | *[https://en.wikipedia.org/wiki/Peritonitis Peritonitis] | ||
Includes: peritoneal abscess/abdominal abscess/pelvic abscess | |||
AKA Spontaneous bacterial peritonitis (SBP) | |||
*often abdominal paracentesis is done to test the fluid for WBC and cultures | *often abdominal paracentesis is done to test the fluid for WBC and cultures | ||
*A diagnosis of SBP is made if the polymorphonuclear cell (PMN, also referred to as neutrophils) count in the ascitic fluid is ≥250 cells/mm3, culture results are positive, and secondary causes of peritonitis are excluded | *A diagnosis of SBP is made if the polymorphonuclear cell (PMN, also referred to as neutrophils) count in the ascitic fluid is ≥250 cells/mm3, culture results are positive, and secondary causes of peritonitis are excluded | ||
| Line 23: | Line 27: | ||
*** I think the question was which entry to use as pathogen. Also, I think this question is much more general than just for Peritonitis. Is it a special case for [[No Culture Sent or Resulted]]? If so, could someone summarize this to there and link it from here? We'd want to word it to use the same words that a collector who searches for this next time would be likely to use. I would do it myself but would like someone medical to make sure I am not misunderstanding this, and you guys have a better idea what you would search for in such a situation... Ttenbergen 11:04, 2014 October 20 (CDT) | *** I think the question was which entry to use as pathogen. Also, I think this question is much more general than just for Peritonitis. Is it a special case for [[No Culture Sent or Resulted]]? If so, could someone summarize this to there and link it from here? We'd want to word it to use the same words that a collector who searches for this next time would be likely to use. I would do it myself but would like someone medical to make sure I am not misunderstanding this, and you guys have a better idea what you would search for in such a situation... Ttenbergen 11:04, 2014 October 20 (CDT) | ||
***I think the data collectors know how to code a pathogen or not and if the pt has been on antibiotics prior to the culture, then usually the culture will be negative. The question was whether to code peritonitis even if the cultures are negative. This question can be asked of any infectious diagnosis. You have to look at the entire clincial picture and the certainty of the doctors in making the diagnosis. Culture results alone are inadequate to making a diagnosis for various reasons. They can affirm a diagnosis but are never a separate entity. --[[User:LKolesar|LKolesar]] 11:22, 2014 October 20 (CDT) | ***I think the data collectors know how to code a pathogen or not and if the pt has been on antibiotics prior to the culture, then usually the culture will be negative. The question was whether to code peritonitis even if the cultures are negative. This question can be asked of any infectious diagnosis. You have to look at the entire clincial picture and the certainty of the doctors in making the diagnosis. Culture results alone are inadequate to making a diagnosis for various reasons. They can affirm a diagnosis but are never a separate entity. --[[User:LKolesar|LKolesar]] 11:22, 2014 October 20 (CDT) | ||
**** so we agree that this is about more than just peritonitis. I take your point about the pathogen part. So, does anyone have a suggestion how they would search for it in a way that is not DX specific? Because this question must be an FAQ and I want to make sure the answer can be found. So this is a question to anyone out there - how would you search for this answer on the wiki? | **** so we agree that this is about more than just peritonitis. I take your point about the pathogen part. So, does anyone have a suggestion how they would search for it in a way that is not DX specific? Because this question must be an FAQ and I want to make sure the answer can be found. So this is a question to anyone out there - how would you search for this answer on the wiki? Ttenbergen | ||
**** Would it be appropriate to move this to [[Infections in ICD10]]? Would it still address the issue? Ttenbergen 22:24, 2018 May 29 (CDT) | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
*[[Appendicitis, with or without rupture or peritonitis]] | *[[Appendicitis, with or without rupture or peritonitis]] | ||
| Line 32: | Line 38: | ||
{{ListICD10Category | categoryName = cirrhosis}} | {{ListICD10Category | categoryName = cirrhosis}} | ||
*if coding cirrhosis also code cause of cirrhosis if known | *if coding cirrhosis also code cause of cirrhosis if known | ||
== Related CCI Codes == | == Related CCI Codes == | ||