Reiter's disease, right wrist
ICD-10 M02.331 is a billable code used to indicate a diagnosis of reiter's disease, right wrist.
Reiter's disease, also known as reactive arthritis, is an inflammatory condition that typically arises following an infection, most commonly in the urogenital or gastrointestinal tract. It is characterized by a triad of symptoms: arthritis, urethritis, and conjunctivitis. In the case of M02.331, the focus is on the right wrist joint, which may exhibit swelling, pain, and stiffness due to inflammation. Anatomically, the wrist consists of the distal radius and ulna, along with the carpal bones, which articulate with the metacarpals. The inflammatory process in Reiter's disease can lead to synovitis, affecting the joint capsule and surrounding soft tissues, resulting in decreased range of motion and functional impairment. Clinically, patients may present with acute onset of pain and swelling in the wrist, often accompanied by systemic symptoms such as fever and malaise. The pathophysiology involves an autoimmune response triggered by the initial infection, leading to the deposition of immune complexes in the joints, particularly affecting the lower extremities but can also involve the upper extremities, including the wrist.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for severe joint damage or persistent symptoms unresponsive to conservative management.
Orthopedic considerations include the assessment of joint stability and the potential for surgical repair or joint replacement.
Rheumatologic documentation must include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity using validated scales.
Patients may present with exacerbations of arthritis following infections, requiring adjustments in treatment regimens.
Systemic involvement, such as skin lesions or ocular symptoms, should be documented to provide a comprehensive view of the disease.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices to aid in rehabilitation.
Rehabilitation may focus on restoring function and managing pain through physical therapy and occupational therapy.
Mobility limitations should be documented to tailor rehabilitation programs effectively.
Used for joint aspiration in cases of swelling and pain in the right wrist.
Document the indication for the procedure, including joint involvement and symptoms.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain and swelling, particularly in the lower extremities, but can also affect the wrist. Patients may also experience urethritis and conjunctivitis, often following an infection.
