Contents
Annual Specialist Control (Rheumatologist) / Follow-up
Disease history
New symptoms
- Eyes (dryness)
- Mouth and throat (dryness)
- Esophagus (swallowing problem, acid reflux)
- Heart (Pain, Irregular heart rate, Dyspnoea, Edema)
- Lungs (cough, dyspnoea)
- Kidneys (Edema, high blood pressure)
- Skin
- Raynaud's phenomenon
- Stomach / Intestine
- Abdominal pain: GIFT: Gastro-antral venous ectasia
- Stomach acid-Reflux
- Commercial Recordings
- Incontinence for stools
- Weight loss last year
Examinations
General
- Auscultation of the heart (Imagery)
- Auscultation of the lungs (Basalt crepes)
- Blood pressure and heart rate (rhythm and frequency)
- Dyspnea
- Weight and height
- Edema
Blood and urine
- cell counts
- Electrolytes (Sodium, Potassium, Calcium)
- Liver and kidney function tests
- albumin
- Pro-BNP
- In case of weight loss or other suspicion of reduced nutrition
- albumin
- Vitamin D
- Folic acid
- Transfer step saturation (iron uptake)
- Vitamin B12
- Urine Sticks (erythrocytes, protein, nitrite, glucose)
Physical function
- 6 minutes walking test
Heart
- ECG
- Echocardiography to rule out pulmonary hypertension (PAH)
Skin
- Calcinosis
- Capillaries
- Carp Mouth
- Pigment changes (Salt and pepper)
- Raynaud's phenomenon
- Rodnan Skin Score (Khanna D, 2017)
- Sclerodactylia
- Wounds on the finger pulp
- Telangiectasia
Lungs
- Lung Function Tests (LFT)
- If FVC has been reduced by more than 10% or DLCO by more than 15%, further investigation with HRCT of the lungs is applicable
- HRCT examination if markedly reduced LFT
First time survey
Adds the following:
- Blood tests
- Antinuclear antibody (ANA) with subgroups
- CENP (Limited form)
- SCL70 (Diffuse form)
- SLC75 / 100 (Sclero-myositis)
- RNA polymerase III
- CK (Scleromyositis
- Antinuclear antibody (ANA) with subgroups
- HRCT lungs
- X-ray (dynamic) with esophageal contrast agent (Esophagus)
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