MEDICATED ON;

Parotitis, Uveitis, and Fever in a patient with Sarcoidosis. ~5% of patients with sarcoidosis. Tx with steroids/immunosuppressants

ACE inhibitors, ARBs B-Blockers Aldosterone Antagonists (Spironolactone) Hydralazine + Nitrates

Moderate to Severe - Class III-IV, Treat with ACE inhibitor, loop diuretic, BB. Add digoxin for relief of symptoms (for systolic dysfunction, does not improve mortality). Can add spironolactone for patients with Class IV symptoms.

bleeding varices (portal hypertension)

Goal BP - Lower DBP by 10-15% over 30-60 mins or DBP ~110.

treatment - ASA, do not give NSAIDs as it may hinder scar formation

Clinical Features: Hypotension, bradycardia, elevated JVD, hepatomegaly, clear lungs, possibly abdominal discomfort

1. pump failure - most common cause of in-hospital mortality 2. arrhythmias - V.Fib, VTach, Afib, Asytole, AV Block 3. recurrent infarction - re-elevation of CK-MB after 36-48 hrs, trop remains elevated for week or more 4. mechanical complications - free wall/IV septum/papillary muscle rupture, ventricular aneurysm 5. acute pericarditis - PR depression in all leads 6. Dressler’s syndrome - post-MI autoimmune syndrome consisting of fever, malaise, pericarditis, leukocytosis; weeks to months post MI; TX ASA, Ibuprofen

tx of colonic ischemia - sigmoidectomy with mucous fistula and end colostomy

tx - fasciotomy of all four compartments of calf

A fib

“six P’s” - pain, paralysis, pallor, paresthesia, poikilothermia, pulselessness

PACE - pentoxifylline, ASA, cessation of smoking, exercise

Four M’s - MEN II, aMyloid, Median lymph node dissection, Modified neck dissection (if lat nodes are positive)

Neurogenic (schwannoma)