Postdysenteric arthropathy, right hand
ICD-10 M02.141 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, right hand.
Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition primarily affects the joints, particularly in the hands, and is characterized by inflammation, pain, and swelling. Anatomically, the right hand consists of multiple joints including the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints, all of which can be involved in this arthropathy. Clinically, patients may present with joint stiffness, swelling, and reduced range of motion, particularly after a gastrointestinal infection. The pathophysiology involves an immune-mediated response where the body’s immune system mistakenly attacks joint tissues following the infection. This can lead to chronic joint issues if not properly managed. The clinical presentation may vary, with some patients experiencing acute symptoms while others may develop chronic arthritic changes over time.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may present with acute pain and swelling in the right hand following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for erosive changes in the hand joints and documenting the severity of symptoms to guide treatment.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using validated scales.
Patients may exhibit systemic symptoms alongside joint involvement, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement is crucial, as postdysenteric arthropathy can sometimes mimic other inflammatory arthritides.
Functional assessments should document the patient's ability to perform daily activities and any rehabilitation needs, including physical therapy referrals.
Patients may require rehabilitation to regain strength and mobility in the affected hand post-infection.
Mobility limitations should be thoroughly documented, especially if assistive devices are needed for daily activities.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any findings during the aspiration.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Documenting the history of dysentery is crucial as it establishes the link between the infection and the subsequent development of arthropathy, which is necessary for accurate coding and treatment planning.
