Index: PE: Merck Manual Professional

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Peak airway pressure		Overview of Mechanical Ventilation: Respiratory Mechanics Components of airway pressure during mechanical ventilation, illustrated by an inspiratory-hold maneuver.

status asthmaticus and		Ventilatory Failure: Status asthmaticus (SA)

Peak expiratory flow monitoring		Asthma and Related Disorders: Other tests Asthma and Related Disorders: Monitoring response to treatment

Peak urinary flow rate		Urinary Incontinence in Adults: Testing

Pearson's syndrome		Perinatal Hematologic Disorders: Decreased RBC production Mitochondrial Disorders

Pectoralis major

agenesis of		Muscle Abnormalities

Pectus carinatum		Cardiovascular Examination: Inspection Marfan Syndrome: Musculoskeletal system

Pectus excavatum		Approach to the Pulmonary Patient: Inspection Cardiovascular Examination: Inspection Marfan Syndrome: Musculoskeletal system

Pediatric autoimmune neuropsychiatric disorder associated with streptococcus (PANDAS)		Anxiety Disorders in Children and Adolescents: Obsessive-Compulsive Disorder (OCD)

Pediculosis		Some Causes of Itching Lice

Pedigree		Genetic Evaluation General Principles of Medical Genetics: Construction of a family pedigree Symbols for constructing a family pedigree.

Pedophilia		Paraphilias: Pedophilia

PEEP		see Positive end-expiratory pressure

Pegaptanib		Retinal Disorders: Wet AMD Central and Branch Retinal Vein Occlusion: Treatment

Pegloticase		Gout: Lowering the serum urate level

Pegvisomant		Gigantism and Acromegaly: Treatment

Pel-Ebstein fever		Hodgkin Lymphoma: Symptoms and Signs

Peliosis hepatis		Peliosis Hepatis

Pellagra		Symptoms and Signs of Nutritional Deficiency Sources, Functions, and Effects of Vitamins Niacin: Niacin Deficiency

oral problems and		Gingivitis: Symptoms and Signs

Pelvic congestion syndrome		Pelvic Congestion Syndrome

Pelvic examination		Screening Procedures in Average-Risk Asymptomatic People As Recommended by the American Cancer Society* Approach to the Gynecologic Patient: Physical Examination

in dyspareunia		Sexual Dysfunction in Women: Diagnosis

in elderly patient		Evaluation of the Elderly Patient: Female Reproductive System

in pregnancy		Normal Pregnancy, Labor, and Delivery: Symptoms and Signs

in urinary incontinence		Urinary Incontinence in Adults: Physical examination

Pelvic floor disorders		Pelvic relaxation syndromes

Pelvic floor muscles

dysfunction of

difficult defecation and		Constipation: Dyschezia

in pelvic relaxation syndromes		Pelvic Relaxation Syndromes

Pelvic inflammatory disease		Some Gynecologic Causes of Pelvic Pain Some Clues to Diagnosis of Pelvic Pain Pelvic Inflammatory Disease (PID) Regimens for Treatment of Pelvic Inflammatory Disease*

abscess in		Anorectal Abscess

HIV infection and		Common Manifestations of HIV Infection by Organ System

Neisseria gonorrhoeae infection and		Gonorrhea: Symptoms and Signs

Pelvic lesions

infertility and		Tubal Dysfunction and Pelvic Lesions

Pelvic mass		Symptoms of Gynecologic Disorders

Pelvic pain		Pelvic Pain Some Gynecologic Causes of Pelvic Pain Some Clues to Diagnosis of Pelvic Pain

adnexal torsion and		Benign Gynecologic Lesions

menstruation and		Dysmenorrhea

pregnancy and		Symptoms During Pregnancy Some Causes of Pelvic Pain During Early Pregnancy

prostatitis and		Prostatitis: Symptoms and Signs Prostatitis: Chronic prostatitis/chronic pelvic pain syndrome

Pelvic relaxation syndromes		Pelvic Relaxation Syndromes

Pelvis		see also Pelvic examination

abscess of		Intra-Abdominal Abscesses

fracture of		Fractures: Pelvic fractures

Pemetrexed		Commonly Used Antineoplastic Drugs

Pemoline		Narcolepsy: Treatment

in elderly		Drug-Disease Interactions in the Elderly

Pemphigoid

bullous		Bullous Pemphigoid Distinguishing Pemphigoid From Pemphigus Vulgaris

cicatricial		Some Disorders of the Oral Region by Predominant Site of Involvement Cicatricial Pemphigoid

oral		Some Disorders of the Oral Region by Predominant Site of Involvement Stomatitis: Interpretation of findings

Pemphigoid gestationis		Pemphigoid Gestationis

Pemphigus erythematosus		Pemphigus Foliaceus

Pemphigus foliaceous		Pemphigus Foliaceus

Pemphigus vulgaris		Pemphigus Vulgaris

oral		Some Disorders of the Oral Region by Predominant Site of Involvement Stomatitis: Interpretation of findings

paraneoplastic		Skin Manifestations of Internal Disease: Internal cancer Pemphigus Vulgaris

pemphigoid vs		Distinguishing Pemphigoid From Pemphigus Vulgaris

Penbutolol		Oral β -Blockers for Hypertension

Penciclovir		Drugs Used to Treat Herpesvirus Infections

Pendred's syndrome		Endocrine Disorders in Children: Dyshormonogenesis

Penicillamine

autoimmune disorders with		Drug Hypersensitivity: Symptoms and Signs

in chelation therapy		Guidelines for Chelation Therapy

in copper toxicity		Copper Deficiency and Toxicity: Treatment Copper Deficiency and Toxicity: Treatment

in cystinuria		Cystinuria: Treatment

vitamin B₆ deficiency and		Potential Vitamin-Drug Interactions

Penicillin		Usual Doses of Commonly Prescribed Antibiotics β-Lactams: Penicillins Penicillins

adverse effects of		β-Lactams: Adverse Effects

allergy to		Drug Hypersensitivity: Pathophysiology β-Lactams: Adverse Effects

antibiotic alternatives for		Antibiotic Regimens for Endocarditis Recommended Endocarditis Prophylaxis During Oral-Dental or Respiratory Tract Procedures*

cephalosporin use and		β-Lactams: Adverse Effects

desensitization in		Drug Hypersensitivity: Desensitization

skin test for		Drug Hypersensitivity: Skin testing

in staphylococcal infection		Antibiotic Treatment of Staphylococcal Infections in Adults

broad-spectrum		Usual Doses of Commonly Prescribed Antibiotics β-Lactams: Broad-spectrum (antipseudomonal) penicillin

in Lyme disease		Guidelines for Antibiotic Treatment Lyme Disease in Adults*

in meningitis		Acute Bacterial Meningitis: Antibiotics Acute Bacterial Meningitis: Antibiotics

metabolic alkalosis and		Causes of Metabolic Alkalosis

neonatal dosage of		Recommended Dosages of Selected Parenteral Antibiotics for Neonates

penicillinase-resistant		Usual Doses of Commonly Prescribed Antibiotics β-Lactams: Penicillinase-resistant penicillins

pneumococcus resistance to		Pneumococcal Infections: Treatment

staphylococcus resistance to		Staphylococcal Infections : Antibiotic resistance

in streptococcal pharyngitis		Streptococcal Infections: Pharyngitis

Penicillium marneffei infection		Miscellaneous Opportunistic Fungi

Penile pressure-brachial pressure index		Erectile Dysfunction: Diagnosis

Penis

amputation of		Genital Trauma

anomalies of		Penile and Urethral Anomalies

cancer of		Genitourinary Cancer Staging Penile Cancer

cutaneous lesions of		Cutaneous Penile Lesions Causes of Cutaneous Penile Lesions Penile Cancer

erectile dysfunction of		Erectile Dysfunction

prosthesis for		Erectile Dysfunction: Surgery

erection of		Male Sexual Dysfunction: Erection

deviated (Peyronie disease)		Peyronie Disease

persistent (Priapism)		Priapism Some Causes of Priapism

examination of		Evaluation of the Urologic Patient: Groin and genitals

inflammation of		Penile and Scrotal Disorders Causes of Penile Inflammation

of neonate		Approach to the Care of Normal Infants and Children: Abdomen and pelvis

trauma to		Genital Trauma Zipper removal from penile skin.

ulcers of

in Behçet syndrome		Behçet Syndrome: Mucocutaneous

Pennyroyal poisoning		Moderately Poisonous Plants

Pentamidine

in African trypanosomiasis		African Trypanosomiasis: Without CNS involvement

in Pneumocystis pneumonia		Pneumonia in Immunocompromised Patients: Treatment

Pentasa		Inflammatory Bowel Disease (IBD): 5-Aminosalicylic acid (5-ASA, mesalamine) Crohn Disease: Mild to moderate disease

Pentazocine		Opioid Analgesics Equianalgesic Doses of Opioid Analgesics*

in elderly		Effect of Aging on Drug Response High-Risk Drugs in the Elderly (Based on the Beers Criteria)

Pentobarbital

in coma induction		Coma and Impaired Consciousness: ICP control Traumatic Brain Injury (TBI): Increased intracranial pressure

in dying patient		Symptom Control in the Dying: Confusion

poisoning with		Symptoms and Treatment of Specific Poisons

in seizures		Seizure Disorders: Acute seizures and status epilepticus

Pentosan		Interstitial Cystitis: Treatment

Pentostatin		Commonly Used Antineoplastic Drugs

Peppermint oil		Irritable Bowel Syndrome (IBS): Drug therapy

Peptic ulcer disease		Peptic Ulcer Disease

bleeding in		GI Bleeding: Interpretation of findings GI Bleeding: Hemostasis

chest pain in		Some Causes of Chest Pain

drug interactions with		Drug-Disease Interactions in the Elderly

in elderly		Unusual Presentations of Illness in the Elderly

esophageal		Gastroesophageal Reflux Disease (GERD): Symptoms and Signs

hemorrhage in		Peptic Ulcer Disease: Hemorrhage

perforation in		Peptic Ulcer Disease: Penetration (confined perforation)

recurrence of		Peptic Ulcer Disease: Recurrence Peptic Ulcer Disease: Surgery

treatment of		Peptic Ulcer Disease: Treatment Proton Pump Inhibitors

Zollinger-Ellison syndrome and		Pancreatic Endocrine Tumors: Symptoms and Signs

Peptococcal infection		Mixed Anaerobic Infections: Etiology

Peptostreptococcal infection		Mixed Anaerobic Infections: Etiology

Perchlordecone poisoning		Symptoms and Treatment of Specific Poisons

Percussion

chest		Approach to the Pulmonary Patient: Percussion and palpation

Percutaneous anterograde urography		Genitourinary Tests and Procedures: Percutaneous anterograde urography

Percutaneous coronary interventions		Percutaneous Coronary Interventions (PCI) Coronary Artery Disease: PCI Angina Pectoris: Revascularization

in acute coronary syndromes		Acute Coronary Syndromes (ACS): Revascularization Modalities and Indications

Percutaneous transhepatic cholangiography		Imaging Tests of the Liver and Gallbladder: Percutaneous transhepatic cholangiography (PTC)

Percutaneous transluminal angioplasty		see also Angioplasty Percutaneous Coronary Interventions (PCI)

Percutaneous umbilical blood sampling		Genetic Evaluation: Percutaneous Umbilical Blood Sampling

Perennial allergic conjunctivitis		Allergic Conjunctivitis

Perennial rhinitis		Allergic Rhinitis

Perfluorocarbons		Intravenous Fluid Resuscitation: Hemorrhage Blood Products: Other products

Pergolide		Examples of Disorders Associated With Defects in Neurotransmission

in multiple system atrophy		Multiple System Atrophy: Treatment

Periadenitis mucosa necrotica recurrens		Recurrent Aphthous Stomatitis: Symptoms and Signs

Periapical abscess		Toothache and Infection: Etiology Some Causes of Toothache

Periarteritis nodosa		Polyarteritis Nodosa (PAN)

Pericardial cyst		Cardiac Tumors: Benign primary tumors

Pericardial effusion		Some Causes of Subacute* Dyspnea Pericarditis: Pathophysiology Pericarditis: Etiology Pericarditis: Pericardial effusion Pericarditis: Diagnosis of cause Pericardiocentesis.

Pericardial knock		Pericarditis: Constrictive pericarditis

Pericardial rub		Pleural Effusion: Symptoms and Signs Cardiovascular Examination: Pericardial friction rub Acute Coronary Syndromes (ACS): NSTEMI and STEMI Pericarditis: Acute pericarditis

Pericardial sac

air dissection into		Pulmonary Air-Leak Syndromes: Pneumopericardium

Pericardiocentesis		Pericarditis: Diagnosis of cause Pericardiocentesis.

in cancer		Clinical Sequelae of Cancer

Pericardiotomy		Pericarditis: Etiology Pericarditis: Acute pericarditis Pericarditis: Treatment

Pericarditis		Some Causes of Chest Pain Pericarditis Causes of Acute Pericarditis Acute pericarditis: Stage 1 ECG. Pericardiocentesis.

constrictive		Pericarditis: Pathophysiology Pericarditis: Constrictive pericarditis Pericarditis: Constrictive pericarditis Pericarditis: Treatment

myocardial infarction and		Acute Coronary Syndromes (ACS): Pericarditis

pain in		Pericarditis: Acute pericarditis Pericarditis: Treatment

pleural effusion and		Causes of Pleural Effusion

rheumatic fever and		Rheumatic Fever: Heart

tuberculous		Tuberculosis (TB): TB pericarditis

Pericardium		Pericarditis: Anatomy

inflammation of		see Pericarditis

mesothelioma of		Cardiac Tumors: Malignant primary tumors Cardiac Tumors: Symptoms and Signs

resection of		Pericarditis: Treatment

teratoma of		Cardiac Tumors: Benign primary tumors Cardiac Tumors: Symptoms and Signs Cardiac Tumors: Treatment

Perichondritis		Perichondritis of the Ear

Pericoronitis		Toothache and Infection: Etiology Some Causes of Toothache Toothache and Infection: Treatment Gingivitis: Symptoms and Signs Gingivitis: Treatment

Perihepatitis		Chlamydial, Mycoplasmal, and Ureaplasmal Infections: Symptoms and Signs Gonorrhea: Symptoms and Signs

Perilymphatic fistula		Sudden Deafness: Etiology Otic Barotrauma: Treatment

Perimenopause		Menopause

Perimetry		Evaluation of the Ophthalmologic Patient: Visual field testing

Perineum

anesthetic infiltration of		Management of Normal Delivery: Local anesthesia

gangrene of		Streptococcal Infections: Diseases Caused by Streptococci

postpartum care of		Postpartum Care and Associated Disorders: Perineal care

Periodic breathing (Cheyne-Stokes respiration)		Approach to the Pulmonary Patient: Inspection

Periodic fever syndromes		Hereditary Periodic Fever Syndromes

Periodic limb movement disorder		Some Causes of Insomnia and Excessive Daytime Sleepiness Periodic Limb Movement Disorder and Restless Legs Syndrome

Periodic paralysis		Hypokalemia: Intracellular shift Examples of Disorders Associated With Defects in Neurotransmission

familial		Familial Periodic Paralysis

Periodontitis		Approach to the Dental Patient: Geriatrics Essentials Periodontal Disorders

HIV infection and		Common Manifestations of HIV Infection by Organ System

Periodontium		Dental Anatomy and Development: Supporting tissues

inflammation of		see Periodontitis

Periostitis

syphilitic		Syphilis: Late or tertiary syphilis

Peripheral arterial disease		Peripheral Arterial Disease

Peripheral nerves		see also Cranial nerves, and specific disorders Peripheral Nervous System and Motor Unit Disorders Causes of Peripheral Nervous System Disorders Clinical Clues to Causes of Peripheral Nervous System* Disorders

aging-related changes in		Selected Physiologic Age-Related Changes

compression of		Hand Disorders: Nerve compression syndromes Carpal Tunnel Syndrome

conduction velocity study of		Neurologic Diagnostic Procedures: Electromyography and nerve conduction studies

injury to		Neuropathic Pain Lacerations: Evaluation Fractures, Dislocations, and Sprains

lower limb		Cutaneous nerve distribution: lower limb.

stimulation of		Treatment of Pain: Neuromodulation

upper limb		Cutaneous nerve distribution: upper limb.

Peripheral neuropathy		see Neuropathy

Peripheral vascular disorders

arterial		Peripheral Arterial Disorders

limb pain in		Limb Pain: Etiology

Buerger's disease		Thromboangiitis Obliterans

chronic venous insufficiency		Chronic Venous Insufficiency and Postphlebitic Syndrome Clinical Classification of Chronic Venous Insufficiency

claudication in		Peripheral Arterial Disease: Symptoms and Signs Peripheral Arterial Disease: Treatment

deep venous thrombosis		Peripheral Venous Disorders Deep veins of the legs. Risk Factors for Venous Thrombosis One approach to testing for suspected deep venous thrombosis.

Deep Venous Thrombosis		Risk of Deep Venous Thrombosis and Pulmonary Embolism in Surgical Patients

foot ischemia in		Peripheral Arterial Disease: Symptoms and Signs

superficial venous thrombosis		Superficial Venous Thrombosis

varicose veins		Varicose Veins

venous		Peripheral Venous Disorders

Peripheral vascular resistance		Hypertension: Pathophysiology

Peristalsis

abdominal pain and		Acute Abdominal Pain: Interpretation of findings

arrest of		Ileus

infection and		Host Defense Mechanisms Against Infection: GI tract

Peritoneal dialysis		Indications and Contraindications to Common Renal Replacement Therapies Complications of Renal Replacement Therapy Peritoneal Dialysis

pleural effusion and		Causes of Pleural Effusion

Peritoneal lavage

diagnostic		Approach to the Trauma Patient: Testing

Peritoneum

abscess of		Intra-abdominal Abscesses Intra-Abdominal Abscesses

air dissection into		Pulmonary Air-Leak Syndromes: Pneumoperitoneum

ascites in		GI Procedures for the Generalist: Abdominal Paracentesis

diagnostic lavage of		Abdominal Trauma: Penetrating trauma

disseminated cancer of		Intestinal Obstruction: Specific measures

fluid in		see also Ascites Ascites

inflammation (infection) of		see Peritonitis

pain in		Acute Abdominal Pain: Pathophysiology

perforation of

ulcerative colitis and		Ulcerative Colitis: Fulminant symptoms

Peritonitis		Acute Abdominal Pain: Peritonitis Some Clues to Diagnosis of Pelvic Pain

bacterial

spontaneous		Spontaneous Bacterial Peritonitis (SBP)

dialysis and		Peritoneal Dialysis: Complications

familial Mediterranean fever and		Familial Mediterranean Fever: Symptoms and Signs

gonococcal		Gonorrhea: Symptoms and Signs

meconium		Meconium Ileus

pneumococcal		Pneumococcal Infections: Diseases Caused by Pneumococci

pregnancy and		Disorders Requiring Surgery During Pregnancy: Intestinal obstruction

tuberculous		Tuberculosis (TB): TB peritonitis

ulcerative colitis and		Ulcerative Colitis: Fulminant symptoms

Peritonsillar abscess (quinsy)		Peritonsillar Abscess and Cellulitis

Periventricular leukomalacia		Premature Infant: CNS

Perlèche		Fungal Skin Infections: Symptoms and Signs

Permethrin		Principles of Topical Dermatologic Therapy: Antimicrobials

in lice infestation		Treatment Options for Lice

poisoning with		Symptoms and Treatment of Specific Poisons

in scabies		Scabies: Treatment Treatment Options for Scabies

Pernicious anemia		Vitamin B₁₂: Etiology Some Disorders of the Oral Region by Predominant Site of Involvement Megaloblastic Macrocytic Anemias

autoimmune metaplastic atrophic gastritis and		Autoimmune Metaplastic Atrophic Gastritis

Pernio		Nonfreezing Tissue Injuries: Chilblains (pernio)

Peroneal muscular atrophy		Hereditary Neuropathies: Motor and sensory neuropathies

Peroneal nerve compression		Peripheral Neuropathy: Symptoms and Signs

Peroxidase deficiency		Endocrine Disorders in Children: Dyshormonogenesis

Peroxisomal disorders		Peroxisomal Disorders

Perphenazine		Conventional Antipsychotics

poisoning with		Symptoms and Treatment of Specific Poisons

in vomiting		Some Drugs for Vomiting

Persistent ostium primum		Atrioventricular Septal Defect Atrioventricular septal defect (complete form).

Persistent pulmonary hypertension of newborn		Perinatal Physiology: Cardiovascular function Persistent Pulmonary Hypertension of the Newborn

diaphragmatic hernia and		Diaphragmatic Hernia

Persistent truncus arteriosus		Persistent Truncus Arteriosus Truncus arteriosus.

Personality

addictive		Drug Dependence: User

disorders of		Personality Disorders

suicide and		Suicidal Behavior: Etiology

multiple		Dissociative Identity Disorder

physical disorders and		Selected Mental Symptoms Due to Physical Disorders

placebo response and		Placebos: Effects

Pertussis		Some Causes of Cough Community-Acquired Pneumonia in Children Selective Media for Isolation of Common Bacteria Pertussis Some Causes of Cough in Children

vaccine against		Vaccines Available in the US Routine Vaccinations: Diphtheria-Tetanus-Pertussis Pertussis: Prevention

Pervasive developmental disorders		Autism Spectrum Disorders (ASD) Autism Spectrum Disorders

Pessary		Urinary Incontinence in Adults: Stress incontinence Cystoceles, Urethroceles, Enteroceles, and Rectoceles: Treatment

Pesticides

cancer and		Common Chemical Carcinogens

poisoning with		Symptoms and Treatment of Specific Poisons

Pestis		Plague and Other Yersinia Infections

PET		see Positron emission tomography

Petechiae		Description of Skin Lesions: Lesion Type (Primary Morphology)

endocarditis and		Infective Endocarditis: SBE

of neonate		Approach to the Care of Normal Infants and Children: Skin

Petroleum jelly

aspiration of		Aspiration Pneumonitis and Pneumonia: Chemical pneumonitis

in lice infestations		Treatment Options for Lice

Petroleum poisoning		Hydrocarbon Poisoning Symptoms and Treatment of Specific Poisons

Peutz-Jeghers syndrome		Peutz-Jeghers Syndrome Oral Findings in Systemic Disorders Some Disorders of the Oral Region by Predominant Site of Involvement Hyperpigmentation: Lentigines Addison Disease: Differential diagnosis

Pexelizumab		Some Immunotherapeutic Agents in Clinical Use*

Peyronie disease		Erectile Dysfunction: Diagnosis Peyronie Disease

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