drug-induced, 426 t etiologies, 424 evaluation and decision, 426 –427 , 427 f life-threatening causes, 425 t pathophysiology, 424 Pancreas tumors, 914 Pancreatic injuries, 1090 –1091 hyperamylasemia, 1090 nasogastric decompression/bowel rest, 1091 Pancreatitis, 358 , 732 –734 clinical indications for admission, 734 clinical recognition, 732 management, 734 treatment, goals of, 732 triage, 733 Panic attacks, 1444 Papilledema, 180 , 341 Papular-purpuric gloves-and-socks eruption (PPGS), 475 , 475 f Papules characteristic appearance, 634 insect bites, 636 , 636 f louse infestation, 637 –638 , 637 f milia, 634 molluscum contagiosum, 634 –635 , 635 f scabies infestation, 637 , 637 f spider bites, 636 –637 , 637 f tick bites, 636 vascular papules and nodules, 638 , 638 f warts, 635 –636 xanthomas, 636 yellow, tan/brown papules, 638 –639 , 638 f Papulosquamous eruptions, 468 –474 Paracoccidioidomycosis, 444 Paradoxical vocal cord movement, 515 Paraesophageal hernia, 1421 –1422 Parainfluenza virus, 572 Paralytic ileus, 87 , 127 –128