Postdysenteric arthropathy, unspecified site
ICD-10 M02.10 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, unspecified site.
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 is characterized by inflammation of the joints, which can lead to pain, swelling, and stiffness. Anatomically, it primarily affects the synovial joints, which are the most mobile joints in the body, including the knees, ankles, and wrists. The pathophysiology involves an immune response triggered by the infection, leading to the production of inflammatory cytokines that affect joint tissues. Clinically, patients may present with joint pain and swelling, often accompanied by a history of gastrointestinal symptoms. The onset of arthropathy can occur days to weeks after the initial dysenteric episode, and the severity can vary widely among individuals.
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 knee or ankle pain following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative management fails.
Joint-specific considerations include assessing for effusion, tenderness, and range of motion limitations, which are critical for determining treatment options.
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 such as fever or malaise alongside joint symptoms, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may require monitoring for complications such as enthesitis or dactylitis, which can influence treatment strategies.
Functional assessments should document mobility limitations, pain levels, and the need for assistive devices to support rehabilitation efforts.
Patients may require physical therapy to restore function and mobility after an acute episode of arthropathy.
Consideration of assistive devices may be necessary for patients with significant mobility impairments.
Used when joint effusion is present in postdysenteric arthropathy.
Document the joint involved, indication for the procedure, and any findings during the aspiration.
Orthopedic considerations include assessing for potential joint damage and the need for further intervention.
Postdysenteric arthropathy is primarily caused by an immune response to bacterial infections that lead to dysentery, such as those caused by Shigella or Salmonella.
