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pumping

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(pŭmp′ing) Draining or emptying of fluids by hydraulic suction.

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lymphatic p. In osteopathy, manipulation of the thoracic cavity to facilitate lymphatic circulation.

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stomach p. SEE: gastric lavage.

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pump-oxygenator

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(pŭmp-ŏk′ sĭ-jĕn-ā″tŏr) A device that pumps and oxygenates blood.

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pump pocket

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A surgically constructed pouch beneath the skin but superficial to muscle, in which implanted devices such as defibrillators, insulin pumps, or pacemakers are inserted. Hematomas, infections, and seromas sometimes develop in these locations.

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punch

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An instrument for making a small circular hole in material or tissue, esp. the skin.

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punched out

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1. Having sharply defined edges. 2. Looking as if holes have been made, esp. in the appearance of bones (as seen on x-ray film) in diseases like multiple myeloma.

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puncta

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(pŭnk′tă) sing., punctum [L.] Points.

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punctate

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(pŭnk′tāt) [L. punctum, point] Having pinpoint punctures or depressions on the surface; marked with dots.

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p. keratoses Discrete yellow-tobrown firm papules of the palms and soles that appear after skin trauma, e.g., in walking or regular use of the hands or feet at work. The lesions are found in patients with a genetic predisposition to keratoderma.

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p. pits Depressed areas of the skin, esp. of the palmar creases of the hands and soles.

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p. rash A rash with minute red points.

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punctiform

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(pŭnk′tĭ-form) [″ + forma, shape] 1. Formed like a point. 2. In bacteriology, referring to pinpoint colonies of less than 1 mm in diameter.

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punctum

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(pŭngk′tŭm, pŭngk′tă) pl. puncta [L. punctum, a puncture, small hole, point] Point.

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puncture

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(pŭngk′chŭr) [L. punctura, a prick, puncture] 1. A hole or wound made by a sharp pointed instrument. 2. To make a hole with such an instrument.

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p. of the antrum Puncture of the maxillary sinus by insertion of a trocar through the sinus wall in order to drain fluid. The instrument is inserted near the floor of the nose, approx. 1½ in (3.8 cm) from the nasal opening. SEE: antrotomy.

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PATIENT CARE: The antrum is irrigated with the prescribed solution (often warm normal saline solution) according to protocol. The character and volume of the returned solution and the patient's response to treatment are carefully monitored and documented. Ice packs are applied as prescribed for edema and pain; these are replaced by warm compresses as healing progresses. Assessments are made for chills, fever, nausea, vomiting, facial or periorbital edema, visual disturbances, and personality changes, which ...

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