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38: GASTRITIS

Debra F. Stern, DPT, DBA, MSM, PT; Eric Shamus, PhD, DPT, PT, CSCS

ICD-9-CM CODES

  • 535 Gastritis and duodenitis

  • 535.0 Acute gastritis

  • 535.00 Acute gastritis, without mention of hemorrhage

  • 535.01 Acute gastritis, with hemorrhage

  • 535.1 Atrophic gastritis

  • 535.10 Atrophic gastritis, without mention of hemorrhage

  • 535.11 Atrophic gastritis, with hemorrhage

  • 535.3 Alcoholic gastritis

  • 535.30 Alcoholic gastritis, without mention of hemorrhage

  • 535.31 Alcoholic gastritis, with hemorrhage

  • 535.4 Other specified gastritis

  • 535.40 Other specified gastritis, without mention of hemorrhage

  • 535.41 Other specified gastritis, with hemorrhage

  • 535.5 Unspecified gastritis and gastroduodenitis

  • 535.50 Unspecified gastritis and gastroduodenitis, without mention of hemorrhage

  • 535.51 Unspecified gastritis and gastroduodenitis, with hemorrhage

  • 535.6 Duodenitis

  • 535.60 Duodenitis, without mention of hemorrhage

  • 535.61 Duodenitis, with hemorrhage

  • 535.7 Eosinophilic gastritis

  • 535.70 Eosinophilic gastritis, without mention of hemorrhage

  • 535.71 Eosinophilic gastritis, with hemorrhage

  • 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

    • 781.2 Abnormality of gait

    • 782.3 Edema

    • 786.0 Dyspnea and respiratory abnormalities

    • 786.05 Shortness of breath

ICD-10-CM CODE

  • K29.00 Acute gastritis without bleeding

PREFERRED PRACTICE PATTERN

  • 6B: Impaired Aerobic Capacity/Endurance Associated with Deconditioning1

FIGURE 38-1

Gastritis. Axial MDCT image shows severe thickening of the gastric folds (arrow). (From Greenberger NJ, Blumberg R, Burakorff R. Current Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy. 2nd ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

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PATIENT PRESENTATION

A 50-year-old male referred for OP PT for left shoulder bursitis. He has a history of degenerative joint disease (DJD) of both shoulders attributed to years of playing tennis and other sports. He is left hand dominant. When asked about medicines at the time of initial examination and evaluation, he reported that he was taking metoprolol for hypertension that was under control, and a variety of dietary supplements and occasional antacids for heartburn. It is his second week of therapy to which he is responding with a decrease in pain and an increase in ability to use the left upper extremity (LUE) functionally. You notice however, since the evaluation, that he has persistent bad breath, belching that increases with slouching posture, and that he intermittently rubs his chest. When asked if he is experiencing chest pain, he describes indigestion, states he ran out of antacids, and has some abdominal tenderness.

FIGURE 38-2

Chronic gastritis and H. pylori organisms. Steiner silver stain of superficial gastric mucosa, showing abundant darkly stained microorganisms layered over the apical portion of the surface epithelium. Note that there is no tissue invasion. (From Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine. 18th ed. New York, ...

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