Postdysenteric arthropathy, unspecified hand
ICD-10 M02.149 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, unspecified hand.
Postdysenteric arthropathy is a type of inflammatory arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition primarily affects the joints, leading to pain, swelling, and stiffness, particularly in the hands. Anatomically, the hand consists of multiple joints, including the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints, all of which can be involved in the inflammatory process. Clinically, patients may present with joint pain, reduced range of motion, and functional limitations in daily activities. The pathophysiology involves an immune response triggered by the preceding gastrointestinal infection, leading to synovial inflammation and joint damage. The clinical presentation may vary, with some patients experiencing acute symptoms while others may have chronic manifestations. Diagnosis is often supported by clinical evaluation, serological tests for inflammatory markers, and imaging studies to assess joint involvement.
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 joint pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Documentation should specify which joints are affected and the severity of involvement to guide treatment decisions.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity.
Patients may exhibit systemic symptoms such as fatigue and fever, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement and potential progression to chronic arthritis is essential for treatment planning.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to support rehabilitation efforts.
Patients may require rehabilitation following acute exacerbations to restore function and improve quality of life.
Focus on mobility limitations and the impact on daily activities is critical for effective rehabilitation.
Used for joint swelling and pain management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any therapeutic agents used.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain, swelling, stiffness, and reduced range of motion, particularly in the hands. Patients may also experience systemic symptoms such as fatigue following a dysentery episode.
