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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Pneumonia:<br />

New pulmonary infiltrate (chest x-ray report)<br />

AND Growth of pathogenic organism on sputum culture<br />

OR Single predominant organism and many WBCs on Gram stain of<br />

sputum<br />

Polycythemia:<br />

Increased erythrocytes: Red cell mass Male ≥ 37.5 mL/kg [hematology report]<br />

Female ≥ 32.5 mL/kg [hematology report]<br />

Reference ranges: Male 25 - 35 mL/kg body weight<br />

Female 20 - 30 mL/kg body weight<br />

Protein electrophoresis, serum (Cellulose acetate):<br />

Reference ranges: Albumin 3.5 - 5.5 g/dL<br />

α 1 -Globulin 0.1 - 0.3 g/dL<br />

α 2 -Globulin 0.6 - 1.0 g/dL<br />

β-Globulin 0.7 - 1.1 g/dL<br />

γ-Globulin 0.8 - 1.6 g/dL<br />

Prostate specific antigen, serum (PSA):<br />

Increases with age, benign prostatic hypertrophy and carcinoma of the prostate<br />

Reference range < 4 ng/mL<br />

Red cell (erythrocyte) mass:<br />

Increased: Above reference range in polycythemia vera and<br />

secondary polycythemia<br />

Reference ranges: Male 25 - 35 mL/kg<br />

Female 20 - 30 mL/kg<br />

Renal failure index (RFi):<br />

A calculated index to assess renal failure.<br />

[ ]<br />

U Cr / P Cr<br />

U Na<br />

Where U Na is concentration of sodium in the urine<br />

U Cr is concentration of creatinine in the urine<br />

P Cr is concentration of creatinine in the plasma<br />

Reference ranges: RFi > 1 in acute tubular necrosis<br />

RFi < 1 in glomerulonephritis<br />

RFi < 1 in obstructive nephropathy<br />

Renal insufficiency:<br />

x 100<br />

G-27

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