Postdysenteric arthropathy, vertebrae
ICD-10 M02.18 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, vertebrae.
Postdysenteric arthropathy refers to a type of inflammatory arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Salmonella. This condition can lead to spondyloarthritis, which primarily affects the vertebrae and can result in significant pain and stiffness. Anatomically, the vertebrae consist of 33 individual bones that form the spinal column, providing structural support and protecting the spinal cord. Pathophysiologically, postdysenteric arthropathy is characterized by an immune-mediated response that leads to inflammation of the joints and surrounding tissues, particularly in the axial skeleton. Clinically, patients may present with symptoms such as lower back pain, reduced range of motion, and discomfort during movement, which can significantly impact daily activities and quality of life. The condition may also be associated with enthesitis, where inflammation occurs at the sites where tendons and ligaments attach to bone, further complicating the clinical picture.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess vertebral involvement and any structural changes. Functional assessments should document range of motion and pain levels.
Patients may present with chronic back pain following a history of dysentery, requiring orthopedic evaluation for potential surgical intervention if conservative management fails.
Documentation should specify which vertebrae are affected and the degree of functional impairment.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using tools like the BASDAI.
Patients may exhibit systemic symptoms such as fatigue and joint swelling, necessitating a comprehensive rheumatologic evaluation.
Consideration of other autoimmune conditions that may present similarly is crucial.
Functional assessments should evaluate mobility, strength, and the need for assistive devices. Rehabilitation plans should be documented to address specific limitations.
Patients may require physical therapy to improve mobility and manage pain, focusing on strengthening and flexibility exercises.
Assessment of the patient's ability to perform activities of daily living (ADLs) is essential.
Used to assess vertebral involvement in patients with postdysenteric arthropathy.
Document indications for MRI, including symptoms and prior treatments.
Orthopedic and rheumatologic evaluations may necessitate imaging to guide treatment.
Common symptoms include lower back pain, stiffness, reduced range of motion, and discomfort during movement, often following a dysentery episode.
