Postdysenteric arthropathy, right hip
ICD-10 M02.151 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, right hip.
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, with the right hip being a common site of involvement. Anatomically, the hip joint is a ball-and-socket joint formed by the acetabulum of the pelvis and the head of the femur, allowing for a wide range of motion. Pathophysiologically, postdysenteric arthropathy is characterized by inflammation of the synovial membrane, leading to pain, swelling, and stiffness in the affected joint. Clinically, patients may present with acute onset of hip pain, reduced range of motion, and possible systemic symptoms such as fever or malaise. The right hip's involvement can significantly impact mobility and daily activities, necessitating a comprehensive treatment approach that may include anti-inflammatory medications, physical therapy, and in some cases, surgical intervention.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage, functional assessments to evaluate mobility, and detailed notes on the patient's history of dysentery.
Common scenarios include patients presenting with acute hip pain following gastrointestinal infections, requiring surgical intervention for joint debridement in severe cases.
Joint-specific considerations include assessing the degree of synovitis and potential for joint destruction, which may influence treatment options.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity to monitor the inflammatory response.
Patients may present with systemic symptoms alongside joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may require monitoring for other manifestations of reactive arthritis, such as conjunctivitis or urethritis.
Functional assessments should document the patient's mobility limitations, pain levels, and rehabilitation needs, including any assistive devices used.
Rehabilitation scenarios may involve post-surgical recovery or conservative management of joint pain through physical therapy.
Mobility limitations should be clearly documented to support the need for rehabilitation services.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any imaging guidance used.
Orthopedic considerations include assessing joint stability and potential for further intervention.
Documenting the dysentery episode is crucial as it establishes the causal link between the infection and the subsequent development of postdysenteric arthropathy, which is necessary for accurate coding and treatment planning.
