Postdysenteric arthropathy, left hand
ICD-10 M02.142 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, left hand.
Postdysenteric arthropathy is a type of reactive arthritis that occurs following an episode of dysentery, typically caused by bacterial infections such as Shigella or Campylobacter. This condition primarily affects the joints, leading to inflammation and pain. In the left hand, the metacarpophalangeal joints, proximal interphalangeal joints, and distal interphalangeal joints may be involved. Clinically, patients present with swelling, tenderness, and reduced range of motion in the affected joints. The pathophysiology involves an immune-mediated response triggered by the preceding gastrointestinal infection, which can lead to chronic joint symptoms. Patients may also experience systemic symptoms such as fatigue and malaise. The anatomical focus on the left hand highlights the importance of understanding joint mechanics and the impact of inflammation on hand function, which is crucial for rehabilitation and treatment planning.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint integrity and functional assessments to evaluate range of motion and strength.
Patients may present with acute pain and swelling in the left hand following a gastrointestinal infection, requiring evaluation for potential surgical intervention if conservative measures fail.
Joint-specific considerations include assessing for erosive changes or joint deformities that may arise from chronic inflammation.
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 alongside joint pain, necessitating a comprehensive evaluation for autoimmune conditions.
Systemic involvement may require monitoring for other manifestations of reactive arthritis, including enthesitis or dactylitis.
Functional assessments should document the patient's ability to perform daily activities and any assistive devices used.
Rehabilitation scenarios may include physical therapy to improve joint mobility and strength following an acute flare.
Mobility limitations should be clearly documented to support the need for therapeutic interventions.
Used for follow-up visits to assess joint symptoms and treatment efficacy.
Documentation should include history of present illness, physical examination findings, and treatment plan.
Orthopedic and rheumatologic considerations for joint assessments.
Common symptoms include joint pain, swelling, and stiffness, particularly in the hands, following a history of dysentery. Patients may also experience systemic symptoms such as fatigue.
