# Class Notes

tachypnea, poor feeding, recurrent URI

notes: chadsvasc

harsh murmur: valvular stenosis problem

* Complex regional pain syndrome: sympathetic response. Swelling, pain, decreased range of motion, skin changes
* HLA B27: ankylosing spondylitis
* Caplan: Lung + RA 
* Infliximab: RA, AS, Crohn's, psoriatic arthritis
* ankylosing spondylitis: B27, pelvic, lumbar spine
* RA: start DMARDS
* pregnancy: lamotrigine/levetiracetam ok for seizure. If presented at 12 weeks, continue seizure medicine and screen AFP
* sarcoidosis:
  * Loefflen: e nodosom, arthralgias, bilateral hilar adenopathy
  * Hierfortds: uveitis, parotiditis
  * biopsy lung, parotid. Do not biopsy e nodosom
* worsening asthma: ABPA, churg strauss
* PHTN
  * echo: confirm PHTN and right heart failure from elevated 
  * blood gas: OSA does not have elevated PCO2. OHS has during day
  * V/Q: rule out recurrent thromboembolic disease
* schatzki's ring