Q&A with Dr. Pinson: Coding and CDI: Can Intracranial Hemorrhage Cause Acute Blood Loss Anemia?

by Richard D. Pinson, MD, FACP, CCS

Q: Can patients with intracranial bleeding from such things as intracerebral hemorrhage, subdural hematoma and subarachnoid hemorrhage develop acute blood loss anemia? Or, do you think it’s mostly hemodilution, especially if fluids are given including hypertonic saline?

A: One really can’t lose enough blood inside the confined space of the cranium to develop genuine acute blood loss anemia. 3% hypertonic saline causes substantial hemodilution creating the false impression of blood loss anemia.


Pinson & Tang CDI Pocket Guide

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The Pinson & Tang CDI Pocket Guide provides specific standardized query templates for the most common medical conditions as well as instruction on how to modify the template to fit the particular circumstances of the case in question.

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About the Author

Dr. Richard Pinson, MD, FACP, CCS
Dr. Richard Pinson is a physician, educator, administrator, and healthcare consultant. He practiced Internal Medicine and Emergency Medicine in Tennessee for over 20 years having board certification in both. Dr. Pinson is a Fellow of the American College of Physicians and former Assistant Professor of Clinical Medicine at Vanderbilt, and has assisted hospitals as a physician consultant for the past ten years. Dr. Pinson’s personal understanding of the mindset of both doctors and managers allows him a unique vantage point from which to promote cooperation between physicians, hospital staff, and administrators toward achieving beneficial and practical changes.

About the Author

Libman Education
Libman Education Inc. is a leading provider of training for the health care workforce offering self-paced and instructor-led online courses designed and developed by leading industry experts in Health Information Management (HIM) and Medical Record Coding. Our courses are specifically designed to improve individual skills and increase the efficiencies and competencies of health care providers and institutions. At Libman Education, we understand the needs and challenges of a well-trained workforce and offer the right-mix of online education to ensure that the health care professionals are prepared to meet the challenges of the changing workplace.

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