Reiter's disease, left knee
ICD-10 M02.362 is a billable code used to indicate a diagnosis of reiter's disease, left knee.
Reiter's disease, also known as reactive arthritis, is a type of inflammatory arthritis that occurs as a reaction to an infection in another part of the body. It is characterized by the classic triad of arthritis, urethritis, and conjunctivitis. In the case of M02.362, the focus is on the left knee joint, which may exhibit swelling, pain, and stiffness due to inflammation. Anatomically, the knee joint consists of the femur, tibia, fibula, and patella, with synovial fluid providing lubrication. The inflammation in Reiter's disease can lead to synovitis, affecting the joint's range of motion and overall function. Clinically, patients may present with acute onset of knee pain, often following a genitourinary or gastrointestinal infection. The pathophysiology involves an autoimmune response where the immune system mistakenly attacks the joint tissues, leading to chronic inflammation if not managed appropriately.
Orthopedic documentation should include imaging studies (X-rays, MRI) to assess joint damage and functional assessments to evaluate range of motion and stability.
Common scenarios include surgical interventions for severe joint damage or arthroscopy for diagnostic purposes.
Joint-specific considerations include documenting the severity of inflammation and any structural changes observed in imaging.
Rheumatologic documentation should include laboratory tests for inflammatory markers (ESR, CRP) and disease activity scores to assess the severity of the condition.
Autoimmune scenarios may involve managing systemic symptoms alongside joint inflammation.
Consideration of systemic involvement is crucial, as Reiter's disease can affect multiple joints and lead to complications.
Functional assessments should document the patient's mobility limitations and rehabilitation needs, including any assistive devices required.
Rehabilitation scenarios may focus on restoring function and managing pain through physical therapy.
Mobility limitations should be clearly documented to support the need for therapy and assistive devices.
Used for therapeutic drainage of the left knee joint in cases of significant effusion due to Reiter's disease.
Documentation must include indication for the procedure, joint involved, and any prior treatments.
Orthopedic considerations include assessing joint stability and potential for surgical intervention.
Common symptoms include joint pain and swelling, particularly in the knees, along with possible urethritis and conjunctivitis. Patients may also experience systemic symptoms like fatigue and fever.
