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