Postdysenteric arthropathy, right shoulder
ICD-10 M02.111 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, right shoulder.
Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Campylobacter. This condition is characterized by inflammation of the joints, particularly affecting the right shoulder in this case. Anatomically, the shoulder joint comprises the humerus, scapula, and clavicle, with a complex arrangement of ligaments, tendons, and muscles that facilitate a wide range of motion. Clinically, patients may present with pain, swelling, and stiffness in the right shoulder, often accompanied by systemic symptoms such as fever or malaise. The pathophysiology involves an immune response triggered by the preceding gastrointestinal infection, leading to synovial inflammation and potential joint damage if left untreated. Early diagnosis and management are crucial to prevent chronic arthropathy and preserve joint function.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with acute shoulder pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for rotator cuff involvement and the severity of inflammation.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using tools like the DAS28.
Patients may exhibit systemic symptoms alongside joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may indicate a more severe disease course, requiring close monitoring and potential modification of treatment.
Functional assessments should focus on mobility limitations, pain levels, and the need for assistive devices.
Rehabilitation scenarios may involve physical therapy to restore range of motion and strength in the affected shoulder.
Consideration of patient’s overall functional status and rehabilitation goals is essential for effective treatment planning.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any prior treatments.
Orthopedic and rheumatologic considerations for joint aspiration.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, particularly in the affected joint, which in this case is the right shoulder. Patients may also experience systemic symptoms such as fever or malaise following the dysentery episode.
