Organ System Indicesl in Systemic Sclerosis

Does the patient have shortness of breath?

Is there evidence of pulmonary fibrosis?

Carbon monoxide diffusing capacity (DLco), as the percent of normal (enter from 1 to 100)

Joint tenderness count (enter from 0 - 29)

Is there radiographic evidence of joint disease?

Do hand or joint radiographs show changes of systemic sclerosis, with subcutaneous calcinosis and/or acro-osteolysis?

Is sclerodactyly present?

Does the patient show subcutaneous calcinosis?

Are there ulcers involving the skin and/or fingers?

Hidebinding/tethering skin score of Furst et al (enter from 0 to 30)

Does the patient show typical esophageal changes of systemic sclerosis on diagnostic studies?

Is there an esophageal stricture?

Does the patient have dysphagia?

Do the intestines show pseudosacculations?

Is there evidence of bowel dilatation on small bowel barium study and/or barium enema?

Fecal fat score on 100 gram fat diet

Serum creatine kinase (CK)

Upper limit of normal reference range for CK

Is there evidence of myositis on the EMG?

Is there evidence of myopathy on the EMG?

Is cardiomegaly present on the chest X-ray?

Is a moderate-to-large pericardial effusion seen on echocardiogram?

Does the patient have symptomatic congestive heart failure?

Does the patient show symptoms of a cardiac arrhythmia?

Does the echocardiogram show right ventricular hypertrophy or dilatation?

Does the echocardiogram show left ventricular hypertrophy or dilatation?

Is an accentuated second pulmonic sound detected on physical examination?

Is right ventricular hypertrophy or right axis deviation seen on the ECG?

Is there evidence of right atrial dilatation on the ECG?

Is left ventricular hypertrophy or left axis deviation seen on the ECG?

Is there evidence of left atrial dilatation on the ECG?

Is right bundle branch block seen on ECG?

Is left bundle branch block seen on ECG?

Does the ECG show evidence of an intra-ventricular conduction delay?

Does the patient have a history of myocardial infarction?

Does the ECG show evidence of a myocardial infarction?

Is a renal 'crisis' present?

Proteinuria

Creatinine clearance