Renal Crisis Symptoms Scleroderma | Medical Algorithm

Are you evaluating a patient with scleroderma?

Yes

Current systolic blood pressure

mm Hg

Current diastolic blood pressure

mm Hg

Baseline systolic blood pressure

mm Hg

Baseline diastolic blood pressure

mm Hg

Serum creatinine

Baseline serum creatinine

Upper limit of normal reference range for serum creatinine

Does the urine dipstick show 2+ proteinuria or higher?

Yes

Does the urine dipstick show 2+ blood or higher?

Yes

Number of RBCs in the urine sediment per high power field

RBCs per hpf

Platelet count

Does the patient have anemia?

Yes

Is the anemia due to another cause other than scleroderma?

Yes

Are schistocytes and/or red blood cell fragments seen in the peripheral blood smear?

Yes

Is the reticulocyte count increased?

Yes

Does a renal biopsy show a micro-angiopathy consistent with scleroderma renal crisis?

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Does the patient meet the criteria for hypertensive scleroderma renal crisis?

Does the patient meet the criteria for normotensive scleroderma renal crisis?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Scleroderma Risk Model for 5 Year Survival
Clinical Diagnosis, Including Family History For Genetics
- ARA Scleroderma Criteria Cooperative Study Preliminary Clinical Criteria for Systemic Sclerosis
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags

Therapy

Physical And Lifestyle
- Drug Induced Scleroderma

Monitoring

Response To Therapy
Disease Progression
Comorbid Conditions
- Prognostic Factors for Patient with Juvenile Systemic Sclerosis
- Lung Severity Scale of Medsger for Patient with Systemic Sclerosis

Patient Concerns

End-of-life, Palliative Care
- Scleroderma Risk Model for 5 Year Survival

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Criteria for Scleroderma Renal Crisis

Purpose: To evaluate a patient with scleroderma for evidence of a renal crisis using the criteria of Steen et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10