Postdysenteric arthropathy, left wrist
ICD-10 M02.132 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, left wrist.
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, leading to inflammation and pain. In the left wrist, the anatomical structures involved include the carpal bones (such as the scaphoid, lunate, and triquetrum), the distal radius and ulna, and the surrounding ligaments and tendons. Clinically, patients may present with swelling, tenderness, and limited range of motion in the wrist, often accompanied by systemic symptoms like fever or malaise. The pathophysiology involves an immune-mediated response triggered by the infection, leading to synovitis and joint damage. Diagnosis is often supported by clinical examination, imaging studies, and laboratory tests to rule out other causes of arthritis.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint integrity and any structural changes, as well as functional assessments to evaluate range of motion and strength.
Common scenarios include patients presenting with wrist pain post-dysentery, requiring surgical intervention for joint debridement or synovectomy if conservative management fails.
Joint-specific considerations include assessing for potential joint damage and the need for rehabilitation post-treatment.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP) and disease activity assessments to monitor the progression of arthropathy.
Patients may present with systemic symptoms of arthritis following gastrointestinal infections, necessitating a comprehensive evaluation for autoimmune conditions.
Consideration of systemic involvement is crucial, as postdysenteric arthropathy may be part of a broader rheumatologic syndrome.
Functional assessments should document the patient's ability to perform daily activities and any need for assistive devices or therapy.
Rehabilitation scenarios may involve physical therapy to restore wrist function and strength after an acute flare-up.
Mobility limitations should be thoroughly documented to support the need for rehabilitation services.
Used for joint effusion management in postdysenteric arthropathy.
Document the joint involved, the reason for the procedure, and any findings during aspiration.
Orthopedic considerations include assessing joint stability post-procedure.
Common symptoms include joint pain, swelling, and stiffness in the affected wrist, often following gastrointestinal infections. Patients may also experience systemic symptoms like fever.
