Ulcerative colitis (UC)
555 Regional enteritis
555.0 Regional enteritis of small intestine
555.1 Regional enteritis of large intestine
555.2 Regional enteritis of small intestine with large intestine
555.9 Regional enteritis of unspecified site
Associated physical therapy diagnoses
315.4 Developmental coordination disorder
718.45 Contracture of joint, pelvic region and thigh
719.70 Difficulty in walking involving joint site unspecified
728.2 Muscular wasting and disuse atrophy, not elsewhere classified
728.89 Other disorders of muscle, ligament, and fascia
729.9 Other and unspecified disorders of soft tissue
780.7 Malaise and fatigue
786.0 Dyspnea and respiratory abnormalities
K50.00 Crohn disease of small intestine without complications
K50.10 Crohn disease of large intestine without complications
K50.80 Crohn disease of both small and large intestine without complications
K50.90 Crohn disease, unspecified, without complications
PREFERRED PRACTICE PATTERN
As of July, 2014, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ system pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated.
Erythema nodosum: typical erythematous, tender nodules involving the pretibial region. (From McKean SC, Ross JJ, Dressler DD, Brotman DJ, Ginsberg JS. Principles and Practice of Hospital Medicine. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
The patient is a 19-year-old female who presents to the clinic with antalgic gait and deconditioning. She presents as very thin and petite. She reports all her family is much taller but her growth has been limited by the inflammatory bowel disease (IBD). The patient states she has moderate pain in her low back, hips, and knees during walking. She reports abdominal cramping pain and it is exacerbated by her diet that is limited to nonfibrous foods. In addition, she frequently has upper respiratory colds due to the immune suppressant medication she takes for her IBD.
Upon physical therapy examination, the patient’s mobility status is modified independent because of pain during gait. Strength testing is 4/5 for bilateral upper extremities and lower extremities. Palpation of the thoracolumbar musculature does not reproduce pain. Active and passive movements of trunk rotation, side bending, and forward flexion mildly increase her low back pain and result in increased abdominal discomfort. She has full range of motion in her hips and knees but they are also mildlypainful throughout the entire range. The patient is observed to have a healed vertical incision just below her umbilicus resulting from a previous abdominal surgery. Patient reports she required a small bowel resection 5 years ago resulting from her IBD. Special tests such as palpation of McBurney point and the Pinch-an-inch test are positive for increased abdominal tenderness and you feel some firmness proximal to the ...
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