ICD-10: M71.151

ICD-10 code M71.151 refers to "Other infective bursitis, right hip." This code is part of the broader category of bursitis, which is an inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues, such as muscles, tendons, and skin. Here’s a detailed overview of this condition, including its clinical description, causes, symptoms, diagnosis, and treatment options.

Clinical Description

Definition

Infective bursitis occurs when a bursa becomes inflamed due to an infection, often caused by bacteria. The right hip is specifically affected in this case, indicating that the inflammation is localized to the bursa in the right hip region.

Causes

Infective bursitis can arise from several factors, including:
- Bacterial Infection: The most common cause, often resulting from a puncture wound or skin infection that spreads to the bursa.
- Underlying Conditions: Conditions such as diabetes, rheumatoid arthritis, or other immunocompromising diseases can increase susceptibility to infections.
- Trauma: Direct injury to the hip area can lead to bursitis, especially if the skin is broken, allowing bacteria to enter.

Symptoms

Patients with M71.151 may experience:
- Localized Pain: Pain in the right hip that may worsen with movement or pressure.
- Swelling: Noticeable swelling in the hip area due to inflammation.
- Redness and Warmth: The skin over the affected bursa may appear red and feel warm to the touch.
- Limited Range of Motion: Difficulty in moving the hip joint due to pain and swelling.
- Fever: In cases of severe infection, systemic symptoms like fever may occur.

Diagnosis

Clinical Evaluation

Diagnosis typically involves:
- Medical History: A thorough review of the patient's medical history, including any recent injuries or infections.
- Physical Examination: Assessment of the hip for signs of swelling, tenderness, and range of motion.

Imaging Studies

• Ultrasound or MRI: These imaging techniques can help visualize the bursa and assess the extent of inflammation or fluid accumulation.

Laboratory Tests

• Blood Tests: To check for signs of infection, such as elevated white blood cell counts.
• Bursa Aspiration: In some cases, fluid may be drawn from the bursa for analysis to identify the causative organism.

Treatment

Conservative Management

• Rest and Ice: Initial treatment often includes rest and applying ice to reduce swelling.
• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications like ibuprofen can help alleviate pain and inflammation.

Antibiotic Therapy

If a bacterial infection is confirmed, antibiotics are prescribed based on the specific bacteria identified. The choice of antibiotic may depend on the severity of the infection and the patient's overall health.

Surgical Intervention

In severe cases where there is an abscess or if conservative treatment fails, surgical drainage of the bursa may be necessary.

Conclusion

ICD-10 code M71.151 captures the clinical essence of other infective bursitis affecting the right hip, highlighting the importance of prompt diagnosis and treatment to prevent complications. Understanding the underlying causes, symptoms, and treatment options is crucial for effective management of this condition. If you suspect infective bursitis, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate care.

ICD-10 code M71.151 refers to "Other infective bursitis, right hip." This condition involves inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues, specifically in the right hip area. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this diagnosis is crucial for effective management and treatment.

Clinical Presentation

Definition and Overview

Infective bursitis occurs when a bursa becomes inflamed due to infection, often resulting from bacteria entering the bursa through a break in the skin or from nearby infections. The right hip is a common site for bursitis due to its weight-bearing function and the stress it endures during movement.

Common Patient Characteristics

• Age: While bursitis can occur at any age, it is more prevalent in adults, particularly those over 40 years old.
• Activity Level: Individuals who engage in repetitive hip movements or high-impact activities (e.g., runners, athletes) may be at higher risk.
• Underlying Conditions: Patients with diabetes, rheumatoid arthritis, or other immunocompromising conditions may be more susceptible to infections leading to bursitis.

Signs and Symptoms

Localized Symptoms

• Pain: Patients typically report localized pain in the right hip, which may worsen with movement or pressure. The pain can be sharp or aching and may radiate to the thigh or groin.
• Swelling: There may be noticeable swelling over the hip joint, indicating inflammation of the bursa.
• Redness and Warmth: The skin over the affected area may appear red and feel warm to the touch, suggesting an inflammatory response.

Systemic Symptoms

• Fever: In cases of significant infection, patients may experience fever, chills, or malaise, indicating a systemic response to infection.
• Limited Range of Motion: Patients may have difficulty moving the hip joint due to pain and swelling, leading to a reduced range of motion.

Functional Impairment

• Difficulty with Daily Activities: Patients may struggle with activities such as walking, climbing stairs, or sitting for prolonged periods due to discomfort and limited mobility.

Diagnosis and Evaluation

Clinical Examination

A thorough physical examination is essential for diagnosing infective bursitis. Healthcare providers will assess the hip for tenderness, swelling, and range of motion. They may also inquire about recent injuries, infections, or underlying health conditions.

Imaging and Laboratory Tests

• Imaging: X-rays or MRI may be utilized to rule out other conditions such as fractures or arthritis.
• Laboratory Tests: Blood tests may be performed to check for signs of infection, and in some cases, aspiration of the bursa may be conducted to analyze the fluid for pathogens.

Conclusion

Infective bursitis of the right hip (ICD-10 code M71.151) presents with a combination of localized and systemic symptoms, primarily affecting adults with certain risk factors. Early recognition and treatment are vital to prevent complications and promote recovery. If you suspect infective bursitis, it is essential to seek medical evaluation for appropriate management.

ICD-10 code M71.151 refers specifically to "Other infective bursitis, right hip." This code is part of the broader category of bursitis, which is inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in joints. Here, we will explore alternative names and related terms associated with this condition.

Alternative Names for M71.151

1. Infective Bursitis of the Right Hip: This is a direct synonym that emphasizes the infectious nature of the bursitis affecting the right hip.
2. Right Hip Bursitis: A more general term that may not specify the infective nature but indicates the location of the condition.
3. Right Hip Bursa Infection: This term highlights the infection aspect of the bursitis, focusing on the bursa's involvement.
4. Right Hip Septic Bursitis: This term is often used in clinical settings to denote bursitis caused by an infection, particularly when there is a concern for septic conditions.

Related Terms

1. Bursitis: A general term for inflammation of a bursa, which can be caused by various factors, including infection, trauma, or repetitive motion.
2. Infective Bursitis: This term encompasses all types of bursitis caused by infectious agents, not limited to the hip.
3. Septic Bursitis: Similar to infective bursitis, this term is used when the bursitis is specifically due to bacterial infection.
4. Trochanteric Bursitis: While this term typically refers to bursitis at the greater trochanter of the femur, it can sometimes be confused with hip bursitis in general discussions.
5. Hip Pain: A broader term that may include bursitis as one of the potential causes of pain in the hip region.

Clinical Context

In clinical practice, understanding these alternative names and related terms is crucial for accurate diagnosis, treatment planning, and coding for insurance purposes. The specificity of the ICD-10 code M71.151 helps healthcare providers communicate effectively about the condition, ensuring appropriate management and documentation.

In summary, M71.151 is associated with various alternative names and related terms that reflect its nature and location. Recognizing these terms can aid in better understanding and communication regarding this specific type of bursitis.

The ICD-10 code M71.151 refers to "Other infective bursitis, right hip." To diagnose this condition, healthcare providers typically follow specific criteria that encompass clinical evaluation, imaging studies, and laboratory tests. Below is a detailed overview of the diagnostic criteria and considerations for this condition.

Clinical Evaluation

Symptoms

• Pain: Patients often report localized pain in the hip area, which may worsen with movement or pressure.
• Swelling: There may be visible swelling over the bursa, indicating inflammation.
• Redness and Warmth: The affected area might exhibit signs of inflammation, such as redness and increased warmth.
• Limited Range of Motion: Patients may experience difficulty moving the hip joint due to pain and swelling.

Medical History

• Previous Injuries: A history of trauma or repetitive stress to the hip may be relevant.
• Infection History: Any previous infections or conditions that predispose the patient to bursitis should be noted.
• Comorbid Conditions: Conditions such as diabetes or immunosuppression can increase the risk of infections.

Diagnostic Imaging

X-rays

• Initial Assessment: X-rays can help rule out other conditions, such as fractures or arthritis, that may mimic bursitis symptoms.

MRI or Ultrasound

• Detailed Imaging: MRI or ultrasound may be used to visualize the bursa and surrounding tissues, helping to confirm inflammation and assess for any fluid accumulation or abscess formation.

Laboratory Tests

Aspiration and Culture

• Joint Aspiration: If there is significant swelling, aspiration of the bursa may be performed to obtain synovial fluid.
• Microbial Culture: The aspirated fluid can be cultured to identify any infectious organisms, which is crucial for confirming an infective bursitis diagnosis.

Blood Tests

• Infection Markers: Blood tests may be conducted to check for elevated white blood cell counts or inflammatory markers (e.g., C-reactive protein) that indicate an infection.

Differential Diagnosis

• It is essential to differentiate infective bursitis from other conditions such as:
• Septic Arthritis: Infection within the joint itself.
• Tendonitis: Inflammation of the tendons around the hip.
• Osteoarthritis: Degenerative joint disease that may present with similar symptoms.

Conclusion

The diagnosis of M71.151, or other infective bursitis of the right hip, involves a comprehensive approach that includes a thorough clinical evaluation, appropriate imaging studies, and laboratory tests to confirm the presence of infection. Accurate diagnosis is crucial for effective treatment, which may include antibiotics, corticosteroid injections, or surgical intervention if necessary. If you have further questions or need additional information, feel free to ask!

When addressing the standard treatment approaches for ICD-10 code M71.151, which refers to "Other infective bursitis, right hip," it is essential to understand both the condition itself and the typical management strategies employed in clinical practice.

Understanding Infective Bursitis

Infective bursitis occurs when a bursa, a small fluid-filled sac that reduces friction between tissues, becomes inflamed due to infection. The right hip is a common site for this condition, often resulting from bacterial infections, trauma, or underlying health issues. Symptoms typically include localized pain, swelling, warmth, and reduced range of motion in the affected joint.

Standard Treatment Approaches

1. Initial Assessment and Diagnosis

• Clinical Evaluation: A thorough history and physical examination are crucial. The healthcare provider will assess symptoms, duration, and any potential risk factors for infection.
• Imaging Studies: X-rays or MRI may be utilized to rule out other conditions and assess the extent of the bursitis.
• Laboratory Tests: Blood tests and, if necessary, aspiration of the bursa fluid can help identify the causative organism and guide treatment.

2. Antibiotic Therapy

• Empirical Antibiotics: If a bacterial infection is suspected, empirical antibiotic therapy is often initiated. Common choices include:
  • Cephalexin or Dicloxacillin for skin flora.
  • Vancomycin may be considered if methicillin-resistant Staphylococcus aureus (MRSA) is a concern.
• Tailored Antibiotics: Once culture results are available, antibiotics may be adjusted based on the specific pathogen identified.

3. Pain Management

• NSAIDs: Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are commonly prescribed to alleviate pain and reduce inflammation.
• Corticosteroids: In some cases, corticosteroid injections into the bursa may be indicated to quickly reduce inflammation and pain.

4. Physical Therapy

• Rehabilitation: Once the acute infection is managed, physical therapy may be recommended to restore range of motion and strengthen the surrounding muscles. This can help prevent recurrence and improve function.

5. Surgical Intervention

• Drainage: If there is an abscess or significant fluid accumulation, surgical drainage may be necessary. This can be done through aspiration or more invasive surgical techniques if required.
• Bursa Removal: In chronic cases or when conservative treatments fail, surgical removal of the bursa (bursectomy) may be considered.

6. Follow-Up Care

• Monitoring: Regular follow-up appointments are essential to monitor the resolution of the infection and assess recovery. Adjustments to treatment may be made based on the patient's progress.

Conclusion

The management of infective bursitis, particularly in the right hip as indicated by ICD-10 code M71.151, involves a comprehensive approach that includes accurate diagnosis, antibiotic therapy, pain management, physical rehabilitation, and, if necessary, surgical intervention. Early and effective treatment is crucial to prevent complications and ensure a full recovery. If you have further questions or need more specific information regarding treatment protocols, consulting a healthcare professional is advisable.