2006 results
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
Systemic Sclerosis ... cutaneous systemic sclerosis ... Diffuse systemic sclerosis ... trunk • Systemic Sclerosis ... telangiectasias, poikiloderma
Extraintestinal manifestations of Crohn’s disease
Dermatological: Aphthous stomatitis, Erythema nodosum, Psoriasis, Pyoderma gangrenosum
Vascular: Portal hypertension, Thromboembolism, Thrombosis,
arthritis, Multiple sclerosis ... Ocular: Uveitis, Scleritis ... Hepatobiliary: Primary sclerosing
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Differential Diagnosis Algorithm ... Accident • MuItiple Sclerosis ... Amvotrophic Lateral Sclerosis ... Differential #Diagnosis #Algorithm
Genital Skin Ulcers - Differential Diagnosis Algorithm
Painful:
 • Herpes simplex
 • Haemophilus ducreyi (chancroid)
 • Behcet's
Differential Diagnosis Algorithm ... vulgaris • Lichen sclerosis ... Differential #Diagnosis #Algorithm
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Differential Diagnosis Algorithm ... Progressive: Systemic Sclerosis ... Differential #Diagnosis #Algorithm
ANA Patterns and Associated Rheumatic Diseases:
 • Homogeneous: Systemic lupus erythematosus (SLE), Mixed connective tissue disease
/DM), Systemic sclerosis ... Diffuse systemic sclerosis ... Limited systemic sclerosis ... SLE), Systemic sclerosis
Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Primary Sclerosing ... and IBD - IBD Algorithm ... #PSC #IBD #Algorithm
Skin Hypopigmentation - Differential Diagnosis Algorithm

Diffuse Congenital - Generalized hypopigmentation of hair, eyes, skin
 • Phenylketonuria
Differential Diagnosis Algorithm ... • Tuberous sclerosis ... Differential #Diagnosis #Algorithm
Atraumatic Red Eye - Differential Diagnosis Algorithm
Lids / Orbit / Lacrimal System:
 • Blepharitis
 • Stye
Differential Diagnosis Algorithm ... Episcleritis • Scleritis ... Differential #Diagnosis #Algorithm
Systemic Sclerosis (Scleroderma)
Limited - CREST:
 • Calcinosis
 • Raynaud phenomenon
 • Esophageal dysmotility
 • Sclerodactyly
 •
Systemic Sclerosis ... #Systemic #Sclerosis