Postdysenteric arthropathy, left knee
ICD-10 M02.162 is a billable code used to indicate a diagnosis of postdysenteric arthropathy, left knee.
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, with the left knee being a common site of involvement. Anatomically, the knee joint consists of the femur, tibia, fibula, and patella, surrounded by ligaments, cartilage, and synovial fluid. The inflammation in postdysenteric arthropathy can lead to swelling, pain, and reduced range of motion in the affected knee. Clinically, patients may present with joint pain, stiffness, and swelling, often following gastrointestinal symptoms. The pathophysiology involves an immune response triggered by the infection, leading to synovitis and potential damage to the cartilage and surrounding structures. Early diagnosis and management are crucial to prevent chronic joint damage.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and stability.
Patients may require surgical intervention for severe joint damage or arthroscopy for diagnostic purposes.
Documenting the severity of joint involvement and any functional limitations is essential for treatment planning.
Rheumatologic documentation should include laboratory tests for inflammation markers (ESR, CRP) and assessments of disease activity.
Patients may present with systemic symptoms or concurrent autoimmune conditions requiring comprehensive management.
Monitoring for systemic involvement and progression of arthritis is crucial.
Functional assessments should evaluate mobility, pain levels, and the need for assistive devices.
Rehabilitation may focus on restoring function and managing pain through physical therapy.
Addressing mobility limitations and developing a tailored rehabilitation plan is key.
Used for joint effusion management in postdysenteric arthropathy.
Document the indication for the procedure, joint involved, and any therapeutic agents used.
Orthopedic and rheumatologic considerations for joint management.
Documenting the dysentery episode is crucial as it establishes the link between the infection and the subsequent development of arthropathy, which is necessary for accurate coding and treatment planning.
