Reiter's disease, right hand
ICD-10 M02.341 is a billable code used to indicate a diagnosis of reiter's disease, right hand.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that develops in response to an infection in another part of the body. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. In the context of the right hand, the disease typically manifests as inflammation of the joints, particularly affecting the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. Anatomically, the right hand consists of 27 bones, including the carpals, metacarpals, and phalanges, which can become swollen and painful due to the inflammatory process. The pathophysiology involves an autoimmune response triggered by infections, often involving the urogenital or gastrointestinal tracts. Clinically, patients may present with joint pain, stiffness, and swelling, particularly after a recent infection. Movement limitations may include difficulty in gripping or performing fine motor tasks, impacting daily activities. Early diagnosis and management are crucial to prevent chronic joint damage.
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 acute pain and swelling in the right hand, requiring joint aspiration or corticosteroid injections.
Documentation must detail the specific joints involved and any surgical interventions considered.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP) and disease activity scores to monitor progression.
Patients may have a history of recent infections, presenting with systemic symptoms alongside joint pain.
Consideration of systemic involvement, such as skin lesions or ocular symptoms, is essential for comprehensive care.
Functional assessments should evaluate mobility, strength, and the need for assistive devices to aid in rehabilitation.
Patients may require physical therapy to improve hand function and reduce pain.
Focus on mobility limitations and the impact on activities of daily living is crucial.
Used when a patient with Reiter's disease presents with significant joint effusion in the right hand.
Document the joint aspirated, the amount of fluid removed, and any therapeutic agents injected.
Orthopedic and rheumatologic considerations for joint management.
Common symptoms include joint pain and swelling, particularly in the hands and feet, along with possible conjunctivitis and urethritis. Patients may also experience systemic symptoms such as fatigue and fever.
